Morphine

Zamkati

• Musanayambe kumwa morphine,
• Morphine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Morphine amatha kukhala chizolowezi, makamaka akagwiritsa ntchito nthawi yayitali. Tengani morphine ndendende monga momwe adauzira. Osamutenga wochulukirapo, uzimutenga pafupipafupi, kapena umutenge mosiyana ndi momwe dokotala akuuzira. Mukamamwa morphine, kambiranani ndi omwe amakuthandizani pa zaumoyo zolinga zanu zakuchiritsira, kutalika kwa chithandizo, ndi njira zina zothetsera ululu wanu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena ngati mwakhala mukudwala kapena matenda ena amisala. Pali chiopsezo chachikulu choti mugwiritse ntchito morphine ngati mwakhalapo kapena mwakhalapo ndi izi. Lankhulani ndi omwe amakuthandizani nthawi yomweyo ndikupemphani kuti akuwongolereni ngati mukuganiza kuti muli ndi vuto la opioid kapena pitani ku US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ku 1-800-662-HELP.

Morphine imatha kubweretsa mavuto opumira kapena owopsa, makamaka munthawi ya 24 mpaka 72 yoyambira yamankhwala anu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka. Dokotala wanu adzakuyang'anirani mosamala mukamalandira chithandizo. Dokotala wanu adzasintha mlingo wanu mosamala kuti athetse ululu wanu ndikuchepetsa chiopsezo choti mudzakhala ndi vuto lalikulu lopuma. Uzani dokotala wanu ngati mwakhala mukucheperapo kapena mphumu. Dokotala wanu akhoza kukuwuzani kuti musatenge morphine. Komanso muuzeni dokotala ngati mwakhalapo kapena mudakhalapo ndi matenda am'mapapo monga matenda osokoneza bongo (COPD; gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema), kuvulala pamutu, chotupa muubongo, kapena vuto lililonse lomwe limakulitsa kuchuluka kukakamizidwa muubongo wanu. Chiwopsezo chokhala ndi vuto lakupuma chingakhale chachikulu ngati ndinu wamkulu kapena mukufooka kapena kusowa zakudya m'thupi chifukwa cha matenda. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chamankhwala mwadzidzidzi: kupuma pang'ono, kupuma pang'ono pakati pa kupuma, kapena kupuma pang'ono.

Kumwa mankhwala ena mukamamwa mankhwala a morphine kungapangitse kuti mukhale ndi vuto lakupuma kapena mavuto ena owopsa, kupuma, kupuma, kapena kukomoka. Uzani dokotala wanu ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: benzodiazepines monga alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), ndi triazolam (Halcion); cimetidine (Tagamet); mankhwala ena opweteka a mankhwalawa; mankhwala a matenda amisala kapena nseru; zotsegula minofu; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mumamwa morphine ndi iliyonse mwa mankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono kapena kuvuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha.

Kumwa mowa, kumwa mankhwala akuchipatala kapena osapereka mankhwala omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mukamamwa mankhwala a morphine kumawonjezera chiopsezo choti mudzakumana ndi mavuto kupuma kapena zovuta zina zowopsa. Ngati mukumwa makapisozi a Avinza omwe amatenga nthawi yayitali, ndikofunikira kwambiri kuti musamwe zakumwa zilizonse zomwe muli ndi mowa kapena kumwa mankhwala aliwonse amtundu uliwonse omwe mulibe mowa. Mowa ungayambitse morphine ku Avinza^® makapisozi okhala ndi nthawi yayitali kuti amasulidwe mthupi lanu mwachangu, zomwe zimayambitsa matenda akulu kapena kufa. Musamamwe mowa, kumwa mankhwala aliwonse omwe mumamwa kapena omwe simunalembedwe omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala ena a morphine.

Musalole kuti aliyense azimwa mankhwala anu. Morphine atha kuvulaza kapena kupha anthu ena omwe amamwa mankhwala anu, makamaka ana. Sungani morphine pamalo otetezeka kuti wina aliyense asatenge mwangozi kapena mwadala. Samalani kwambiri kuti morphine asawonekere kwa ana. Onetsetsani kuti mapiritsi, kapena makapisozi angati, kapena kuchuluka kwa madzi otsala kuti mudziwe ngati pali mankhwala omwe akusowa. Chotsani makapisozi, mapiritsi, kapena madzi aliwonse osafunikira monga mwa malangizo. (Onani KUSUNGA NDIPONSO KUTAYA.)

Kumeza mapiritsi otulutsidwa kapena makapisozi athunthu. Musagawanitse, kutafuna, kusungunula, kapena kuwaphwanya. Ngati mumeza mapiritsi osweka, otafuna, osweka, kapena osungunuka kapena makapisozi, mutha kulandira morphine wochuluka nthawi imodzi m'malo mongolandira mankhwala pang'onopang'ono pakapita nthawi. Izi zitha kuyambitsa mavuto akulu kupuma kapena kufa. Ngati mukulephera kumeza makapisozi athunthu, tsatirani malangizo omwe ali mu '' KODI mankhwalawa ayenera kugwiritsidwa ntchito motani? '' Gawo ili m'munsiyi kuti muthe kusungunula zomwe zili mu kapisozi.

Morphine oral solution (madzi) amabwera m'magulu atatu osiyana (kuchuluka kwa mankhwala omwe amapezeka mumayankho ena). Njira yothetsera vutoli (100 mg / 5 mL) imangotengedwa ndi anthu omwe ali ololera (omwe amagwiritsidwa ntchito ndi zotsatira za mankhwala) ku mankhwala a opioid. Nthawi iliyonse mukalandira mankhwala anu, onetsetsani kuti mwalandira yankho ndi kusungidwa ndi dokotala. Onetsetsani kuti mukudziwa kuchuluka kwa mankhwala omwe muyenera kumwa komanso momwe mungayezere mlingo wanu.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumamwa morphine pafupipafupi panthawi yomwe muli ndi pakati, mwana wanu amatha kukumana ndi zoopsa zochoka pobereka. Uzani dokotala wa mwana wanu nthawi yomweyo ngati mwana wanu akukumana ndi izi: kukwiya, kusakhazikika, kugona mokwanira, kulira kwambiri, kugwedeza kosalamulirika kwa gawo lina la thupi, kusanza, kutsegula m'mimba, kapena kulephera kunenepa.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala a morphine ndipo nthawi iliyonse mukadzaza mankhwala anu ngati Buku la Mankhwala likupezeka pa mankhwala a morphine omwe mukumwa. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Morphine amagwiritsidwa ntchito kuchepetsa kupweteka pang'ono. Mapiritsi otulutsidwa a Morphine ndi makapisozi amangogwiritsidwa ntchito kuti athetse ululu waukulu (usana ndi usiku) womwe sungalamuliridwe pogwiritsa ntchito mankhwala ena opweteka. Mapiritsi otulutsidwa a Morphine ndi makapisozi sayenera kugwiritsidwa ntchito pochiza ululu womwe ungawongoleredwe ndi mankhwala omwe amamwa pakufunika kutero. Morphine ali mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Morphine amabwera ngati yankho (madzi), piritsi lotulutsa nthawi yayitali, komanso kapisozi womasulira (wotenga nthawi yayitali) woti atenge pakamwa. Yankho lakamwa nthawi zambiri limatengedwa maola anayi aliwonse pakufunika zowawa. Mtundu wa MS Contin ndi Arymo ER ndi mapiritsi otulutsira omwe amatengedwa nthawi zonse 8 kapena maola 12 aliwonse. Mapiritsi otulutsidwa a Morphabond nthawi zambiri amatengedwa maola 12 aliwonse. Ma capsules otulutsa mtundu wa Kadian nthawi zambiri amatengedwa popanda chakudya maola 12 aliwonse kapena maola 24 aliwonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Ngati mukumwa yankho la morphine, gwiritsani ntchito kapu kapena syringe ya dosing yomwe imabwera ndi mankhwalawa kuyeza mlingo wanu. Onetsetsani kuti mukudziwa kuchuluka kwa mamililita amadzi omwe muyenera kumwa. Funsani wamankhwala wanu ngati muli ndi funso lokhudza kuchuluka kwa mankhwala omwe muyenera kumwa kapena momwe mungagwiritsire ntchito kapu kapena syringe.

Ngati mukumwa makapisozi otulutsidwa ndi mtundu wa Kadian ndipo muli ndi chubu cha gastrostomy (chubu choperekera chopangira opaleshoni), funsani dokotala kapena wazamankhwala momwe angaperekere mankhwala kudzera mu chubu wanu.

Ngati mukulephera kumeza makapisozi omwe amatulutsidwa (Kadian), mutha kutsegula kapisozi mosamala, ndikuwaza mikanda yonse yomwe ili ndi supuni ya chimfine kapena maapulosi otentha, ndikumeza chisakanizo chonse nthawi yomweyo osatafuna kapena kuphwanya mikanda. Kenako muzimutsuka m'kamwa ndi madzi pang'ono ndi kumeza madziwo kuti mutsimikizire kuti mwameza mankhwala onse. Osasakaniza mikanda mu chakudya china chilichonse. Osasunga zosakaniza za mankhwala ndi maapulosi mtsogolo.

Ngati mukumwa mapiritsi otulutsidwa (Arymo ER), amezeni imodzi ndi madzi ambiri. Kumeza mapiritsi otulutsira kumene mutangowaika pakamwa panu. Musati presoak, kunyowetsa, kapena kunyambita mapiritsi otulutsidwa musanawayike mkamwa.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa morphine ndikuwonjezera pang'ono pang'onopang'ono mpaka kupweteka kwanu kutha. Dokotala wanu amatha kusintha mlingo wanu nthawi iliyonse mukamachiza ngati kupweteka kwanu sikukuyendetsedwa. Ngati mukumva kuti kupweteka kwanu sikukuyendetsedwa, pitani kuchipatala. Musasinthe kuchuluka kwa mankhwala anu osalankhula ndi dokotala.

Osasiya kumwa morphine osalankhula ndi dokotala. Dokotala wanu akhoza kuchepetsa mlingo wanu pang'onopang'ono. Ngati mwasiya mwadzidzidzi kumwa morphine, mutha kukhala ndi zizindikilo zakutha monga kusakhazikika; maso misozi; mphuno; kuyasamula; kukwiya; nkhawa; thukuta; zovuta kugona kapena kugona; kuzizira; kupweteka kumbuyo, minofu, kapena molumikizana; nseru; kusanza; kusowa chilakolako; kutsegula m'mimba; kukokana m'mimba; kufooka; kugunda kwamtima; kapena kupuma mofulumira.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanayambe kumwa morphine,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la morphine, mankhwala ena aliwonse, kapena zina zilizonse zosagwirizana ndi mtundu wa morphine womwe mukufuna kumwa. Funsani wamankhwala kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazinthu zosagwira.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mu gawo LOFUNIKITSA CHENJEZO ndi zina mwa izi: antihistamines (omwe amapezeka mumankhwala ozizira komanso opatsirana); buprenorphine (Belbuca, Butrans, ku Suboxone, ena); kachilombo; cyclobenzaprine (Amrix); dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); okodzetsa ('mapiritsi amadzi'); lifiyamu (Lithobid); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ku Treximet), ndi zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine; pentazocine (Talwin); quinidine (mu Nuedexta); 5HT₃ otsekemera a serotonin monga alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), kapena palonosetron (Aloxi); serotonin-reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), ndi venlafaxine (Effexor); tramadol (Conzip, Ultram, mu Ultracet), trazodone (Oleptro); kapena tricyclic antidepressants ('mood elevator') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), ndi trimipramine. Muuzeni dokotala ngati mukumwa mankhwalawa a monoamine oxidase (MAO), kapena ngati mwasiya kuwamwa m'masabata awiri apitawa: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi morphine, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala pazotsatira.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St. John's ndi tryptophan.
• uzani dokotala wanu ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgawo LOFUNIKITSA CHENJEZO kapena leus wodwala (vuto lomwe chakudya chodetsedwa sichidutsa m'matumbo). Dokotala wanu akhoza kukuwuzani kuti musatenge morphine.
• uzani dokotala wanu ngati mwakhala ndi chotupa m'mimba kapena m'mimba; kugwidwa; zovuta kumeza; Prostatic hypertrophy (kukulitsa kwamphongo yoberekera yamwamuna); mavuto kwamikodzo; kuthamanga kwa magazi; Matenda a Addison (momwe adrenal gland samapangira zinthu zina zachilengedwe) kapena chiwindi, impso, kapamba, chithokomiro, kapena matenda am'mimba.
• Uzani dokotala wanu ngati mukuyamwitsa.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito morphine.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa morphine.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti morphine imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti morphine imatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha kadyedwe kapena kugwiritsa ntchito mankhwala ena kuti muchepetse kapena kudzimbidwa mukamamwa morphine.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mukumwa mapiritsi a morphine kapena madzi, dokotala wanu angakuuzeni kuti mumwe mankhwalawo pakufunika kutero.

Ngati mwauzidwa kuti muzimwa mlingo wa mapiritsi kapena madzi kapena ngati mukumwa mankhwala otulutsidwa, tengani mlingo womwe mwaphonya mukangokumbukira, ndipo musatenge mlingo wotsatira nthawi yanu. M'malo mwake, lolani nthawi yofanana yomwe mumalola pakati pa mlingo musanatenge mlingo wanu wotsatira. Ngati mukukumbukira nthawi yakwana yantchito yotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Morphine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• Kusinza
• kupweteka m'mimba ndi kukokana
• pakamwa pouma
• mutu
• manjenje
• zosintha
• ana ang'ono (mabwalo akuda pakati pa maso
• kuvuta kukodza kapena kupweteka mukakodza

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• buluu kapena utoto wofiirira pakhungu
• kusintha kwa kugunda kwa mtima
• kusakhazikika, kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), malungo, thukuta, chisokonezo, kugunda kwamtima, kunjenjemera, kuuma minofu mwamphamvu kapena kugwedezeka, kutayika kwa mgwirizano, nseru, kusanza, kapena kutsekula m'mimba
• nseru, kusanza, kusowa kwa njala, kufooka, kapena chizungulire
• Kulephera kupeza kapena kusunga erection
• msambo wosasamba
• Kuchepetsa chilakolako chogonana
• kugwidwa
• Kusinza kwambiri
• kukomoka
• kupweteka pachifuwa
• malungo
• ming'oma
• zidzolo
• kuyabwa
• kutupa kwa maso, nkhope, pakamwa, milomo kapena pakhosi
• ukali
• kuvuta kupuma kapena kumeza

Morphine amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Muyenera kutaya nthawi yomweyo mankhwala aliwonse omwe ndi achikale kapena osafunikanso kudzera pulogalamu yobwezeretsanso mankhwala. Ngati mulibe pulogalamu yobwezera pafupi kapena yomwe mungathe kulumikiza mwachangu, tsambulani mapiritsi otulutsira morphine, makapisozi otulutsidwa, ndi madzi omwe atha ntchito kapena osafunikanso kuchimbudzi kuti ena asatenge iwo. Lankhulani ndi wamankhwala wanu za momwe mungagwiritsire ntchito mankhwala anu.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Mukamamwa morphine, muyenera kukambirana ndi adotolo za mankhwala opulumutsa omwe amatchedwa naloxone omwe amapezeka mosavuta (mwachitsanzo, kunyumba, ofesi). Naloxone imagwiritsidwa ntchito kusintha zomwe zimawopseza moyo chifukwa cha bongo. Zimagwira ntchito poletsa zotsatira za ma opiate kuti athetse zovuta zomwe zimayambitsidwa ndi ma opiate ambiri m'magazi. Dokotala wanu amathanso kukupatsirani naloxone ngati mukukhala m'nyumba momwe muli ana aang'ono kapena wina yemwe wagwiritsa ntchito mankhwala osokoneza bongo mumsewu. Muyenera kuwonetsetsa kuti inu ndi abale anu, osamalira odwala, kapena anthu omwe mumacheza nanu mukudziwa momwe mungadziwire kuchuluka kwa mankhwala osokoneza bongo, momwe mungagwiritsire ntchito naloxone, ndi zomwe muyenera kuchita mpaka chithandizo chadzidzidzi chidzafike. Dokotala wanu kapena wamankhwala akuwonetsani inu ndi abale anu momwe mungagwiritsire ntchito mankhwalawa. Funsani wamankhwala wanu kuti akupatseni malangizowo kapena pitani patsamba la wopanga kuti mupeze malangizowo. Ngati zizindikilo za bongo zikachitika, mnzanu kapena wachibale akuyenera kupereka mlingo woyamba wa naloxone, itanani 911 mwachangu, ndikukhala nanu ndikukuyang'anirani mpaka thandizo ladzidzidzi litafika. Zizindikiro zanu zimatha kubwerera mkati mwa mphindi zochepa mutalandira naloxone. Ngati zizindikiro zanu zibwerera, munthuyo akuyenera kukupatsaninso mankhwala a naloxone. Mlingo wowonjezerapo ungaperekedwe mphindi ziwiri kapena zitatu zilizonse, ngati zizindikiro zibwerera chithandizo chamankhwala chisanabwere.

Zizindikiro za bongo zingaphatikizepo izi:

• kupuma pang'onopang'ono, kosazama, kapena kosasintha
• kuvuta kupuma
• kugona
• osakhoza kuyankha kapena kudzuka
• Minofu yolumala
• kozizira, khungu lamadzi
• ana ang'onoang'ono
• kugunda kochedwa mtima
• kusawona bwino
• nseru
• kukomoka

Sungani maimidwe onse ndi dokotala ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu limayankhira morphine.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukumwa morphine.

Mankhwalawa sangabwerenso. Ngati mukumwa morphine kuti muchepetse ululu wanu kwa nthawi yayitali, onetsetsani kuti mwasankha nthawi yoikidwiratu ndi dokotala kuti musataye mankhwala. Ngati mukumwa morphine kwakanthawi, itanani dokotala ngati mupitiliza kumva ululu mukamaliza mankhwala.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Arymo^® ER
• Avinza^®¶
• Chikadadi^®
• Morphabond^®
• MS Pitirizani^®
• Zolemba^® Chidwi^¶
• Zamgululi^¶

• Embeda^® (yokhala ndi Morphine, Naltrexone)^¶

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.