Hydromorphone vs. Morphine: Kodi Amasiyana Motani?

Zamkati

• Mankhwala osokoneza bongo
• Mtengo, kupezeka, ndi inshuwaransi
• Zotsatira zoyipa
• Kuyanjana kwa mankhwala
• Kuyanjana ndi mankhwala aliwonse
• Wotsutsa
• Monoamine oxidase inhibitors
• Mankhwala ena opweteka, mankhwala ena opatsirana pogonana, mankhwala osokoneza bongo, ndi mapiritsi ogona
• Gwiritsani ntchito mankhwala ena
• Lankhulani ndi wothandizira zaumoyo wanu

Chiyambi

Ngati mukumva kuwawa kwambiri ndipo simunapeze mpumulo ndi mankhwala ena, mutha kukhala ndi njira zina. Mwachitsanzo, Dilaudid ndi morphine ndi mankhwala awiri omwe amagwiritsidwa ntchito pochiza ululu mankhwala ena asanagwire ntchito.

Dilaudid ndiye mtundu wa dzina la mankhwala achibadwa a hydromorphone. Morphine ndi mankhwala achibadwa. Amagwiranso ntchito chimodzimodzi, koma amakhalanso ndi zosiyana zochepa. Yerekezerani mankhwala awiriwa pano kuti mudziwe ngati imodzi ingakhale njira yabwino kwa inu.

Mankhwala osokoneza bongo

Mankhwala onsewa ndi a gulu la mankhwala otchedwa opioid analgesics, omwe amadziwikanso kuti mankhwala osokoneza bongo. Amagwira ntchito zolandilira ma opioid mumanjenje anu. Izi zimasintha momwe mumaonera kupweteka kukuthandizani kuti musamve kupweteka.

Hydromorphone ndi morphine iliyonse imabwera m'njira zingapo komanso mphamvu. Mafomu apakamwa (otengedwa pakamwa) amagwiritsidwa ntchito kwambiri. Mitundu yonse itha kugwiritsidwa ntchito kunyumba, koma mitundu ya jakisoni imagwiritsidwa ntchito kwambiri mchipatala.

Mankhwala onsewa amatha kuyambitsa mavuto ena ndipo akhoza kumulowerera, choncho muyenera kuwamwa monga momwe adanenera.

Ngati mukumwa mankhwala opweteka opitilira umodzi, onetsetsani kuti mukutsatira mosamalitsa malangizo amtundu uliwonse wa mankhwala kuti musawasakanize. Ngati muli ndi mafunso okhudza momwe mungamwe mankhwala anu, funsani omwe amakuthandizani pazachipatala kapena wamankhwala.

Tchati chomwe chili pansipa chikufotokozeranso zomwe mankhwala onsewa amachita.

* Fufuzani malangizo phukusi kapena mankhwala a omwe amakupatsani zaumoyo kuti muwone kutentha kwenikweni.

Chinthu cholamulidwa ndi mankhwala omwe amayendetsedwa ndi boma. Ngati mutenga mankhwala osokoneza bongo, wothandizira zaumoyo wanu ayenera kuyang'anitsitsa momwe mukugwiritsira ntchito mankhwalawa. Osamapereka mankhwala kwa wina aliyense.

† Ngati mwakhala mukumwa mankhwalawa kwa nthawi yayitali kuposa milungu ingapo, osasiya kumwa popanda kulankhula ndi omwe amakuthandizani. Muyenera kuchotsa mankhwalawa pang'onopang'ono kuti mupewe zizindikiritso zakudzichotsa monga nkhawa, thukuta, nseru, kutsegula m'mimba, komanso kuvuta kugona.

¥ Mankhwalawa amatha kugwiritsa ntchito molakwika. Izi zikutanthauza kuti mutha kuzolowera. Onetsetsani kuti mutenge mankhwalawa chimodzimodzi monga omwe akukuthandizani. Ngati muli ndi mafunso kapena nkhawa, lankhulani ndi omwe amakuthandizani pa zaumoyo.

Kusiyanitsa kwakukulu pakati pa mankhwalawa ndi mawonekedwe omwe amabwera. Gome ili m'munsili limatchula mitundu ya mankhwala aliwonse.

* Mitunduyi ilipo koma sivomerezedwa ndi FDA.

Mtengo, kupezeka, ndi inshuwaransi

Mitundu yonse ya hydromorphone ndi morphine imapezeka kuma pharmacies ambiri. Komabe, ndibwino kuyimbira foni yamankhwala anu pasanapite nthawi kuti mutsimikizire kuti ali ndi mankhwala omwe muli nawo.

Nthawi zambiri, mitundu ya mankhwala amtunduwu imakhala yotsika mtengo poyerekeza ndi mayina amtundu. Morphine ndi hydromorphone ndi mankhwala achibadwa.

Pomwe nkhaniyi inali kulembedwa, ma hydromorphone ndi morphine anali ndi mitengo yofananira, malinga ndi GoodRx.com.

Mankhwala odziwika kuti Dilaudid anali okwera mtengo kwambiri kuposa mitundu ina ya morphine. Mulimonsemo, mtengo wanu wakuthumba umadalira inshuwaransi yazaumoyo wanu, mankhwala anu, ndi mlingo wanu.

Zotsatira zoyipa

Hydromorphone ndi morphine zimagwiranso chimodzimodzi mthupi lanu. Amagawana zovuta zomwezo.

Tchati chili m'munsichi chili ndi zitsanzo za zoyipa zomwe zimachitika chifukwa cha hydromorphone ndi morphine.

Mankhwala aliwonse amathanso kuyambitsa matenda am'mapapo (kupumira pang'onopang'ono komanso mosaya). Ngati atengedwera pafupipafupi, iliyonse imatha kuchititsanso kudalira (komwe muyenera kumwa mankhwala kuti mumve bwino).

Kuyanjana kwa mankhwala

Nazi kuyanjana kwamankhwala angapo ndi zotsatira zake.

Kuyanjana ndi mankhwala aliwonse

Hydromorphone ndi morphine ndi ma narcotic omwe amagwiranso ntchito chimodzimodzi, chifukwa chake kulumikizana kwawo kwa mankhwala kumafanana.

Kuyanjana kwa mankhwala onsewa ndi awa:

Wotsutsa

Kugwiritsa ntchito hydromorphone kapena morphine ndi imodzi mwa mankhwalawa kumadzetsa chiopsezo chodzimbidwa kwambiri ndikulephera kukodza.

Monoamine oxidase inhibitors

Simuyenera kumwa hydromorphone kapena morphine mkati mwa masiku 14 mutatenga monoamine oxidase inhibitor (MAOI).

Kumwa mankhwala aliwonse ndi MAOI kapena masiku 14 osagwiritsa ntchito MAOI kungayambitse:

• mavuto opuma
• kuthamanga kwa magazi (hypotension)
• kutopa kwambiri
• chikomokere

Mankhwala ena opweteka, mankhwala ena opatsirana pogonana, mankhwala osokoneza bongo, ndi mapiritsi ogona

Kusakaniza hydromorphone kapena morphine ndi iliyonse ya mankhwalawa kungayambitse:

• mavuto opuma
• kuthamanga kwa magazi
• kutopa kwambiri
• chikomokere

Muyenera kulankhula ndi omwe amakuthandizani musanagwiritse ntchito hydromorphone kapena morphine ndi mankhwalawa.

Mankhwala aliwonse atha kukhala ndi machitidwe ena azomwe angapangitse kuti mukhale ndi zovuta zina. Onetsetsani kuti mumauza wothandizira zaumoyo wanu za mankhwala onse akuchipatala komanso zinthu zomwe mumamwa.

Gwiritsani ntchito mankhwala ena

Ngati muli ndi mavuto azaumoyo, amatha kusintha momwe hydromorphone ndi morphine zimagwirira ntchito m'thupi lanu. Zingakhale zosatetezeka kuti mutenge mankhwalawa, kapena wothandizira zaumoyo wanu angafunike kukuyang'anirani kwambiri mukamalandira chithandizo.

Muyenera kulankhula ndi omwe amakuthandizani musanatenge hydromorphone kapena morphine ngati mukuvutika kupuma monga matenda osokoneza bongo (COPD) kapena mphumu. Mankhwalawa adalumikizidwa ndi zovuta zakupuma zomwe zitha kupha.

Muyeneranso kukambirana za chitetezo chanu ngati muli ndi mbiri yogwiritsa ntchito mankhwala osokoneza bongo. Mankhwalawa amatha kukhala osokoneza bongo ndikuwonjezera chiopsezo chanu chowonjezera bongo ndi kufa.

Zitsanzo za matenda ena omwe muyenera kukambirana ndi omwe amakuthandizani musanatenge hydromorphone kapena morphine ndi awa:

• biliary thirakiti mavuto
• nkhani za impso
• matenda a chiwindi
• mbiri yovulala pamutu
• kuthamanga kwa magazi (hypotension)
• kugwidwa
• Kutsekeka kwa m'mimba, makamaka ngati muli ndi leus lopunduka

Komanso, ngati muli ndi vuto la mtima, lankhulani ndi omwe amakuthandizani musanagwiritse ntchito morphine. Zingapangitse kuti vuto lanu likule kwambiri.

Lankhulani ndi wothandizira zaumoyo wanu

Ma hydromorphone ndi morphine onse ndi mankhwala opweteka kwambiri.

Amagwira ntchito mofananamo ndipo amafanana kwambiri, koma ali ndi kusiyana kochepa mu:

• mawonekedwe
• mlingo
• zotsatira zoyipa

Ngati muli ndi mafunso okhudzana ndi mankhwalawa, lankhulani ndi omwe amakuthandizani.

Amatha kuyankha mafunso anu ndikusankha mankhwala omwe angakuthandizeni kutengera:

• thanzi lako
• mankhwala apano
• zinthu zina