Hydromorphone, Piritsi Yamlomo

Zamkati

• Mfundo za hydromorphone
• Kodi hydromorphone ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira zoyipa za Hydromorphone
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Momwe mungatengere hydromorphone
• Mafomu ndi mphamvu
• Mlingo wa ululu waukulu
• Malingaliro apadera
• Tengani monga mwalamulidwa
• Machenjezo a Hydromorphone
• Machenjezo a FDA:
• Chenjezo la kuthamanga kwa magazi
• Chenjezo la ziwengo
• Chenjezo logwirizana ndi zakumwa zoledzeretsa
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Hydromorphone imatha kulumikizana ndi mankhwala ena
• Kuyanjana komwe kumawonjezera chiopsezo cha zotsatirapo
• Kuyanjana komwe kumapangitsa kuti mankhwala anu asamagwire bwino ntchito
• Zofunikira pakumwa mankhwalawa
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kuwunika kuchipatala
• Chilolezo chisanachitike
• Kodi pali njira zina?

Mfundo za hydromorphone

1. Piritsi lamlomo la Hydromorphone limapezeka ngati mankhwala achibadwa komanso mayina ena. Dzinalo: Dilaudid.
2. Hydromorphone imapezekanso mumayankho amkamwa ndi yankho lomwe wothandizira zaumoyo amakupatsani jakisoni.
3. Piritsi lamlomo la Hydromorphone ndi opioid yomwe imagwiritsidwa ntchito pochiza ululu wopweteka womwe sulamuliridwa ndi mankhwala ena.

Kodi hydromorphone ndi chiyani?

Piritsi lapakamwa la Hydromorphone ndi mankhwala omwe mumalandira ngati dzina la mankhwala Dilaudid (kumasulidwa mwachangu). Mapiritsiwa amapezekanso ngati mankhwala achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika mtengo. Nthawi zina, sangapezeke mwamphamvu iliyonse kapena mawonekedwe aliwonse monga mitundu yamaina amtundu.

Hydromorphone imabweranso motere:

• njira yamadzimadzi
• jakisoni yankho
• mkulu-potency jakisoni yankho

Njira zothetsera jakisoni zimangoperekedwa ndi othandizira azaumoyo.

Piritsi lamlomo la Hydromorphone ndichinthu cholamulidwa. Izi zikutanthauza kuti mankhwalawa amatha kugwiritsa ntchito molakwika ndipo angayambitse kudalira.

Chifukwa chimagwiritsidwa ntchito

Piritsi lamlomo la Hydromorphone limagwiritsidwa ntchito pochiza ululu wopweteka womwe sulamuliridwa ndi mankhwala ena. Piritsi lotulutsira limagwiritsidwa ntchito kwa anthu omwe amafunikira chithandizo chamankhwala tsiku lililonse, nthawi yayitali.

Mankhwalawa atha kugwiritsidwa ntchito ngati njira imodzi yophatikizira. Izi zikutanthauza kuti mungafunike kumwa mankhwala ena.

Momwe imagwirira ntchito

Piritsi lamlomo la Hydromorphone limakhala m'gulu la mankhwala otchedwa opioid analgesics. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Sizikudziwika momwe mankhwalawa amagwirira ntchito kuti athetse ululu. Ikhoza kuchepetsa kupweteka pogwiritsa ntchito mapulogalamu ena opioid mu ubongo ndi msana, zomwe zimapanga dongosolo lanu lamanjenje.

Piritsi lamlomo la Hydromorphone lingayambitse kugona ndi chizungulire. Izi zitha kukhala zotheka m'maola ochepa mutangomaliza kumwa. Mankhwalawa amathanso kuyambitsa zovuta zina.

Zotsatira zoyipa za Hydromorphone

Hydromorphone imatha kuyambitsa zovuta kapena zoyipa zoyipa. Mndandanda wotsatira uli ndi zovuta zina zomwe zingachitike mukamamwa ma hydromorphone. Mndandandawu sungaphatikizepo zovuta zonse zomwe zingachitike.

Kuti mumve zambiri pazomwe zingachitike chifukwa cha hydromorphone kapena maupangiri amomwe mungachitire ndi zovuta zina, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zofala kwambiri

Zotsatira zofala kwambiri za mankhwalawa zitha kuphatikiza:

• mutu wopepuka
• chizungulire
• Kusinza
• nseru
• kusanza
• thukuta
• kutentha (kufiira ndi kutentha kwa khungu lanu)
• chisangalalo (kumva bwino)
• pakamwa pouma
• kuyabwa

Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi zachipatala.

Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• Mavuto amtima. Zizindikiro zimatha kuphatikiza:
  • kuthamanga kwambiri kapena kuchepa kwa mtima
  • kuthamanga mofulumira
  • kupweteka pachifuwa
• Maso kapena masomphenya amasintha. Zizindikiro zimatha kuphatikiza:
  • zovuta kuwona kapena kusawona bwino
  • masomphenya awiri
  • ana ang'ono omwe amawoneka ngati zikhomo
• Mavuto am'mimba. Zizindikiro zimatha kuphatikiza:
  • kudzimbidwa
  • kupweteka m'mimba
  • kutsekeka kwa matumbo, komwe kumatha kuyambitsa:
    • nseru
    • kusanza
    • Kulephera kupititsa mpweya kapena chopondapo
• Mitsempha yamatenda ndi mavuto aminyewa. Zizindikiro zimatha kuphatikiza:
  • mutu
  • kunjenjemera (kusuntha kwa minofu)
  • kusuntha kwachilendo kapena kosafunikira kwamaso ako
  • kumverera kwachilendo kapena kokopa pakhungu lanu
• Kusintha kapena kusintha kwamakhalidwe. Zizindikiro zimatha kuphatikiza:
  • kubvutika
  • manjenje
  • nkhawa
  • kukhumudwa
  • kuyerekezera zinthu m'maganizo (kuwona kapena kumva china chomwe kulibe)
  • kusokonezeka
  • kuvuta kugona
  • maloto achilendo
• Kuthamanga kwa magazi kumasintha. Zizindikiro zimatha kuphatikiza:
  • kuchapa
  • kuthamanga kwa magazi kapena kuthamanga kwa magazi
• Kulephera kwa adrenal. Zizindikiro zimatha kuphatikiza:
  • kutopa kwanthawi yayitali
  • kufooka kwa minofu
  • kupweteka m'mimba mwako
• Kulephera kwa Androgen. Zizindikiro zimatha kuphatikiza:
  • kutopa
  • kuvuta kugona
  • kuchepa mphamvu
• Kusinza kwambiri
• Kuvuta kupuma kapena kupuma pang'ono

Momwe mungatengere hydromorphone

Mlingo wa hydromorphone womwe dokotala amakupatsani umadalira pazinthu zingapo. Izi zikuphatikiza:

• mtundu ndi kuuma kwa chikhalidwe chomwe mukugwiritsa ntchito hydromorphone kuchiza
• zaka zanu
• mawonekedwe a hydromorphone omwe mumatenga
• matenda ena omwe mungakhale nawo

Nthawi zambiri, dokotala wanu amakupangitsani muyeso wochepa ndikusintha pakapita nthawi kuti mufike pamlingo woyenera kwa inu. Potsirizira pake adzapereka mankhwala ochepetsetsa omwe amapereka zomwe mukufuna.

Chidziwitso chotsatirachi chimalongosola miyezo yomwe amagwiritsidwa ntchito kwambiri kapena amalimbikitsidwa. Komabe, onetsetsani kuti mwatenga mlingo womwe dokotala akukulemberani. Dokotala wanu adzazindikira mlingo woyenera kuti ugwirizane ndi zosowa zanu.

Mafomu ndi mphamvu

Zowonjezera: Mpweya wabwino wa HCL

• Mawonekedwe: piritsi yamlomo
• Mphamvu: Mamiligalamu awiri (mg), 4 mg, 8 mg
• Mawonekedwe: piritsi yamlomo yotulutsidwa (maola 24 ozunza)
• Mphamvu: 8 mg, 12 mg, 16 mg, 32 mg

Mtundu: Dilaudid

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 2 mg, 4 mg, 8 mg

Mlingo wa ululu waukulu

Mlingo wa akulu (zaka 18-64 zaka)

• Piritsi lapakamwa: Mlingo woyambira ndi 2-4 mg kamodzi pa maola 4-6 aliwonse.
• Pulogalamu yamlomo yotulutsidwa: Zogwiritsa ntchito kokha mwa anthu omwe ali ololera opioid.

Anthu omwe amaganiza kuti opioid ndi ololera ndi omwe amalandila, kwa sabata limodzi kapena kupitilira apo, osachepera:

• 60 mg ya morphine wamlomo tsiku lililonse
• Ma micrograms 25 (mcg) a transdermal fentanyl pa ola limodzi
• 30 mg wa oxycodone wamlomo tsiku lililonse
• 8 mg wa hydromorphone yamlomo tsiku lililonse
• 25 mg wa oxymorphone wamlomo tsiku lililonse
• 60 mg oral hydrocodone tsiku lililonse
• mlingo wofanana wa opioid wina

Dokotala wanu angakuuzeni kuchuluka kwa hydromorphone yomwe muyenera kumwa. Amatha kukulitsa mlingo wa mankhwalawa ndi mg wa 4- 4 mg masiku aliwonse a 3-4 ngati pakufunika kutero.

Mlingo wa ana (zaka 0-17 zaka)

Mankhwalawa sanaphunzirepo mwa ana. Sayenera kugwiritsidwa ntchito kwa anthu ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Dokotala wanu akhoza kukuyambitsani pamlingo wotsika kapena ndandanda ina. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Malingaliro apadera

Anthu omwe ali ndi matenda a impso: Dokotala wanu angakuyambitseni pa mlingo womwe uli 25% mpaka 50 peresenti wotsika kuposa momwe mumayambira.

Anthu omwe ali ndi matenda a chiwindi: Dokotala wanu angakuyambitseni pa mlingo womwe uli 25% mpaka 50 peresenti wotsika kuposa momwe mumayambira. Ngati muli ndi vuto lalikulu la chiwindi, dokotala wanu atha kugwiritsa ntchito mankhwala ena ochepetsa kupweteka m'malo mwa piritsi lotulutsidwa, kapena atha kukupatsirani mlingo wochepa wamtundu wina wa mankhwalawa.

Tengani monga mwalamulidwa

Piritsi lamlomo la Hydromorphone limagwiritsidwa ntchito pochizira kwakanthawi. Mankhwalawa amabwera ndi zoopsa zazikulu ngati simutenga monga mwauzidwa.

Mukasiya kumwa mankhwala mwadzidzidzi kapena osamwa konse: Kupweteka kwanu sikungakhale bwino.

Ngati mwaphonya Mlingo kapena osamwa mankhwalawo panthawi yake: Mankhwala anu mwina sagwira ntchito kapena akhoza kusiya kugwira ntchito kwathunthu. Kuti mankhwalawa agwire bwino ntchito, kuchuluka kwake kumayenera kukhala mthupi lanu nthawi zonse.

Ngati mutenga zochuluka kwambiri: Mutha kukhala ndimankhwala owopsa mthupi lanu.Zizindikiro za bongo za mankhwalawa zingaphatikizepo:

• mavuto opuma kwambiri
• Kusinza kwambiri
• kutaya chidziwitso
• kugunda kwa mtima pang'ono
• kuthamanga kwa magazi

Ngati mukuganiza kuti mwamwa kwambiri mankhwalawa, itanani dokotala wanu kapena funsani malangizo kuchokera ku American Association of Poison Control Center ku 800-222-1222 kapena kudzera pa chida chawo pa intaneti. Koma ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo: Tengani mlingo wanu mukangokumbukira. Ngati mukukumbukira kutangotsala maola ochepa kuti muyambe kumwa mankhwala, tengani chimodzi chokha. Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kubweretsa zovuta zoyipa.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Ululu wanu ukhoza kuwongoleredwa bwino.

Machenjezo a Hydromorphone

Mankhwalawa amabwera ndi machenjezo osiyanasiyana.

Machenjezo a FDA:

• Mankhwalawa ali ndi machenjezo. Chenjezo la nkhonya ndiye chenjezo loopsa kwambiri kuchokera ku Food and Drug Administration (FDA). Imachenjeza madokotala ndi odwala za zovuta zamankhwala zomwe zitha kukhala zowopsa.
• Kuchenjeza kwamavuto akulu: Mankhwalawa atha kukulitsa chiopsezo cha kupuma koopsa. Okalamba, anthu omwe ali ndi vuto la m'mapapo, komanso anthu omwe ali ndi mavuto ena azaumoyo atha kukhala pachiwopsezo chachikulu.
• Mowa, opioid, ndi chenjezo lina lokhazika mtima pansi: Kumwa mankhwalawa ndi mowa, mankhwala opioid, ndi mankhwala ena osokoneza bongo kungayambitse mavuto opumira. Izi zitha kupha (kuyambitsa imfa).
• Kuledzera, kuzunza, ndi kugwiritsa ntchito molakwika chenjezo: Hydromorphone imayika odwala ndi ogwiritsa ntchito ena pachiwopsezo cha opioid, kuzunza, komanso kugwiritsa ntchito molakwika, zomwe zitha kubweretsa kumwa mopitirira muyeso ndi kufa.
• Kufufuza Zowopsa ndi Njira Zochepetsera (REMS): ): Chifukwa cha kuopsa kwa mankhwala osokoneza bongo, a FDA amafuna kuti wopanga mankhwalawa apereke pulogalamu ya REMS. Malinga ndi zofunikira za pulogalamu iyi ya REMS, wopanga mankhwalawa ayenera kupanga mapulogalamu okhudzana ndi kugwiritsa ntchito bwino ma opioid kwa omwe amakuthandizani.
• Chenjezo lakumwa mwangozi: Kudya mwangozi ngakhale mlingo umodzi wa hydromorphone, makamaka ndi ana, kumatha kubweretsa kuwonongeka kwakukulu kwa hydromorphone.
• Kuchotsa kwa opioid mu makanda obadwa kumene kuchenjeza: Ngati mayi atenga mankhwalawa kwa nthawi yayitali ali ndi pakati, amatha kubweretsa matenda opioid kuchotsa mwana wakhanda. Izi zitha kukhala zowopsa kwa mwana. Zizindikiro zakutha zimaphatikizira kupsa mtima, kusachita bwino komanso magonedwe osazolowereka, kulira kwambiri, kunjenjemera, kusanza, kutsegula m'mimba, komanso kulephera kunenepa.

Chenjezo la kuthamanga kwa magazi

Mankhwalawa atha kubweretsa magazi mwadzidzidzi. Izi zitha kuyambitsa mutu wopepuka, chizungulire, ngakhale kukomoka.

Chiwopsezo chanu chitha kukhala chachikulu ngati muli ndi magazi ochepa komanso mukuvutika kusunga kuthamanga kwa magazi. Kuopsa kwanu kungakhalenso kwakukulu ngati mutenga mankhwala ena. Izi zimaphatikizapo mankhwala omwe amatchedwa phenothiazines kapena generalestestics.

Chenjezo la ziwengo

Mankhwalawa amatha kuyambitsa vuto lalikulu. Zizindikiro zimatha kuphatikiza:

• kuvuta kupuma
• kutupa pakhosi kapena lilime
• ming'oma
• zidzolo

Ngati simukugwirizana nazo, pitani kuchipatala nthawi yomweyo. Ngati matenda anu akukulira, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Chenjezo logwirizana ndi zakumwa zoledzeretsa

Kumwa mowa kumatha kuwonjezera chiopsezo cha zotsatirapo za mankhwalawa. Izi zitha kuphatikizira kupuma, kuthamanga magazi, kugona kwambiri, ndi kukomoka. Mukamwa mowa, lankhulani ndi dokotala wanu.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe avulala pamutu komanso kuwonjezeka kwa mutu: Mankhwalawa amatha kukulitsa kuthamanga kwa magazi muubongo wanu. Izi zitha kukulitsa vuto lanu. Funsani dokotala ngati mankhwalawa ndi abwino kwa inu.

Kwa anthu omwe ali ndi vuto la chiwindi: Ngati muli ndi vuto la chiwindi kapena mbiri ya matenda a chiwindi, mwina simungathe kukonza mankhwalawa bwino. Izi zitha kukulitsa kuchuluka kwa mankhwalawa mthupi lanu ndikupangitsa zovuta zina. Ngati muli ndi vuto lalikulu la chiwindi, dokotala wanu akhoza kukupatsani mlingo wochepa.

Kwa anthu omwe ali ndi vuto la impso: Ngati muli ndi mavuto a impso kapena mbiri ya matenda a impso, mwina simungathe kuchotsa mankhwalawa mthupi lanu. Izi zitha kukulitsa magawo ake m'thupi lanu ndikupangitsa zovuta zina.

Machenjezo kwa magulu ena

Kwa amayi apakati: Lankhulani ndi dokotala ngati muli ndi pakati kapena mukukonzekera kutenga pakati. Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha phindu lomwe lingakhalepo likutsimikizira zomwe zingachitike pathupi. Ngati mayi atenga mankhwalawa kwa nthawi yayitali ali ndi pakati, amatha kubweretsa matenda opioid kuchotsa mwana wakhanda. Izi zitha kukhala zowopsa kwa mwana. Itanani dokotala wanu nthawi yomweyo mukakhala ndi pakati mukamamwa mankhwalawa.

Kwa amayi omwe akuyamwitsa: Mankhwalawa amatha kulowa mkaka wa m'mawere ndipo zimayambitsa mavuto mwa mwana yemwe akuyamwitsa. Lankhulani ndi dokotala ngati mukuyamwitsa mwana wanu. Muyenera kusankha kuti musiye kuyamwa kapena kusiya kumwa mankhwalawa.

Kwa okalamba: Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Kwa ana: Mankhwalawa sanaphunzirepo mwa ana. Sayenera kugwiritsidwa ntchito kwa anthu ochepera zaka 18. Ngati mwana ameza mwangozi mankhwalawa, zimatha kuyambitsa bongo. Izi zitha kupha (kuyambitsa imfa).

Hydromorphone imatha kulumikizana ndi mankhwala ena

Piritsi lamlomo la Hydromorphone limatha kulumikizana ndi mankhwala ena, mavitamini, kapena zitsamba zomwe mwina mukumwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.

Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Zitsanzo za mankhwala omwe angayambitse kuyanjana ndi hydromorphone alembedwa pansipa.

Kuyanjana komwe kumawonjezera chiopsezo cha zotsatirapo

Zowonjezera zoyipa za hydromorphone: Kutenga hydromorphone ndi mankhwala ena kumawonjezera chiopsezo chanu. Zitsanzo za mankhwalawa ndi monga:

• Benzodiazepines, monga lorazepam, clonazepam, ndi diazepam: Kutenga mankhwalawa ndi hydromorphone kumatha kubweretsa mavuto kupuma, kutsika kwa magazi, komanso kuwodzera. Zitha kupanganso kukomoka kapena kufa.
• Mankhwala opha ululu, monga propofol, midazolam, ndi etomidate: Kutenga mankhwalawa ndi hydromorphone kumatha kubweretsa mavuto kupuma, kutsika kwa magazi, komanso kuwodzera. Zitha kupanganso kukomoka.
• Prochlorperazine, promethazine, ndi chlorpromazine: Kutenga mankhwalawa ndi hydromorphone kumatha kubweretsa mavuto kupuma, kutsika kwa magazi, komanso kuwodzera. Zitha kupanganso kukomoka.
• Monoamine oxidase inhibitors (MAOIs), monga phenelzine, tranylcypromine, isocarboxazid, ndi selegiline: MAOIs atha kukulitsa chiopsezo cha poizoni wa hydromorphone (kukhala ndi mankhwala owopsa mthupi lanu). Kugwiritsa ntchito hydromorphone sikuvomerezeka ngati mutenga MAOIs kapena pasanathe masiku 14 mutasiya mankhwala ndi MAOI.
• Mankhwala a anticholinergic, monga diphenhydramine, solifenacin, tolterodine, ndi benztropine: Kumwa mankhwalawa ndi hydromorphone kumatha kuyambitsa kusungika kwamikodzo (kuvuta mkodzo), kudzimbidwa kwambiri, ndi kutsekeka kwa matumbo.

Kuchuluka mavuto obwera chifukwa cha mankhwala ena: Kutenga hydromorphone ndi mankhwala ena kumawonjezera chiopsezo chanu ku zotsatirapo za mankhwalawa. Zitsanzo za mankhwalawa ndi monga:

• Mankhwala otchedwa Serotonergic, monga serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), ndi tricyclic antidepressants (TCAs): Kutenga mankhwalawa ndi hydromorphone kumatha kuyambitsa matenda a serotonin, omwe amatha kupha. Zizindikiro zimatha kuphatikizira thukuta, thukuta, kupindika kwa minofu, ndi kusokonezeka.

Kuyanjana komwe kumapangitsa kuti mankhwala anu asamagwire bwino ntchito

Mukamamwa hydromorphone ndi mankhwala ena, mwina sizingagwire bwino ntchito pochiza matenda anu. Izi ndichifukwa choti kuchuluka kwa hydromorphone mthupi lanu kumatha kutsika. Zitsanzo za mankhwalawa ndi monga:

• Pentazocine, nalbuphine, butorphanol, ndi buprenorphine: Kumwa mankhwalawa ndi hydromorphone kungayambitsenso zizindikiro za kuchotsa opioid ngati mwakhala mukutenga hydromorphone kwa nthawi yayitali.

Zofunikira pakumwa mankhwalawa

Kumbukirani izi ngati dokotala akukulemberani piritsi yamlomo ya hydromorphone.

Zonse

• Tengani mankhwalawa ndi chakudya. Izi zitha kuthandiza kuchepetsa kukhumudwa m'mimba.
• Tengani mankhwalawa nthawi zomwe dokotala akukulangizani. Osati mankhwala aliwonse omwe amakhala ndi mankhwalawa. Mukadzaza mankhwala anu, onetsetsani kuti mwayimbira kutsogolo.
• Mutha kudula, kuphwanya, kapena kugawaniza piritsi lotulutsira pomwepo. Osadula kapena kuphwanya pulogalamu yotulutsira.

Yosungirako

• Sungani mankhwalawa kutentha kwapakati pakati pa 59 ° F ndi 86 ° F (15 ° C ndi 30 ° C).
• Sungani mankhwalawa kutali ndi kuwala.
• Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.

Zowonjezeranso

Chithandizo cha mankhwalawa sichikubwezeretsanso. Inu kapena malo anu ogulitsa mankhwala muyenera kuonana ndi dokotala wanu kuti akupatseni mankhwala atsopano ngati mukufuna kudzaza mankhwalawa.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
• Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
• Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula chidebe choyambirira cholembedwa ndi mankhwala.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kuwunika kuchipatala

Dokotala wanu amatha kuwunika mavuto ena azaumoyo mukamalandira chithandizo. Izi zitha kuthandizira kuti mukhale otetezeka mukamamwa mankhwalawa. Izi zikuphatikiza:

• Ntchito ya impso: Dokotala wanu akhoza kuyesa magazi kuti aone momwe impso zanu zimagwirira ntchito. Ngati impso zanu sizikuyenda bwino, dokotala wanu akhoza kuchepetsa mlingo wanu wa mankhwalawa.
• Ntchito ya chiwindi: Dokotala wanu akhoza kuyesa magazi kuti muwone momwe chiwindi chanu chimagwirira ntchito. Ngati chiwindi chanu sichikugwira ntchito bwino, dokotala wanu akhoza kuchepetsa mlingo wanu kapena kusiya kugwiritsa ntchito mankhwalawa.
• Kuthamanga kwa magazi ndi kugunda kwa mtima: Dokotala wanu amayang'anira kuthamanga kwa magazi ndi kugunda kwa mtima kwanu. Kuthamanga kwa magazi kwanu kutsika kwambiri, dokotala wanu akhoza kukuchepetserani kapena kukupatsani mankhwalawa.
• Mlingo kupuma: Dokotala wanu adzawona kupuma kwanu. Ngati mankhwalawa amakhudza kupuma kwanu, dokotala akhoza kutsitsa mlingo kapena kusiya mankhwala anu.

Chilolezo chisanachitike

Makampani ambiri a inshuwaransi amafuna chilolezo choyambirira cha mankhwalawa. Izi zikutanthauza kuti dokotala wanu adzafunika kuvomerezedwa ndi kampani yanu ya inshuwaransi kampani yanu ya inshuwaransi isanakulipireni mankhwalawo.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zomveka bwino, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.