Hydromorphone kudarika

Hydromorphone mushonga wekurapa unoshandiswa kubvisa kurwadziwa kwakanyanya. Hydromorphone overdose inoitika kana mumwe munhu akatora zvinopfuura zvakajairwa kana zvakakurudzirwa huwandu hwemushonga uyu. Izvi zvinogona kuitika netsaona kana nechinangwa.

Ichi chinyorwa ndechekuziva chete. Usashandise iyo kurapa kana kubata yakanyanyisa kudarika. Kana iwe kana mumwe munhu wauinaye akawandisa, fonera yako yemunharaunda emergency emergency (yakadai se911), kana nzvimbo yako yepfu chepfu inogona kusvikwa yakananga nekufonera iyo yenyika isingabhadhariswe Inotya Inobatsira nhare (1-800-222-1222) kubva chero kupi muUnited States.

Hydromorphone rudzi rwe morphine. Hydromorphone ndeye opioid narcotic, zvinoreva kuti mushonga une simba kwazvo unogona kukonzeresa kurara zvakanyanya.

Vanhu vanotora hydromorphone yekurwadziwa havafanirwe kunwa doro. Kubatanidza doro neichi chinodhaka kunowedzera mukana wemhedzisiro ine njodzi uye zviratidzo zvekuwedzeredza.

Mishonga ine mazita aya ine hydromorphone:

• Dilaudid
• Hydrostat
• Exalgo

Mimwe mishonga inogona zvakare kunge iine hydromorphone.

Zviratidzo zvehydromorphone overdose zvinosanganisira:

• Nzara dzebhuruu-dzakatsvuka nemiromo
• Zvinetso zvekufema, zvinosanganisira kunonoka uye kushanda kufema, kufema kwakadzika, kana kusafema
• Kutonhora, clammy ganda
• Tembiricha yemuviri yakaderera
• Coma
• Kuvhiringidzika
• Kuzvimbirwa
• Dzungu
• Kukotsira
• Kuneta
• Kubuda kweganda
• Itching
• Musoro wakareruka
• Kurasikirwa kwekuziva
• Kuderera kweropa
• Tsvina dzinokakama
• Kusvotwa uye kurutsa
• Pini vadzidzi
• Spasms yemudumbu uye ura
• Kushaya simba
• Kupomba kushoma

Yambiro: Kunyanyisa kudarika kwehydromorphone kunogona kukonzera kufa.

Izvi zvinogona kuve zvakakomba kudarika. Tsvaga rubatsiro rwechiremba ipapo.

Iva neruzivo urwu rwakagadzirira:

• Zera remunhu, huremu, uye mamiriro
• Zita rechigadzirwa (zvishandiso uye simba, kana zvichizivikanwa)
• Nguva yakamedzwa
• Mari yakamedzwa
• Kana mushonga wakatemerwa munhu

Usanonoka kukumbira rubatsiro kana iwe usina ruzivo urwu.

Yako yepanzvimbo yekudzora huturu inogona kusvikwa yakananga nekufonera iyo yepasirose-isina muripo Poison Rubatsiro nhare (1-800-222-1222) kubva chero muUnited States. Iyi hotline yenyika inokurega iwe uchitaura nenyanzvi mune chepfu. Ivo vanozokupa iwe kumwe kuraira.

Iri ibasa remahara uye rakavanzika. Nzvimbo dzese dzemunharaunda dzekudzora chepfu muUnited States dzinoshandisa iyi nhamba yenyika. Iwe unofanirwa kufona kana iwe uine chero mibvunzo nezve chepfu kana kudzivirira chepfu. Hazvidi kuti ive emergency. Iwe unogona kufona chero chikonzero, maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.

Enda nemudziyo wacho kuchipatara, kana zvichibvira.

Anopa hutano anozoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira tembiricha, kupomba, kufema, uye BP.

Miedzo inogona kuitwa inosanganisira:

• Ropa uye weti kuongororwa
• Chest x-ray
• CT scan (komputa tomography kana yepamusoro imaging)
• ECG (electrocardiogram, kana moyo wekutsvagisa)

Kurapa kunogona kusanganisira:

• Mvura kuburikidza nemutsinga (na IV)
• Mishonga yekudzora zvinoitika zveiyo hydromorphone uye kurapa zviratidzo
• Yakagadziriswa marasha
• Laxative
• Kufema rutsigiro, kusanganisira chubhu kuburikidza nemumuromo mumapapu uye yakabatana nemuchina wekufema (ventilator)

Vanhu vanokurumidza kugamuchira mishonga (inonzi antidote) kudzoreredza zvinoitika zvehydromorphone vanogona kupora mukati me1 kusvika kumaawa mana. Ivo vangangoda kugara muchipatara kwemamwe madosi emushonga.

Zvinetso zvakaita semabayo, kukuvara kwemhasuru kubva pakarara panzvimbo yakaoma kwenguva yakareba, kana kukuvara kwehuropi kubva mukushayikwa kwe oxygen kunogona kukonzera kuremara zvachose. Nekudaro, kunze kwekunge paine matambudziko, kwenguva refu mhedzisiro uye kufa hazviwanzo.

Aronson JK. Opioid receptor agonists. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 348-380.

Nikolaides JK, Thompson TM. Opioid. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 156.