Morphine Jekiseni
Zvemukati
- Usati washandisa jekiseni re morphine,
- Morphine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
- Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
Morphine jekiseni inogona kunge iri tsika yekuumba, kunyanya nekushandisa kwenguva yakareba. Shandisa morphine jekiseni chaizvo sekurairwa. Usashandise yakawanda yacho, ishandise kakawanda, kana kuishandisa neimwe nzira pane kutungamirirwa nachiremba wako. Paunenge uchishandisa morphine, kurukura nemupi wako wekuchengetedza hutano zvinangwa zvako zvekurwadziwa, kureba kwekurapwa, uye dzimwe nzira dzekugadzirisa marwadzo ako. Udza chiremba wako kana iwe kana chero mumwe munhu mumhuri yako achinwa kana akambonwa doro rakawanda, akashandisa kana akamboshandisa zvinodhaka mumugwagwa, kana kushandisa zvakanyanyisa mishonga yekunwa, kana kuve nekuwedzeredza, kana iwe kana wakamboora mwoyo kana chimwe chirwere chepfungwa. Iko kune njodzi huru yekuti iwe uchanyanyisa kushandisa morphine kana iwe uine kana wakambove nechero cheaya mamiriro. Taura nemubatsiri wako wezvehutano nekukurumidza uye kumbira hutungamiriri kana iwe uchifunga kuti une opioid kupindwa muropa kana kufonera iyo US Substance Abuse uye Mental Health Services Administration (SAMHSA) National Helpline pa1-800-662-HELP.
Morphine inogona kukonzeresa kana kutyisidzira hupenyu matambudziko ekufema, kunyanya panguva yekutanga 24 kusvika maawa 72 ekurapwa kwako uye chero nguva dosi yako yaunowedzerwa. Chiremba wako achakutarisa zvakanyatsonaka panguva yekurapa kwako. Udza chiremba wako kana iwe wakambove kana wakambononoka kufema kana asima. Chiremba wako angangokuudza kuti usashandise jekiseni morphine. Uyezve udza chiremba wako kana iwe kana wakambove nechirwere chemapapu senge chisingaperi obstructive pulmonary disease (COPD; boka rezvirwere zvinokanganisa mapapu nemumhepo), kukuvara kwemusoro, bundu repfungwa, kana chero mamiriro ezvinhu anowedzera huwandu hwekumanikidza muuropi hwako. Njodzi yekuti iwe unozokudziridza matambudziko ekufema inogona kuve yakakwira kana iwe uri mukuru zera kana kushaya simba kana kushaya zvinovaka muviri nekuda kwechirwere. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira: kunonoka kufema, kumbomira kumberi pakati pekufema, kana kufema kwekufema.
Kutora mimwe mishonga panguva yekurapwa kwako neine morphine jekiseni kunogona kuwedzera njodzi yekuti uchaona zvakakomba kana kutyisidzira hupenyu kufema matambudziko, sedation, kana coma. Udza chiremba wako kana uri kutora kana kuronga kutora chero anotevera emishonga: benzodiazepines senge alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), uye triazolam (Halcion); mishonga yekurwara kwepfungwa kusvotwa kana kurwadziwa; tsandanyama relaxants; kunyaradza; mapiritsi ekurara; kana zvinodzivirira. Chiremba wako angangoda kuchinja madosi emishonga yako uye anozokutarisa nemazvo. Kana iwe ukashandisa morphine jekiseni nechero ipi yemishonga iyi uye iwe ukagadzira chero cheanotevera zviratidzo, fonera chiremba wako nekukasira kana kutsvaga kurapwa kwekukurumidzira: dzungu risina kujairika, huremu husina musoro, kurara zvakanyanya, kunonoka kana kunetseka kufema, kana kusavimbika. Ive neshuwa kuti uyo anokuchengeta kana nhengo dzemhuri vanoziva zviratidzo zvingave zvakakomba saka vanogona kufonera chiremba kana kurapwa kwekukurumidzira kana iwe usingakwanise kutsvaga kurapwa wega.
Kunwa doro, kutora mishonga yekunwa kana isina kunyoreswa ine doro, kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako nejekiseni ye morphine kunowedzera njodzi yekuti iwe uchaona izvi zvakakomba, zvinotyisidzira hupenyu mhedzisiro. Usanwa doro, tora mishonga yekunwa kana isina kunyoreswa ine doro, kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako.
Usatendere mumwe munhu kushandisa mushonga wako. Morphine inogona kukuvadza kana kukonzera rufu kune vamwe vanhu vanoshandisa mushonga wako, kunyanya vana.
Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukashandisa morphine nguva dzose panguva yako yepamuviri, mwana wako anogona kusangana nehupenyu hunotyisidzira kubvisa zviratidzo mushure mekuzvarwa. Udza chiremba wemwana wako ipapo ipapo kana mwana wako akasangana nechimwe chezviratidzo zvinotevera: kugumbuka, kusagadzikana, kurara zvisina kujairika, kuchema kwakakwira, kuzunza kusingadzoreki kwechikamu chemuviri, kurutsa, manyoka, kana kutadza kurema.
Taura nachiremba wako nezve njodzi dzekushandisa morphine jekiseni.
Morphine jekiseni rinoshandiswa kudzikamisa zvine mwero kusvika pakurwadziwa kukuru. Morphine iri mukirasi yemishonga inonzi opiate (narcotic) analgesics. Izvo zvinoshanda nekushandura nzira iyo huropi uye huta hurongwa hunopindura pakurwadziwa.
Morphine jekiseni inouya semhinduro (mvura) kubaya intramuscularly (kupinda mhasuru) kana intravenously (kupinda mutsinga). Inowanzojowa kamwe chete maawa mana sezvainodiwa. Shandisa morphine jekiseni panguva dzakatenderedza nguva dzakafanana mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa morphine jekiseni chaizvo sekurairwa.
Chiremba wako anogona kugadzirisa dhizaini yako morphine jekiseni panguva yekurapa kwako, zvinoenderana nekuti marwadzo ako anodzorwa sei uye pamhedzisiro iwe yaunosangana nayo. Taura nachiremba wako nezvekuti iwe urikunzwa sei panguva yekurapwa kwako neine morphine jekiseni.
Kana iwe wakashandisa morphine jekiseni kwenguva yakareba kupfuura mazuva mashoma, usamire kuishandisa kamwe kamwe. Kana iwe ukangoerekana warega kushandisa jekiseni re morphine, unogona kusangana nezviratidzo zvekuregera zvinosanganisira kusagadzikana; maziso ane misodzi; dzihwa; yawning; vangadikitira; chills; mhasuru, musana kana kurwadza kwemajoini; kuwedzera kwevadzidzi; kutsamwa; kushushikana; kushaya simba; kurwadziwa nemudumbu; kunetseka kurara kana kuramba wakarara; kusvotwa; kurasikirwa nenzara; kurutsa; manyoka; kukurumidza kufema; kana kukurumidza kurova kwemoyo. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati washandisa jekiseni re morphine,
- udza chiremba wako uye wemishonga kana uri weergoria kune morphine, chero mimwe mishonga, kana zvinongedzo mune jekiseni re morphine. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
- udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: antihistamines (inowanikwa mune inotonhora uye yekurwisa mishonga mishonga); cimetidine (Tagamet); cyclobenzaprine (Amrix); lithium (Lithobid, muLibrax); mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, muTreximet), uye zolmitriptan (Zomig); mirtazapine (Remeron); 5HT3 serotonin blockers senge alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), kana palonosetron (Aloxi); serotonin-reuptake inhibitors senge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, muSymbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), uye sertraline (Zoloft); serotonin uye norepinephrine reuptake inhibitors senge desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), uye venlafaxine (Effexor); tramadol (Conzip, Ultram, mu Ultracet); trazodone; kana tricyclic antidepressants ('mood elevators') senge amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vimactiline), . Uyezve udza chiremba wako kana wemishonga kana uri kutora kana kugamuchira zvinotevera monoamine oxidase (MAO) inhibitors kana kana warega kuzvitora mukati memavhiki maviri apfuura: isocarboxazid (Marplan), linezolid (Zyvox), methylene bhuruu, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), kana tranylcypromine (Parnate). Mimwe mishonga yakawanda inogona zvakare kubatana ne morphine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
- udza chiremba wako kana iwe wakambove kana nechero mamiriro ezvinhu ataurwa muchikamu CHINOKOSHA CHENYENZO kana ileus yakafa mitezo (mamiriro ayo chikafu chakagayiwa hachifambe nepakati pematumbo). Chiremba wako anogona kukuudza kuti usashandise morphine.
- udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
- udza chiremba wako kana iwe wakambove uine yakaderera BP, kana moyo, chiropa, kana hosha yeitsvo.
- udza chiremba wako kana iwe uchiyamwisa.
- iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekushandisa morphine.
- kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa morphine.
- iwe unofanirwa kuziva kuti uyu mushonga unogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
- iwe unofanirwa kuziva kuti morphine inogona kukonzera dzungu, huremu husina musoro, uye kupera simba paunosimuka nekukurumidza kubva panzvimbo yekunyepa. Kuti udzivise dambudziko iri, simuka pamubhedha zvishoma nezvishoma, uchizorora tsoka dzako pasi kwemaminetsi mashoma usati wasimuka.
- iwe unofanirwa kuziva kuti morphine inogona kukonzera kupatira. Taura nachiremba wako nezvekushandura chikafu chako kana kushandisa mimwe mishonga kudzivirira kana kurapa kupatirwa paunenge uchishandisa morphine.
Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.
Morphine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- musoro
- dzungu
- musoro wakareruka
- manzwiro anochinja
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
- pfari
- kunonoka kufema
- kumbomira kwenguva refu pakati pekufema
- mweya wekufema
- kushungurudzika, kuona zvisizvo (kuona zvinhu kana kunzwa manzwi zvisipo), fivha, kudikitira, kuvhiringidzika, kurova kwehana nekukurumidza, kudedera, kuomarara kwemhasuru kana kupunzika, kurasikirwa nekubatana, kuda kurutsa, kurutsa, kana manyoka.
- kusvotwa, kurutsa, kurasikirwa nechido, kushaya simba, kana dzungu
- kutadza kuwana kana kuchengeta erection
- kumwedzi kuenda kumwedzi
- yakaderera chishuwo chepabonde
- kuvava
- mapundu
- mikoko
Morphine inogona kukonzera mamwe mhedzisiro. Dana chiremba wako kana iwe uine chero matambudziko asina kujairika iwe paunenge uchishandisa mushonga uyu.
Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).
Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.
Paunenge uchishandisa morphine jekiseni, iwe unofanirwa kutaura nachiremba wako nezvekuva nemishonga yekununura inonzi naloxone inowanikwa zvirinyore (semuenzaniso, kumba, hofisi). Naloxone inoshandiswa kudzosera zvinokonzeresa hupenyu mukuwandisa. Inoshanda nekudzivirira mhedzisiro yemaopi kubvisa zviratidzo zvine njodzi zvinokonzerwa neakakwira maopiates muropa. Chiremba wako anogona zvakare kukuraira naloxone kana uchigara mumba mune vana vadiki kana mumwe munhu akamboshandisa zvisina kunaka mumugwagwa kana mishonga yemishonga. Iwe unofanirwa kuve nechokwadi chekuti iwe nenhengo dzemhuri yako, vanokuchengeta, kana vanhu vanopedza nguva newe vanoziva maitiro ekuziva kuwandisa, mashandisiro aizoita naloxone, uye zvekuita kusvikira rubatsiro rwechipatara rwechimbichimbi rwasvika. Chiremba wako kana wemishonga anokuratidza iwe uye nhengo dzemhuri yako mashandisiro emishonga. Kumbira mushonga wako wemishonga kuti uwane rairo kana kushanyira webhusaiti yemugadziri kuti utore rairo. Kana zviratidzo zvekuwedzeredza zvikaitika, shamwari kana nhengo yemhuri inofanirwa kupa dosi rekutanga reiyoxone, kufonera 911 nekukasira, uye gara newe uye kukutarisa padyo kusvikira rubatsiro rwechipatara rwechimbichimbi rwasvika. Zviratidzo zvako zvinogona kudzoka mukati memaminetsi mashoma mushure mekugamuchira naloxone. Kana zviratidzo zvako zvikadzoka, munhu wacho anofanira kukupa imwe muyero weiyoxone. Mimwe mibairo inogona kupihwa yega 2 kusvika 3 maminetsi, kana zviratidzo zvichidzoka rubatsiro rwekurapa rusati rasvika.
Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
- kunonoka, kudzika, kana kusagadzikana kufema
- kunetseka kufema
- hope
- kutadza kupindura kana kumuka
- kutonhora, clammy ganda
- vadzidzi vadiki
- kunonoka kurova kwemoyo
- kusaona zvakanaka
- kusvotwa
- kufenda
Chengetedza zvese zvakagadzwa nachiremba wako uye rabhoritari Chiremba wako anogona kuraira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kune morphine.
Usati waita chero bvunzo yerabhoritari (kunyanya iyo inosanganisira methylene bhuruu), udza chiremba wako nevashandi veirabhoritari vauri kushandisa morphine.
Iyi mishonga haina kuzadzikiswa. Kana iwe uri kushandisa morphine kudzora marwadzo ako kwenguva refu hwaro, ita shuwa yekuronga nguva dzekugadzwa nachiremba wako kuti usazopera mushonga. Kana iwe uri kushandisa morphine kwenguva pfupi, fonera chiremba wako kana iwe uchiramba uchirwadziwa mushure mekupedza mushonga.
Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.
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