Morphine Rectal

Zvemukati

• Kuti ushandise zvigadzirwa, tevera nhanho idzi:
• Usati washandisa rectal 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 nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Morphine rectal inogona kuve tsika yekuumba, kunyanya nekushandisa kwenguva refu. Shandisa morphine chaizvo sekurairwa. Usashandise yakawanda yacho, ishandise kakawanda, kana kuishandisa neimwe nzira pane kutungamirirwa nachiremba wako. Paunenge uchishandisa morphine rectal, kurukura nemupi wako wekuchengeta 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 kuwedzera njodzi yekuti uchasangana nematambudziko ekufema kana zvimwe zvakakomba kana zvinotyisidzira hupenyu mweya wekufema, sedation, kana coma kana ikashandiswa pamwe chete nemimwe mishonga. 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, kuda kurutsa, kana kurwadziwa; tsandanyama relaxants; kunyaradza; mapiritsi ekurara; kana zvinodzivirira. Chiremba wako angangoda kuchinja madosi emishonga yako uye anozokutarisa nemazvo. Kana iwe ukashandisa morphine rectal nechero ipi yemishonga iyi uye iwe ukagadzira chero cheanotevera zviratidzo, fonera chiremba wako nekukasira kana kutsvaga kurapwa kwekukurumidzira: dzungu risina kujairika, hura 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 ne morphine rectal 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.

Taura nachiremba wako nezve njodzi dzekushandisa morphine rectal.

Morphine rectal inoshandiswa kudzikamisa zvine mwero kusvika pakurwadziwa kukuru. Morphine iri mukirasi yemishonga inonzi opiate (narcotic) analgesics. Inoshanda nekushandura nzira iyo muviri unonzwa kurwadziwa.

Morphine rectal inouya seyakawedzera kuisa mukati meiyo rectum. Inowanzoiswa mukati maawa mana. Shandisa rectal morphine 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 chaizvo sekurairwa.

Chiremba wako anogona kugadzirisa yako morphine panguva yekurapa kwako kudzora marwadzo ako pamwe nekukwanisika. Kana iwe uchinzwa kuti kurwadziwa kwako hakuna kudzorwa, dana chiremba wako. Usachinje muyero wemishonga yako usingataure nachiremba wako.

Usarega kushandisa morphine usina kutaura nachiremba wako. Chiremba wako anogona kudzora dosi rako zvishoma nezvishoma. Kana iwe ukangoerekana warega kushandisa morphine, unogona kusangana nezviratidzo zvekuregera senge kushushikana; vangadikitira; kunetseka kurara kana kuramba wakarara; chills; kuzunza chikamu chemuviri wako chausingakwanise kudzora; kusvotwa; manyoka; kumhanya mhino, kuhotsira kana kukosora; bvudzi paganda rako rakamira; kana kuona zvinhu zvisipo (kuona zvinhu kana kunzwa manzwi zvisipo).

Kuti ushandise zvigadzirwa, tevera nhanho idzi:

1. Bvisa iyo inoputira.
2. Dhidza muromo weti suppository mumvura.
3. Rara pasi kuruboshwe kwako uye simudza ibvi rako rerudyi kuchipfuva chako (munhu wekuruboshwe-ruoko anofanira kurara kurudyi nekusimudza ibvi reruboshwe.)
4. Uchishandisa munwe wako, isa iyo suppository inenge 1 inch (2.5 masentimita) mukati me rectum.
5. Bata panzvimbo yacho nemunwe wako kwenguva pfupi
6. Simuka mushure memaminitsi gumi nemashanu. Shamba maoko ako zvakakwana uye tangazve zviitiko zvakajairwa.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa rectal morphine,

• udza chiremba wako uye wemishonga kana uri weergoria kune morphine, chero mimwe mishonga, kana chero chinhu chinosanganiswa mumorphine suppositories. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• usashandise rectal morphine kana uri kutora monoamine oxidase (MAO) inhibitor senge isocarboxazid (Marplan), linezolid (Zyvox), methylene bhuruu, phenelzine (Nardil), procarbazine (Matulane), selegiline (Eldepryl, Emsam, Zelapar), uye tranylcypromine (Parnate) kana kana iwe wakamira kutora chero eiyi mishonga mukati memavhiki maviri apfuura. Chiremba wako anogona kukuudza kuti usashandise rectal morphine kana iwe uri kutora imwe kana yakawanda yemishonga iyi.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); antihistamines (inowanikwa mune inotonhora uye yekurapa mishonga); mishonga yekubatwa; barbiturates senge phenobarbital uye primidone (Mysoline); beta-blockers senge propranolol (Hemangeol, Inderal, Innopran); butorphanol; chloral hydrate, chlorpromazine, dextromethorphan (inowanikwa mumishonga yakawanda yekukosora; muNuedexta); lithium (Lithobid), mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, muTreximet), uye zolmitriptan (Zomig); methocarbamol (Robaxin), mirtazapine (Remeron); nalbuphine; pentazocine (Talwin); 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), milnacipran (Savella), uye venlafaxine (Effexor); tramadol (Conzip, Ultram, in Ultracet), uye tricyclic antidepressants ('mood elevators') senge amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), Vivactil), uye trimipramine (Surmontil). Mimwe mishonga yakawanda inogona zvakare kubatana nerectal morphine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isingaonekwe pane ino runyorwa. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort uye tryptophan.
• udza chiremba wako kana iwe uchinwa kana kuti wakambonwa doro rakawanda kana kuti wakaita biliary turakiti kana kuvhiyiwa mudumbu. Uyezve udza chiremba wako kana iwe wakambove nekukuvara kwemusoro; bundu repfungwa kana chero mamiriro ezvinhu anowedzera huwandu hwekumanikidza muuropi hwako; pfari; zvinetso zvakakomba kana zvinotyisa kufema; asima; kurova kwemoyo zvisina kujairika; kana kukundikana kwemoyo. Chiremba wako angangokuudza kuti usashandise rectal morphine.
• udza chiremba wako kana iwe wakambove nekuvhiyiwa kukuru. Uyezve udza chiremba wako kana iwe wakambove kana wakamborwara nepfungwa; chisingaperi obstructive pulmonary chirwere (COPD; boka rezvirwere izvo zvinokonzeresa kurasikirwa zvishoma nezvishoma kwemapapu) kana zvimwe zvinetso zvekufema; prostatic hypertrophy (kuwedzera kwechirume chekubereka gland); urethral kuomesa (kuvhara chubhu iyo inobvumira weti kuti ibve mumuviri); Urinary matambudziko; yakaderera BP; Chirwere cheAddison (mamiriro umo muviri usingaite zvakakwana zvezvimwe zvinhu zvakasikwa); kana thyroid, chiropa, itsvo, chirwatata, ura, kana chirwere chenduru.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa morphine, fonera chiremba wako.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekushandisa rectal morphine.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa morphine.
• iwe unofanirwa kuziva kuti morphine inogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.

Inwa mvura yakawanda paunenge uchishandisa mushonga uyu.

Isa dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usaise dhivhosi mbiri kugadzira iyo yakarasika imwe.

Morphine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• musoro wakareruka
• kutsimwaira
• kunetseka kurara kana kuramba wakarara
• kuvimbiswa
• kurwadziwa nemudumbu
• muromo wakaoma
• musoro
• matambudziko ekuona
• kuderera kwekuita weti
• kufashaira

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

• kunonoka, kudzika, kana kusagadzikana kufema
• shanduko mukurova kwemoyo
• 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
• bhuruu kana ruvara rwepepuru paganda
• kufenda
• mikoko
• mapundu
• kuvava
• kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi

Morphine inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika 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).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

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, 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
• bhuruu kana ruvara rwepepuru paganda
• hope
• kutsimwaira
• kutadza kupindura kana kumuka
• mhasuru dzakaremara
• kutonhora, clammy ganda
• 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 kuti urikushandisa morphine rectal.

Iyi mishonga haina kuzadzikiswa. Kana iwe uri kushandisa morphine kudzora marwadzo ako pane yakareba-nguva, ive shuwa kuronga 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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