Hydromorphone vs. Morphine: Ivo Vakasiyana Sei?

Zvemukati

• Zvinodhaka
• Mutengo, kuwanikwa, uye inishuwarenzi
• Zvimwe zvinokanganisa
• Kubatana kwezvinodhaka
• Kubatana pamwe chero chinodhaka
• Anticholinergics
• Monoamine oxidase inhibitors
• Mimwe mishonga inorwadza, mimwe mishonga inorwisa kurapa, mishonga yekuzvidya moyo, uye mapiritsi ekurara
• Shandisa nemamwe marapirwo
• Taura nemupi wako wezvehutano

Nhanganyaya

Kana iwe uine kurwadziwa kwakanyanya uye usati wawana zororo nemimwe mishonga, unogona kunge uine dzimwe sarudzo. Semuenzaniso, Dilaudid uye morphine mishonga miviri yekunyorera inoshandiswa kurapa kurwadziwa mushure mekunge mimwe mishonga isina kushanda.

Dilaudid ndiro zita rezita reiyo generic drug hydromorphone. Morphine mushonga wakajairika. Ivo vanoshanda nenzira dzakafanana, asi zvakare vane mashoma mashoma musiyano. Enzanisa mishonga miviri pano kuti udzidze kana imwe ingave sarudzo yakanaka kwauri.

Zvinodhaka

Ose ari maviri mishonga ndeyekirasi yemishonga inonzi opioid analgesics, inozivikanwawo se narcotic. Ivo vanoshanda pane maopioid receptors mune yako nervous system. Ichi chiito chinoshandura nzira yaunoona kurwadziwa kuti ikubatsire kuti unzwe kurwadziwa kushoma.

Hydromorphone uye morphine imwe neimwe inouya nenzira dzakasiyana uye simba. Mafomu emuromo (akatorwa nemuromo) anonyanya kushandiswa. Ese mafomu anogona kushandiswa kumba, asi majekiseni ejekiseni anowanzo shandiswa muchipatara.

Zvese zvinodhaka zvinogona kukonzera zvakakomba mhedzisiro uye zvinogona kupindwa muropa, saka iwe unofanirwa kuzvitora chaizvo sekurairwa.

Kana iwe uri kutora inopfuura imwechete yekurapa mishonga, ita shuwa yekutevera edhiyo mirau yemushonga wega wega zvakanyatsonaka kuti urege kuvasanganisa. Kana uine mibvunzo nezvekuti ungatora sei mishonga yako, bvunza wako mupi wezvehutano kana wemishonga.

Iyo chati iripazasi inotsanangudza maficha eayo ese ari maviri mishonga.

Tarisa mirairo yepakeji kana mushonga wemupi wemutano wezvehutano kuti uwane here chaiwo matembiricha.

* * Chinhu chinodzorwa mushonga unodzorwa nehurumende. Kana iwe ukatora chinhu chinodzorwa, wako mupi wezvehutano anofanirwa kutarisa zvakanyanya kushandisa kwako kwechirwere. Usambofa wakapa chinhu chinodzorwa kune chero mumwe munhu.

† Kana wanga uchitora mushonga uyu kwenguva yakareba kupfuura mavhiki mashoma, usamire kuutora usina kutaura nemupi wako wezvehutano. Iwe unozofanirwa kubvisa mushonga zvishoma nezvishoma kuti udzivise kubvisa zviratidzo sekushushikana, kudikitira, kusvotwa, manyoka, uye kunetseka kurara.

¥ Ichi chinodhaka chine mukana mukuru wekushandisa zvisirizvo. Izvi zvinoreva kuti iwe unogona kupindwa muropa nazvo. Ive neshuwa yekutora mushonga uyu chaizvo sekutaurwa kwaunoitwa nemupi wako wezvehutano. Kana iwe uine mibvunzo kana zvinonetsa, taura nemupi wako wezvehutano.

Musiyano wakakosha pakati pemishonga iyi mafomu avanopinda. Tafura iri pazasi inonyora mafomu emushonga mumwe nemumwe.

Mafomu aya anowanikwa asi kwete anotenderwa FDA.

Mutengo, kuwanikwa, uye inishuwarenzi

Ese mafomu ehydromorphone uye morphine anowanikwa kunzvimbo zhinji dzemishonga. Nekudaro, zvirinani kufonera chemishonga yako pamberi penguva kuti uve nechokwadi chekuti vane mushonga wako mudura.

Muzviitiko zvakawanda, generic mafomu emishonga anodhura zvakaderera pane ezita-zita zvigadzirwa. Morphine uye hydromorphone zvinodhaka zvakajairika.

Panguva yakanyorwa chinyorwa ichi, hydromorphone uye morphine yaive nemitengo yakafanana, sekureva kwaGoodRx.com.

Iro zita-zita rechinodhaka Dilaudid raidhura kupfuura generic mafomu e morphine. Chero zvazvingaitika, yako yekunze-kwehomwe mutengo zvinoenderana nehutano hwako hwekuvhara, yako pharmacy, uye yako dose.

Zvimwe zvinokanganisa

Hydromorphone uye morphine zvinoshanda zvakafanana mumuviri wako. Ivo zvakare vanogovana yakafanana mhedzisiro.

Iyo chati iri pazasi inonyora mienzaniso yezvakawanda zvakajairika mhedzisiro yehydromorphone uye morphine.

Mushonga wega wega unogona kukonzeresa mweya wekufema (kunonoka uye kufema kwakadzika). Kana ikatorwa pane zvakajairwa, ivo vese vanogona kukonzeresa kuvimba (kwaunoda kutora mushonga kuti unzwe zvakajairika).

Kubatana kwezvinodhaka

Heano akati wandei kudyidzana kwezvinodhaka uye mhedzisiro yavo.

Kubatana pamwe chero chinodhaka

Hydromorphone uye morphine zvinodhaka zvinoshanda nenzira imwechete, saka kudyidzana kwavo nemishonga kwakafanana.

Kudyidzana kwemishonga iyi miviri kunosanganisira zvinotevera:

Anticholinergics

Uchishandisa hydromorphone kana morphine neimwe yemishonga iyi inosimudza njodzi yako yekuzvimbirwa zvakanyanya uye kusakwanisa kuita weti.

Monoamine oxidase inhibitors

Haufanire kutora hydromorphone kana morphine mukati memazuva gumi nemana ekutora monoamine oxidase inhibitor (MAOI).

Kutora chero mushonga uine MAOI kana mukati memazuva gumi nemana ekushandisa MAOI kunogona kukonzera:

• matambudziko ekufema
• kuderera kweropa (hypotension)
• kuneta zvakanyanya
• coma

Mimwe mishonga inorwadza, mimwe mishonga inorwisa kurapa, mishonga yekuzvidya moyo, uye mapiritsi ekurara

Kusanganisa hydromorphone kana morphine nechero ipi yemishonga iyi inogona kukonzera:

• matambudziko ekufema
• yakaderera BP
• kuneta zvakanyanya
• coma

Iwe unofanirwa kutaura nemupi wako wezvehutano usati washandisa hydromorphone kana morphine nechero ipi yemishonga iyi.

Mushonga wega wega unogona kuve nekumwe kudyidzana kwezvinodhaka izvo zvinogona kuwedzera njodzi yako kumatambudziko akakomba. Ive neshuwa yekuudza mupi wako wezvehutano nezvese mishonga yekunyorera uye nepamusoro-pe-zvigadzirwa izvo zvauri kutora.

Shandisa nemamwe marapirwo

Kana uine zvimwe zvine chekuita nezvehutano, vanogona kuchinja mashandiro anoita hydromorphone uye morphine mumuviri wako. Zvinogona kunge zvisina kuchengetedzeka kuti iwe utore mishonga iyi, kana mupi wako wezvehutano angangoda kukuongorora zvakanyanya panguva yekurapwa kwako.

Iwe unofanirwa kutaura kune wako wekuchengeta hutano usati watora hydromorphone kana morphine kana uine matambudziko ekufema senge chisingaperi obstructive pulmonary chirwere (COPD) kana asthma. Iyi mishonga yakabatanidzwa nematambudziko akakomba ekufema anogona kukonzera kufa.

Iwe unofanirwa zvakare kutaura nezve kuchengetedzeka kwako kana uine nhoroondo yekushandisa zvinodhaka kana kupindwa muropa. Iyi mishonga inogona kupindwa muropa uye kuwedzera njodzi yako yekuwedzeredza uye kufa.

Mienzaniso yemamwe marapirwo aunofanirwa kukurukura nemupi wako wezvehutano usati watora hydromorphone kana morphine inosanganisira:

• biliary turakiti matambudziko
• nyaya dzeitsvo
• chirwere chechiropa
• nhoroondo yekukuvara kwemusoro
• kuderera kweropa (hypotension)
• pfari
• gastrointestinal mhingaidzo, kunyanya kana iwe wakafa mitezo ileus

Zvakare, kana iwe uine isina kujairika moyo mutinhimira, taura nemupi wako wekuchengeta hutano usati washandisa morphine. Zvinogona kuita kuti mamiriro ako awedzere.

Taura nemupi wako wezvehutano

Ose mairi hydromorphone uye morphine mishonga yakasimba yekurwadziwa.

Ivo vanoshanda nenzira dzakafanana uye vane zvakawanda zvakafanana, asi vane mutsauko mushoma mu:

• mafomu
• chipimo chemushonga
• mhedzisiro

Kana iwe uine mibvunzo nezve aya madhiragi, taura nemupi wako wezvehutano.

Vanogona kupindura mibvunzo yako uye vosarudza mushonga wakanakira iwe zvichibva pa:

• hutano hwako
• mishonga yazvino
• zvimwe zvinhu