Cirbadda Hydromorphone

Qanacsan

• Kahor intaadan isticmaalin cirbadeynta hydromorphone,
• Cirbadeynta Hydromorphone waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, jooji qaadashada irbadda hydromorphone-ka isla markaana wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Cirbadeynta Hydromorphone waxay caado u noqon kartaa sameynta, gaar ahaan isticmaalka muddada dheer, waxayna keentaa gaabis ama joojiso neefsashada ama dhimashada haddii si xad dhaaf ah loo isticmaalo. Ku dur duritaanka hydromorphone sida saxda ah ee lagu faray. Ha u isticmaalin wax badan ama ha u isticmaalin in ka badan inta uu dhakhtarkaagu kuu qoray, Intaad isticmaaleyso cirbadeynta hydromorphone, kala hadal daryeel caafimaad bixiyahaaga yoolalka daaweynta xanuunka, dhererka daaweynta, iyo siyaabo kale oo aad u maareyn karto xanuunkaaga. U sheeg dhakhtarkaaga haddii adiga ama qof ka mid ah qoyskaaga aad cabto ama aad waligaa cabto qamri aad u tiro badan, isticmaasho ama aad waligaa isticmaasho daroogada waddooyinka, ama aad si xad dhaaf ah u isticmaasho daawooyinka laguu qoray, ama aad u badatay, ama haddii aad leedahay ama aad waligaa isku buuqday ama cudur maskaxeed kale. Khatar weyn ayaa jirta oo ah inaad si xad dhaaf ah u isticmaasho hydromorphone-ka haddii aad leedahay ama aad waligaa isku aragtay mid ka mid ah xaaladahaas. Si dhakhso leh ula hadal daryeel caafimaad bixiyahaaga oo weydii hagitaan haddii aad u malaynayso inaad qabatimay qabatinka opioid ama wac Ujeeddada Maandooriyaha Maandooriyaha iyo Maamulka Adeegyada Caafimaadka Maskaxda (SAMHSA) Khadka Caawinta Qaranka ee 1-800-662-HELP.

Cirbadeynta Hydromorphone-ka waxaa loo heli karaa xal xoog ah oo caadi ah (Dilaudid) iyo xal urursan (Dilaudid-HP) oo ka kooban hydromorphone badan mililitir kasta oo xal ah. Dhakhtarkaagu waa inuu kuu qoro kaliya xalka uruurinta haddii aad u dulqaadato opioid (waxaa lagugu daaweeyay qadar daawooyin daroogo ah ugu yaraan 1 toddobaad, taasoo u oggolaaneysa jirkaaga inuu la qabsado daawada noocaan ah). Xalka urursan wuxuu sababi karaa waxyeelo halis ah ama dhimasho haddii uu isticmaalo qof aan u dulqaadanayn cudurka opioid. Hubso inaad ogtahay nooca hydromorfoonka dhakhtarkaagu kuu qoray, oo had iyo jeer hubi inaad hubiso inaad heshay daawada saxda ah.

Ha u oggolaan qof kale inuu isticmaalo daawadaada. Ku keydi irbadda hydromorphone meel aamin ah si aan cid kale ugu isticmaali karin shil ama ula kac. La soco inta daawo ah ee harsan si aad u ogaato haddii wax ka maqan yihiin.

Qaadashada daawooyinka qaarkood inta lagu guda jiro daaweyntaada cirbadeynta hydromorphone waxay kordhin kartaa halista ah inaad la timaaddo dhibaatooyin neefsasho oo halis ah, nafta halis geliya, suuxdin, ama miyir beel. U sheeg dhakhtarkaaga haddii aad qaadanaysid ama qorsheyneyso inaad qaadato mid ka mid ah daawooyinka soo socda: benzodiazepines sida alprazolam (Xanax), chlordiazepoxide (Librium, in Librax), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), iyo triazolam (Halcion); daawooyinka cudurada maskaxda ama lallabbo; nasashada murqaha; daawooyinka kale ee xanuunka narkotikada; dajiya; kaniiniyada hurdada; ama dejiyeyaasha. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga oo uu si taxaddar leh kuu ilaaliyo. Haddii aad u isticmaasho irbadda hydromorphone-ka mid ka mid ah daawooyinkaan oo aad yeelato mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama raadso daryeel caafimaad oo degdeg ah: dawakhaad aan caadi ahayn, madax-wareer, hurdo-xumo, neefsasho gaabis ah ama dhib badan, ama jawaab celin la'aan. Hubso in daryeel bixiyahaaga ama xubnaha qoyskaaga ay ogyihiin calaamadaha halista ah si ay ugu wici karaan dhakhtarka ama daryeelka caafimaadka degdegga ah haddii aadan awoodin inaad iskaa u doonato daaweyn.

Cabitaanka aalkolada, qaadashada daawada dhakhtar qoro ama daawooyinka aan dhakhtar qorin ee ay ku jiraan aalkolada, ama isticmaalka daroogada dariiqa inta lagu guda jiro daaweyntaada cirbadeynta hydromorphone waxay kordhineysaa halista ah inaad la kulanto waxyeelooyin halis ah, nafta halis gelinaya. Ha cabin aalkolo, ha u qorin daawooyinka dhakhtar qoro ama kuwa aan dhakhtar qorin ee ay ku jiraan aalkolada, ama ha u isticmaalin daroogada waddada inta lagu jiro daweyntaada.

Takhtarkaaga kala hadal halista helitaanka irbadda Hydromorphone.

Cirbadeynta Hydromorphone waxaa loo isticmaalaa in lagu yareeyo xanuunka. Cirbadeynta Hydromorphone waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'opiate (narcotic) analgesics'. Waxay ku shaqeysaa iyadoo la beddelayo habka maskaxda iyo nidaamka neerfaha uga jawaabaan xanuunka.

Cirbadeynta Hydromorphone waxay u timaaddaa xal (dareere) in lagu mudo maqaarka hoostiisa, xididka, ama muruqa. Waxaa badanaa la isku duraa hal mar 2 ilaa 3dii saacadoodba mar sida loogu baahdo. U isticmaal cirbadeynta hydromorphone sida saxda ah ee lagu faray.

Dhakhtarkaaga ayaa laga yaabaa inuu habeeyo qiyaastaada duritaanka hydromorphone inta lagu guda jiro daaweyntaada, iyadoo kuxiran sida ugu wanaagsan ee loo xakameeyo xanuunkaaga iyo dhibaatooyinka soo raaca ee aad la kulanto. Kala hadal dhaqtarkaaga sida aad dareemeyso inta lagu guda jiro daaweynta cirbadeynta hydromorphone.

Haddii aad isticmaashay cirbad hydromorphone ka badan dhowr maalmood, ha u joojin si lama filaan ah. Haddii aad si lama filaan ah u joojiso isticmaalka cirbadeynta hydromorphone, waxaad la kulmi kartaa astaamaha ka-noqoshada oo ay ku jiraan xasillooni-darrada; indhaha ilmada; sanka oo dareera; hamaansiga; dhidid; qarqaryo; murqaha, dhabarka ama kala-goysyada; ballaarinta ardayda; xanaaq; walaac; daciifnimo; calool xanuun; dhibaato hurdo la'aan ama hurdo la'aan; lallabbo cunto xumo; matagid; shuban; neefsashada degdegga ah; ama garaaca wadnaha oo dhakhso ah. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan isticmaalin cirbadeynta hydromorphone,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay cirbadeynta hydromorphone, daawooyinka kale, sulfites, latex, ama mid ka mid ah waxyaabaha ku jira xalka irbadda hydromorphone. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku qoran qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: buprenorphine (Belbuca, Buprenex, Butrans, in Bunavail); butorphanol; ipratropium (Atrovent, oo ah Combivent Respimat); daawooyinka glaucoma, cudurada caloosha oo xanaaq badan, cudurka Parkinson, boogaha, iyo dhibaatooyinka kaadi mareenka; iyo pentazocine (Talwin). Sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanayso mid ka mid ah daawooyinka soo socda ama aad joojisay qaadashadooda 2dii toddobaad ee la soo dhaafay: isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ama tranylcypromine (Parnate) . Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad qabtid neef, neef gaabis ah, xannibaad calooshaada ama mindhicirada, ama curyaannimo ileus (xaalad ah in cuntada la shiidey aysan ku dhex marin mindhicirada). Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan isticmaalin irbadda hydromorphone.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa dhaawac madaxa soo gaadhay, buro maskaxda ah, ama xaalad kasta oo waxyeello u geysatay maskaxdaada; xaalad kasta oo kordhinaysa cadaadiska maskaxdaada; kyphoscoliosis (qallooca laf-dhabarka oo sababi kara dhibaatooyin neefsasho ah); cadaadiska dhiigga oo hooseeya; hypothyroidism (xaalad qanjirka tayroodhku soo saaro hormoon ka yar kan caadiga ah); cudurada sambabka sida cudurada sambabaha oo joogsada (koox cuduro ah oo saameeya sambabaha iyo hawo mareenka); Cudurka Addison (xaalad ah qanjirka 'adrenal gland' inuu soo saaro hormoon ka yar kan caadiga ah); suuxdinta; delirium tremens (calaamadaha daran ee ka-noqoshada ee ku dhici kara dadka cabbay qamri fara badan waqti ka dib oo joojiyay cabitaanka); adkaanshaha kaadi mareenka (xannibaadda tuubbada u oggolaanaysa kaadi inay jidhka ka baxdo); qanjirka 'prostate' (qanjirka taranka ee ragga); ama xameetida, xammeetida, beerka, ama cudurka kalyaha.
• u sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad si joogto ah u qaadatid taleefanka hydromorphone inta aad uurka leedahay, ilmahaaga waxaa laga yaabaa inuu la kulmo astaamaha ka-noqoshada nolosha ee khatarta ku ah dhalashada ka dib. Isla markiiba u sheeg dhakhtarka ilmahaaga haddii ilmahaagu la kulmo astaamaha soo socda midkood: xanaaq, kacsanaan, hurdo aan caadi ahayn, oohin qaylo-dhaan ah, gariir aan la xakamayn karin oo ka mid ah jirka, matag, shuban, ama miisaanka oo kordha.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Kala hadal dhakhtarkaaga khataraha isticmaalka hydromorphone.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaalayso irbadda hydromorphone.
• waa inaad ogaataa in cirbadeynta hydromorphone-ka ay kaa dhigi karto mid hurdo badan. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
• waa inaad ogaataa in cirbada hydromorphone-ka ay sababi karto dawakhaad, madax-wareer, iyo miyir beel markii aad dhaqso uga soo kacdid booska jiifka. Si looga hortago dhibaatadan, si tartiib ah uga kac sariirta, adoo cagahaaga ku dhigaya dhulka daqiiqado ka hor intaadan istaagin.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Haddii aad u isticmaaleysid cirbadeynta hydromorphone jadwal caadi ah, isticmaal qiyaasta la seegay isla marka aad xusuusatoba.Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha u isticmaalin qaadasho laba jibbaar ah si aad u dhammaystirto mid kaa dhaafay

Cirbadeynta Hydromorphone waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• lallabbo
• matagid
• calool istaag
• afka qalalan
• madax wareer
• lulmid
• dhaqid
• cuncun
• isbedelka niyadda

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, jooji qaadashada irbadda hydromorphone-ka isla markaana wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:

• gaabisay ama neefsashadii joojisay
• kacsan, dhalanteed (aragtida wax ama maqalka codad aan jirin), qandho, dhidid, jahwareer, garaaca wadnaha oo dhaqso ah, gariir, muruq xanuun daran ama qallooc, isku xirnaan la'aan, lallabbo, matag, ama shuban
• lallabbo, matag, rabitaan la'aanta cuntada, daciifnimo, ama wareer
• awood u lahayn inuu kaco ama kacsanaado
• caadada oo aan caadi ahayn
• rabitaanka galmada oo yaraaday
• finan
• finan
• bararka indhaha, wajiga, dibnaha, carrabka, afka, ama cunaha
• neefsashada ama wax liqidda oo ku adkaata
• xabeeb
• qalal
• miyir beelid

Cirbadeynta Hydromorphone waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Bixiyahaaga daryeelka caafimaad ayaa kuu sheegi doona sida loo keydiyo daawadaada. Kaydso dawadaada sida lagu faray oo keliya. Hubso inaad fahantay sida saxda ah ee loogu kaydiyo daawadaada. Iska tuur wixii daawo ah ee dhacay ama aan loo baahnayn. Kala hadal daryeel caafimaad bixiyahaaga waxyaabaha ku saabsan sida habboon ee loo daayo daawadaada.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Intaad isticmaaleyso hydromorphone, waa inaad kala hadashaa dhakhtarkaaga si aad u hesho daawo badbaadin oo loo yaqaan naloxoon si fudud loo heli karo (tusaale ahaan, guriga, xafiiska). Naloxoon waxaa loo isticmaalaa in lagu beddelo saamaynta naf-gooyada ah ee xad dhaafka ah. Waxay ku shaqeysaa iyadoo la xakameynayo saameynta opiates si loo yareeyo astaamaha halista ah ee ay sababaan heerarka sare ee opiates ee dhiigga. Dhakhtarkaagu sidoo kale wuxuu kuu qori karaa naloxoon haddii aad ku nooshahay guri ay ku jiraan carruur yaryar ama qof ku xadgudbay dariiqyada ama daawooyinka laguu qoray. Waa inaad hubisaa inaad adiga iyo xubnaha qoyskaaga, daryeel bixiyeyaasha, ama dadka waqtiga kula qaadanaya ay ogaadaan sida loo aqoonsado xad dhaafka, sida loo isticmaalo naloxoon, iyo waxa la sameeyo ilaa gargaarka caafimaad ee degdegga ahi yimaado. Dhakhtarkaaga ama farmashiistahaaga ayaa ku tusi doona adiga iyo xubnaha qoyskaaga sida loo isticmaalo daawada. Weydii farmasiilahaaga tilmaamaha ama booqo websaydhka soo saaraha si aad u hesho tilmaamaha. Haddii calaamadaha xad-dhaafka ah ay dhacaan, saaxiib ama xubin qoyska ka mid ah waa inay bixiyaan qiyaasta ugu horreysa ee naloxoon, wac 911 isla markiiba, oo way kula joogaan oo si dhow ayey kuu ilaalinayaan ilaa gargaarka caafimaad ee deg-degga ahi yimaado. Calaamadahaaga ayaa soo laaban kara daqiiqado yar gudahood ka dib marka lagu siiyo naloxoon. Haddii calaamadahaagu soo noqdaan, qofku waa inuu ku siiyaa qiyaas kale oo ah naloxoon. Qiyaaso dheeri ah ayaa la siin karaa 2 ilaa 3 daqiiqadood kasta, haddii calaamaduhu soo noqdaan ka hor intaanay gargaarka caafimaad iman.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• neefsasho gaabis ah
• neefsashada oo adkaata
• hurdo la'aan
• aan awoodin in aan ka jawaabo ama ka soo kaco
• daciifnimada muruqyada
• hargab, maqaar ciriiri ah
• cidhiidhiga ama ballaadhinta ardayda (wareegga madow ee isha dhexda)
• gaabisay ama istaagay garaaca wadnaha
• dawakhaad
• miyir beelid
• khuursi

Dhammaan ballamaha la dhig dhakhtarkaaga.

Rijeetadan lama buuxin karo. Haddii aad xanuun sii wado ka dib markaad dhameyso cirbadeynta hydromorphone, wac dhakhtarkaaga.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Dilaudid^®
• Dilaudid-HP^®

• dihydromorphinone