Cirbadeynta Meperidine

Qanacsan

• Kahor intaadan isticmaalin cirbadeynta meperidine
• Cirbadeynta Meperidine 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, wac dhakhtarkaaga isla markiiba:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Cirbadeynta Meperidine waxay noqon kartaa caado sameynta, gaar ahaan isticmaalka muddada dheer. U isticmaal cirbadeynta 'meperidine' sida loogu talagalay. Ha u isticmaalin wax ka badan, u isticmaal marar badan, ama ha u isticmaalin qaab ka duwan sida uu takhtarku ku faray. Intaad isticmaaleyso cirbadeynta meperidine, kala hadal daryeel caafimaad bixiyahaaga yoolalkaaga 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 ka jirta inaad si xad dhaaf ah u isticmaasho meperidine 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 Meperidine waxay sababi kartaa dhibaatooyin neefsasho oo halis ah ama nolosha halis geliya, gaar ahaan inta udhaxeysa 24 ilaa 72 saac ee ugu horeysa ee daaweyntaada iyo waqti kasta oo qiyaastaada la kordhiyo. Dhakhtarkaaga ayaa si taxadar leh kuu kormeeri doona inta lagu jiro daaweyntaada. U sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa neefta gaabisay ama neefta qabatay. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan isticmaalin irbadda meperidine. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid cudur sambabaha ah sida cudur sambabaha oo xaniba oo joogto ah (COPD; koox cuduro ah oo saameeya sambabada iyo hawo mareenka), dhaawac madaxa ah, buro maskaxda ah, ama xaalad kasta oo kordhinaysa cadaadiska maskaxdaada. Khatarta aad ku yeelan karto dhibaatooyinka neefsashada way ka sii badnaan kartaa haddii aad tahay qof weyn oo da 'weyn ama aad tabar daran tahay ama aad u liidato nafaqo darro cudur awgeed. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn caafimaad oo deg deg ah: neefta oo gaabisa, hakad badan oo istaaga inta u dhexeysa neefsashada, ama neefta oo ku qabata.

Qaadashada daawooyinka qaarkood inta lagu guda jiro daaweyntaada cirbadeynta meperidine waxay kordhin kartaa halista ah inaad la kulanto dhibaatooyin neefsasho ama dhibaatooyin kale oo halis ah, neefsasho nafta halis gelinaysa, suuxdin, ama kooma. U sheeg dhakhtarkaaga haddii aad qaadanaysid ama qorsheyneyso inaad qaadato mid ka mid ah daawooyinka soo socda: benzodiazepines sida alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), iyo triazolam (Halcion); daawooyinka walwalka, lallabbo, ama xanuun; nasashada murqaha; dajiya; kaniiniyada hurdada; ama dejiyeyaasha. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga oo si taxadar leh ayuu kuu kormeeri doonaa. Haddii aad u isticmaasho cirbadeynta 'meperidine' mid ka mid ah daawooyinkan oo aad yeelato mid ka mid ah astaamaha soo socda, wac dhakhtarkaaga isla markiiba ama raadso daryeel caafimaad oo degdeg ah: dawakhaad aan caadi ahayn, madax-xanuun, 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 meperidine waxay kordhisaa halista inaad la kulmi doonto waxyeelo halis ah, nolosha halis gelinaysa. 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.

Ha u oggolaan qof kale inuu isticmaalo daawadaada. Cirbadda Meperidine waxay waxyeello u geysan kartaa ama u geysan kartaa dadka kale ee isticmaala daawadaada, gaar ahaan carruurta.

U sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad si joogto ah u isticmaasho cirbadeynta 'meperidine' 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.

Kala hadal dhakhtarkaaga khataraha isticmaalka cirbadeynta meperidine.

Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa websaydhka Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.

Cirbadeynta Meperidine waxaa loo isticmaalaa in lagu yareeyo xanuunka dhexdhexaadka ah ama daran. Waxaa sidoo kale loo isticmaali karaa kahor iyo inta lagu jiro qalliinka ama habab caafimaad oo kale. Cirbadeynta Meperidine waxay ku jirtaa nooc daawo ah oo loo yaqaan 'opiate (narcotic) analgesics'. Waxay ku shaqeysaa iyadoo la beddelayo habka jirku u dareemo xanuunka.

Cirbadeynta Meperidine waxay u timaadaa sidii xal (dareere) in si subag ah loogu mudo (oo kaliya maqaarka hoostiisa), intramuscularly (muruq), ama xidid (xidid). Badanaa waxaa lagu duraa subcutaneous ama intramuscularly hal mar 3dii ilaa 4tii saacadoodba mar sida loogu baahdo. U isticmaal cirbadeynta 'meperidine' sida loogu talagalay.

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

Haddii aad isticmaashay cirbadeynta meperidine muddo ka badan dhowr maalmood, ha u joojin si lama filaan ah. Haddii aad si lama filaan ah u joojiso isticmaalka cirbadeynta meperidine, 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 meperidine

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay meperidine, daawooyinka kale, ama waxyaabaha ku jira irbadda meperidine. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• Ha u isticmaalin cirbadeynta 'meperidine' haddii aad qaadaneyso aaladda monoamine oxidase (MAO) sida isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), procarbazine (Matulane), selegiline (Eldepryl, Emsam, Zelapar), ama tranylcypromine (Parnate) ama haddii aad joojisay qaadashada mid ka mid ah daawooyinkan 2-dii toddobaad ee la soo dhaafay. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan isticmaalin irbadda meperidine haddii aad qaadanayso mid ama in kabadan oo daawooyinkan ah.
• 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 mid ka mid ah kuwan soo socda: cyclobenzaprine (Amrix); dextromethorphan (oo laga helo dawooyin qufac badan; Nuedexta); lithium (Lithobid, oo ku taal Librax); dawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), iyo zolmitriptan (Zomig); mirtazapine (Remeron); 5HT₃ xannibaadaha serotonin sida alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), ama palonosetron (Aloxi); xakameeyayaasha serotonin-reuptake inhibitors sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), iyo sertraline (Zoloft); serotonin iyo norepinephrine reuptake inhibitors sida duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), iyo venlafaxine (Effexor); tramadol (Conzip, Ultram); trazodone (Oleptro); ama tricyclic antidepressants ('mood elevators') sida amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine. Daawooyin kale oo badan ayaa sidoo kale la macaamili kara meperidine, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. Sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad u qaadanaysid dawooyinka narkotikada xanuunka ama haddii aad dhawaan qaadatay daawooyinkan. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan St. John’s wort iyo tryptophan.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad weligaa dhibaato kaa haysato kaadida; Cudurka Addison (xaalad jirku aanu soo saarin kiimikooyin gaar ah oo muhiim ah); qanjirka 'prostatic hypertrophy' (weynaanta qanjirka taranka ee ragga oo loo yaqaan 'prostate'); adkaanshaha kaadi mareenka (yaraynta furitaanka kaadida oo jidhka ka baxda); suuxdinta; ama qanjirka 'thyroid', wadnaha, kilyaha, ama cudurka beerka.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad isticmaaleyso cirbadeynta meperidine, wac dhakhtarkaaga.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Kala hadal dhakhtarkaaga khataraha isticmaalka meperidine.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso cirbadeynta meperidine.
• waa inaad ogaataa in meperidine uu kaa dhigi karo qof hurdo badan. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
• waa inaad ogaataa in meperidine uu sababi karo dawakhaad, madax-wareer, iyo miyir beel markii aad dhaqso uga soo kacdid booska aad ku jiifto. 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.

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

• madax wareer
• madax xanuun
• kacsan
• calool istaag
• gariir aan la koontarooli karin qayb ka mid ah jirkaaga
• aragga oo xumaada
• afka qalalan
• xanuun ama guduudasho goobta duritaanka

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac dhakhtarkaaga isla markiiba:

• neefsasho gaabis ah
• 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
• rabitaanka galmada oo yaraaday
• caadada oo aan caadi ahayn
• farxad daran
• niyadda murugo
• finan
• cuncun
• dhaqid
• finan
• qalal
• dhalanteed

Cirbadeynta Meperidine waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.

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).

Intaad isticmaaleyso cirbadeynta 'meperidine', waa inaad kala hadashaa dhakhtarkaaga sidii loo heli lahaa daawo samatabbixin ah oo la yiraahdo naloxoon si fudud loo heli karo (tusaale, guri, xafiis) 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.

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.

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

• neefsasho gaabis ah
• neefsashada oo adkaata
• hurdo xad dhaaf ah
• aan awoodin in aan ka jawaabo ama ka soo kaco
• muruqyo jilicsan oo jilicsan
• hargab, maqaar ciriiri ah
• garaaca wadnaha oo gaabis ah
• miyir beelid

Dhammaan ballamaha la dhig dhakhtarkaaga. Dhakhtarkaaga ayaa laga yaabaa inuu dalbado baaritaano shaybaar ah qaarkood si loo hubiyo jawaabta jirkaaga ee meperidine.

Kahor baaritaanka shaybaarka (gaar ahaan kuwa ku lugta leh methylene blue), u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad isticmaaleysid meperidine.

Rijeetadan lama buuxin karo. Haddii aad xanuun sii wado ka dib markaad dhameyso meperidine, 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.

• Demerol^®