Qalliinka Morphine

Qanacsan

• Si aad u isticmaasho suumanka, raac talaabooyinkan:
• Kahor isticmaalka morphine malawadka,
• Morphine wuxuu sababi karaa 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:

Malawadka Morphine wuxuu caado u noqon karaa sameysashada, gaar ahaan isticmaalka muddada dheer. U isticmaal morphine sida saxda ee lagu faray. Ha u isticmaalin wax ka badan, u isticmaal marar badan, ama ha u isticmaalin qaab ka duwan sida uu takhtarku ku faray. Intaad isticmaaleyso saxada morphine, kala hadal daryeel caafimaad bixiyahaaga hadafyadaada 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 morphine haddii aad leedahay ama aad waligaa isku aragtay mid ka mid ah xaaladahaan. 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.

Morphine waxay kordhin kartaa halista inaad lakulmidoonto dhibaatooyin xagga neefsashada ah ama dhibaatooyin neefsasho oo aad uxun oo halis ah ama nafta halis galinaya, suuxdin, ama miyir-beel haddii loo isticmaalo daawooyinka qaarkood. 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 cudurada maskaxda, 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 isticmaashid dabada 'morphine rectal' mid ka mid ah daawooyinkaan oo aad yeelato mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama raadso daryeel caafimaad oo deg-deg ah: dawakhaad aan caadi ahayn, madax-wareer, hurdo saa'id ah, 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 gudajiro daaweyntaada malawadka malawadka waxay kordhinaysaa halista inaad lakulmidoonto dhibaatooyinkaan halista ah ee nafta halis galinaya. 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 ay leedahay isticmaalka malawadka malawadka.

Malawadka Morphine waxaa loo isticmaalaa in lagu yareeyo xanuunka dhexdhexaadka ah ama daran. Morphine wuxuu ku jiraa nooc daawooyin ah oo loo yaqaan 'opiate (narcotic) analgesics'. Waxay ku shaqeysaa iyadoo la beddelayo habka jirku u dareemo xanuunka.

Mindhicirka Morphine wuxuu u yimaadaa sida suumanka la geliyo malawadka. Badanaa waxaa la geliyaa 4tii saacba mar. Isticmaal morphine malawadka qiyaastii isla waqtiyada maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. U isticmaal morphine sida saxda ee lagu faray.

Dhakhtarkaaga ayaa laga yaabaa inuu habeeyo qiyaastaada morphine inta lagu guda jiro daaweyntaada si loo xakameeyo xanuunkaaga sida ugu macquulsan. Haddii aad dareento in xanuunkaaga aan la xakamayn, wac dhakhtarkaaga. Ha badalin qiyaasta daawadaada adigoon lahadlin dhaqtarkaaga.

Ha joojin isticmaalka morphine adigoon lahadlin dhakhtarkaaga. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada. Haddii aad si lama filaan ah u joojiso isticmaalka morphine, waxaad la kulmi kartaa astaamaha ka-noqoshada sida walaaca; dhidid; dhibaato hurdo la'aan ama hurdo la'aan; qarqaryo; ruxista qayb ka mid ah jirkaaga oo aadan xakamayn karin; lallabbo shuban; sanka oo dareera, hindhiso ama qufac; timaha maqaarkaaga taagan oo taagan; ama dhalanteed (arag waxyaabo ama maqalka codad aan jirin).

Si aad u isticmaasho suumanka, raac talaabooyinkan:

1. Ka qaad duubka.
2. Qaadi caarada suufka biyaha.
3. U jiifso dhinaca bidix oo jilibkaaga midig kor ugu qaad laabta (qofka bidix bidix waa inuu u jiifsadaa dhinaca midig oo uu kor ugu qaadaa jilibka bidix.)
4. Adoo isticmaalaya fartaada, geli suumanka qiyaastii 1 inji (2.5 sentimitir) malawadka.
5. Fartaada ku haay daqiiqado yar
6. Istaag qiyaastii 15 daqiiqo kadib. Si fiican u dhaq gacmahaaga oo dib u bilaw waxqabadyadii caadiga ahaa.

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

Kahor isticmaalka morphine malawadka,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay morphine, dawooyinka kale, ama wax ka mid ah maaddooyinka ku jira suunka morphine. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• Ha isticmaalin morphine malawadka haddii aad qaadanaysid aaladda monoamine oxidase (MAO) sida isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), procarbazine (Matulane), selegiline (Eldepryl, Emsam, Zelapar), iyo tranylcypromine (Parnate) ama haddii aad joojisey qaadashada mid kamid ah daawooyinkan 2dii usbuuc ee la soo dhaafay. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan isticmaalin morphine malawadka haddii aad qaadanaysid mid ama kabadan dawooyinkan.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar 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: daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); antihistamines (oo laga helo dawooyinka qabow iyo xasaasiyadda); daawooyinka qalalka; barbiturates sida phenobarbital iyo primidone (Mysoline); beta-blockers sida propranolol (Hemangeol, Inderal, Innopran); butorphanol; hydrate hydrate, chlorpromazine, dextromethorphan (waxaa laga helaa daawooyin badan oo qufac ah; Nuedexta); lithium (Lithobid), dawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), iyo zolmitriptan (Zomig); methocarbamol (Robaxin), mirtazapine (Remeron); nalbuphine; pentazocine (Talwin); 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 desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), iyo venlafaxine (Effexor); tramadol (Conzip, Ultram, in Ultracet), iyo tricyclic antidepressants ('wiishka wiiftada') sida amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor) Vivactil), iyo trimipramine (Surmontil). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara morphine malawadka, sidaa darteed hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. 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 cabto ama aad waligaa cabto qamri aad u tiro badan ama qalliin caloosha ah lagu sameeyay ama qalliin caloosha ah. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa madaxa ka dhaawacantay; buro maskaxda ah ama xaalad kasta oo kordhisa xaddiga cadaadiska maskaxdaada; suuxdinta; dhibaatooyin neefsasho oo halis ah ama nafta halis gelinaya; neefta; garaaca wadnaha oo aan joogto ahayn; ama wadnaha oo istaaga. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan isticmaalin morphine malawadka.
• u sheeg dhakhtarkaaga haddii aad waligaa qalliin weyn ku samaysay. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid cudur maskaxeed; Cudurka sambabaha ee joogtada ah (COPD, koox cuduro ah oo sababa tartiib tartiib u luminta shaqada sanbabada) ama dhibaatooyin kale oo xagga neefsashada ah; qanjirka 'prostatic hypertrophy' (weynaanta qanjirka taranka ee ragga); adkaanshaha kaadi mareenka (xannibaadda tuubbada u oggolaanaysa kaadi inay jidhka ka baxdo); dhibaatooyinka kaadi mareenka; cadaadiska dhiigga oo hooseeya; Cudurka Addison (xaalad jidhku aanu kaafin karin walxaha dabiiciga ah qaarkood); ama qanjirka 'thyroid', beerka, kilyaha, ganaca, xiidmaha, ama xameetida.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad isticmaaleyso morphine, wac dhakhtarkaaga.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Takhtarkaaga kala hadal halista isticmaalka morphine malawadka.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso morphine.
• waa inaad ogaataa in morphine laga yaabo inuu kaa dhigo qof lulmo leh. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.

Cab cabitaanno badan inta aad isticmaaleyso daawadan.

Gali qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha galin laba-qaadasho si aad uhesho mid kaa dhaafay.

Morphine wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• madax wareer
• lulmid
• dhibaato xagga hurdada ama hurdada ah
• calool istaag
• calool xanuun
• afka qalalan
• madax xanuun
• dhibaatooyinka aragga
• kaadida oo yaraatay
• dhaqid

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

• neefsasho gaabis ah, gacmeed, ama aan caadi ahayn
• isbedelada garaaca wadnaha
• 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
• midab buluug ama guduud ah maqaarka
• miyir beelid
• finan
• finan
• cuncun
• bararka gacmaha, gacmaha, cagaha, anqawyada, ama lugaha hoose

Morphine wuxuu sababi karaa 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).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

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

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

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 morphine, waa inaad kala hadashaa dhakhtarkaaga si aad u hesho daawo samatabbixin ah oo la yiraahdo 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, gacmeed, ama aan caadi ahayn
• neefsashada oo adkaata
• midab buluug ama guduud ah maqaarka
• hurdo la'aan
• lulmid
• aan awoodin in aan ka jawaabo ama ka soo kaco
• muruqyada dhutinaya
• hargab, maqaar ciriiri ah
• garaaca wadnaha oo gaabis ah
• aragga oo xumaada
• lallabbo
• miyir beelid

Dhammaan ballamaha la dhig takhtarkaaga iyo shaybaarkaaga. Dhakhtarkaaga ayaa laga yaabaa inuu amro tijaabooyinka shaybaarka qaarkood si loo hubiyo jawaabta jirkaaga ee morphine.

Kahor baaritaanka shaybaarka (gaar ahaan kuwa ku lugta leh methylene buluug), u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad isticmaaleyso saxada morphine.

Rijeetadan lama buuxin karo. Haddii aad isticmaaleyso morphine si aad u xakameyso xanuunkaaga muddada-dheer, hubi inaad ballan la sameysatid dhakhtarkaaga si aanad daawada uga dhammaan. Haddii aad isticmaaleysid morphine muddo gaaban, wac dhakhtarkaaga haddii aad sii waddo inaad la kulanto xanuun ka dib markaad daawada dhamayso.

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.

• RMS^® Masaafo^¶

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.