Midazolam

Qanacsan

• Kahor inta uusan ilmahaagu helin midazolam,
• Midazolam waxay sababi kartaa waxyeelo. U sheeg dhakhtarka ilmahaaga haddii mid ka mid ah astaamahan uu daran yahay ama uusan tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii ilmahaagu dareemo mid ka mid ah astaamahan, wac dhakhtarkiisa ama dhakhtarkeeda isla markiiba:
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Midazolam waxay sababi kartaa dhibaatooyin neefsasho oo halis ah ama naf-gooya ah sida gacmo-gaab, gaabis, ama si ku meelgaar ah u joojiso neefsiga. Ilmahaagu waa inuu ku qaataa dawadan oo keliya cisbitaal ama xafiiska dhakhtarka oo leh qalab loo baahan yahay si loola socdo wadnihiisa ama sambabaha iyo samaynta daaweyn caafimaad oo nafo lagu badbaadiyo ah si dhakhso leh haddii neefsashadiisu ay gaabiso ama istaagto. Dhakhtarka ilmahaaga ama kalkaaliyaha caafimaad ayaa si dhaw ula socon doona ilmahaaga ka dib markay helaan ama ay qaataan dawadan si loo hubiyo inuu isagu ama iyadu si fiican u neefsanayaan.U sheeg dhakhtarka ilmahaaga haddii ilmahaagu qabo infekshan daran ama haddii isaga ama iyadu ay qabaan ama ay waligood soo mareen hawo mareenka ama dhibaatooyinka neefsashada ama cudurrada wadnaha ama sambabaha. U sheeg dhakhtarka ilmahaaga iyo farmashiistaha haddii ilmahaagu qaadanayo mid ka mid ah daawooyinka soo socda: antidepressants; barbiturates sida secobarbital (Seconal); droperidol (Inapsine); daawooyinka walwalka, cudurka maskaxda, ama qalalka; daawooyinka narkotikada ee xanuunka sida fentanyl (Actiq, Duragesic, Sublimaze, kuwo kale), morphine (Avinza, Kadian, MS Contin, kuwa kale), iyo meperidine (Demerol); dajiya; kaniiniyada hurdada; ama dejiyeyaasha.

Midazolam waxaa la siiyaa carruurta ka hor qalliinka caafimaadka ama suuxdinta qalliinka ka hor si ay u keento lulmo, yareynta welwelka, iyo ka hortagga xusuus kasta oo dhacdada ah. Midazolam waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'benzodiazepines'. Waxay ku shaqeysaa iyadoo hoos u dhigeysa howlaha maskaxda si ay ugu oggolaato nasasho iyo hurdo.

Midazolam waxay u timaadaa sharoobad afka laga qaato. Badanaa waxaa hal mar lagu siiyaa hal dhakhtar ama kalkaaliye caafimaad kahor qalliinka ama qalliinka.

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

Kahor inta uusan ilmahaagu helin midazolam,

• u sheeg dhakhtarka ilmahaaga iyo farmashiistaha haddii isagu ama iyadu xasaasiyad ku leedahay midazolam, dawooyinka kale, ama jeeriga.
• u sheeg dhakhtarka ilmahaaga haddii ilmahaagu u qaadanayo dawooyinka qaarkood fayraska difaaca jirka ee dadka (HIV) oo ay ku jiraan amprenavir (Agenerase), atazanavir (Reyataz), darunavir (Prezista), delavirdine (Rescriptor), efavirenz (Sustiva, in Atripla), fosamprenavir (Lexiva) ), indinavir (Crixivan), lopinavir (in Kaletra), nelfinavir (Viracept), ritonavir (Norvir, Kaletra), saquinavir (Invirase), iyo tipranavir (Aptivus). Dhakhtarka ilmahaaga ayaa laga yaabaa inuu go'aansado inuusan siin midazolam ilmahaaga haddii isaga ama iyadu ay qaadanayaan mid ama in ka badan oo ka mid ah daawooyinkan.
• U sheeg dhakhtarka ilmahaaga iyo farmashiistaha dawooyinka kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, iyo nafaqada dheeraadka ah ee ilmahaagu qaadanayo ama qorsheynayo inuu qaato. Hubso inaad sheegto daawooyinka ku qoran qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: amiodarone (Cordarone, Pacerone); aminophylline (Truphylline); antifungals sida fluconazole (Diflucan), itraconazole (Sporanox), iyo ketoconazole (Nizoral); qaar kaalshiyamka kaaliyayaasha ah sida diltiazem (Cartia, Cardizem, Tiazac, kuwa kale) iyo verapamil (Calan, Isoptin, Verelan, kuwa kale); cimetidine (Tagamet); clarithromycin (Biaxin); dalfopristin-quinupristin (Synercid); erythromycin (E-mycin, EME); fluvoxamine (Luvox); dawooyinka qaarkood ee suuxdinta sida carbamazepine (Tegretol), phenobarbital, iyo phenytoin (Dilantin); methylphenidate (Concerta, Metadate, Ritalin, kuwa kale); nefazodone; ranitidine (Zantac); rifabutin (Mycobutin); iyo rifampin (Rifadin, Rimactane). Dhakhtarka ilmahaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinka ilmahaaga ama uu si taxaddar leh ula socdo ilmahaaga dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa sidoo kale laga yaabaa inay la falgalaan midazolam, markaa hubi inaad u sheegto dhakhtarka ilmahaaga dhammaan daawooyinka ilmahaagu qaadanayo, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarka ilmahaaga waxa ka soo baxa geedaha ee ilmahaagu qaadanayo, gaar ahaan St. John's wort.
• u sheeg dhakhtarka ilmahaaga haddii ilmahaagu qabo glaucoma. Dhakhtarka ilmahaaga ayaa laga yaabaa inuu go'aansado inuusan siin ilmahaaga midazolam.
• u sheeg dhakhtarka ilmahaaga haddii ilmahaagu qabo ama weligiis uu ku dhacay cudurka kelyaha ama beerka.
• u sheeg dhakhtarka ilmahaaga haddii ilmahaagu uur leeyahay ama uur leeyahay, ama uu naas nuujinayo.
• waa inaad ogaataa in midazolam ay ilmahaaga ka dhigi karto mid aad u luul badan ayna saameyn ku yeelan karto xusuustiisa, maskaxdeeda, iyo dhaqdhaqaaqiisa. Ha u oggolaan in ilmahaagu raaco baaskiil, gaari wado, ama sameeyo waxqabadyo kale oo u baahan isaga ama iyadu inay si buuxda u feejignaadaan ugu yaraan 24 saacadood ka dib qaadashada midazolam iyo ilaa inta ay saameynta daawadu ka dhammaanayso. Si taxaddar leh u ilaali ilmahaaga si aad u hubiso inuusan isagu ama iyadu u dhicin intuu socdo inta lagu jiro wakhtigan.
• waa inaad ogaataa in khamrigu uu ka sii dari karo waxyeelada midazolam.

Ha u oggolaan in ilmahaagu cuno canab-gacmeed ama uu cabo casiir canab ah inta aad qaadanaysid dawadan.

Midazolam waxay sababi kartaa waxyeelo. U sheeg dhakhtarka ilmahaaga haddii mid ka mid ah astaamahan uu daran yahay ama uusan tagin:

• lallabbo
• matagid
• finan

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii ilmahaagu dareemo mid ka mid ah astaamahan, wac dhakhtarkiisa ama dhakhtarkeeda isla markiiba:

• kacsan
• degganaansho la'aan
• gariir aan la koontarooli karin qayb ka mid ah jirka
• adkaansho iyo ruxitaanka gacmaha iyo lugaha
• gardaro
• garaaca wadnaha oo gaabis ah ama aan caadi ahayn

Midazolam waxay sababi kartaa waxyeelo kale. Wac dhakhtarka ilmahaaga haddii ilmahaagu leeyahay wax dhibaato ah oo aan caadi ahayn intaad qaadanayso 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).

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:

• lulmid
• jahwareer
• dhibaatooyinka isku dheelitirka iyo dhaqdhaqaaqa
• neefta oo gaabisa iyo garaaca wadnaha
• miyir beelid

Dhammaan ballamaha la dhig dhakhtarka ilmahaaga.

Weydii farmasiilaha ilmahaaga ama dhakhtarka haddii aad wax su'aalo ah ka qabtid midazolam.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan dawooyinka dhakhtarku qoro iyo kuwa aan qoro (ee aan lagaa qorin) ee cunuggaagu qaadanayo, iyo sidoo kale badeecooyin badan sida fiitamiinno, macdanno, ama nafaqeyn kale oo nafaqo leh. Waa inaad soo qaadataa liistadan markasta oo ilmahaagu booqdo dhakhtar ama haddii isaga ama iyada la dhigo cisbitaal. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Aayadda^®