Hydromorphone Rectal

Qanacsan

• Si aad u isticmaasho suumanka, raac talaabooyinkan:
• Ka hor intaadan isticmaalin qalabka korontada ku shaqeeya,
• Fiilooyinka Hydromorphone waxay sababi karaan 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 takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Malawadka telefoonka Hydromorphone wuxuu caado u noqon karaa sameynta, gaar ahaan isticmaalka muddada dheer. U isticmaal malawadka taleefanka gacanta sida saxda ah ee lagu faray. Ha u isticmaalin qadar ka weyn, u isticmaal in badan, ama u isticmaal muddo dheer ama qaab ka duwan sidii uu takhtarku kuu qoray. Intaad isticmaaleyso malawadka taleefanka gacanta, 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 u badatay, ama aad si xad dhaaf ah u isticmaasho daawooyinka laguu qoray, ama haddii aad leedahay ama aad waligaa isku buuqday ama cudur maskaxeed kale. Khatar weyn ayaa ka jirta in aad si xad dhaaf ah u isticmaasho malawadka taleefanka gacanta haddii aad leedahay ama waligaa aad 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.

Qaadashada daawooyinka qaarkood inta lagu guda jiro daaweynta malawadka taleefanka gacanta waxay kordhin kartaa halista ah inaad ku dhacdo dhibaatooyin neefsasho oo halis ah ama 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), 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; 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 isticmaasho malawadka taleefanka gacanta ee daawadahan midkoodna 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 khamriga, qaadashada daawada dhakhtar qoro ama daawooyinka aan dhakhtar qorin ee ay ku jiraan aalkolada, ama isticmaalka daroogada dariiqa inta lagu gudajiro daaweyntaada malawadka taleefanka malawadka waxay kordhisaa halista inaad lakulmidoonto waxyeelooyinkaan halista ah, ee nafta halis gelinaya. khamri, ama isticmaal daroogada dariiqa inta lagu guda jiro daaweyntaada.

Takhtarkaaga kala hadal halista isticmaalka malawadka taleefanka gacanta.

Fiilooyinka Hydromorphone waxaa loo isticmaalaa in lagu yareeyo xanuunka dhexdhexaadka ah ama daran. 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.

Hydromorphone waxay u timaadaa sidii shay lagaa siinayo malawadka. Waxaa la geliyaa badanaa hal mar 6dii ilaa 8dii saacadoodba mar. Geli taleefanka taleefanka gacanta waqti isku mid ah 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 suumanka hydromorphone si sax ah sida lagu faray.

Ha u joojin isticmaalka suumanka hydromorfoonka adiga oo aan la hadlin dhakhtarkaaga. Haddii aad si lama filaan ah u joojiso isticmaalka suumanka loo yaqaan 'hydromorphone suppositories', waxaad la kulmi kartaa astaamaha ka-noqoshada oo ay ka mid yihiin degganaansho la'aan, ilmo ilmeysa, sanka oo dareera, hamaansiga, dhididka, dhaxanta, timaha taagan dhamaadka, murqaha iyo kalagoysyada xanuunka, ballaarinta ardayda (wareegyada madow ee bartamaha indhaha), xanaaq, walaac, dhabar xanuun, daciifnimo, calool xanuun, dhib ku noqoshada hurdada ama seexashada, lallabbo, cunto xumo, matag, shuban, neefsasho degdeg ah, ama wadne garaac dhakhso leh. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada.

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 u 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.

Ka hor intaadan isticmaalin qalabka korontada ku shaqeeya,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay hydromorphone, daawooyin kale, ama wax ka mid ah waxyaabaha ku jira suumanka 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 mid ka mid ah kuwan soo socda: cyclobenzaprine (Amrix); dextromethorphan (oo laga helo dawooyin qufac badan; Nuedexta); lithium (Lithobid, oo ku taal Librax); daawooyinka suuxdinta daawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), iyo zolmitriptan (Zomig); mirtazapine (Remeron); daawooyinka maandooriyaha ee xanuunka oo aan ahayn hydromorphone; 5HT₃ xannibaadaha serotonin sida alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso, Sustol), ondansetron (Zofran, Zuplenz), ama palonosetron (Aloxi, in Akynzeo); 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); trazodone; iyo tricyclic antidepressants ('mood elevators') sida amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine (Surmontil). Sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanaysid ama aad qaadanaysid daawadayaasha monoamine oxidase (MAO) ama haddii aad joojisay qaadashadooda labadii toddobaad ee la soo dhaafay: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), ama tranylcypromine (Parnate). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara hydromorphone, markaa 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 ama tryptophan.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa madaxa ka dhaawacantay ama xaalad kasta oo waxyeello u geysatay maskaxdaada, xaalad kasta oo kordhinaysa cadaadiska maskaxdaada; neefsasho gaabis ah; ama xaalad kasta oo saamayn ku yeelata neefsashadaada sida neefta, cudurka sambabaha ee joogtada ah (COPD; koox cudurro ah oo ay ka mid yihiin boronkiitada raaga iyo emphysema oo saameeya sambabaha iyo hawo mareenka), ama kyphoscoliosis (qallooca laf-dhabarka oo sababi kara dhibaatooyin neefsasho ah). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan isticmaalin suumanka hydromorfoonka.
• u sheeg dhakhtarkaaga haddii aad tahay qof weyn oo da 'weyn ah ama haddii aad daciiftay ama aad nafaqo-xumo ku hayso cudur. Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa qabay hypothyroidism (xaalad qanjirka thyroid uu soo saaro hormoon ka yar kan caadiga ah); Cudurka Addison (xaalad ah qanjirka 'adrenal gland' inuu soo saaro hormoon ka yar kan caadiga ah); xaalad kasta oo dhibaato ku keenta kaadida sida qanjirka 'prostate' (qanjirka taranka ee ragga) ama adkeynta kaadi mareenka (xirida tuubada u oggolaaneysa kaadi inay ka baxdo jirka); ama cudurka beerka ama kalyaha.

• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad isticmaaleysid suumanka taleefanka ku shaqeeya, wac dhakhtarkaaga.

• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Kala hadal dhakhtarkaaga khataraha aad leedahay isticmaalka suumanka hydromorfoonka.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaasho suumanka hydromorfoonka.
• waa inaad ogaataa in hydromorphone laga yaabo inay kaa dhigto qof hurda. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
• waa inaad ogaataa in hydromorphone-ka uu sababi karo dawakhaad, madax-wareer, iyo suuxdin marka aad dhaqso uga kacdo jiifka. Tani waxay aad u badan tahay marka ugu horreysa ee aad bilowdo isticmaalka suumanka hydromorphone. 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.

Isticmaal 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 u isticmaalin qaadasho laba jibbaar ah si aad u dhammaystirto mid kaa dhaafay

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

• calool istaag
• lulmid
• isbedelka niyadda
• jahwareer
• kaadida oo ku adkaata
• cidhiidhinta ardayda (wareegyada madow ee indhaha)

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

• gaabisay ama neefsashadii joojisay
• neefsashada aan caadiga ahayn ama joogsata oo bilaabata
• 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

Fiilooyinka Hydromorphone waxay sababi karaan 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).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi qaboojiyaha. Iska tuur wixii daawo ah ee dhacay ama aan loo baahnayn. Farmashiistahaaga kala hadal sida saxda ah ee daaweynta looga takhalusi karo.

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

Ku kaydi qalabka mashiinnada taleefanka ku shaqeeya qaboojiyaha meel aamin ah si aan cid kale ugu qaadan daawada si kama 'ah ama ula kac ah. La soco inta suuro-gelin ee haray si aad u ogaato haddii wax ka maqan yihiin.

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 malawadka taleefanka hydromorphone, waa inaad kala hadashaa dhakhtarkaaga si aad u hesho dawo 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
• 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

Dhammaan ballamaha la dhig takhtarkaaga iyo shaybaarkaaga. Dhakhtarkaagu wuxuu dalban karaa tijaabooyin shaybaarro qaarkood ah si loo hubiyo jawaabta jirkaaga ee hydromorphone.

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

Rijeetadan lama buuxin karo. Haddii aad xanuun sii wado ka dib markaad dhammeyso suumanka taleefanka gacanta, wac takhtarkaaga.

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.

• si guud loo heli karo

• dihydromorphinone