Hydromorphone

Qanacsan

• Kahor intaadan qaadan hydromorphone,
• Hydromorphone 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 ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Hydromorphone wuxuu caado u noqon karaa sameysashada, gaar ahaan isticmaalka muddada dheer. Qaado taleefanka gacanta si sax ah sida lagu faray. Ha ka qaadin wax badan, ha u qaadin marar badan, ama ha u qaadin qaab ka duwan sida uu takhtarku ku faray. Intaad qaadaneysid taleefanka gacanta, 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 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.

Hydromorphone wuxuu sababi karaa dhibaatooyin neefsasho oo halis ah ama nafta halis geliya, qaasatan 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 neefta gaabisay ama aad neef ama neef qabatay weligaa. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan hydromorphone. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid cudur sambabaha ah sida cudur sambabada oo xanniba oo joogsada (koox cuduro ah oo saameeya sambabaha iyo marinnada hawada), dhaawac madaxa ah, buro maskaxda ah, ama xaalad kasta oo kordhinaysa cadaadiska maskaxdaada , ama kyphoscoliosis (qallooca laf-dhabarka oo sababi kara dhibaatooyin neefsasho ah). Khatarta aad ku yeelan karto dhibaatooyinka neefsashada way ka sii badnaan kartaa haddii aad tahay qof weyn oo da 'weyn, ama aad daciiftay 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 lagaa daaweynayo hydromorphone 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 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 hydromorphone mid ka mid ah daawooyinkaan 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-wareer, hurdo-xumo aad u daran, 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 ka kooban aalkolada, ama isticmaalka daroogada dariiqa inta lagu guda jiro daaweyntaada hydromorphone waxay kordhisaa halista ah inaad la kulanto 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.

Kiniiniyada sii-daayay oo dhan liq. Ha u kala qaybin, calalin, ha milmin, ama ha burburin. Haddii aad liqdo kiniin jajabay, calaalisay, shiiday, ama la milmay waxaad heli kartaa hydromorphone aad u tiro badan hal mar halkii aad si tartiib tartiib ah daawada u heli lahayd. Tani waxay sababi kartaa dhibaatooyin neefsasho oo halis ah ama dhimasho.

Ha u oggolaan qof kale inuu qaato daawadaada. Hydromorphone wuxuu waxyeelleyn karaa ama u horseedi karaa dhimasho dadka kale ee qaata daawadaada, gaar ahaan caruurta. Ku hay hydromorphone meel aamin ah si aan cid kale ugu qaadin si kama 'ah ama ula kac ah. Si gaar ah uga taxaddar inaad ka ilaaliso taleefanka elektaroonigga ah meel aysan carruurtu gaarin. La soco inta kiniin ah ama inta dareere ah ee soo hartay si aad u ogaato haddii wax daawo ah ay maqan yihiin. Ku tuur kaniiniyada aan loo baahnayn ama aan loo baahnayn, kiniiniyada sii-daynta dheer, iyo dareeraha adigoo ku shubaya daawada musqusha. (Fiiri DUKAANKA iyo QASHINKA.)

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.

Takhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Hagaha Daawada) markaad kubilaabeyso daaweyntaada hydromorphone iyo markasta oo aad daawadaada buuxiso. 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.

Takhtarkaaga kala hadal halista qaadashada qalabka korontada ku shaqeeya.

Hydromorphone waxaa loo isticmaalaa in lagu yareeyo xanuunka. Kiniiniyada dheereeya ee Hydromorphone-ka waxaa loo isticmaalaa in lagu yareeyo xanuunka daran ee dadka la filayo inay u baahan yihiin daawada xanuunka saacad kasta waqti dheer oo aan lagu daaweyn karin daawooyin kale. Kiniiniyada dheereeya ee Hydromorphone waa in loo isticmaalaa oo kaliya in lagu daaweeyo dadka dulqaadka leh (oo loo isticmaalay saamaynta daawada) ee daawooyinka opioid maxaa yeelay waxay qaateen noocaan daawo ah ugu yaraan hal usbuuc waana inaan loo isticmaalin in lagu daweeyo khafiif ama dhexdhexaad xanuun, xanuun muddo gaaban ah, xanuun qalliin ka dib ama hab caafimaad ama ilko, ama xanuun lagu xakameyn karo daawo loo qaato sida loogu baahdo. 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 wuxuu u yimaadaa dareere ahaan, kaniiniga, iyo kaniiniga sii-daaya (sii-qaadashada ah) ee afka lagu qaato. Dareeraha badanaa waxaa la qaataa 3 ilaa 6 saacadood mar kasta kiniiniyada waxaa la qaataa 4 ilaa 6 saacadood kasta. Kiniiniyada sii-fidinta ayaa la qaataa hal mar maalintii iyada oo aan la cunin ama aan la cunin. Qaado hydromorphone qiyaastii isku wakhti (waqtiyo) 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. Qaado taleefanka gacanta si sax ah sida lagu faray.

Ha u oggolaan in dareeraha hydromofoonka uu taabto maqaarkaaga ama dharkaaga. Haddii xiriirka noocaas ahi dhaco, ka saar wixii dhar ah ee dareeraha dareeraha ah afka ka mari oo si fiican ugu maydh maqaarkaaga biyo qabow.

Dhakhtarkaagu wuxuu kugu bilaabi karaa qadar yar oo hydromorphone ah wuxuuna si tartiib tartiib ah u kordhinayaa qiyaastaada, ugu badnaan badiyaaba hal jeer 3 ilaa 4 maalmood. Dhakhtarkaaga ayaa laga yaabaa inuu yareeyo qiyaastaada haddii aad isku aragto waxyeelo. U sheeg dhakhtarkaaga haddii aad dareento in xanuunkaaga aan la xakamayn ama haddii aad la kulanto waxyeelo inta lagu jiro daweynta hydromorphone. Ha badalin qiyaasta daawadaada adigoon lahadlin dhaqtarkaaga.

Ha u joojin qaadashada hydromorphone adigoon la hadlin dhakhtarkaaga. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada. Haddii aad si lama filaan ah u joojiso qaadashada aaladda loo yaqaan 'hydromorphone', waxaad la kulmi kartaa astaamaha ka-noqoshada oo ay ku jiraan degganaansho la'aan, indho ilmo, sanka oo dareera, hamaansi, dhidid, dhaxan, timo taagan dhamaadka, murqaha ama kalagoysyada xanuunka, ballaarinta ardayda (wareegyada madow ee indhaha dhexda ), xanaaq, walaac, dhabar xanuun, daciifnimo, calool xanuun, dhib ku noqoshada hurdo ama hurdo, hurdo la'aan, rabitaanka cuntada oo yaraada, matag, shuban, neefsasho degdeg ah, ama wadne garaac dhakhso leh. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada. Haddii aadan qaadan kiniinnada hydromorphone-ka ee sii-deynta muddada dheer ka badan 3 maalmood sabab kasta ha noqotee, la hadal dhakhtarkaaga ka hor intaadan billaabin qaadashada daawada mar kale.

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

Kahor intaadan qaadan hydromorphone,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay hydromorphone, dawooyin kale oo kasta, sulfites, ama wax ka mid ah maaddooyinka ku jira kiniiniyada hydromorphone, xalka, ama kaniiniyo sii-daayay Weydii farmashiistahaaga ama ka hubi Hagaha Daawada 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 (Buprenex, Butrans, in Suboxone, in Zubsolv, others); butorphanol; cyclobenzaprine (Amrix); dextromethorphan (oo laga helo dawooyin qufac badan; Nuedexta); ipratropium (Atrovent); daawooyinka glaucoma, cudurada caloosha oo xanaaq badan, cudurka Parkinson, boogaha, iyo dhibaatooyinka kaadi mareenka; lithium (Lithobid); daawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, in Treximet), iyo zolmitriptan (Zomig); 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); trazodone (Oleptro); iyo tricyclic antidepressants ('mood elevators') sida amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine. Sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanayso ama aad qaadanayso mid ka mid ah kuwa ka hortaga monoamine oxidase (MAO) ama 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 iyo tryptophan.
• u sheeg dhakhtarkaaga haddii aad qabtid mid ka mid ah xaaladaha ku taxan qaybta DIGNIIN MUHIIM AH ama curyaannimo ileus (xaalad ay cuntadu ku dhex mari weydo mindhicirada), ama xannibaad caloosha ama xiidmaha. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan hydromorphone.
• haddii aad qaadan doontid kiniinnada sii-deynta dheereeya, sidoo kale u sheeg dhakhtarkaaga haddii aad waligaa qalliin samaysay oo sababay isbeddel ku yimid habka cuntada ay ugu gudubto calooshaada ama mindhicirada ama haddii aad leedahay xaalad kasta oo sababi karta hunguriga hunguriga Cunnada waxay ka qaaddaa afka ilaa caloosha), caloosha, ama xiidmaha sida cystic fibrosis (xaalad u keenta jirka inuu soo saaro xab adag oo xiiran oo xiraya xammeetida, sambabaha, iyo qaybaha kale ee jirka), peritonitis (inflammation dahaarka caloosha (aagga caloosha), Meckel's diverticulum (buul ku soo dhaca xuubka xiidmaha yar ee ku jira dhalashada), xannibaad been abuur ah oo ku dhaca xiidmaha (xaalad muruqyada mindhicirku aysan si habsami leh ugu dhex marin cuntada xiidmaha), ama cudurka caloosha ee caabuqa leh (IBD; koox xaalado ah oo sababa caabuq ku dhaca xuubka xiidmaha) Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan kiniiniyada hydromorphone ee waqtiga dheer lagu sii daayo.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa dhiig kar hoose qabtay; cudurka Addison (xaalad ay qanjirka 'adrenal gland' soo saarto hormoon ka yar kan caadiga ah); suuxdinta; xaalad kasta oo dhib ku keenta kaadida, sida qanjirka 'prostate' (qanjirka taranka ee ragga) ama adkeynta kaadi mareenka (xirida tuubada u oggolaaneysa kaadi inay ka baxdo jirka); ama xameetida, xammeetida, beerka, tayroodhka, ama cudurka kalyaha.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Takhtarkaaga kala hadal halista qaadashada qalabka korontada ku shaqeeya.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso hydromorphone.
• 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. Si looga hortago dhibaatadan, si tartiib ah uga kac sariirta, adoo cagahaaga ku dhigaya dhulka daqiiqado ka hor intaadan istaagin.
• waa inaad ogaataa in hydromorphone ay sababi karto calool istaag. Kala hadal dhakhtarkaaga wixii ku saabsan beddelaadda cuntadaada ama isticmaalka daawooyin kale si looga hortago ama loo daaweeyo calool fadhiga inta aad qaadanayso hydromorphone.

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

Haddii aad qaadaneysid kaniiniyada ama xalka, qaado qiyaasta la seegay isla marka aad xasuusato. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Haddii aad qaadanaysid kaniiniyada sii-deynta dheereeya, ka bood qiyaasta la seegay oo sii wad jadwalkaaga qaadashada ee joogtada ah. Ha ku qaadin wax ka badan hal qaadasho oo ah kaniiniyada fiditaanka dheer 24 saacadood.

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

• madax xanuun
• dhibaato xagga hurdada ama hurdada ah
• afka qalalan
• madax wareer
• lulmid
• dhidid culus
• murqaha, dhabarka ama kala goysyada
• calool xanuun
• walaac
• dhaqid
• cuncun
• niyad jab

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

• finan
• finan
• bararka indhaha, wajiga, dibnaha, carrabka, afka, cunaha, gacmaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
• neefsashada ama wax liqidda oo ku adkaata
• xabeeb
• 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
• qalal
• xabad xanuun
• lulmo xad dhaaf ah
• miyir beelid
• madax-xanuun marka aad boosaska beddeleyso

Hydromorphone wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid 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 heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha). Waa inaad isla markiiba iska tuurtaa wixii daawo ah ee dhacay ama aan hadda looga baahnayn iyada oo loo marayo barnaamijka dib-u-celinta daawada. Haddii aadan haysan barnaamij dib-u-celin ah oo kuugu dhow ama mid aad si dhakhso leh u heli karto, ku shub dareere kasta oo koronto ku shaqeeya ama kiniinno gaboobay ama aan mar dambe loo baahnayn musqusha. 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

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 qaadaneysid hydromorphone, waa inaad kala hadashaa dhakhtarkaaga sidii aad u heli laheyd daawada samatabbixinta ee 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
• yaraynta ama ballaarinta ardayda (wareegyada mugdiga ah ee indhaha 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 qaadanayso hydromorphone.

Haddii aad qaadanayso kaniiniga sii-daaya ee aad qaadatay wax raajo ah, u sheeg farsamo yaqaan inaad qaadanayso dawadan.

Rijeetadan lama buuxin karo. Haddii aad xanuun sii wado ka dib markaad dhamaysato qalabka korontada ku shaqeeya, wac dhakhtarkaaga.

Haddii aad qaadanaysid kaniiniyada sii-deynta la dheereeyey, waxaad ku arki kartaa qolofta kiniinka saxaradaada. Tani waa wax caadi ah oo macnaheedu maaha inaadan helin qaddarka buuxa ee daawada.

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^®
• Exalgo^®

• dihydromorphinone