Oko Okumele Ukwazi Ngobugwenxa
I-Dilaudid, eyaziwa nangokuthi i-Hydromorphone HCl, i-narcotic analgesic. Oku kuthetha ukuba i-Dilaudidi ifana ne-chemphine efana ne- morphine kwaye inika intlungu yokhuseleko. Eli nyanga lifumaneka kuphela ngogunyaziso, kwaye ngokuqhelekileyo lisetyenziswe esibhedlele ngenxa yentlungu emva kwenkqubo okanye ukulimala.
I-Dilaudidi yenziwe ngokusebenzisa isityalo se-poppy kwaye iphinda ibhekiswe njenge-opioid, njengokuba zonke iziyeza ezivela kuma-poppies.
I-Dilaudid ibuye ithengiswe phantsi kwegama elithi Palladone, Palladone SR, iDihydromorphinone, kunye ne-Hydromorphone Hydrochloride.
Kutheni Kuthetha Ukugwetywa?
I-IV Dilaudid isetyenziselwa ukunyanga iintlungu emva kokuhlinzwa, kunye nezinye iintlobo zentlungu, ngokuqhelekileyo xa isiguli sigcina esibhedlele. Kwezinye iimeko ezinqabileyo, isetyenziselwa ukuphatha ukukhwehlela okumanzi, ukukhwehlela. I-Dilaudid ayidla ngokusetyenziswa ubuhlungu obungapheliyo, kodwa ukufumana intlungu yesikhashana. I-Dilaudidi inikwe ngokubanzi intlungu ebuhlungu, njengoko yinkonzo enamandla kakhulu kwaye inokuba yomelele kakhulu ukukhululeka kwentlungu.
Ifomu yepilisi, i-Dilaudid ingasetyenziselwa ubuhlungu bentsholongwane okanye ukuphatha intlungu enzima umntu ongekho esibhedlele. Akunqabile kwiimvumba zentlungu ye-IV ukuba zinikezwe ngaphandle kwesibhedlele, ngoko ifomu yomlomo isetyenziswa ngokuqhelekileyo emva kokuba kugcinwe isigulane. Ngokuqhelekileyo, i-Dilaudidi imisiwe xa isibhedlele siphelile kwaye unyango olunamandla, olunjenge-hydrocodone (Norco) okanye i-oxycodone (i-Percocet) inikwe.
Ulahlwa njani?
Kwimeko yesibhedlele, i-Dilaudidi inokunikezwa nge-IV, njenge- epidural , okanye kwifom yepilisi. IV I-Dilaudidi inokunikezwa ngokuqhubekayo njengoko i-IV iminyango, okanye inokunikezwa idosi enye ngexesha nge-IV line (njenge-bolus). Kwezinye iimeko, i-Dilaudidi isetyenziswe kwipompo ye-PCA-intlungu yepompo ehambisa amayeza amiselweyo ngaphambili xa iqhosha lixinzezelwa ngumguli.
I-Dilaudid imiselwe ngokutsha kwifom yefilda yokusetyenziswa emva kokukhutshwa esibhedlele, kodwa iyafumaneka njengelwelo xa kuyimfuneko.
Imiphumela
Enye yeempembelelo eziqhelekileyo eziqhelekileyo ze-Dilaudid kunye nezinye izidakamizwa kukuqhaqha. Emva kokuhlinzwa, ukuqanjwa kungabangela ingxaki enkulu , ngoko kubalulekile ukusela amanzi amaninzi kwaye uzame ukutya kakuhle emva kokuhlinzwa , ukuqinisekisa ukuba uquka ukutya okuphezulu kwi-fiber.
Ifana ne-morphine, i-Dilaudid ingabangela ubuthongo nokugungqa kwengqondo. Kungenza uzive u "dopey" okanye "unciphisa." Ukuxakeka komzimba kungaphinda kubangele, njengoko i-Dilaudidi inokunciphisa uxinzelelo lwegazi. Ngenxa yezi zizathu, ukuqhuba kunye neminye imisebenzi enokuba yingozi xa ulele xa uyenza, kufuneka kwenziwe kuphela ngokuqaphela kwaye emva kokuba wazi ukuba usabela njani kumlinganiselo wakho weyeza.
I-Dilaudidi nayo isebenza njengengcinezelo yokukhwehlela. Emva kokuhlinzwa okukhulu, i-pneumonia iyingozi, ngoko kubalulekile ukukhwehlela ngokusisiseko rhoqo ukugcina imiphunga icace. Ukuba unenkathazo ekukhunjeni ukukhwehlela, isikhumbuzo esisodwa sikhulu ukukhwehlela amaxesha ambalwa xa uhla lwezorhwebo lufika ngelixa libukela umabonwakude.
Izilumkiso
- I-Dilaudidi ayifanele isetyenziswe ngabafazi besondlo njengoko kufunyanwa kubisi lwebele.
- I-Dilaudidi ayizange ifundwe ngokusetyenziswa kwabasetyhini abakhulelweyo.
- Abantu asebekhulile baye bafunyaniswa ngakumbi kwi-Dilaudid kwaye kufuneka banyamekele kude kube kufike umthamo ofanelekileyo.
- I-Dilaudide eninzi kakhulu (ukudlula ngaphezulu) inokuyicinezela inkqubo yokuphefumula ize ibangele ukuphefumula ukuyeka ngokupheleleyo.
- Esi sidakamizwa akufanele sithathwe ngaphambi kokuqhuba okanye ukusebenzisa imishini.
- Ukudibanisa i-Dilaudid kunye namanye amayeza obangela ukulala kungabungozi.
Umlutha weDilaudid
I-Dilaudidi inempahla yokulutha kwaye kufuneka iphathwe ngokulumkisa xa isetyenziswe ixesha elide kuneveki ezimbalwa. Xa zisetyenziswe ngokufanelekileyo, kwaye ngokwemiyalelo, umlutha awuyiyo ingxaki emva kokuhlinzwa, njengoko isetyenziswe kuphela ngexesha lokuqala lokubuyisela.
Ukusetyenziswa okungekho mthethweni, oku kuthetha ukuthatha i-Dilaudid xa kungekho sizathu esibalulekileyo sokwenjenjalo okanye ngaphandle kwemithi, kunokukhokelela ekubeni umlutha kunye neempawu zokurhoxiswa xa isigqirha simisiwe.
ILizwi Elivela Kwisimo Esihle
I-Dilaudid yonyango eluncedo kakhulu xa lisetyenziswe ngokufanelekileyo. Kwizigulane ezibuhlungu obukhulu emva kokulimala okanye inkqubo, i-IV Dilaudid inokunika uncedo oluyidingayo. Oko kwathiwa, i-Dilaudidi inokukwazi ukuphathwa kakubi kwaye ingaba ngumlutha xa isetyenziswe ngokungafanelekanga. Njengoko naluphi na i-opioid, sebenzisa kuphela njengoko ufuna kwaye unqande ngokupheleleyo xa ungasayidingi imithi ukwenzela ukuba ugweme nayiphi na imiba yesikhathi eside.
Imithombo:
IMedical Med. HCl Hydromorphone. http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=2189#nlm34069-5