Ngaba iMadoral isetyenziswa namhlanje?

Kutheni le Mithi ayisona Sona sikhethi sokuLawula ubuhlungu

I-Demerol (i-meperidine) iyinkunkuma, okanye i- opioid, imishanguzo yeentlungu eziye zadlula ixesha elide. Kwake isetyenziselwa rhoqo kwizicwangciso zesibhedlele ukuphatha unyameko olusisisiseko kwaye kusetyenziswa ngamanye amaxesha ngaphambi kokuba okanye ngexesha lotyando lokuphucula imiphumo ye- anesthesia.

Nangona kunjalo, ubude beempembelelo zikaDemerol ezinokuphulukisa intlungu bufutshane kunamanye ama- narcotics , kwaye ukuveliswa kwayo kwemetabolite enobuthi kuyenza imithi engaphantsi yokulawula ubuhlungu.

I-Demerol ineloluhlu olude lokusebenzisana nobungozi kunye namanye amayeza. Ngenxa yezi zizathu, iDemolol ngoku isetyenziswa rhoqo ukunyanga iintlungu.

I-Demerol isebenza njani?

Intlungu yokunciphisa izakhiwo zeDemerol zihluke kwezinye iyeza, ezifana ne- morphine kuba, endaweni yokugcina izibilini zesigulane ekudluliseni imilayezo yentlungu ebuchosheni, iDemolol isebenza kwinkqubo yesantya ephakathi, ekhohlisa ingqondo ngokunyusa intlungu yesifo "phezulu." Izigulane ezinikezwa iDemerol ngenxa yentlungu zivakalelwa kukuba iziphumo zomzimba zonyango endaweni yengxolo yazo.

Kutheni Umdemerol Ulahlekile?

Izibhedlele kunye neekliniki ezingaphantsi zizisebenzisanga iiDemolol njengoko ziqhelekileyo ngenxa yezinto zokukhusela: I-Demerol inokuba yingozi xa iisetyenzisi eziphezulu zisetyenzisiweyo, kwaye inoluhlu olude lweempembelelo, ezibandakanya:

• Ukucindezeleka okuphefumulayo (ukuphefumula ukuphefumula)
• Utywaba, ukukhanya okulula

• Umbono ongezantsi
• Uxinzelelo lwegazi oluphantsi
• Ukugubha okanye ukubamba
• Isantya senhliziyo esheshayo okanye iintliziyo ezingavamile
• Isihlunu kunye nokuhlanza

I-Demerol iphinde ibe ngumlutha kakhulu kubantu abathile kwaye ine-intsebenziswano emininzi kunye namanye amayeza.

Ukusetyenziswa kwangoku kweDemolol

I-Demerol ayikhuthazwa ukuba isebenzise ixesha elifutshane okanye ukunyanga iintlungu.

I-American Pain Society kunye neNkxaso yoLwazi lweMithi (SafeMy Practice Practice Practice Practice) (ISMP) ayincomo ukusetyenziswa kukaDemerol njengemiphunga-kunciphisa amayeza. Ukuba kufuneka isetyenziswe ukunyanga iintlungu, kufuneka zisetyenziswe kuphela kwiiyure ezingama-48 kwaye akufanele zinikezwe izigulane ezinezintso okanye izifo zengqondo. I-Demerol ayifanele isetyenziswe ixesha elide ukuphatha intlungu engapheliyo kwaye ayisasetyenziselwa ukunyamekela okanye ukuthatha izilwanyana zesifo.

Kuphi na xa idemerol isetyenziswa namhlanje

I-Demerol ingasetyenziselwa esibhedlele okanye isilungiselelo sesigulane kwizigulana ezithatha i-anesthesia. Sekunokusetyenziswa rhoqo kunye namanye amayeza ukwenzela ukuba kubakho izilwanyana kwizigulana eziqhuba iinkqubo ezifana ne-colonoscopy okanye i-endoscopy.

Ukuba wena okanye wakho othandekayo uye wafumana uDemerol enikezelwe kuwe ngugqirha ukuba uphathe intlungu, ndiyakhuthaza ukuba uthethe nodokotela wakho ngezinye iindlela zokukhetha. Kukho amanye amayeza angaphumelela ekupileni intlungu, ngeempembelelo ezimbalwa.

U kufunda ngakumbi

I-Demerol (i-meperidine) yinkxwaleko ye-narcotic i-reliever engayithandiyo kwiminyaka yamuva. Kwixesha elidlulileyo, iDemolol yayisetyenziselwa iintlobo ezahlukeneyo ezibuhlungu, kuquka intlungu emva kokuhlinzwa. Kwiminyaka yakutshanje, imithi yeentlungu sele inganyanzelwanga njengamachiza akhuselekileyo, afana ne-morphine, i-Dilaudid, ne-Fentanyl sele isekelwe ngokuqhelekileyo.

_Imithombo:

_{Hanks, G, Cherry, NI, Fulton, M. Opioid Ulwaphulo lwe-Analgesic. Ku: Doyle, D, Hanks, G, Cherry, NI., Et al. I-Oxford Textbook yePilliative Medicine . Udidi lwesithathu. ENew York: i-Oxford University Press. 2004: 316-341}

_{I-UpToDate.com "I-Meperidine: Iinkcukacha Zezobisi"}