Okwenza le mithi ayiyona indlela engcono kakhulu yokuphatha ubuhlungu
I-Demerol (i-meperidine) iyinambuzane, noma i- opioid, imithi ebuhlungu eye yahlala isikhathi esithile. Kwake isetshenziselwa njalo izilungiselelo zesibhedlela ukuze uphathe ubuhlungu obunzima kuya kwesinye isikhathi futhi kusezinye izikhathi kusetshenziswe ngaphambi noma ngesikhathi senqubo yokuhlinza ukuthuthukisa imiphumela ye- anesthesia.
Kodwa-ke, isikhathi semiphumela yokunciphisa ubuhlungu sikaDemolol sincane kunezinye izidakamizwa , futhi ukukhiqizwa kwayo kwe-metabolites enobuthi kuyenza imithi engaphansi kokulawula ubuhlungu.
I-Demerol nayo inehlu olude lokusebenzisana okungozini nezinye imithi. Ngenxa yalezi zizathu, i-Demerol manje isetshenziswe kangako ukuphatha ubuhlungu.
I-Demerol isebenza kanjani?
Ubuhlungu bokudambisa izakhiwo zikaDemerol behluke kwezinye izidakamizwa, njenge- morphine ngoba, esikhundleni sokugcina iziphetho zezinzwa ekudluliseni imilayezo yobuhlungu ebuchosheni, uDemerol wenza isistimu ye-central central, okwenza ukuba ubuchopho bube bukhohlisayo ngokususa umuzwa wobuhlungu "phezulu." Iziguli ezinikezwa i-Demerol ngezinhlungu ziyizimpikiswano ezithinta umuthi esikhundleni sobuhlungu bazo.
Kungani U-Demerol Wehlulekile?
Izibhedlela kanye nemitholampilo yokuphulukisa iziguli azisebenzisi i-Demerol njalo njengoba zijwayele ngenxa yezindaba zokuphepha: I-Demerol ingaba yingozi lapho kusetshenziswa amanani aphezulu, futhi inezinhlu ezide zemihelo, ehlanganisa:
- Ukucindezeleka kokuphefumula (ukuphuza ukuphefumula)
- Usizi, ubukhulu obunzima
- Umbono ophundlekile
- Umfutho wegazi ophansi
- Ukuthuka noma ukuhlukunyezwa
- Ukushaya kwenhliziyo okusheshayo noma izinhliziyo ezingavamile
- I-nausea nokuhlanza
U-Demerol uphinde umlutha kakhulu kwabanye abantu futhi unokuxhumana okungahambi kahle neminye imithi.
Ukusetshenziswa Kwamanje Kwe-Demerol
I-Demerol ayinconywa ukuba isebenzise isikhathi esifushane noma ukuphatha ubuhlungu obukhulu.
I-American Pain Society ne-Institute for Safe Practice Medication (ISMP) ayincoma ukusetshenziswa kukaDeerol njengemithi yokuphulukisa ubuhlungu. Uma kufanele isetshenziselwe ukwelapha ubuhlungu obukhulu, kufanele isetshenziswe kuphela amahora angu-48 futhi kufanele inganikezwa iziguli ezinesifo sezinso noma zezinzwa. I-Demerol akufanele isetshenziswe isikhathi eside ukuphatha ubuhlungu obungapheli futhi ayisasetshenziselwa ukunakekelwa nge- palliative noma izilungiselelo zokubhedlela.
Uphi Futhi Uma I-Demerol Isetshenziswa Namuhla
I-Demerol ingahle isetshenziswe esibhedlela noma izilungiselelo zokuphulukisa iziguli ezibhekene neziguli ezitholakalayo. Isalokhu isetshenziselwa njalo neminye imithi ukuze idale ukudlwengulwa kweziguli eziqhuba izinqubo ezifana ne-colonoscopy noma i-endoscopy.
Uma wena noma othandekayo wakho ube neDemolol eyinikezwe udokotela ukuphatha ubuhlungu, ngikukhuthaza ukuba ukhulume nodokotela wakho mayelana nezinye izinketho ongakhetha kuzo. Kuneminye imithi engase iphumelele kangcono ekwelapheni ubuhlungu, nemiphumela emibi embalwa.
Ukufunda Okuqhubekayo
I-Demerol (i-meperidine) iyinxephezelo yokuhlukunyezwa kwe-narcotic engakatholakali eminyakeni yamuva. Esikhathini esidlule, uDemerol yasetshenziselwa izimo ezihlukahlukene ezibuhlungu, kuhlanganise nobuhlungu ngemuva kokuhlinzwa. Eminyakeni yamuva nje, imishanguzo yezinhlungu iye yazinakwa kakhulu njengoba imithi ephephile, efana ne-morphine, i-Dilaudid, ne-Fentanyl isiyekezwa ngokujwayelekile.
Imithombo:
Hanks, G, Cherry, NI, Fulton, M. Opioid Ukwelashwa kwe-Analgesic. Ku: Doyle, D, Hanks, G, Cherry, NI., Et al. I-Oxford Textbook ye-Palliative Medicine . I-3rd Edition. I-New York: I-Oxford University Press. 2004: 316-341
UpToDate.com "I-Meperidine: Ulwazi Lwadakamizwa"