Chifukwa Chimene Mankhwalawa Sali Njira Yabwino Kwambiri Yopweteka
Demerol (meperidine) ndi mankhwala osokoneza bongo, kapena opioid, mankhwala opweteka omwe akhalapo kwa nthawi ndithu. Nthawi ina amagwiritsidwa ntchito nthawi zambiri kuchipatala kuti athetse ululu wochepa komanso nthawi zina amagwiritsidwa ntchito asanayambe kuchita opaleshoni kuti athe kupweteka kwambiri.
Komabe, kutalika kwa zotsatira za kupweteka kwa Demerol kumakhala kochepa kuposa mankhwala osokoneza bongo , ndipo kupanga kwake kwa metabolite poizoni kumapanga mankhwala ochepetsa kupweteka kwa ululu.
Demerol ali ndi mndandanda wautali wa kuyanjana koopsa ndi mankhwala ena. Pazifukwa izi, Demerol tsopano amagwiritsidwa ntchito kawirikawiri kuti athetse ululu.
Kodi Demerol Amagwira Ntchito Bwanji?
Kupweteka kumabweretsa katundu wa Demerol kumasiyana ndi mankhwala ena, monga morphine chifukwa, mmalo mwa kusunga mitsempha kumapeto kwa kutumiza mauthenga opweteka ku ubongo, Demerol amachititsa dongosolo la mitsempha yapakatikati, makamaka kumanyenga ubongo m'malo mwa kumva ululu ndi "pamwamba." Odwala omwe amapatsidwa Demerol chifukwa cha ululu amakhala ndi zotsatira zapamwamba za mankhwala m'malo mwa ululu wawo.
N'chifukwa Chiyani Demerol Alibe Chifundo?
Mzipatala ndi zipatala zapakati sizigwiritsa ntchito Demerol mobwerezabwereza monga momwe zimagwirira ntchito chifukwa cha chitetezo: Demerol ikhoza kukhala poizoni pamene miyezo yapamwamba imagwiritsidwa ntchito, ndipo ili ndi mndandanda wa zotsatira, monga:
- Kupuma kwa kupuma (kupuma kupuma)
- Chizungulire, mutu wautali
- Masomphenya obisika
- Kuthamanga kwa magazi
- Mitambo kapena kugwa
- Kuthamanga kwa mtima mwamsanga kapena zipsinjo za mtima zopanda pake
- Nsowa ndi kusanza
Demerol amalekerera kwambiri anthu ena ndipo amakumana ndi mankhwala ambiri.
Kugwiritsiridwa Ntchito Kwatsopano kwa Demerol
Demerol sivomerezedwa pa ntchito yayifupi kapena kuchiza ululu waukulu.
Bungwe la American Pain Society ndi Institute for Health Care Practice (ISMP) samalimbikitsa ntchito ya Demerol ngati mankhwala ochepetsa ululu. Ngati izi ziyenera kugwiritsidwa ntchito pochiza ululu waukulu, ziyenera kugwiritsidwa ntchito kwa maola 48 ndipo siziyenera kuperekedwa kwa odwala ndi impso kapena matenda a ubongo. Demerol sayenera kugwiritsidwa ntchito nthawi yayitali kuti asamve ululu wopweteka ndipo sichigwiritsidwanso ntchito pakusamalidwa bwino kapena kuzipatala .
Kumene ndi pamene Demerol Imagwiritsidwa Ntchito Masiku Ano
Demerol ingagwiritsidwe ntchito kuchipatala kapena kuchipatala kwa odwala omwe akudwala anesthesia. Amagwiritsidwa ntchito nthawi zonse ndi mankhwala ena kuti apange sedation kwa odwala omwe amachita monga colonoscopy kapena endoscopy.
Ngati inu kapena wokondedwa wanu mwakhala ndi Demerol amene mukulamulidwa ndi dokotala kuti muzitha kupweteka, ndikukulimbikitsani kuti muyankhule ndi dokotala wanu za njira zina zomwe mungathe. Palinso mankhwala ena omwe angakhale othandiza kwambiri pochiza ululu, popanda zotsatira zochepa.
Kuwerenga Kwambiri
Demerol (meperidine) ndikumana ndi ululu wa mankhwala osokoneza bongo omwe wasokonezeka m'zaka zaposachedwa. M'mbuyomu, Demerol anagwiritsidwa ntchito pa zovuta zosiyanasiyana, kuphatikizapo kupweteka pambuyo pa opaleshoni. Zaka zaposachedwapa, mankhwala opweteka amanyalanyazidwa ngati mankhwala abwino, monga morphine, Dilaudid, ndi Fentanyl akhala akudziwika kale.
Zotsatira:
Hanks, G, Cherry, NI, Fulton, M. Opioid Analgesic Therapy. Mu: Doyle, D, Hanks, G, Cherry, NI., Et al. Oxford Textbook ya Palliative Medicine . Gulu lachitatu. New York: Oxford University Press. 2004: 316-341
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