He aha te Meperidine Injection: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te werohanga Meperidine he rongoā mamae opioid i runga i te whakahaunga e hoatu ana e ngā tākuta mā te werohanga ki roto i tō uaua, i tō uaua rānei. He rongoā mamae kaha tēnei e noho ana i roto i te whānau kotahi me te morphine, i hangaia hei āwhina i te whakahaere i te mamae āhua ki te kaha ina kāore ētahi atu rongoā e ranea. Ko te tikanga ka whakamahia e ngā kaiwhakarato hauora te meperidine i roto i ngā hōhipera, i ngā whare rongoā rānei kei reira rātou e mātakitaki tata ana i ngā tūroro.

He aha te Meperidine Injection?

Ko te werohanga Meperidine he rongoā opioid kaha e puta mai ana hei otinga wai mō te werohanga. E mōhiotia ana anō ko Pethidine tōna ingoa waitohu i ētahi whenua, ahakoa he iti ake te whakamahi i tēnei rā i tērā i mua. E mahi ana tēnei rongoā mā te huri i te āhua e whakautu ai tō roro me tō pūnaha io ki ngā tohu mamae.

Ka taea e te āhua werohanga te mahi tere o te rongoā, i roto i te 10 ki te 15 meneti te nuinga. E pai ana ngā kaiwhakarato hauora ki tēnei ara ina hiahia ana ngā tūroro ki te whakawātea mamae tere, kāore rānei e taea te tango rongoā mā te waha. E whakaarohia ana he matū whakahaere nā te mea ka taea te whakawhirinaki me te tukino.

He aha te Meperidine Injection e whakamahia ana mō?

Ko te mea nui ka whakamahia e ngā tākuta te werohanga meperidine hei rongoā i te mamae āhua ki te kaha e hiahia ana ki te rongoā kaha. Ko te nuinga ka hoatu i mua, i te wā, i muri rānei i ngā tikanga pokanga hei āwhina i te whakahaere i te mamae i runga i te whai hua. Ka whiwhi pea koe i tēnei rongoā i roto i te hōhipera kei reira ngā kaimahi hauora e mātakitaki ana mō ētahi pānga taha.

Ka whakamahia anō e ngā kaiwhakarato hauora te meperidine mō te mamae whānau i te wā o te whānautanga, ahakoa kua iti ake te whakamahi i tēnei i ngā tau tata nei. I ētahi wā ka whakaritea mō te mamae kaha mai i ngā wharanga, ētahi tikanga rongoā, i te wā rānei kāore ētahi atu rongoā mamae i whai hua.

He mea nui kia mōhio ka rāhui te meperidine mō te whakamahi wā-poto, nā te mea he āwangawanga mō te haumaru i ngā wā roa e rongoatia ana. Ka āta whakatau tō tākuta i ngā painga me ngā tūponotanga i mua i te tūtohu i tēnei rongoā.

Me pēhea te mahi a te werohanga Meperidine?

Ka mahi te werohanga meperidine mā te piri ki ngā kaiwhakawhiwhi motuhake i tō roro me tō tuaiwi e kīia ana ko ngā kaiwhakawhiwhi opioid. Ka piri ana ki ēnei kaiwhakawhiwhi, ka aukati i ngā tohu mamae kia tae ki tō roro, e āwhina ana ki te whakaiti i te āhua o te mamae. He rite tēnei ki te mahi a ngā matū whakaiti mamae tūturu o tō tinana, engari he kaha ake.

Ka pā te rongoā ki ētahi atu matū roro e pā ana ki te āhua me te manawa. Koinei te take ka mōhio ai koe ki te moe, ki te whakangāwari rānei i te meperidine, engari ka whakamārama hoki he aha i taea ai e ia te whakaiti i tō manawa ki te nui rawa te hoatu. Ka tere ake te mahi a te puka werohanga i ngā pire nā te mea ka haere tika ki roto i tō toto.

Ki te whakataurite ki ētahi atu opioids pēnei i te morphine, ka whakaarohia te meperidine he kaha ngawari. He kaha ake i te codeine engari he iti ake te kaha i ngā rongoā pēnei i te fentanyl. Ka whiriwhiria e tō rōpū hauora te kaha tika i runga i tō taumata mamae me ō hiahia hauora.

Me pēhea taku tango i te werohanga Meperidine?

E kore koe e hoatu i a koe te werohanga meperidine - ka whakahaerehia tonu e ngā tāngata hauora whakangungu i ngā wāhi rongoā. Ko te rongoā te nuinga ka hoatu hei pū (intramuscular) ki tō uaua, ki te rānei i roto i te uaua (intravenous). Mā tō kaiwhakarato hauora e whakatau te tikanga pai rawa atu i runga i tō āhuatanga.

I mua i te whiwhi i te werohanga, ka tirohia e tō rōpū hauora ō tohu nui me tō hītori hauora. Ka āta aroturukihia koe i te wā me muri i te werohanga kia mātakitaki mō ngā pānga kino. Kāore koe e hiahia ki te kai, ki te inu rānei i tētahi mea motuhake i mua i te whiwhi i te meperidine, engari ka hoatu pea e tō tākuta ētahi tohutohu motuhake i runga i tō tikanga.

Ka paku mamae pea te wāhi werohanga i muri mai, he mea noa tēnei. Mā te tākuta e whakamārama ngā mea e tūmanakohia ana, ā, ka whakautu i ngā pātai katoa e pā ana ki te tukanga. Ka whakarite hoki rātou kia pai koe, ā, kia mārama ki ngā tohutohu tiaki i muri i te werohanga.

Kia Pēhea te Roa e Tango Ana ahau i te Werohanga Meperidine?

Ko te werohanga meperidine te tikanga e whakamahia ana mō ngā wā poto, he rā torutoru noa iho te nuinga. Mā tō tākuta e whakatau te roa tika i runga i tō taumata mamae, te take mō te rongoā, me te pai o tō urupare ki te rongoā. Ko te nuinga o ngā tūroro e whiwhi ana i tēnei mō ngā āhuatanga mamae koi, kaua mō te whakahaere mamae wā-roa.

Mō ngā tukanga pokanga, tērā pea ka whiwhi koe i te meperidine kotahi noa iho, he torutoru rānei ngā wā i roto i te rā, i te rā rānei e rua. Ki te mea kei te rongoā koe mō te mamae e pā ana ki te wharanga, ka whakawhirinaki te wā rongoā ki te tere o te whakapai ake o tō āhua. Ka arotakehia e tō rōpū hauora i ngā wā katoa mēnā kei te hiahia tonu koe i tēnei rongoā kaha.

Kāore i te tūtohutia te whakamahi wā-roa i te meperidine, nā te mea ka piki ake i roto i tō pūnaha, ā, ka pā mai pea ngā pānga taha kino. Ka mahi tō tākuta ki a koe ki te neke ki ngā kōwhiringa whakahaere mamae haumaru ake i te whakapai ake o tō āhua.

He Aha ngā Pānga Taha o te Werohanga Meperidine?

Pērā i ngā rongoā opioid katoa, ka taea e te werohanga meperidine te pā mai i ngā pānga taha mai i te ngawari ki te kino. Ko te nuinga o te tangata ka pōuri, ā, ka paku ruaki, he mea noa tēnei ki tēnei momo rongoā mamae. Ka aroturukihia koe e tō rōpū hauora kia kite wawe i ngā tohu e pā ana.

Koinei ngā pānga taha tino noa ka pā mai pea ki a koe:

• Te pōuri me te hiahia moe
• Te ruaki me te paku ruaki
• Te whanoke, te mārō rānei
• Te pāhohe
• Te nui ake o te werawera i te tikanga
• Te waha maroke
• Te pōraruraru, te ngaro rānei

Ko ēnei pānga taha noa ka pai ake i te wa e ngaro ana te rongoā. E mōhio ana tō rōpū hauora ki te whakahaere i ēnei tohumate, ā, ka āwhina i a koe kia tino pai ai.

Ka puta pea ngā pānga taha nui ake, ahakoa he iti noa iho te puta i te wā e tika ana te rongoā i roto i ngā wāhi hauora. Kia mātaki i ēnei tohu whakatūpato e hiahia ana kia tere te āwhina hauora:

• Te manawa puhoi, uaua rānei
• Te moe nui, e kore ai e taea e koe te noho mataara
• Te rangirua, te pohehe rānei
• Te whanoke nui, te ngaro rānei
• Te tere, te manawa rerekē rānei
• Te whakapairuaki nui me te ruaki
• Te wiri, te rūrū rānei o ngā uaua

I te mea ka noho koe i roto i te whare hauora i te wā e whiwhi ana koe i te meperidine, ka mātaki tō rōpū hauora i ēnei tohumate, ā, ka taea te whakautu wawe ki te puta.

He pānga taha onge engari nui ka puta ki te meperidine, ina koa ki te whakamahi tonu, ki ngā horopeta teitei ake rānei. Kei roto i ēnei ko ngā pūhi, ngā huringa nui i roto i te pēhanga toto, me tētahi mea e kiia nei ko te serotonin syndrome ki te tango koe i ētahi atu rongoā. Ka arotake tō tākuta i ō rongoā katoa hei aukati i ngā pānga kino.

Ko wai kāore e tika ana kia tango i te werohanga meperidine?

Kāore ētahi tāngata e tika ana kia whiwhi i te werohanga meperidine nā te mea ka kino pea tō rātou hauora. Ka arotake tō kaiwhakarato hauora i tō hītori hauora me ō rongoā o nāianei kia mōhio ai he haumaru te meperidine mōu. He mea nui te pono mō ō āhuatanga hauora me ō rongoā mō tō haumaru.

Kāore koe e tika ana kia whiwhi meperidine mēnā kei a koe ēnei āhuatanga:

• Ngā raruraru manawa nui, te mate pūkahukahu rānei
• Te mate pāwera ki te meperidine, ki ngā rongoā rite rānei
• Te mate ate, te mate tākihi nui rānei
• Te whara o te upoko, te pēhanga nui rānei i roto i tō kōiwi anga
• Te pēhanga toto iti nui
• Te arai i te whekau, ngā raruraru puku rānei
• Te whakamahi i ētahi rongoā anti-pōuri e kiia nei ko MAOIs

Ka tino tūpato anō tō tākuta ki te whai koe i ētahi āhuatanga hauora e nui ake ai te tūponotanga o te meperidine, ahakoa kāore pea e kore e taea te whakamahi.

He mea nui te tūpato mēnā he:

• Ngā raruraru manawa ngawari ki te āhua
• Ngā raruraru o te manawa
• Ngā raruraru o te hopu, te mate rānei o te kirika
• Ngā āhuatanga hauora hinengaro
• Hītori o te whakamahi i ngā matū
• Ngā raruraru thyroid
• Te pūtaiao nui, ngā raruraru rānei o te mimi

Me whai whakaaro nui ngā wāhine hapū me te whāngai ū. Ka taea e te Meperidine te whakawhiti i te pūhihi me te pā ki te pēpi, nō reira ka āta whakatau ngā tākuta i ngā painga me ngā tūponotanga. Mēnā kei te whāngai ū koe, ka taea e te rongoā te uru ki te waiu u, ka pā pea ki tō pēpi.

Ka nui ake pea te tairongo o ngā pakeke ki ngā pānga o te meperidine, nō reira ka whakamahi ngā tākuta i ngā horopeta iti ake, ka kōwhiri rānei i ētahi atu rongoā i te mea ka taea. Ka whakaaro tō rōpū hauora ki tō tau, te hauora whānui, me ētahi atu rongoā i te wā e whakatau ana mēnā he pai te meperidine mōu.

Ngā Ingoa Waitohu Meperidine

Kei te wātea te werohanga meperidine i raro i ētahi ingoa waitohu, ahakoa he maha ngā wā ka tohua mā te whakamahi i tōna ingoa whānui. Ko te ingoa waitohu tino noa i te United States ko Pethidine, ahakoa he rerekē tēnei i te whenua me te kaihanga. Ka whakamahi pea ētahi whare rongoā i ētahi ingoa waitohu rerekē, i ngā putanga whānui rānei.

Ka whakamōhio tō kaiwhakarato hauora ki a koe ko tēhea putanga e whakamahia ana e rātou, engari ka noho tonu te whakauru kaha me ngā pānga ahakoa te ingoa waitohu. Me tutuki i ngā putanga katoa o te werohanga meperidine ngā paerewa haumaru me te whai hua i whakatakotohia e ngā mana hauora.

Ngā Kōwhiringa Meperidine

He maha ngā rongoā mamae kē atu ka kōwhiria e ngā tākuta hei utu mō te werohanga meperidine. He maha ngā kaiwhakarato hauora e pai ana ki ētahi atu opioids he pai ake te haumaru, he iti ake rānei ngā pānga taha. Ka kōwhiria e tō tākuta te kōwhiringa pai rawa atu i runga i ō hiahia motuhake me te āhuatanga hauora.

Ko ētahi atu kōwhiringa:

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• Te werohanga morphine - he maha ngā wā e whakaarohia ana he haumaru ake mō te whakamahi tonu
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• Fentanyl - he tere ake te mahi engari me tino mātakitaki
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• Hydromorphone - whai hua me te iti o te pānga o te rongoā
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• Oxycodone - e wātea ana i roto i ngā momo werohanga me ngā momo pire
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• Ngā kōwhiringa kore-opioid pēnei i te ketorolac mō ētahi momo mamae
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Ka whakaaro pea tō rōpū hauora ki ngā huarahi kore-rongoā pēnei i ngā poraka io, te rongoā tinana, ētahi atu tikanga whakahaere mamae rānei. Ko te kōwhiringa pai rawa atu ka whakawhirinaki ki tō momo mamae, te hītori hauora, me te roa e hiahia ana koe ki te whakaiti mamae.

He Pai Ake Anei te Meperidine i te Morphine?

He rongoā mamae opioid whai hua te meperidine me te morphine, engari e pai ana te nuinga o ngā tākuta i tēnei rā ki te morphine mō ētahi take nui. Ahakoa e whai hua ana te meperidine mō te whakaiti mamae, he roa ake te hītori haumaru o te morphine me te iti o ngā pānga taha e pā ana ki te whakamahi tonu.

Ko te morphine te nuinga e whakaarohia ana he haumaru ake nā te mea kāore e pūremu ana i roto i tō pūnaha pēnei i te meperidine. Nō reira he kōwhiringa pai ake te morphine mō ngā tūroro e hiahia ana ki te rongoā mamae mō te roa atu i te rā, e rua rānei. He iti hoki ngā pānga o te morphine ki ētahi atu rongoā, he mea nui tēnei ki te tango koe i ngā rongoā maha.

Heoi, ka pai ake pea te meperidine i roto i ngā āhuatanga motuhake. E pai ake ana ētahi tūroro ki te meperidine i te morphine, ā, ka whai hua mō ētahi momo tikanga. Ka whakaaro tō tākuta ki ō hiahia takitahi, te hītori hauora, me te āhuatanga motuhake i te wā e kōwhiri ana i waenga i ēnei rongoā.

Ko te rongoā

Me mōhio nui te tūpato ki te hunga e pā ana ki ngā mate o te ngākau ki te meperidine, engari ka taea te whakamahi i te haumaru me te aroturuki tika. Ka pā te rongoā ki te manawataki me te pēhanga toto, nō reira me mōhio tō tākuta ki ngā raruraru o te ngākau i mua i te hoatutanga o te meperidine ki a koe. Ka aroturukihia e rātou ō tohu nui i te wā o te rongoā.

Mēnā he raruraru nui tō manawataki, tērā pea ka whiriwhiria e tō tākuta tētahi rongoā mamae rerekē. Heoi anō, mō te hunga e pā ana ki te ngākau, ka taea te whakamahi i te meperidine i te haumaru mō ngā wā poto i te wā e nui ake ana ngā painga i ngā tūponotanga. Me kōrero tonu ki tō rōpū hauora mō ngā mate o te ngākau, mō ngā rongoā rānei e tango ana koe.

Q2. Me Pēhea Taku Mahi Mēnā Ka Whiwhi Au i te Meperidine Nui Rawa?

I te mea ka hoatu te werohanga meperidine e ngā tāngata hauora anake i ngā wāhi rongoā, he iti noa te tūponotanga o te nui rawa o te rongoā. Heoi anō, mēnā ka pōrangi koe, ka uaua te manawa, ka nui te raruraru i muri i te whiwhinga i te meperidine, whakamōhio tonu ki tō rōpū hauora. Koinei pea ngā tohu kua nui rawa te rongoā i whiwhi koe.

Kua whakangungua ō kaiwhakarato hauora ki te mōhio me te rongoā i te nui rawa o te opioid. He rongoā ā rātou pēnei i te naloxone (Narcan) ka taea te whakatika tere i ngā pānga o te nui rawa o te meperidine. Koinei tētahi take e hoatu ana te meperidine i ngā whare rongoā anake kei reira te āwhina e wātea tonu ana.

Q3. Me Pēhea Taku Mahi Mēnā Ka Ngaro Au i te Inenga Meperidine?

I te mea ka hoatu te werohanga meperidine e ngā tāngata hauora i te mea e hiahiatia ana mō te mamae, e kore koe e ngaro i ngā inenga i te tikanga tuku iho. Ka hoatu e tō rōpū hauora te rongoā ki a koe i runga i tō taumata mamae me ō hiahia rongoā, kaua i runga i te hōtaka tino pēnei i ngā rongoā o ia rā.

Mēnā ka hoki mai tō mamae, ā, ki te whakaaro koe e hiahia ana koe i tētahi atu inenga, whakamōhio atu ki tō kaiwhakarato hauora. Ka aromatawai rātou i tō taumata mamae me te whakatau mēnā he tika, he haumaru hoki tētahi atu inenga. Kaua rawa e tono rongoā i mua i te wā i tūtohutia, i te mea he mōrearea tēnei.

Q4. Āhea ka mutu taku tango i te Meperidine?

Ka whakatau tō rōpū hauora i te wā hei whakamutu i te hoatu i te meperidine ki a koe i runga i tō taumata mamae me te ahunga whakamua o te whakaora. I te mea e whakamahia ana te meperidine mō ngā wā poto, ka huri pea koe ki ētahi atu tikanga whakahaere mamae i te pai haere o tō āhua. Ka uru pea tēnei ki ngā rongoā mamae-a-waha, te rongoā tinana, ētahi atu rānei.

Mēnā kua whiwhi koe i te meperidine mō ētahi rā, ka whakaiti pea tō tākuta i te horopeta i te wā, kaua ki te whakamutu ohorere. Mā tēnei e ārai ngā tohumate whakawātea, e noho pai ana koe i te wā e huri ana ki ētahi atu huarahi whakahaere mamae.

Q5. Ka taea e au te taraiwa i muri i te whiwhinga i te werohanga Meperidine?

Kāore, kaua koe e taraiwa, e whakahaere rānei i ngā mīhini i muri i te whiwhinga i te werohanga meperidine. Ka pā te rongoā nei i te hōhā, te whanoke, me te puhoi o te urupare e waiho ai te taraiwa hei tūponotanga. Ka roa pea ēnei pānga mō ētahi haora i muri i te whiwhinga i te werohanga, ahakoa e mōhio ana koe.

Whakaritea kia whai tangata hei taraiwa i a koe ki te kāinga mēnā kei te puta koe i te whare hauora. Ka hoatu e tō rōpū hauora ki a koe ngā tohutohu motuhake mō te wā e haumaru ana ki te hoki ki ngā mahi noa pēnei i te taraiwa. Ko te tikanga, he 24 haora i muri i tō horopeta whakamutunga, engari kei runga i te nui o te rongoā i whiwhi koe me te āhua o te tukatuka o tō tinana.