He aha te Oliceridine: Ngā Whakamahinga, te Inenga, ngā Pānga taha, me ētahi atu mea

Ko te Oliceridine he rongoā mamae opioid hou e tukuna ana mā te rārangi IV (intravenous) hei rongoā i te mamae āhua ki te kaha i ngā hōhipera. He rerekē te mahi o tēnei rongoā i ngā opioid tuku iho pēnei i te morphine, ā, ka whai hua pea te rongoā mamae whai hua me te iti ake o ngā raruraru manawa me ngā pānga taha.

Mēnā kei te tūpono koe ki te pokanga, ki te raru rānei i te mamae nui e hiahia ana ki te manaaki hōhipera, ka whakaaro pea tō rōpū hauora ki te oliceridine hei wāhanga o tō mahere whakahaere mamae. Mā te māramatanga ki te mahi o tēnei rongoā ka āwhina koe ki te pūmau me te māia ki tō rongoā.

He aha te Oliceridine?

Ko te Oliceridine he opioid waihanga i hangaia hei whakahaere i te mamae koi i te wā e kore ai ētahi atu rongoā e whai hua. No te kāwai rongoā e kīia nei ko ngā agonist opioid, ko te tikanga e here ana ki ngā kaiwhakawhiwhi motuhake i tō roro me tō tuarā hei aukati i ngā tohu mamae.

Ko te mea motuhake o te oliceridine ko tōna huarahi whiriwhiri ki ēnei kaiwhakawhiwhi. Ahakoa e pā ana ngā opioid tuku iho ki ngā ara maha, ka aro te oliceridine ki ngā ara motuhake me te tika ake. Mā tēnei mahi whāinga ka āwhina pea ki te whakaiti i ētahi pānga taha opioid noa i te wā e whakarato tonu ana i te rongoā mamae kaha.

Kei te wātea anake te rongoā i ngā hōhipera me ngā wāhi haumanu ka taea e ngā tāngata ngaio hauora te aroturuki i a koe. Ehara i te mea ka tango koe i te kāinga, ka whiwhi rānei i te whare rongoā noa.

He aha te Oliceridine e whakamahia ana?

Ka rongoā te Oliceridine i te mamae koi āhua ki te kaha i roto i ngā pakeke e hiahia ana ki te rongoā mamae IV i ngā hōhipera. Ka tūtohu pea tō tākuta i te wā e kore ai ngā rongoā mamae waha e kaha ana, i te wā rānei e kore ai e taea e koe te tango pire nā te pokanga, te mate rānei.

Ko ngā wāhanga noa e whakamahia ai te oliceridine ko te whakaora mai i te pokanga nui, te mamae whara nui, ngā wāhanga mamae kaha rānei e hiahia ana ki te manaakitanga hōhipera tonu. He tino āwhina i te wā e hiahia ana koe ki te whakaiti mamae tere, whai hua hoki, ka taea te aroturuki me te whakatika.

Ko te rongoā e rāhui ana mō te whakamahi wā-poto i te wā e noho ana koe i te hōhipera. Ka arotakehia e tō rōpū hauora mēnā ko te oliceridine te kōwhiringa tika i runga i tō taumata mamae, tō hītori hauora, me ētahi atu rongoā e whiwhi ana koe.

Me pēhea te mahi a te Oliceridine?

Ka mahi te oliceridine mā te here ki ngā kaiwhiwhi opioid i tō roro me tō taurakira, e whai ana i te ara G-protein e kīia ana e ngā kaipūtaiao. Mā tēnei here whiriwhiri e āwhina ana ki te aukati i ngā tohu mamae mai i te tae ki tō roro, e whakarato ana i te whakaiti mamae mai i te mamae āhua ki te mamae nui.

Kāore i rite ki ngā opioid tuku iho e whakahohe ana i ngā ara pūtau maha, ka arotahi te oliceridine ki ngā ara aukati mamae i te wā e iti ana te pānga ki ngā ara e pā ana ki ngā raruraru manawa. Ko tēnei mahi whiriwhiri te take i whakaarohia ai he agonist opioid "whakakē".

E whakaarohia ana he kaha āhua i roto i te whānau opioid. He kaha ake i ngā rongoā pēnei i te codeine engari he rerekē pea te pūtake pānga taha ki te morphine, fentanyl rānei. Ko te tikanga ka whakautu tō tinana ki te oliceridine i roto i ngā meneti i muri i te whiwhinga mā tō IV.

Me pēhea taku tango i te Oliceridine?

Ka hoatu anake te Oliceridine e ngā tāngata ngaio hauora mā te raina IV i ngā wāhi hōhipera. Kāore koe e hiahia ki te māharahara ki te tango i a koe anō, ki te mahara rānei ki ngā inenga, nā te mea ka whakahaere tō rōpū hauora i ngā whakahaere me te aroturuki katoa.

Ka hoatu te rongoā hei werohanga pōturi tika ki tō uaua. Ka tātai tō nēhi, tō tākuta rānei i te inenga tika i runga i tō taumaha, tō taumata mamae, me te pēhea tō whakautu ki te rongoā. Ka aroturukihia koe e rātou i te wā me muri i ia inenga.

I te mea ka tukuna a oliceridine mā te uaua, kāore koe e hiahia ki te whakaaro ki ngā pānga o te kai, te wā rānei o te kai. Heoi anō, ka whakatika pea tō rōpū hauora i te wā e whiwhi ana koe i ngā horopeta i runga i tō mahere maimoatanga whānui, ētahi atu rongoā, i ngā tikanga kua whakaritea rānei.

Kia Pēhea te Roa e Tango Ana ahau i te Oliceridine?

I hangaia te Oliceridine mō te whakamahi wā-poto, te tikanga ka roa mai i te torutoru haora ki te maha o ngā rā i runga i ō hiahia whakahaere mamae. Ko te nuinga o te tangata ka whiwhi i te rongoā nei i te wā e noho ana rātou i te hōhipera mō ngā wāhanga mamae koi, i muri rānei i te pokanga.

Ka arotakehia e tō rōpū hauora ō taumata mamae i ngā wā katoa, ka whakatika, ka whakamutu rānei i te oliceridine i te pai haere o tō āhua. Ka whakawhiti pea rātou i a koe ki ngā rongoā mamae-waha, ki ētahi atu maimoatanga rānei i te wā e ora ana koe, e whakarite ana hoki mō te putanga.

Ko te roa tika ka whakawhirinaki ki ngā āhuatanga pēnei i te momo pokanga i a koe, te ahunga whakamua o te whakaora, me te pai o tō urupare ki te rongoā. Ka mahi tahi ō tākuta me koe ki te waihanga i tētahi mahere whakahaere mamae e uru ana ki te heke mai i ngā rongoā IV i te wā e tika ana.

He Aha ngā Pānga taha o te Oliceridine?

Pērā i ngā rongoā opioid katoa, ka taea e te oliceridine te pānga taha, ahakoa he iti ake ngā raru manawa e pā ana ki te nuinga o te tangata ki ngā opioid tuku iho. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe ki te kōrero whai hua ki tō rōpū hauora mō te āhua o tō tū.

Ko ngā pānga taha tino noa ka pā ki a koe ko te whakapairuaki, te ruaki, te whanoke, me te ānini. He mea whakahaere ēnei pānga i te nuinga o te wā, ā, ka taea e tō rōpū hauora te whakarato maimoatanga hei āwhina i te whakaiti i te raruraru. He maha ngā tūroro e kite ana ka heke ēnei pānga taha i te wā e urutau ana tō rātou tinana ki te rongoā.

Koinei ngā pānga taha ka tūpono koe ki te whakatau i te wā o te maimoatanga:

• Te whakapairuaki me te ruaki
• Te whanoke, te māmā rānei o te mahunga
• Te ānini
• Te pāhohe
• Te hiamoe, te ngenge rānei
• Te waha maroke
• Te mōmiti, te tauhohenga kiri rānei

Ko ēnei pānga taha noa he wā poto noa iho, ā, ka taea te whakahaere mā te manaaki tautoko i a koe e noho ana i te hōhipera.

Ko ngā pānga taha nui ake he mea pāwhara, engari me whai wāhi tonu te rongoā. Ka mātakitaki tata tō rōpū hauora i a koe mō ēnei urupare, e taea ana te whakauru i ngā raruraru manawa nui, te heke kino o te pēhanga toto, ngā tohu rānei o ngā urupare pānga mate.

Ko ngā pānga taha onge engari nui e hiahia ana kia wātea tonu te rongoā ko:

• Te uaua nui ki te manawa, te manawa rānei i te wā roa
• Te heke nui o te pēhanga toto, te auau ngākau rānei
• Ngā urupare pānga mate nui me te pūhi, te pūpū, te uaua rānei ki te manawa
• Te raruraru nui, te uaua rānei ki te noho mataara
• Te mamae o te uma, te ngākau rānei e rere ana i te ara kē
• Ngā tohu o te mate serotonin ki te whakakotahi ki ētahi atu rongoā

Nā te mea kei te whiwhi koe i te oliceridine i roto i te hōhipera, ka taea e tō rōpū hauora te whakatika tere i ngā tohu e pā ana ki te whakawhanake.

Ko wai kāore e tika kia tango Oliceridine?

Kāore te Oliceridine i te haumaru mō te katoa, ā, ka āta arotake tō rōpū hauora i tō hītori rongoā i mua i te whakaaro ki tēnei rongoā. Ko ētahi āhuatanga, āhuatanga rānei ka kore e tika te oliceridine, ka mōrearea rānei mō ētahi tāngata.

Kāore koe e tika kia whiwhi oliceridine mēnā he raruraru manawa nui ō, ētahi āhuatanga ngākau, he pānga mate rānei ki ngā rongoā opioid. Ka karo hoki tō tākuta i tēnei rongoā mēnā he mate ate, mate tākihi rānei tō e pā ana ki te tukatuka o tō tinana i te rongoā.

Ko ngā tāngata e tika ana kia karo i te oliceridine ko:

• Te pōraruraru manawa nui, ngā raruraru manawa rānei
• Te pānga mate ki te oliceridine, ngā rongoā opioid rānei e rite ana
• Te mate ate, te mate tākihi rānei
• Ētahi raruraru manawataki ngākau
• Te huangō bronchial nui, nui rānei
• Te aukati i te puku

Ka whakatauritehia e tō rōpū hauora ēnei āhuatanga ki tō hiahia ki te whakaiti i te mamae kia whakatau ai i te whakatau haumaru mō tō atawhai.

He mea nui te tūpato mō ngā kaumātua, ngā wahine hapū, me ngā tāngata he hītori tō rātou ki te whakamahi i ngā matū. Ka tino mātakitaki tō rōpū hauora i ēnei āhuatanga, ā, ka whiriwhiria e rātou ētahi atu rautaki whakahaere mamae mēnā he nui rawa ngā tūponotanga o te oliceridine.

Ingoa Waitohu Oliceridine

Kei te wātea te Oliceridine i raro i te ingoa waitohu Olinvyk i te United States. Ko tēnei putanga waitohu anake te momo o te oliceridine e wātea ana i tēnei wā, kāore anō kia whakawhanakehia ngā putanga whānui.

I te wā e kōrero ana tō rōpū hauora mō te rongoā oliceridine, ka kīia pea e rātou i tētahi o ngā ingoa e rua. E pā ana ngā kupu e rua ki te rongoā kotahi me ngā pānga ōrite me ngā whakaaro haumaru.

I hangaia te Olinvyk e Trevena, Inc., ā, i whakaaetia e te FDA mō te whakamahi IV i ngā hōhipera. Ka tae mai te rongoā i roto i ngā pounamu horopeta kotahi ka whakaritea e tō rōpū hauora, ā, ka whakahaerea.

Ētahi Atu Kōwhiringa mō te Oliceridine

He maha ētahi atu rongoā opioid IV ka taea te rongoā i te mamae āhua ki te nui i ngā hōhipera. Ka whakaarohia pea e tō rōpū hauora ēnei kōwhiringa i runga i ō hiahia motuhake, te hītori hauora, me te pai o tō tūāhua ki ngā rongoā rerekē.

Ko ngā opioid IV tuku iho pēnei i te morphine, fentanyl, me te hydromorphone e noho tonu ana hei rongoā tuatahi mō te mamae koi. He roa ake te rekoata o ēnei rongoā, ā, he nui te rangahau e tautoko ana i tā rātou whakamahi, ahakoa he rerekē pea ngā pānga taha.

Ko ngā kōwhiringa noa ka whakaarohia e tō tākuta ko:

• Morphine - he rongoā e whakamahia whānuitia ana, e tino rangahaua ana mō te mamae koi
• Fentanyl - he rongoā tere, he kaha mō te mamae nui
• Hydromorphone - he whai hua mō te mamae āhua nui ki te nui
• Oxycodone IV - ki te wātea, mō ētahi tūāhuatanga mamae
• Ngā pūmuha whakahaere mamae a te tūroro (PCA) me ngā momo opioid rerekē
• Ngā rongoā IV kore-opioid pērā i te ketorolac mō ētahi momo mamae

Mā tō rōpū hauora e whiriwhiri te kōwhiringa e tika ana i runga i tō āhuatanga takitahi me ngā whāinga whakahaere mamae.

He pai ake a Oliceridine i te Morphine?

E whai hua ana a Oliceridine me te morphine ki te rongoā i te mamae āhua nui ki te nui, engari he rerekē te mahi i tō tinana. Ko te 'pai ake' kei runga i ō hiahia takitahi, te hītori hauora, me te pēhea tō urupare ki ia rongoā.

Ka iti ake pea ngā raruraru manawa i te morphine a Oliceridine nā te mahi whiriwhiri i ngā kaiwhakawhiwhi opioid. E ai ki ētahi rangahau, he iti ake te pōraruraru manawa e pā ana ki te oliceridine i te wā e whiwhi tonu ana i te whakamaumahara mamae whai hua. He tino whai hua tēnei mō ngā tūroro e nui ake ana te tūponotanga mō ngā raruraru manawa.

Heoi anō, he maha ngā tau o te rangahau me te wheako haumanu e tautoko ana i te whakamahinga o te morphine. He iti ake te utu, ā, he māmā ake te wātea i te oliceridine. Mā tō rōpū hauora e whakaaro ngā mea pērā i ō āhuatanga hauora motuhake, ētahi atu rongoā e tango ana koe, me ō āhuatanga tūponotanga takitahi i te wā e whiriwhiri ana i waenga i ēnei kōwhiringa.

Ko te rongoā 'pai' ko te mea e whakarato ana i te whakamaumahara mamae whai hua me te iti rawa o ngā pānga taha mō tō āhuatanga motuhake. Mā tō rōpū hauora e aroturuki te pai o te mahi o te rongoā mōu, me te whakatika i te rongoā i te mea e tika ana.

Ngā Pātai Auau mō Oliceridine

He haumaru a Oliceridine mō ngā tāngata e mate ana i te tākihi?

Me mātua whakaaroaro a Oliceridine mō te hunga e mate ana i te pūkahukahu, nā te mea ka pā te mahi o te pūkahukahu ki te āhua e tukatukahia ana e tō tinana te rongoā, me te whakakore i te rongoā. Tērā pea ka whakamahi tō rōpū hauora i ngā horopeta iti ake, ka mātakitaki rānei i a koe i te wāhi tata ake mēnā he raruraru tō pūkahukahu.

Ka taea tonu e te hunga e mate ana i te pūkahukahu ngawari te whiwhi oliceridine me ngā whakatikatika horopeta tika. Heoi anō, ko te hunga e mate ana i te pūkahukahu nui pea ka hiahia ki ētahi atu huarahi whakahaere mamae. Ka arotake tō tākuta i ō whakamātautau mahi pūkahukahu me te hītori hauora hei whakatau i te huarahi haumaru mō tō āhuatanga.

Me pēhea taku mahi mēnā ka whiwhi au i te nui rawa o te Oliceridine?

I te mea ka hoatu anake a oliceridine e ngā tāngata ngaio hauora i ngā wāhi hōhipera, he onge te nui rawa o te horopeta engari me mātua aro atu ki te rongoā tonu. Mēnā kei te whakaaro koe kua whiwhi koe i te nui rawa o te rongoā, whakamōhio tonu ki tō nēhi, ki tō tākuta rānei.

Ngā tohu o te nui rawa o te oliceridine ko te moe nui, te manawa puhoi rawa, uaua rānei, te rangirua, te ngaro rānei o te māramatanga. Kei te wātea tonu ngā rongoā a tō rōpū hauora pēnei i te naloxone (Narcan) hei whakahoki i ngā pānga opioid mēnā e tika ana. Ka mātakitaki rātou i tō manawa, te tere o te ngākau, me te taumata o te māramatanga, ka whakarato i te manaaki tautoko i te wā e hiahiatia ana.

Me pēhea taku mahi mēnā ka ngaro au i te horopeta o Oliceridine?

Kāore koe e hiahia ki te māharahara mō te ngaro i ngā horopeta o oliceridine nā te mea ka hoatu e tō rōpū hauora i runga i te wā i whakaritea i te hōhipera. Ka whakahaere tō nēhi me tō tākuta i ngā whakataunga wā me te horopeta i runga i ō taumata mamae me ō hiahia hauora.

Mēnā kei te whakaaro koe kāore i te pai te whakahaere i tō mamae, mēnā rānei kua roa ake i te mea i tūmanakohia mai i tō horopeta whakamutunga, whakamōhio noa ki tō rōpū hauora. Ka taea e rātou te aromatawai i tō taumata mamae me te whakatau mēnā e tika ana ētahi atu rongoā, mēnā rānei e hiahiatia ana ngā whakatikatika ki tō mahere whakahaere mamae.

Āhea ka taea e au te whakamutu i te tango Oliceridine?

Ka whakatau tō rōpū hauora i te wā hei whakamutu i te oliceridine i runga i ō taumata mamae, te ahunga whakamua o te whakaora, me tō āhua hauora whānui. Ko te nuinga o te tangata ka neke atu i ngā rongoā mamae IV pēnei i te oliceridine i te wā e ora ana rātou, e whakarite ana hoki mō te tukunga i te hōhipera.

Ko te huringa i te nuinga o te wā ka uru ki te whakaiti haere i ngā horopeta, ki te huri rānei ki ngā rongoā mamae waha ka taea e koe te tango i te kāinga. Ka mahi tō rōpū hauora ki a koe kia pai te whakahaere i tō mamae i te wā o tēnei huringa. Ka hoatu hoki e rātou ngā tohutohu mō te whakahaere i te mamae i muri i te tukunga, me te wā hei whakapā atu ki a rātou mēnā he āwangawanga ō.

Ka taea e au te taraiwa i muri i te whiwhinga o Oliceridine?

Kaua koe e taraiwa, e whakahaere rānei i ngā mīhini i te wā e whiwhi ana koe i te oliceridine, mō tētahi wā rānei i muri i tō horopeta whakamutunga. Ka taea e te rongoā te pā ki te moe, te whanoke, me te ngoikore o te whakaaro e whakatūpono ana te taraiwa.

I te mea ka hoatu te oliceridine i ngā wāhi hōhipera, tērā pea he whakaritenga kawekawe ō mō te wā e tukuna ana koe. Ka tohutohu tō rōpū hauora ki a koe mō te wā e haumaru ana ki te hoki ki te taraiwa i runga i tō whakaora, ētahi atu rongoā e tango ana koe, me te roa o te wā mai i tō horopeta whakamutunga o te oliceridine.