Inshinge ya Meperidine na Promethazine: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Inshinge ya Meperidine na promethazine ni umuti ukomeye uvura ububabare abaganga batanga binyuze mu nshinge mu mikaya yawe cyangwa mu muyoboro w'amaraso. Uyu muti uvanga meperidine (umuti ukomeye uvura ububabare bwa opioid) na promethazine (umuti urwanya allergie ufasha kwirinda isesemi kandi wongera ubufasha mu kurwanya ububabare). Abaganga bakoresha iyi nshinge cyane iyo ukeneye kugabanya ububabare bwihuse kandi bukomeye hamwe no kwirinda isesemi no kuruka.

Ubu buryo bukorera vuba kurusha ibinini kuko bujya mu maraso yawe. Uyu muti uzawuhabwa mu bitaro, amavuriro, cyangwa ahandi hantu h'ubuvuzi aho abantu babihuguriwe bashobora kugukurikiranira umutekano.

Inshinge ya Meperidine na Promethazine ikoreshwa mu kuvura iki?

Abaganga bandika iyi nshinge cyane cyane ku bubabare bwo hagati kugeza ku bukomeye bukeneye ubufasha bwihuse. Meperidine irwanya ububabare bwawe mugihe promethazine yirinda isesemi imiti ikomeye ivura ububabare ikunda gutera.

Dore ibintu by'ingenzi aho umuganga wawe ashobora kugusaba iyi nshinge:

• Mbere, mugihe, cyangwa nyuma yo kubagwa kugirango ucunge ububabare kandi wirinde isesemi
• Urubuto rwo kubyara mugihe izindi nzira zitagikora
• Ububabare bukomeye bwo gukomereka mugihe cyihutirwa
• Ububabare buterwa na kanseri imiti ikomeye idashobora gucunga
• Ububabare nyuma yo kubagwa mugihe udashobora gufata imiti yo kunywa

Umuganga wawe azasuzuma neza niba iyi mvange ikomeye ikwiriye kuri wowe. Bazatekereza urwego rw'ububabare bwawe, amateka yawe y'ubuvuzi, n'indi miti urimo gufata kugirango barebe ko ariyo nzira itekanye kandi ifite akamaro kuri wowe.

Inshinge ya Meperidine na Promethazine ikora ite?

Urukingo rwa iyi miti ruhuza imiti ibiri ikorera hamwe kugira ngo itange ubufasha bwuzuye mu kurwanya ububabare. Meperidine ni umuti ukomeye uvura ububabare ubuza ibimenyetso by'ububabare kugera mu bwonko bwawe, naho promethazine yongera ingaruka zayo kandi ikarinda ingaruka zitari nziza.

Meperidine ni umwe mu miti ikomeye ivura ububabare yitwa opioids. Ikora muguhuza n'uturemangingo twihariye two mu bwonko bwawe no mu mugongo, mu buryo bwo kugabanya ububabare bw'umubiri wawe. Ibi bituma ikomera cyane kurusha imiti ivura ububabare itangwa nta tegeko rya muganga nk'ibuprofen cyangwa acetaminophen.

Promethazine ifite akamaro kenshi muri ubu bufatanye. Irinda isesemi no kuruka bikunze guterwa n'imiti ikomeye ivura ububabare, igufasha kumva uryoshye, kandi rwose yongera ingaruka zo kurwanya ububabare za meperidine. Ibi bivuze ko ushobora gukenera gukoresha gake mu gice cya opioid mugihe ukibona uburyo bwiza bwo kurwanya ububabare.

Urukingo akenshi rutangira gukora mu minota 10 kugeza kuri 15, ingaruka zikomeye zikaba zibaho mu minota 30 kugeza kuri 60. Ubufasha mu kurwanya ububabare akenshi bumara amasaha 2 kugeza kuri 4, nubwo ibi bishobora gutandukana bitewe n'uburyo umuntu abyakira n'urugero rwa dose yakiriye.

Nkwiriye gufata gute urukingo rwa Meperidine na Promethazine?

Ntabwo wowe ubwawe wiyitera uru rukingo - ruhora rutangwa n'abakozi b'ubuzima babihuguriwe mu bigo by'ubuvuzi. Umuforomo wawe cyangwa muganga azagutera urukingo haba mu mutsi (akenshi mu kibuno cyangwa mu kaboko k'igice cyo hejuru) cyangwa mu mitsi binyuze ku murongo wa IV.

Mbere yo guhabwa urukingo, ikipe yawe y'ubuzima izagenzura ibimenyetso byawe by'ingenzi kandi isuzume amateka yawe y'ubuzima. Bazakubaza ibijyanye n'ubwivumbure ubwo aribwo bwose, imiti ukoresha ubu, n'ibyo wariye cyangwa wanyoye vuba aha. Bisanzwe kumva utekereza kubona urukingo, kandi ikipe yawe y'ubuvuzi irabyumva.

Ntabwo ukeneye gukora ikintu cyihariye kugirango witegure urukingo. Ariko, niba uteganyirijwe kubagwa, muganga wawe azaguha amabwiriza yihariye yerekeye kurya no kunywa mbere y'igihe. Mu bihe by'ubutabazi, itsinda ry'abaganga rizakorana n'ibihe byose biriho.

Nyuma yo guhabwa urukingo, uzakenera kuruhukira ahantu hizewe kandi hacungwa. Umuti urashobora kugutera gusinzira no kugira ingaruka ku mikoranire yawe, bityo ntuzashobora gutwara imodoka cyangwa gufata ibyemezo by'ingenzi mu masaha menshi. Teganya kugira umuntu ugufasha kugera mu rugo amahoro.

Nzamara Igihe Kingana Gite Nkorera Urukingo rwa Meperidine na Promethazine?

Urukingo rwashyizweho gukoreshwa mu gihe gito gusa, akenshi urukingo rumwe gusa cyangwa doze nkeya mu munsi umwe cyangwa ibiri. Muganga wawe azagena neza igihe uzakenera uyu muti hashingiwe ku rwego rw'ububabare bwawe n'imikurire yawe.

Kubijyanye n'ibikorwa byo kubaga, urashobora guhabwa doze imwe mbere yo kubagwa ndetse n'indi doze imwe cyangwa ebyiri nyuma yaho. Kububabare bwo kubyara, igihe biterwa n'uko ububyeyi bwawe bugenda. Mu bihe by'ubutabazi, akenshi uzahabwa doze imwe gusa, muganga wawe agasuzuma niba ukeneye gucunga ububabare bwiyongera.

Itsinda ryawe ry'ubuvuzi rizakomeza gukurikirana uko umuti ukora neza kuri wewe. Bazahindura gahunda yawe yo gucunga ububabare uko ubuzima bwawe buzamuka, akenshi bakwimurira ku miti yo kunywa cyangwa izindi mvura vuba na bwangu uko byemewe kandi bikwiye.

Kubera ko iyi mvange ikubiyemo opioid ikomeye, abaganga bitonda cyane mugutuma gukoreshwa kwacyo. Gukoresha igihe kirekire birashobora gutera kwihanganira (gukenera doze nyinshi kugirango ugere ku ngaruka zimwe) no kwishingikiriza, bityo itsinda ryawe ry'ubuvuzi rizakorana nawe kugirango uhinduke ukoresheje uburyo bwo gucunga ububabare burambye kandi bwizewe vuba bishoboka.

Ni Iyihe Ngaruka Ziterwa n'Urukingo rwa Meperidine na Promethazine?

Nk'uko imiti yose ikomeye, iyi nshinge ishobora gutera ingaruka zidakunda, nubwo abantu benshi bayihanganira neza iyo ikoreshejwe neza. Itsinda ryawe rishinzwe ubuzima rizakugenzura cyane kugirango rifate kandi rikore ku bibazo byose vuba.

Ingaruka zikunze kugaragara ushobora guhura nazo zirimo kumva unaniwe, uruka, cyangwa wumva utameze neza. Izi ngaruka ni ibisanzwe kandi mubisanzwe zoroheje, ariko niyo mpamvu uzakeneye kuruhukira ahantu hizewe nyuma yo guhabwa urushinge.

Dore ingaruka zikunze kugaragara abantu benshi bahura nazo:

• Kuryaryara no kumva usinziriye
• Uruka cyangwa kumva umutwe
• Isesemi cyangwa guhungabana mu nda
• Umunwa wumye
• Kugwiza imyanda mu nda
• Kutamenya neza cyangwa kumva "gufogora"
• Kunyeganyega cyangwa kumva ushyushye

Izi ngaruka zisanzwe mubisanzwe zigenda uko umuti ugenda ushiramo mu masaha make akurikira. Abaforomo bawe bazagufasha guhangana n’uburyo ubwo aribwo bwose butari bwiza kandi bazakwemeza ko uguma mu mutekano mugihe umuti ukora.

Abantu bamwe bashobora guhura n’ingaruka zikomeye zisaba ubufasha bwihuse. Nubwo ibi bidakunze kugaragara, ni ngombwa kubimenya kugirango itsinda ryawe rishinzwe ubuzima ribashe gusubiza vuba.

Dore ingaruka zikomeye zikeneye ubuvuzi bwihuse:

• Kugorana guhumeka cyangwa guhumeka gahoro
• Kuryaryara cyane aho utabasha kubyuka byoroshye
• Urubavu rubabaza cyangwa umutima utera nabi
• Uruka rwinshi cyangwa guta umutwe
• Umutsi udasanzwe ukakara cyangwa kunyeganyega
• Isesemi ikabije no kuruka
• Kutamenya neza cyangwa kwibeshya
• Ubukana nk'uruhu, kubyimba, cyangwa kugorana guhumeka

Inkuru nziza nuko iyo uhabwa uru rushinge ahantu havurirwa, itsinda ryawe rishinzwe ubuzima ryatojwe kumenya no kuvura izi ngaruka zikomeye ako kanya. Bafite imiti yihutirwa n'ibikoresho bihari kugirango bagufashe kuguma mu mutekano.

Ingaruka zimwe na zimwe zidakunze kubaho ariko zikomeye zirashobora kubaho, cyane cyane iyo bikoreshejwe kenshi cyangwa ku bantu bafite ubwumvikane bwinshi. Izi zikubiyemo guhagarika guhumeka bikabije, umuvuduko w'amaraso uri hasi cyane, ibibazo byo gufatwa n'indwara, n'uburwayi bukomeye bwo kwivumbura ku bintu. Itsinda ryawe ry'abaganga rikora igenzura kuri izi ngorane buri gihe mugihe uri mu kwitabwaho kwabo.

Ninde Utagomba Gufata Urukingo rwa Meperidine na Promethazine?

Ubu buryo bukomeye ntibufitiye umutekano buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kubisaba. Indwara zimwe na zimwe z'ubuzima n'imiti birashobora gutuma uru rukingo rugira akaga cyangwa ntirugire akamaro.

Muganga wawe azakubaza ibibazo birambuye bijyanye n'ubuzima bwawe kugirango yemeze ko uyu muti ufitiye umutekano. Kuba inyangamugayo ku mateka yawe y'ubuzima, imiti ukoresha ubu, n'ikoreshwa ry'ibiyobyabwenge byose bibafasha gufata icyemezo cyiza cyo kukwitaho.

Dore indwara z'ingenzi zituma uru rukingo rutagira umutekano:

• Ibibazo bikomeye byo guhumeka nk'umwuka mubi cyangwa indwara y'ibihaha
• Gukoresha ubu imiti ya MAO (imiti imwe yo kurwanya depression)
• Indwara ikomeye y'umwijima cyangwa impyiko
• Ubukomere bwo mu mutwe cyangwa umuvuduko wiyongereye mu bwonko
• Amateka yo gukoresha inzoga cyangwa ibiyobyabwenge
• Ibibazo bikomeye by'umutima cyangwa umuvuduko w'amaraso uri hasi cyane
• Ubwoko bumwe na bumwe bw'indwara zo gufatwa
• Allergies zizwi kuri meperidine, promethazine, cyangwa imiti isa

Itsinda ryawe ry'ubuzima rizongera kwitonda niba ushaje, utwite, cyangwa wonka. Mugihe umuti rimwe na rimwe ushobora gukoreshwa muri ibi bihe, bisaba gukurikiranwa byihariye no gusuzuma ibyago n'inyungu.

Niba ufite izi ndwara zose, ntugire impungenge - muganga wawe afite izindi nzira nyinshi zikora neza zo gucunga ububabare. Bazakorana nawe kugirango babone uburyo bwiza kandi bukora neza bwo kuvura ibibazo byawe byihariye.

Amazina y'ubwoko bwa Meperidine na Promethazine

Uyu muti uterwa mu nshinge akunda kwitwa amazina menshi y'ubucuruzi, nubwo ibitaro na za clinique nyinshi zikoresha izindi zikora neza kimwe. Izina rikunda kumvikana cyane ni Mepergan.

Rimwe na rimwe abaganga bavuga kuri uyu muti bavuga ibigize aho gukoresha izina ryihariye ry'ubucuruzi. Ushobora kumva bavuga "meperidine hamwe na promethazine" cyangwa "Demerol hamwe na Phenergan" (bakoresha amazina y'ubucuruzi y'ibigize byose).

Izindi zikoreshwa zifite ibigize bikora kimwe kandi zikora kimwe n'izina ry'ubucuruzi. Ikigo cy'ubuzima kizahitamo urugero ruzuzanya ubuziranenge bwabo kandi rutanga agaciro keza, ariko ingaruka z'ubuvuzi zizaba zimwe hatitawe ku wakoze.

Niba ufite ibibazo bijyanye n'urugero ruri kwakirwa, wumve ufite umudendezo wo kubaza ikipe yawe y'ubuzima. Barashobora kukwereka urupapuro rw'umuti kandi bagasobanura itandukaniro ryose ushobora kuba wibazaho.

Uburyo bwo gusimbuza Meperidine na Promethazine

Muganga wawe afite izindi nzira nyinshi zikora neza zo gucunga ububabare bukomeye, kandi bazahitamo uburyo bwiza bushingiye ku byo ukeneye byihariye n'ubuzima bwawe. Nta muti umwe ukora neza kuri buri wese, bityo kugira izindi nzira ni ingenzi.

Kugira ngo ugabanye ububabare nk'ubwo, muganga wawe ashobora gutekereza ku zindi mpuzamiti zifite morphine hamwe na ondansetron (kubuza isesemi) cyangwa fentanyl hamwe n'indi miti irwanya isesemi. Izi nzira zishobora gutanga uburyo bwo kugenzura ububabare bufatika hamwe n'ingaruka zitandukanye.

Dore zimwe mu nzira zisanzwe ikipe yawe y'ubuzima ishobora gutekereza:

• Umuti w'urushinge wa morufine hamwe n'umuti uvura isesemi wihariye
• Hydromorphone (Dilaudid) hamwe na promethazine
• Fentanyl hamwe na ondansetron kugenzura isesemi
• Pompe za patient-controlled analgesia (PCA) zo kwifashisha imiti
• Anesthesia yo mu gace runaka cyangwa guhagarika imitsi mu bice byihariye
• Imiti idafite opioid nk'iya ketorolac hamwe na acetaminophen

Muganga wawe azatekereza ku bintu nk'uburemere bw'ububabare bwawe, amateka yawe y'ubuvuzi, indi miti ufata, n'ibyo ukunda mu guhitamo ibindi bisubizo. Barashobora kandi guhuza uburyo butandukanye, nk'uko bakoresha guhagarika imitsi hamwe n'imiti yo kunywa, kugirango baguhe uburyo bwiza bwo kugabanya ububabare hamwe n'ingaruka nke.

Intego ni ukugabanya ububabare neza mugihe ugabanya ibyago n'ingaruka. Itsinda ryawe ry'ubuzima rizakorana nawe bya hafi kugirango ribone uburyo bukora neza kubibazo byawe byihariye.

Ese Meperidine na Promethazine biruta Morufine?

Imiti yombi ifasha kugabanya ububabare bukomeye, ariko ikora mu buryo butandukanye kandi ifite inyungu zihariye bitewe n'ikibazo cyawe cyihariye. Nta na kimwe cyiza muri rusange - guhitamo biterwa n'ibyo ukeneye mu buvuzi, indwara zawe, n'uko umubiri wawe witwara ku miti itandukanye.

Uhuza wa meperidine na promethazine utanga inyungu zidasanzwe zituma bikunda mu bihe bimwe na bimwe. Uburinzi bwo kurwanya isesemi bwa promethazine burashobora gufasha cyane niba ukunda kugira isesemi iterwa n'imiti cyangwa uri kubagwa aho isesemi isanzwe.

Uku guhuza kandi bikunda gutera gukara kuruta morufine yonyine, ibyo bishobora kuba by'ingenzi kubantu basanzwe bafite ibibazo byo mu gifu. Abantu bamwe kandi basanga promethazine ibafasha kumva boroheje kandi baruhutse, ibyo bishobora kongera uburambe bwose bwo kugabanya ububabare.

Ariko, morphine nayo ifite ibyiza byayo. Imaze imyaka myinshi ikoreshwa neza, kandi abaganga bafite uburambe bwinshi ku ngaruka zayo n'uburyo bwo gukemura ibibazo byose bishobora kuvuka. Morphine kandi ikunda kumara igihe kirekire kurusha meperidine, bivuze ko ushobora gukenera doze nkeya umunsi wose.

Muganga wawe azatekereza ibintu byinshi mugihe ahitamo hagati yiyi miti, harimo ubwoko bw'ububabare ufite, amateka yawe y'ubuzima, indi miti urimo gufata, n'uburambe bwawe mbere ku miti igabanya ububabare. Bashobora no kugerageza imwe bakayihindura niba iyambere itagukoreye neza nkuko byari byitezwe.

Ibibazo Bikunze Kubazwa Kuri Meperidine na Promethazine Injection

Ese Meperidine na Promethazine birakwiriye kubafite indwara z'umutima?

Ubu buvuzi busaba kwitonda cyane niba ufite indwara z'umutima, ariko rimwe na rimwe burashobora gukoreshwa neza mugihe hakurikiranwa neza. Muganga wawe azagomba gusuzuma uko umutima wawe umeze neza n'imiti urimo gufata mbere yo gufata iki cyemezo.

Imiti yombi irashobora kugira ingaruka ku mutima wawe n'umuvuduko w'amaraso, bityo itsinda ry'ubuzima rizakurikirana ibi neza niba ufite ibibazo by'umutima. Bashobora guhitamo doze ntoya cyangwa bagahitamo uburyo butandukanye bwo kugabanya ububabare niba indwara yawe y'umutima ikomeye cyangwa idahagije.

Niba ufite indwara y'umutima, menya neza kubwira itsinda ry'ubuzima imiti yose y'umutima wawe, harimo imiti igabanya amaraso, imiti igabanya umuvuduko w'amaraso, n'imiti yose igabanya umuvuduko w'umutima. Ibi bibafasha guhitamo neza mugihe bagabanya ububabare bwawe.

Nigute nzakora niba mbonye meperidine na promethazine nyinshi bitunguranye?

Kubera ko uyu muti utangwa nabaganga gusa mumashami yubuvuzi, kwirengagiza imiti bitunguranye biragoye kandi byahita bimenyekana nitsinda ryawe ryubuvuzi. Ariko, niba ubonye gusinzira cyane, guhumeka bigoye, cyangwa ibindi bimenyetso biteye impungenge, menyesha umuforomo wawe cyangwa muganga ako kanya.

Ibimenyetso byo gufata imiti myinshi birimo gusinzira cyane ku buryo udashobora gukanguka, guhumeka gake cyangwa mu buryo bwo hejuru, urujijo, cyangwa kumva ko ushobora guta umutwe. Itsinda ry'ubuvuzi ryawe ryatojwe kumenya ibi bimenyetso kandi rifite imiti ihita itangwa.

Itsinda ry'abaganga rifite imiti ivura n'imiti yihutirwa iboneka igihe bibaye ngombwa. Barashobora kuguha imiti yo guhindura ingaruka za opioid niba bibaye ngombwa, kandi bafite ibikoresho byo gufasha guhumeka niba bibaye ngombwa. Ibi nibyo bituma guhabwa uyu muti mu rwego rw'ubuvuzi ari ngombwa cyane ku mutekano wawe.

Nkwiriye gukora iki niba nsubije urugero rwa Meperidine na Promethazine?

Kubera ko iyi nshinge itangwa n'abakora mu buvuzi ku gihe cyagenwe, ntuzaba ufite inshingano zo kwibuka urugero. Itsinda ryawe ry'ubuvuzi rizagena igihe n'uburyo bwo gufata imiti bitewe n'urugero rw'ububabare bwawe n'imikurire yawe.

Niba wumva ko ububabare bwawe buri gusubira mbere yo gufata urugero rwawe ruteganyijwe, menyesha umuganga wawe cyangwa muganga. Barashobora gusuzuma niba ukeneye imiti yongera ububabare cyangwa niba bagomba guhindura gahunda yawe yo gucunga ububabare.

Itsinda ryawe ry'ubuvuzi rikomeza gukurikirana urwego rwawe rw'ihumure kandi rizakora impinduka uko bikwiye. Barashobora kuguha urugero rwinshi, guhindurira ku muti utandukanye, cyangwa kongeramo izindi nzira zo gucunga ububabare kugirango ugume ufite ihumure.

Nshobora guhagarika ryari gufata Meperidine na Promethazine?

Muganga wawe azahitamo igihe cyo guhagarika uyu muti bitewe n'urugero rw'ububabare bwawe n'imikurire yawe. Abantu benshi bakeneye iyi nshinge mu gihe gito gusa - mubisanzwe urugero rumwe gusa cyangwa urugero rwake cyangwa ebyiri mu munsi umwe cyangwa ibiri.

Uko ububabare bwawe bugenda bwiyongera, itsinda ryawe ry'ubuvuzi rizagenda riguhindurira buhoro buhoro ku miti yoroheje yo gucunga ububabare cyangwa izindi nshuti. Ibi bishobora gusobanura guhindurira ku miti yo gucunga ububabare yo kunywa, gukoresha amazi akonje cyangwa ubushyuhe, cyangwa gushyiraho uburyo bwo kuvura umubiri.

Ntuzagomba guhangayika ku bijyanye n'ibimenyetso byo kuva mu kiyobyabwenge kuko uyu muti ukoreshwa mu gihe gito. Ariko, itsinda ryawe ry'abaganga rizagufasha kugenzura neza ububabare uko bagenda baguhindurira imiti yindi, kugira ngo ukomeze kumva umeze neza mu gihe cyo gukira.

Ese nshobora gutwara imodoka nyuma yo guterwa urushinge rwa Meperidine na Promethazine?

Oya, ntushobora rwose gutwara imodoka nyuma yo guterwa uru rushinge. Uyu muti utera gusinzira, isereri, no gutinda kw'imyitwarire bituma gutwara imodoka bigira akaga kuri wowe no ku bandi bari mu muhanda.

Uzakeneye guteganya ko undi muntu aguha serivisi yo kukugeza mu rugo, cyangwa ikigo cy'ubuzima cyakwakira kikagutindana igihe kirekire kugira ngo bagukurikirane. Ibyo bikorwa akenshi bifata amasaha menshi, kandi ntugomba gutwara imodoka kugeza wumva umeze neza rwose kandi umuti warangiye gukora.

N'iyo wumva umeze neza, uyu muti uracyashobora kugira ingaruka ku mikorere yawe no ku gihe cyo gusubiza ibintu mu buryo utabona. Buri gihe ni byiza kugira umutekano kandi ugategereza kugeza ku munsi ukurikira mbere yo gutwara imodoka, cyane cyane niba wahawe imiti myinshi cyangwa ufite indi miti mu mubiri wawe.