Ikime Meperidine: Ibyo ikoreshwa, urugero, ingaruka ziterwa n'ibindi

Ikime cya Meperidine ni umuti wandikirwa na muganga ukoreshwa mu kubabara, abaganga bawutanga binyuze mu guterwa urushinge mu mutsi cyangwa mu rukururano. Ni umuti ukomeye uvura ububabare wo mu muryango umwe na morufine, ukaba ugamije gufasha gucunga ububabare bwo hagati cyangwa bukomeye iyo indi miti idahagije. Abaganga bakoresha meperidine mu bitaro cyangwa mu bigo by'ubuvuzi aho bashobora gukurikiranira hafi abarwayi.

Ikime cya Meperidine ni iki?

Ikime cya Meperidine ni umuti ukomeye wa opioid uza mu ishusho y'urugero rw'urugero rwo guterwa urushinge. Bizwi kandi ku izina ry'ubucuruzi rya Pethidine mu bihugu bimwe na bimwe, nubwo ubu gikoreshwa gake ugereranije n'uko cyahoze gikoreshwa. Uyu muti ukora uhindura uburyo ubwonko bwawe n'imitsi byitwara ku bimenyetso by'ububabare.

Uburyo bwo guterwa urushinge butuma umuti ukora vuba, akenshi mu minota 10 kugeza kuri 15. Abaganga bakunda ubu buryo iyo abarwayi bakeneye ubufasha bwihuse bwo kurwanya ububabare cyangwa batabasha gufata imiti banywa. Ifatwa nk'ikintu kigenzurwa kubera ubushobozi bwayo bwo kwishingikiriza no gukoreshwa nabi.

Ikime cya Meperidine gikoreshwa mu iki?

Abaganga bakoresha cyane ikime cya meperidine mu kuvura ububabare bwo hagati cyangwa bukomeye bisaba imiti ikomeye. Akenshi gitangwa mbere, mu gihe cyangwa nyuma y'ibikorwa byo kubaga kugira ngo gifashe gucunga ububabare neza. Ushobora guhabwa uyu muti mu bitaro aho abakozi b'ubuvuzi bashobora kureba ingaruka zose ziterwa.

Abaganga kandi bakoresha meperidine mu kubabara kw'umurimo mu gihe cyo kubyara, nubwo iyi ngeso yagabanutse mu myaka yashize. Rimwe na rimwe yandikirwa ububabare bukomeye buturutse ku mvune, ibikorwa bimwe na bimwe by'ubuvuzi, cyangwa iyo indi miti ivura ububabare itatanze ubufasha buhagije.

Birakwiye kwitonderwa ko meperidine akenshi ikoreshwa igihe gito kubera impungenge z'umutekano mu gihe cy'imiti irambye. Muganga wawe azagereranya neza inyungu n'ibibazo mbere yo kugusaba uyu muti.

Meperidine y'urushinge ikora ite?

Umuti wa meperidine ukora ukoresha kwifatanya n'uturemangingo twihariye mu bwonko bwawe no mu mugongo bita opioid receptors. Iyo yifatanyije n'utwo turemangingo, ibuza ibimenyetso by'ububabare kugera mu bwonko bwawe, ibyo bigafasha kugabanya kumva ububabare. Ibi bisa n'uko imiti kamere yo mu mubiri wawe ikora, ariko ikomeye cyane.

Uyu muti kandi ugira ingaruka ku bindi binyabutabire byo mu bwonko bigira uruhare mu myumvire n'ubuhumekero. Ibi nibyo bituma meperidine ituma wumva unaniwe cyangwa utuje, ariko nanone bisobanura impamvu ishobora gutuma guhumeka kwawe kugabanuka niba watanze byinshi. Uburyo bwo guterwa urushinge bukora vuba kurusha ibinini kuko bujya mu maraso yawe.

Ugereranije n'izindi opioids nka morphine, meperidine ifatwa nk'ikomeye ku rugero ruringaniye. Irusha imbaraga codeine ariko akenshi ntabwo ikomeye cyane nka imiti nka fentanyl. Itsinda ry'ubuvuzi ryawe rizagena imbaraga zikwiye zishingiye ku rwego rw'ububabare bwawe n'ibyo ukeneye mu buvuzi.

Nkwiriye gufata gute urushinge rwa meperidine?

Ntabwo wowe ubwawe witerera urushinge rwa meperidine - buri gihe bitangwa n'abantu bafite ubumenyi mu by'ubuvuzi mu bigo by'ubuvuzi. Uyu muti akenshi utangwa nk'urushinge mu mikaya yawe (intramuscular) cyangwa mu urwungano rw'imitsi (intravenous). Umuganga wawe azagena uburyo bwiza bushingiye ku miterere yawe.

Mbere yo guterwa urushinge, itsinda ryawe ry'ubuvuzi rizasuzuma ibimenyetso byawe by'ingenzi n'amateka yawe y'ubuvuzi. Bazagukurikiranira hafi mu gihe cyo guterwa urushinge no nyuma yarwo kugirango barebe niba hari ibibazo byagaragara. Ntabwo ukeneye kurya cyangwa kunywa ikintu icyo aricyo cyose mbere yo guterwa meperidine, ariko muganga wawe ashobora kuguha amabwiriza yihariye ashingiye ku buryo ukora.

Aho batera urushinge hashobora kumva harimo ububabare bucye nyuma, ibyo ni ibisanzwe. Umuganga wawe azagusobanurira ibyo witegura kandi asubize ibibazo byose ufite ku bijyanye n'iyi gahunda. Bazanafata iya mbere kugira ngo wumve umeze neza kandi usobanukirwe n'amabwiriza yose yo kwitabwaho nyuma yo guterwa urushinge.

Nzamara Mfata Urushinge rwa Meperidine Igihe Kingana Gite?

Urushinge rwa Meperidine rukoreshwa mu gihe gito, akenshi iminsi mike cyane. Muganga wawe azagena igihe nyacyo bitewe n'ububabare ufite, impamvu yo kuvurwa, n'uko wemera imiti. Abantu benshi baruyihabwa mu gihe cy'ububabare bukomeye aho gufashwa igihe kirekire.

Mu gihe cy'ibikorwa byo kubaga, ushobora guhabwa meperidine rimwe cyangwa inshuro nke mu munsi umwe cyangwa ibiri. Niba uvurwa kubera ububabare butewe n'imvune, igihe cyo kuvurwa kizaterwa n'uko ubuzima bwawe buzahora bwiyongera. Itsinda ry'abaganga bazajya basuzuma buri gihe niba ugikeneye uyu muti ukomeye.

Gukoresha meperidine igihe kirekire ntibisabwa kuko bishobora kwiyongera mu mubiri wawe kandi bikaba byatera ingaruka zikomeye. Muganga wawe azakorana nawe kugira ngo akugire inama yo guhindura uburyo bwo kuvura ububabare burinzwe uko ubuzima bwawe buzahora bwiyongera.

Ni Izihe Ngaruka Ziterwa n'Urushinge rwa Meperidine?

Kimwe n'indi miti yose ya opioid, urushinge rwa meperidine rushobora gutera ingaruka ziva ku zoroheje kugeza ku zikomeye. Abantu benshi bagira ibitotsi n'isuka rito, ibyo bikaba bisanzwe kuri ubu bwoko bw'imiti ivura ububabare. Itsinda ry'abaganga bazagukurikiranira hafi kugira ngo bamenye ibimenyetso byose biteye impungenge hakiri kare.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Ibitotsi no kumva unaniwe
• Isuka rimwe na rimwe no kuruka
• Kuribwa umutwe cyangwa kumva ureremba
• Kuguma mu nda
• Kunyeganyega cyane kuruta uko bisanzwe
• Umunwa wumye
• Kumva uhuzagurika cyangwa utazi aho uri

Ibi bimenyetso bigaragara kenshi bikunda kuvaho iyo imiti igenda ishiramo imbaraga. Itsinda ryawe ry'abaganga rizi uko ryita kuri ibi bimenyetso kandi rizagufasha kumva umeze neza uko bishoboka kose.

Ingaruka zikomeye zirashobora kubaho, nubwo zitagaragara cyane iyo umuti utangwa neza mu bigo by'ubuvuzi. Reba ibi bimenyetso byo kwitondera bisaba ubufasha bwihuse bw'abaganga:

• Kugihuka cyangwa guhumeka bigoranye
• Urubwa rukabije aho udashobora gukomeza kuba maso
• Urujijo cyangwa kwibeshya
• Urugero rukabije cyangwa guta ubwenge
• Umutima utera cyane cyangwa mu buryo butari bwo
• Isesemi ikabije no kuruka
• Guhinda umushyitsi kw'imitsi cyangwa guteguka

Kubera ko uzaba uri mu kigo cy'ubuvuzi igihe uzaba wakira meperidine, itsinda ryawe ry'ubuzima rizagenzura ibi bimenyetso kandi rishobora guhita rigira icyo rikora niba bibaye.

Hariho kandi izindi ngaruka zimwe na zimwe zitagaragara cyane ariko zikomeye zishobora kubaho hamwe na meperidine, cyane cyane iyo ikoreshejwe kenshi cyangwa doze ndende. Izi zirimo ibibazo byo gufatwa, impinduka zikomeye mu gipimo cy'amaraso, n'ikintu cyitwa serotonin syndrome niba ufata izindi miti runaka. Muganga wawe azasuzuma imiti yose ufata kugirango yirinde guhura kwangiza.

Ninde udakwiye gufata urukingo rwa Meperidine?

Abantu bamwe ntibagomba guhabwa urukingo rwa meperidine kuko byaba ari akaga ku buzima bwabo. Umuganga wawe azasuzuma amateka yawe y'ubuzima n'imiti ufata ubu kugirango yemeze ko meperidine ikugirira neza. Kuba inyangamugayo ku bijyanye n'ubuzima bwawe n'imiti ufata ni ngombwa kugirango wirinde.

Ntugomba guhabwa meperidine niba ufite kimwe muri ibi bibazo:

• Ibibazo bikomeye byo guhumeka cyangwa indwara y'ibihaha
• Kumenya allergie kuri meperidine cyangwa imiti isa nayo
• Indwara ikomeye y'umwijima cyangwa impyiko
• Urukomere ku mutwe cyangwa kongera umuvuduko mu gihanga cyawe
• Igipimo gito cyane cy'amaraso
• Ibibazo by'amara cyangwa inda byazibye
• Gukoresha ubu imiti imwe na zimwe yo kurwanya depression yitwa MAOIs

Muganga wawe azitonda cyane niba ufite indwara zimwe na zimwe zituma meperidine iba iy'akaga, nubwo bitavuze ko bidashoboka kuyikoresha.

Ukwitonda by'umwihariko birakenewe niba ufite:

• Ibibazo byoroheje kugeza ku birenze urugero byo guhumeka
• Uburwayi bwo mu mutima butuma umutima utera nabi
• Uburwayi butera ibibazo byo gufatwa n'indwara cyangwa epilepsi
• Indwara zo mu mutwe
• Amateka yo gukoresha ibiyobyabwenge
• Ibibazo bya tiroyide
• Prostate yagutse cyangwa ibibazo byo kunyara

Abagore batwite n'abonsa bakeneye kwitabwaho by'umwihariko. Meperidine ishobora kwambuka placenta ikagera ku mwana, bityo abaganga bapima neza inyungu n'akaga. Niba uri konka, umuti ushobora kujya mu mata, bishobora kugira ingaruka ku mwana wawe.

Abantu bakuze bashobora kugaragaza ibimenyetso byinshi bya meperidine, bityo abaganga bakunze gukoresha imiti mike cyangwa bagahitamo imiti itandukanye niba bishoboka. Itsinda ry'ubuvuzi rizagendera ku myaka yawe, ubuzima muri rusange, n'indi miti ukoresha mugihe cyo gufata icyemezo niba meperidine ikwiriye kuri wowe.

Amazina y'ubwoko bwa Meperidine

Umuti wa meperidine uterwa mu nshinge uboneka mu mazina atandukanye y'ubwoko, nubwo akenshi wandikirwa ukoresheje izina rusange. Izina risanzwe rikoreshwa cyane muri Amerika ni Pethidine, nubwo bitandukanye bitewe n'igihugu n'uruganda. Ibikorwa by'ubuvuzi bimwe na bimwe bishobora gukoresha amazina atandukanye y'ubwoko cyangwa ubwoko rusange.

Umuvuzi wawe azakumenyesha ubwoko bwihariye bakoresha, ariko ibikoresho bikora n'ingaruka biracyari kimwe hatitawe ku izina ry'ubwoko. Ubwoko bwose bwa meperidine iterwa mu nshinge bigomba guhura n'amabwiriza amwe yo kurengera ubuzima no gukora neza ashyirwaho n'inzego z'ubuzima.

Uburyo bwo gusimbuza Meperidine

Hariho imiti itandukanye yo kurwanya ububabare abaganga bashobora guhitamo aho gukoresha meperidine iterwa mu nshinge. Abavuzi benshi bakunda cyane andi ma opiyoide afite uburyo bwo kurengera ubuzima neza cyangwa afite ingaruka nke. Muganga wawe azahitamo uburyo bwiza bushingiye ku byo ukeneye byihariye n'uburwayi ufite.

Izindi nzira zikunze gukoreshwa zirimo:

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• Umuti wa morphine w'urushinge - akenshi ufatwa nk'uwizewe kurusha indi miti iyo ukoreshwa kenshi
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• Fentanyl - ikora vuba ariko bisaba gukurikiranwa cyane
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• Hydromorphone - ifite akamaro kandi ntigira ingaruka nyinshi ku yindi miti
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• Oxycodone - iboneka mu buryo bw'urushinge no mu buryo bw'ibinini
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• Uburyo butari ubw'ibiyobyabwenge nka ketorolac ku bwoko bumwe bw'ububabare
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Itsinda ry'abaganga bakuvura bashobora no gutekereza ku buryo butari ubw'imiti nko guhagarika imitsi, gukora imyitozo ngororamubiri, cyangwa izindi nzira zo kugabanya ububabare. Guhitamo neza biterwa n'ubwoko bw'ububabare ufite, amateka yawe y'ubuzima, n'igihe uzamara ukeneye kugabanya ububabare.

Ese Meperidine iruta Morphine?

Meperidine na morphine zombi ni imiti ikora neza igabanya ububabare, ariko abaganga benshi muri iki gihe bakunda morphine kubera impamvu nyinshi z'ingenzi. Nubwo meperidine ikora neza mu kugabanya ububabare, morphine ifite amateka maremare y'umutekano kandi ifite ingaruka nke ziteye impungenge iyo ikoreshejwe kenshi.

Morphine muri rusange ifatwa nk'umutekano kurusha indi miti kuko itiyongera mu mubiri wawe nk'uko meperidine ishobora kubikora. Ibi bituma morphine iba nziza ku barwayi bakeneye umuti ugabanya ububabare mu gihe kirenga umunsi umwe cyangwa ibiri. Morphine kandi ntigira ingaruka nyinshi ku yindi miti, ibi ni ingenzi niba ufata imiti myinshi.

Ariko, meperidine irashobora kuba nziza mu bihe byihariye. Abarwayi bamwe boroherwa na meperidine kurusha morphine, kandi irashobora kugira akamaro ku bwoko bumwe bw'ibikorwa. Muganga wawe azatekereza ku byo ukeneye, amateka yawe y'ubuzima, n'icyo gihe cyihariye mu guhitamo hagati y'iyi miti.

Umuti

Meperidine isaba kwitonda cyane ku bantu bafite indwara z'umutima, ariko irashobora gukoreshwa neza hamwe no gukurikiranwa neza. Uyu muti ushobora kugira ingaruka ku mutima n'umuvuduko w'amaraso, bityo muganga wawe azagomba kumenya ibibazo byose by'umutima mbere yo kuguha meperidine. Bazakurikirana ibimenyetso byawe by'ingenzi cyane mugihe cyo kuvurwa.

Niba ufite indwara zikomeye zo guturika k'umutima, muganga wawe ashobora guhitamo undi muti wo kurwanya ububabare. Ariko, kubarwayi benshi b'umutima, meperidine irashobora gukoreshwa neza mu gihe gito igihe inyungu ziruta ibyago. Buri gihe bwire abaganga bawe ibijyanye n'indwara z'umutima cyangwa imiti urimo gufata.

Q2. Nkwiriye gukora iki niba mbonye meperidine nyinshi bitunguranye?

Kubera ko inshinge ya meperidine itangwa nabaganga gusa mumavuriro, gufata doze nyinshi bitunguranye ntibishoboka. Ariko, niba wumva uruhuka cyane, ugahura n'ibibazo byo guhumeka, cyangwa guhuzagurika cyane nyuma yo guhabwa meperidine, menyesha abaganga bawe ako kanya. Ibi bishobora kuba ibimenyetso byerekana ko wafashe imiti myinshi.

Abaganga bawe bafite ubushobozi bwo kumenya no kuvura overdose ya opioid. Bafite imiti nka naloxone (Narcan) ishobora guhindura vuba ingaruka za meperidine nyinshi. Iyi ni imwe mu mpamvu ituma meperidine itangirwa gusa mumavuriro aho ubufasha buhari ako kanya.

Q3. Nkwiriye gukora iki niba ntashe doze ya meperidine?

Kubera ko inshinge ya meperidine itangwa nabaganga uko bikwiye kubera ububabare, ntuzatakaza doze muburyo busanzwe. Abaganga bawe bazaguha umuti hashingiwe ku rwego rw'ububabare bwawe n'ibyo ukeneye mu buvuzi, ntabwo hashingiwe ku gahunda ikomeye nk'imiti ya buri munsi.

Niba ububabare bwawe bugaruka kandi ugatekereza ko ukeneye indi doze, menyesha umuganga wawe. Bazasesengura urwego rw'ububabare bwawe hanyuma bakemeza niba indi doze ikwiriye kandi itekanye. Ntukigere usaba imiti mbere yuko igihe cyagenwe kigera, kuko ibyo bishobora guteza akaga.

Q4. Nshobora Kureka Gufata Meperidine ryari?

Itsinda ryawe ryita ku buzima rizahitamo igihe cyo kureka kuguha meperidine hashingiwe ku rwego rw'ububabare bwawe n'iterambere ryo gukira. Kubera ko meperidine ikoreshwa mu gihe gito, birashoboka ko uzahindukirira izindi nzira zo gucunga ububabare uko ubuzima bwawe buzamuka. Ibi bishobora kuba birimo imiti yo mu kanwa igabanya ububabare, imyitozo ngororamubiri, cyangwa izindi nshingano.

Niba umaze iminsi myinshi wakira meperidine, muganga wawe ashobora kugabanya urugero buhoro buhoro aho guhagarara ako kanya. Ibi bifasha kwirinda ibimenyetso byo gukurwaho imiti kandi bigufasha kumva umeze neza mugihe cyo guhindukirira izindi nzira zo gucunga ububabare.

Q5. Nshobora Gutwara Imodoka Nyuma yo Guterwa Urukingo rwa Meperidine?

Oya, ntugomba gutwara imodoka cyangwa gukoresha imashini nyuma yo guterwa urukingo rwa meperidine. Uyu muti ushobora gutera gusinzira, isereri, no gutinda mu bikorwa bituma gutwara imodoka bigira akaga. Ibi bishobora kumara amasaha menshi nyuma yo guterwa urukingo, kabone n'iyo wumva umeze neza.

Teganya ko undi muntu azakujyana mu rugo niba usohoka mu kigo cy'ubuvuzi. Itsinda ryawe ryita ku buzima rizagutanga amabwiriza yihariye yerekeye igihe bizaba byemewe kongera gukora ibikorwa bisanzwe nko gutwara imodoka. Ibi mubisanzwe biba nyuma y'amasaha 24 nyuma ya dose yawe ya nyuma, ariko biterwa n'umuti wahawe n'ukuntu umubiri wawe uwukoresha.