Meperidine ni iki: Ibikoresho, Uburyo bwo gukoresha, Ingaruka ziterwa n'iyo miti n'ibindi

Meperidine ni umuti wandikirwa n'abaganga ugabanya ububabare, ukaba mu cyiciro cy'imiti yitwa opioids. Ni umuti ukomeye abaganga bakoresha mu kuvura ububabare bwo hagati cyangwa bukomeye, cyane cyane iyo indi miti igabanya ububabare itagize icyo ikora.

Uyu muti ukora uhindura uburyo ubwonko bwawe n'imitsi y'ubwonko byitwara ku bimenyetso by'ububabare. Nubwo ushobora kugira akamaro kanini mu kugabanya ububabare bukomeye, ni ngombwa gusobanukirwa uko ukora n'icyo witegura iyo muganga aguteye wo.

Meperidine ni iki?

Meperidine ni umuti w'ububabare wa synthetic opioid umaze imyaka myinshi ukoreshwa mu buvuzi. Izwi kandi ku izina ry'ubucuruzi rya Demerol, nubwo ubu isanzwe ikoreshwa cyane.

Uyu muti ushyirwa mu cyiciro cya II cy'ibiyobyabwenge kuko ifite ubushobozi bwo gukoreshwa nabi no guteza ubujiji. Muganga wawe azayandika gusa iyo inyungu ziruta neza ibyago, kandi uzakenera gukurikiza amabwiriza akomeye iyo uyifata.

Bitandukanye na zimwe mu zindi opioids, meperidine ifite imitungo idasanzwe ituma itandukana n'imiti nka morphine cyangwa oxycodone. Ikunda gukora vuba ariko ntitinda, ibyo bikagira ingaruka ku buryo ushobora kuyikoresha kenshi.

Meperidine ikoreshwa mu kuvura iki?

Abaganga bandika meperidine cyane cyane mu kugabanya ububabare bwo hagati cyangwa bukomeye busaba kuvurwa na opioid. Ibi bikubiyemo ububabare buturuka ku kubagwa, ibikomere bikomeye, cyangwa uburyo bumwe na bumwe bwo kuvura.

Ushobora guhabwa uyu muti mu bitaro nyuma yo kubagwa bikomeye, mu gihe cyo kubyara, cyangwa kubera ububabare bukomeye butagaragaje igisubizo ku zindi nshuti. Ni ingirakamaro cyane cyane mu kugabanya ububabare bw'igihe gito kuruta indwara z'ububabare bwa kinyarwanda.

Ibintu bimwe na bimwe byihariye aho meperidine ishobora kwandikwa harimo uburibwe nyuma yo kubagwa, uburibwe bukomeye bw'amabuye yo mu mpyiko, cyangwa uburibwe buturutse mu buryo bumwe na bumwe bwo kuvura. Ariko, abaganga benshi ubu bakunda imiti yindi ya opioid bitewe n'ingaruka zikomeye za meperidine iyo ikoreshejwe igihe kirekire.

Meperidine ikora ite?

Meperidine ikora muguhuza n'uturemangingo twihariye mu bwonko bwawe no mu mugongo bita opioid receptors. Iyo yihuje n'utwo turemangingo, ibuza ibimenyetso by'uburibwe kugera mu bwonko bwawe kandi igahindura uburyo ubona uburibwe.

Uyu muti ufatwa nk'umuti wa opioid ukomeye, utameze nka morphine ariko ukomeye kuruta codeine. Muri rusange, itangira gukora nyuma y'iminota 15 kugeza kuri 30 nyuma yo kuyifata mu kanwa, ingaruka zikomeye zikaba nyuma y'isaha imwe kugeza kuri ebyiri.

Uburibwe busanzwe bumara amasaha 2 kugeza kuri 4, ibyo bikaba bigufi kuruta imiti myinshi ya opioid. Ibi bivuze ko ushobora kuyifata kenshi kuruta imiti yindi ivura uburibwe, ariko buri gihe ukurikiza neza uko umuganga wawe abitegeka.

Nkwiriye gufata meperidine nte?

Fata meperidine nkuko umuganga wawe abitegeka, mubisanzwe buri masaha 3 kugeza kuri 4 nkuko bikenerwa kubera uburibwe. Urashobora kuyifata hamwe cyangwa utayifatanije n'ibiryo, ariko kuyifata hamwe n'ibiryo bishobora kugufasha kugabanya kuribwa mu nda.

Mimina ibinini byose hamwe n'ikirahure cyuzuye cy'amazi. Ntugasenye, utahe cyangwa ucagagure ibinini, kuko ibyo bishobora kugira ingaruka ku buryo umuti ukora kandi bishobora gutera ingaruka zikomeye.

Niba wumva uruka iyo ufata meperidine, gerageza kuyifata hamwe n'akantu gato cyangwa ifunguro. Irinde rwose inzoga mugihe ufata uyu muti, kuko kuzivanga bishobora kuba akaga gakomeye kandi gashobora gutera urupfu.

Bika umuti wawe ahantu hizewe aho abandi batabasha kuwugeraho. Ubike ku bushyuhe busanzwe, kure y'ubushyuhe, ubushuhe, n'urumuri. Ntukigere na rimwe usangira meperidine yawe n'undi muntu, kabone niyo asa nkaho afite uburibwe busa.

Nkwiriye kumara igihe kingana iki mfata meperidine?

Meperidine isanzwe itangwa mu gihe gito, akenshi ntirenze iminsi mike cyangwa icyumweru. Muganga wawe azagena igihe nyacyo bitewe n'uburwayi bwawe bwihariye n'uko witwara ku muti.

Gukoresha meperidine igihe kirekire ntibisanzwe byemewe kuko bishobora gutera ibibazo bikomeye. Gukoresha igihe kirekire bishobora gutera umubyimba w'uburozi bw'ikintu cyitwa normeperidine mu mubiri wawe, gishobora gutera ibibazo by'ubwonko n'izindi ngaruka ziteje akaga.

Niba ukeneye kuvura ububabare igihe kirekire kurenza iminsi mike, muganga wawe ashobora kuguhindurira umuti w'ububabare utandukanye utekanye gukoreshwa igihe kirekire. Ntukigere ukomeza gufata meperidine igihe kirekire kurenza uko byategetswe, kabone n'iyo ukigaragaza ububabare.

Ni izihe ngaruka ziterwa na Meperidine?

Kimwe n'imiti yose ya opioid, meperidine ishobora gutera ingaruka zitandukanye. Kumva icyo witegura bishobora kugufasha gukoresha uyu muti neza no kumenya igihe wahamagara muganga wawe.

Ingaruka zisanzwe ushobora guhura nazo zirimo gusinzira, kuribwa umutwe, isesemi, kuruka, no kubura umwanya. Izi ngaruka zikunze kuba nto kugeza hagati kandi akenshi zikagenda uko umubiri wawe ukimenyereza umuti.

Dore ingaruka zisanzwe ugomba kumenya:

• Gusinzira no gucika intege
• Kuribwa umutwe cyangwa kumva ureremba
• Isesemi no kuruka
• Kubura umwanya
• Umunwa wumye
• Kuvuza ibyuya
• Kuvurungana

Izi ngaruka muri rusange zirashoboka kandi ntizihoraho. Kunywa amazi menshi, kurya ibiryo birimo fibre nyinshi, no kwirinda guhindura imyanya mu buryo butunguranye bishobora gufasha kugabanya zimwe muri izi ngaruka.

Ingaruka zikomeye zirashobora kubaho, nubwo zitabaho cyane. Hamagara muganga wawe ako kanya niba ugaragaza gusinzira cyane, guhumeka bigoye, umutima utera gahoro cyangwa mu buryo butunganye, kuvurungana cyane, cyangwa ibimenyetso byo kwibasirwa n'umubiri.

Ingaruka zidakunze kubaho ariko zikomeye zisaba ubufasha bwihutirwa bw'abaganga zirimo:

• Ibazo rikomeye ryo guhumeka cyangwa guhumeka gake
• Urubavu rubabaza cyangwa umutima utera nabi
• Uburwayi bwo gufatwa n'indwara
• Urujijo rukomeye cyangwa ibitekerezo bidahuye n'ukuri
• Ibimenyetso bya serotonin syndrome (umuriro mwinshi, umubiri ugoye kugenda, umutima utera cyane)
• Urugero rukomeye rw'uburwayi bw'umubiri (uruhu rurya, kubyimba, kugorana guhumeka)

Ibi bibazo bikomeye ntibisanzwe ariko bishobora gushyira ubuzima mu kaga nibibaye. Niba ubonye kimwe muri ibi bimenyetso, genda kwa muganga ako kanya.

Ninde utagomba gufata Meperidine?

Abantu bamwe ntibagomba gufata meperidine kubera ibyago byiyongereye by'ibibazo bikomeye. Muganga wawe azasuzuma neza amateka yawe mbere yo kugushyiriraho uyu muti.

Ntugomba gufata meperidine niba ufite ibibazo bikomeye byo guhumeka, inzitizi mu gifu cyawe cyangwa mu mara, cyangwa niba ufite allergie kuri meperidine cyangwa indi miti ya opioid. Abantu bafite indwara zikomeye z'umwijima cyangwa impyiko nabo bashobora gukenera kwirinda uyu muti.

Ubwitange bwihariye bukenewe niba ufite indwara zimwe na zimwe. Muganga wawe azagomba gupima neza inyungu n'ibibazo mbere yo kugushyiriraho meperidine niba ufite kimwe muri ibi bibazo:

• Amateka yo gukoresha ibiyobyabwenge cyangwa ubujura
• Indwara zo mu mutwe nka depression cyangwa guhangayika
• Ibibazo byo guhumeka nka asima cyangwa sleep apnea
• Indwara z'umwijima cyangwa impyiko
• Ibibazo by'umutima
• Uburwayi bwo gufatwa n'indwara
• Ubukomere bwo mu mutwe cyangwa ibibyimba byo mu bwonko

Niba ufite kimwe muri ibi bibazo, muganga wawe ashobora guhitamo umuti w'ububabare utandukanye cyangwa akagukurikiranira hafi mugihe ufata meperidine.

Gusama no konsa bisaba kwitondera byihariye. Meperidine irashobora kujya ku mwana wawe kandi ishobora gutera ibimenyetso byo gukurwaho ku mvutsi nshya. Niba utwite, uteganya gusama, cyangwa konsa, ganira n'umuganga wawe ku bindi bisubizo byizewe.

Amazina y'ubwoko bwa Meperidine

Meperidine iboneka mu mazina menshi y'ubucuruzi, nubwo ifishi rusange ariyo ikoreshwa cyane uyu munsi. Izina ry'ubucuruzi rizwi cyane ni Demerol, yakoreshejwe cyane mu myaka myinshi.

Andi mazina y'ubucuruzi yakoreshejwe harimo Mepergan na Pethadol, nubwo atari menshi ubu. Amavuriro menshi abika verisiyo rusange, ifite akamaro kimwe na verisiyo z'amazina y'ubucuruzi ariko akenshi ihendutse.

Uramutse wakira meperidine rusange cyangwa verisiyo y'izina ry'ubucuruzi, umuti ukora kimwe. Umuganga wawe w'imiti ashobora kukubwira verisiyo urimo kwakira kandi agasubiza ibibazo byose bijyanye n'umuti wihariye.

Uburyo bwo gusimbuza Meperidine

Imiti myinshi yo kurwanya ububabare irashobora gukoreshwa mu mwanya wa meperidine, bitewe n'ibyo ukeneye byihariye n'ubuzima bwawe. Muganga wawe azahitamo uburyo bwiza bushingiye ku rwego rw'ububabare, amateka yawe y'ubuzima, n'ibindi bintu.

Kububabare buringaniye kugeza bukomeye, ibisubizo bishobora kuba morphine, oxycodone, hydrocodone, cyangwa tramadol. Buri muti muri iyi miti ifite imbaraga zitandukanye, igihe cyo gukora, n'ingaruka zayo.

Uburyo butari bwa opioid bushobora gukwira kubwoko bumwe bw'ububabare. Ibi bishobora kuba imiti ikomeye irwanya umubyimbire, imiti irwanya ububabare bw'imitsi nka gabapentin, cyangwa imiti ikoreshwa ku ruhu irwanya ububabare.

Ihitamo ry'ubundi buryo rishingiye ku bintu byinshi harimo ubwoko n'uburemere bw'ububabare bwawe, amateka yawe y'ubuzima, n'uburyo wakiriyeho imiti yindi mu bihe byashize. Muganga wawe azakorana nawe kugirango abone uburyo bukwiye.

Ese Meperidine iruta Morphine?

Meperidine na morphine byombi ni imiti ikora neza yo kurwanya ububabare bwa opioid, ariko bifite imiterere itandukanye ituma buri imwe ikwira mu bihe bitandukanye. Nta n'imwe iruta iyindi.

Meperidine ikora vuba kurusha morphine, akenshi mu minota 15 kugeza kuri 30, mu gihe morphine bishobora gufata iminota 30 kugeza kuri 60 kugira ngo bitange umuti. Ariko, morphine akenshi imara igihe kirekire, itanga ubufasha ku maraso mu masaha 4 kugeza kuri 6 ugereranije n'amasaha 2 kugeza kuri 4 ya meperidine.

Morphine akenshi ikoreshwa cyane mu gucunga uburibwe burambye kuko ifite umutekano kurushaho mu gihe ikoreshwa igihe kirekire. Meperidine ishobora gutera uburozi iyo ikoreshejwe kenshi, bituma itakwemerera gukoreshwa mu kuvura uburibwe burambye.

Muganga wawe azahitamo hagati y'iyi miti bitewe n'ibyo ukeneye byihariye, igihe cyitezwe cyo kuvurwa, n'imibereho yawe y'ubuzima bwite. Imiti yombi ifite akamaro iyo ikoreshejwe neza.

Ibibazo Bikunze Kubazwa Kuri Meperidine

Ese Meperidine ifite umutekano ku bantu barwaye indwara z'umutima?

Meperidine isaba kwitonda cyane ku bantu barwaye indwara z'umutima, cyane cyane abafite umutima utera nabi. Uyu muti ushobora kugira ingaruka ku mikorere y'amashanyarazi y'umutima wawe kandi bikaba bishobora gutuma indwara zimwe na zimwe z'umutima zirushaho kuba mbi.

Niba urwaye indwara y'umutima, muganga wawe azagenzura neza niba meperidine ifite umutekano kuri wowe. Bashobora guhitamo undi muti uvura uburibwe cyangwa bagakurikirana imikorere y'umutima wawe neza niba meperidine ari ngombwa.

Buri gihe menyesha muganga wawe ku ndwara zose z'umutima, harimo umutima utera nabi, guhagarara k'umutima, cyangwa amateka y'ibitero by'umutima. Iyi makuru ibafasha gufata icyemezo gifite umutekano kurusha mu gucunga uburibwe bwawe.

Nigira iki niba nanyoye meperidine nyinshi ku buryo butunguranye?

Kunywa meperidine nyinshi ni ikibazo cy'ubuzima gikeneye ubufasha bwihuse. Ibimenyetso byo kurenza urugero birimo gusinzira cyane, urujijo, guhumeka gahoro cyangwa bigoye, no gutakaza ubwenge.

Niba ucyeka ko wanyoye umuti mwinshi, hamagara serivisi zihutirwa ako kanya cyangwa ujye mu cyumba cyihutirwa cyegereye. Ntukegere kugira ngo urebe niba ibimenyetso bigenda neza, kuko kurenza urugero rwa opioid bishobora guteza akaga.

Zana icupa ry'umuti hamwe nawe mu cyumba cy'ubutabazi kugira ngo abaganga babone neza icyo wafashe n'ingano yacyo. Kuvurwa vuba na vuba bishobora gukumira ingaruka zikomeye ziterwa no kunywa umuti urenze urugero.

Nkwiriye gukora iki niba nciweho urugero rwa Meperidine?

Niba wibagiwe gufata urugero rwa meperidine, urufate uko wibukije, ariko gusa niba ukigaragaza ububabare. Kubera ko meperidine isanzwe itangwa kugira ngo igabanye ububabare uko bikwiye, ntugomba gufata urugero niba udafite ububabare.

Ntuzigere ufata urugero rurenzeho kugira ngo usimbure urugero wibagiwe. Ibi bishobora kongera ibyago byo kugira ingaruka zikomeye kandi ukanywa umuti urenze urugero. Ahubwo, komeza gahunda yawe isanzwe yo gufata imiti.

Niba utazi icyo wakora ku rugero wibagiwe, vugana na muganga wawe cyangwa umufarumasiti kugira ngo bagufashe. Bashobora gutanga amabwiriza yihariye ashingiye ku byo wandikiwe.

Nshobora guhagarika ryari gufata Meperidine?

Ubusanzwe ushobora guhagarika gufata meperidine igihe ububabare bwawe bwiyongereye bihagije ku buryo utakigomba imiti ikomeye igabanya ububabare. Kubera ko isanzwe itangwa mu gihe gito, kwishingikiriza ku mubiri birashoboka gake.

Niba umaze iminsi myinshi ufata meperidine, vugana na muganga wawe mbere yo guhagarika. Bashobora kugusaba kugabanya buhoro buhoro urugero rwawe kugira ngo wirinde ibimenyetso byo kuva mu miti, kabone niyo wakoresheje mu gihe gito.

Ntuhagarike gufata meperidine ako kanya niba warayikoreshaga buri gihe, kuko ibi bishobora gutera ibimenyetso bitari byiza byo kuva mu miti. Muganga wawe ashobora gutanga ubuyobozi ku buryo bwizewe bwo guhagarika umuti.

Nshobora gutwara imodoka nkanwa Meperidine?

Ntugomba gutwara imodoka cyangwa gukoresha imashini niba ufata meperidine. Uyu muti ushobora gutera gusinzira, kuribwa umutwe, no guhuzagurika, bishobora gutuma gutwara imodoka bigira akaga kuri wowe no ku bandi.

Izi ngaruka zirashobora kumara amasaha menshi nyuma yo gufata urugero, bityo ukabitegura. Saba abagize umuryango wawe cyangwa inshuti gufasha mu ngendo mugihe ufata uyu muti.

N'ubwo wumva umeze neza, imiti ya meperidine iracyashobora kugira ingaruka ku buryo witwara no gufata ibyemezo. Ni byiza kwirinda gutwara imodoka rwose kugeza igihe urangirije rwose imiti kandi umuti wose wavuye mu mubiri wawe.