Yini i-Levorphanol: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Levorphanol iyimithi eqinile yokwelapha ubuhlungu okumele inikezwe ngudokotela futhi ingeyeqembu lezidakamizwa elibizwa ngokuthi ama-opioids. Udokotela wakho angase akubhalele le mithi uma ubhekene nobuhlungu obukhulu obungakwazanga ukulawulwa ngamanye amakhambi obuhlungu athambile.

Le mithi isebenza ngendlela ehlukile kunamanye amakhambi obuhlungu ngoba ihlala esimisweni sakho isikhathi eside futhi ithinta izimpawu zobuhlungu ngezindlela eziningi. Ukuqonda ukuthi i-levorphanol isebenza kanjani nokuthi yini ongayilindela kungakusiza ukuyisebenzisa ngokuphepha futhi uthole ukukhululeka kobuhlungu okudingayo.

Yini i-Levorphanol?

I-Levorphanol iyimithi enamandla yokwelapha ubuhlungu ye-opioid odokotela abayibhala ngenxa yobuhlungu obukhulu, obuqhubekayo. Yilokho ochwepheshe bezokwelapha abakubiza ngokuthi i-opioid

Ngesinye isikhathi odokotela baphinda banikeze i-levorphanol ngezinhlobo ezithile zobuhlungu bemizwa ezingaphenduli kahle eminye imithi. Indlela le mithi esebenza ngayo ezindleleni ezihlukene zobuhlungu ingayenza ibe usizo ezimweni zobuhlungu obuyinkimbinkimbi.

Isebenza Kanjani I-Levorphanol?

I-Levorphanol isebenza ngokunamathela kuma-receptors akhethekile ebuchosheni bakho nasemgogodleni obizwa ngokuthi ama-opioid receptors. Uma inamathela kula ma-receptors, ivimba amasignali obuhlungu ukuthi angafiki ebuchosheni bakho, okunciphisa ukuqina kobuhlungu obuzwayo.

Okwehlukanisa i-levorphanol kwamanye ama-opioids yikhono layo lokusebenza ezinhlotsheni eziningi zama-receptors. Ayigxili endleleni eyodwa nje - ithinta izinhlelo eziningana ezihlukene emzimbeni wakho eziqhubekisa amasignali obuhlungu.

Le mithi ithathwa njengeqinile kakhulu, okusho ukuthi iqinile uma iqhathaniswa nezinye izidambisi zokucasuka. Umthamo omncane unganikeza ukukhululeka okukhulu kobuhlungu, kodwa lokhu futhi kusho ukuthi idinga ukusetshenziswa ngokuqapha okwengeziwe nokuqashwa kwezokwelapha okuseduze.

Imiphumela ye-levorphanol ingahlala noma yikuphi kusuka emahoreni angu-6 kuya kwangu-15, okungaphezu kweminye imithi eminingi ye-opioid. Lesi sikhathi eside singaba usizo ekuphatheni ubuhlungu obungapheli, kodwa futhi kusho ukuthi imithi ihlala ohlelweni lwakho isikhathi eside.

Kufanele Ngiyithathe Kanjani I-Levorphanol?

Njalo thatha i-levorphanol ngendlela udokotela wakho ayikunikeze ngayo. Le mithi iza ngesimo samaphilisi futhi kufanele igwinywe yonke ngengilazi yamanzi egcwele - ungachobozi, uhlafune, noma uqhekeze amaphilisi.

Ungathatha i-levorphanol ngaphandle kokudla, kodwa ukuyithatha nokudla kungasiza ekunciphiseni ukuphazamiseka kwesisu uma uhlangabezana nanoma yini. Abanye abantu bathola ukuthi ukuba nokudla okulula noma ukudla okulula ngaphambi kokuthatha imithi kusiza ekuvikeleni isicanucanu.

Kubalulekile ukuthatha le mithi ngezikhathi ezifanayo nsuku zonke ukuze kugcinwe ukukhululeka kobuhlungu okuqhubekayo. Setha izikhumbuzi uma kudingeka, njengoba ukulinganisa okungajwayelekile kungaholela ebuhlungwini obuqhubukayo noma ezinye izinkinga.

Ungalungisi umthamo wakho ngaphandle kokukhuluma nodokotela wakho kuqala. Ngenxa yokuthi i-levorphanol inamandla kakhulu, ngisho nezinguquko ezincane emithozweni zingaba nemiphumela emikhulu ekukhululweni kobuhlungu nemiphumela emibi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Levorphanol?

Ubude besikhathi ozothatha ngaso i-levorphanol buqondene ngokuphelele nesimo sakho sezokwelapha kanye nendlela umzimba wakho osabela ngayo emuthini. Udokotela wakho uzohlola njalo ukuthi usadinga yini leli zinga lokuphathwa kobuhlungu.

Kwabanye abantu abanezimo ezingamahlalakhona, ukusetshenziswa kwesikhathi eside kungase kudingeke ukuze kulondolozwe izinga lempilo. Abanye bangase bayisebenzise isikhathi esifushane phakathi nezikhathi ezinzima zesimo sabo.

Umhlinzeki wakho wezempilo uzofuna ukukubona njalo ngenkathi uthatha i-levorphanol ukuze ahlulele ukuthi isebenza kahle kangakanani futhi aqaphele noma yimiphi imiphumela emibi ekhathazayo. Lokhu kuhlolwa kubalulekile ekuqinisekiseni ukuthi umuthi usahlala uyisinqumo esifanele sesimo sakho.

Ungayeki ukuthatha i-levorphanol ngokuzumayo ngaphandle kwesiqondiso sezokwelapha. Ngenxa yokuthi umzimba wakho ungaqala ukuncika emithini ye-opioid, ukuyeka kungazelelwe kungabangela izimpawu zokuhoxiswa ezingakhululeki ezidinga ukuphathwa ngokucophelela.

Yiziphi Imiphumela Emibi Ye-Levorphanol?

Njengayo yonke imithi ye-opioid, i-levorphanol ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Ukuqaphela ukuthi yini okufanele uyibheke kungakusiza ukuthi ulawule noma yiziphi izinkinga eziphakamayo futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa ukozela, isiyezi, isicanucanu, nokuqunjelwa. Le miphumela ivame ukubonakala kakhulu uma uqala ukuthatha umuthi noma uma umthamo wakho ulungiswa.

Imiphumela Ejwayelekile Emibi

Nansi imiphumela emibi abantu abaningi abayitholayo lapho bethatha i-levorphanol, ikakhulukazi emasontweni ambalwa okuqala kokwelashwa:

• Ukozela noma ukuzizwa ukhathele ngokungavamile
• Isiyezi noma ukungabi namandla
• Isicanucanu noma isisu esibuhlungu
• Ukuqunjelwa
• Umlomo owomile
• Ikhanda elibuhlungu
• Ukujuluka okungaphezu kokujwayelekile
• Ukuhluleka ukulala noma izinguquko emaphethini okulala

Iningi lalezi zinkinga ezivamile zokusebenza emzimbeni zivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Kodwa-ke, ukuqunjelwa kuvame ukuqhubeka futhi kungase kudingeke ukuphathwa okuqhubekayo ngezinguquko zokudla, ukwanda kokuthatha amanzi, noma izithambisi zendle.

Imiphumela emibi engathi sína

Ngenkathi ingavamile, eminye imiphumela emibi idinga ukunakekelwa kwezokwelapha ngokushesha. Lezi zimo ezingathi sína zingaba yingozi futhi akufanele zinganakwa:

• Ukuphefumula okuhamba kancane, okungashoni, noma okunzima
• Ukozela okukhulu noma ubunzima bokuhlala uvukile
• Ukudideka noma ukulahlekelwa yizinto
• Isiyezi esikhulu noma ukuquleka
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ukushaywa yisithuthwane
• Ubuhlungu obukhulu besisu
• Izimpawu zokungezwani komzimba (ukuqubuka, ukuvuvukala, ubunzima bokuphefumula)

Uma uhlangabezana nanoma yiziphi zale miphumela emibi engathi sína, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo. Lezi zimpawu zingabonisa ukusabela okuyingozi okudinga ukwelashwa ngokushesha.

Izinkinga ezingavamile kodwa ezingathi sína

Ezimweni ezingavamile, i-levorphanol ingabangela izinkinga ezingathi sína ezidinga ukungenelela kwezokwelapha ngokushesha. Ukuqonda lezi zinto ezingenzeka kukusiza ukuthi ubone ukuthi yini engahambi kahle:

• Ukucindezeleka kokuphefumula (ukuphefumula okuhamba kancane okuyingozi)
• Umfutho wegazi ophansi kakhulu
• Ukungasebenzi kahle kwe-adrenal (amadlala akho e-adrenal ayeka ukusebenza kahle)
• I-serotonin syndrome (uma ihlanganiswe neminye imithi ethile)
• Izimpawu ezimbi zokuhoxiswa uma zimisiwe ngokuzumayo

Lezi zinkinga azivamile kodwa zingaba yingozi ekuphileni. Udokotela wakho uzokuqapha ngokucophelela ukuze anciphise lezi zingozi, ikakhulukazi lapho uqala umuthi noma ulungisa imithamo.

Obani okungafanele bathathe i-Levorphanol?

Abanye abantu kufanele bagweme i-levorphanol ngenxa yengozi eyengeziwe yezinkinga ezingathi sína. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Abantu abanezinkinga ezinkulu zokuphefumula, njenge-asthma enkulu noma isifo sokuphefumula esingamahlalakhona (COPD), ngokuvamile akufanele bathathe i-levorphanol. Umuthi unganciphisa ukuphefumula ngisho nangokwengeziwe, okungaba yingozi.

Uma unomlando wokusebenzisa izidakamizwa noma ukulutheka, udokotela wakho uzodinga ukulinganisa izinzuzo nezingozi ngokucophelela kakhulu. I-Levorphanol inamathuba amaningi okulutheka nokusetshenziswa kabi.

Izimo Zezokwelapha Ezingase Zivimbele Ukusetshenziswa

Izimo eziningana zezokwelapha zingenza i-levorphanol ingaphephile noma zidinge izinyathelo zokuphepha ezikhethekile. Umhlinzeki wakho wezempilo uzocabangela lezi zinto lapho enquma ukuthi lo muthi ukufanele yini:

• I-asthma enkulu noma ezinye izinkinga ezinkulu zokuphefumula
• Isifo esibi sesibindi noma sezinso
• Ukwelashwa ekhanda noma ukwanda kwengcindezi ebuchosheni
• Umfutho wegazi ophansi kakhulu
• Ukuvaleka kwesisu noma amathumbu
• Umlando wokusebenzisa izidakamizwa noma ukulutheka
• Ezinye izinkinga zesigqi senhliziyo
• Ukucindezeleka okukhulu noma imicabango yokuzibulala

Ukuba nenye yalezi zimo akusho ngokuzenzakalelayo ukuthi awukwazi ukuthatha i-levorphanol, kodwa kusho ukuthi udokotela wakho uzodinga ukukuqapha ngokucophelela futhi mhlawumbe ashintshe uhlelo lwakho lokwelashwa.

Ukuxhumana Kwemithi

I-Levorphanol ingaxhumana ngendlela eyingozi neminye imithi eminingi, ngezinye izikhathi ibangela izinkinga ezisongela impilo. Kubalulekile ukutshela udokotela wakho ngayo yonke imithi, izithasiselo, kanye nemithi yezitshalo oyithathayo.

Inhlanganisela eyingozi ikakhulukazi ihlanganisa ezinye izidakamizwa ze-opioids, ama-sedatives, ama-antidepressants athile, notshwala. Lezi zinhlanganisela zingabangela izinkinga ezinkulu zokuphefumula, ukozela okukhulu, noma eminye imiphumela emibi.

Amagama Omkhiqizo we-Levorphanol

I-Levorphanol itholakala ngaphansi kwegama lomkhiqizo elithi Levo-Dromoran, nakuba itholakala futhi njengomuthi ojwayelekile. Inguqulo ejwayelekile iqukethe isithako esifanayo esisebenzayo futhi isebenza ngendlela efanayo nenguqulo yegama lomkhiqizo.

Noma ngabe uthola inguqulo yegama lomkhiqizo noma ejwayelekile ngokuvamile kuncike ekuhlinzekweni komshuwalense wakho nokutholakala kwemithi ekhemisi. Zombili lezi zinhlobo zisebenza kahle ngokulinganayo ekuphathweni kobuhlungu.

Uma ubuthatha inguqulo eyodwa futhi ikhemisi lakho lishintshela kwenye, ungakhathazeki - umuthi uqobo uhlala unjalo. Kodwa-ke, njalo hlola kabili nomkhemisi wakho uma ubona noma yikuphi ukungafani ekubukekeni.

Ezinye izindlela ze-Levorphanol

Uma i-levorphanol ingakulungele noma inganikezi ukukhululeka okwanele kobuhlungu, imithi eminingi enye ingacutshungulwa. Udokotela wakho uzokhetha ngokuya ngohlobo oluthile lobuhlungu bakho nomlando wezokwelapha.

Ezinye izidakamizwa ezisebenza isikhathi eside ezinjenge-morphine, i-oxycodone, noma iziqeshana ze-fentanyl zingaba ezinye izinketho. Ngayinye inamandla ahlukene nobude besenzo, ngakho-ke udokotela wakho uzokhetha ngokuya ngezidingo zakho.

Ngezinhlobo ezithile zobuhlungu, imithi engeyona i-opioid efana ne-gabapentin, i-pregabalin, noma ama-antidepressants athile ingasebenza. Lezi ezinye izindlela zingaba usizo ikakhulukazi ngobuhlungu bemizwa.

Ngezinye izikhathi indlela yokuhlanganisa isebenza kahle, kusetshenziswa izinhlobo ezahlukene zemithi yobuhlungu ndawonye ukuqondisa ubuhlungu obusuka ezingxenyeni eziningi ngenkathi kungenzeka ukuthi kunciphisa isidingo semithamo ephezulu yanoma yimuphi umuthi owodwa.

Ingabe i-Levorphanol ingcono kune-Morphine?

I-Levorphanol ne-morphine yomibili imithi yobuhlungu ye-opioid esebenzayo, kodwa isebenza ngendlela ehlukile emzimbeni wakho. Akukho noyedwa

I-Levorphanol ivame ukuhlala isikhathi eside emzimbeni wakho kune-morphine, okungasho ukuthi imithamo embalwa ngosuku kwabanye abantu. Lesi sikhathi eside singaba usizo ekuphatheni ubuhlungu obungapheli, kodwa futhi kusho ukuthi umuthi uhlala emzimbeni wakho isikhathi eside.

Abanye abantu bathola ukuthi i-levorphanol isebenza kangcono ezinhlotsheni ezithile zobuhlungu, ikakhulukazi ubuhlungu bemizwa, ngenxa yendlela ethinta ngayo izindlela eziningi zobuhlungu. Abanye basabela kangcono emsebenzini we-morphine olula.

Udokotela wakho uzocabangela izinto ezinjengohlobo lobuhlungu bakho, eminye imithi oyithathayo, nanoma yimaphi imiphumela emibi oyithole ngamanye ama-opioids lapho enquma phakathi kwale mithi.

Imibuzo Evame Ukubuzwa Mayelana ne-Levorphanol

Q1. Ingabe i-Levorphanol iphephile ezigulini ezigugile?

Iziguli ezigugile zingathatha i-levorphanol, kodwa ngokuvamile zidinga imithamo ephansi nokuqapha okuseduze. Njengoba sikhula, imizimba yethu icubungula imithi kancane, okusho ukuthi imiphumela ingaba namandla futhi ihlale isikhathi eside.

Abantu abadala nabo bazwela kakhulu emiphumeleni emibi efana nobuthongo, ukudideka, nokuwa. Udokotela wakho cishe uzoqala ngomthamo ophansi futhi alungise kancane kancane ukuze athole ukulinganisela okulungile phakathi kokukhululeka kobuhlungu nokuphepha.

Ukuvakashelwa njalo nomhlinzeki wakho wezempilo kubaluleke kakhulu ezigulini ezigugile ezithatha i-levorphanol ukuze kuqinisekiswe ukuthi umuthi uhlala uphephile futhi usebenza kahle.

Q2. Kufanele ngenzeni uma ngithatha i-Levorphanol eningi ngengozi?

Uma ngengozi uthatha i-levorphanol eningi kunaleyo ebekiwe, funa usizo lwezokwelapha ngokushesha noma shayela izinsiza eziphuthumayo. Ukweqisa kulo muthi kungaba yingozi ekuphileni futhi kudinga ukwelashwa ngokushesha.

Izimpawu zokweqisa zihlanganisa ukozela okukhulu, ukuphefumula okuhamba kancane noma okunzima, izindebe eziluhlaza noma izinzipho, isikhumba esibandayo nesimanzi, nokulahlekelwa ukwazi. Ungalindi ukubona ukuthi izimpawu ziyavela - thola usizo ngokushesha.

Ungazami ukuzenza uhlanze noma uthathe eminye imithi ukuze ulwe nokweqisa komuthi. Ochwepheshe bezokwelapha banemithi ethile yokwelapha ukweqisa kwe-opioid okungasindisa impilo uma kunikezwa ngokushesha.

Q3. Kufanele Ngenzeni Uma Ngeqe Umthamo We-Levorphanol?

Uma weqa umthamo we-levorphanol, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo oweqiwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo oweqiwe. Lokhu kungaholela emazingeni ayingozi emithi emzimbeni wakho futhi kwandise ingozi yemiphumela emibi engathi sína.

Uma uvame ukukhohlwa imithamo, cabangela ukusetha ama-alamu noma usebenzise umhleli wamaphilisi ukukusiza ukuthi ugcine ishejuli eqhubekayo. Isikhathi esiqhubekayo sibalulekile ekuphatheni ubuhlungu obungapheli ngempumelelo.

Q4. Ngingayeka Nini Ukuthatha I-Levorphanol?

Kufanele uyeke kuphela ukuthatha i-levorphanol ngaphansi kwesiqondiso sikadokotela wakho. Ngenxa yokuthi umzimba wakho ungancika emithini ye-opioid, ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa ezingakhululekile.

Udkt wakho ngokuvamile uzokwenza ishejuli yokunciphisa, anciphise kancane umthamo wakho emasontweni amaningana noma izinyanga. Le ndlela isiza ukunciphisa izimpawu zokuhoxisa futhi ivumela umzimba wakho ukuthi ulungise kancane.

Isinqumo sokuyeka i-levorphanol kufanele sisekelwe emazingeni akho obuhlungu, impilo yonke, kanye nemigomo yokwelapha. Umhlinzeki wakho wezempilo uzokusiza ukuthi unqume isikhathi esifanele nendlela yokuyeka umuthi.

Q5. Ngingashayela Ngenkathi Ngithatha I-Levorphanol?

Akufanele ushayele noma usebenzise imishini esindayo lapho uqala ukuthatha i-levorphanol noma ngemva kokushintshwa komthamo. Lo muthi ungabangela ukozela, isiyezi, kanye nezikhathi zokuphendula ezihamba kancane ezenza ukushayela kube yingozi.

Uma usuthatha umthamo ozinzile isikhashana futhi wazi ukuthi imithi ikuthinta kanjani, udokotela wakho angase akuvumele ukuthi ushayele. Nokho, akufanele ushayele uma uzizwa ukozela, unesiyezi, noma ukhubazekile nganoma iyiphi indlela.

Njalo qaphela futhi uhlele ezinye izindlela zokuhamba uma unokungabaza ngobuchule bakho bokushayela ngokuphepha ngenkathi usebenzisa lo muthi.