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

I-Oxymorphone iyimithi eqinile yokwelapha ubuhlungu okudingeka ukuthi itholwe ngudokotela, eyisigaba semithi ebizwa ngokuthi ama-opioids. Udokotela wakho angase akunike le mithi uma ubhekene nobuhlungu obukhulu obungakwazi ukulawulwa ngamanye amakhambi okwelapha ubuhlungu angasebenzi kahle. Cabanga ngayo njengenye yezinto ezinamandla kakhulu ekhithini yamathuluzi kadokotela wakho yokulawula izimo zobuhlungu obukhulu.

Yini i-Oxymorphone?

I-Oxymorphone iyimithi enamandla yokwelapha ubuhlungu ye-opioid esebenza ngqo ebuchosheni bakho nasohlelweni lwakho lwezinzwa ukunciphisa ubuhlungu obuzwayo. Inamandla kakhulu kunezinhlobo eziningi zemithi yokwelapha ubuhlungu ongase uyijwayele, okuhlanganisa i-morphine. Le mithi itholakala kuphela ngemvume kadokotela futhi iza ngesimo samaphilisi akhishwa ngokushesha nawakhishwa isikhathi eside.

Le mithi ihlobene ngamakhemikhali ne-morphine kodwa ishintshiwe ukuze ibe namandla kakhulu. Ngenxa yamandla ayo, odokotela ngokuvamile bagcina i-oxymorphone ezigulini ezidinga ukulawulwa kobuhlungu okungapheli futhi ezizame eminye imithi yokwelapha ubuhlungu ngaphandle kwempumelelo. Akuyona into udokotela wakho angayibhala ngayo ngezinhlungu ezincane zekhanda noma ukulimala okuncane.

Isetshenziselwani i-Oxymorphone?

Odokotela babhala i-oxymorphone ngezinhlungu ezinzima ezidinga ukulawulwa kobuhlungu okuqinile, okuqhubekayo. Lokhu ngokuvamile kuhlanganisa izimo lapho ubuhlungu bakho bunamandla kangangokuthi imithi ebuthakathaka ayinikezi ukukhululeka. Le mithi ivame ukusetshenziswa ngezinhlungu ezihlobene nomdlavuza, ukulimala okukhulu, noma ubuhlungu ngemva kokuhlinzwa okukhulu.

Udokotela wakho angase futhi acabangele le mithi uma ubhekene nezimo zobuhlungu ezingapheli ezingazange ziphendule kahle kwezinye izindlela zokwelapha. Kodwa-ke, ngenxa yamandla ayo kanye nokwenzeka kokuncika, ngokuvamile akuyona inketho yokuqala yokulawulwa kobuhlungu. Esikhundleni salokho, igcinelwe izimo lapho izinzuzo zicacile ukwedlula izingozi.

Ifomu elikhishwe isikhathi eside lenzelwe ngqo abantu abadinga ukukhululeka kobuhlungu okuqhubekayo usuku lonke. Uhlobo olukhishwe ngokushesha ngokuvamile lusetshenziselwa ubuhlungu obuqhamukayo noma uma udinga ukukhululeka okusheshayo ezigamekweni zobuhlungu obukhulu.

Isebenza Kanjani I-Oxymorphone?

I-Oxymorphone isebenza ngokunamathela kuma-receptors athile ebuchosheni bakho nasemgogodleni okuthiwa ama-opioid receptors. Lapho umuthi unamathisela kula ma-receptors, uvimba izimpawu zobuhlungu ezingafinyeleli ebuchosheni bakho futhi ushintsha indlela ubuchopho bakho obuqonda ngayo ubuhlungu. Le nqubo yenzeka ngokushesha, yingakho ungase uzwe ukukhululeka kungakapheli imizuzu engama-30 kuya kwengama-60 ngemva kokuthatha umuthi.

Lokhu kuthathwa njengomuthi onamandla kakhulu emndenini we-opioid. Ukuze ubeke lokhu ngombono, i-oxymorphone icishe ibe namandla aphindwe kathathu kune-morphine uma ithathwa ngomlomo. Lokhu kusho ukuthi ngisho nemithamo emincane ingahlinzeka ngokukhululeka okukhulu kobuhlungu, kodwa futhi kusho ukuthi umuthi udinga ukuqashwa ngokucophelela kanye nokulinganisa okunembile.

Umuthi awulaphi noma ulungise umthombo wobuhlungu bakho. Kunalokho, ushintsha indlela uhlelo lwakho lwezinzwa olucubungula ngayo izimpawu zobuhlungu, okwenza ubuhlungu buphatheke kakhulu. Yingakho ngokuvamile isetshenziswa njengengxenye yohlelo olubanzi lokuphatha ubuhlungu kunokuba kube yisixazululo esizimele.

Kufanele Ngiyithathe Kanjani I-Oxymorphone?

Njalo thatha i-oxymorphone ngendlela udokotela wakho ayikuyale ngayo, ngaphandle kokushintsha umthamo noma isikhathi ngokwakho. Umuthi kufanele uthathwe esiswini esingenalutho, okungenani ihora elilodwa ngaphambi noma amahora amabili ngemva kokudla. Ukudla kungayithinta kakhulu indlela umzimba wakho owamunca ngayo umuthi, okungenzeka ukuthi kuwenza ungasebenzi kahle noma kubangele imiphumela engabikezelwa.

Gwinya amaphilisi wonke ngengilazi yamanzi egcwele. Ungalokothi uchoboze, uhlafune, noma uqhekeze amaphilisi, ikakhulukazi uhlobo olukhishwa isikhathi eside. Ukuqhekeza lawa maphilisi kungakhipha yonke imithi ngesikhathi esisodwa, okungaba yingozi futhi kungase kubeke impilo engozini. Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho mayelana nezinye izinketho esikhundleni sokuzama ukuguqula amaphilisi ngokwakho.

Thatha imithi yakho ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho. Uma uthatha uhlobo olukhishwa isikhathi eside, lokhu kusiza ukuqinisekisa ukukhululeka kobuhlungu okuqhubekayo usuku lonke. Setha izikhumbuzi ocingweni lwakho noma usebenzise umhleli wamaphilisi ukukusiza ukuthi ukhumbule, njengoba isikhathi esiqhubekayo sibalulekile ekusebenzeni nasekuvikelekeni.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Oxymorphone?

Ubude besikhathi ozothatha ngaso i-oxymorphone buqondene ngokuphelele nesimo sakho sobuhlungu kanye nendlela umzimba wakho osabela ngayo ekwelashweni. Udokotela wakho uzohlola njalo ukuthi usayidinga yini imithi nokuthi iseyona yini inketho engcono kakhulu yokuphatha ubuhlungu bakho. Lokhu akuyona imithi ongayithatha unomphela ngaphandle kokuqapha ngokucophelela.

Ezimweni zobuhlungu obukhulu, njengokululama ngemuva kokuhlinzwa, ungase udinge i-oxymorphone izinsuku ezimbalwa kuya emavikini ambalwa kuphela. Ezimweni zobuhlungu obungapheli, umugqa wesikhathi ungaba mude, kodwa udokotela wakho uzofuna ukuhlola kabusha uhlelo lwakho lokwelashwa njalo. Bazobheka ukuthi imithi ilawula kahle kangakanani ubuhlungu bakho, noma yiziphi izifo ezingezinhle ozibonayo, nokuthi ngabe isimo sakho sobuhlungu sishintshile yini.

Ungayeki ukuthatha i-oxymorphone ngokuzumayo uma ubuthatha izinsuku ezingaphezu kwezimbili. Udokotela wakho uzodinga ukunciphisa kancane kancane umthamo wakho ukuze avimbele izimpawu zokuhoxiswa. Le nqubo, ebizwa ngokuthi ukunciphisa, ivumela umzimba wakho ukuthi uzivumelanise kancane kancane futhi ngokuphephile nokusebenza ngaphandle kwemithi.

Yiziphi Izifo Ezingezinhle Ze-Oxymorphone?

Njengazo zonke izidakamizwa ezinamandla, i-oxymorphone ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo. Imiphumela eminingi emibi iyaphathwa futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa:

• Isicanucanu nokuhlanza, ikakhulukazi uma uqala ukuthatha umuthi
• Ukozela noma ukuzizwa ukhathele ngokungavamile emini
• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma
• Ukuqunjelwa, okungase kuqhubeke futhi kungadinga ukwelashwa okwengeziwe
• Ikhanda elibuhlungu elizizwa lihlukile ekhanda lakho elivamile
• Umlomo owomile ongathuthuki ngokuphuza amanzi
• Ukujuluka okuningi kunokujwayelekile, ngisho nalapho ungafudumele

Le miphumela emibi evamile ivame ukuba ngaphansi kokuphazamisa njengoba umzimba wakho ujwayela umuthi. Nokho, kufanele uxoxe ngayo nodokotela wakho, ikakhulukazi uma iphazamisa imisebenzi yakho yansuku zonke.

Kukhona nemiphumela emibi engathi sína edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukukwazi:

• Izinkinga zokuphefumula ezinzima noma ukuphefumula okuhamba kancane ngokungavamile
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukudideka okukhulu noma ukucabanga
• Ukozela okukhulu lapho ungeke ukwazi ukuhlala uvukile
• Ubuhlungu besisu obukhulu noma ukuhlanza okuqhubekayo
• Izimpawu zokungezwani komzimba nezinto ezithile njengokuqubuka, ukuvuvukala, noma ubunzima bokuphefumula

Uma uhlangabezana nanoma iyiphi yale miphumela emibi engathi sína, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo. Lezi zimpawu zingabonisa ukuthi umuthi awukulungele noma ukuthi umthamo wakho udinga ukulungiswa.

Ubani Ongafanele Athatha I-Oxymorphone?

I-Oxymorphone ayiphephile kuwo wonke umuntu, futhi kunezimo eziningi ezibalulekile lapho le mithi kufanele igwenywe ngokuphelele. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha kanye nesimo sakho sempilo samanje ngaphambi kokukuyalela le mithi. Ukuqonda iqiniso mayelana nezimo zakho zempilo neminye imithi kubalulekile ekuphepheni kwakho.

Akufanele uthathe i-oxymorphone uma unezinkinga ezinkulu zokuphefumula, okuhlanganisa isifuba esikhulu noma ezinye izimo zokuphefumula ezenza kube nzima ukuphefumula. Imithi inganciphisa ukuphefumula kwakho nakakhulu, okungaba yingozi. Ngokufanayo, uma unokuvaleka esiswini sakho noma emathunjini, le mithi ingenza le nkinga ibe yimbi kakhulu.

Abantu abanezimo ezithile zenhliziyo, ikakhulukazi lezo ezithinta isigqi senhliziyo, kungenzeka bangabi ngabantu abafanelekayo i-oxymorphone. Uma unesifo esibi sesibindi noma sezinso, umzimba wakho kungenzeka ungakwazi ukucubungula imithi ngendlela efanele, okuholela ekwakhekeni okuyingozi ohlelweni lwakho. Udokotela wakho uzodinga ukwazi nganoma yimuphi umlando wokusebenzisa izidakamizwa, njengoba ama-opioids ethwele ingozi yokuncika nokulutheka.

Ukukhulelwa nokuncelisa ngamabele kudinga ukucatshangelwa okukhethekile. I-Oxymorphone ingadlulela enganeni yakho futhi ingase ibangele izinkinga ezinkulu, okuhlanganisa izimpawu zokuhoxisa ezinganeni ezisanda kuzalwa. Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, xoxa ngezinketho zokulawula ubuhlungu nodokotela wakho.

Amagama Omkhiqizo we-Oxymorphone

I-Oxymorphone itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Opana iyona eyaziwa kakhulu. Kodwa-ke, kubalulekile ukuqaphela ukuthi ifomu elikhishwe isikhathi eside (Opana ER) lasuswa ngokuzithandela emakethe ngumenzi ngo-2017 ngenxa yokukhathazeka ngokuphepha. Njengamanje, amaphilisi e-oxymorphone akhishwe ngokushesha asatholakala ngaphansi kwamagama ahlukahlukene omkhiqizo kanye nezinhlobo ezivamile.

Amanye amagama omkhiqizo ongahlangana nawo ahlanganisa i-Opana (ukukhishwa ngokushesha kuphela) kanye nezinhlobo ezahlukahlukene ze-generic. Ikhemisi lakho lingase libe nezinhlobo ezahlukene zabakhiqizi bomuthi we-generic, okudingeka bonke ukuthi bahlangabezane namazinga afanayo okuphepha nokusebenza njengezinhlobo ezinamagama omkhiqizo.

Njalo hlola nomuthi wakho uma uqaphela ukuthi amaphilisi akho abukeka ehlukile kulokho ojwayele ukukubona. Ngezinye izikhathi amakhemisi ashintsha phakathi kwabakhiqizi abahlukene be-generic, futhi ngenkathi umuthi ufana, ukubukeka kungashintsha. Lokhu kuvamile, kodwa kuhle njalo ukucela ukucaciselwa.

Ezinye izindlela ze-Oxymorphone

Uma i-oxymorphone ingakulungele noma uma uhlangabezana nemiphumela engemihle, ziningi ezinye izindlela zokuphatha ubuhlungu udokotela wakho angazicabangela. Enye indlela engcono kakhulu incike ohlotsheni lwakho oluthile lobuhlungu, umlando wakho wezokwelapha, nokuthi usabele kanjani kwezinye izindlela zokwelapha esikhathini esidlule.

Eminye imithi enamandla ye-opioid engase icatshangelwe ihlanganisa i-morphine, i-oxycodone, i-hydromorphone, noma iziqeshana ze-fentanyl zobuhlungu obukhulu. Ngayinye yalezi inamandla ahlukene nezici, ngakho udokotela wakho angasiza ekunqumeni ukuthi yini engasebenza kangcono esimweni sakho. Abanye abantu basabela kangcono ku-opioid eyodwa kunenye, yize bonke besemndenini ofanayo womuthi.

Ezinye izindlela ezingezona ze-opioid zingahlanganisa imithi efana ne-gabapentin yobuhlungu bemizwa, ama-NSAID amaningi obuhlungu obuvuvukalayo, noma imithi emisha efana ne-tramadol esebenza ngendlela ehlukile kuma-opioids endabuko. Udokotela wakho angase futhi asikisele izindlela ezingezona zokwelapha ezifana ne-physical therapy, ama-nerve blocks, noma ezinye izindlela zokuphatha ubuhlungu.

Kwabanye abantu, indlela yokuhlanganisa isebenza kangcono. Lokhu kungahlanganisa umthamo ophansi womuthi we-opioid ohlanganiswe namanye amaqhinga okuphatha ubuhlungu. Umgomo uhlala ukuthola ukukhululeka kobuhlungu obusebenzayo kakhulu ngemiphumela emincane kakhulu futhi enengozi ephansi yokuncika.

Ingabe i-Oxymorphone Ingcono Kune-Morphine?

Noma ngabe i-oxymorphone 'ingcono' kune-morphine kuncike esimweni sakho somuntu ngamunye nokuthi umzimba wakho usabela kanjani emithini ngamunye. I-Oxymorphone inamandla kune-morphine, okusho ukuthi udinga imithamo emincane ukuze uzuze izinga elifanayo lokukhululeka kobuhlungu. Lokhu kungaba yinzuzo uma uzwela emiphumeleni engemihle ehambisana nemithamo emikhulu yemithi.

Abanye abantu bathola ukuthi i-oxymorphone inikeza ukukhululeka kobuhlungu okuqhubekayo ngokuqhubeka nezikhathi ezimbalwa zobuhlungu obuqhubukayo. Abanye bangase babe nemiphumela emibi embalwa nge-oxymorphone uma iqhathaniswa ne-morphine, ikakhulukazi ukungabi nandaba noma ukozela okuncane. Kodwa-ke, lokhu kuyahlukahluka kakhulu kumuntu ngamunye, futhi okusebenza kangcono kumuntu oyedwa kungase kungasebenzi kahle komunye.

Ukukhetha phakathi kwale mithi kuvame ukwehla ezintweni ezingokoqobo njengobunzima bakho bezinhlungu, ezinye izimo zezokwelapha, ukusebenzisana okungenzeka kwemithi, nomlando wakho ngeminye imithi ye-opioid. Udokotela wakho uzocabangela zonke lezi zinto lapho enquma ukuthi iyiphi imithi efaneleka kakhulu esimweni sakho esithile.

Kufanelekile ukuqaphela ukuthi zombili le mithi inezingozi ezifanayo zokuncika nemiphumela emibi, ngakho-ke isinqumo ngokuvamile asisekelwe ekuhlukeni kokuphepha kodwa kunalokho ekusebenzeni nasekutholakaleni kwezidingo zakho ezithile.

Imibuzo Evame Ukubuzwa Nge-Oxymorphone

Ingabe i-Oxymorphone Iphephile Kubantu Abanezifo Zezinso?

I-Oxymorphone ingasetshenziswa kubantu abanezifo zezinso, kodwa idinga ukuqapha ngokucophelela futhi kaningi ukulungiswa komthamo. Izinso zakho zisiza ukucubungula nokususa imithi emzimbeni wakho, ngakho-ke uma zingasebenzi ngokugcwele, imithi ingakha emazingeni ayingozi. Udokotela wakho cishe uzoqala ngomthamo ophansi futhi aqaphele impendulo yakho ngokucophelela.

Uma unesifo esibi sezinso, udokotela wakho angase akhethe umuthi wezinhlungu ohlukile okulula ngawo umzimba wakho ukuwusingatha. Bazofuna futhi ukuqapha ukusebenza kwezinso zakho njalo ngenkathi uthatha i-oxymorphone ukuqinisekisa ukuthi umuthi awubangeli ukucindezeleka okwengeziwe ezinso zakho.

Kufanele ngenzeni uma ngithatha i-Oxymorphone eningi ngengozi?

Uma ngengozi uthatha i-oxymorphone eningi kunaleyo ebekiwe, xhumana nezinsizakalo eziphuthumayo zezokwelapha ngokushesha noma shayela isikhungo sakho sendawo sokulawula ubuthi. Ukuthatha i-oxymorphone eningi kunganciphisa ukuphefumula kwakho kube amazinga ayingozi futhi kungaba yingozi empilweni. Ungalindi ukubona ukuthi uzizwa ulungile, njengoba izimpawu ezinzima zingase zingaveli ngokushesha.

Ngenkathi ulinde usizo lwezokwelapha, zama ukuhlala uqaphele futhi uqaphele. Uma kungenzeka, yiba nomuntu ozohlala nawe ongakwazi ukuqapha ukuphefumula kwakho nokuqwashisa kwakho. Letha ibhodlela lomuthi nawe esibhedlela ukuze abahlinzeki bezempilo bazi kahle ukuthi uthatheni ini nokuthi kungakanani.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Oxymorphone?

Uma uphuthelwa umthamo we-oxymorphone, yithathe ngokushesha lapho ukhumbula, kodwa kuphela uma ingasondeli ngesikhathi somthamo wakho olandelayo ohleliwe. Uma sekuyisikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungaba yingozi.

Kumaphilisi akhishwe isikhathi eside, isikhathi sibaluleke kakhulu ekugcineni ukukhululeka kwezinhlungu okuqhubekayo. Uma uvame ukukhohlwa imithamo, cabangela ukusetha ama-alamu ocingo noma ukusebenzisa umhleli wamaphilisi ukukusiza ukuthi ukhumbule. Ukulinganisa okuqhubekayo kusiza ukugcina amazinga aqinile omuthi ohlelweni lwakho.

Ngingayeka nini ukuthatha i-Oxymorphone?

Kufanele uyeke kuphela ukuthatha i-oxymorphone ngaphansi kwesiqondiso sikadokotela wakho, ngisho noma uzizwa ungcono. Uma ubuthatha umuthi isikhathi esingaphezu kwezinsuku ezimbalwa, ukuwuyeka kungazelelwe kungadala izimpawu zokuhoxisa njengokucasuka, ukujuluka, ukukhathazeka, nobuhlungu obandayo. Udokotela wakho uzokwenza isimiso sokunciphisa esinciphisa kancane kancane umthamo wakho ngokuhamba kwesikhathi.

Isinqumo sokuyeka i-oxymorphone sincike ezintweni eziningana, okuhlanganisa ukuthi isimo sakho sobuhlungu esingaphansi kwempilo silulama kangakanani, ukuthi ngabe uthole izindlela zokulawula ubuhlungu ezingenye ezisebenzayo, nokuthi ukubekezelela kanjani umuthi. Udokotela wakho uzosebenza nawe ukunquma isikhathi esifanele nendlela yokuyeka umuthi ngokuphepha.

Ngingashayela Ngenkathi Ngithatha i-Oxymorphone?

Akufanele ushayele noma usebenzise imishini ngenkathi uthatha i-oxymorphone, ikakhulukazi uma uqala umuthi noma uma umthamo wakho ushintshiwe. Umuthi ungadala ukozela, isiyezi, nezikhathi zokuphendula ezihamba kancane, ezingaphazamisa ikhono lakho lokushayela ngokuphepha. Le miphumela ingaba engabikezeleki futhi ingenzeka ngisho noma uzizwa uqaphile.

Abanye abantu bangase bakwazi ukushayela ngemva kokuba sebethathe umthamo ozinzile isikhashana futhi udokotela wabo enquma ukuthi kuphephile. Kodwa-ke, lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngesiqondiso somhlinzeki wakho wokunakekelwa kwezempilo. Khumbula ukuthi ukushayela ngenkathi uphazanyiswe imithi kungaba nemiphumela engokomthetho ngaphezu kwezingozi zokuphepha.