Chikonzero nei Mishonga Isiri Iyo Yakanakisisa Sarudzo Yekutambudzika Kwemarwadzo
Dhemerol (meperidine) inonyangadza, kana opioid, mishonga inorwadza iyo yave iripo kwenguva refu. Yakamboshandiswa nguva dzose muzvirongwa zvechipatara kuratidzira kurwara kunononoka kusvika kune dzimwe nguva uye ichiri dzimwe nguva inoshandiswa mberi kana panguva yekuvhiya nzira yekuvandudza migumisiro yeaneshesia.
Zvisinei, nguva yeDhemer's pain-relieving effect inopfupika kune dzimwe nyanzvi, uye kugadzirwa kwayo kweetabolite inotyisa kunoita kuti ive mishonga yakaderera yekudzivirira kurwadziwa.
Demerol anewo rwendo rukuru rwekubatana kunogona kutyisa nemimwe mishonga. Nokuda kwezvikonzero izvi, Demerol ikozvino inowanzoshandiswa kurapa marwadzo.
Dhiyabhorosi Anoshanda Sei?
Kutambura kunoderedza nzvimbo yeDhemerol yakasiyana nemimwe mishonga, yakadai se morphine nokuti, panzvimbo pokuchengetedza mitsipa pakuguma kwekutumira mharidzo dzemarwadzo kuuropi, Demerol anoshanda pane imwe nheyo yenheyo, inonyengedza uropi kuburikidza nechinzvimbo chekunzwa kurwadziwa ne "kumusoro." Varwere vanopiwa Dhemerol nekuda kwekutambudzika vanongonzwa maitiro euphoric emishonga panzvimbo pemarwadzo avo.
Sei Demerolori Yakawira Mukusafarirwa?
Zvipatara uye makiriniki ekurapa haashandisi Demerol kakawanda sezvavakashandura nekuda kwekuchengetedzwa kwezvinhu: Demerol inogona kuva inotyisa kana mizinga yakanyanya kushandiswa, uye ine nguva yakareba yemigumisiro inosanganisira:
- Kuora mwoyo kupera (kunonoka kufema)
- Utsivi, hutema
- Chiratidzo chakasvibiswa
- Low blood pressure
- Kuvhunduka kana kugumburwa
- Rapid moyo yevhiri kana kusagadzikana kwepfungwa
- Nausea uye kurutsa
Dhemerol inonyanya kuvhiringidza kune vamwe vanhu uye ine mikana yakawanda yekubatana nemimwe mishonga.
Kushandiswa Kwemazuva Ano kweDhemerol
Dhemerol haibvumirwi kushandiswa kwenguva pfupi kana kurapa kurwadziwa kwakanyanya.
IAmerican Pain Society uye Institute for Safe Safe Medicine Practice (ISMP) hazvikurudzire kushandisa kwaDhemer sekurwadziwa-kununura mishonga. Kana iyo inofanirwa kushandiswa kurapa kurwadziwa kwakanyanya, inofanira kungoshandiswa kwemaawa akawanda emaawa 48 uye haifaniri kupiwa kune varwere vane hono kana zvirwere zvepfungwa. Dhemerol haifaniri kushandiswa kwenguva yakareba kurapa kurwadziwa kusingaperi uye haisisiri kushandiswa mukuchengetedza kurapa kana kugadzirisa zvirwere kana.
Kupi uye Nepo Madhemoni Anoshandiswa Nhasi
Dhemerol inogona kushandiswa muchipatara kana kunze kwekugadzirisa varwere vanotarisana neanesthesia. Iyo ichiri kushandiswa nguva dzose nemimwe mishonga kuitira kuti iite sedation kune varwere vanoita zvirongwa zvakadai sekolonoscopy kana endoscopy.
Kana iwe kana mudiwa wako wakambove neDhemer anorayirwa iwe nachiremba kurapa marwadzo, ndinokukurudzira kuti utaure nachiremba wako pamusoro pezvimwe zvinogona kusarudzwa. Kune mamwe mishonga inogona kuva yakakosha mukurapa marwadzo, uye zvishoma nezvigumisiro.
Kuverenga Zvakare
Dhemerol (meperidine) inorwadza zvinorwadza zvinorwadza zvinenge zvisingafadzi mumakore achangopfuura. Munguva yakapfuura, Demerol yakashandiswa pamamiriro ezvinhu akasiyana-siyana anorwadza, kusanganisira kurwadziwa mushure mekuvhiyiwa. Mumakore achangobva kupfuura, mishonga yekurwadziwa yakanyanya kuregererwa semishonga yakachengeteka, yakadai se morphine, Dilaudid, uye Fentanyl yakave yakanyanya kunyorwa.
Sources:
Hanks, G, Cherry, NI, Fulton, M. Opioid Analgesic Therapy. Muna: Doyle, D, Hanks, G, Cherry, NI., Et al. Oxford Textbook of Palliative Medicine . 3rd Edition. New York: Oxford University Press. 2004: 316-341
UpToDate.com "Meperidine: Information Information"