Izvo zvaunoda kuziva pamusoro pekurapa-kununura mishonga
Pamishonga yose inoshandiswa kurapa kurwadziwa, morphine sulfate ingangodaro isina kunyatsonzwisiswa uye yakanyanya kutya. Kazhinji inoshandiswa mukurapa uye kuchengetedza kurapa kurapa varwere vari pedyo nekuguma kwehupenyu hwavo, ino ino inotsanangura kuti sei uye sei kushandisa mvura yakachena mumagumo emamiriro ezvinhu, uye morphine mune mamwe maitiro, uye zvinogona kuitika ichi chinorwadza-kuremedza chirwere.
Zvishandiso
Mukuchengetedza kwekunakidza uye kugadzirisa zvirwere, morphine inowanzoonekwa se "yegoridhe" yemishonga inorwadza nokuti inowanzobata marwadzo zvinobudirira uye inowanzochengetedzwa nevarwere. Uyezve, morphine inowanzobhadhara-inoshanda uye inowanika nyore munzvimbo dzakawanda. Mukuwedzera, morphine inoshandawo mukurapa dyspnea , kana kupererwa kwepfufu, izvo vamwe varwere vanogona kunzwa nekuda kwehutano hwavo / chirwere.
Migumisiro Yechiri
Sezvakataurwa pamusoro apa, morphine inowanzochengetedzwa zvakanaka nevarwere, asi zvinodhaka zvinogona kukonzera zvimwe zvinonetsa, uye kunyange zvakakomba, zvinokonzera . Zvimwe zvinokonzerwa nemigumisiro ye morphine inosanganisira:
- Constipation
- Diarrhea
- Chizutu
- Kukurova
- Kunzwa ruvara rwemvere
- U pset in the stomach
- Kudzora
Nemhaka yezvinobvira zvinokonzerwa nemarphine, iwe unofanirwa kutaurira mushandi wako wehutano nezvezvimwe zvipi kana kuti zvose izvi zviratidzo kana mudiwa wako ari kugamuchira ichi chirwere kuderedza marwadzo ake.
Zvimwe zvemigumisiro ye morphine inogona kuderedzwa nedzimwe mishonga, zvakadai sekushandisa mishonga inorwisa-nausea yekutsvaira tsvina uye kurutsa, kana kugadziriswa kwechigaro chekudzivirira.
Zvose zvinokonzera migumisiro yekushandisa morphine inofanira kuudzwa kune chiremba wako pakarepo, zvakadai se:
- Zvishoma nezvishoma, zvishoma kana kuti zvisina kufema kufema
- Bhuruu kana ruvara rwepepuru paganda
- Kurumidza kana kunonoka mwoyo
- Kugumburwa
- Hluccinations (kuona zvinhu kana kunzwa inzwi risipo)
- Chiratidzo chakasvibiswa
- Kupera
- Hives
- Mapundu
- Itching
- Kutinhira mumutsipa
- Dambudziko kukumedza
- Kufuridzira kwemaoko, maoko, tsoka, makumbo, kana makumbo maduku
Administration
Morphine inouya nenzira dzakasiyana-siyana, kusanganisira mvura kana kuti fomu yepafurasi, iyo inoita kuti ive chirwere-chinotapira mishonga chinosarudzwa mumamiriro akawanda ekupedzisira-ehupenyu. Mhando dze morphine dzinogona kusanganisira:
Oral Morphine Solutions
Muchirevo (mvura) morphine zvinogadziriswa zvinowanzoshandiswa pakuchengetedza kwepamusoro uye kugadzirisa zvirwere nekuti zviri nyore kutungamirira. Morphine inogona kugadziriswa kuitira kuti ipe maitiro makuru emushonga anoshandisa maduku maduku emvura. Mukuwedzera, vamwe varwere vanokwanisa kukwanisa kupedza mapiritsi nekuda kwehutano hwavo kana kuderera kwehutano hwekuziva , kana nekuda kwemigumisiro inokwanisika ye morphine, inowanzoregerera chiduku chiduku chemvura chinodiwa kuderedza marwadzo avo uye / kana kuita kuti vanzwe vakasununguka.
Mushonga wemuromo / wemvura morphine inowanzotanga kushanda - kazhinji mukati maminitsi gumi nemashanu - uye inogumira kwemaawa mana, kunyange zvazvo vamwe varwere vangawana kuti vanoda morphine kakawanda.
Morphine unofarira zvinorwadza, izvo zvinonyanya kuzivikanwa mumufananidzo wemvura pamwe nemapiritsi. Nokuti iyo yakanyanyisa mvura inowanzopiwa mune zviduku, haina kukurudzirwa kusanganisa morphine nedzimwe mvura. Vakawanda varwere vanowanzorega kutora mishonga voga kana "kuitsvaga" nechinwa chekusarudza kwavo.
Nhengo yemuori morphine solution inofanira kupiwa chete ne dosing spoon kana gonhesi yakapiwa nemishonga. Nemhaka yokuti yakanyanya kunyanya kukosha, zvakakosha kuwana mhizha yakarurama sezvinogona. Kana usina chokwadi nezvenyaya yakakodzera, kumbira mukoti wako kana mupiki wehutano kuti aratidze iwe.
Ini ndinotakura "shanduro yekaini" ye morphine neni pandinoshanyira varwere vangu. Kunyange zvazvo bhodhoro risina mishonga chaiyo, bhodhoro rino rinondibvumira kuti ndiratidze kuti ndingashandisa sei gonhorera kuti ndive nereji yakakodzera.
Tetheni kana Capsule Morphine
Mahwendefa eMorphine anouya mumafomu nokukurumidza-akawedzerwa-akabudiswa. Mahwendefa akabudiswa nokukurumidza anoshandisa zvakafanana kune remuromo / liquid morphine solution mukuti inoshanda nokukurumidza asi inongopedza nguva inenge maawa mana. Mahwendefa akakurumidza kusunungurwa anogona kupwanyika uye akavhenganiswa namaapuloauce kana pudding kune varwere vane dambudziko rokugadzira mahwendefa kana kupwanyika uye kutungamirirwa kuburikidza nehuputika (NG) tube .
Zvinyorwa-release (ER kana XR) mahwendefa anogona kutorwa maawa gumi nemaviri, kana kunyange kamwe pazuva. Kuwedzerwa-kusunungurwa morphine kunongoshandiswa chete kune varwere vanoramba vachienzanisa nekurwadziwa kukuru. Iwe unofanira kugara uchitarisa nemupi wako wehutano wehutano kana mhizimisi usati wapwanya ER tablet kana kuti uchitanga ER capsule. Kana zvisina kudaro, iwe unogona kutora chirwere chakanyanya kukwirira.
Zvimwe Zvokushandisa Zvokugovera
Mukuwedzera kune zvimvura kana kuti zvakasimba, morphine inogonawo kuendeswa sejojo muhutachi, sezvinonzi infusion intravenously (IV) kana kuti subcutaneously (mumashupu ane mafuta pasi peganda). Kunyange zvazvo maitiro aya ekutaurira haasi kazhinji sarudzo yokutanga mukutarisira kwepamusoro kana kutarisa kwekuchengetedza maererano nemafomu anotsanangurwa pamusoro apa, morphine inotungamirirwa nenzira idzi inogona kuratidza kuti inoshanda, inorwadza uye inotakura mungozi.
Morphine inogonawo kuendeswa seyetafura (inowanikwa mu rectum) kune varwere vanoda chirwere chekare-refu asi vasingakwanisi kumedza morphine mune fomu yemvura kana tablet. Kana iyi ndiyo iyo nzira yekuendesa mutano wako wehutano anokurudzira, saka chiremba wako kana mukoti anofanira kuratidza kuti angapa sei kuitungamirira.
Pakupedzisira, kana uchinetseka pamusoro pekushandisa morphine kurwadziwa kana kupererwa kwemafuro (dyspnea), saka iwe unofanira kutaura nemutarisiri wako wehutano. Iye anogona kukubatsira kuti uwane mhinduro iyo yakakodzera iwe newaunoda.
> Sources:
> Kinzbrunner, BM; Weinreb, NJ; Policzer, JS 20 Common Problems: End of Life Care , McGraw-Hill Publishing, 2002.
> Ferrell, BR naCoyle, N. Bhuku reMurau wePalliative , Oxford University Press, 2006.