Hydromorphone vs. Morphine: Pehea lākou i ʻokoʻa?

Anter

• Nā hiʻohiʻona lāʻau
• Kālā, loaʻa, a me ka ʻinikua
• Nā hopena ʻaoʻao
• Nā launa lāʻau
• Nā launa pū ʻana me kekahi lāʻau
• Nā Anticholinergics
• Nā mea kūpale Monoamine oxidase
• ʻO nā lāʻau ʻeha ʻē aʻe, kekahi mau lāʻau antipsychotic, nā lāʻau hopohopo, a me nā lāʻau moe
• Hoʻohana me nā kūlana olakino ʻē aʻe
• E kamaʻilio me kāu kauka

Hoʻolauna

Inā loaʻa iā ʻoe ka ʻeha nui a ʻaʻole i loaʻa kahi hoʻomaha me kekahi mau lāʻau, hiki iā ʻoe ke loaʻa i nā koho ʻē aʻe. ʻO kahi laʻana, ʻo Dilaudid a me morphine he mau lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ka ʻeha ma hope o ka hana ʻole ʻana o nā lāʻau ʻē aʻe.

ʻO Dilaudid kahi mana inoa inoa o ka hydromorphone lāʻau laulaha. ʻO Morphine kahi lāʻau laulaha. Hana lākou i nā ʻano like, akā loaʻa kekahi ʻano ʻokoʻa. Hoʻohālikelike i nā lāʻau ʻelua ma aneʻi e aʻo ai inā he koho maikaʻi paha kekahi iā ʻoe.

Nā hiʻohiʻona lāʻau

Pili nā lāʻau ʻelua i ka papa o nā lāʻau i kapa ʻia ʻo opioid analgesics, i ʻike ʻia he narcotics. Hana lākou i nā mea loaʻa nā opioid i kāu ʻōnaehana hopohopo. Hoʻololi kēia hana i ke ala e ʻike ai i ka ʻeha e kōkua iā ʻoe e hōʻemi i ka ʻeha.

Hele mai ka Hydromorphone a me ka morphine i nā ʻano like ʻole a me nā ikaika. Hoʻohana pinepine ʻia nā ʻano waha (lawe ʻia e ka waha). Hiki ke hoʻohana ʻia nā ʻano āpau ma ka home, akā hoʻohana pinepine ʻia nā ʻano hana hoʻoheheʻe ʻia i ka haukapila.

Hiki i nā lāʻau ʻelua ke hana i nā hopena ʻino a hiki ke lilo i mea addictive, no laila pono ʻoe e lawe iā lākou e like me ke kuhikuhi.

Inā ʻoe e lawe i nā lāʻau ʻeha ma mua o hoʻokahi, e mālama pono i nā ʻōkuhi no kēlā me kēia lāʻau i akahele ʻole ai ʻoe. Inā he mau nīnau kāu e pili ana i ka lawe ʻana i kāu lāʻau, nīnau i kāu kauka a i ʻole kauka.

Hōʻike hou ka pakuhi ma lalo i nā hiʻohiʻona o nā lāʻau ʻelua.

* E hōʻoia i nā ʻōkuhi a i ʻole ke kuhikuhi a kāu mea mālama ola no nā pae wela pololei.

* * ʻO kahi lāʻau hoʻomalu ʻia kahi lāʻau i hoʻoponopono ʻia e ke aupuni. Inā ʻoe e lawe i kahi lāʻau i kāohi ʻia, pono e mālama pono kāu mea mālama ola i kāu hoʻohana ʻana i ka lāʻau. Mai hāʻawi i kahi mea i kāohi ʻia i kekahi mea ʻē aʻe.

† Inā ʻoe e lawe i kēia lāʻau no ka mea ʻoi aku ma mua o kekahi mau pule, mai hōʻoki i ka lawe ʻana me ke kamaʻilio ʻole ʻana me kāu kauka. Pono ʻoe e hoʻopili mālie i ka lāʻau e hōʻalo i nā ʻōuli o ke haʻalele ʻana e like me ka hopohopo, ka hou ʻana, ka luʻu, ka maʻi palahī, a me ka pilikia e hiamoe ana.

¥ He hiki ke hoʻohana hewa nui i kēia lāʻau. ʻO kēia ke hiki iā ʻoe ke lilo i kaila. E mālama pono i kēia lāʻau e like me ka ʻōlelo a kāu kauka. Inā he nīnau a hopohopo paha kāu, e kamaʻilio me kāu kauka.

ʻO kahi ʻokoʻa nui ma waena o kēia mau lāʻau i nā ʻano a lākou i komo ai. ʻO ka papa ma lalo e hōʻike nei i nā ʻano o kēlā me kēia lāʻau.

* Loaʻa kēia mau palapala akā ʻaʻole i ʻae ʻia e FDA.

Kālā, loaʻa, a me ka ʻinikua

Loaʻa nā ʻano hydromorphone a me morphine āpau i nā hale kūʻai lāʻau nui. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kāhea ʻana i kāu kauka lāʻau i mua o ka manawa e hōʻoia i ka loaʻa ʻana o kāu palapala kuhikuhi i ka waihona.

I ka hapanui o nā hihia, ʻoi aku ke kumu kūʻai o nā lāʻau lapaʻau ma mua o nā huahana inoa inoa. ʻO Morphine a me hydromorphone nā lāʻau laulaha.

I ka manawa i kākau ʻia ai kēia ʻatikala, hydromorphone a me ka morphine he mau kumukūʻai like, e like me GoodRx.com.

ʻOi aku ka pipiʻi o ka lāʻau i kapa inoa ʻia ʻo Dilaudid ma mua o nā ʻano generic o morphine. I kēlā me kēia hihia, pili kāu kumukūʻai ma waho o ka ʻaʻa i kāu ʻinikua pilikino, kāu hale kūʻai lāʻau, a me kāu lāʻau.

Nā hopena ʻaoʻao

Hana like ʻo Hydromorphone a me morphine i kou kino. Kaʻana like lākou i nā hopena ʻē aʻe.

Hōʻike ka pakuhi ma lalo i nā laʻana o nā hopena ʻē aʻe i ʻike pinepine ʻia o ka hydromorphone a me ka morphine.

Hiki i kēlā me kēia lāʻau ke kumu i ke kaumaha o ka hanu (ka hanu a me ka hanu papaha). Inā lawe ʻia ma ke kumu maʻamau, hiki i kēlā me kēia mea ke kumu i ka hilinaʻi (kahi e pono ai ʻoe e lawe i kahi lāʻau i mea e ʻike ai ka maʻamau).

Nā launa lāʻau

Eia kekahi mau launa lāʻau a me nā hopena.

Nā launa pū ʻana me kekahi lāʻau

ʻO ka Hydromorphone a me ka morphine nā narcotics e hana like i ke ala like, no laila like like kā lākou launa lāʻau ʻana.

ʻO nā pilina no nā lāʻau ʻelua e like me kēia:

Nā Anticholinergics

Ke hoʻohana nei i ka hydromorphone a i ʻole morphine me kekahi o kēia mau lāʻau e hāpai i kou makaʻu no ka paʻa paʻa paʻa a ʻaʻole hiki i ka mimi.

Nā mea kūpale Monoamine oxidase

ʻAʻole pono ʻoe e lawe i ka hydromorphone a i ʻole morphine ma waena o nā lā he 14 o ka lawe ʻana i kahi mea hōʻoki monoamine oxidase (MAOI).

Lawe i kekahi lāʻau me ka MAOI a i ʻole ma waena o 14 mau lā o ka hoʻohana ʻana i kahi MAOI hiki ke kumu:

• nā pilikia hanu
• haʻahaʻa puʻe (hypotension)
• luhi loa
• koma

ʻO nā lāʻau ʻeha ʻē aʻe, kekahi mau lāʻau antipsychotic, nā lāʻau hopohopo, a me nā lāʻau moe

Hoʻohuihui ʻia ʻo hydromorphone a i ʻole morphine me kekahi o kēia mau lāʻau.

• nā pilikia hanu
• haʻahaʻa haʻahaʻa haʻahaʻa
• luhi loa
• koma

Pono ʻoe e kamaʻilio me kāu kauka olakino ma mua o ka hoʻohana ʻana i ka hydromorphone a i ʻole morphine me kekahi o kēia mau lāʻau.

Loaʻa paha i kēlā me kēia lāʻau lapaʻau nā pilina lāʻau ʻē aʻe i hiki ke hoʻonui i kou makaʻi no nā hopena ʻino. E pono e haʻi aku i kāu kauka e pili ana i nā lāʻau i kuhikuhi ʻia a me nā huahana over-the-counter āu e lawe nei.

Hoʻohana me nā kūlana olakino ʻē aʻe

Inā loaʻa iā ʻoe kekahi mau pilikia olakino, hiki iā lākou ke loli pehea e holo ai ka hydromorphone a me ka morphine i kou kino. ʻAʻole palekana paha ʻoe e lawe i kēia mau lāʻau, a i ʻole pono e nānā pono kāu kauka iā ʻoe i ka wā o kāu mālama ʻana.

Pono ʻoe e kamaʻilio me kāu kauka olakino ma mua o ka lawe ʻana i ka hydromorphone a i ʻole morphine inā he mau pilikia ka hanu e like me ka maʻi pulmonary obstructive maʻi (COPD) a i ʻole hānō. Ua hoʻopili ʻia kēia mau lāʻau me nā pilikia hanu koʻikoʻi e hiki ai ke make.

E kamaʻilio pū ʻoe e pili ana i kou palekana inā loaʻa iā ʻoe ka mōʻaukala o ka hōʻino ʻana a i ʻole ka hōʻalo. Hiki i kēia mau lāʻau ke hoʻomake a hoʻonui i kou makaʻu i ka overdose a me ka make.

ʻO nā laʻana o nā kūlana olakino ʻē aʻe āu e kūkākūkā ai me kāu kauka olakino ma mua o ka lawe ʻana i ka hydromorphone a i ʻole morphine pū kekahi:

• nā pilikia tract biliary
• nā pilikia o ka hakuʻala
• maʻi maʻi ate
• kahi moʻolelo o ka hōʻeha poʻo
• haʻahaʻa puʻe (hypotension)
• ka hopu ʻana
• keakea i ka gastrointestinal, keu hoʻi inā he maʻi lōlō kou

Eia kekahi, inā loaʻa iā ʻoe kahi puʻuwai puʻuwai maikaʻi ʻole, e kamaʻilio me kāu kauka olakino ma mua o ka hoʻohana ʻana i ka morphine. E hoʻonui paha i kou kūlana.

E kamaʻilio me kāu kauka

ʻO nā hydromorphone a me nā morphine he mau lāʻau ʻeha loa.

Hana lākou i nā ala like a like a like a like, akā he ʻokoʻa iki ko lākou i:

• nā ʻano
• hāmeʻa
• nā hopena ʻaoʻao

Inā he mau nīnau kāu e pili ana i kēia mau lāʻau, e kamaʻilio me kāu kauka.

Hiki iā lākou ke pane i kāu mau nīnau a koho i ka lāʻau i ʻoi aku ka maikaʻi iā ʻoe ma muli o:

• kou olakino
• nā lāʻau i kēia manawa
• nā kumu ʻē aʻe