Hydromorphone vs. Morphine: Yaya Suke Bambanta?
Wadatacce
- Hanyoyin magani
- Kudin, samuwa, da inshora
- Sakamakon sakamako
- Hadin magunguna
- Yin hulɗa tare da kowane magani
- Anticholinergics
- Monoamine oxidase masu hanawa
- Sauran magungunan ciwo, wasu kwayoyi masu tabin hankali, magungunan damuwa, da magungunan bacci
- Yi amfani da wasu yanayin kiwon lafiya
- Yi magana da mai baka lafiya
Gabatarwa
Idan kuna da ciwo mai tsanani kuma ba ku sami taimako tare da wasu magunguna ba, kuna iya samun wasu zaɓuɓɓuka. Misali, Dilaudid da morphine wasu magunguna ne guda biyu da ake amfani da su don magance ciwo bayan wasu magunguna ba su yi aiki ba.
Dilaudid shine nau'in nau'in nau'in nau'in nau'in kwayar cutar hydromorphone. Morphine magani ne na gama gari. Suna aiki ta hanyoyi iri ɗaya, amma kuma suna da aan sanannun bambance-bambance. Kwatanta magungunan biyu anan don koya idan ɗayan na iya zama kyakkyawan zaɓi a gare ku.
Hanyoyin magani
Dukkanin magungunan guda biyu suna cikin rukunin magungunan da ake kira analgesics na opioid, wanda aka fi sani da narcotics. Suna aiki a kan masu karɓar opioid a cikin tsarinku na juyayi. Wannan aikin yana canza yadda kuke hango ciwo don taimaka muku jin ƙananan ciwo.
Hydromorphone da morphine kowannensu ya zo da nau'ikan da ƙarfi iri-iri. Siffofin baka (waɗanda aka ɗauka ta baki) ana amfani da su sosai. Ana iya amfani da kowane nau'i a gida, amma ana amfani da nau'ikan allura a asibiti.
Duk kwayoyi biyu na iya haifar da mummunan sakamako kuma suna iya zama jaraba, don haka ya kamata ku ɗauke su daidai kamar yadda aka tsara.
Idan kuna shan magani na ciwo fiye da ɗaya, tabbatar da bin umarnin sashi don kowane magani a hankali don kar ku haɗu da su. Idan kuna da tambayoyi game da yadda zaku sha magungunan ku, ku tambayi likitan ku ko likitan magunguna.
Jadawalin da ke ƙasa ya ci gaba da bayanin siffofin magunguna biyu.
Wayar lantarki | Morphine | |
Menene sunayen alamun wannan magani? | Dilaudid | Kadian, Duramorph PF, Infumorph, Morphabond ER, Mitigo |
Shin akwai wadatar siga iri daya? | eh | eh |
Menene wannan magani ke bi? | zafi | zafi |
Menene tsawon lokacin jiyya? | yanke shawarar daga mai ba da sabis na kiwon lafiya | yanke shawarar daga mai ba da sabis na kiwon lafiya |
Ta yaya zan adana wannan magani? | a zazzabi na ɗaki * | a zazzabi na ɗaki * |
Shin wannan abun sarrafawa ne? * * | eh | eh |
Shin akwai haɗarin janyewa tare da wannan magani? | Ee † | Ee † |
Shin wannan maganin yana da damar yin amfani da shi? | ee ¥ | ee ¥ |
* Bincika umarnin kunshin ko takardar likitanku don ainihin yanayin zafin jiki.
* * Abun da ake sarrafawa magani ne da gwamnati ke sarrafawa. Idan ka ɗauki abu mai sarrafawa, mai kula da lafiyar ka dole ne ya kula da yin amfani da maganin a hankali. Kada a ba wani abu mai sarrafawa.
† Idan kun sha wannan magani fiye da 'yan makonni, kada ku daina shan shi ba tare da yin magana da mai ba da lafiyarku ba. Kuna buƙatar cire kwayoyi a hankali don kauce wa bayyanar cututtuka irin su damuwa, gumi, tashin zuciya, zawo, da matsalar bacci.
Wannan magani yana da babbar damar amfani da shi. Wannan yana nufin zaku iya kamu da shi. Tabbatar ɗaukar wannan magani daidai yadda mai ba da kiwon lafiya ya gaya maka. Idan kana da tambayoyi ko damuwa, yi magana da mai baka kiwon lafiya.
Babban banbanci tsakanin waɗannan magungunan shine sifofin da suka shigo ciki. Teburin da ke ƙasa ya lissafa siffofin kowane magani.
Form | Wayar lantarki | Morphine |
allurar subcutaneous | X | |
allura | X | X |
allurar intramuscular | X | X |
nan da nan-saki baka kwamfutar hannu | X | X |
kara-saki bakin kwamfutar hannu | X | X |
fadada-sakin bakin kwantena | X | |
maganin baka | X | X |
na baka bayani tattara | X | |
Maganin dubura * | * | * |
* Waɗannan fom ɗin suna nan amma ba a amince da FDA ba.
Kudin, samuwa, da inshora
Duk nau'ikan hydromorphone da morphine ana samunsu a mafi yawan shagunan magani. Koyaya, ya fi kyau kiran kantin ku gaba da lokaci don tabbatar da cewa suna da takardar sayan ku a cikin kaya.
A mafi yawan lokuta, nau'ikan nau'ikan magunguna ba su da tsada sosai fiye da kayayyakin samfuran. Morphine da hydromorphone magunguna ne na asali.
A lokacin da aka rubuta wannan labarin, wayar salula da ta morphine suna da irin wannan farashin, a cewar GoodRx.com.
Sunan mai suna Dilaudid ya kasance mafi tsada fiye da nau'ikan siffofin morphine. A kowane hali, kuɗin kuɗin aljihun ku zai dogara ne akan ɗaukar inshorar lafiyar ku, kantin ku, da kuma yawan ku.
Sakamakon sakamako
Hydromorphone da morphine suna aiki iri ɗaya a jikinku. Hakanan suna raba irin wannan tasirin.
Jadawalin da ke ƙasa ya lissafa misalai na mafi illa na yau da kullun na hydromorphone da morphine.
Dukansu magunguna | Wayar lantarki | Morphine |
jiri | damuwa | Sakamakon sakamako iri iri ɗaya ne na duka kwayoyi |
bacci | dagagge yanayi | |
tashin zuciya | ƙaiƙayi | |
amai | flushing (jan launi da dumamarwar fatar ku) | |
rashin haske | bushe baki | |
zufa | ||
maƙarƙashiya |
Kowane magani na iya haifar da baƙin ciki na numfashi (jinkirin da zurfin numfashi). Idan aka ɗauke su a kan tsari na yau da kullun, kowannensu na iya haifar da dogaro (inda kuke buƙatar shan magani don jin al'ada).
Hadin magunguna
Anan akwai hulɗar magunguna da dama da tasirin su.
Yin hulɗa tare da kowane magani
Hydromorphone da morphine narcotics ne waɗanda suke aiki iri ɗaya, don haka hulɗar magungunan su ma yayi kama.
Hanyoyin hulɗa da magunguna duka sun haɗa da masu zuwa:
Anticholinergics
Amfani da hydromorphone ko morphine tare da ɗayan waɗannan magungunan yana ƙara haɗarin ku na tsananin maƙarƙashiya da rashin samun damar yin fitsari.
Monoamine oxidase masu hanawa
Kada ku ɗauki hydromorphone ko morphine a cikin kwanaki 14 da shan mai hana shiga kwayar cutar ta monoamine (MAOI).
Shan ko dai magani tare da MAOI ko a cikin kwanaki 14 na amfani da MAOI na iya haifar da:
- matsalolin numfashi
- cutar hawan jini (hypotension)
- matsanancin gajiya
- coma
Sauran magungunan ciwo, wasu kwayoyi masu tabin hankali, magungunan damuwa, da magungunan bacci
Haɗa hydromorphone ko morphine tare da ɗayan waɗannan magungunan na iya haifar da:
- matsalolin numfashi
- saukar karfin jini
- matsanancin gajiya
- coma
Ya kamata ku yi magana da mai ba ku kiwon lafiya kafin amfani da hydromorphone ko morphine tare da ɗayan waɗannan magungunan.
Kowane magani na iya samun sauran hulɗar miyagun ƙwayoyi wanda zai iya haɓaka haɗarinku don mummunar illa. Tabbatar da gaya ma likitocin kiwon lafiya naka game da duk magungunan magani da kuma samfuran da kake sha.
Yi amfani da wasu yanayin kiwon lafiya
Idan kana da wasu lamuran kiwon lafiya, zasu iya canza yadda hydromorphone da morphine suke aiki a jikinka. Zai iya zama ba lafiya a gare ka ka sha wadannan magungunan, ko kuma likitocin ka na iya bukatar sa ido sosai a yayin jinyar ka.
Ya kamata ku yi magana da likitan lafiyar ku kafin ku ɗauki hydromorphone ko morphine idan kuna da matsaloli na numfashi irin su cututtukan huhu na huhu (COPD) ko asma. Wadannan magunguna suna da alaƙa da mummunan matsalar numfashi wanda ka iya haifar da mutuwa.
Hakanan yakamata kuyi magana game da amincinku idan kuna da tarihin shan kwayoyi ko jarabar shan kwaya. Wadannan kwayoyi na iya zama jaraba kuma suna kara haɗarin wuce gona da iri da mutuwa.
Misalan sauran yanayin kiwon lafiya yakamata ku tattauna tare da mai ba da lafiyar ku kafin ɗaukar hydromorphone ko morphine sun haɗa da:
- matsalolin fili na biliary
- matsalolin koda
- cutar hanta
- tarihin ciwon kai
- cutar hawan jini (hypotension)
- kamuwa
- toshewar hanji, musamman idan kana da cutar shan inna
Hakanan, idan kuna da mummunan yanayin zuciya, yi magana da mai ba da lafiyar ku kafin amfani da morphine. Yana iya sa yanayin ka ya yi kyau.
Yi magana da mai baka lafiya
Dukansu hydromorphone da morphine magunguna ne masu ƙarfi na ciwo.
Suna aiki ta hanyoyi iri ɗaya kuma suna da abubuwa da yawa iri ɗaya, amma suna da ɗan bambanci a:
- siffofin
- sashi
- sakamako masu illa
Idan kuna da tambayoyi game da waɗannan magungunan, yi magana da mai ba ku kiwon lafiya.
Zasu iya amsa tambayoyinku kuma zaɓi maganin da yafi muku kyau bisa:
- lafiyar ku
- magunguna na yanzu
- wasu dalilai