Mamasva matsva anoda kuziva kana codeine uye kunyamwa ndekubatanidzwa kwakachengeteka. Codeine inonzi opiate inoshandiswa mumishonga inorwadza. Zviputi zvinodhaka zvinotorwa kubva ku opium poppy, uye zvinotangira kune imwe yevaya vanonyanya kupindwa muropa nemakemikari akadai se codeine, oxycodone, uye fentanyl kune zvinodhaka zvisina kukodzera, zvakadai se heroin. Kunyanya kushandiswa kwemhando ipi neipi yeapiate zvinodhaka kunogona kukonzera kukanganisa uye opioid kushandisa chirwere.
Mune maitiro avo akachena, vane zvimwe zvakafanana uye vanotakura matambudziko akafanana kumucheche kuburikidza nekuyamwisa. Zvisinei, hurumende dzinorayira maererano nekushandiswa kwadzo nevana vanoyamwisa dzinosiyana, zvichienderana nekutsvakurudza, mararamiro emararamiro evakadzi anoshandisa chinhu chimwe nechimwe, uye mikana yokuti vanaamai vachakwanisa kudzora kudya kwavo kwechirwere-kunyangwe kuburikidza nekuzvidzora kwemairi avo , kana kuburikidza nekuziva zvidimbu zvezvavari kutora.
Codeine
Codeine inowanika mumhando dzakasiyana-siyana se-over-the-counter painkillers, syrups yakagadzirisa, kana, kazhinji pavanamai vanoyamwisa, sekunyorwa kwepayiniti yekurapa mushure mekuberekwa kana c-chikamu.
Kunyange zvazvo codeine yakagara ichionekwa yakachengeteka kuvakadzi vanoyamwisa, inozivikanwa kuti mishonga yacho inoshandurwa kuva morphine, iyo inoparidzirwa kuburikidza nehutachiwana kumwana, uye izvi zvinogona kutungamirira kuora mwoyo kwepakati yenheyo system uye apnea, iyo inogona, kazhinji maitiro, ivai kuuraya.
Kutsvakurudza kwakawanda kunodiwa kuti uone kusachengetedzwa kwekodeine muchecheche, uye kunewo kumwe kuvhiringidzika pakati pechiremba pamusoro pekuti chiremu chakakwirira checheche chaicho ndechei.
Kunyange zvazvo vanachiremba vanowanzorondedzera codeine uye codeine pamwe chete neacetaminophen yekurapa marwadzo mushure mekubereka mwana, zvidzidzo zvakawanda zvakaratidza kuti ibuprofen inobudirira mukugadzirisa marwadzo, uye inoguma mune zvishoma migumisiro.
Pasinei nekuona kuti codeine "mushonga" wakasimba, inongova inonyanya kuipa kune amai nechecheche. Mukuwedzera, ibuprofen iye zvino inofungidzirwa kuti ndiyo yakachengetedzwa yakawanda yemishonga inoshandiswa panguva yekuyamwisa.
Zano: Kana uchida rubatsiro rwekurwadziwa mushure mekusununguka, ibuprofen isarudzo yakachengeteka paanwisa, uye inoshanda se codeine. Chiremba wako angave asingazivi izvi.
Kana Iwe Une Nhoroondo yeOpiate Use
Chimwe chikonzero chokudzivirira codeine ndechekuti kana iwe une nhoroondo yekare ye heroin kushandiswa kana kushandiswa kweimwe mishonga ye opiate, codeine inogona kuwedzera njodzi yekudzoka zvakare. Mukuwedzera, zvingasave zvinobudirira pamataiti akakurudzirwa, nekuda kwekutenda kwako kwekare kune rudzi rwakadaro rwechirwere. Kutora zvimwe zvechirwere kudarika zvinorayirwa apo kunyanyisa kunenge kuchizarura mwana wako kusvika kumazinga akakwirira zvakare, kuwedzera ngozi.
Zano: Kana iwe wakamboshandisa heroin kana mamwe maopiate, unofanira kudzivisa maoripiyo emishonga, kusanganisira codeine. Kana iwe usingadi kurukura kushandisa kwako kushandiswa kwechirwere nechiremba wako, ingovaudza kuti hausi kunyatsotora hopiate narcotics uye ungasarudza rudzi rwakasiyana rwepiinkiller.
Apo Codeine ndiyo Yega Yokusarudza
Iwe unogona kuda codeine kana iwe usingagoni kutora ibuprofen kana acetaminophen.
Kana, mushure menguva yekuongorora dzimwe nzira, codeine inoratidzika sarudzo yakanakisisa, unofungisisa kuti uone migumisiro iwe pachako nemwana wako, sezvo pasina mumwe munhu achakucherechedza iwe mose, 24/7.
Kutsvakurudza kunoratidza kuti madzimai emadzimai anotendeuka mamwe codeine kune morphine mumitumbi yavo, achiisa vana vavo pangozi yakakura yemigumisiro kana kunyange rufu. Vacheche vanonyanya kufunga nezvemigumisiro yeopiates kupfuura vana vakuru kana vakuru. Kazhinji, mwana wako wepamuviri anonyanya kushungurudza zvirwere zvinokonzera iwe pachako.
Zano: Kana iwe uchinzwa groggy kana kukotsira kubva pamishonga, kana kana mwana wako asingadyi zvakanaka, asingamutswi kuti adye, asingatori, kana kuti akaremara, tora mwana kuti aongororwa nachiremba wako .
Chii Chinowedzera Ngozi
Mimwe mamiriro ezvinhu anogona kuwedzera ngozi kune mwana wako. Mwana wako achagadzirisa morphine iyo inobudiswa nemuviri kubva kuCodeine zvishoma nezvishoma kupfuura iwe, saka kunowedzera kunwisa apo iwe une codeine mumutambo wako kunogona kukonzera kuvaka-up morphine mumutana wemwana, kuwedzera ngozi. Iyo njodzi inonyanya kuwedzerwa mushure memazuva mana ekushandiswa kwecodeine.
Sezvimwe kune mishonga inoshandiswa, vamwe vanhu vanogadzirisa codeine pamitengo yakasiyana. Apo amai vari "ultrarapid metabolizer," anowedzera zvakawanda morphine paanotora codeine kupfuura vanhu vakawanda. Mune mamiriro ezvinhu aya, macheche angangodaro anokwanisa kuonekwa nehutachiona hwe morphine paanwisa. Iyi njodzi inogona kuderedzwa nekuregera codeine mushure memakore maviri kusvika matatu ekushandiswa uye kuziva zviratidzo zvekuve neopioid chepfu iwe nevana vako.
Vakadzi vanoshandura kodini yakawanda kune morphine vane kudzokorora kwegene kukodha ye cytochrome P450 2D6. Izvi zvinokonzerwa nehutachiona zvinogona kuonekwa nehutachiona hunowanikwa huri pamusika, kunyange zvisingawanzo muzvipatara.
Mazano
- Kana usina chakanaka kunze kwekutora codeine kwenguva yakareba, nyamwa mwana wako usati watora mishonga yako, shandura pakati pekuyamwisa uye kupa mabhodhoro kupa mwana mwana mukana wokugadzira morphine kubva pachipfuva chako uye kupa mwana wako kupera kwakakwana kubva pachipfuva rine codeine mazuva maviri kusvika matatu.
- Vana vachangobva kuberekwa vanowanzovata nehope, uye vanaamai vatsva vanowanzopedza, asi edza uye muone mutsauko pakati pokuneta kwechokwadi, uye zvinodhaka zvinokonzerwa nezvinodhaka mukati mako uye nemwana wako. Somuenzaniso, kana mwana wako akaoma kumutsa, uye anoramba achiita sehope uye asingachenjeri kana amuka. Paunenge usina mubvunzo, famba kune rumwe rutivi rweuchenjeri.
- Kana iwe uchinetseka nezvekuwedzera-kubudisa morphine kubva kuCodeine, bvunza chiremba wako nezvekuongorora mazita ekuberekwa. Kunyange zvazvo vose vakadzi, kusanganisira avo vanotora mishonga, vanokurudzirwa kunwisa nekuda kwehutano hunobatsira mukuyamwisa , kubhadhara mabhodhoro nguva dzose zvinosarudzwa uye zvinogona kuitwa kuburikidza nekupa chifuva chechifu.
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