Understanding of morphine use

 

Morphine is the only drug in a group of drugs called end-OIL ( Opioid ).

But the drugs in the opioids There are several other types, such as Codeine , Tramal, or Pethidine. In this article, we will use the term “morphine” instead of the opioid pain relievers. Because these drugs have similar effects and morphine is frequently used in this class of drugs. In each country, morphine consumption is measured. Most of which are found in developed countries They have higher morphine usage rates than developing countries. In Thailand, it was found that We use approximately 40 kilograms of morphine per year from the actual amount we should use. Which is about 1,000 kilograms per year.

Questions about morphine
Question: Is the pain of cancer really resolved with morphine?

Answer: Not always.

Fact: It depends on what kind of pain it is and how severe it is. In most cases, doctors will start using weaker drugs, such as paracetamol , NSAIDs used for joint pain, aches, and if these drugs do not go away, they will be treated with painrelief. A small dose of morphine may be started.

Question:  Does eating more morphine mean worsening symptoms?

Answer: Not always.
Fact: It could be from worsening of the disease, or it could be because of the early stages. The doctor first gave the pain medication a small dose and then gradually. Adjust it to the right size. To provide patients with a good quality of life and to live as close as possible to when they were not sick.

Question: Is morphine drug addictive or not?

Answer: Not always.
Fact: Addiction means having to increase the dose more and more. Even if the patient’s condition has not changed and the drug cravings when not taking the drug Morphine has an addictive effect and is therefore addictive. However, if a cancer patient has severe pain and needs more morphine We will not call it an addiction, but a drug use as needed.

Question: Does the use of morphine actually increase the death of the patient from depressed breathing?

A: Wrong.
Truth: Starting a small dose of morphine did not cause respiratory depression and did not cause death in the patient. Respiratory depression in patients is often caused by excessive dosing. In people who have never received morphine before It may happen in the case of miscalculating the drug or starting too much of the drug because the patient is in pain.

Question: Does morphine really cause constipation?

A: Yes
, Truth: Constipation is the most common side effect in patients taking morphine and is a constant side effect during morphine use. Because morphine slows down the intestinal movement Patients taking morphine should take the medicine to prevent constipation. If your doctor doesn’t Don’t forget to ask. Morphine also has other side effects, such as nausea, vomiting, and drowsiness. Taking too much of it can lead to muscle spasms or confusion. Which is a symptom that is found before breathing pressure but often have to eat a lot Or increase in size rapidly.

Question: Does morphine help with shortness of breath in cancer patients?

Answer: Yes
, Truth: Most people understand that morphine primarily relieves pain in cancer patients, but morphine actually helps reduce the symptoms of asthenia in cancer patients whose disease spreads to the lungs, such as watery fluids. Lungs Many patients who choose not to puncture the lungs to reduce their symptoms of asthenia, may choose morphine instead.

Question: Should people with kidney disease really use morphine?

Answer: Wrong.
Truth: morphine can be used by people with kidney disease. But more caution must be exercised because morphine is excreted by the kidneys. Therefore, morphine should be given starting at a small dose, gradually increasing slowly and watching for side effects. But it is not contraindicated to use morphine in patients with kidney disease.

Question: If long-acting morphine is obtained, morphine should not be taken during the day as it may lead to excessive morphine exposure or not?

Answer: Wrong.
Truth: Patients with pain can use small doses of morphine. During the day This typically accounts for 10% of the long-acting morphine dose taken all day. If it is an oral pill, it can be taken every 2-4 hours when the pain occurs. The doctor will actually calculate the amount of medication the patient should receive. On the following day from the daily dose of morphine combined with the long acting morphine.

Question: Oral and injectable morphine works as powerful as Really or not?

Answer: Wrong.
Truth: Injectable morphine is 2-3 times stronger than oral. Therefore, when switching from injectable to oral pills. Don’t forget to increase the size by 2-3 times.

Question: Oral and injectable morphine started working as quickly as possible. Together and act as long as Really or not?

Answer: Wrong.

Truth: Injectable morphine acts faster and loses its effect faster. If administered in a line, it may pass out within 1-2 hours, while oral morphine lasts for 2-4 hours, but long-acting morphine can last up to 12-24 hours.

Become a special human through technology for health.

30 years ago, invisible robotic devices added human skills and senses, only in science fiction. Futurists say that if nanotechnology continues to develop and expand at current rates. It is possible to transform people into Superhuman by 2050 with this state of the art technology. A person may have the ability to see in the dark and can survive for hours. Without breathing or gaining super powers.

Initially, medical nanotechnology will help patients and people with disabilities improve their quality of life. Proud achievements, such as helping with vision or enhancing the sense of touch.  It was the success of the medical revolution, now biologists and engineers  develop medical devices that allow people with health problems to have extraordinary experiences.  To transcend human nature in a process known as “Transhumanism”

Strengthening our senses with nanotechnology

Dr. Ian Pearson, one of the leading members of Futurists, predicts that in the future, sensor technology will be integrated into the human body. It increases the perception of the world around you and makes it easier to see information. That is now invisible to the naked eye for example People may be able to see objects at a distance (zoom in) equipe with sensors capable of providing information about everything they touch. Numerous trials are in progress and are underway to increase the capabilities of biosensors that can be safely implanted in the human body.

Dr. Garth Webb, a British Columbia expert, is researching bionic lenses that can be inserted into the human eye in just eight minutes that empower the user with complete vision.

It is  Ocumetics Bionic Lens, a vision aid that requires no glasses or contact lenses.
If successful People using bionic lenses have three times better vision than non-wearers. The deteriorating vision problems such as cataracts are not serious.
For example, Ocumetics Bionic Lenses are currently undergoing clinical testing to verify results. Some experts warn that Getting excited and using bionic lenses too quickly May experience complications that lead to vision disorders.
Artificial red blood cell invention helps humans survive anaerobic

The invention of artificial red blood cells, respirocytes, is a nanomedical device. Theoretically, it can be injected into a person’s bloodstream and thus reduce the need for breathing. These red blood cells are able to deliver 236 times more oxygen to the tissues compared to normal red blood cells.

Additionally, these cells are able to handle the acidity produced by carbon dioxide gas. Each artificial cell contains a nanocomputer, a component that controls chemicals and pressure, powered by glucose. These nanodevices are spherical and simple in design. It can modify from a distance when fully developed. It  expects to take another 20 years. Respirocytes (respirocytes) will reduce the need to breathe and expand the person’s ability to survive. This person was able to survive four hours without breathing or run for 15 minutes at their maximum speed.

Can modern technology make us immortal?

Immortality, possibly through the use of universal nanotechnology, is a thrill of health technology futurists. Aging is a genetic biological process, so stopping aging is a huge task. Some people think that stopping aging will be successful within the next 30 years. Futurists, Ray Kurzweil, believes in the success of the endeavor to support the idea of ​​immortality. Nano-sized robots may be proficient in investigating human biological systems. These devices will be able to detect abnormal deviations and notify us if there are health problems that need our attention.

Another aspect of immortality is the so-called. “Digital immortality” Advances in artificial intelligence (AI) may help humans integrate their minds with external storage devices.

In the future, it is possible to have the control of robots from our body and to communicate via the mind (telepathically) over wireless signals. When our health is a problem . We may download ourselves into a biological vessel (biological vessel) before our body ceases to function. The ideas may seem far from the truth now, but in the future everything in nature will have a second nature.
Vocabulary
• Futurist: Futurism
• Ocumetics Bionic Lens: A device that assists distant vision without glasses or lenses.
• Respirocytes: Artificial red blood cells that reduce oxygen consumption, allowing them to live longer in anaerobic conditions.
• AI for aging: a brain that can use data to process and think itself to love aging.
• Telepathically: communicating through the mind.
• Digital immortality: digital immortality.
• Biological vessel: Biological capsule to download ourselves before the body is down.

Fireworks festival Symbol of Japanese summer

Summer is known as the festival season in Japan. Regardless of which city we go to, Nai Province has a festival for us to see. One of them is the Fireworks Festival, or Hanabi, let’s take a look at the origin and how to prepare to enjoy Japan’s Fireworks Festival.

Every year during the months of July to August of Japan. No matter where we go, we can hear news about fireworks throughout the festival. Fireworks are considered a Japanese summer festival. The word is the word fireworks in Japanese Hanabi (Hanabi:花火) Hana means flower, lights, meaning any business that is not a fire, fireworks, or a flower.

Let’s see how the Japanese enjoy the fireworks festival.

The origin of the fireworks festival

There are many tales about the origins of fireworks in Japan. The most likely story is probably the story of Japan’s first shogun, Tokugawa Ieyasu. Receive fireworks as a gift from King James I of England. And Chinese merchants around the year 1613

After the fireworks became more popular. A group of nobles and nobles in Edo. Or Tokyo today Usually come together to see fireworks along the Sumida River.

The beginning of the fireworks festival is 1733. The eighth generation of Tokugawa Shogun, Tokugawa Yoshimune, has commanded the Suijinsai Festival to worship the gods of the water, known as the Ryogoku River Fireworks Festival. It is a dedication to the spirits of the dead and eliminating the danger. And became the starting point of The present Sumida River Fireworks Festival, which takes place in the summer every year, other cities have launched their own fireworks festivals throughout Japan.

What are the best fireworks festivals in Japan?

Most fireworks around the world are held to celebrate special occasions. But in Japan it can be said that it is really organized for entertainment. It’s like going to see cherry blossoms in spring. It is like a time when we will be happy with friends or loved ones. Sit, eat, drink Sitting and chatting while watching the flowers illuminate in the sky.

Another difference is the duration of the fireworks. If it’s a big event This can take up to 2 hours, and small jobs will take less time.

 


Various types of fireworks

Most of the fireworks in other countries Will be packed in a cylindrical shell When it is set up, the fireworks will burst into a long stream like a fountain. But Japanese fireworks are packed in round shells. Causing time to break out to be more spherical

Recently, more and more fireworks have been developed. Until causing fireworks in various shapes such as hearts in cartoon characters The colors are very beautiful.

As with other festivals in Japan, stalls selling food, snacks, toys are lined up near the venue. You can buy it to sit and eat at the fireworks viewing spot. Or to find a place to stand and look closer Shops to experience the lively atmosphere as well.

Most fireworks festivals Just find an empty place And put a mat to put on, we can watch for free But have to exchange for the seat reservation early Several hours before the event began Because of this big event Some events therefore have special seats. To have the cost But we are guaranteed to have a seat where you can fully enjoy the fireworks.

In addition to the seats in the event area Some tall buildings near the venue even sell tickets to watch fireworks on the rooftop. Unfortunately, most of them have to book in advance and usually only have Japanese.

Take something with you to watch fireworks

 

If you just want to see the fireworks Bring a drink and a little snack and go find a stand. But if you want to go for a comfortable seat.  should  bring a plastic mat for the seat.

Actually, we don’t have to prepare anything. Because you can buy snacks, beverages, plastic sheets, seats at the convenience stores near the event. But as I said, there may be a lot of people and have to wait a long time to pay in line.

There is no need to go to see fireworks in particular. But what I would recommend to try is wearing a yukata. I have a yukata but I don’t know when to wear it. Fireworks and festivals in summer are the perfect opportunities. If not, that’s fine. There are many shops that sell and rent dresses.

Many Japanese people are glad to see foreigners interested in their culture. Walk along.

 

We might meet auntie walking over to see how beautiful it is. Or maybe you can walk in to help tie the obi straps to your waist, or help arrange our outfits into the way as well.

If not beautiful yukatam, The recommend to be a normal dress, thin fabric and comfortable to wear.  T-shirt and shorts is fine. Comfortable shoes Because we may have to walk to an event or viewing point that is far from the station If so, you may want to carry a light coat with you as the weather is hot. But when the night falls, the weather may get colder. Especially if going near a river or sea.

If you come to Japan in the summer Let’s try to find a chance to see the fireworks festival. Will be work in different cities Or famous Japanese events like these 5 events.

1. Adachi Fireworks (Tokyo): July 21, 2018
2. Tenjin Matsuri Hono Fireworks (Osaka): July 24-25, 2018
3. Sumida River Fireworks (Tokyo): July 28, 2018
4. Naniwa Yodo River Fireworks (Osaka) ): August 4, 2018
5. Edogawa Fireworks (Tokyo): August 4, 2018

Let’s enjoy the spectacular fireworks festival in Japan.

Try on a yukata and come see the beautiful and spectacular fireworks festival. Representatives of the Japanese summer.

Shift Work Health effects from shift work

Shift Work or work in shifts Adversely affecting the health of eating time Sleepless Especially people who work late night shifts Inevitably, there are symptoms of fatigue, exhaustion, affecting the work directly. It also affects your health in the short and long term.

Understanding shift work

Places that often find Shift Work are places that are open 24 hours a day, such as hospitals, convenience stores, airports, etc. Some of the workers in the said location have shift work or shift work. It is a work that does not match the natural body clock. Usually during the day you are awake for various activities and the night is the time for rest.

How should shift workers behave?

Sleep rest During the absence of a shift, you should have enough rest. Get 8 hours of sleep, if not enough rest, brain function will decrease. More importantly, the mattress should be properly arranged. Because sleep during the day. There will be quite a lot of interference Curtains and windows may be closed to result in a good night’s sleep.

Eating If you have to stay at night Should not eat food that is too heavy. Or eat food, should eat just not to feel hungry Then go to eat a heavy breakfast to get a good night’s sleep Then after 8 hours of sleep and wake up in the afternoon.

Then to eat lunch And dinner as usual before entering the event It is important to eat nutritious food.

Exercise For people working late shifts Should not exercise too hard. It will make the body tired during work As for those who work in the morning and afternoon shifts Should exercise regularly.

Shift changes should always shift forward. Do not switch back and forth. The body tired Feeling more sleep deprived, such as changing from morning shift to afternoon shift Switch from afternoon shift to night shift.

Do not switch from night shifts to afternoon shifts, for example, and don’t change shifts every week. Because normally, when adjusting the bedtime for one week, the body will get used to that time. If you have to change it, it should be changed every few weeks or not every few days.

Time shifts People who work in shifts often have different life periods.

Causing no time to meet with friends or don’t have time for family .Therefore, time should be allocated or planned well in order to maintain one’s mental health.

Impact of shift work

Shift work affects both short-term and long-term health.

• Short-term, including feeling tired, tired, lethargic at work Resulting in reduced work performance And the risk of accidents from work.• Long-term, studies have shown that people who work in shifts are at greater risk of developing certain diseases, such as heart disease, stroke. Deteriorating brain function Has symptoms of eye muscle fatigue Muscle aches, stress, chronic fatigue, sleeplessness, obesity.
•However, shift workers should take good care of their health and have a pattern. From a way of life that is different from the natural body clock. Both in eating, sleeping, and doing various activities to maintain their own physical and mental health.