Kugwiritsa ntchito mankhwala osokoneza bongo
Kugwiritsa ntchito mankhwala osokoneza bongo ndiko kugwiritsa ntchito molakwika mankhwala osokoneza bongo kapena kugwiritsa ntchito mankhwala osokoneza bongo, kuphatikizapo mowa. Nkhaniyi ikufotokoza chithandizo choyamba chamankhwala osokoneza bongo komanso kusiya.
Mankhwala ambiri amumsewu alibe chithandizo chamankhwala. Kugwiritsa ntchito mankhwalawa ndi mtundu wina wa kugwiritsa ntchito mankhwala osokoneza bongo.
Mankhwala omwe amagwiritsidwa ntchito pochiza matenda atha kugwiritsidwa ntchito molakwika, mwangozi kapena mwadala. Izi zimachitika pamene anthu amatenga zochuluka kuposa momwe zimakhalira.Nkhanza zitha kuchitika ngati mankhwalawo atengedwa mwadala ndi mowa kapena mankhwala ena.
Kuyanjana kwa mankhwala kumathanso kubweretsa zovuta. Chifukwa chake, ndikofunikira kuti wothandizira zaumoyo wanu adziwe zamankhwala onse omwe mukumwa. Izi zimaphatikizapo mavitamini ndi mankhwala ena omwe mudagula popanda mankhwala.
Mankhwala ambiri ndi osokoneza bongo. Nthawi zina, kuledzera kumachitika pang'onopang'ono. Ndipo mankhwala ena (monga cocaine) amatha kuyambitsa chizolowezi pambuyo pongomwa pang'ono. Kuledzera kumatanthauza kuti munthu amakhala ndi chidwi chogwiritsa ntchito mankhwalawa ndipo sangathe kuyima, ngakhale atafuna.
Wina yemwe amakonda kugwiritsa ntchito mankhwala osokoneza bongo nthawi zambiri amakhala ndi zizindikiritso zakudzudzula mankhwalawo atayimitsidwa mwadzidzidzi. Chithandizo chitha kuthandiza kupewa kapena kuchepetsa zizindikiritso zakutha.
Mlingo wa mankhwala omwe ndi akulu okwanira kuvulaza thupi (poizoni) amatchedwa bongo. Izi zitha kuchitika modzidzimutsa, pamene mankhwala ambiri amamwa nthawi imodzi. Zitha kuchitika pang'onopang'ono ngati mankhwala omwe amakula mthupi nthawi yayitali. Kuchira msanga kungapulumutse munthu amene wamwa bongo.
Kuledzera mopitirira muyeso kwa mankhwala osokoneza bongo kumatha kuyambitsa tulo, kupuma pang'ono, ngakhalenso kukomoka.
Zowonjezera (zotsekemera) zimabweretsa chisangalalo, kuchuluka kwa kugunda kwa mtima, komanso kupuma mwachangu. Downers (depressants) amachita zosiyana.
Mankhwala osokoneza bongo amatchedwa hallucinogens. Mulinso LSD, PCP (angel dust), ndi mankhwala ena amisewu. Kugwiritsa ntchito mankhwalawa kumatha kuyambitsa matenda amisala, kuyerekezera zinthu m'maganizo, kuchita nkhanza, kapena kusiya kucheza kwambiri ndi anthu.
Mankhwala osokoneza bongo monga chamba angayambitse kupumula, kusokonezeka kwa magalimoto, komanso kuwonjezeka kwa njala.
Mankhwala akamamwa mankhwala ochulukirapo kuposa momwe zimakhalira, zotsatira zoyipa zimatha kuchitika.
Zizindikiro zowonjezera bongo zimasiyana mosiyanasiyana, kutengera mankhwala omwe amagwiritsidwa ntchito, koma atha kuphatikizanso:
- Kukula kwachilendo kwa ophunzira kapena ana omwe samasintha kukula kuwala kukuwala mwa iwo
- Kusokonezeka
- Kugwidwa, kunjenjemera
- Khalidwe lachinyengo kapena lodzidzimutsa, kuyerekezera zinthu m'maganizo
- Kuvuta kupuma
- Kugona, kukomoka
- Nseru ndi kusanza
- Kusunthika kapena kusakhazikika (ataxia)
- Kutuluka thukuta kapena louma kwambiri, khungu lotentha, zotupa, zotupa
- Chiwawa kapena nkhanza
- Imfa
Zizindikiro zakusiya mankhwala zimasiyanasiyana, kutengera mankhwala omwe amagwiritsidwa ntchito, koma atha kuphatikizanso:
- Kupunduka m'mimba
- Kusokonezeka, kupumula
- Thukuta lozizira
- Zosokonekera, kuyerekezera zinthu m'maganizo
- Matenda okhumudwa
- Nseru, kusanza, kutsegula m'mimba
- Kugwidwa
- Imfa
1. Onetsetsani momwe munthu akupumira, kupuma, ndi kugunda kwamunthu. Ngati kuli kofunikira, yambani CPR. Ngati wakomoka koma akupuma, onetsetsani kuti munthuyo akuchira mwa kumuika pambali kumanzere. Pindani mwendo wapamwamba kuti mchiuno ndi bondo zonse zizikhala bwino. Pepani mutu wawo mmbuyo kuti asatseke. Ngati munthuyo ali wozindikira, masulani chovalacho ndikumutenthetsa, ndikumulimbikitsa. Yesetsani kumukhazika mtima pansi munthuyo. Ngati mukukayikira kuti ndi osokoneza bongo, yesetsani kuti munthuyo asamwe mankhwala enanso. Itanani kuchipatala nthawi yomweyo.
2. Muthandizeni munthuyo ngati ali ndi mantha. Zizindikiro zimaphatikizapo kufooka, milomo yabuluu ndi zikhadabo, khungu lamoto, khungu, komanso kuchepa.
3. Ngati munthuyo wakomoka, perekani chithandizo choyamba kwa khunyu.
4. Pitirizani kuyang'anira zizindikiro zofunika za munthu (kugunda, kupuma, kuthamanga kwa magazi, ngati zingatheke) mpaka thandizo lachipatala litadza.
5. Ngati nkotheka, yesani kudziwa mankhwala omwe amwedwa, kuchuluka kwake komanso liti. Sungani mabotolo aliwonse apiritsi kapena zotengera zina zamankhwala. Dziwani izi kwa ogwira ntchito zadzidzidzi.
Zinthu zomwe simuyenera kuchita mukamacheza ndi munthu amene wachita mopitirira muyeso:
- MUSAYIKE chitetezo chanu pachiwopsezo. Mankhwala ena amatha kuyambitsa ziwawa komanso zosayembekezereka. Itanani kuchipatala.
- MUSAYESE kukambirana ndi munthu amene amamwa mankhwala osokoneza bongo. Musayembekezere kuti iwo azichita zinthu moyenera.
- Osapereka malingaliro anu popereka thandizo. Simufunikanso kudziwa chifukwa chake mankhwala adatengedwa kuti apereke chithandizo choyambirira chothandiza.
Ngozi za mankhwala osokoneza bongo nthawi zina zimakhala zovuta kuzizindikira. Ngati mukuganiza kuti wina wachita mopitirira muyeso, kapena ngati mukuganiza kuti wina akuchoka, perekani chithandizo choyamba ndikupeza chithandizo chamankhwala.
Yesetsani kupeza mankhwala omwe munthuyo watenga. Ngati ndi kotheka, sonkhanitsani zidebe zonse zamankhwala osokoneza bongo komanso zitsanzo zotsalira zamankhwala kapena masanzi a munthuyo ndikuzitengera kuchipatala.
Ngati inu kapena munthu amene muli naye mwadya mopitirira muyeso, itanani nambala yadzidzidzi yakomweko (monga 911), kapena malo oletsa poyizoni, omwe angafikiridwe mwachindunji poyimbira foni ya nambala yaulere ya Poison Help (1-800-222-1222) ) kuchokera kulikonse ku United States.
Uwu ndi ntchito yaulere komanso yachinsinsi. Malo onse oletsa poizoni ku United States amagwiritsa ntchito nambala iyi. Muyenera kuyimba ngati muli ndi mafunso aliwonse okhudzana ndi poyizoni kapena kupewa poyizoni. SIYENERA kukhala mwadzidzidzi. Mutha kuyimba pazifukwa zilizonse, maola 24 patsiku, masiku 7 pasabata.
Kuchipatala, wothandizirayo ayesa mbiri yakale ndikuwunika. Kuyesa ndi njira zidzachitika ngati kuli kofunikira.
Izi zingaphatikizepo:
- Makala oyambitsidwa ndi mankhwala ofewetsa tuvi tosiyanasiyana othandiza kuchotsa mankhwala omwe amameza m'thupi (nthawi zina amaperekedwa kudzera mu chubu chomwe chimayikidwa mkamwa mpaka m'mimba)
- Ndege ndi chithandizo chopumira, kuphatikiza oxygen, chigoba cha nkhope, chubu kudzera pakamwa kupita ku trachea, ndi makina opumira (mpweya wabwino)
- Kuyesa magazi ndi mkodzo
- Kujambula kwa CT pamutu, m'khosi, ndi madera ena
- X-ray pachifuwa
- ECG (electrocardiogram, kapena kutsata mtima)
- Madzi amadzimadzi (madzi kudzera mumitsempha)
- Mankhwala obwezeretsa zovuta za mankhwalawa
- Umoyo wamaganizidwe ndi kuwunika kwa ntchito ndi chithandizo
Zikakhala zovuta kwambiri, munthuyo angafunike kumugoneka kuchipatala kuti akalandire thandizo lina.
Zotsatira zimadalira zinthu zambiri, kuphatikizapo:
- Mtundu ndi kuchuluka kwa mankhwala
- Komwe mankhwalawa adalowa mthupi, monga pakamwa, mphuno, kapena jakisoni (kudzera m'mitsempha kapena pakhungu)
- Kaya munthuyo ali ndi mavuto ena azaumoyo
Zambiri zilipo zochizira kugwiritsa ntchito mankhwala osokoneza bongo. Funsani omwe akukuthandizani pazinthu zakomweko.
Bongo ya mankhwala; Kugwiritsa ntchito mankhwala osokoneza bongo
Bernard SA, Jennings PA. Mankhwala asanakonzekere kuchipatala. Mu: Cameron P, Little M, Mitra B, Deasy C, olemba., Eds. Buku Lophunzitsira la Mankhwala Achikulire Achikulire. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 29.1.
Iwanicki JL. Ma hallucinogens. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 150.
Minns AB, Clark RF. Kugwiritsa ntchito mankhwala osokoneza bongo. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 140.
Pezani nkhaniyi pa intaneti Weiss RD. Mankhwala osokoneza bongo. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 31.