Kuledzera kwa Cocaine

Cocaine ndi mankhwala osokoneza bongo omwe amakhudza dongosolo lanu lamanjenje. Cocaine amachokera ku chomera cha coca. Pogwiritsidwa ntchito, cocaine imapangitsa ubongo kutulutsa kuposa mankhwala wamba. Izi zimatulutsa chisangalalo, kapena "chokwera."

Kuledzera kwa Cocaine ndimkhalidwe womwe simumangogwiritsa ntchito mankhwalawa, komanso mumakhala ndi zizindikilo zathupi lonse zomwe zingakupangitseni kudwala komanso kufooka.

Kuledzera kwa Cocaine kumatha kuyambitsidwa ndi:

• Kumwa cocaine wambiri, kapena mtundu wochuluka wa cocaine
• Kugwiritsa ntchito cocaine nthawi yotentha, zomwe zimabweretsa zovulaza zina zoyipa chifukwa cha kuchepa kwa madzi m'thupi
• Kugwiritsa ntchito cocaine ndi mankhwala ena

Zizindikiro zakuledzera kwa cocaine ndizo:

• Kulipira ndalama zambiri, kusangalala, kuyankhula ndi kuthamanga, nthawi zina zinthu zoyipa zomwe zikuchitika
• Kuda nkhawa, kusakhazikika, kupumula, kusokonezeka
• Kunjenjemera kwa minofu, monga kumaso ndi zala
• Ana okulitsidwa omwe samachepa pomwe kuwala kukuwala m'maso
• Kuchuluka kwa kugunda kwa mtima ndi kuthamanga kwa magazi
• Mitu yopepuka
• Khungu
• Nseru ndi kusanza
• Malungo, thukuta

Ndi Mlingo wapamwamba, kapena bongo, zizindikilo zowopsa zimatha kuchitika, kuphatikiza:

• Kugwidwa
• Kutaya kuzindikira zazungulira
• Kutaya kwamkodzo
• Kutentha kwa thupi, thukuta loopsa
• Kuthamanga kwa magazi, kuthamanga kwa mtima kwambiri kapena kugunda kwamtima mosasinthasintha
• Mtundu wabuluu wakhungu
• Kuthamanga kapena kupuma movutikira
• Imfa
  

Cocaine nthawi zambiri amadulidwa (osakanikirana) ndi zinthu zina. Mukatengedwa, zizindikiro zina zimatha kuchitika.

Ngati akuganiza kuti kuledzera kwa cocaine, wopereka chithandizo chamankhwala atha kuyitanitsa mayeso awa:

• Mavitamini a mtima (kufufuza umboni wa kuwonongeka kwa mtima kapena matenda a mtima)
• X-ray pachifuwa
• Kujambula kwa CT pamutu, ngati mukuvulala mutu kapena magazi
• ECG (electrocardiogram, kuyeza zamagetsi mumtima)
• Toxicology (poyizoni ndi mankhwala) kuwunika
• Kupenda kwamadzi

Woperekayo amayesa ndikuwunika zizindikilo zofunika za munthuyo, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi.

Zizindikiro zidzachitiridwa moyenera. Munthuyo akhoza kulandira:

• Chithandizo chopumira, kuphatikiza mpweya, chubu pakhosi, ndi chopumira (makina opumira)
• Madzi a IV (madzi kudzera mumtsempha)
• Mankhwala ochizira matenda monga ululu, nkhawa, kusakhazikika, nseru, khunyu, ndi kuthamanga kwa magazi
• Mankhwala ena kapena chithandizo chazovuta zamtima, ubongo, minofu, ndi impso

Chithandizo cha nthawi yayitali chimafunikira upangiri wa mankhwala kuphatikiza mankhwala.

Maganizo amatengera kuchuluka kwa mankhwala omwe amagwiritsidwa ntchito ndi zomwe ziwalozo zimakhudzidwa. Kuwonongeka kwamuyaya kumatha kuchitika, komwe kungayambitse:

• Khunyu, sitiroko, ndi ziwalo
• Kuda nkhawa kwakanthawi komanso matenda amisala (matenda amisala)
• Kuchepetsa kugwira ntchito kwamaganizidwe
• Zoyipa pamtima ndikuchepetsa mtima kugwira ntchito
• Kulephera kwa impso komwe kumafuna dialysis (makina a impso)
• Kuwonongeka kwa minofu, zomwe zingayambitse kudulidwa

Kuledzera - cocaine

• Electrocardiogram (ECG)

Aronson JK. Cocaine. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 492-542.

Rao RB, Hoffman RS, Erickson TB. Cocaine ndi ma sympathomimetics ena. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 149.