Kuledzera kwa Barbiturate ndi bongo

Barbiturates ndi mankhwala omwe amachititsa kupumula ndi kugona. Kuchulukitsa kwa barbiturate kumachitika ngati wina atenga mankhwala ochulukirapo kuposa omwe abwinobwino kapena oyenera. Izi zitha kuchitika mwangozi kapena mwadala. Kuledzera kwambiri kumawopseza moyo.

Mlingo wotsika kwambiri, barbiturates atha kukupangitsani kuti muwoneke kuti mwaledzera kapena kuledzera.

Barbiturates amakonda. Anthu omwe amawagwiritsa ntchito amadalira kuthupi lawo. Kuwaletsa (kusiya) kumatha kukhala pachiwopsezo cha moyo. Kulekerera kusinthasintha kwakusintha kwa ma barbiturates kumakula mwachangu kugwiritsa ntchito mobwerezabwereza. Koma, kulolerana ndi zotsatira zakupha kumayamba pang'onopang'ono, ndipo chiopsezo cha poyizoni wowopsa chimakulirakulira ndikupitiliza kugwiritsidwa ntchito.

Nkhaniyi ndi yongodziwa zambiri. Musagwiritse ntchito pochiza kapena kuyendetsa bongo. Ngati inu kapena munthu amene mwadya mopitirira muyeso, itanani nambala yanu yadzidzidzi (monga 911), kapena malo omwe muli poizoni kwanuko atha kufikiridwa mwachindunji poyimbira foni ya nambala yaulere ya Poison Help (1-800-222-1222) kulikonse ku United States.

Kugwiritsa ntchito barbiturate ndi vuto lalikulu losokoneza bongo kwa anthu ambiri. Anthu ambiri omwe amamwa mankhwalawa ngati ali ndi vuto la kulanda kapena ma syndromes opweteka sawazunza, koma omwe amamwa, nthawi zambiri amayamba kugwiritsa ntchito mankhwala omwe adapatsidwa kwa iwo kapena abale ena.

Mankhwala ambiri amtunduwu amakhala ndi mankhwala osakaniza, nthawi zambiri mowa ndi ma barbiturate, kapena barbiturates ndi ma opiate monga heroin, oxycodone, kapena fentanyl.

Ena ogwiritsa ntchito amatenga mankhwala osakaniza onsewa. Omwe amagwiritsa ntchito kuphatikiza kotere amakhala:

• Ogwiritsa ntchito atsopano omwe sakudziwa kuphatikiza izi atha kubweretsa chikomokere kapena kufa
• Ogwiritsa ntchito omwe amagwiritsira ntchito dala kuti asinthe chidziwitso chawo

Zizindikiro za kuledzera kwa barbiturate ndi bongo ndi monga:

• Mulingo wosintha wazidziwitso
• Zovuta pakuganiza
• Kugona kapena kukomoka
• Kulingalira molakwika
• Kusagwirizana
• Kupuma pang'ono
• Mawu odekha, osalankhula
• Ulesi
• Choyendetsa

Kugwiritsa ntchito kwambiri kwa barbiturates, komanso kwa nthawi yayitali, monga phenobarbital, kumatha kukhala ndi izi:

• Zosintha mwatcheru
• Kuchepetsa kugwira ntchito
• Kukwiya
• Kutaya kukumbukira

Wothandizira zaumoyo adzawunika zizindikilo zofunika za munthuyo, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi. Mayeso omwe angachitike ndi awa:

• Kuyesa magazi ndi mkodzo
• X-ray pachifuwa
• ECG (electrocardiogram)

Kuchipatala, chithandizo chadzidzidzi chingaphatikizepo:

• Makina oyambitsidwa pakamwa kapena chubu kudzera mphuno m'mimba
• Chithandizo chopumira, kuphatikiza mpweya, chubu kudzera pakamwa mpaka pakhosi, ndi makina opumira
• Zamadzimadzi kudzera mumtsempha (mwa IV)
• Mankhwala ochizira matenda

Mankhwala otchedwa naloxone (Narcan) atha kuperekedwa ngati opiate inali gawo la kusakaniza. Mankhwalawa nthawi zambiri amabwezeretsa chikumbumtima ndikupuma, koma magwiridwe akewo ndi achidule, ndipo angafunike kupatsidwa mobwerezabwereza.

Palibe mankhwala achindunji a ma barbiturates. Mankhwala ndi mankhwala omwe amasintha zomwe mankhwala ena amabwera.

Pafupifupi 1 mwa anthu 10 omwe amamwa mankhwala osokoneza bongo a barbiturates kapena osakaniza omwe ali ndi barbiturates adzafa. Nthawi zambiri amafa chifukwa cha mavuto amtima ndi mapapo.

Mavuto owonjezerawa ndi awa:

• Coma
• Imfa
• Kuvulala kwamutu ndi kusokonezeka kwa kugwa ataledzera
• Kupita padera kwa amayi apakati kapena kuwonongeka kwa mwana yemwe akukula m'mimba
• Khosi ndi kuvulala kwa msana ndi ziwalo zakugwa chifukwa chakuledzera
• Chibayo chokhudzidwa ndi gag reflex ndi aspiration (madzimadzi kapena chakudya kutsitsa machubu am'mapapo)
• Kuwonongeka kwakukulu kwa minyewa pogona pamalo olimba osakomoka, zomwe zingayambitse impso

Imbani nambala yadzidzidzi yakomweko, monga 911, ngati wina watenga barbiturates ndikuwoneka kuti watopa kwambiri kapena ali ndi vuto lakupuma.

Malo anu oletsa poizoni kwanuko atha kufikiridwa mwachindunji mwa kuyimbira foni nambala yaulere ya dziko lonse (1800-222-1222) kuchokera kulikonse ku United States. Nambala yoyimbira iyi ikulolani kuti mulankhule ndi akatswiri pankhani yakupha. Akupatsani malangizo ena.

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 kuchepetsa poyizoni. SIYENERA kukhala mwadzidzidzi. Mutha kuyimba pazifukwa zilizonse, maola 24 patsiku, masiku 7 pasabata.

Kuledzera - barbiturates

Aronson JK. Zamgululi. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 819-826.

Gussow L, Carlson A. Otsitsimutsa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 159.