Kuledzera kwa chamba

Chamba ("poto") kuledzera ndi chisangalalo, kupumula, ndipo nthawi zina zotsatira zoyipa zomwe zimachitika anthu akamamwa chamba.

Mayiko ena ku United States amalola kuti chamba chigwiritsidwe ntchito movomerezeka kuthana ndi zovuta zina zamankhwala. Mayiko ena adalembetsanso ntchito yake.

Zotsatira zauchidakwa zimaphatikizapo kupumula, kugona, komanso kusangalala pang'ono (kukwera).

Kusuta chamba kumabweretsa zizindikilo mwachangu komanso zodziwikiratu. Kudya chamba kumatha kuyambitsa pang'onopang'ono, ndipo nthawi zina kumakhala kovuta.

Chamba chimatha kuyambitsa zovuta zina, zomwe zimawonjezeka ndi kuchuluka kwambiri. Zotsatirazi zikuphatikizapo:

• Kuchepetsa kukumbukira kwakanthawi kochepa
• Pakamwa pouma
• Malingaliro olakwika ndi luso lamagalimoto
• Maso ofiira

Zotsatira zoyipa kwambiri zimaphatikizapo mantha, paranoia, kapena psychosis yovuta, yomwe imatha kukhala yofala kwa ogwiritsa ntchito atsopano kapena kwa iwo omwe ali ndi matenda amisala.

Kuchuluka kwa zotsatirazi kumasiyana pamunthu ndi munthu, komanso kuchuluka kwa chamba chomwe chimagwiritsidwa ntchito.

Chamba chimadulidwa ndi ma hallucinogens ndi mankhwala ena owopsa omwe amakhala ndi zovuta zoyipa kuposa chamba. Zotsatirazi zingakhale monga:

• Kuthamanga kwa magazi mwadzidzidzi ndi mutu
• Kupweteka pachifuwa ndi kusokonezeka kwa kayendedwe ka mtima
• Kutengeka kwambiri komanso chiwawa chakuthupi
• Matenda amtima
• Kugwidwa
• Sitiroko
• Kugwa mwadzidzidzi (kumangidwa kwamtima) kuchokera kusokonezeka kwamitima ya mtima

Chithandizo ndi chisamaliro chimaphatikizapo:

• Kupewa kuvulala
• Kulimbikitsanso iwo omwe ali ndimantha chifukwa cha mankhwalawa

Njira, zotchedwa benzodiazepines, monga diazepam (Valium) kapena lorazepam (Ativan), atha kupatsidwa. Ana omwe ali ndi zizindikilo zowopsa kapena omwe ali ndi zovuta zoyipa angafunike kukhala mchipatala kuti akalandire chithandizo. Chithandizo chake chingaphatikizepo kuwunika kwa mtima ndi ubongo.

Mu dipatimenti yadzidzidzi, wodwalayo atha kulandira:

• Makina oyambitsidwa, ngati mankhwala adadyedwa
• Kuyesa magazi ndi mkodzo
• Chithandizo cha kupuma, kuphatikiza mpweya (ndi makina opumira, makamaka ngati pakhala pali kusakanikirana kosakanikirana)
• X-ray pachifuwa
• ECG (electrocardiogram, kapena kutsata mtima)
• Zamadzimadzi kudzera mumitsempha (intravenous, kapena IV)
• Mankhwala ochepetsa matenda (onani pamwambapa)

Kuledzera kosavuta kwa chamba sikusowa upangiri kapena chithandizo chamankhwala. Nthawi zina, zizindikiro zoopsa zimachitika. Komabe, zizindikirozi ndizochepa ndipo nthawi zambiri zimalumikizidwa ndi mankhwala ena kapena mankhwala osakanikirana ndi chamba.

Ngati wina amene wakhala akusuta chamba ali ndi zizindikilo zakuledzera, akuvutika kupuma, kapena sangathe kudzutsidwa, itanani 911 kapena nambala yadzidzidzi yakomweko. Ngati munthuyo wasiya kupuma kapena alibe mpweya, yambitsani kutsitsimutsa mtima (CPR) ndikupitiliza mpaka thandizo litafika.

Kuledzera kwa khansa; Kuledzera - chamba (chamba); Mphika; Mary Jane; Udzu; Udzu; Mankhwala

Msuzi JCM. Zotsatira zakumwa mankhwala osokoneza bongo pamanjenje. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 87.

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.