Phenytoin bongo

Phenytoin ndi mankhwala omwe amagwiritsidwa ntchito pochiza khunyu ndi khunyu. Kuledzera kwa Phenytoin kumachitika ngati wina mwangozi kapena mwadala amamwa mankhwalawa.

Izi ndizongodziwa zokha osati kuti zigwiritsidwe ntchito pochiza kapena kuwongolera bongo. 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.

Diphenylhydantoin

Phenytoin ndi dzina lodziwika bwino la mankhwala monga:

• Cerebyx
• Zamgululi
• Chidziwitso 125
• Phenytek

Mndandandawu sungakhale wophatikiza zonse.

Zizindikiro za bongo za phenytoin zitha kuphatikizira:

• Coma
• Kusokonezeka
• Khunyu (nthawi zina)
• Chizungulire
• Malungo
• Kuthamanga kwa magazi
• Kuuma kwa minofu kapena kupindika
• Kugona
• Kuyenda moyandikira (nystagmus)
• Mawu osalankhula
• Kutupa m'kamwa
• Kugwedezeka (kunjenjemera mwangozi)
• Kusakhazikika

Mfundo zotsatirazi ndi zothandiza pakagwa tsoka:

• Msinkhu wa munthuyo, kulemera kwake, ndi mkhalidwe wake
• Dzina la malonda (komanso zosakaniza ndi mphamvu ngati zikudziwika)
• Nthawi yomwe idamezedwa
• Ndalamayo inameza
• Ngati mankhwalawa amaperekedwa kwa munthuyo

Komabe, MUSachedwe kupempha thandizo ngati izi sizikupezeka nthawi yomweyo.

Malo anu olamulirako poizoni amatha kufikiridwa mwachindunji poyimbira foni yaulere ya dziko lonse (1-800-222-1222) kuchokera kulikonse ku United States. Hotline 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 kupewa poyizoni. SIYENERA kukhala mwadzidzidzi. Mutha kuyimba pazifukwa zilizonse, maola 24 patsiku, masiku 7 pasabata.

Tengani chidebe cha mapiritsiwo kupita nawo kuchipatala, ngati zingatheke.

Wothandizira zaumoyo amayesa ndikuwunika zizindikilo zofunika za munthuyo, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi. Kuyesa magazi kudzachitika kuti muwone kuchuluka kwa phenytoin. Zizindikiro zidzachitiridwa moyenera. Munthuyo akhoza kulandira:

• Makina oyambitsidwa
• Thandizo la airway, kuphatikiza oxygen, chubu lopumira kudzera pakamwa (intubation), ndi makina opumira (makina opumira)
• Kuyesa magazi ndi mkodzo
• X-ray pachifuwa
• ECG (electrocardiogram, kapena kutsata mtima)
• Zamadzimadzi kudzera mumitsempha (intravenous kapena IV)
• Mankhwala otsegulitsa m'mimba
• Mankhwala ochizira matenda

Momwe munthu amachitira bwino zimadalira kuopsa kwa bongo komanso momwe mankhwala amalandirira mwachangu. Ngati pakhala kukomoka kwanthawi yayitali komanso mantha (kuwonongeka kwa ziwalo zingapo zamkati), zotsatira zoyipa ndizotheka.

Diphenylhydantoin

Aronson JK. Phenytoin ndi fosphenytoin. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 709-718.

Pollack CV, Merino FT. Kugwidwa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 15.