Propoxyphene bongo
Propoxyphene ndi mankhwala omwe amagwiritsidwa ntchito kuti athetse ululu. Ndi imodzi mwamankhwala ambiri omwe amatchedwa opioid kapena ma opiate, omwe amapangidwa kuchokera ku chomera cha poppy ndipo amagwiritsidwa ntchito kutonthoza ululu kapena zovuta zawo Propoxyphene overdose imachitika pamene wina mwadala kapena mwangozi amamwa mankhwalawa.
US Food and Drug Administration (FDA) idachotsa mankhwalawa pamsika mu Disembala 2010 chifukwa chakutha kuyambitsa kusokonezeka kwa mtima.
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.
Propoxyphene
Maina a mayina ndi awa:
- Darvocet
- Darvon
- Darvon-N
- Dolene
Chidziwitso: Mndandandawu sungakhale wophatikiza zonse.
Zizindikiro zimaphatikizapo:
Maso, makutu, mphuno, ndi mmero:
- Kutaya kwakumva
- Onetsani ophunzira
Mitsempha ya mtima ndi magazi:
- Kusokonezeka kwamalingaliro amtima
- Kuthamanga kwa magazi
- Kugunda kofooka
Mapapo:
- Kupuma pang'onopang'ono, kugwira ntchito, kapena kosaya
- Palibe kupuma
Minofu:
- Minofu yolimba
- Kuwonongeka kwa minofu chifukwa chosasunthika mukakomoka
Mchitidwe wamanjenje:
- Coma
- Kusokonezeka
- Kusinza
- Kugwidwa
Khungu:
- Cyanosis (zikhomo za buluu kapena milomo)
- Jaundice (kutembenukira chikasu)
- Kutupa
Mimba ndi matumbo:
- Nseru, kusanza
- Kupweteka kwa m'mimba kapena m'matumbo (kupweteka kwa m'mimba)
Pitani kuchipatala nthawi yomweyo. MUSAMAPANGITSE munthu kutaya pansi pokhapokha atamuuza kuti atero ndi Poizoni kapena katswiri wazachipatala.
Mfundo zotsatirazi ndi zothandiza pakagwa tsoka:
- Msinkhu wa munthuyo, kulemera kwake, ndi mkhalidwe wake
- Dzina la malonda (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. Nambala yochezera 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.
Wothandizira zaumoyo amayesa ndikuwunika zizindikilo zofunika za munthuyo, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi.
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 zizindikiro, kuphatikiza naloxone, mankhwala othetsera mavuto a poyizoni; Mlingo wambiri ungafunike
Momwe munthu amachitira bwino zimatengera kuopsa kwa bongo komanso momwe mankhwala amalandirira mwachangu. Ngati munthu woyenera kumwa mankhwala osokoneza bongo atha kuperekedwa, kuchira chifukwa cha kuchuluka kwambiri kumachitika mkati mwa maola 24 mpaka 48. Komabe, ngati pakhala kukomoka kwanthawi yayitali komanso mantha (kuwonongeka kwa ziwalo zingapo zamkati), zotsatira zoyipa ndizotheka.
Propoxyphene hydrochloride; Kutulutsa Dextropropoxyphene
Aronson JK. Kutulutsa Dextropropoxyphene. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 906-908.
Nikolaides JK, Thompson TM. Opioids. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 156.