Phenothiazine bongo

Phenothiazines ndi mankhwala omwe amagwiritsidwa ntchito kuthana ndi zovuta zamaganizidwe ndi malingaliro, ndikuchepetsa nseru. Nkhaniyi ikufotokoza za mankhwala osokoneza bongo a phenothiazines. Kuledzera kumachitika pamene wina amatenga zochulukirapo kuposa zomwe zimayenera kapena zoyenera. Izi zitha kuchitika mwangozi kapena mwadala.

Nkhaniyi ndi yongodziwa zambiri. Musagwiritse ntchito pochiza kapena kuyendetsa bongo. Ngati inu kapena munthu amene muli naye muli ndi chidziwitso, 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) kuchokera kulikonse ku United States.

Chowopsa chakupha ndi phenothiazine, yomwe imapezeka m'mankhwala ambiri.

Mankhwalawa ali ndi phenothiazine:

• Chlorpromazine
• Clozapine
• Fluphenazine
• Haloperidol
• Zamgululi
• Molindone
• Perphenazine
• Pimozide
• Zowonjezera
• Thioridazine
• Thiothixene
• Trifluoperazine
• Promethazine

Mankhwala ena amathanso kukhala ndi phenothiazine.

M'munsimu muli zizindikiro za bongo wa phenothiazine m'magulu osiyanasiyana amthupi.

NDEGE NDI MAPIKO

• Palibe kupuma
• Kupuma mofulumira
• Kupuma pang'ono

CHIKHALIDWE NDI MAFUPA

• Kukodza kovuta kapena kochepa
• Kulephera kutulutsa chikhodzodzo (kusungira mkodzo)

MASO, MAKUTU, MPhuno, PAKAMWA, NDI KUKHULA

• Masomphenya olakwika
• Zovuta kumeza
• Kutsetsereka
• Pakamwa pouma
• Kuchulukana m'mphuno
• Ana ang'ono kapena akulu
• Zilonda pakamwa, palilime kapena pakhosi
• Maso achikaso (icterus)

MTIMA NDI MWAZI

• Kuthamanga kwa magazi (koopsa)
• Kugunda kwamtima
• Kugunda kwamtima mwachangu

MISAMBO NDI ZOPHUNZITSA

• Kupweteka kwa minofu
• Kuuma kwa minofu
• Kuthamanga, kusayenda mwachangu kwa nkhope (kutafuna, kuphethira, maginito, ndi mayendedwe a lilime)

DZIKO LAPANSI

• Kusokonezeka, kukwiya, chisokonezo
• Kugwedezeka (kugwidwa)
• Kusokonezeka, kukomoka (kusachita chidwi)
• Kusinza
• Malungo
• Kutentha kwa thupi
• Kupumula komwe kumalumikizidwa ndikuphonya mobwerezabwereza phazi, kugwedezeka, kapena kuyenda (akathisia)
• Kunjenjemera, magalimoto omwe munthu sangathe kuwalamulira (dystonia)
• Kuyenda kosagwirizana, kuyenda pang'onopang'ono, kapena kusuntha (pogwiritsa ntchito nthawi yayitali kapena kumwa mopitirira muyeso)
• Kufooka

NJIRA YOBALIRA

• Kusintha kwa msambo

Khungu

• Kutupa
• Kuzindikira kwa dzuwa, kutentha kwa dzuwa mwachangu
• Mtundu wa khungu umasintha

MIMBA NDI MITIMA

• Kudzimbidwa
• Kutaya njala
• Nseru
  

Zina mwazizindikirozi zimatha kuchitika, ngakhale atamwa mankhwala moyenera.

Pitani kuchipatala nthawi yomweyo.

MUSAMAPANGITSE munthu kutaya pansi pokhapokha ngati atayikidwa poyizoni kapena wothandizira zaumoyo atakuwuzani.

Dziwani izi:

• Msinkhu wa munthu, kulemera kwake, ndi momwe alili
• Dzina la mankhwala, ndi mphamvu, ngati zikudziwika
• Ndalamayo inameza
• Nthawi yomwe idamezedwa
• Ngati mankhwalawa amaperekedwa kwa munthuyo

Malo omwe muli poizoni kwanuko atha kufikiridwa mwachindunji mwa kuyimbira foni nambala yaulere ya dziko lonse (1-800-222-1222) kuchokera kulikonse ku United States. Nambala yoyimbira foni yamtunduwu 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 chidebecho kuchipatala, ngati zingatheke.

Woperekayo amayesa ndikuwunika zizindikilo zofunika za munthuyo, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi. Zizindikiro zidzachiritsidwa. Munthuyo akhoza kulandira:

• Kuyesa magazi ndi mkodzo
• Chithandizo chopumira, kuphatikiza mpweya, chubu kudzera pakamwa kupita m'mapapu, ndi makina opumira (chopumira)
• X-ray pachifuwa
• CT scan (kompyuta axial tomography kapena kulingalira bwino kwa ubongo)
• ECG (electrocardiogram, kapena kutsata mtima)
• Zamadzimadzi (IV) zamadzimadzi kudzera mumitsempha
• Mankhwala otsegulitsa m'mimba
• Mankhwala obwezeretsa zovuta zamankhwala

Kuchira kumatengera kuchuluka kwa kuwonongeka. Kupulumuka masiku awiri apitawa chimakhala chizindikiro chabwino. Zizindikiro zamanjenje zimatha kukhala zosatha. Zotsatira zoyipa kwambiri zimachitika chifukwa cha kuwonongeka kwa mtima. Ngati kuwonongeka kwa mtima kungakhazikike, kupumula kumachitika. Kusokonezeka kwa mayimbidwe amtima pangozi kungakhale kovuta kuchiza, ndipo kumatha kubweretsa imfa.

Aronson JK. Mankhwala a Neuroleptic. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 53-119.

Skolnik AB, Monas J. Antipsychotic. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed.Philadelphia, PA: Elsevier; 2018: mutu 155.