Mankhwala osokoneza bongo a Dilantin

Dilantin ndi mankhwala omwe amagwiritsidwa ntchito popewa kugwidwa. Kuledzera kumachitika munthu wina akamamwa mankhwala ochulukirapo kapena obvomerezeka. Izi zitha kuchitika mwangozi kapena mwadala.

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

Dilantin ikhoza kukhala yowopsa kwambiri.

Dilantin ndi dzina la phenytoin.

Zizindikiro za bongo Dilantin zimasiyana. Zitha kuphatikiza:

• Coma
• Kusokonezeka
• Kuyenda mododometsa kapena kuyenda (chizindikiro choyambirira)
• Kusakhazikika, mayendedwe osagwirizana (chizindikiro choyambirira)
• Moyenda mosadzipereka, mozungulira, mobwerezabwereza m'maso omwe amatchedwa nystagmus (chizindikiro choyambirira)
• Kugwidwa
• Kugwedezeka (kosalamulirika, kugwedezeka mobwerezabwereza kwa manja kapena miyendo)
• Kugona
• Mawu ochedwa kapena osalankhula
• Kukonda
• Kuthamanga kwa magazi
• Nseru ndi kusanza
• Kutupa m'kamwa
• Malungo (osowa)
• Kuphulika kwakukulu kwa khungu (kawirikawiri)
• Pang'ono kapena pang'ono pamtima (nthawi zambiri amangotengedwa kudzera m'mitsempha, monga kuchipatala)
• Kutupa ndi kusungunuka kwa dzanja (pokhapokha mutatengedwa kudzera m'mitsempha, monga kuchipatala)

Pitani kuchipatala nthawi yomweyo. MUSAMUPANGITSE munthuyo kupatula ngati atayikidwa poyizoni kapena wothandizira zaumoyo atakuwuzani.

Dziwani izi:

• Msinkhu wa munthu, kulemera kwake, ndi mkhalidwe wake (mwachitsanzo, kodi munthuyo ali maso kapena watcheru?)
• Dzina la malonda (zosakaniza ndi mphamvu, ngati zikudziwika)
• Nthawi yomwe idamezedwa
• Kuchuluka kumeza
• Ngati mankhwalawa amaperekedwa kwa munthuyo

Musachedwe kupempha thandizo ngati mulibe izi.

Malo anu olamulirako poizoni amatha kufikiridwa mwachindunji poyimbira foni yaulere ya dziko lonse (1-800-222-1222) 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 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.

Mayeso omwe angachitike ndi awa:

• Kuyesa magazi ndi mkodzo
• X-ray pachifuwa
• Kujambula kwa CT
• ECG (electrocardiogram, kutsata mtima)

Chithandizo chingaphatikizepo:

• Zamadzimadzi kudzera mumtsempha (mwa IV)
• Mankhwala obwezeretsa zovuta zamankhwala ndikuchiza zisonyezo
• Makina oyambitsidwa
• Mankhwala otsegulitsa m'mimba
• Chithandizo chopumira, kuphatikiza chubu kudzera pakamwa kupita m'mapapu komanso cholumikizidwa ndi makina opumira (chopumira)

Maganizo ake amatengera kukula kwazovuta kwambiri:

• Kuchulukitsitsa pang'ono - Chithandizo chokhacho chingakhale chofunikira. Kubwezeretsa ndikotheka.
• Mankhwala osokoneza bongo - Pokhala ndi chithandizo choyenera, munthuyo amatha kuchira kwathunthu mkati mwa maola 24 mpaka 48.
• Kuledzera kwakukulu - Ngati munthu sakomoka kapena ali ndi zizindikilo zosafunikira, chithandizo chankhanza chofunikira chitha kukhala chofunikira. Zitha kutenga masiku atatu kapena asanu kuti munthuyo adziwe. Zovuta monga chibayo, kuwonongeka kwa minyewa atagona pamalo olimba kwanthawi yayitali, kapena kuwonongeka kwaubongo posowa mpweya kumatha kupangitsa kuti munthu akhale wolumala kwamuyaya. Komabe, pokhapokha ngati pali zovuta, zotsatira zazitali komanso imfa sizodziwika. Ngati imfa imachitika, nthawi zambiri imachokera ku kulephera kwa chiwindi.

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.

Meehan TJ. Yandikirani kwa wodwala yemwe ali ndi poyizoni. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 139.