Kuchuluka kwa Lomotil

Lomotil ndi mankhwala akuchipatala omwe amagwiritsidwa ntchito pochiza matenda otsekula m'mimba. Mankhwala osokoneza bongo a Lomotil amapezeka pamene wina amamwa mankhwala ochulukirapo kapena ovomerezeka. 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.

Lomotil ili ndi mankhwala awiri omwe angawonongeke kwambiri. Ali:

• Atropine
• Diphenoxylate (opioid)

Mankhwala omwe ali ndi mayinawa amakhala ndi atropine ndi diphenoxylate:

• Lofene
• Logen
• Lomanate
• Lomotil
• Lonox

Mankhwala ena amathanso kukhala ndi atropine ndi diphenoxylate.

Zizindikiro zakupitirira muyeso kwa Lomotil ndi izi:

• Kupuma pang'ono, kapena kupuma kumasiya
• Kugunda kwa mtima (kugunda)
• Kugunda kwamtima mwachangu
• Kutsika kapena kuyimitsa matumbo
• Coma (kuchepa kwa chidziwitso, kusayankha)
• Kudzimbidwa
• Khunyu (kupweteka)
• Kusinza
• Ziwalo zam'mimba zowuma pakamwa
• Maso amasintha kukula kwa ophunzira (atha kukhala ocheperako, ocheperako, kapena akulu)
• Maso amayenda mwachangu kuchokera mbali ndi mbali
• Khungu lofewa
• Kuyerekezera zinthu m'maganizo (kuwona kapena kumva zinthu zomwe kulibe)
• Kusakhazikika
• Kuvuta pokodza
• Kusanza

Chidziwitso: Zizindikiro zimatenga maola 12 kuti ziwonekere.

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 malonda (zosakaniza ndi mphamvu, ngati zikudziwika)
• Nthawi yomwe idamezedwa
• Kuchuluka kumeza
• Ngati mankhwalawa amaperekedwa kwa munthuyo

Malo anu olamulirako poizoni amatha kufikiridwa mwachindunji poyimbira foni 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.

Mayeso omwe angachitike ndi awa:

• X-ray pachifuwa
• ECG (electrocardiogram kapena kutsata mtima)

• Zamadzimadzi kudzera mumtsempha (mwa IV)
• Mankhwala otsegulitsa m'mimba
• Makina oyambitsidwa
  
• Mankhwala obwezeretsa zotsatira za atropine
• Mankhwala obwezeretsa zotsatira za diphenoxylate
• Chithandizo chopumira, kuphatikiza chubu kudzera pakamwa ndikalumikizidwa ndi makina opumira (opumira)

Anthu ena angafunike kukhala mchipatala kuti aziwunika.

Momwe munthu amachitira bwino zimatengera kuchuluka kwa mankhwala omwe amezedwa komanso momwe amalandila mwachangu. Thandizo lachipatala likaperekedwa mwachangu, mpata wabwino kuti achire.

Kugona kuchipatala kungafunikire kuchuluka kwa mankhwala omwe amasinthira zotsatira za mankhwalawa. Zovuta, monga chibayo, kuwonongeka kwa minofu chifukwa chogona pamalo olimba kwa nthawi yayitali, kapena kuwonongeka kwaubongo posowa mpweya wabwino kumatha kubweretsa kulemala kwamuyaya. Komabe, pokhapokha ngati pali zovuta, zovuta zazitali komanso kufa ndizosowa.

Anthu omwe amalandira mwachangu mankhwala kuti athetse mphamvu ya opioid nthawi zambiri amakhala bwino mkati mwa maola 24 mpaka 48. Komabe, ana nawonso samachita bwino.

Diphenoxylate ndi bongo atropine; Atropine ndi diphenoxylate bongo

Aronson JK. Atropine. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 754-755.

Cole JB. Mankhwala amtima. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 147.

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.