Ukudakwa kwe-cocoaine

I-Cocaine yisidakamizwa esikhuthazayo esingekho emthethweni esithinta isistimu yakho yezinzwa. I-Cocaine ivela esitshalweni se-coca. Uma isetshenziswa, i-cocaine ibangela ukuthi ubuchopho bukhulule inani eliphakeme kunamanani ajwayelekile amakhemikhali athile. Lokhu kuveza umuzwa wenjabulo, noma "ukuphakama."

Ukudakwa yi-cocoaine yisimo lapho ungagcini nje ngokusebenzisa umuthi, kodwa futhi unezimpawu zomzimba wonke ezingakugulisa futhi ungakhubazeki.

Ukudakwa kwe-cocoaine kungabangelwa:

• Ukuthatha i-cocaine eningi kakhulu, noma uhlobo lwe-cocaine olugxile kakhulu
• Ukusebenzisa i-cocaine uma isimo sezulu sishisa, okuholela ekulimaleni nakwimiphumela emibi ngenxa yokwehla kwamanzi emzimbeni
• Ukusebenzisa i-cocaine nezinye izidakamizwa ezithile

Izimpawu zokudakwa kwe-cocaine zifaka:

• Imali ekhokhwayo ephezulu, ejabulisayo, ekhulumayo neyokugembula, kwesinye isikhathi ngezinto ezimbi ezenzekayo
• Ukukhathazeka, ukuphazamiseka, ukungahlaliseki, ukudideka
• Ukuzamazama kwemisipha, njengasebusweni naseminwe
• Abafundi abakhulisiwe abangabi bancane lapho ukukhanya kukhanya emehlweni
• Ukunyuka kwenhliziyo nomfutho wegazi
• Ubumhlophe
• Ukudinwa
• Isicanucanu nokuhlanza
• Imfiva, ukujuluka

Ngamanani aphezulu, noma ukweqisa ngokweqile, izimpawu ezinzima kakhulu zingavela, kufaka phakathi:

• Ukuquleka
• Ukulahlekelwa kokuqwashiswa kwendawo ezungezile
• Ukulahlekelwa ukulawula umchamo
• Ukushisa komzimba okuphezulu, ukujuluka okukhulu
• Umfutho wegazi ophakeme, ukushaya kwenhliziyo okusheshayo noma isigqi senhliziyo esingajwayelekile
• Umbala we-Bluish wesikhumba
• Ukuphefumula okusheshayo noma okunzima
• Ukufa
  

I-cocoaine ivame ukusikwa (ixutshwe) nezinye izinto. Uma kuthathwe, izimpawu ezengeziwe zingenzeka.

Uma kusolwa ukudakwa kwe-cocaine, umhlinzeki wezokunakekelwa kwempilo anga-oda lezi zivivinyo ezilandelayo:

• Ama-enzyme enhliziyo (ukufuna ubufakazi bokulimala kwenhliziyo noma isifo senhliziyo)
• I-x-ray yesifuba
• I-CT scan yekhanda, uma kusolwa ukulimala ekhanda noma ukopha
• I-ECG (i-electrocardiogram, ukukala umsebenzi kagesi enhliziyweni)
• Ukuhlolwa kwe-Toxicology (ushevu nezidakamizwa)
• Ukuhlolwa komchamo

Umhlinzeki uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi.

Izimpawu zizophathwa ngendlela efanele. Umuntu angathola:

• Ukwesekwa kokuphefumula, kufaka phakathi i-oxygen, ishubhu phansi komphimbo, kanye ne-ventilator (umshini wokuphefumula)
• Uketshezi lwe-IV (uketshezi ngomthambo)
• Imithi yokwelapha izimpawu ezinjengobuhlungu, ukukhathazeka, ukukhathazeka, isicanucanu, ukuquleka, nomfutho wegazi ophakeme
• Eminye imithi noma imishanguzo yezinkinga zenhliziyo, ubuchopho, imisipha nezinso

Ukwelashwa kwesikhathi eside kudinga ukwelulekwa ngezidakamizwa kuhlangene nokwelashwa.

Umbono uncike enanini le-cocaine elisetshenzisiwe nokuthi yiziphi izitho ezithintekayo. Ukulimala okungapheli kungahle kwenzeke, okungadala:

• Ukuquleka, isifo sohlangothi nokukhubazeka
• Ukukhathazeka okungapheli kanye ne-psychosis (ukuphazamiseka okukhulu kwengqondo)
• Ukwehla kokusebenza kwengqondo
• Ukungahambi kahle kwenhliziyo nokuncipha kwenhliziyo
• Ukwehluleka kwezinso okudinga i-dialysis (umshini wezinso)
• Ukubhujiswa kwemisipha, okungaholela ekunqunyweni komzimba

Ukudakwa - i-cocaine

• I-Electrocardiogram (ECG)

U-Aronson JK. Cocaine. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 492-542.

URao RB, uHoffman RS, u-Erickson TB. Cocaine namanye ama-sympathomimetics. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 149.