Ukudakwa kweBarbiturate nokudlula ngokweqile

Ama-barbiturate yizidakamizwa ezibangela ukuphumula nokulala. Ukweqisa ngokweqile kwe-barbiturate kwenzeka lapho othile ethatha okungaphezu kwenani elijwayelekile noma elinconyiwe lalo muthi. Lokhu kungaba ngengozi noma ngenhloso. Ukweqisa ngokweqile kusongela impilo.

Ngezilinganiso eziphansi kakhulu, ama-barbiturates angakwenza ubonakale udakiwe noma udakiwe.

Ama-barbiturates ayalutha. Abantu abazisebenzisayo bathembela kubo ngokomzimba. Ukuzivimba (ukuhoxa) kungasongela impilo. Ukubekezelela imiphumela yokushintsha kwemizwelo ye-barbiturates kukhula ngokushesha ngokusetshenziswa okuphindaphindiwe. Kepha, ukubekezelela imiphumela ebulalayo kukhula kancane, futhi ingozi yobuthi obukhulu iyakhula ngokusetshenziswa okuqhubekayo.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukuphatha noma ukuphatha ukweqisa ngokweqile kwangempela. Uma wena noma umuntu onokweqisa ngokweqile, shayela inombolo yakho ephuthumayo yasendaweni (njenge-911), noma isikhungo sendawo sakho sobuthi singafinyelelwa ngqo ngokushayela ucingo lwasimahla lwe-Poison Help hotline (1-800-222-1222) noma yikuphi e-United States.

Ukusetshenziswa kweBarbiturate kuyinkinga enkulu yokulutha kubantu abaningi. Iningi labantu abathatha le mithi ngenxa yokuphazamiseka kokudlikiza noma ama-syndromes ezinhlungu ababahlukumezi, kepha labo abakwenzayo, imvamisa baqala ngokusebenzisa umuthi ababewunikezwe bona noma amanye amalungu omndeni.

Ukuphuza ngokweqile kwalolu hlobo lomuthi kubandakanya inhlanganisela yezidakamizwa, imvamisa utshwala nama-barbiturate, noma ama-barbiturates nama-opiates afana ne-heroin, i-oxycodone, noma i-fentanyl.

Abanye abasebenzisi bathatha inhlanganisela yazo zonke lezi zidakamizwa. Labo abasebenzisa lezo zinhlanganisela bavame ukuba:

• Abasebenzisi abasha abangazazi lezi zinhlanganisela kungaholela ku-coma noma ekufeni
• Abasebenzisi abanolwazi abazisebenzisa ngenhloso ukushintsha ukwazi kwabo

Izimpawu zokudakwa kwe-barbiturate nokudlula ngokweqile kufaka phakathi:

• Izinga eliguquliwe lokwazi
• Kunzima ekucabangeni
• Ukozela noma ikhoma
• Ukwahlulela okuyiphutha
• Ukuntuleka kokuxhumana
• Ukuphefumula okungatheni
• Inkulumo ehamba kancane, edidayo
• Ubuvila
• Iyadiyazela

Ukusetshenziswa ngokweqile nangesikhathi eside kwama-barbiturate, njenge-phenobarbital, kungaveza lezi zimpawu ezingamahlalakhona ezilandelayo:

• Izinguquko ekuqapheleni
• Ukuncipha kokusebenza
• Ukuthukuthela
• Ukulahleka kwememori

Umhlinzeki wezokunakekelwa kwempilo uzoqapha izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi. Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi nomchamo
• I-x-ray yesifuba
• I-ECG (electrocardiogram)

Esibhedlela, ukwelashwa okuphuthumayo kungabandakanya:

• Kwenziwe amalahle ngomlomo noma ngeshubhu ngamakhala angene esiswini
• Ukwesekwa kokuphefumula, kufaka phakathi i-oxygen, ishubhu elingena emlonyeni kuya emphinjeni, nomshini wokuphefumula
• Uketshezi ngomthambo (ngu-IV)
• Imithi yokwelapha izimpawu

Umuthi obizwa nge-naloxone (Narcan) unganikezwa uma i-opiate ibiyingxenye yomxube. Lo muthi uvame ukubuyisa ngokushesha ukwazi nokuphefumula, kepha isenzo sawo siphila isikhathi esifushane, futhi singadinga ukunikezwa kaninginingi.

Ayikho ikhambi eliqondile lama-barbiturates. I-antidote ngumuthi oguqula imiphumela yomunye umuthi noma umuthi.

Cishe umuntu oyedwa kwabangu-10 abadlula ngokweqile kuma-barbiturates noma ingxube equkethe ama-barbiturate azofa. Imvamisa babulawa yizinkinga zenhliziyo namaphaphu.

Izinkinga zokudlula ngokweqile zifaka:

• I-Coma
• Ukufa
• Ukulimala kwekhanda kanye nokuqubuka ekuweni lapho udakiwe
• Ukuphuphuma kwesisu kwabesifazane abakhulelwe noma ukulimala kwengane ekhulayo esibelethweni
• Intamo nokulimala komgogodla nokukhubazeka okuwa lapho udakiwe
• I-pneumonia evela ku-gag reflex ecindezelekile kanye ne-aspiration (uketshezi noma ukudla phansi amashubhu we-bronchial emaphashini)
• Ukulimala okukhulu kwemisipha ngokulala endaweni eqinile ngenkathi uqulekile, okungaholela ekulimaleni unomphela kwezinso

Shayela inombolo yakho yendawo ephuthumayo, njenge-911, uma othile ethathe ama-barbiturates futhi ebonakala ekhathele ngokweqile noma enezinkinga zokuphefumula.

Isikhungo sakho sendawo sokulawula ubuthi singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke engakhokhelwa (1800-222-1222) kusuka noma yikuphi e-United States. Le nombolo yocingo kazwelonke izokuvumela ukuthi ukhulume nochwepheshe bokufaka ushevu. Bazokunikeza eminye imiyalelo.

Le yisevisi yamahhala futhi eyimfihlo. Zonke izikhungo zokulawula ubuthi e-United States zisebenzisa le nombolo kazwelonke. Kufanele ushaye uma unemibuzo mayelana nobuthi noma ukulawulwa kobuthi. Akudingeki ukuthi kube yisimo esiphuthumayo. Ungashayela nganoma yisiphi isizathu, amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki.

Ukudakwa - ama-barbiturates

U-Aronson JK. Ama-barbiturates. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 819-826.

UGussow L, uCarlson A. Ama-hypnotics wokulalisa. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 159.