Ukudakwa kwensangu

Insangu ("imbiza") ukudakwa wukujabula, ukuphumula, futhi kwesinye isikhathi nemiphumela emibi engathandeki engenzeka lapho abantu besebenzisa insangu.

Ezinye izifundazwe zase-Unites States zivumela insangu ukuthi isetshenziswe ngokusemthethweni ukwelapha izinkinga ezithile zezokwelapha. Ezinye izifundazwe zikwenze kwaba semthethweni ukusetshenziswa kwayo.

Imiphumela edakayo yensangu ifaka ukuphumula, ukulala, kanye nenjabulo emnene (ukukhuphuka).

Ukubhema insangu kuholela ezimpawu nasezimpawu ezisheshayo nezingalindelekile. Ukudla insangu kungadala imiphumela encane, futhi kwesinye isikhathi engalindelekile.

Insangu ingadala imiphumela emibi engathandeki, ekhuphuka ngemithamo ephezulu. Le miphumela emibi ifaka phakathi:

• Kwehliswe inkumbulo yesikhashana
• Umlomo owomile
• Ukubona okungakhubazekile namakhono emoto
• Amehlo abomvu

Imiphumela emibi kakhulu ibandakanya ukwethuka, i-paranoia, noma i-psychosis enamandla, engahle ivame kakhulu kubasebenzisi abasha noma kulabo asebavele benesifo sengqondo.

Izinga lale miphumela emibi liyahluka kuye ngomuntu nomuntu, kanye nenani lensangu elisetshenzisiwe.

Insangu ivame ukusikwa ngama-hallucinogens nezinye izidakamizwa eziyingozi kakhulu ezinemiphumela emibi kakhulu kunensangu. Le miphumela emibi ingafaka:

• Umfutho wegazi ophakeme ngokuzumayo ngekhanda
• Ubuhlungu besifuba nokuphazamiseka kwesigqi senhliziyo
• Ukukhathazeka ngokweqile kanye nodlame lomzimba
• Isifo senhliziyo
• Ukuquleka
• Unhlangothi
• Ukuwa okungazelelwe (ukuboshwa kwenhliziyo) kusuka ekuphazanyisweni kwesigqi senhliziyo

Ukwelashwa nokunakekelwa kubandakanya:

• Ukuvimbela ukulimala
• Ukuqinisekisa kabusha labo abanokwethuka ngenxa yesidakamizwa

Ama-sedatives, abizwa nge-benzodiazepines, afana ne-diazepam (Valium) noma i-lorazepam (Ativan), anganikezwa. Izingane ezinezimpawu ezimbi kakhulu noma lezo ezinemiphumela emibi kakhulu zingadinga ukuhlala esibhedlela ukuze zithole ukwelashwa. Ukwelashwa kungabandakanya ukuqapha kwenhliziyo nobuchopho.

Emnyangweni ophuthumayo, isiguli singathola:

• Amalahle asebenzayo, uma isidakamizwa sidliwe
• Ukuhlolwa kwegazi nomchamo
• Ukwesekwa kokuphefumula, kufaka phakathi i-oxygen (nomshini wokuphefumula, ikakhulukazi uma kube nokudlula ngokweqile okuxubile)
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
• Uketshezi ngomthambo (ngemithambo, noma IV)
• Imithi yokudambisa izimpawu (bheka ngenhla)

Ukudakwa kwensangu okungeyona inkimbinkimbi akuvamile ukuthi kudinge ukwelulekwa noma ukwelashwa. Ngezikhathi ezithile, kuba nezimpawu ezinkulu. Kodwa-ke, lezi zimpawu azivamile futhi zivame ukuhlotshaniswa nezinye izidakamizwa noma izinhlanganisela ezihlanganiswe nensangu.

Uma umuntu obesebenzisa insangu eba nezimpawu zokudakwa, enenkinga yokuphefumula, noma engakwazi ukuvuswa, shayela ku-911 noma inombolo yakho ephuthumayo yasendaweni. Uma umuntu eyekile ukuphefumula noma engenayo i-pulse, qala ukuvuselelwa kwe-cardiopulmonary (CPR) bese uqhubeka kuze kufike usizo.

Ukudakwa kwensangu; Ukudakwa - insangu (insangu); Ibhodwe; UMary Jane; Ukhula; Utshani; Insangu

Brust JCM. Imiphumela yokusetshenziswa kabi kwezidakamizwa ohlelweni lwezinzwa. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 87.

Iwanicki JL. Ama-hallucinogens. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 150.