Ukweqisa izidakamizwa ezidambisa isifo sohudo

Izidakamizwa zokulwa nesifo sohudo zisetshenziselwa ukwelapha indle evulekile, enamanzi, kanye nokuhlala njalo. Lo mbhalo ukhuluma ngokudlula ngokweqile kwemithi elwa nohudo equkethe i-diphenoxylate ne-atropine. Zombili izithako zisiza ukuhamba kancane kwamathumbu. Ngaphezu kwalokho, i-atropine isiza ukunciphisa ukukhiqizwa komzimba ketshezi.

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.

Izithako zifaka:

• I-Diphenoxylate
• I-Atropine

IDiphenoxylate iyi-opioid ebuthakathaka, isigaba semithi efaka i-morphine nezinye izidakamizwa. Ukuhlukunyezwa kwama-opioid, noma ukusetshenziswa kwama-opioid ngezizathu ezingezona ezokwelapha kuyinkinga ekhulayo.

Lezi zinto zitholakala kule mithi:

• I-Diphenatol
• Lofene
• I-Logen
• Lomanate
• Lomotil
• I-Lonox
• I-Lo-Trol
• Noma-Mil

Eminye imithi ingaqukatha nalezi zinto.

Umuntu okhuluphele ngokweqile kulo muthi angaba nezinye zalezi zimpawu:

• Ukunganaki, ukulahlekelwa isifiso sokwenza noma yini
• Ukozela, ikhoma
• Ukudideka
• Ukuqunjelwa
• I-Delirium noma i-hallucinations
• Umlomo owomile nesikhumba
• Ukuqhuma
• Shintsha ngosayizi womfundi
• Ukushaya kwenhliziyo okusheshayo (kusuka e-atropine)
• Ukuhamba kwamehlo okushesha ngasohlangothini
• Ukuphefumula kancane

Qaphela: Izimpawu zingathatha kufikela kumahora angu-12 ukuvela.

Funa usizo lwezokwelapha ngokushesha. UNGAMENZI umuntu alahle amanzi ngaphandle kokuthi ulawulwe ubuthi noma umnakekeli wezempilo ekutshela ukuthi wenze kanjalo.

Lungisa lolu lwazi:

• Iminyaka yomuntu, isisindo, nesimo
• Igama lomkhiqizo (izithako namandla uma kuyaziwa)
• Isikhathi sigwinyiwe
• Inani ligwinyiwe

Isikhungo sakho sendawo sokulawula ubuthi singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke (1-800-222-1222) 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 ukuvimbela ubuthi. Akudingeki ukuthi kube yisimo esiphuthumayo. Ungashayela nganoma yisiphi isizathu, amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki.

Thatha ibhodlela kadokotela uye nalo esibhedlela, uma kungenzeka.

Umhlinzeki uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi. Izimpawu zizolashwa. Umuntu angathola:

• Amalahle avuliwe
• Ukwesekwa kokuphefumula, kufaka phakathi i-oksijini kanye neshubhu emlonyeni kuya emaphashini
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
• Uketshezi olungena ngaphakathi (olunikezwa ngomthambo)
• I-Laxative
• Isidakamizwa esiphikisayo se-narcotic (isitha), cishe njalo ngemizuzu engama-30
• Tube ngokusebenzisa ikhala ungene esiswini ukukhipha isisu (ukuhlanza esiswini)

Iningi labantu lizolulama ngokwelashwa futhi lihlolwe amahora angama-24. Kodwa-ke, kungenzeka ukufa ezinganeni ezincane. Izingane ezingaphansi kweminyaka engu-6 kufanele zingeniswe esibhedlela futhi zibhekwe ngamahora angama-24 ngoba izimpawu zezinkinga zamaphaphu zingabambezeleka futhi zibe nzima.

Gcina yonke imithi ezitsheni ezifakazela izingane futhi zingafinyeleleki ezinganeni. Funda wonke amalebula emithi bese uthatha kuphela imithi oyinikezelwe.

Ubuthi bomuthi wohudo; I-Diphenoxylate ne-atropine poisoning

U-Aronson JK. Ama-agonists we-opioid receptor. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 348-380.

UNikolaides JK, uThompson TM. Ama-opioid. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 156.