Ukudlula ngokweqile kwe-Phenytoin

I-Phenytoin ngumuthi osetshenziselwa ukwelapha ukudlikizela nokuquleka. Ukudlulela ngokweqile kwe-Phenytoin kwenzeka lapho othile ethatha lo muthi ngokweqile noma ngenhloso.

Lokhu kwenzelwa imininingwane kuphela hhayi ukusetshenziselwa ukwelashwa noma ukuphathwa kokweqisa ngokweqile kwangempela. 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.

I-Diphenylhydantoin

I-Phenytoin igama elejwayelekile lemithi efana ne:

• I-Cerebyx
• UDilantin
• I-Dilantin-125
• I-Phenytek

Lolu hlu kungenzeka lungabandakanyi konke.

Izimpawu zokudlula ngokweqile kwe-phenytoin zingafaka:

• I-Coma
• Ukudideka
• Ukuquleka (ngezikhathi ezithile)
• Isiyezi
• Imfiva
• Umfutho wegazi ophansi
• Ukuqina kwemisipha noma ama-spasms
• Ukulala
• Ukunyakaza kweso ngapha nangapha (nystagmus)
• Inkulumo eshisiwe
• Izinsini ezivuvukile
• Ukuthuthumela (ukuthuthumela okungahlosiwe)
• Ukungazinzi

Imininingwane elandelayo iyasiza ngosizo oluphuthumayo:

• Iminyaka yomuntu, isisindo, nesimo
• Igama lomkhiqizo (kanye nezithako namandla uma kwaziwa)
• Isikhathi lapho yagwinywa khona
• Inani ligwinyiwe
• Uma umuthi wawubekelwe lowo muntu

Kodwa-ke, UNGALIBALI ukubiza usizo uma lolu lwazi lungatholakali ngokushesha.

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 izokuvumela ukuthi ukhulume nezazi ekufakweni kobuthi. 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 isitsha sephilisi uhambe naso uye esibhedlela, uma kungenzeka.

Umhlinzeki wezokunakekelwa kwempilo uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi. Ukuhlolwa kwegazi kuzokwenziwa ukuhlola amazinga e-phenytoin. Izimpawu zizophathwa ngendlela efanele. Umuntu angathola:

• Amalahle avuliwe
• Ukusekelwa kwe-Airway, kufaka phakathi i-oxygen, ishubhu lokuphefumula ngomlomo (intubation), ne-ventilator (umshini wokuphefumula)
• Ukuhlolwa kwegazi nomchamo
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
• Uketshezi ngomthambo (ngemithambo yegazi noma nge-IV)
• I-Laxative
• Imithi yokwelapha izimpawu

Ukuthi umuntu wenza kahle kangakanani kuncike ebukhulwini bokudlula ngokweqile nokuthi ukwelashwa kusheshe kutholakale kanjani. Uma kube nokuquleka isikhathi eside nokushaqeka (ukulimala kwezitho zangaphakathi eziningi), umphumela omkhulu kakhulu kungenzeka.

I-Diphenylhydantoin

U-Aronson JK. I-Phenytoin ne-fosphenytoin. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 709-718.

IPollack CV, iMerino FT. Ukuquleka. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 15.