Ukudlula ngokweqile kwe-Propoxyphene

I-Propoxyphene ngumuthi osetshenziselwa ukudambisa izinhlungu. Ingenye yamakhemikhali amaningi abizwa ngokuthi ama-opioid noma ama-opiate, ekuqaleni ayesuselwa esitshalweni se-poppy futhi asetshenziselwa ukuqeda ubuhlungu noma imiphumela yawo yokwehlisa ukweqisa izidakamizwa kwe-Propoxyphene kwenzeka lapho othile edla lo muthi ngokweqile noma ngephutha.

I-US Food and Drug Administration (i-FDA) yasusa lesi sidakamizwa emakethe ngoDisemba 2010 ngenxa yamandla okubanga ukuphazamiseka kwenhliziyo okubulalayo.

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-Propoxyphene

Amagama omkhiqizo afaka:

• I-Darvocet
• UDarvon
• UDarvon-N
• UDolene

Qaphela: Lolu hlu kungenzeka lungabandakanyi konke.

Izimpawu zingafaka:

Amehlo, izindlebe, ikhala, nomphimbo:

• Ukulahlekelwa ukuzwa
• Khomba abafundi

Inhliziyo nemithambo yegazi:

• Ukuphazamiseka kwesigqi senhliziyo
• Umfutho wegazi ophansi
• I-pulse ebuthakathaka

Amaphaphu:

• Ukuphefumula kancane, ukusebenza kanzima noma ukujula
• Akukho ukuphefumula

Imisipha:

• Ukuqina kwemisipha
• Ukulimala kwemisipha ngenxa yokunganyakazi ngenkathi uku-coma

Uhlelo lwezinzwa:

• I-Coma
• Ukudideka
• Ukozela
• Ukuquleka

Isikhumba:

• I-cyanosis (iminwe eluhlaza okwesibhakabhaka noma izindebe)
• I-jaundice (iba phuzi)
• I-Rash

Isisu namathumbu:

• Isicanucanu, ukuhlanza
• Ukuqaqamba kwesisu noma kwamathumbu (amajaqamba esiswini)

Funa usizo lwezokwelapha ngokushesha. UNGENZI umuntu ahlanze ngaphandle uma etshelwe yi-Poison Control noma uchwepheshe wezokunakekelwa kwempilo.

Imininingwane elandelayo iyasiza ngosizo oluphuthumayo:

• Iminyaka yomuntu, isisindo, nesimo
• Igama lomkhiqizo (izithako namandla lapho 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.

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

Izimpawu zizophathwa ngendlela efanele.

Umuntu angathola:

• Amalahle avuliwe
• Ukusekelwa kwe-Airway, kufaka phakathi i-oxygen, i-tube yokuphefumula 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, kufaka phakathi i-naloxone, i-antidote yokuguqula imiphumela yobuthi; kungadingeka imithamo eminingi

Ukuthi umuntu wenza kahle kangakanani kuncike ebukhulwini bokudlula ngokweqile nokuthi ukwelashwa kusheshe kutholakale kanjani. Uma umphikisi ofanele we-narcotic (umuthi wokulwa nemiphumela ye-narcotic) anganikezwa, ukululama ekudleni ngokweqile kwenzeka ngaphakathi kwamahora angama-24 kuye kwangama-48. Kodwa-ke, uma kube nokuquleka isikhathi eside nokwethuka (ukulimala kwezitho zangaphakathi eziningi), umphumela omkhulu kakhulu kungenzeka.

I-Propoxyphene hydrochloride; I-Dextropropoxyphene

U-Aronson JK. I-Dextropropoxyphene. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 906-908.

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.