Ukudlula ngokweqile kwe-Dilantin

I-Dilantin ngumuthi osetshenziselwa ukuvimbela ukuquleka. Ukweqisa ngokweqile kwenzeka lapho othile ethatha okungaphezu kwenani elijwayelekile noma elinconywayo lalo muthi. Lokhu kungaba ngengozi noma ngenhloso.

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

I-Dilantin ingaba yingozi ngamanani amakhulu.

I-Dilantin yigama lomkhiqizo le-phenytoin.

Izimpawu zokudlula ngokweqile kwe-Dilantin ziyahlukahluka. Zingafaka:

• I-Coma
• Ukudideka
• Ukuhambahamba noma ukuhamba ngezinyawo (isibonakaliso sokuqala)
• Ukungazinzi, ukunyakaza okungahambisani (uphawu lokuqala)
• Ukunganyakazi, ukungcola, nokunyakaza okuphindaphindiwe kwama-eyeballs abizwa ngokuthi i-nystagmus (uphawu lokuqala)
• Ukuquleka
• Ukuthuthumela (ukungalawuleki, ukuzamazama okuphindaphindiwe kwezingalo noma imilenze)
• Ukulala
• Inkulumo ehamba kancane noma engacacile
• Imikhuba emibi
• Umfutho wegazi ophansi
• Isicanucanu nokuhlanza
• Izinsini ezivuvukile
• Umkhuhlane (onqabile)
• Ukuqhuma okukhulu kwesikhumba (okungajwayelekile)
• Ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile (imvamisa kuphela uma kuthathwe ngemithambo yegazi, njengasesibhedlela)
• Ukuvuvukala nokuqhekeka kwesandla (kuphela uma kuthathwe ngemithambo yegazi, njengasesibhedlela)

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 (isibonelo, ingabe umuntu uvukile noma uqaphile?)
• Igama lomkhiqizo (izithako namandla, uma kwaziwa)
• Isikhathi sigwinyiwe
• Inani ligwinyiwe
• Uma umuthi wawubekelwe lowo muntu

UNGALIBALI ukubiza usizo uma ungenalo lolu lwazi.

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 isiqukathi uye naso esibhedlela, uma kungenzeka.

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

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi nomchamo
• I-x-ray yesifuba
• Iskena se-CT
• I-ECG (i-electrocardiogram, ukulandelela inhliziyo)

Ukwelashwa kungafaka:

• Uketshezi ngomthambo (ngu-IV)
• Imithi yokubuyisa imiphumela yomuthi nokwelapha izimpawu
• Amalahle avuliwe
• I-Laxative
• Ukwesekwa kokuphefumula, kufaka phakathi ithubhu engena emlonyeni emaphashini futhi ixhunywe kumshini wokuphefumula (umshini wokuphefumula)

Umbono uncike ekutheni ukweqisa izidakamizwa kukhulu kangakanani:

• Ukweqisa ngokweqile okuncane - Ukwelashwa okusekelayo kukodwa kungaba yikho konke okudingekayo. Ukubuyiselwa kungenzeka.
• Ukweqisa ngokweqile okulingene - Ngokwelashwa okufanele, umuntu uvame ukululama ngokuphelele phakathi kwamahora angama-24 kuye kwangama-48.
• Ukweqisa ngokweqile - Uma umuntu equlekile noma enezimpawu ezibaluleke ngokweqile, kungadingeka ukwelashwa okunolaka. Kungathatha izinsuku ezi-3 ukuya kwezi-5 ngaphambi kokuba umuntu azi. Izinkinga ezifana ne-pneumonia, ukulimala kwemisipha ngokulala endaweni eqinile isikhathi eside, noma ukulimala kwengqondo ngenxa yokuntuleka komoya-mpilo kungadala ukukhubazeka unomphela. Kodwa-ke, ngaphandle kokuthi kube nezinkinga, imiphumela yesikhathi eside nokufa akuvamile. Uma kwenzeka ukufa, kuvame ukwehluleka kwesibindi.

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.

UMeehan TJ. Sondela esigulini esinobuthi. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 139.