Ukudlula ngokweqile kweLomotil

ILomotil ngumuthi kadokotela osetshenziselwa ukwelapha isifo sohudo. Ukudlula ngokweqile kweLomotil kwenzeka lapho othile ethatha okungaphezu kwenani elijwayelekile noma elinconyiwe lalo muthi. Lokhu kungaba ngengozi noma ngenhloso.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukuphatha noma ukuphatha ukweqisa ngokweqile kwangempela. Uma wena noma umuntu onaye unokuchayeka, 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) kusuka noma yikuphi e-United States.

ILomotil iqukethe imishanguzo emibili engalimaza kakhulu. Kunjalo:

• I-Atropine
• I-Diphenoxylate (i-opioid)

Imithi enalawa magama iqukethe i-atropine ne-diphenoxylate:

• Lofene
• I-Logen
• Lomanate
• Lomotil
• I-Lonox

Eminye imithi ingaqukatha i-atropine ne-diphenoxylate.

Izimpawu zokudlula ngokweqile kweLomotil zifaka:

• Ukuphefumula kancane, noma ukuphefumula kuyama
• Ukushaya kwenhliziyo okushaya ngamandla (ukushaya kwenhliziyo)
• Ukushaya kwenhliziyo okusheshayo
• Ukwehla noma ukumiswa kwamathumbu
• I-Coma (ukwehla kwezinga lokwazi, ukungaphenduli)
• Ukuqunjelwa
• Ukuquleka (ukudlikizela)
• Ukozela
• Izimbungulu ezomile zomlomo emlonyeni
• Ushintsho lwamehlo ngosayizi womfundi (lungaba lincane, lusayizi ojwayelekile, noma lube lukhulu)
• Amehlo ahamba ngokushesha ukusuka kolunye uhlangothi
• Isikhumba esigcwele
• Imibono (ukubona noma ukuzwa izinto ezingekho)
• Ukungahlaliseki
• Ubunzima bokuchama
• Ukuhlanza

Qaphela: Izimpawu zingathatha kufikela kumahora angu-12 ukuvela.

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

Lungisa lolu lwazi:

• Iminyaka yomuntu, isisindo, nesimo
• Igama lomkhiqizo (izithako namandla, uma kwaziwa)
• Isikhathi sigwinyiwe
• Inani ligwinyiwe
• Uma umuthi wawubekelwe lowo muntu

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 ekufakeleni ubuthi. 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. Izimpawu zizolashwa.

Ukuhlolwa okungenziwa kufaka:

• I-x-ray yesifuba
• I-ECG (i-electrocardiogram noma ukulandelwa kwenhliziyo)

• Uketshezi ngomthambo (ngu-IV)
• I-Laxative
• Amalahle avuliwe
  
• Imithi yokubuyisa umphumela we-atropine
• Imithi yokuguqula umphumela we-diphenoxylate
• Ukwesekwa kokuphefumula, kufaka phakathi ithubhu ngomlomo futhi kuxhunywe kumshini wokuphefumula (umshini wokuphefumula)

Abanye abantu bangadinga ukuhlala esibhedlela ukuze babhekwe.

Ukuthi umuntu wenza kahle kangakanani kuya ngokuthi umuthi ungakanani wagwinywa nokuthi welashwa ngokushesha kangakanani. Usizo lwezokwelapha olusheshayo lunikezwa, kuba ngcono ithuba lokululama.

Ukuhlala esibhedlela kungadingeka ukuthola imithamo eminingi yemithi eguqula imiphumela yomuthi. Izinkinga, ezifana ne-pneumonia, ukulimala kwemisipha ekulaleni ebusweni obunzima isikhathi eside, noma ukulimala kwengqondo ngenxa yokuntuleka komoya-mpilo kungaholela ekukhubazekeni unomphela. Kodwa-ke, ngaphandle kokuthi kube nezinkinga, imiphumela yesikhathi eside nokufa akuvamile.

Abantu abathola ngokushesha umuthi wokuguqula umphumela we-opioid bavame ukuba ngcono kungakapheli amahora angama-24 kuye kwangama-48. Noma kunjalo, izingane azenzi kahle.

I-diphenoxylate ngokudlula ngokweqile kwe-atropine; I-Atropine ene-diphenoxylate overdose

U-Aronson JK. I-Atropine. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 754-755.

UCole JB. Izidakamizwa zenhliziyo. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 147.

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.