Kwenzekani Uma Uxuba iKetamine Notshwala?

-Delile

• Sengivele ngiwahlanganisile - ngidinga ukuya esibhedlela?
• Kungani zingahlangani
• Imiphumela yokuqonda
• Ukuphefumula kancane
• Imiphumela yenhliziyo
• Izinkinga zesinye
• Ezinye izingozi ze-ketamine zokwazi ngazo
• Amathiphu okuphepha
• Okubalulekile

Utshwala no-K okhethekile - owaziwa ngokusemthethweni ngokuthi i-ketamine - bobabili bangatholakala kwezinye izigcawu zephathi, kepha lokho akusho ukuthi bayahambisana.

Ukuxuba utshwala ne-ketamine kuyingozi futhi kungasongela impilo, noma ngabe kuyimali encane.

I-Healthline ayikuvumeli ukusetshenziswa kwanoma iziphi izinto ezingekho emthethweni, futhi siyabona ukuthi ukuzigwema kuzo kuyindlela ephephe kunazo zonke. Kodwa-ke, sikholelwa ekunikezeni imininingwane efinyeleleka nenembile ukunciphisa ingozi engenzeka lapho usebenzisa.

Sengivele ngiwahlanganisile - ngidinga ukuya esibhedlela?

Kuya ngokuthi uthathe malini nokuthi yiziphi izimpawu ohlangabezana nazo.

Into yokuqala okufanele uyenze ukuhlala uzolile, futhi wazise umuntu omethembayo ukuthi uthathe ini. Uma uwedwa, shayela umngani osangulukile ukuthi eze azohlala nawe.

Gcina iso lezimpawu nezimpawu ezilandelayo. Uma wena noma omunye umuntu ehlangabezana nenye yazo, shayela ku-911 noma inombolo yakho yezinsizakalo eziphuthumayo yasendaweni:

• ukozela
• ukusangana
• ukudideka
• ukulahleka kokuxhumanisa
• inkinga yokuphefumula
• ukushaya kwenhliziyo okungajwayelekile
• ubuhlungu besisu
• ukuhlanza
• isikhumba esimhloshana, esikhanyayo
• isithuthwane
• ukuwa

Uma ukhathazekile ngokubandakanyeka komthetho, awudingi ukusho izinto ezisetshenziswe ocingweni. Vele uqiniseke ukuthi ubatshela ngezimpawu ezithile ukuze bakwazi ukuthumela impendulo efanele.

Uma unakekela omunye umuntu, bathole ukuthi babeke eceleni kwabo ngenkathi ulindile. Benze baguqe ngamadolo abo phezulu ngaphakathi uma bekwazi ukwesekwa okwengeziwe. Lesi sikhundla sizogcina imigwaqo yomoya ivulekile uma kungenzeka iqale ukuhlanza.

Kungani zingahlangani

I-Ketamine iyi-dissociative anesthetic and sedative. Iphatha izingozi zayo kanye nokwehla kwayo lapho isetshenziswa ngaphandle kokuqondiswa ngudokotela. Kepha izinto ziba yingozi kakhulu lapho uhlanganisa i-ketamine ne-central system system (CNS) ecindezelayo njengotshwala.

Nakhu eminye yemiphumela ethile yokuxuba utshwala ne-ketamine.

Imiphumela yokuqonda

Utshwala ne-ketamine zombili zithinta ukuqonda. Uma zihlanganisiwe, zingaholela ekwehleni okusheshayo kwikhono lakho lokuhamba noma ukuxhumana kahle. Kungakho i-ketamine kwesinye isikhathi isetshenziswa njengomuthi wokudlwengulwa wosuku.

Le miphumela yokuqonda futhi ingenza kube nzima kuwe ukuthi ucubungule ukuthi umuthi ngamunye ukukuthinta kangakanani, okungenzeka ukuthi kuholele ekweqeni ngokweqile. Futhi, ukungakwazi ukuhamba noma ukuxhumana kungenza kungabi lula ukucela usizo.

Ukuphefumula kancane

I-ketamine nophuzo oludakayo kungadala ukuphefumula okuyingozi. Emithamo ephakeme, kungadala ukuthi umuntu ayeke ukuphefumula.

Ukuphefumula kancane, okungajulile kungakwenza uzizwe ukhathele ngokweqile futhi udidekile. Kungakwenza futhi udlule. Futhi uma uhlanza ngenkathi udlulile, kukubeka engcupheni yokuklinyeka.

Uma ukuphefumula komuntu kwehliswa isikhathi eside kakhulu, kungaholela ku-coma noma ekufeni.

Imiphumela yenhliziyo

I-Ketamine ixhunyaniswe nemiphumela eminingi yenhliziyo. Kuhlanganiswe notshwala, ubungozi benkinga yenhliziyo bukhulu kakhulu.

Imiphumela yenhliziyo ifaka phakathi:

• umfutho wegazi ophakeme
• ukushaya kwenhliziyo
• ukushaya kwenhliziyo okusheshayo
• ubuhlungu besifuba

Emithamo ephakeme, i-ketamine notshwala kungadala unhlangothi noma ukuboshwa kwenhliziyo.

Izinkinga zesinye

I-Ketamine bekumele yehlise izingqinamba zomgudu womchamo, kufaka phakathi i-hemorrhagic cystitis, okuwukuvuvukala kwesinye.

Izinkinga zesinyezi ezivela ku-ketamine zivame kakhulu kangangokuba zaziwa njenge-ketamine bladder syndrome.

Kwezinye izimo, ukulimala komgudu wokuchama kuhlala unomphela.

Ngokuya ngocwaningo oluku-inthanethi lwabantu abasebenzisa i-ketamine ngokuzithokozisa, labo abaphuza ngenkathi besebenzisa i-ketamine bebesengozini enkulu yokubika izingqinamba zesinye, kufaka phakathi:

• ukuchama kaningi nokuphuthumayo
• ukungazibambi
• ukuchama kabuhlungu
• ubuhlungu besisu obuphansi
• igazi emchameni

Ezinye izingozi ze-ketamine zokwazi ngazo

Kanye nokudangala kwe-CNS nezinye izingozi esisanda kuzihlanganisa, kunezingozi eziningi ze-ketamine okufanele wazi. Ukufaka okwaziwa njenge-K-hole kungenye yazo.

I-K-holing ichazwa njengokuhlangenwe nakho okungaphandle komzimba wezinhlobo ezithile. Abanye abantu bayakujabulela futhi bakuqhathanise nesenzakalo esingokomoya esikhanyisayo. Kwabanye kungethusa.

Ukwehliswa kungaba nzima kakhulu, futhi. Kwabanye, ukwehla kuhambisana nalokhu:

• ukulahleka kwememori
• izinhlungu nezinhlungu
• isicanucanu
• ukudana

Ukusetshenziswa kwesikhathi eside kwe-ketamine kungadala:

• izinkinga zememori
• unenkinga yokugxila noma yokugxila
• ukubuyela emuva
• ukubekezelelana nokuncika ngokwengqondo
• ukuhoxa
• ukukhathazeka nokudangala
• ukulimala kwesinye nesezinso

Amathiphu okuphepha

Ukuxuba i-ketamine notshwala kuyingozi kakhulu. Uma uzozisebenzisa, kungcono ukuzigcina zihlukile.

Uma uzithola uzihlanganisa, noma kunjalo, kunezinto ezimbalwa ongazenza ukwenza izinto zibe eziphephile.

Okokuqala, kubalulekile ukubona lapho izinto ziya eningizimu.

Nakhu ukuvuselelwa kwezimpawu nezimpawu ezivumela ukufonelwa usizo oluphuthumayo ngokushesha:

• ukujuluka
• isicanucanu nokuhlanza
• inkinga yokuphefumula
• ukushaya kwenhliziyo okusheshayo
• ukushaya kwenhliziyo
• ubuhlungu besisu
• ubuhlungu besifuba noma ukuqina
• ukudideka
• ukozela

Nazi ezinye izinto ezimbalwa okufanele uzikhumbule:

• Hlola i-K yakho. I-Ketamine yinto elawulwayo okungaba nzima ukuyithola. Kukhona ithuba lokuthi lokhu onakho kungumbombayi futhi kuqukethe ezinye izinto. Sebenzisa ikhithi yokuhlola izidakamizwa ukuqinisekisa ukuthi uyazi ukuthi uthatha ini.
• Ungadli ihora noma amabili ngaphambi kokuqala. I-nausea nokuhlanza yimiphumela ejwayelekile yokudakwa. Amathuba akho aphezulu kakhulu lapho uxuba utshwala ne-ketamine. Gwema ukudla ihora eli-1 kuya kwele-2 ngaphambi kokuqala. Zama ukuhlala uqotho ukunciphisa ubungozi bokuklinyeka ebuhlanzweni bakho.
• Gcina umthamo wakho uphansi. Lokhu kwenzelwa i-K notshwala. Zisebenza ngokuvumelana, okusho ukuthi imiphumela yakho yomibili izothuthukiswa. Gcina umthamo wakho uphansi impela ukuze unciphise ingozi yokweqisa, okungenzeka ngisho nangemithamo ephansi.
• Ungakwenzi wedwa. Imiphumela ye-ketamine ayibikezeli ngokwanele, kepha ukwengeza utshwala kubenza babe ngaphezulu kakhulu. Yiba nokuhlala nawe sonke isikhathi. Isihlalo sakho kufanele sibe nesizotha futhi singasebenzisi i-ketamine kepha sijwayele imiphumela yaso.
• Khetha izilungiselelo eziphephile. Amathuba wokuhluleka ukuhamba noma ukuxhumana aphezulu uma uhlanganisa i-ketamine notshwala. Lokhu kukubeka esimweni esibucayi. Khetha izilungiselelo eziphephile nezijwayelekile.

I-Healthline ayikuvumeli ukusetshenziswa kwanoma iziphi izinto ezingekho emthethweni, futhi siyabona ukuthi ukuzigwema kuzo kuyindlela ephephe kunazo zonke.

Kodwa-ke, sikholelwa ekunikezeni imininingwane efinyeleleka nenembile ukunciphisa ingozi engenzeka lapho usebenzisa. Uma wena noma umuntu omaziyo kungenzeka ukuthi unenkinga yokusebenzisa izidakamizwa, sincoma ukuthi ufunde kabanzi futhi uthintane nochwepheshe ukuthola ukwesekwa okwengeziwe.

Okubalulekile

Ingozi yokweqisa ngokweqile iphezulu uma uhlanganisa ngisho namanani amancane we-ketamine notshwala. Zombili lezi zinto zinamandla amakhulu okuncika nokulutha.

Uma ukhathazekile ngokusebenzisa kwakho izidakamizwa noma utshwala, unezinketho ezimbalwa zokuthola ukwesekwa okuyimfihlo:

• Khuluma nomhlinzeki wakho wokunakekelwa kwezempilo oyinhloko. Thembeka ekusebenziseni kwakho izidakamizwa notshwala. Imithetho yobumfihlo yesineke iyabavimba ekubikeni lolu lwazi kwabomthetho.
• Shayela inombolo yocingo kazwelonke ye-SAMHSA ku-800-662-HELP (4357), noma usebenzise indawo yabo yokwelashwa eku-inthanethi.
• Sebenzisa i-NIAAA Alcohol Treatment Navigator.
• Thola iqembu lokusekela ngeProjekthi Yeqembu Lokusekela.

U-Adrienne Santos-Longhurst ungumbhali ozimele futhi umbhali obhale kakhulu kuzo zonke izinto zezempilo nezindlela zokuphila isikhathi esingaphezu kweminyaka eyishumi. Lapho engafakwanga endaweni yakhe yokubhala ecwaninga i-athikili noma evaliwe exoxa nochwepheshe bezempilo, angatholwa ebabaza azungeze idolobha lakhe lolwandle nomyeni nezinja bedonsa noma betshiza echibini bezama ukuphatha ibhodi lokugwedla lokuma.