Cocaine kudhakwa

Cocaine chinhu chisiri pamutemo chinosimudzira chinokanganisa yako yepakati tsinga system. Cocaine inouya kubva kune iyo coca chirimwa. Kana ikashandiswa, cocaine inokonzeresa uropi kuburitsa yakakwira kupfuura yakajairwa huwandu hwemamwe makemikari. Izvi zvinoburitsa pfungwa yekufara, kana "kukwirira."

Cocaine kudhakwa chiitiko umo iwe usiri wakakwirira chete kubva pakushandisa mushonga, asi zvakare une zviratidzo zvemuviri zvakawandisa izvo zvinogona kukuita kuti urware uye uremare.

Cocaine kudhakwa kunogona kukonzerwa ne:

• Kutora yakawandisa cocaine, kana zvakare yakanyanyisa fomu fomu yekodineine
• Kushandisa cocaine kana mamiriro ekunze ari kupisa, izvo zvinotungamira mukukuvara zvakanyanya uye nemhedzisiro nekuda kwekushaya mvura
• Kushandisa cocaine nemamwe madhiragi

Zviratidzo zvecocaine kudhakwa zvinosanganisira:

• Kubhadhara zvakakwirira, kufara, kutaura uye kubhejera, dzimwe nguva pamusoro pezvinhu zvakaipa zvinoitika
• Kufunganya, kushungurudzika, kusagadzikana, kuvhiringidzika
• Kudedera kwemhasuru, senge kumeso neminwe
• Vakawedzera vadzidzi vasinga diki kana mwenje uchipenya mumaziso
• Kuwedzera kwemoyo uye kuwedzerwa kweropa
• Musoro wakareruka
• Ruvara
• Kusvotwa uye kurutsa
• Fivha, kudikitira

Neyakakwira dosi, kana kunyanyisa, zviratidzo zvakanyanya zvinogona kuitika, zvinosanganisira:

• Kufenda
• Kurasikirwa kwekuziva kwenzvimbo dzakapoteredza
• Kurasikirwa kwekudzora weti
• Kupisa kwemuviri muviri, kudikitira kwakanyanya
• Yakakwira BP, inokurumidza kwazvo kurova kwemoyo kana isina kujairika moyo mutinhimira
• Bluish ruvara rweganda
• Kukurumidza kana kunetseka kufema
• Rufu
  

Cocaine inowanzo cheka (yakasanganiswa) nezvimwe zvinhu. Kana ikatorwa, zvimwe zviratidzo zvinogona kuitika.

Kana kukanganiswa kwecocaine kukanganiswa, mupi wezvehutano anogona kuraira bvunzo dzinotevera:

• Cardiac enzymes (kutsvaga humbowo hwekukuvara kwemoyo kana chirwere chemwoyo)
• Chest x-ray
• CT scan yemusoro, kana kukuvara kwemusoro kana kubuda ropa kunofungidzirwa
• ECG (electrocardiogram, kuyera zviitiko zvemagetsi mumoyo)
• Toxicology (chepfu uye zvinodhaka) kuongorora
• Kuongorora urinal

Iye mupi anoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira kupisa, kupomba, kufema, uye kuwedzerwa kweropa.

Zviratidzo zvichabatwa sezvakakodzera. Munhu wacho anogona kugamuchira:

• Kufema kunotsigira, kusanganisira oxygen, chubhu pasi pehuro, uye mweya (muchina wekufema)
• IV zvinwiwa (zvinwiwa kuburikidza nemutsinga)
• Mishonga yekurapa zviratidzo zvakaita sekurwadziwa, kushushikana, kushushikana, kuda kurutsa, kufenda, uye kuwedzera kweropa
• Mimwe mishonga kana kurapwa kwemoyo, huropi, mhasuru, uye itsvo matambudziko

Kurapa-kwenguva refu kunoda kurairirwa kwezvinodhaka pamwe chete nachiremba.

Maonero acho anoenderana nehuwandu hwecocaine inoshandiswa uye ndeapi mitezo inokanganisika. Kukuvara zvachose kunogona kuitika, izvo zvinogona kukonzera:

• Kufenda, sitiroko, uye kuoma mitezo
• Kusingaperi kushushikana uye psychosis (yakanyanya kusagadzikana kwepfungwa)
• Kuderera kwekushanda kwepfungwa
• Kukanganisa kwemoyo uye kuderera kwemoyo basa
• Itsvo kutadza kunoda dialysis (itsvo muchina)
• Kuparadzwa kwemhasuru, izvo zvinogona kukonzera kudimburwa

Kudhakwa - cocaine

• Electrocardiogram (ECG)

Aronson JK. Cocaine. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 492-542.

Rao RB, Hoffman RS, Erickson TB. Cocaine uye imwe sympathomimetics. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 149.