Bharbiturate kudhakwa uye kudarika

Bharbiturates mishonga inokonzera kuzorora uye kurara. Bharbiturate overdose inoitika kana mumwe munhu akatora zvinopfuura zvakajairwa kana zvakakurudzirwa huwandu hwemushonga uyu. Izvi zvinogona kuitika netsaona kana nechinangwa. Kunyanyisa kudarika kuri kutyisidzira hupenyu.

Pachimiro chakaderera, mabhariti anogona kuita kuti iwe uratidzike kunge wakadhakwa kana kudhakwa.

Barbiturates muropa. Vanhu vanozvishandisa vanova vanovimba nemuviri pavari. Kuvamisa (kubvisa) kunogona kutyisidzira hupenyu. Kushivirira kune inochinja-mamiriro ekuchinja emabarbiturates anokura nekukurumidza nekudzokorora kushandiswa. Asi, kushivirira kune zvinouraya zvinowedzera zvishoma nezvishoma, uye njodzi yehuturu hwakakomba inowedzera nekuenderera mberi kwekushandisa.

Ichi chinyorwa ndechekuziva chete. Usashandise iyo kurapa kana kubata yakanyanyisa kudarika. Kana iwe kana mumwe munhu waunenge uine overdoses, fonera yako yemunharaunda emergency emergency (yakadai se911), kana nzvimbo yako yepfu chepfu inogona kusvikwa yakananga nekufonera iyo yenyika isingabhadhariswe Inotya Inobatsira hotline (1-800-222-1222) kubva chero kupi muUnited States.

Kushandiswa kweBarbiturate idambudziko rakakura rekupindwa muropa nevanhu vazhinji. Vazhinji vanhu vanotora iyi mishonga yekushushikana kwekubata kana syndromes ekurwadziwa haavashungurudze, asi avo vanodaro, kazhinji vanotanga nekushandisa mushonga wavakatemerwa ivo kana dzimwe nhengo dzemhuri.

Kunyanya kuwanda kwemhando iyi yemushonga kunosanganisira musanganiswa wemishonga, kazhinji doro uye mabhariti, kana mabhariti uye maopiyasi akadai seheroin, oxycodone, kana fentanyl.

Vamwe vashandisi vanotora musanganiswa wezvose izvi zvinodhaka. Ivo vanoshandisa musanganiswa wakadai vanowanzo kuve:

• Vashandisi vatsva vasingazive izvi zvinosanganiswa zvinogona kutungamira kukoma kana kufa
• Vanoziva vashandisi vanozvishandisa nechinangwa kuchinja kwavo kuziva

Zviratidzo zvebarbiturate kudhakwa uye kudarika kunosanganisira:

• Yakagadziriswa mwero wekuziva
• Zvakaoma mukufunga
• Kukotsira kana kufenda
• Kutadza kwakashata
• Kusava nekubatana
• Kufema zvishoma
• Kunonoka, kutaura kwakadzikira
• Usimbe
• Kudzedzereka

Kuwedzeredza uye kwenguva refu kushandiswa kwebharbiturates, senge phenobarbital, kunogona kuburitsa zvinotevera zviratidzo zvisingaperi:

• Shanduko mukusvinura
• Kuderera kwekushanda
• Kushatirwa
• Kurasikirwa kwendangariro

Anopa hutano anoongorora zviratidzo zvemunhu zvakakosha, zvinosanganisira kupisa, kupisa, kufema, uye BP. Miedzo inogona kuitwa inosanganisira:

• Ropa uye weti kuongororwa
• Chest x-ray
• ECG (magetsi emagetsi)

Kuchipatara, kurapwa kwechimbichimbi kunogona kusanganisira:

• Yakagadziriswa marasha nemuromo kana chubhu kuburikidza nemhino kupinda mudumbu
• Kufema kwekutsigira, kusanganisira oxygen, chubhu kuburikidza nemuromo kupinda muhuro, uye muchina wekufema
• Mvura kuburikidza nemutsinga (na IV)
• Mushonga wekurapa zviratidzo

Mushonga unonzi naloxone (Narcan) unogona kupihwa kana opiate yaive chikamu chemusanganiswa. Mushonga uyu unowanzo kumhanyisa kudzamisa pfungwa uye kufema, asi chiito chayo ndechepfupi, uye chingangoda kupihwa kakawanda.

Iko hakuna yakananga antidote yebarbiturates. Mushonga mushonga unodzorera zvinoitika zveumwe mushonga kana mushonga.

Vanenge munhu mumwe pagumi vanhu vanodarika mabarbiturates kana musanganiswa une barbiturates vanofa. Kazhinji vanofa kubva pamatambudziko emwoyo nemapapu.

Zvinetso zvekuwedzeredza zvinosanganisira:

• Coma
• Rufu
• Kukuvara kwemusoro uye kupokana kubva pakuwa kana wadhakwa
• Kuzvitakura mumadzimai ane nhumbu kana kukuvara kumwana ari kukura mudumbu
• Neck uye musana kukuvara uye kuoma mitezo kubva kudonha kana wadhakwa
• Pneumonia kubva kuora mwoyo gag reflex uye aspiration (fluid kana chikafu pasi bronchial machubhu mumapapu)
• Kukuvara kwemhasuru kwakakura kubva pakurara panzvimbo yakaoma nepo usina chaunoziva, izvo zvinogona kutungamira mukukuvara kweitsvo zvachose

Fonera yako yemuno emergency emergency, se911, kana mumwe munhu atora barbiturates uye anoita kunge aneta zvakanyanya kana ane matambudziko ekufema.

Yako nzvimbo inodzora chepfu inogona kusvikwa yakananga nekufonera iyo yepasirose-isina muripo Poison Rubatsiro nhare (1800-222-1222) kubva chero kupi muUnited States. Iyi hotline yenyika inokurega iwe uchitaura nenyanzvi mune chepfu. Ivo vanozokupa iwe kumwe kuraira.

Iri ibasa remahara uye rakavanzika. Nzvimbo dzese dzemunharaunda dzekudzora chepfu muUnited States dzinoshandisa iyi nhamba yenyika. Iwe unofanirwa kufona kana iwe uine chero mibvunzo nezve chepfu kana chepfu kudzora. Hazvidi kuti ive emergency. Iwe unogona kufona chero chikonzero, maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.

Kudhakwa - barbiturates

Aronson JK. Barbiturates. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 819-826.

Gussow L, Carlson A. Sedative hypnotics. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 159.