Antidiarrheal zvinodhaka ovhadhozi

Antidiarrheal zvinodhaka zvinoshandiswa kurapa zvakasununguka, zvine mvura, uye kazhinji zvituru. Chinyorwa ichi chinokurukura kuwedzerwa kwemishonga inorwisa chirwere yemanyoka ine diphenoxylate uye atropine. Zvese zvinhu zvinobatsira kunonoka kufamba kwematumbo. Uye zvakare, atropine inobatsira kudzikisa kugadzirwa kwemuviri kwemvura.

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.

Izvo zvinosanganisa zvinosanganisira:

• Diphenoxylate
• Atropine

Diphenoxylate opioid isina kusimba, kirasi yemishonga inosanganisira morphine uye mamwe maNarcotic. Kushungurudzwa kwemaopioid, kana kushandisa maopioid nekuda kwezvikonzero zvisiri zvemishonga idambudziko riri kukura.

Izvi zvinhu zvinowanikwa mumishonga iyi:

• Diphenatol
• Lofene
• Logen
• Lomanate
• Lomotil
• Lonox
• Lo-Trol
• Kana-Mil

Mimwe mishonga inogona zvakare kunge iine zvinhu izvi.

Mumwe munhu akanyanyisa kuwanda pamushonga uyu anogona kunge aine zvimwe zvezviratidzo izvi:

• Kusava nehanya, kurasikirwa kwechido chekuita chero chinhu
• Kukotsira, koma
• Kuvhiringidzika
• Kuzvimbirwa
• Delirium kana kufungidzira
• Mukanwa makaoma uye ganda
• Kumhanya
• Chinja saizi yemudzidzi
• Rapid moyo kurova (kubva kuatropine)
• Inokurumidza padivi-kune-divi yeziso kufamba
• Kunonoka kufema

Ongorora: Zviratidzo zvinogona kutora kusvika maawa gumi nemaviri kuti zvioneke.

Tsvaga rubatsiro rwechiremba ipapo. Usaite kuti munhu arase kumusoro kunze kwekunge uturu hwehuturu kana mupi wezvehutano akakuudza iwe.

Iva neruzivo urwu rwakagadzirira:

• Zera remunhu, huremu, uye mamiriro
• Zita rechigadzirwa (zvishandiso uye simba kana zvichizivikanwa)
• Nguva yakamedzwa
• Mari yakamedzwa

Yako yepanzvimbo yekudzora huturu inogona kusvikwa yakananga nekufonera iyo yepasirose-isina muripo Poison Rubatsiro nhare (1-800-222-1222) kubva chero 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 kudzivirira chepfu. Hazvidi kuti ive emergency. Iwe unogona kufona chero chikonzero, maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.

Tora bhodhoro remushonga uende naro kuchipatara, kana zvichibvira.

Iye mupi anoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira kupisa, kupomba, kufema, uye kuwedzerwa kweropa. Zviratidzo zvicharapwa. Munhu wacho anogona kugamuchira:

• Yakagadziriswa marasha
• Kufema kwekutsigira, kusanganisira oxygen uye chubhu kuburikidza nemuromo kupinda mumapapu
• Chest x-ray
• ECG (electrocardiogram, kana moyo wekutsvagisa)
• Intravenous fluids (inopihwa kuburikidza nemutsinga)
• Laxative
• Narcotic-inopesana nemushonga (anopikisa), ingangoita yega maminetsi makumi matatu
• Tube kuburikidza nemhino mudumbu kuti uburitse dumbu (gastric lavage)

Vanhu vazhinji vachapora pamwe nekurapwa uye vanoongororwa kwemaawa makumi maviri nemana. Zvisinei, kufa kunogona kuitika muvana vaduku. Vana vari pasi pemakore matanhatu vanofanirwa kubvumirwa kuchipatara uye vachinyatso tariswa kwemaawa makumi maviri nemana nekuti zviratidzo zvematambudziko emapapu zvinogona kunonoka uye zvakanyanya.

Chengeta mishonga yese mumidziyo isina chiratidzo chevana uye pasingasvikike nevana. Verenga ese mavara emishonga uye utore chete mishonga yawakatemerwa iwe.

Manyoka wemushonga wemushonga; Diphenoxylate uye atropine chepfu

Aronson JK. Opioid receptor agonists. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 348-380.

Nikolaides JK, Thompson TM. Opioid. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 156.