Phenytoin ovhadhozi

Phenytoin mushonga unoshandiswa kurapa kugwinha nekugwinha. Phenytoin overdose inoitika kana mumwe munhu netsaona kana nemaune achitora zvakawandisa zvemushonga uyu.

Izvi ndezveruzivo chete uye kwete zvekurapa kana manejimendi yeakanyanya kuwandisa. 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.

Diphenylhydantoin

Phenytoin izita rakajairika remishonga se:

• Cerebyx
• Dilantin
• Dilantin-125
• Phenytek

Urongwa urwu hunogona kunge husinga sanganisira zvese.

Zviratidzo zve phenytoin kudarika zvinogona kusanganisira:

• Coma
• Kuvhiringidzika
• Kufenda (pano neapo)
• Dzungu
• Kupindwa nechando
• Kuderera kweropa
• Tsigiro kuomarara kana mhasuru
• Kurara
• Kurutivi-kune-divi kweziso kufamba (nystagmus)
• Kutaura kwakadzikira
• Mazino ekuzvimba
• Kudengenyeka (kusingadi kubvunda)
• Kusadzikama

Mashoko anotevera anobatsira rubatsiro rwekukurumidzira:

• Zera remunhu, huremu, uye mamiriro
• Zita rechigadzirwa (pamwe nezvinosanganiswa uye simba kana zvichizivikanwa)
• Nguva yakamedzwa
• Mari yakamedzwa
• Kana mushonga wakatemerwa munhu

Zvisinei, Usanonoka kukumbira rubatsiro kana ruzivo urwu rusina kuwanikwa ipapo.

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 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 mudziyo wepiritsi uende nawo kuchipatara, kana zvichibvira.

Anopa hutano anozoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira tembiricha, kupomba, kufema, uye BP. Ropa bvunzo richaitwa kutarisa phenytoin mazinga. Zviratidzo zvichabatwa sezvakakodzera. Munhu wacho anogona kugamuchira:

• Yakagadziriswa marasha
• Airway rutsigiro, kusanganisira oxygen, kufema chubhu kuburikidza nemuromo (intubation), uye ventilator (mweya wekufema)
• Ropa uye weti kuongororwa
• Chest x-ray
• ECG (electrocardiogram, kana moyo wekutsvagisa)
• Mvura kuburikidza nemutsinga (intravenous kana IV)
• Laxative
• Mishonga yekurapa zviratidzo

Kuita zvakanaka kwemunhu kunoenderana nekuomarara kwekuwedzeredza uye nekukurumidza kurapwa kunogamuchirwa. Kana pakave nekoma yakareba uye kuvhunduka (kukuvara kwenhengo dzakawanda dzemukati), mhedzisiro yakakomba inogoneka.

Diphenylhydantoin

Aronson JK. Phenytoin uye fosphenytoin. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 709-718.

Pollack CV, Merino FT. Kufenda. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 15.