Propoxyphene ovhadhozi

Propoxyphene mushonga unoshandiswa kubvisa marwadzo. Iyo ndeimwe yemakemikari akati wandei anonzi maopioid kana maopiates, ayo akambotorwa kubva kumuti wepoppy uye akashandiswa pakurapa marwadzo kana kwavo kudzikamisa mhedzisiro Propoxyphene overdose inoitika kana mumwe munhu nemaune kana netsaona achitora zvakawandisa zvemushonga uyu.

IU.S. Food and Drug Administration (FDA) yakatora mushonga uyu kubva pamusika muna Zvita 2010 nekuda kwekugona kukonzera kusagadzikana kwemoyo kunouraya.

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.

Propoxyphene

Mazita emagetsi anosanganisira:

• Darvocet
• Darvon
• Darvon-N
• Dolene

Ongorora: Rondedzero iyi inogona kunge isinga-sanganisira.

Zviratidzo zvinogona kusanganisira:

Maziso, nzeve, mhino, nehuro:

• Kunzwa kurasikirwa
• Pini vadzidzi

Mwoyo nemidziyo yeropa:

• Kukanganiswa kwemoyo mutinhimira
• Kuderera kweropa
• Kupomba kushoma

Mapapu:

• Kufema kunonoka, kushanda, kana kudzika
• Hapana kufema

Tsandanyama:

• Tsandanyama spasticity
• Tsvina kukuvara kubva mukusamira paunenge uri pakoma

Kutya system:

• Coma
• Kuvhiringidzika
• Kukotsira
• Kufenda

Ganda:

• Cyanosis (nzara dzebhuruu kana miromo)
• Jaundice (kushanduka yero)
• Mapundu

Dumbu uye ura:

• Nausea, kurutsa
• Spasms yemudumbu kana ura (mudumbu cramp)

Tsvaga rubatsiro rwechiremba ipapo. Usaite kuti munhu arase kumusoro kunze kwekunge audzwa kuti aite saizvozvo nePoison Control kana nyanzvi yehutano.

Mashoko anotevera anobatsira rubatsiro rwekukurumidzira:

• Zera remunhu, huremu, uye mamiriro
• Zita rechigadzirwa (zvishandiso 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 nhamba inokurega iwe utaure 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.

Anopa hutano anozoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira tembiricha, kupomba, kufema, uye BP.

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, kusanganisira naloxone, mushonga wekudzora zvinokonzeresa huturu; akawanda madosi anogona kudikanwa

Kunyatsoita munhu uyu kunoenderana nekuomarara kwekuwedzeredza uye nekukurumidza kurapwa kunogamuchirwa. Kana mukwikwidzi akakodzera wemishonga yekurwisa zvinodhaka (mushonga wekupokana nezvinokonzereswa nezvinodhaka) anogona kupihwa, kupora kubva pakuwandisa kwekunyanyisa kunoitika mukati maawa makumi maviri nemana kusvika makumi mana. Nekudaro, kana pakave nekoma yakareba uye kuvhunduka (kukuvara kwenhengo dzakawanda dzemukati), mhedzisiro yakakomba inogoneka.

Propoxyphene hydrochloride; Dextropropoxyphene

Aronson JK. Dextropropoxyphene. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 906-908.

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.