Dilantin kudarika

Dilantin mushonga unoshandiswa kudzivirira kubatwa. Kuwedzeredza kunoitika kana mumwe munhu akatora zvinopfuura zvakajairwa kana chiyero zvakakurudzirwa zvemushonga uyu. Izvi zvinogona kuitika netsaona kana nechinangwa.

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

Dilantin inogona kukuvadza yakawanda.

Dilantin ndiro zita re phenytoin.

Zviratidzo zveDilantin overdose zvinosiyana. Zvinogona kusanganisira:

• Coma
• Kuvhiringidzika
• Kudzedzereka kufamba kana kufamba (chiratidzo chekutanga)
• Kusadzikama, kufamba zvisina kubatana (chiratidzo chekutanga)
• Kusazvipira, jerky, kudzokorora kufamba kwemaziso eziso anonzi nystagmus (chiratidzo chekutanga)
• Kufenda
• Kudengenyeka (kusingadzoreki, kudzokorora kuzunza kwemaoko kana makumbo)
• Kurara
• Kutaura kunononoka kana kushaya simba
• Lethargy
• Kuderera kweropa
• Kusvotwa uye kurutsa
• Mazino ekuzvimba
• Fivhiri (zvisingawanzoitika)
• Kukakavara kwakanyanya kweganda (kushoma)
• Inononoka kana isina kujairika kurova kwemoyo (kazhinji chete kana ichinge yatorwa mukati, senge kuchipatara)
• Kuzvimba uye kupora kushanduka kweruoko (chete kana rikatorwa mukati, senge kuchipatara)

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 (semuenzaniso, munhu wacho akamuka here kana kuti akangwarira?)
• Zita rechigadzirwa (zvishandiso uye simba, kana zvichizivikanwa)
• Nguva yakamedzwa
• Mari yakamedzwa
• Kana mushonga wakatemerwa munhu

Usanonoka kukumbira rubatsiro kana iwe usina ruzivo urwu.

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.

Enda nemudziyo wacho kuchipatara, kana zvichibvira.

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

Miedzo inogona kuitwa inosanganisira:

• Ropa uye weti kuongororwa
• Chest x-ray
• CT scan
• ECG (electrocardiogram, moyo wekutevera)

Kurapa kunogona kusanganisira:

• Mvura kuburikidza nemutsinga (na IV)
• Mushonga wekudzosera mhedzisiro yemushonga uye nekurapa zviratidzo
• Yakagadziriswa marasha
• Laxative
• Kufema rutsigiro, kusanganisira chubhu kuburikidza nemumuromo mumapapu uye yakabatana nemuchina wekufema (ventilator)

Iko kutarisisa kunoenderana nekuti kudarika kwekuwedzeredza kwakanyanya sei:

• Kuwedzeredza kunyoro - Rutsigiro rwekutsigira roga runogona kunge rwuri rwese rwunodiwa. Kudzoreredza kungangoitika.
• Kuwedzeredza mwero - Nekurapwa kwakakodzera, munhu wacho anowanzoita kupora kwakakwana mukati maawa makumi maviri nemana kusvika makumi mana.
• Kuwedzeredza kwakanyanya - Kana munhu wacho asina chaanoziva kana aine zviratidzo zvisina kujairika, kurapwa kwakanyanya kunogona kudikanwa. Zvinotora mazuva matatu kusvika mashanu munhu asati aziva. Zvinetso zvakaita semabayo, kukuvara kwemhasuru kubva pakarara panzvimbo yakaoma kwenguva yakareba, kana kukuvara kwehuropi kubva mukushayikwa kwe oxygen kunogona kukonzera kuremara zvachose. Zvisinei, kunze kwekunge paine matambudziko, kwenguva refu mhedzisiro uye kufa zvakajairika. Kana rufu rukaitika, runowanzoitika kubva mukundikana kwechiropa.

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

Meehan TJ. Kusvika kumurwere ane muchetura. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 139.