Lomotil ovhadhozi

Lomotil mushonga unorapwa unoshandiswa kurapa manyoka. Lomotil ovhadhozi inoitika kana mumwe munhu akatora zvinopfuura zvakajairwa kana zvakakurudzirwa huwandu hwemushonga uyu. Izvi zvinogona kuitika netsaona kana nechinangwa.

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

Lomotil ine mishonga miviri inogona kukuvadza yakawanda. Vari:

• Atropine
• Diphenoxylate (opioid)

Mishonga ine mazita aya ine atropine uye diphenoxylate:

• Lofene
• Logen
• Lomanate
• Lomotil
• Lonox

Mimwe mishonga inogona zvakare kuve neatropine uye diphenoxylate.

Zviratidzo zveLomotil overdose zvinosanganisira:

• Kunonoka kufema, kana kufema kunomira
• Kukuvadza kurova kwemoyo (palpitations)
• Kukurumidza kurova kwemoyo
• Kuderera kana kumisa kwematumbo
• Coma (yakaderera nhanho yekuziva, kushomeka kwekuteerera)
• Kuzvimbirwa
• Kufenda (kugwinha)
• Kukotsira
• Dry mucous membranes mumuromo
• Ziso rinochinja mukukura kwemudzidzi (inogona kunge iri diki, yakaenzana-saizi, kana hombe)
• Maziso anofamba nekukurumidza kubva kune rumwe rutivi kuenda kune rumwe rutivi
• Ganda rakatsetseka
• Hallucinations (kuona kana kunzwa zvinhu zvisipo)
• Kusadzikama
• Urination yakaoma
• Kusvipa

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

Tsvaga rubatsiro rwechiremba ipapo. Usaite kuti munhu arase kumusoro kunze kwekunge hutachiona 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
• Kana mushonga wakatemerwa munhu

Yako yepanzvimbo yekudzora huturu inogona kusvikwa yakananga nekufonera iyo yepasirose-isina muripo Poison Rubatsiro nhare (1-800-222-1222) kubva chero muUnited States. Iyi nhamba yehotera yenyika ino ichaita kuti 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.

Enda nemudziyo wacho kuchipatara, kana zvichibvira.

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

Miedzo inogona kuitwa inosanganisira:

• Chest x-ray
• ECG (electrocardiogram kana moyo wekutsvagisa)

• Mvura kuburikidza nemutsinga (na IV)
• Laxative
• Yakagadziriswa marasha
  
• Mushonga wekudzoreredza zvinoitika zveatropine
• Mishonga yekudzosera mhedzisiro yediphenoxylate
• Kufema kwekutsigira, kusanganisira chubhu kuburikidza nemuromo uye kwakabatana nemuchina wekufema (ventilator)

Vamwe vanhu vangangoda kugara muchipatara kuti vatariswe.

Kuita zvakanaka kwemumwe munhu kunoenderana nekuti mushonga wakamedzwa sei uye nekukurumidza kurapwa kunogamuchirwa. Iyo inokurumidza rubatsiro rwekurapa runopihwa, zvirinani mukana wekupora.

Kugara muchipatara kunogona kudikanwa kune mamwe madosi emishonga iyo inodzosera mhedzisiro yemushonga. Zvinetso, zvakaita semabayo, kukuvara kwemhasuru kubva pakarara panzvimbo yakaoma kwenguva yakareba, kana kukuvara kwehuropi kubva mukushayikwa kwe oxygen kunogona kukonzera kuremara zvachose. Nekudaro, kunze kwekunge paine matambudziko, kwenguva refu mhedzisiro uye kufa hazviwanzo.

Vanhu vanokurumidza kugamuchira mishonga yekudzosera zvinoitika zveopioid vanowanzoita zvirinani mumaawa makumi maviri nemana kusvika makumi mana. Zvisinei, vana havaitiwo saizvozvo.

Diphenoxylate neatropine ovhadhozi; Atropine ine diphenoxylate ovhadhozi

Aronson JK. Atropine. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 754-755.

Cole JB. Mishonga yemwoyo. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 147.

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.