Ukunxila kweBarbiturate kunye nokugqithisa

I-Barbiturates sisiyobisi esibangela ukuphumla kunye nokulala. I-barbiturate overdose yenzeka xa umntu ethatha ngaphezulu kwesiqhelo okanye isixa esinconyelwayo salo mayeza. Oku kunokuba ngengozi okanye ngenjongo. Ukugqithisa ngokweqile kusongela ubomi.

Kwiidosi ezisezantsi ngokufanelekileyo, ii-barbiturates zinokukwenza ubonakale ngathi unxilile okanye unxilile.

IiBarbiturates ziyalutha. Abantu abazisebenzisayo baxhomekeke kubo ngokwasemzimbeni. Ukubamisa (ukurhoxa) kunokuba semngciphekweni wobomi. Ukunyamezelana neziphumo zokutshintsha kwemo yeebarbiturates kukhula ngokukhawuleza ngokusetyenziswa okuphindaphindiweyo. Kodwa, ukunyamezelana neziphumo ezibulalayo kukhula kancinci, kwaye umngcipheko wetyhefu eqatha uyanda ngokusetyenziswa okuqhubekayo.

Eli nqaku lelolwazi kuphela. SUKUYISETYENZISE ukunyanga okanye ukulawula ukugqithisa ngokwenyani. Ukuba wena okanye umntu onokudlulela ngaphezulu, biza inombolo yakho yongxamiseko yendawo (enje nge-911), okanye iziko lakho lendawo yetyhefu linokufikelelwa ngokuthe ngqo ngokutsalela umnxeba kwinombolo yasimahla yetyhefu (1-800-222-1222) naphi na eUnited States.

Ukusetyenziswa kweBarbiturate yingxaki enkulu yokulutha kubantu abaninzi. Uninzi lwabantu abathatha la mayeza kukuphazamiseka ekuthinjweni okanye iisyndromes zentlungu abazisebenzisi kakubi, kodwa abo bawasebenzisayo, bahlala beqala ngokusebenzisa iyeza ebelinikezelwe bona okanye amanye amalungu osapho.

Uninzi lwee-overdoses zolu hlobo lwamayeza lubandakanya umxube wamachiza, zihlala zikhona utywala kunye neebarbiturates, okanye i-barbiturates kunye ne-opiates efana neheroin, i-oxycodone, okanye i-fentanyl.

Abanye abasebenzisi bathatha indibaniselwano yawo onke la machiza. Abo basebenzisa indibaniselwano badla ngokuba:

• Abasebenzisi abatsha abangazaziyo ezi zinto zidibeneyo banokubangela ikhoma okanye ukufa
• Abasebenzisi abanamava abazisebenzisa ngenjongo yokutshintsha ukuqonda kwabo

Iimpawu zotywala obunxilisayo kunye nokugqithisa kubandakanya:

• Inqanaba elitshintshileyo lokuqonda
• Kunzima ukucinga
• Ukozela okanye isiqaqa
• Ukwenza izigqibo ngendlela ephosakeleyo
• Ukungabikho koququzelelo
• Ukuphefumla kancinci
• Intetho ecothayo, edibeneyo
• Ukonqena
• Iyothusa

Ukusetyenziswa gwenxa kunye nexesha elide kweebarbiturates, ezinje nge-phenobarbital, kunokuvelisa ezi mpawu zilandelayo:

• Utshintsho kulumkiso
• Ukuncipha kokusebenza
• Ukucaphuka
• Ukuphulukana nenkumbulo

Umboneleli wezempilo uya kubeka esweni iimpawu ezibalulekileyo zomntu, kubandakanya iqondo lobushushu, ukubetha kwentliziyo, inqanaba lokuphefumla, kunye noxinzelelo lwegazi. Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi kunye nomchamo
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram)

Esibhedlele, unyango olungxamisekileyo lunokubandakanya:

• Ukusebenza kwamalahle ngomlomo okanye ngetyhubhu ngempumlo ungene esiswini
• Ukuxhasa ukuphefumla, kubandakanya ioksijini, ityhubhu emlonyeni ukuya emqaleni, kunye nomatshini wokuphefumla
• Ulwelo ngomthambo (ngo-IV)
• Iyeza lokunyanga iimpawu

Iyeza elibizwa ngokuba yi-naloxone (Narcan) linokunikwa ukuba i-opiate yayiyinxalenye yomxube. Eli yeza lidla ngokubuyisela ngokukhawuleza ezingqondweni nasekuphefumleni, kodwa isenzo salo sihlala ixesha elifutshane, kwaye sinokufuna ukusinikwa ngokuphindaphindiweyo.

Akukho ntsholongwane ngokuthe ngqo kwi-barbiturates. Iyeza lokunyanga liyeza eliguqula iziphumo lelinye iyeza okanye ichiza.

Phantse umntu omnye kwabali-10 abagqithisileyo kwi-barbiturates okanye umxube oqukethe i-barbiturates uya kufa. Bahlala besifa ngenxa yengxaki yentliziyo nemiphunga.

Iingxaki libanda:

• Coma
• Ukufa
• Ukulimala kwentloko kunye nokuxubana nokuwa xa unxilile
• Ukuphuma kwesisu kwabasetyhini abakhulelweyo okanye ukonakala kosana olusakhulayo esibelekweni
• Intamo kunye nokulimala komqolo kunye nokukhubazeka ekuweni xa unxilile
• I-pneumonia esuka kwi-gag reflex kunye ne-aspiration (i-fluid okanye ukutya phantsi kweetyhubhu ze-bronchial kwimiphunga)
• Ukonakala kakhulu kwezihlunu ngokulala kwindawo enzima ngelixa ungazi nto, nto leyo enokubangela ukonzakala kwezintso ngokusisigxina

Tsalela umnxeba inombolo yakho yongxamiseko yasekuhlaleni, enje nge-911, ukuba umntu othile uthathe i-barbiturates kwaye ubonakala ediniwe kakhulu okanye enengxaki yokuphefumla.

Iziko lakho lokulawula ityhefu lingafikelelwa ngokuthe ngqo ngokutsalela umnxeba wenombolo yasimahla yasimahla (1800-222-1222) naphi na eUnited States. Le nombolo yesizwe iya kukuvumela ukuba uthethe neengcali kwiityhefu. Baza kukunika eminye imiyalelo.

Le yinkonzo yasimahla neyimfihlo. Onke amaziko olawulo lwetyhefu aseMelika asebenzisa le nombolo yesizwe. Kuya kufuneka ubize ukuba unemibuzo malunga netyhefu okanye ulawulo lwetyhefu. AKUFUNI ukuba ibe yingxakeko. Ungatsalela umnxeba nangasiphi na isizathu, iiyure ezingama-24 ngosuku, iintsuku ezisi-7 ngeveki.

Ukunxila - iibharbiturates

UAronons JK. IiBarbiturates. Ku: Aronson JK, ed. Iziphumo ebezingalindelekanga zikaMeyler zeziyobisi. Ngomhla we-16. I-Waltham, MA: Elsevier; Ngo-2016: 819-826.

UGussow L, uCarlson A.Ukuhlaziya iihypnotics. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 159.