Libanda, Phenytoin

IPhenytoin liyeza elisetyenziselwa ukunyanga ukuxhuzula kunye nokuxhuzula. I-Phenytoin overdose yenzeka xa umntu ngempazamo okanye ngabom ethatha kakhulu eli yeza.

Olu lolwazi kuphela kwaye alusetyenziselwa unyango okanye ulawulo lokudlula ngaphezulu. 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.

IDiphenylhydantoin

I-Phenytoin ligama eliqhelekileyo leziyobisi ezinje:

• ICerebyx
• Dilantin
• Idilantin-125
• IPhenytek

Olu luhlu alunakubandakanywa konke.

Iimpawu ze-phenytoin overdose zinokubandakanya:

• Coma
• Ukudideka
• Ukuxhuzula (ngamanye amaxesha)
• Ukuba nesiyezi
• Ifiva
• Uxinzelelo lwegazi oluphantsi
• Ukuqina kwemisipha okanye ukungqubana
• Ukulala
• Ukuhamba ngapha nangapha kwamehlo (nystagmus)
• Intetho egudileyo
• Iintsini ezidumbileyo
• Ukungcangcazela (ukungcangcazela ngabom)
• Ukungazinzi

Olu lwazi lulandelayo luluncedo kuncedo olungxamisekileyo:

• Ubudala bomntu, ubunzima, kunye nemeko
• Igama lemveliso (kunye nezithako kunye namandla ukuba uyaziwa)
• Ixesha lokuginywa
• Isixa siginyiwe
• Ukuba amayeza amiselwe umntu lowo

Nangona kunjalo, SUKULIBAZA ukucela uncedo ukuba olu lwazi alufumaneki ngokukhawuleza.

Iziko lakho lokulawula ityhefu lingafikelelwa ngokuthe ngqo ngokutsalela umnxeba wenombolo yasimahla yasimahla kuTyhefu (1-800-222-1222) naphi na e-United States. Le nombolo 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 ukuthintela ityhefu. AKUFUNI ukuba ibe yingxakeko. Ungatsalela umnxeba nangasiphi na isizathu, iiyure ezingama-24 ngosuku, iintsuku ezisi-7 ngeveki.

Thatha isikhongozeli sepilisi uhambe naso uye esibhedlele, ukuba kunokwenzeka.

Umboneleli wezempilo uya kulinganisa kwaye abeke esweni iimpawu ezibalulekileyo zomntu, kubandakanya iqondo lobushushu, ukubetha kwentliziyo, inqanaba lokuphefumla, kunye noxinzelelo lwegazi. Uvavanyo lwegazi luya kwenziwa ukujonga amanqanaba e-phenytoin. Iimpawu ziya kuphathwa ngokufanelekileyo. Umntu angafumana:

• Amalahle avuselelweyo
• Inkxaso yomoya, kubandakanya ioksijini, ityhubhu yokuphefumla ngomlomo (intubation), kunye ne-ventilator (umatshini wokuphefumla)
• Uvavanyo lwegazi kunye nomchamo
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram, okanye ukulandelwa kwentliziyo)
• Ulwelo ngomthambo (efakwa ngaphakathi okanye IV)
• Laxative
• Amayeza okunyanga iimpawu

Ukusebenza kakuhle komntu kuxhomekeke kubukrakra bokudlula kunye nokuba unyango lufunyanwa ngokukhawuleza kangakanani. Ukuba kuye kwakho isiqaqa ixesha elide kunye nokothuka (ukonzakala kumalungu angaphakathi amaninzi), kunokuba nesiphumo esibi ngakumbi.

IDiphenylhydantoin

UAronons JK. Phenytoin kunye nefosphenytoin. Ku: Aronson JK, ed. Iziphumo ebezingalindelekanga zikaMeyler zeziyobisi. Ngomhla we-16. I-Waltham, MA: Elsevier; Ngo-2016: 709-718.

IPollack CV, iMerino FT. Ukuxhuzula. 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 15.