Ukugqithisa kweDilantin

I-Dilantin liyeza elisetyenziselwa ukuthintela ukuxhuzula. Ukugqithisa kwenzeka xa umntu ethatha ngaphezulu kwesiqhelo okanye isixa esinconyelwayo sonyango. Oku kunokuba ngengozi okanye ngenjongo.

Eli nqaku lelolwazi kuphela. SUKUYISETYENZISE ukunyanga okanye ukulawula ukugqithisa ngokwenyani. Ukuba wena okanye umntu onaye une-overdose, fowunela inombolo yongxamiseko yendawo yakho (enje nge-911), okanye iziko lakho lendawo yetyhefu linokufikelelwa ngokuthe ngqo ngokutsalela umnxeba wenombolo yasimahla yoNcedo lweTyhefu (1-800-222-1222) naphi na eUnited States.

I-Dilantin inokuba yingozi kwisixa esikhulu.

I-Dilantin ligama lophawu lwe phenytoin.

Iimpawu zeDilantin overdose ziyahluka. Banokubandakanya:

• Coma
• Ukudideka
• Ukuhamba ngokungxolayo okanye ukuhamba (uphawu lokuqala)
• Ukungazinzi, ukungahambelani (uphawu lokuqala)
• Ukuzibandakanya ngokungathandabuzekiyo, ukunyakaza, nokuphindaphinda kweebhola zamehlo ezibizwa ngokuba yi-nystagmus (uphawu lokuqala)
• Ukuxhuzula
• Ingcangcazela (engalawulekiyo, ephinda-phinda iingalo okanye imilenze)
• Ukulala
• Intetho ecothayo okanye engacacanga
• Ukuhamba
• Uxinzelelo lwegazi oluphantsi
• Isicaphucaphu nokugabha
• Iintsini ezidumbileyo
• Umkhuhlane (unqabile)
• Ukudumba okukhulu kolusu (kunqabile)
• Intliziyo encinci okanye engavumelekanga (ngokuqhelekileyo kuphela xa ithathwa nge-intravenously, njengesibhedlele)
• Ukudumba kunye nokubola kombala kwesandla (kuphela xa kuthathwe ngaphakathi, njengokuya esibhedlele)

Funa uncedo lwezonyango kwangoko. MUSA ukumenza umntu aphose ngaphandle kokuba ulawula ityhefu okanye umniki-nkonzo akuyalela.

Ngaba olu lwazi lukulungele:

• Ubudala bomntu, ubunzima, kunye nemeko (umzekelo, ngaba umntu uvukile okanye ulumkile?)
• Igama lemveliso (izithako kunye namandla, ukuba kuyaziwa)
• Ixesha laliginyiwe
• Isixa siginyiwe
• Ukuba amayeza amiselwe umntu lowo

Sukulibazisa ukulibiza xa ungenalo olu lwazi.

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

Thatha ikhonteyina leyo uyise esibhedlele, ukuba kunokwenzeka.

Umboneleli uya kulinganisa kwaye abeke 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
• Ukuskena i-CT
• I-ECG (i-electrocardiogram, ukulandelela intliziyo)

Unyango lunokubandakanya:

• Ulwelo ngomthambo (ngo-IV)
• Iyeza lokuguqula iziphumo zeziyobisi kunye nokunyanga iimpawu
• Amalahle avuselelweyo
• Laxative
• Ukuphefumla inkxaso, kubandakanya ityhubhu engena emlonyeni ukuya emiphungeni kwaye ixhunywe kumatshini wokuphefumla (i-ventilator)

Imbonakalo ixhomekeke kwindlela elibukhali ngayo i-overdose:

• Ukudlula kumdaka ophantsi-Unyango lwenkxaso yodwa inokuba yiyo yonke into efunekayo. Ukuchacha kunokwenzeka.
• Ukugqithisa okungaphaya - Ngonyango olululo, umntu uhlala esenza ukubuyela kwimeko yesiqhelo kwiiyure ezingama-24 ukuya kwezi-48.
• Ukugqithisa ngokweqile - Ukuba umntu akazi nto okanye uneempawu ezibalulekileyo ezingaqhelekanga, unyango olunoburharha kunokuba yimfuneko. Kungathatha iintsuku ezi-3 ukuya kwezi-5 phambi kokuba umntu abenolwazi. Iingxaki ezinje nge-pneumonia, ukonakala kwemisipha ekulaleni kwindawo enzima ixesha elide, okanye ukonakala kwengqondo ngokuswela ioksijini kunokubangela ukukhubazeka okusisigxina. Nangona kunjalo, ngaphandle kokuba kukho iingxaki, iziphumo zexesha elide kunye nokufa akuqhelekanga. Ukuba ukufa kuyenzeka, kuhlala kusuka kusilelo lwesibindi.

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

Meehan TJ. Indlela yesigulana esinetyhefu. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; Ngo-2018: isahluko 139.