Ukugqithisa kwentsimbi

Intsimbi yiminerali efumaneka kuninzi lwee-counter-the-counter. Ukugqithisa kwentsimbi kwenzeka xa umntu ethatha ngaphezulu kwesiqhelo okanye isixa esicetyiswayo sale minerali. Oku kunokuba ngengozi okanye ngenjongo.

I-overdose yentsimbi iyingozi ngakumbi kubantwana. Ukugqithisa okugqithisileyo kunokwenzeka ukuba umntwana adle iivithamini zabantu abadala, ezinje ngeevithamini zokubeleka. Ukuba umntwana utya ii-multivitamini ezininzi zabantwana, isiphumo sihlala sincinci.

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.

Intsimbi inokuba yingozi kumanani amakhulu.

Intsimbi sisixhobo kwizongezelelo ezininzi zezimbiwa neevithamini. Izixhobo zentsimbi nazo zithengiswa ngokwazo. Iindidi zibandakanya:

• I-Ferrous sulfate (i-Feosol, iSlow Fe)
• Idilesi yegluconate (Fergon)
• I-fumarate yentsimbi (Femiron, Feostat)

Ezinye iimveliso zinokuqulatha nentsimbi.

Apha ngezantsi kukho iimpawu zentsimbi libanda, kwiindawo ezahlukeneyo zomzimba.

IINDLELA NEEMPANGO

• Ulwakhiwo lwamanzi emiphungeni

ISisu kunye namathumbu

Ezi zezona mpawu zixhaphakileyo kwiiyure zokuqala ezi-6 emva kokungenisa.

• Mnyama, kwaye isitulo esinegazi
• Urhudo
• Umonakalo wesibindi
• Incasa yentsimbi emlonyeni
• Isicaphucaphu
• Ukuphalaza igazi

INTLIZIYO NEGAZI

• Ukuphelelwa ngamanzi emzimbeni
• Uxinzelelo lwegazi oluphantsi
• Ukukhawuleza kunye nokubuthathaka
• Umothuko (unokwenzeka kwangethuba ukuphuma kwegazi esiswini okanye emathunjini, okanye kamva kwiziphumo eziyityhefu zentsimbi)

INKQUBO YENKONZO

• Ukugodola
• I-Coma (ukwehla kwenqanaba lokuqonda kunye nokusilela ekuphenduleni, inokwenzeka ngaphakathi kweyure ye-1/2 ukuya kwiyure e-1 emva kokudlula ngaphezulu)
• Ukuxhuzula
• Ukuba nesiyezi
• Ukozela
• Ifiva
• Intloko ebuhlungu
• Ukungabikho komnqweno wokwenza nantoni na

ULusu

• Imilebe eluhlaza okwesibhakabhaka kunye neenzipho
• Ukuhluza
• Umbala wolusu oluthuthu
• Ubumthubi besikhumba (i-jaundice)

Qaphela: Iimpawu zinokuhamba kwiiyure ezimbalwa, emva koko zibuye kwakhona emva kosuku olunye okanye kamva.

Ngaba olu lwazi lukulungele:

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

Iziko lakho lokulawula ityhefu lingafikelelwa ngokuthe ngqo ngokutsalela umnxeba wenombolo yasimahla yasimahla kuTyhefu (1-800-222-1222) naphi na e-United States. Inombolo yomnxeba kazwelonke 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 wezempilo uya kulinganisa kwaye abeke esweni iimpawu ezibalulekileyo zomntu, kubandakanya iqondo lobushushu, ukubetha kwentliziyo, inqanaba lokuphefumla, kunye noxinzelelo lwegazi. Iimpawu ziya kunyangwa.

Uvavanyo olunokwenziwa lubandakanya:

• Uvavanyo lwegazi kunye nomchamo, kubandakanya uvavanyo lokujonga amanqanaba e-iron
• I-ECG (i-electrocardiogram, okanye ukulandelwa kwentliziyo)
• I-X-ray ukufumanisa kunye nokulandelela iipilisi zentsimbi esiswini nasemathumbu

Unyango lunokubandakanya:

• Ulwelo ngomthambo (ngo-IV)
• Iyeza lokunceda ukususa i-iron emzimbeni kunye nokunyanga iimpawu
• I-Endoscopy - ikhamera kunye netyhubhu ebekwe ezantsi emqaleni ukujonga umqala kunye nesisu nokususa iipilisi okanye ukuyeka ukopha ngaphakathi
• Unkcenkceshelo olupheleleyo lwamathumbu ngesisombululo esikhethekileyo sokugungxula isinyithi ngokukhawuleza esiswini kunye namathumbu (athathwe ngomlomo okanye ngombhobho ngeempumlo esiswini)
• Ukuxhasa ukuphefumla, kubandakanya ityhubhu ngomlomo ukuya emiphungeni kwaye uqhagamshele kumatshini wokuphefumla (i-ventilator)

Kukho ithuba elihle lokufumana kwakhona ukuba iimpawu zomntu zihambe iiyure ezingama-48 emva kokudlula kwe-iron. Kodwa, umonakalo omkhulu wesibindi unokwenzeka kwiintsuku ezi-2 ukuya kwezi-5 emva kokudlula ngaphezulu. Abanye abantu baye bafa kwiveki emva kokudlula kwentsimbi. Ngokukhawuleza ukuba umntu afumane unyango, ngcono ithuba lokuphila.

Ukugqithisa kwe-Iron kunokuba nzima kakhulu kubantwana. Ngamanye amaxesha abantwana banokutya isixa esikhulu seepilisi zentsimbi kuba zikhangeleka ngathi ziilekese. Abavelisi abaninzi batshintshe iipilisi zabo ukuze zingabonakali njengeelekese.

I-Ferrous sulfate overdose; I-Ferrous gluconate overdose; Ukugqithisa kweferrous fumarate

UAronons JK. Iityiwa zentsimbi. Ku: Aronson JK, ed. Iziphumo ebezingalindelekanga zikaMeyler zeziyobisi. Ngomhla we-16. I-Waltham, MA: Elsevier; Ngo-2016: 323-333.

UTheobald JL, uKostic MA. Ityhefu. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 77.

UTheobald JL, uMycyk MB. Intsimbi kunye nezinyithi ezinzima. 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 151.