Libanda, lomotil

I-Lomotil liyeza likagqirha elisetyenziselwa ukunyanga urhudo. Ukugqithisa kweLomotil kwenzeka xa umntu ethatha ngaphezulu kwesiqhelo okanye isixa esinconyelwayo seli yeza. Oku kunokuba ngengozi okanye ngenjongo.

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

I-Lomotil iqulethe iziyobisi ezibini ezinokuba yingozi kwisixa esikhulu. Bazi:

• Atropine
• IDiphenoxylate (i-opioid)

Amayeza anala magama ane-atropine kunye ne-diphenoxylate:

• Lofene
• Ukuhamba
• Lomanate
• Lomotil
• ILonox

Amanye amayeza anokuqulatha i-atropine kunye ne-diphenoxylate.

Iimpawu zeLomotil overdose zibandakanya:

• Ukuphefumla kancinci, okanye ukuphefumla kuyayeka
• Ukubetha kwentliziyo (ukubetha kwentliziyo)
• Ukubetha kwentliziyo okukhawulezayo
• Ukunciphisa okanye ukumisa kwamathumbu
• I-Coma (ukwehla kwenqanaba lokuqonda, ukunqongophala kokuphendula)
• Ukuqunjelwa
• Ukuxhuzula (ukuxhuzula)
• Ukozela
• Iimbumba ezinomileyo emlonyeni
• Utshintsho lwamehlo kubungakanani bomfundi (inokuba ncinane, ibungakanani obuqhelekileyo, okanye inkulu)
• Amehlo ahamba ngokukhawuleza ukusuka ngapha nangapha
• Ulusu olugudileyo
• Imibono (ukubona okanye ukuva izinto ezingekhoyo)
• Ukungazinzi
• Ubunzima bokuchama
• Ukuhlanza

Qaphela: Iimpawu zingathatha ukuya kwiiyure ezili-12 ukuvela.

Funa uncedo lwezonyango kwangoko. MUSA ukumenza umntu aphose ngaphandle kokuba ulawula ityhefu okanye akuxelele ukuba umboneleli wezempilo.

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 uya kulinganisa kwaye abeke esweni iimpawu ezibalulekileyo zomntu, kubandakanya iqondo lobushushu, ukubetha kwentliziyo, inqanaba lokuphefumla, kunye noxinzelelo lwegazi. Iimpawu ziya kunyangwa.

Uvavanyo olunokwenziwa lubandakanya:

• I-x-ray yesifuba
• I-ECG (i-electrocardiogram okanye ukulandelwa kwentliziyo)

• Ulwelo ngomthambo (ngo-IV)
• Laxative
• Amalahle avuselelweyo
  
• Iyeza lokuguqula isiphumo se-atropine
• Iyeza lokuguqula isiphumo sediphenoxylate
• Inkxaso yokuphefumla, kubandakanya ityhubhu ngomlomo kwaye iqhagamshelwe kumatshini wokuphefumla (i-ventilator)

Abanye abantu banokufuna ukuhlala esibhedlele ukuze bajongwe.

Ukusebenza kakuhle komntu kuxhomekeke ekubeni lingakanani na iyeza eliginyisiweyo kunye nokuba unyango lufunyanwa ngokukhawuleza kangakanani. Uncedo olukhawulezileyo lwezonyango lunikwa, ngcono ithuba lokuchacha.

Ukuhlala esibhedlele kunokufuneka kwiidosi ezininzi zamayeza eziguqula iziphumo zechiza. 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 kunqabile.

Abantu abakhawuleza bafumane iyeza lokuguqula isiphumo se-opioid bahlala bebangcono kwiiyure ezingama-24 ukuya kwezi-48. Nangona kunjalo, abantwana abenzi kakuhle.

Diphenoxylate libanda; I-Atropine ene-diphenoxylate libanda

UAronons JK. Atropine. Ku: Aronson JK, ed. Iziphumo ebezingalindelekanga zikaMeyler zeziyobisi. Ngomhla we-16. I-Waltham, MA: Elsevier; Ngo-2016: 754-755.

UCole JB. Iziyobisi zentliziyo. 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 147.

UNikolaides JK, uThompson TM. Iipioids. 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 156.