Wakambonyorerwa mushonga wemhando ye'Barbiturate' nachiremba here? Kana kuti wakambonzwa zita iri pane imwe nzvimbo here? Uyu mushonga unozorodza pfungwa nemuviri wedu uye unounza hope. Kunyangwe uyu uri mushonga wekare, vanachiremba vachiri kuukurudzira kune mamwe mamiriro ehutano chaiwo. Asi unofanira kungwarira zvikuru paunenge uchiushandisa. Zvakanaka, ngatitaurei nezve 'Barbiturates' idzi zvakajeka.
Chii chinonzi barbiturates?
Zvichitaurwa zviri nyore, `Barbiturates` imhando yemishonga inoderedza, kana kuti inononotsa, kushanda kwetsinga dzemukati (ndiko kuti, uropi hwako nemusana). Imishonga yerudzi rwemishonga inonzi `sedative-hypnotic`.
- Mishonga yekunyaradza: Idzi dzinoshandiswa kudzikamisa pfungwa uye kuderedza kuzvidya mwoyo.
- Madhiragi: Izvi zvinoita kuti unzwe hope.
Mushonga uyu unoshanda nekuwedzera mashandiro e neurotransmitter inonzi `gamma-aminobutyric acid (GABA)` muuropi hwedu. `GABA` inodzora mashandiro emasero europi uye inoita kuti adzikame zvishoma. Paunotora `Barbiturates`, mhedzisiro ye`GABA` inowedzera, saka mashandiro europi hwako anoderera zvakanyanya, zvichiita kuti unzwe wakasununguka uye uine hope.
Vanachiremba vanopa mushonga uyu mumamiriro api ezvinhu?
Kare, aya ma "barbiturates" aishandiswa zvakanyanya kupa mushonga wekutindivadza vasati vavhiyiwa. Kuisa murwere muhope dzakadzika. Asi nhasi uno, mishonga mitsva yakagadzirwa yakachengeteka uye isina migumisiro yakawanda.
Zvisinei, barbiturates ichiri mushonga unokosha kune dzimwe nyaya dzinokosha.
Izvi zvinonyanya kushandiswa:
- Dzivirirai uye dzorai pfari: Izvi zvinoshanda zvikuru mukuderedza pfari muvanhu vane zvirwere zvakaita sepfari.
- Kune vanhu vane dambudziko rekushaya hope: Izvi zvinopihwa kurapa vanhu vane dambudziko rekushaya hope kwenguva pfupi.
- Kudzikamisa murwere asati apiwa mushonga weanesthesia: Izvi zvinoshandiswa kuderedza kuzvidya mwoyo kwepfungwa dzemurwere uye kumuita kuti arare nekukurumidza asati avhiyiwa.
- Kudzora kumanikidzwa kwakanyanya kwemumusoro: Kana kumanikidzwa kwemumusoro (`kumanikidzwa kwakanyanya kwemumusoro`) kukawedzera mumamiriro ezvinhu akadai sekukuvara kweuropi, mishonga iyi inogona kupihwa kuderedza kumanikidzwa uku.
Chinhu chinonyanya kukosha ndechekuti mushonga uyu unofanira kungotorwa chete kana chiremba ataura newe, muchiyero uye kwenguva yakatarwa naye . Usambofa wakashandisa mishonga yevamwe vanhu kana kutora inopfuura yawakanyorerwa nachiremba.
Ndedzipi mhando dzebarbiturates dzinonyanya kushandiswa?
Kune mhando dzakasiyana dze'Barbiturates' pasi rose. Dzimwe dzinoshandiswa munyika medu, dzimwe hadzishandiswi. Heano mamwe anonyanya kuonekwa.
| Zita reMushonga | Inonyanya kushandiswa pai? |
|---|---|
| Phenobarbital | Inowanzoshandiswa kudzivirira nekudzivirira pfari (kunyanya kuvana). |
| Amobarbital | Inoshandiswa kurapa kushaya hope kwenguva pfupi uye mimwe miedzo yetsinga. |
| Butalbital | Iyi haisi yega. Inopihwa pamwe chete nemimwe mishonga yakaita seParacetamol, Aspirin, uye Caffeine yekurwadziwa kwemusoro nemusoro. |
| Pentobarbital | Inoshandiswa kudzikamisa pfungwa dzako usati wabatwa nechirwere cheanesthesia uye kudzivirira pfari dzinoramba dzichiitika. |
| Primidone | Mushonga unoshandurwa kuita Phenobarbital mumuviri. Uyu unopihwawo kudzivirira pfari. |
Kushanda uye mabhenefiti emishonga iyi
Imwe mukana wekuti barbiturates dzinosiyana mukushanda kwadzo. Dzimwe dzinobviswa mumuviri mumaminitsi mashoma, asi dzimwe dzinogara mumuviri kwemazuva. Izvi zvinoita kuti chiremba asarudze mushonga wakakodzera murwere.
Dzakakamurwa kuita zvikamu zvikuru zvina zvichienderana nenguva yadzinoita basa radzo.
| Chikamu | Nguva yekushanda | Mienzaniso |
|---|---|---|
| Inoshanda kwenguva pfupi zvakanyanya | Nguva pfupi kwazvo, semaminitsi gumi nemashanu. | Methohexital |
| Kushanda kwenguva pfupi | Maawa angangoita matatu kusvika mana. | Pentobarbital, Secobarbital |
| Kuita zvepakati nepakati | Inenge maawa mana kusvika matanhatu. | Amobarbital, Butalbital |
| Inoshanda kwenguva refu | Maawa gumi nemaviri kana kupfuura. | Phenobarbital |
Ndezvipi njodzi nematambudziko ebarbiturates?
Chikonzero chikuru chinoita kuti mabarbiturate asashandiswe zvakanyanya sezvaaimboshandiswa kare imhaka yenjodzi dzawo nemigumisiro yadzo. Zvakakosha kuziva izvi.
- Kushivirira, Kuvimba, uye Kupindwa Muropa:
- Kushivirira: Kana ukaramba uchitora mushonga mumwe chete, muviri wako unojaira uye haugone kuwana mushonga mumwe chete sepakutanga. Zvadaro, unofanira kuwedzera mushonga kuti uwane mushonga mumwe chete.
- Kuvimba: Muviri unoshandisa mushonga uyu zvekuti haugone kushanda zvakanaka usina mushonga uyu. Kana mushonga wacho ukangoerekana wamiswa, zviratidzo zvekurega mushonga zvakaita sekushaiwa zororo uye kudedera zvinogona kuitika.
- Kupindwa muropa:Ichi chirwere chepfungwa. Kusakwanisa kurega kushandisa mushonga uyu, kunyangwe achiziva kuti uchava nemigumisiro yakaipa, uye munhu wacho anoramba achitsvaga nekuushandisa.
- Kurova kwemoyo nematambudziko ekufema: Mishonga iyi inoderedza kurova kwemoyo wako neBP. Kana ukashandisa zvinodhaka zvakanyanya, kufema kwako kunogona kumira zvachose uye kunogona kutokonzera njodzi kuhupenyu. Ichi chirwere chine njodzi zvikuru.
- Kudyidzana kwemimwe mishonga: Barbiturates inokanganisa mashandiro echiropa chedu. Saka, mimwe mishonga yaunotora (semuenzaniso mapiritsi ekudzivirira pamuviri, mishonga inobvisa ropa rakawanda) inogona kubviswa mumuviri nekukurumidza, zvichiita kuti ishande zvishoma nezvishoma.
- Njodzi kumadzimai ane pamuviri neanoyamwisa: Kutora mushonga uyu panguva yekuzvitakura kunogona kukanganisa kukura kwemwana ari mudumbu. Zvakare, unogona kupfuudzwa kumwana kuburikidza nemukaka wemuzamu. Saka, kana uine pamuviri, uchiedza kuva nepamuviri, kana kuti uchiyamwisa, iva nechokwadi chekuudza chiremba wako nezvazvo.
Unofanira kuona chiremba rini uye kuenda kuETU?
Kana wakanyorerwa mishonga yebarbiturates, ramba uchienda kumisangano yako sezvawakaudzwa nachiremba wako. Iyi haisi mishonga yenguva refu. Chiremba wako achaongorora mamiriro ako ezvinhu uye achasarudza kana uchida kuramba uchitora mushonga wacho kana kuti kuchinja kune imwe nzira yekurapa.
Uyewo, kana uchinzwa sekuti mushonga wacho hausi kushanda nemazvo, kana kuti kana migumisiro yacho iri kukanganisa mabasa ako ezuva nezuva, iva nechokwadi chekutaura nachiremba wako.
Nguva yekuenda kuEmergency Treatment Unit (ETU) nekukasika
Zviratidzo zvekunwa barbiturate zvakangofanana nezviratidzo zvekudhakwa nedoro. Kana ukaona chimwe chezviratidzo izvi, kurumidza kuenda nemurwere kuchipatara chiri pedyo nekukurumidzira (ETU) .
- Kuoma kufema (dyspnea) kana kupfupika kwemweya Kurara zvakanyanya, kurasikirwa nepfungwa, kana kuti coma
- Kuvhiringidzika, kusakwanisa kufunga zvakajeka
- Kurova kwemoyo kunononoka (bradycardia) kana pamwe kurova kwemoyo nekukurumidza asi kusina simba Dzungu rakakomba
- Kusvotwa nekurutsa
- Kupisa muviri zvakanyanya (hypothermia)
- Kuchinja ruvara rwebhuruu rwemiromo kana nzara (cyanosis) - Izvi zvinoreva kuti muviri hausi kuwana oxygen yakakwana.
- Kusakwanisa kutarisa maziso, zvidimbu zvidiki kana zvakakura zvisina kujairika
Kunwa doro zvakanyanya (barbiturate overdose) idambudziko guru rehutano rinogona kukonzera njodzi, saka usaregeredza zviratidzo izvi.
Zvakanaka here kana ndikanwa doro ndichitora mushonga uyu?
Kwete zvachose!Mishonga yeBarbiturates nedoro musanganiswa une njodzi huru. Zvese zvinoderedza tsinga dzemuviri, saka kana zvikatorwa pamwe chete, migumisiro yacho inokuvadza zvikuru. Izvi zvinogona kukonzera kumira kwekufema, kurasikirwa nepfungwa, kukuvara kwenhengo dzemukati, uye kunyange kufa. Saka, dzivisa kunwa doro zvachose paunenge uchitora mushonga uyu.
Zviratidzo zvekuvimba nezvinodhaka uye zvekurega kushandisa zvinodhaka
Sezvambotaurwa, kana ukaramba uchishandisa mushonga uyu, muviri wako unogona kuvimba nawo. Kana ukangoerekana warega kuutora, muviri wako uchava nezviratidzo zvekurega. Izvi zvinogona kuva nengozi.
- Kusagadzikana kwakanyanya uye kusagadzikana
- Kudedera kwemaoko
- Kuvhiringidzika
- Mamiriro ekugwinha zvakanyanya
Kana ukaona zviratidzo izvi, kureva kuti, kana uchinzwa kusagadzikana paunorega kutora mushonga, usanyara kana kutya kuudza chiremba wako nezvazvo. Vanachiremba vanoziva kuti izvi zvinogona kuitika nekuda kwemhando yemishonga iyi. Zvadaro, anogona kuderedza zvishoma nezvishoma mushonga uye kukubatsira kuti urege kushandisa mushonga wacho pasina kunetseka.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeBarbiturates imhando yemushonga unononotsa kushanda kweuropi, zvichikonzera runyararo uye hope.
- Izvi zvinoshandiswa kurapa zvirwere zvakaita sepfari uye kushaya hope.
- Mushonga uyu unofanira kungotorwa chete kana wanyorerwa nachiremba. Utore chete muhuwandu hwakatarwa uye kwenguva yakatarwa.
- Pane njodzi huru yekupindwa muropa uye kudhakwa kana ukaona zviratidzo zvakaita sekunetseka kufema kana kurasikirwa nepfungwa, enda kuETU nekukasika.
- Usanwe doro zvachose paunenge uchitora mushonga uyu. Zvine njodzi huru.
- Chengeta mishonga yako yakakiyiwa uye yakachengeteka, kunyanya kure nevana nevechidiki.
- Kana muine matambudziko, kusagadzikana, kana mibvunzo nezvemushonga, taurai pachena nachiremba wenyu nezvazvo.
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