Wakambovhiyiwa here? Kana kuti shamwari yako yakavhiyiwa here? Kana izvozvo zvikaitika, kutya kukuru kune vazhinji ndiko kuda kurutsa uye kurutsa kunoitika mushure mekuvhiyiwa. Chinhu chisingafadzi zvachose. Saka nhasi tichataura nezvejekiseni rakakosha rinopihwa kudzora, ndiko kuti, kudzivirira, mamiriro akadaro. Zita remushonga uyu ndiDroperidol.
Zvichitaurwa zviri nyore, chii chinonzi Droperidol?
Droperidol mushonga unopihwa kwauri kudzivirira kuda kurutsa nekurutsa zvinogona kuitika mushure mekuvhiyiwa kana mamwe maitiro ekurapa. Unopihwa sejekiseni. Zvikuru, unovhara kushanda kwemamwe makemikari muuropi hwedu anokonzera kuda kurutsa nekurutsa. Mhando idzi dzemishonga dzinonzi antiemetics. Zita rinozivikanwa remushonga uyu ndiInapsine.
Chinhu chinonyanya kukosha ndechekuti mushonga uyu hausi wekutenga ku pharmacy. Unongopihwa chete uchitarisirwa nachiremba muchipatara kana kukiriniki.
Zvinhu zvaunofanira kuudza chiremba wako usati wakupa mushonga uyu
Sezvinongoita chero mushonga upi zvawo, zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako asati akubaya jekiseni reDroperidol. Izvi zvinodaro nekuti vanhu vane mamwe matambudziko ehutano vanofanira kungwarira zvikuru pavanopa mushonga uyu. Saka, kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako.
- Kunwa: Kana uchinwa doro nguva dzose, tiudze nezvazvo.
- Chirwere chemwoyo: Kana uine chirwere chemwoyo, semuenzaniso, kushaya simba kwemoyo, kurova kwemoyo zvisina kurongeka, kana kurova kwemoyo kunonoka.
- Chirwere cheitsvo: Kana uine chirwere cheitsvo.
- Chirwere chechiropa: Kana uine chirwere chechiropa.
- Kurwara: Kana uine allergy kuDroperidol kana chero imwe mishonga, chikafu, kana dhayi.
- Kubata pamuviri: Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kuyamwisa: Kana uri amai vari kuyamwisa mwana wako.
Kupa ruzivo urwu kuchikwata chezvekurapa kwakakosha zvikuru kuti muchengetedzeke.
Mashandisirwo emushonga uyu uye zvekuita kana paine emergency
Mushonga uyu hausi chinhu chaunogona kuenda nacho kumba. Droperidol ijekiseni rinongopihwa muchipatara kana kiriniki nachiremba kana nesi chete. Rinopinzwa zvakananga mutsinga kana mutsandanyama.
Munopa vana vadiki izvi here?
Ehe, mune dzimwe nguva, mushonga uyu unopiwawo kuvana vane makore anopfuura maviri. Asi unoitirwa pasi pekutarisirwa kwakakosha uye chete kana chiremba asarudza.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa (overdose)?
Sezvo izvi zvichipiwa muchipatara, mikana yekuti izvi zviitike yakaderera zvikuru. Zvisinei, kana uchifunga kuti washandisa mushonga uyu zvakanyanya, zvakakosha kuti uzvizivise kana kuenda kuEmergency Treatment Unit (ETU) yechipatara . Zvakare, kune nzvimbo munyika medu ine hunyanzvi hwezvinhu zvakadaro. Ndiyo National Poison Information Center paColombo National Hospital . Unogona zvakare kuvafonera wowana mazano.
Mimwe mishonga inogona kushanda pamwe chete neDroperidol (Kushanda pamwe chete kwemishonga)
Ichi chikamu chakakosha zvikuru. Droperidol mushonga unogona kushanda pamwe chete nemimwe mishonga yakawanda. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini, mishonga yemiti, uye zvekudya zvinovaka muviri. Unofanirawo kuudza chiremba wako kana uchisvuta kana kunwa doro.
Heano mimwe yemishonga inogona kupindirana neDroperidol. Iyi haisi rondedzero yakazara, asi ndiyo inonyanya kungwarira.
| Rudzi rwemishonga | Mienzaniso netsananguro |
|---|---|
| Usambofa watora Droperidol pamwe chete nemushonga uyu. | |
| Mishonga inokanganisa kurova kwemoyo | Mishonga yakaita seDronedarone, Cisapride, Pimozide, Thioridazine. |
| Mamwe maantibayotiki | Kufanana neErythromycin, Clarithromycin, Moxifloxacin. |
| Mimwe mishonga inorwisa fungus | Mishonga yakadai seKetoconazole, Fluconazole. |
| Mimwe mishonga yekurwisa kuda kurutsa | Zvakadai seDolasetron, Palonosetron. |
| Mimwe mishonga yekuderedza kushushikana | Mishonga yeTricyclic antidepressants yakaita seAmitriptyline, Nortriptyline. |
| Kukanganisa kunogona kuitika nemushonga uyu zvakare. | |
| Mishonga Inoderedza Marwadzo (Opioids) | Mishonga inonyaradza marwadzo yakasimba yakaita seMorphine neTramadol. |
| Mishonga inobvisa mvura mumuviri | Mishonga inoderedza huwandu hwemvura nemunyu mumuviri. |
| Mabhariturati | Mimwe mishonga yekurarisa nepfari. |
Zvinhu zvekutarisira uye migumisiro yakaipa mushure mekutora mushonga
Mushure mekutora mushonga uyu, mamiriro ako ezvinhu achatariswa zvakanyanya nechikwata chevanachiremba.
Unganzwa hope kana dzungu . Izvi zvakajairika. Saka, dzivisa zvinhu zvinoda kungwarira, zvakaita sekutyaira kana kushandisa michina, kusvika mushonga uyu wapera zvachose. Kunyanya kana wakwegura, usamuka kamwe kamwe kubva panzvimbo yawakagara. Mira kwemaminitsi mashoma usati wamuka. Izvi zvinoderedza njodzi yedzungu nekudonha. Zvakare, dzivisa kunwa doro zvachose .
Migumisiro Yezvimwe Zvinetso
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa. Mimwe yacho yakakomba, mimwe yacho inowanzoonekwa.
| Migumisiro inofanira kuziviswa kuchikwata chenyu chekurapa nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuchinja kwekurova kwemoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti zvisina kurongeka, dzungu, kurwadziwa pachipfuva, kana kufema zvakaoma. |
| Kuderera kweropa | Dzungu, musoro wakareruka, kuona zvisipo. |
| Chirwere Chekurwara Kwepfungwa Neropa (NMS) | Ichi chirwere chisingawanzoitiki asi chakakomba. Zviratidzo zvinosanganisira fivha yakanyanya, kuomarara kwetsandanyama, kudikitira zvakanyanya, kurova kwemoyo nekukurumidza, uye kuvhiringidzika. |
| Zviratidzo zveExtrapyramidal (EPS) | Kusakwanisa kudzora mafambiro emuviri, kuomarara kwetsandanyama kana kudedera, kusagadzikana, uye kufamba zvisina kujairika. |
| Kushungurudzika kweCNS (Central nervous system depression) | Kufema zvishoma nezvishoma kana zvishoma, kuoma kufema, hope dzakanyanya, kuvhiringidzika. |
| Zvinhu zvekutaurira timu yezvekurapa kana zvikaramba zvichienderera mberi kana kuti zvichikunetsa | |
| Kunetseka, kutya | Kunzwa kutya uye kusagadzikana pasina chikonzero. |
| Kurara | Chinhu chinotarisirwa kazhinji, asi kana chakanyanya, taura. |
| Kufungidzira zvinhu zvisipo | Kuona kana kunzwa zvinhu zvisipo. |
Mharidzo Yekuenda Nayo Kumba
- Droperidol ijekiseni rine simba rinopihwa kudzivirira kuda kurutsa uye kurutsa kunoitika mushure mekuvhiyiwa uye mamwe maitiro ekurapa.
- Mushonga uyu unongopihwa chete pasi pekutarisirwa nachiremba muchipatara kana kukiriniki.
- Zvakakosha kuzivisa chiremba wako nezvezvimwe zvirwere zvaunazvo (kunyanya chirwere chemwoyo, chiropa, neitsvo) pamwe nemishonga yese yauri kutora.
- Dzivisa mabasa anoda kungwarira nekuti hope nedzungu zvinogona kuitika mushure mekutora mushonga. Dzivisa doro zvachose.
- Kana ukasangana nematambudziko akakomba akadai sekuchinja kwekurova kwemoyo, fivha yakanyanya, kana kuomarara kwetsandanyama, zivisa timu yezvekurapa nekukasika.
- Kana muine mimwe mibvunzo nezvemushonga uyu, musatya kutaura nachiremba wenyu.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Jekiseni reDroperidol / Inapsine rinoshandiswa kuitei muchipatara?
Izvi hazvina kufanana neDomperidone, iyo inotorwa semushonga wekurutsa kwakajairika! Uyu ndiwo mushonga une simba kwazvo (Typical Antipsychotic / Antiemetic) pasi rose unomisa kurutsa nekusvotwa ipapo ipapo wodzikamisa murwere! Izvi zvinonyanya kupiwa mushure mekuvhiyiwa kukuru (Kuvhiyiwa / Anesthesia)' kudzivirira/kuvhara nekusunga svotwa yakanyanya iyo murwere asingakwanise kutsungirira kusvika panosvika ura/ura hunobuda.
💬 Jekiseni iri rine simba (Droperidol) rinosvika sei kuuropi hwedu uye rinomisa kurutsa kwakanyanya?
Mishonga inopedza simba (Anesthesia/Opioids) inopiwa panguva yekuvhiyiwa inoita kuti huwandu hwakawanda hwemakemikari anonzi 'Serotonin/Dopamine' muuropi huburitswe, ayo anoenda kunzvimbo yekurutsa (CTZ) uye anoita kuti kurutsa sekunge bhatani rakadzvanywa. Jekiseni iri parinongopinda muropa, 'Dopamine Receptors' muuropi dzinovharika zvachose (Dopamine blockade). Sezvo pasina nzira yekuti meseji itumirwe, murwere haarutsi uye murwere anorarawo (Sedation).
💬 Ndeapi machenjedzo eBlack Box ayo vanhu vanobaya mushonga uyu wekudzivirira kumedza (Droperidol) vanofanira kuziva?
Njodzi huru kurasikirwa nehupenyu pane kurega kurutsa! Izvi zvinogona 'kuchinja zvakanyanya mutinhimira wemagetsi wemwoyo, zvichiita kuti mwoyo urove zvisina kujairika, zvichikonzera kurwara kwemoyo kune njodzi uye kunyange kumisa cardiac (QT Prolongation / Torsades de pointes / Cardiac Arrest)'. Saka, avo vanobayiwa jekiseni iri vanofanira kuva nemuchina weECG/EKG unobatidzwa nguva dzose kwemaawa maviri kusvika matatu! Chimwe chinhu ndechekuti izvi zvinogonawo kukonzera murwere kuti ave nepfari (EPS).
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