Anakanya, xirho xa ndyangu, munghana kumbe munhu loyi u n’wi tivaka a khomiwe hi vuvabyi bya ku pfimba ka khwiri. Xana sweswo a swi chavisi? Eka xiyimo xo tano xa xihatla, loko ku pfimba ku nga yimi, ku ni murhi wo hlawuleka lowu madokodela ma ringanyetaka ku wu tirhisa. I xifafazeri xa nomu. Namuntlha hi vulavula hi xifafazeri lexi xa Midazolam nasal. A hi kumeni kahle leswaku yi tirha njhani ni leswaku hi wahi magoza ya vuhlayiseki lawa u faneleke u ma teka loko u ri karhi u yi tirhisa.
Hi ku olova, xana Midazolam i yini?
Midazolam i murhi lowu tirhisiwaka ku tshungula swiyimo swo fana na ku pfimba kumbe ku khomiwa hi switlhavi. Yi tirhisiwa eka swiyimo swa xihatla, ngopfu ngopfu ku lawula ku ringanela loku yaka emahlweni, loku nga yimiki. Kambe tsundzuka, loko ku ringanela ku nga yimi endzhaku ko tirhisa xifafazeri lexi, u fanele u hatla u bela riqingho ndzawulo ya xilamulela-mhangu ya le xibedlhele.
Murhi lowu wu wela eka ntlawa wa mirhi leyi vuriwaka Benzodiazepines . Hi ku olova, murhi lowu wu tirha hi ku rhurisa xiphemu lexi tirhaka ku tlula mpimo xa byongo bya hina ni fambiselo ra misiha. Sweswo hi leswi humelelaka loko hi khomiwe hi vuvabyi bya ku pfimba, fambiselo ra misiha hi xitshuketa ri sungula ku pfurha ku tlula mpimo. Kutani murhi lowu wu pfuna ku lawula ku hlohloteriwa koloko, ku rhurisa misiha ni ku yimisa ku pfimba.
Swilo leswi u faneleke ku swi byela dokodela wa wena u nga si nwa murhi lowu
Loko a nga si ku nyika murhi lowu, i swa nkoka leswaku dokodela wa wena a tiva matimu ya wena lama heleleke ya rihanyo. Ngopfu-ngopfu u fanele u va byela loko u ri ni xin’wana xa swiyimo leswi landzelaka:
| Xiyimo xa wena xa vutshunguri kumbe khombo | Ha yini swi ri swa nkoka ku tivisa dokodela? |
|---|---|
| Xiyimo xa glaucoma | Murhi lowu wu nga ha engetela ntshikelelo wa mahlo. |
| Vuvabyi bya mbilu | Ntirho wa mbilu wu nga ha khumbeka. |
| Vuvabyi bya tinso kumbe bya xivindzi | Endlelo ro susa murhi emirini ri nga ha khumbeka. |
| Mavabyi ya mahahu kumbe ya ku hefemula, yo tanihi vuvabyi bya rifuva | Ku ni khombo ra ku karhateka ka ku hefemula. |
| Matimu ya ku godzomberiwa hi swidzidzirisi kumbe byala | Murhi lowu wu tlhela wu rhwala khombo ra ku titshega. |
| Swiphiqo swa rihanyo ra miehleketo, ntshikilelo kumbe miehleketo yo tidlaya | Murhi lowu minkarhi yin’wana wu nga ha cinca swiyimo swa mianakanyo. |
| Loko u tikile, u ringeta ku tika, kumbe u mamisa | N’wana loyi a nga ekhwirini kumbe hi masi ya mavele a nga khumbeka. |
| Ku nga twanani ni midazolam, ti- benzodiazepine tin’wana kumbe swakudya swin’wana kumbe mirhi | Ku sivela ku aleriwa lokukulu. |
Xana kahle-kahle ndzi wu tirhisa njhani murhi lowu?
Lexi i xifafazeri xa nomu. Tirhisa ntsena mpimo lowu vekiweke tanihilaha dokodela wa wena a leriseke hakona. U nga tshuki u tirhisa ku tlula mpimo lowu vekiweke. Loko u nga tiyiseki hi ndlela yo tirhisa xifafazeri lexi hi ndlela leyinene, kombela dokodela wa wena ku ku nyika swiletelo.
U nga ehleketi ni ku tirhisa swo tala ku tlula leswi u swi lavaka. Loko u endla tano, swi nga ha va ku ri ku tlula mpimo. Loko u ehleketa leswaku sweswo swi humelerile, hi ku hatlisa bela riqingho eka National Poisons Information Center eXibedlhele xa Rixaka xa Colombo. Kumbe u ya eka Ndzawulo ya Xihatla ya xibedlhele xa le kusuhi (ETU) hi ku hatlisa.
Murhi lowu wu tlhela wu bumabumeriwa eka vana lava nga ehenhla ka malembe ya 12 eka swiyimo swin’wana. Hambiswiritano, ku ni magoza yo karhi yo hlawuleka lama faneleke ma tekiwa, hikwalaho i swa nkoka ku landzela swiletelo swa dokodela.
Swilo swin’wana leswi nga ha tirhisanaka ni murhi lowu
Midazolam i murhi lowu nga tirhisanaka na mirhi yin’wana na swakudya. Hikwalaho, i swa nkoka swinene ku byela dokodela wa wena hi mirhi hinkwayo leyi u yi tirhisaka.
| U nga tshuki u nwa Midazolam na leswi. | |
|---|---|
| Juzi ya grapefruit | Mirhi yin’wana ya opioid ya khohlola |
| Mirhi yin’wana yo lwisana ni xitsongwatsongwana xa HIV kumbe AIDS | Mirhi yofana na Ketoconazole na Itraconazole, leyi tirhisiwaka ku tshungula mavabyi ya fungi |
| Xitsongwatsongwana xa sodium oxybate | Mirhi yo fana na Boceprevir, Telaprevir, Idelalisib |
| Tivonele swinene loko u nwa Midazolam na leswi. | |
| Swipyopyi | Mirhi yo tshungula switlhavi ya opioid |
| Ti antihistamines ta allergies, ku khohlola na mukhuhlwana | Mirhi ya ntshikilelo wa mianakanyo, ku vilela kumbe vurhongo |
| Swidlaya-switsongwatsongwana swin’wana ni swidlaya-switsongwatsongwana | Swilo swo olovisa misiha leswaku swi endliwa vuhandzuri |
Nxaxamelo lowu a wu helelanga, hikwalaho tiyiseka leswaku u byela dokodela wa wena hi mirhi hinkwayo, tivhithamini ni swilo leswi endliweke hi swimilana leswi u swi nwaka.
Swilo leswi u faneleke u tivonela eka swona loko u tirhisa murhi
- Nakambe, loko ku ringanela ku nga yimi endzhaku ko fafazela, yana eka kamara ra xilamulela-mhangu (ETU) hi ku hatlisa.
- Loko murhi lowu wu tirhisiwa nkarhi wo leha, miri ni byongo bya hina swi nga ha titshega hi wona. Leswi swi vula leswaku murhi wu nga va lowu nga lavekiki. Hikwalaho, u nga tshiki ku nwa murhi hi xitshuketa handle ka xitsundzuxo xa dokodela wa wena. Ku endla tano swi nga vanga ku angula lokukulu.
- Murhi lowu wu nga ha vanga vurhongo, ku pfimba ni ku nonon’hweriwa ku endla swiboho . Hikwalaho , papalata ku chayela kumbe ku tirhisa michini ku kondza u tiva ndlela leyi murhi lowu wu ku khumbaka ha yona.
- Loko u nwa murhi lowu na byala, switandzhaku leswi swi nga ha engeteleka.
- Loko wena kumbe ndyangu wa wena mi xiya ku cinca kwihi na kwihi eka mahanyelo ya wena, ku fana ni ntshikilelo lowukulu ku tlula eku sunguleni, ku ehleketa hi ku tidlaya kumbe ku vilela ku tlula mpimo , vulavula ni dokodela wa wena hi ku hatlisa.
Switandzhaku Leswi Nga Nga Vaka kona
Ku fana ni mirhi hinkwayo, leyi yi nga va ni switandzhaku swo biha. Tin’wana ti serious, tin’wana ti tolovelekile.
| Switandzhaku leswi lavaka vukorhokeri bya vutshunguri bya xihatla | |
|---|---|
| Switlhavelo swa ku nga twanani na swilo | Ku pfimba ka nhlonge, ku pfimba, ku pfimba ka xikandza, milomu, ririmi kumbe nkolo. |
| Ku karhateka ka ku hefemula (CNS depression) . | Ku hefemula hi ku nonokaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza Hi ku nonoka hi ku nonokaNonoka hi ku nonoka ku rhundza Hi ku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow hiku nonoka hiku nonoka hiku nonoka hiku nonoka hiku nonoka slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow slow xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsonga xitsongaNonoka hi ku nonoka ku rhundza -li -ax-bata ku rhundza. |
| Ntshikelelo wa ngati wa le hansi | Ku pfimba, ku titivala, ku vona loku nga vonakiki kahle. |
| Ku vava ka mahlo hi xitshuketa kumbe ku cinca ka ku vona | Ku vona kahle, ku vona swirhendzevutana leswi rhendzeleke mavoni, ku lahlekeriwa hi ku vona. |
| Miehleketo yo tidlaya | Ku engeteleka ka ntshikilelo wa mianakanyo, ku nyanya ka mianakanyo. |
| Switandzhaku leswi faneleke ku vikiwa eka dokodela loko swi phikelela kumbe swi karhata | |
| Ku khomiwa hi vurhongo | Pandza hi nhloko |
| Ku pfimba, ku nga tsaki enon’wini kumbe enon’wini | Ku khuluka ka nhlonge kumbe ku pfaleka ka nhlonge |
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Rungula ro Yisa Ekaya
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- Midazolam nasal spray i murhi lowu tirhaka hiku hatlisa lowu tirhisiwaka eka swiyimo swa xihatla swofana na ku khomiwa hi switlhavi.
- Loko ku ringanela ku nga yimi endzhaku ko tirhisa murhi lowu, yana ekamareni ra xihatla ra xibedlhele (ETU) hi ku hatlisa.
- Tiyiseka leswaku u byela dokodela wa wena hi mirhi hinkwayo leyi u yi tirhisaka ni swiyimo swihi na swihi swa vutshunguri leswi u nga na swona.
- Papalata hiku hetiseka ku nwa byala na juzi ya grapefruit loko u ri karhi u nwa murhi lowu.
- Papalata ku chayela endzhaku ko nwa murhi tani hileswi ku khomiwa hi vurhongo na ku pfimba swi nga ha humelelaka.
- Hlayisa murhi lowu eka ndzhawu leyi hlayisekeke laha vana na swifuwo swale kaya swinga fikeleriki.
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