Ngaba wakha wamiselwa uhlobo lweyeza elithi 'Barbiturate' ngugqirha? Okanye wakha waliva eli gama ndaweni ithile? Ezi ngokwenene luhlobo lweyeza eliphumza ingqondo nomzimba wethu kwaye lisenza silale. Nangona ezi zingamayeza amadala, oogqirha basawacebisa kwiimeko ezithile zonyango. Kodwa kufuneka ulumke kakhulu xa uzisebenzisa. Kulungile, masithethe ngezi 'Barbiturates' ngokucacileyo.
Zithini ii-barbiturates ngokulula?
Ngamafutshane, ii-'Barbiturates' luhlobo lwamayeza athomalalisa, okanye acothisa, ukusebenza kwenkqubo yakho yemithambo-luvo (oko kukuthi, ingqondo yakho kunye nomqolo). Zikudidi lwamayeza abizwa ngokuba yi-'sedative-hypnotic'.
- Izinto zokuthomalalisa: Ezi zisetyenziselwa ukuthomalalisa umsindo nokunciphisa ixhala.
- Iingcali zokunxila: Ezi zikwenza uzive ulele.
Eli yeza lisebenza ngokwandisa umsebenzi we-neurotransmitter ebizwa ngokuba yi-`gamma-aminobutyric acid (GABA)` engqondweni yethu. I-`GABA` ilawula umsebenzi weeseli zengqondo kwaye izenze zizole kancinci. Xa uthatha i-`Barbiturates`, isiphumo se-`GABA` siyanda, ngoko ke umsebenzi wengqondo yakho uyehla nangakumbi, okwenza uzive ukhululekile kwaye ulele.
Ziziphi iimeko apho oogqirha bamisela eli yeza?
Ngaphambili, ezi 'barbiturates' zazisetyenziswa kakhulu ukubonelela nge-anesthesia ngaphambi kotyando. Ukubeka isigulane ebuthongweni obunzulu. Kodwa namhlanje, kuye kwenziwa amayeza amatsha akhuselekileyo kwaye aneziphumo ebezingalindelekanga ezimbalwa.
Nangona kunjalo, ii-barbiturates zisengunyango oluyimfuneko kwiimeko ezithile ezikhethekileyo.
Ezi zisetyenziswa kakhulu:
- Ukuthintela nokulawula ukuxhuzula: Oku kusebenza kakhulu ekulawuleni ukuxhuzula kubantu abaneengxaki ezifana nokuxhuzula.
- Kwabo bangakwaziyo ukulala: Ezi zinikwa ukunyanga abantu abangakwaziyo ukulala ixesha elifutshane.
- Ukuzola isigulane ngaphambi kokuba sinikwe i-anesthesia: Ezi zisetyenziselwa ukunciphisa ixhala lengqondo lesigulana kwaye zisenze silale ngokukhawuleza ngaphambi kotyando.
- Ukulawula uxinzelelo oluphezulu lwe-intracranial: Ukuba uxinzelelo lwe-intracranial (`uxinzelelo lwe-intracranial`) luyanda kwimeko efana nokwenzakala kwengqondo, la mayeza anokunikwa ukunciphisa uxinzelelo.
Eyona nto ibalulekileyo kukuba eli yeza lifanele lithathwe kuphela ngokucetyiswa ngugqirha, ngokwemilinganiselo kunye nexesha elichazwe nguye . Ungaze usebenzise amayeza abanye abantu okanye uthathe ngaphezu koko ugqirha akuyalele kona.
Ziziphi iintlobo zeebarbiturates ezisetyenziswa kakhulu?
Kukho iintlobo ezahlukeneyo ze-'Barbiturates' emhlabeni. Ezinye zisetyenziswa kwilizwe lethu, ezinye azisetyenziswa. Nazi ezinye zezona zixhaphakileyo.
| Igama leziyobisi | Isetyenziselwa ntoni ikakhulu? |
|---|---|
| I-Phenobarbital | Isetyenziswa kakhulu ukuthintela nokulawula ukuxhuzula (ingakumbi ebantwaneni). |
| I-Amobarbital | Isetyenziselwa ukunyanga ukungalali ixesha elifutshane kunye novavanyo oluthile lwe-neurological. |
| I-Butalbital | Ayinikwa yodwa le nto. Inikwa kunye namanye amayeza afana neParacetamol, iAspirin, kunye neCaffeine ukuze uphathe iintloko ezibuhlungu kunye neentloko ezibuhlungu. |
| I-Pentobarbital | Isetyenziselwa ukuzola ngaphambi kokuba uthomalalise i-anesthesia kunye nokuthintela ukuxhuzula okuqhubekayo. |
| I-Primidone | Iyeza eliguqulwa libe yiPhenobarbital emzimbeni. Eli linikwa nokuthintela ukuxhuzula. |
Ukusebenza kakuhle kunye neenzuzo zala mayeza
Enye inzuzo ekhethekileyo yeebarbiturates kukuba ziyahluka ngobude bexesha lokusebenza. Ezinye zikhutshwa emzimbeni ngemizuzu embalwa, ngelixa ezinye zihlala emzimbeni iintsuku ezininzi. Oku kuvumela ugqirha ukuba akhethe amayeza afanelekileyo kwiimfuno zesigulana.
Zahlulwe zibe ziindidi ezine eziphambili ngokusekelwe kubude bexesha lesenzo sazo.
| Udidi | Ixesha lokusebenza | Imizekelo |
|---|---|---|
| Ukusebenza okufutshane kakhulu | Ixesha elifutshane kakhulu, njengemizuzu eli-15. | I-Methohexital |
| Isebenza ixesha elifutshane | Malunga neeyure ezi-3-4. | I-Pentobarbital, i-Secobarbital |
| Ukusebenza okuphakathi | Malunga neeyure ezi-4-6. | I-Amobarbital, iButalbital |
| Isebenza ixesha elide | Iiyure ezili-12 nangaphezulu. | I-Phenobarbital |
Ziziphi iingozi kunye neengxaki ze-barbiturates?
Eyona nto ibangela ukuba ii-barbiturates zingasetyenziswa kakhulu njengoko zazisetyenziswa ngaphambili kungenxa yemingcipheko yazo kunye nemiphumo emibi. Kubaluleke kakhulu ukuzazi ezi zinto.
- Ukunyamezela, Ukuxhomekeka, kunye nokulutha:
- Ukunyamezela: Xa uqhubeka nokuthatha idosi efanayo, umzimba wakho uyaqhelana nayo kwaye awukwazi ukufumana isiphumo esifanayo nesangaphambili. Emva koko, kuya kufuneka wonyuse idosi yeyeza ukuze ufumane isiphumo esifanayo.
- Ukuxhomekeka: Umzimba uqhelana kakhulu neziyobisi kangangokuba awukwazi ukusebenza ngokuqhelekileyo ngaphandle kwazo. Ukuba iyeza liyekwa ngequbuliso, iimpawu zokurhoxa ezifana nokungaphumli kunye nokungcangcazela zinokubakho.
- Umlutha:Le yimeko yengqondo. Ukungakwazi ukuyeka ukusebenzisa esi siyobisi, nangona esazi ukuba siza kuba nemiphumo emibi, aze umntu aqhubeke nokusifuna nokusisebenzisa.
- Ukubetha kwentliziyo kunye neengxaki zokuphefumla: La mayeza anciphisa izinga lentliziyo yakho kunye noxinzelelo lwegazi. Ukuba uthatha i-overdose, ukuphefumla kwakho kunokuyeka ngokupheleleyo kwaye kube yingozi ebomini. Le yimeko eyingozi kakhulu.
- Ukusebenzisana namanye amayeza: IiBarbiturates zichaphazela ukusebenza kwesibindi sethu. Ngenxa yoko, amanye amayeza owasebenzisayo (umz., iipilisi zokulawula ukuzalwa, amayeza okunciphisa igazi) anokususwa emzimbeni ngokukhawuleza, nto leyo enciphisa ukusebenza kwawo.
- Iingozi koomama abakhulelweyo nabancancisayo: Ukusela eli yeza ngexesha lokukhulelwa kunokuchaphazela uphuhliso lomntwana esibelekweni. Kwakhona, linokudluliselwa kumntwana ngobisi lwebele. Ke ngoko, ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, qiniseka ukuba uxelela ugqirha wakho ngale nto.
Ufanele uye nini kugqirha uze uye kwi-ETU?
Ukuba unikwe ii-barbiturates, qhubeka nokuya kwiindibano zakho njengoko ugqirha wakho ekuxelela. La mayeza aqhelekanga ukuba asetyenziswe ixesha elide. Ugqirha wakho uza kuvavanya imeko yakho aze agqibe kwelokuba kufuneka uqhubeke nokuthatha amayeza okanye utshintshele kolunye unyango.
Kwakhona, ukuba uvakalelwa kukuba iyeza alisebenzi kakuhle, okanye ukuba iziphumo ebezingalindelekanga ziphazamisana nemisebenzi yakho yemihla ngemihla, qiniseka ukuba uthethe nogqirha wakho.
Ixesha lokuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ngoko nangoko
Iimpawu zokusebenzisa i-barbiturate ngokugqithisileyo ziyafana nezo zokunxila ngotywala. Ukuba ubona naziphi na kwezi mpawu, thatha isigulana usise kwigumbi likaxakeka lesibhedlele elikufutshane (ETU) .
- Ubunzima bokuphefumla (ukuphelelwa ngamandla) okanye ukuphefumla kancinci Ukozela okukhulu, ukulahlekelwa zingqondo, okanye i-coma
- Ukudideka, ukungakwazi ukucinga ngokucacileyo
- Ukubetha kwentliziyo okucothayo kakhulu (bradycardia) okanye mhlawumbi ukubetha kwentliziyo okukhawulezayo kodwa okubuthathaka Isiyezi esiqatha
- Isicaphucaphu nokuhlanza
- I-Hypothermia (ubushushu bomzimba obuphantsi)
- Ukutshintsha kombala oluhlaza okwesibhakabhaka kwemilebe okanye iinzipho (i-cyanosis) - Oku kuthetha ukuba umzimba awufumani ioksijini eyaneleyo.
- Ukungakwazi ukugxila emehlweni, abafundi abancinci okanye abakhulu ngokungaqhelekanga
Ukugqithisela i-barbiturate yingxaki yezonyango esongela ubomi, ngoko ke musa ukuyityeshela le mpawu.
Ingaba kulungile na ukuba ndisele utywala ngelixa ndisela eli yeza?
Akunjalo tu!IiBarbiturates kunye notywala ziindibaniselwano eziyingozi kakhulu. Zombini ziyayicinezela inkqubo yemithambo-luvo, ngoko ke xa zisetyenziswa kunye, iziphumo ziba zibi kakhulu. Oku kunokubangela ukuminya ukuphefumla, ukulahlekelwa zingqondo, umonakalo kwizitho zangaphakathi, kwanokufa. Ke ngoko, kuphephe ukusela utywala ngokupheleleyo ngelixa usebenzisa eli yeza.
Iimpawu zokuxhomekeka kunye nokurhoxa
Njengoko bekutshiwo ngaphambili, ukuba uyaqhubeka nokusebenzisa eli yeza, umzimba wakho unokuxhomekeka kulo. Ukuba ngequbuliso uyeka ukulisebenzisa, umzimba wakho uya kuba neempawu zokurhoxa. Ezi zinokuba yingozi.
- Ukungazinzi okukhulu kunye nokuphazamiseka
- Ukungcangcazela kwezandla
- Ukudideka
- Iimeko zokuxhuzula ezinzima
Ukuba ufumana ezi mpawu, oko kukuthi, ukuba uziva ungakhululekanga xa uyeka ukusebenzisa amayeza, ungabi neentloni okanye woyike ukuxelela ugqirha wakho ngawo. Oogqirha bayazi ukuba oku kunokwenzeka ngenxa yohlobo lwala mayeza. Emva koko, unokuyehlisa kancinci umthamo wamayeza aze akuncede uyeke ukusebenzisa amayeza ngaphandle kokungakhululeki.
Umyalezo Wokuya Ekhaya
- IiBarbiturates luhlobo lwamayeza anciphisa ukusebenza kwengqondo, nto leyo ebangela ukuzola nokozela.
- Ezi zisetyenziselwa ukunyanga iimeko ezifana nokuxhuzula kunye nokungalali.
- Eli yeza lifanele lithathwe kuphela xa limiselwe ngugqirha. Lithathe kuphela ngokwedosi emiselweyo nangexesha elimiselweyo.
- Kukho umngcipheko omkhulu wokuba likhoboka kunye nokugqithisela kwezi zinto. Ukuba ubona iimpawu ezinje ngobunzima bokuphefumla okanye ukulahlekelwa zingqondo, yiya kwi -ETU ngoko nangoko.
- Kuphephe ukusela utywala ngokupheleleyo ngelixa usebenzisa eli yeza. Liyingozi kakhulu.
- Gcina amayeza akho evaliwe kwaye ekhuselekile, ingakumbi kude nabantwana kunye nabantu abancinci.
- Ukuba uneengxaki, ukungakhululeki, okanye imibuzo malunga namayeza, thetha ngokukhululekileyo nogqirha wakho ngawo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment