Ingabe wena noma othile omaziyo wake wanikezwa umuthi ngudokotela wokwelapha ukuquleka, ngaphambi kokuhlinzwa, noma wokungalali? Kungaba yi-barbiturate. Nakuba le mithi iwusizo kakhulu, futhi iyimithi edinga ukuqaphelwa okukhulu. Ngakho-ke, ake sixoxe ngalokhu namuhla.
Ayini ama-barbiturate?
Kalula nje, lena uhlobo lwemithi ekudambisa (ethobisayo), noma ekwenza ulale (ebangela ukucindezeleka). Ingamisa futhi ivimbele izimo ezifana nokuquleka.
Indlela lo muthi othinta ngayo ubuchopho bethu iyamangalisa. Wandisa inani lekhemikhali ebuchosheni bethu ebizwa ngokuthi i-gamma-aminobutyric acid, noma i-GABA ngamafuphi. Le GABA yehlisa ijubane lokusebenza kwamangqamuzana obuchopho. Yingakho sizizwa sizolile, sikhululekile, futhi silele.
Yiziphi izimo lapho odokotela benikeza lo muthi?
Esikhathini esidlule, lezi zazivame ukusetshenziswa njenge-anesthesia ngesikhathi sokuhlinzwa, ngenxa yokuthi zazikwazi ukufaka isiguli ebuthongweni obukhulu. Kodwa-ke, namuhla, kuye kwasungulwa imithi emisha engcono ngaleyo njongo futhi enemiphumela emibi embalwa.
Noma kunjalo, ama-barbiturate asewumuthi obalulekile kwezinye izimo zezokwelapha. Ngezinye izikhathi asetshenziswa kanye neminye imithi, njenge-paracetamol.
Ukusetshenziswa okuyinhloko kwama-barbiturates yilokhu:
- Ukuvimbela ukuquleka: Abanye abantu banikezwa lokhu ukulawula ukuquleka okuqhubekayo.
- Ngokuqwasha: Kunikezwa njengokwelashwa kwesikhashana kokuqwasha.
- Ukuzolalisa isiguli ngaphambi kokuhlinzwa: Lokhu kusiza ekunciphiseni ukwesaba kwesiguli ngaphambi kokuhlinzwa futhi kusenze silale ngokushesha.
- Ukulawula ukucindezeleka okuphezulu ngaphakathi kogebhezi (Intracranial Hypertension): Lokhu kusetshenziswa kwezinye izimo eziphuthumayo ezihlobene nobuchopho.
Yiziphi izidakamizwa ezisetshenziswa kakhulu ze-barbiturate?
Kunezinhlobo eziningana zama-barbiturate emhlabeni jikelele. Kodwa-ke, ezinye zazo azisetshenziswa ezweni lethu. Nazi ezinye zezinhlobo ezivame kakhulu:
| Igama Lomuthi | Isetshenziselwani ngokuyinhloko? (Ukusetshenziswa Okuyinhloko) |
|---|---|
| I-Phenobarbital | Leli igama abantu abaningi ezweni lethu abake bezwa ngalo. Lisetshenziselwa ukuvimbela ukuxhuzula kanye nokulawula lapho kwenzeka. |
| I-Butalbital | Akuvamile ukuthi inikezwe yodwa. Isetshenziswa kanye nezinto ezifana ne-aspirin, i-paracetamol, ne-caffeine ukwelapha ikhanda elibuhlungu kanye nezinye izinhlungu zekhanda. |
| I-Primidone | Lona omunye umuthi onikezwa ukuvimbela ukuquleka. |
| I-Methohexital | Isetshenziselwa ukubulala izinzwa ngesikhathi sokuhlinzwa okufushane kakhulu noma ukuhlolwa, isibonelo, ekwelashweni nge-electroconvulsive. |
Ziyini izinzuzo zalo muthi?
Ngenxa yokuthi le mithi imidala kakhulu, kunemininingwane yocwaningo yamashumi eminyaka ngayo. Futhi, ingasetshenziswa njengenketho yesibili uma imithi yomugqa wokuqala ingasebenzi.
Enye yezinzuzo ezibaluleke kakhulu ukuthi ziyahlukahluka ngobude besikhathi sokusebenza kwazo . Ezinye zisebenza isikhathi esifushane kakhulu, njengemizuzu embalwa. Lokhu kuwusizo kakhulu ekuhlinzweni okufushane. Ezinye zingahlala emzimbeni amahora noma ngisho nezinsuku. Leso esinye sezizathu zokuqhubeka nokuzinikeza ukuze kuvinjelwe ukuquleka.
| Isigaba | Isikhathi Esisebenzayo |
|---|---|
| Ukusebenza okufushane kakhulu | Imizuzu eyi-15 noma ngaphansi. (Isibonelo: I-Methohexital) |
| Okusebenza isikhathi esifushane | Cishe amahora angu-3-4. (Isibonelo: i-Pentobarbital) |
| Ukusebenza okuphakathi nendawo | Cishe amahora angu-4-6. (Isib. i-Butalbital) |
| Isebenza isikhathi eside | Kufika emahoreni ayi-12, kodwa kungahlala emzimbeni izinsuku eziningana. (Isibonelo: i-Phenobarbital) |
Yiziphi izingozi nezinkinga zama-barbiturates?
Isizathu esiyinhloko sokuthi ukusetshenziswa kwama-barbiturate kwehla manje kungenxa yezingozi zawo. Kufanele nakanjani uqaphele lokhu.
- Ukubekezelelana Nokuthembela/Ukulutha: Ngokuhamba kwesikhathi, umzimba uyajwayela umuthi. Khona-ke umthamo wangaphambilini awanele, futhi kudingeka umthamo ophezulu ukuze uthole umphumela ofanayo. Lokhu kubizwa ngokuthi 'Ukubekezelelana'. 'Ukuncika' kusho ukuthi umzimba uba ncike kumuthi. Uma umuthi uyekwa, kungase kube nezimpawu ezinkulu zokuhoxa. 'Ukulutha' kusho ukuthi lesi simo sikhula sibe yisifo sengqondo futhi umuntu akanakuyeka ukusebenzisa umuthi, noma ngabe uyingozi empilweni yakhe.
- Izinkinga zenhliziyo nokuphefumula: Lokhu kungabangela ukwehla kwesilinganiso senhliziyo nomfutho wegazi. Uma uthatha kakhulu noma uthatha umthamo ongalungile, ungase uyeke ukuphefumula. Lesi yisimo esiphuthumayo esisongela ukuphila.
- Ukusebenzisana neminye imithi: Ama-barbiturates athinta ukusebenza kwesibindi. Ngakho-ke, eminye imithi oyithathayo ingase isuswe emzimbeni wakho ngokushesha, okwenza ingasebenzi kahle.
- Izingozi komama abakhulelwe nabancelisayo: Kufanele ugweme ukuthatha le mithi uma ukhulelwe. Ingadluliselwa enganeni yakho ngobisi lwebele.
Into ebaluleke kakhulu ukuphuza imithi yakho njengoba nje udokotela wakho ekutshelile, nangesikhathi esiqondile otshelwe ngaso. Ungalokothi ushintshe umthamo noma uyeke ukuwuthatha ngokuthanda kwakho.
Kufanele ngiye nini e-ETU?
Uma wena noma omunye umuntu nibonisa uphawu olulodwa noma ngaphezulu kwalokhu okulandelayo ngenkathi nithatha ama-barbiturates, kungaba uphawu lokweqisa izidakamizwa.Lesi yisimo esiphuthumayo esisongela ukuphila. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ubunzima bokuphefumula (ukuphelelwa umoya)
- Ukudideka okukhulu noma ubunzima bokucabanga
- Ukuquleka
- Isilinganiso senhliziyo esihamba kancane kakhulu (i-bradycardia) noma esisheshayo kodwa esibuthakathaka
- Isiyezi/isizungu esikhulu
- Isicanucanu nokuhlanza
- I-Hypothermia
- Izindebe noma izinzipho eziluhlaza okwesibhakabhaka (i-cyanosis)
- Ukungakwazi ukugxila amehlo endaweni eyodwa noma abafundi abancane noma abakhulu ngokungavamile
Ukulutheka kwezidakamizwa kanye nezimpawu zokuhoxa
Uma uthatha lo muthi isikhathi eside, umzimba wakho uyawujwayela (ukuncika). Uma uyeka ukuwuthatha ngokuzumayo, ungase ube nezimpawu zokuhoxa. Lokhu kufaka phakathi:
- Ukungaphumuli nokukhathazeka
- Ukuthuthumela (ukuthuthumela kwamalungu, njengezandla)
- Ukudideka
- Ukudlikizela okukhulu
Ungazinaki lezi zimpawu. Ezimweni ezimbi kakhulu, lokhu kungaba yingozi empilweni.
Ungesabi ukutshela udokotela ngalokhu.
Ungesabi noma ube namahloni ukutshela udokotela wakho ukuthi unalezi zimpawu. Kuvamile ukuthi umzimba wakho uthembele kule mithi. Odokotela bayazi ngalokhu. Uma ubatshela, udokotela wakho angakusiza ukuthi uyeke ukuthatha imithi ngokuphepha ngokunciphisa kancane kancane umthamo kuze kube yilapho izimpawu zakho ziphela.
Ukubaluleka kokugcina lo muthi uphephile
Ngenxa yengozi yokusebenzisa kabi le mithi, kubalulekile ukuyigcina ivalelwe ekhabetheni, phezulu endlini. Ikakhulukazi kude nezingane ezincane kanye nabantu abasha. Lesi sinyathelo sokuqapha singasiza ekuvimbeleni ubuthi obungazelelwe noma okunye ukusetshenziswa kabi okungaba nemiphumela eyingozi.
Umlayezo Wokuya Nawe Ekhaya
- Ama-Barbiturates ayiqembu lemithi enamandla elapha izimo ezifana nokulala kanye nokuxhuzula, kodwa anezingozi ezinkulu.
- Njalo thatha le mithi kuphela ngokwesilinganiso nangokuyalelwa udokotela wakho . Ungalokothi ushintshe noma uyeke umthamo ngokwakho.
- Ungalokothi uthathe ama-barbiturates notshwala noma ezinye izidakamizwa ezibangela ubuthongo ngaphandle kweseluleko sikadokotela. Kuyingozi kakhulu.
- Uma kuvela izimpawu zokusebenzisa ngokweqile, hamba ngokushesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma uhlangabezana nezimpawu zokuthembela noma zokuhoxa kulo muthi, khuluma nodokotela wakho. Bangakusiza ukuthi uyeke ukuwuthatha ngokuphephile.
- Gcina le mithi endaweni ekhiyiwe nephephile kude nezingane .
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 🤒 Yini esingayenza ekhaya ngenxa yokukhwehlela komntwana? (Yini esingayenza ekhaya ngenxa yokukhwehlela komntwana?)
Uma ingane ikhwehlela, kungenzeka kakhulu ukuthi kungenxa yokutheleleka ngegciwane. Okokuqala, nikeza ingane yakho uketshezi oluningi bese uphumula. Kodwa khumbula, unganiki ama-syrup okukhwehlela ngaphandle kweseluleko sikadokotela. Lokhu kungenxa yokuthi eminye imithi emidala ingase iqukathe izinto ezifana nama-barbiturates ezingabangela ukozela futhi zithinte ukuphefumula. Ngakho-ke, kulesi sihloko, sizofunda kabanzi ngama-barbiturates.
💬 🛑 Ingabe kuyingozi uma isiraphu yokukhwehlela yengane iyenza ilale kakhulu?
Yebo, kudingeka uqaphele kakhulu ngalokho. Eminye imithi yokukhwehlela ingase ibe nezinto ezicindezela isimiso sezinzwa esiyinhloko. Esikhathini esidlule, ama-barbiturate ayevame ukusetshenziswa ezintweni ezinjalo ezibangela ubuthongo. Nakuba lezi zingasasetshenziswa ekukhwehleleni, kubaluleke kakhulu kuwe njengomama ukuqaphela lolu hlobo lwemithi.
💬 💊 Kulungile yini ukuthenga umuthi wokukhwehlela kwengane yakho ngaphandle kwekhawunta ekhemisi?
Lutho neze. Kungaba yingozi ukunikeza umuthi wokukhwehlela ngaphandle kwencwadi kadokotela, ikakhulukazi ezinganeni ezingaphansi kweminyaka emi-2 ubudala. Amakhemikhali akweminye imithi angaba nemiphumela emibi emzimbeni, afana nama-barbiturates. Ungaqonda ngokucacile ukuthi ayini ama-barbiturates nokuthi awuthinta kanjani umzimba ngokufunda lesi sihloko.
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