Izingozi zingenzeka ezimpilweni zethu ngezikhathi ezingalindelekile. Cabanga nje, ubungenzenjani uma umuntu edla insimbi esindayo njenge-arsenic, i-mercury, igolide, noma i-lead ngokuzumayo abese eba nobuthi? Lesi yisimo esiyingozi kakhulu. Namuhla sikhuluma ngomjovo okhethekile onikezwa esibhedlela kuphela esimweni esibucayi kangaka. Igama lalo mjovo yi-Dimercaprol. Kungenzeka ukuthi wake wawubona ngezinye izikhathi ubizwa ngokuthi 'i-BAL in Oil'.
Kalula nje, iyini i-Dimercaprol?
Lokhu kuyinkimbinkimbi kancane, kodwa ake sikugcine kulula. Cabanga ukuthi insimbi esindayo eyingozi ingene emzimbeni wakho. Lezi zinhlayiya zensimbi zibopha izicubu nezitho ezahlukahlukene emzimbeni bese ziqala ukuzilimaza. Umuthi i-Dimercaprol usebenza njengomagnet onamandla .
Uma lo muthi wokugomela ungena emzimbeni, udonsela izinhlayiya zensimbi esindayo eziyingozi ngaphakathi kwawo futhi ubopheke kakhulu ngazo. Ngemva kokubopha ngale ndlela, lezo zinsimbi ezinobuthi azisakwazi ukulimaza umzimba. Ngemva kwalokho, lo muthi we-Dimercaprol ubamba lezo zinhlayiya zensimbi bese uphuma emzimbeni ngomchamo. Kalula nje, lena inqubo "eqoqa futhi isuse" ubuthi obungaphakathi emzimbeni. Le nqubo ibizwa ngokuthi i-chelation kwezokwelapha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokunikeza lo muthi
Ngisho noma lokhu kuyimithi ephuthumayo, kubaluleke kakhulu ukuthi ithimba lezokwelapha liqaphele ulwazi oluthile mayelana nesimo sakho sempilo noma sesiguli, njengoba lolu lwazi luzonquma impumelelo nokuphepha kokwelashwa.
- Ezinye izifo onazo:
- Isifo sezinso: Njengoba lo muthi ukhishwa emzimbeni ngezinso, kubalulekile ukutshela udokotela wakho uma unezinkinga zezinso.
- Isifo sesibindi: Uma kukhona inkinga ngokusebenza kwesibindi, kubalulekile ukwazisa udokotela.
- Ukuntuleka kwe-G6PD: Lokhu ukuntuleka kwama-enzyme abanye abantu abazalwa nakho, okuhilelekile kumaseli abomvu egazi. Uma unalesi simo, udokotela wakho kufanele aqaphele kakhulu ngokukunikeza lo muthi.
- Ukungezwani komzimba onakho:
- Sitshele uma une-allergy kulo muthi we-Dimercaprol noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Ngokukhethekile, lo muthi uza ngesisekelo samafutha. Eminye imikhiqizo ingase ibe namafutha e-peanut. Ngakho-ke uma une -allergy yamakinati , qiniseka ukuthi utshela udokotela wakho.
- Okunye ukushefa: Lo muthi awusetshenziselwa ukwelapha ubuthi bensimbi njengensimbi, i-cadmium, noma i-selenium. Uma kukhona okusolakala ngesimo esinjalo, kufanele futhi kukhulunywe ngaso.
- Ukukhulelwa nokuncelisa:Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kubalulekile ukwazisa udokotela wakho ngaphambi kokuthatha lo muthi.
Into ebaluleke kakhulu ukutshela udokotela wakho konke okwaziyo ngempilo yakho, ngaphandle kokufihla lutho. Kungenxa yokuphepha kwakho.
Lo muthi wokugoma usetshenziswa kanjani?
Leli iphuzu elibaluleke kakhulu. I-Dimercaprol akuyona imithi ongayithenga ekhemisi bese uyithatha uye nayo ekhaya.
- Lokhu kuhlinzekwa kuphela uchwepheshe wezempilo oqeqeshiwe esibhedlela noma endaweni yokwelapha .
- Umuthi wokugoma unikezwa ngokujova emsipheni , ngokuvamile emsipheni ojulile wezinqe noma emathangeni.
- Kudingeka ukunakekelwa okukhethekile lapho kunikezwa lo muthi ezinganeni ezincane . Ngakho-ke, lokhu kufanele kwenziwe ngemuva kokubonisana nodokotela wezingane nokulandela iseluleko sakhe.
Yini okufanele uyenze uma umthamo womuthi wokugoma ukhushuliwe?
Njengoba lokhu kunikezwa esibhedlela, amathuba okusebenzisa ngokweqile aphansi kakhulu. Kodwa-ke, uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, yazisa abasebenzi bezokwelapha ngokushesha. ESri Lanka, kunendawo lapho ungaxhumana khona ngokushesha ukuze uthole iseluleko sochwepheshe mayelana noshevu onjalo kanye nemithi. Okungukuthi, iNational Poison Information Centre eNational Hospital eColombo . Kubaluleke kakhulu futhi ukwazisa i -Emergency Treatment Unit (ETU) yesibhedlela.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Uma uthatha umuthi wokugomela i-Dimercaprol, kunezinto ezimbalwa okungafanele uzithathe nawo. Ukuwuthatha kanye kanye kungabangela imiphumela emibi.
| Izinto okungafanele zithathwe | Kungani kubalulekile? |
|---|---|
| Usawoti wensimbi noma izithasiselo | Amaphilisi ensimbi noma ezinye izithako eziqukethe insimbi zingakha inhlanganisela enobuthi uma zithathwa nalo muthi. Ngakho-ke, insimbi kufanele igwenywe phakathi nalokhu kwelashwa. |
| Izithako zegolide | Lo muthi akufanele usetshenziswe nemithi equkethe igolide (isib. i-auranofin, i-aurothioglucose) esetshenziselwa izimo ezithile zezokwelapha (isib. i-rheumatoid arthritis). |
| I-Cadmium ne-Selenium | Umjovo we-Dimercaprol awusetshenziswa njengokwelapha lezi zifo ezimbili ezibangelwa yinsimbi. Ungabangela ukulimala kwezinso. |
Ngaphezu kwalolu hlu, tshela udokotela wakho nganoma yimiphi eminye imithi, imikhiqizo yamakhambi, namavithamini owasebenzisayo.
Okufanele ukulindele ngesikhathi nangemva kokuthatha umuthi
Ngesikhathi uthola lo muthi, ithimba lakho lezokwelapha lizoqapha isimo sakho ngokucophelela . Bazohlola izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye nezinye izimpawu ezibalulekile njalo.
Ngezinye izikhathi, ungase ucelwe ukuba ulandele ukudla okukhethekile isikhashana ngemuva kokuthatha lo muthi. Isibonelo, ungase ucelwe ukuba udle ukudla okusiza ekushintsheni i-pH yomzimba wakho (ukwenza umchamo ube yi-alkaline). Udokotela wakho uzokweluleka ngazo zonke lezi zinto. Landela leyo miyalelo ngokucophelela.
Yiziphi imiphumela emibi?
Njenganoma yimuphi umuthi, umjovo we-Dimercaprol ungabangela imiphumela emibi. Eminye mincane, kanti eminye idinga ukunakekelwa okusheshayo.
| Imiphumela emibi kakhulu okufanele ibikwe eqenjini lezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukuqina noma ubuhlungu esifubeni, emphinjeni, noma ezingalweni | Umuzwa ophuthumayo wokuqina noma ukucindezeleka. |
| Umfutho wegazi ophakeme | Ukwanda okungazelelwe komfutho wegazi. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile. |
| Imfiva | Umkhuhlane, ikakhulukazi ezinganeni. |
| Ukuquleka | Isimo esifana nokuqina. |
| Ubuhlungu endaweni yokujova | Ubuhlungu obukhulu noma ukuvuvukala endaweni yomjovo. |
| Imiphumela emibi emincane okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
| Umuzwa wokushisa | Ukuzwa ukushisa ezindaweni ezifana nezindebe, umlomo kanye nomphimbo. |
| Ikhanda elibuhlungu, isicanucanu, ukuhlanza | Imiphumela emibi evamile. |
| Ukwanda kwamathe nezinyembezi, impumulo egobhozayo | Lokhu kuvame ukuba okwesikhashana. |
| Ubuhlungu besisu | Ukuzizwa ungakhululekile esiswini. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, sicela wazise udokotela wakho noma abasebenzi abahlengikazi ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Dimercaprol (i-BAL kumafutha) iwumjovo okhethekile onikezwa esibhedlela kuphela ngenxa yobuthi bensimbi esindayo njenge-arsenic, i-mercury, i-lead, negolide.
- Ngaphambi kokuthola lo muthi wokugomela, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha, ukungezwani komzimba (ikakhulukazi ukungezwani komzimba namantongomane), kanye neminye imithi oyithathayo.
- Lona akuwona umuthi ongathengwa ekhemisi futhi usetshenziswe ekhaya, kodwa unikezwa nge-intramuscularly nguchwepheshe wezokwelapha oqeqeshiwe.
- Gwema ukuthatha amaphilisi ensimbi noma izithasiselo ngokuphelele ngesikhathi sokwelashwa.
- Qaphela imiphumela emibi engaba khona (isib., ukungezwani komzimba, ubuhlungu besifuba, umfutho wegazi ophakeme) lapho uthatha umuthi. Uma ubona noma yini engavamile , yazisa abasebenzi bezokwelapha ngokushesha .
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