Wake wahlinzwa? Noma umngane wakho wake wahlinzwa? Uma lokho kwenzeka, ukwesaba okukhulu kubantu abaningi ukucanuzela nokuhlanza okwenzeka ngemva kokuhlinzwa. Kuyinto engathandeki ngempela. Ngakho-ke namuhla sizokhuluma ngomjovo okhethekile onikezwa ukulawula, okungukuthi, ukuvimbela, isimo esinjalo. Igama lalo muthi yiDroperidol.
Kalula nje, iyini i-Droperidol?
I-Droperidol umuthi onikezwa wona ukuvimbela isicanucanu nokuhlanza okungenzeka ngemva kokuhlinzwa noma ezinye izinqubo zezokwelapha. Unikezwa njengomjovo. Ngokukhethekile, uvimba ukusebenza kwamakhemikhali athile ebuchosheni bethu abangela isicanucanu nokuhlanza. Lezi zinhlobo zemithi zibizwa ngokuthi i-antiemetics. Igama lomkhiqizo elivamile lalokhu yi-Inapsine.
Into ebaluleke kakhulu ukuthi lo muthi awusiwo ongawuthenga ekhemisi. Unikezwa kuphela ngaphansi kokuqondisa kwezokwelapha esibhedlela noma emtholampilo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokukunikeza lo muthi
Njenganoma yimuphi umuthi, kubalulekile ukuthi udokotela wakho azi kahle isimo sakho sempilo ngaphambi kokukunikeza umjovo we-Droperidol. Lokhu kungenxa yokuthi abantu abanezimo ezithile zezokwelapha kudingeka baqaphele kakhulu lapho benikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho.
- Ukuphuza: Uma uphuza njalo, sitshele ngakho.
- Isifo senhliziyo: Uma unesifo senhliziyo, isibonelo, ukwehluleka kwenhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma ukushaya kwenhliziyo okuhamba kancane.
- Isifo sezinso: Uma unesifo sezinso.
- Isifo sesibindi: Uma unesifo sesibindi.
- Ukungezwani komzimba: Uma une-allergy ku-Droperidol noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Ukukhulelwa: Uma ukhulelwe noma uzama ukukhulelwa.
- Ukuncelisa: Uma ungumama oncelisa ingane yakho.
Ukunikeza ithimba lezokwelapha lolu lwazi kubaluleke kakhulu ekuphepheni kwakho.
Indlela yokusebenzisa lo muthi nokuthi yini okufanele uyenze esimweni esiphuthumayo
Lo muthi akuyona into ongayithatha uye nayo ekhaya. I-Droperidol iwumjovo onikezwa esibhedlela noma emtholampilo kuphela ngudokotela noma umhlengikazi. Ujovwa ngqo emthanjeni noma emisipheni.
Ingabe lokhu nikunikeza izingane ezincane?
Yebo, kwezinye izimo ezikhethekile, lo muthi unikezwa nezingane ezingaphezu kweminyaka emibili. Kodwa wenziwa ngaphansi kokunakekelwa okukhethekile kakhulu futhi kuphela ngokubona kukadokotela.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu (ukudlula umthamo)?
Njengoba lokhu kunikezwa esibhedlela, amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma ucabanga ukuthi uphuze lo muthi nganoma iyiphi indlela, kubaluleke kakhulu ukwazisa noma ukuya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha . Futhi, kukhona indawo ezweni lethu ekhethekile yezinto ezinjalo. Leyo yiNational Poison Information Center eColombo National Hospital . Ungabashayela ucingo futhi uthole iseluleko.
Eminye imithi engase ihlangane ne-Droperidol (Ukusebenzisana Kwezidakamizwa)
Lena yingxenye ebaluleke kakhulu. I-Droperidol umuthi ongasebenzisana neminye imithi eminingi. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imithi yamakhambi, kanye nezithasiselo. Kufanele futhi utshele udokotela wakho uma ubhema noma uphuza utshwala.
Ngezansi kuneminye yemithi engase ihlangane ne-Droperidol. Lolu akulona uhlu oluphelele, kodwa yileyo ebalulekile okufanele uyiqaphele.
| Isigaba sezidakamizwa | Izibonelo nezincazelo |
|---|---|
| Ungalokothi uthathe i-Droperidol kanye nalomuthi. | |
| Imithi ethinta izinga lokushaya kwenhliziyo | Imithi efana ne-Dronedarone, i-Cisapride, i-Pimozide, ne-Thioridazine. |
| Amanye ama-antibiotic | Njenge-Erythromycin, i-Clarithromycin, i-Moxifloxacin. |
| Ezinye izidakamizwa zokulwa ne-antifungal | Njenge-Ketoconazole, i-Fluconazole. |
| Eminye imithi yokulwa nesicanucanu | NjengoDolasetron, Palonosetron. |
| Eminye imithi yokucindezeleka | Ama-antidepressant e-Tricyclic afana ne-Amitriptyline, i-Nortriptyline. |
| Ukusabela kungenzeka nangalo muthi. | |
| Izibulali-zinhlungu (ama-opioid) | Amaphilisi okudambisa izinhlungu anamandla njengeMorphine neTramadol. |
| Imithi yokuhlanza | Imithi enciphisa inani lamanzi nosawoti emzimbeni. |
| Ama-Barbiturates | Eminye imithi yokulala kanye nesifo sokuwa. |
Izinto okufanele uzilindele kanye nemiphumela emibi ngemva kokuthatha umuthi
Ngemva kokuthatha lo muthi, isimo sakho sizoqashwa ngokucophelela yithimba lezokwelapha.
Ungase uzizwe ulele noma unesizungu . Lokhu kuyinto evamile. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, kuze kube yilapho imiphumela yalo muthi isiphelile ngokuphelele. Ikakhulukazi uma usukhulile, ungavuki endaweni yokuhlala ngokuzumayo. Linda imizuzu embalwa ngaphambi kokuvuka. Lokhu kuzonciphisa ingozi yokuba nesizungu nokuwa. Futhi, gwema ukuphuza utshwala ngokuphelele .
Okuqhamuka uma udla imishanguzo
Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
| Imiphumela emibi okufanele ibikwe eqenjini lakho lezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, isiyezi, ubuhlungu besifuba, nobunzima bokuphefumula. |
| Umfutho wegazi ophansi | Isiyezi, ikhanda elikhanyayo, umbono ofiphele. |
| I-Neuroleptic Malignant Syndrome (NMS) | Lesi yisimo esingavamile kodwa esibi kakhulu. Izimpawu zifaka phakathi umkhuhlane ophakeme, ukuqina kwemisipha, ukujuluka ngokweqile, ukushaya kwenhliziyo okusheshayo, kanye nokudideka. |
| Izimpawu ze-Extrapyramidal (EPS) | Ukungakwazi ukulawula ukunyakaza komzimba, ukuqina kwemisipha noma ukuthuthumela, ukungaphumuli, kanye nendlela yokuhamba engavamile. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukozela ngokweqile, ukudideka. |
| Izinto okufanele uzibike eqenjini lezokwelapha uma ziqhubeka noma ziba yinkinga | |
| Ukukhathazeka, ukwesaba | Ukuzizwa wesaba futhi ungakhululekile ngaphandle kwesizathu. |
| Ukozela | Kuyinto evame ukulindeleka, kodwa uma idlula kakhulu, yisho. |
| Ukuphupha izinto ezingekho | Ukubona noma ukuzwa izinto ezingekho. |
Umlayezo Wokuya Nawe Ekhaya
- I-Droperidol iwumjovo onamandla onikezwa ukuvimbela isicanucanu nokuhlanza okwenzeka ngemva kokuhlinzwa nezinye izinqubo zezokwelapha.
- Lomuthi unikezwa kuphela ngaphansi kokuqondisa kwezokwelapha esibhedlela noma emtholampilo.
- Kubalulekile ukwazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (ikakhulukazi isifo senhliziyo, sesibindi, kanye nesezinso) kanye nayo yonke imithi oyiphuzayo.
- Gwema imisebenzi edinga ukuqapha njengoba ukozela kanye nesiyezi kungase kwenzeke ngemva kokuthatha umuthi. Gwema utshwala ngokuphelele.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokushintsha kwesilinganiso senhliziyo, umkhuhlane ophakeme, noma ukuqina kwemisipha, yazisa ithimba lezokwelapha ngokushesha.
- Uma uneminye imibuzo mayelana nalo muthi, ungesabi ukukhuluma nodokotela wakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Iyini i-Droperidol / Inapsine injection esetshenziswa esibhedlela?
Lokhu akufani ne-Domperidone, esetshenziswa ekuhlanzeni okuvamile! Lona umuthi onamandla kakhulu (ojwayelekile we-Antipsychotic / Antiemetic) emhlabeni omisa ngokushesha ukuhlanza kanye nokucanuzela futhi uthulise isiguli! Lokhu kunikezwa ikakhulukazi ngemva 'kokuhlinzwa okukhulu (Ukuhlinzwa / I-Anesthesia)' ukuvimba/ukuvala nokukhiya isicanucanu esinzima isiguli esingakwazi ukusithwala kuze kube yilapho amathumbu/amathumbu ephuma khona.
💬 Lo mjovo onamandla (i-Droperidol) ufinyelela kanjani ebuchosheni bethu futhi umise ukuhlanza okukhulu?
Imithi yokubulala izinzwa (i-Anesthesia/Opioids) enikezwa ngesikhathi sokuhlinzwa ibangela ukuthi kukhishwe inani elikhulu lamakhemikhali abizwa ngokuthi 'i-Serotonin/Dopamine' ebuchosheni, aya esikhungweni sokuhlanza (i-CTZ) futhi abangele ukuhlanza sengathi kucindezelwe inkinobho. Lapho nje lo mjovo ungena egazini, ama-'Dopamine Receptors' ebuchosheni ayavalwa ngokuphelele (i-Dopamine blockade). Njengoba kungekho ndlela yokuthi umyalezo udluliselwe, isiguli asihlanzi futhi isiguli siyalala (i-Sedation).
💬 Yiziphi izixwayiso zeBlack Box okufanele abantu abafaka lo muthi wokulwa nokuqunjelwa (iDroperidol) baziqaphele?
Ingozi enkulu ukulahlekelwa impilo kunokuyeka ukuhlanza! Lokhu 'kungashintsha kakhulu isigqi sikagesi senhliziyo, kubangele inhliziyo ishaye ngendlela engavamile, kubangele ukuhlaselwa yinhliziyo okuyingozi ngisho nokuma kwenhliziyo (QT Prolongation / Torsades de pointes / Cardiac Arrest)'. Ngakho-ke, labo abanomjovo kumele bavulwe njalo umshini we-ECG/EKG amahora ama-2-3! Enye into ukuthi lokhu kungabangela nesiguli ukuba sibe nesifo sokuwa (EPS).
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