Cabanga ngomuntu onesifo sokuwa esinzima okunzima ukusilawula ngemithi ejwayelekile. Noma, udinga ukuthulisa isiguli futhi ulale kahle ngaphambi kokuhlinzwa okukhulu. Namuhla sizokhuluma ngomuthi onamandla kakhulu osetshenziswa kuphela ezimweni ezikhethekile neziphuthumayo, esibhedlela noma emtholampilo, nangaphansi kokuqashwa kwezokwelapha. Igama lalo muthi yiPentobarbital .
Kalula nje, iyini iPentobarbital?
I-Pentobarbital umuthi ongowesigaba semithi ye-barbiturate. Umsebenzi wayo oyinhloko ukuzola umsebenzi wesimiso sethu sezinzwa. Uma sikhuluma iqiniso, ilawula izinzwa ezisebenza ngokweqile ebuchosheni kanye nesimiso sezinzwa, iletha umzimba wonke esimweni sokuzola.
Ngenxa yalesi sizathu, lo muthi usetshenziswa kakhulu ku:
- Lawula ukuquleka okukhulu: Lokhu kusetshenziselwa ukuvimba ukuquleka okungalawulwa ngeminye imithi.
- Ukwelapha ngaphambi kokuhlinzwa: Lokhu kusetshenziselwa ukuzola isiguli nokukhuthaza ubuthongo ngaphambi kokuhlinzwa noma ezinye izivivinyo zezokwelapha.
Lona akuwona umuthi ongawuthenga ekhemisi elivamile. Unikezwa kuphela njengomjovo emthanjeni noma emisipheni esibhedlela ngodokotela nabahlengikazi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokukunikeza lo muthi
Ngenxa yokuthi lo muthi unamandla, kubaluleke kakhulu ukunikeza udokotela wakho umlando ophelele wempilo yakho. Uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela udokotela wakho.
| Isimo sempilo noma umkhuba | Kungani kufanele wazise udokotela? |
|---|---|
| Ukucindezeleka noma imicabango yokuzibulala | Lo muthi ngezinye izikhathi ungabangela ukushintsha kwemizwa, ngakho-ke kubaluleke kakhulu uma wena noma othile emndenini wakho enomlando wokucindezeleka noma imicabango efanayo. |
| Ukusetshenziswa kotshwala noma izidakamizwa | Uma utshwala nalomuthi kuhlanganiswa, ukuphefumula kungaba kancane kakhulu futhi kube yingozi ngisho nasekufeni. Ngakho-ke uma uphuza njalo, qiniseka ukuthi uyakhuluma ngakho. |
| Isifo sezinso noma sesibindi | Lomuthi uhlungwa uphume emzimbeni yizinso nesibindi. Uma lezi zitho zingasebenzi kahle, umuthi ungahlala emzimbeni isikhathi eside kakhulu futhi ubangele imiphumela emibi eyengeziwe. |
| Izifo zokuphefumula (isib. i-asthma) | Ngenxa yokuthi i-pentobarbital yehlisa ukuphefumula, lokhu kungaba yingozi kumuntu osevele enezinkinga zokuphefumula. |
| Isifo esibizwa ngokuthi i-Porphyria | Lesi yisifo esingavamile esibangelwa izakhi zofuzo. Imithi yohlobo lwe-barbiturate iyingozi kakhulu kulaba bantu. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Lo muthi ungathinta ingane ngesikhathi sokukhulelwa, ngakho-ke kufanele ukhulume nodokotela wakho ngalokhu. |
| Ukuncelisa | Izingxenye zomuthi zingadluliselwa enganeni ngobisi lwebele. |
| Ukungezwani neminye imithi noma ukudla | Kubalulekile ukwazisa udokotela wakho uma une-allergy ku-pentobarbital noma kunoma yimuphi omunye umuthi wohlobo lwe-barbiturate. |
Ukucatshangelwa okukhethekile kulabo abaneminyaka engaphezu kwengu-65 kanye nezingane ezincane
Abantu asebekhulile bangase babe nomuzwa ongcono ngemiphumela yalo muthi, ngakho-ke bavame ukunikezwa umthamo ophansi. Futhi, uma lo muthi unikezwa izingane ezincane, kudingeka ukubhekwa okukhethekile kwezokwelapha.
Kwenzekani uma uthatha umuthi omningi kakhulu? (Ukudlula umthamo)
Njengoba lokhu kunikezwa esibhedlela, ithimba lezokwelapha liyaqaphela kakhulu ngesilinganiso. Kodwa-ke, uma ucabanga ukuthi uthathe umuthi omningi kakhulu, kufanele wazise ithimba lezokwelapha ngokushesha. ESri Lanka, indawo engcono kakhulu yokuthola iseluleko mayelana nanoma yikuphi ukushefa yiNational Poisons Information Centre eColombo National Hospital . Noma kufanele uye e-Emergency Treatment Unit (ETU) eseduze.
Eminye imithi engasebenzisana nePentobarbital
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imithi yamakhambi, kanye namaphilisi ensimbi), njengoba eminye imithi ingaba nemiphumela eyingozi uma ihlanganiswa ne-Pentobarbital.
Khumbula ikakhulukazi: Lo muthi uyingozi kakhulu uma uhlanganiswa notshwala. Futhi, ukuwuhlanganisa nanoma yimuphi omunye umuthi okwenza ulale (eminye imithi yokukhwehlela, umkhuhlane, imithi yokungezwani komzimba, imithi yobuhlungu) kungabangela ukozela ngokweqile kanye nokuphefumula kancane.
Ngezansi kuneminye imithi engase ihlangane nalo muthi:
- Utshwala
- Imithi yokulwa nesikhunta efana ne-voriconazole
- Ama-antihistamine (imithi yokungezwani komzimba, ukukhwehlela, kanye nomkhuhlane obangela ukozela)
- Imithi yezinkinga zempilo yengqondo (isb., imithi yokucindezeleka, ukukhathazeka)
- Amaphilisi okudambisa izinhlungu anamandla (ama-opioid)
- Amanye ama-anticonvulsants
- Iziphumuli zemisipha
- Izinto zokunciphisa igazi, njenge-Warfarin
- Imithi ye-steroid (isib. i-Prednisone)
- Ama-hormone e-Estrogen noma i-Progestin
- Izithasiselo zezitshalo ezifana ne-kava kava ne-valerian
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uzicabangele uma usebenzisa umuthi
- Ukozela kanye nesiyezi: Ungase uzizwe ulele kakhulu futhi unesizungu ngemva kokuthatha lo muthi. Njengoba unikezwa esibhedlela, akufanele ushayele noma usebenzise imishini. Kodwa-ke, kufanele uvuke ngesikhathi esifanayo njengoba uvuka embhedeni. Uma uvuka ngokuzumayo, ikakhulukazi uma usukhulile, ungase uzizwe unesiyezi bese uwe.
- Ukubekezelela: Uma usebenzisa lo muthi njalo, umzimba wakho uyawujwayela. Lokhu kusho ukuthi udinga ukuthatha umthamo ophakeme kancane ukuze uthole umphumela ofanayo nowangaphambili. Lokhu kuyinto evamile futhi akukho okufanele ukhathazeke ngakho.
- Izingozi zokuyeka umuthi ngokuzumayo:
Uma umzimba usujwayele lo muthi, akukuhle ukuwuyeka ngokuzumayo.. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Lokhu akusho ukuthi umlutha womuthi. Umlutha uwukuthi ulingeka ukusebenzisa umuthi ngaphandle kwesizathu sezokwelapha. Uma udokotela enquma ukuthi udinga ukuyeka ukuthatha umuthi, uzokwenza lokho ngokunciphisa kancane kancane umthamo.
- Qaphela isimo sakho sengqondo: Nakuba kungavamile kakhulu, abanye abantu bangase babe nezinguquko esimweni sabo sengqondo noma imicabango yokuzibulala ngenkathi bethatha lo muthi. Uma uhlangabezana nanoma yiziphi izinguquko ezicindezelayo esimweni sakho sengqondo, ukudabuka, noma ukukhungatheka, tshela ithimba lakho lezokwelapha ngokushesha.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-Pentobarbital ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (CNS Depression) | Ukuphefumula kancane kakhulu noma kancane, ubunzima bokuphefumula, isiyezi esikhulu, ikhanda elibuthakathaka, ukungakwazi ukuhlala uphapheme. |
Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Eminye imiphumela emibi |
|
Umlayezo Wokuya Nawe Ekhaya
- I-Pentobarbital iwumjovo onamandla osetshenziswa ezibhedlela kuphela ukwelapha ukuxhuzula kanye nokuthobisa ngaphambi kokuhlinzwa.
- Kubalulekile ukwazisa udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Ukuphuza utshwala ngenkathi uthatha lo muthi kuyingozi kakhulu.
- Ungase ube nobuthongo obukhulu kanye nesiyezi ngemva kokuthatha umuthi.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, njengobunzima bokuphefumula noma ukusabela okukhulu kokungezwani komzimba, yazisa ithimba lezokwelapha ngokushesha.
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