Ho feta tekano ha Corticosteroids
Corticosteroids ke meriana e phekolang ho ruruha 'meleng. Ke tse ling tsa lihormone tse itlhahisang ka tlhaho tse hlahisoang ke litšoelesa 'me tsa ntšetsoa ka har'a phallo ea mali. Ho overdose ea Corticosteroid ho etsahala ha motho e mong a noa meriana e fetang e tloaelehileng kapa e khothalletsoang. Sena e ka ba ka phoso kapa ka boomo.
Corticosteroids e tla ka mefuta e mengata, ho kenyelletsa:
- Litlolo le mafura a tlotsitsoeng ka letlalo
- Mefuta e hemeloang e phefumolohelang nko kapa matšoafo
- Lipilisi kapa maro a koenyehang
- Mefuta e entetsoeng e tlisoang letlalong, manonyellong, mesifeng kapa methapong
Boholo ba li-overdoses tsa corticosteroid li etsahala ka lipilisi le maro.
Sengoliloeng sena ke sa tlhahisoleseling feela. U SE KE ua e sebelisa ho alafa kapa ho laola ho feta tekano ho feta tekano. Haeba uena kapa motho e mong ea nang le ho feta tekano, letsetsa nomoro ea hau ea ts'ohanyetso ea lehae (joalo ka 911), kapa setsi sa hau sa chefo sa lehae se ka fihleloa ka kotloloho ka ho letsetsa mohala oa naha oa mahala oa Poison Help (1-800-222-1222) ho tsoa kae kapa kae United States.
Corticosteroid
Corticosteroids e fumaneha meriana ena:
- Alclometasone dipropionate
- Betamethasone sodium phosphate
- Clocortolone pivalate
- Tlosa
- Desoximetasone
- Dexamethasone
- Fluocinonide
- Flunisolide
- Fluocinolone acetonide
- Flurandrenolide
- Fluticasone propionate
- Hydrocortisone
- Phula ea Hydrocortisone
- Methylprednisolone
- Methylprednisolone sodium e nyane
- Mometasone furoate
- Prednisolone phosphate ea sodium
- Prednisone
- Triamcinolone acetonide
Meriana e meng le eona e ka ba le li-corticosteroids.
Matšoao a overdose ea corticosteroid a kenyeletsa:
- Boemo bo fetotsoeng ba kelello ka ho ferekana (psychosis)
- Ho chesa kapa ho hlohlona letlalo
- Ho oa
- Ho se utloe litsebeng
- Ho tepella maikutlo
- Letlalo le ommeng
- Pherekano ea morethetho oa pelo (pulse e potlakileng, pulse e sa tloaelehang)
- Khatello ea mali e phahameng
- Ho eketsa takatso ea lijo
- Kotsi ea tšoaetso
- Bofokoli ba mesifa
- Ho nyekeloa le ho hlatsa
- Ho tšoha
- Ho robala
- Ho emisa ha nako ea ho ilela khoeli
- Ho ruruha maotong a tlase, maqaqailaneng kapa maotong
- Masapo a fokolang (lefu la masapo) le ho robeha ha masapo (ho bonoa ka ts'ebeliso ea nako e telele)
- Bofokoli
- Ho mpefala ha maemo a bophelo bo botle a kang ho ruruha ka mpeng, asiti reflux, liso le lefu la tsoekere
A mang a matšoao a kaholimo a ka hlaha le ha li-corticosteroids li sebelisoa ka nepo, 'me tse ling li na le monyetla oa ho hlaha kamora tšebeliso e sa foleng kapa tšebeliso e feteletseng.
Lokisetsa litaba tsena:
- Lilemo tsa motho, boima ba hae, le boemo ba hae (mohlala, motho eo o tsohile 'me o seli?)
- Lebitso la sehlahisoa (metsoako le matla, haeba li tsejoa)
- Nako ha e metsoa
- Palo e metsitsoe
O SE KE wa dieha ho kopa thuso haeba o sena tlhahisoleseling e kaholimo.
Setsi sa heno sa taolo ea chefo se ka fihlelleha ka kotloloho ka ho letsetsa mohala oa naha oa mahala oa Chefo Thuso (1800-222-1222) ho tsoa kae kapa kae United States. Mohala ona oa naha o tla u lumella hore u bue le litsebi tsa chefo. Ba tla u fa litaelo tse ling.
Ena ke ts'ebeletso ea mahala le ea lekunutu. Litsi tsohle tsa lehae tsa taolo ea chefo United States li sebelisa nomoro ena ea naha. O lokela ho letsetsa haeba o na le lipotso mabapi le chefo kapa taolo ea chefo. HA HO hlokahale hore e be boemo ba tšohanyetso. O ka letsetsa lebaka lefe kapa lefe, lihora tse 24 ka letsatsi, matsatsi a 7 ka beke.
Tsamaea le setshelo sa meriana sepetlele ha ho khoneha.
Mofani oa thepa o tla lekanya le ho lekola matšoao a bohlokoa a motho eo, ho kenyelletsa mocheso, ho otla ha pelo, sekhahla sa ho hema le khatello ea mali.
Liteko tse ka etsoang li kenyelletsa:
- Liteko tsa mali le moroto
- X-ray sefubeng
- ECG (electrocardiogram, kapa ho batla pelo)
Kalafo e ka kenyelletsa:
- Maro a kenang ka hare (a fanoang ka mothapo)
- Meriana ea ho phekola matšoao
- Mashala a butsoeng
- Litlhare
- Ts'ehetso ea ho hema, ho kenyelletsa le tube ka molomo ho ea matšoafong le mochini oa ho hema (ventilator)
Batho ba bangata ba feteletseng ka li-corticosteroids ba na le liphetoho tse fokolang maro a 'mele ea bona le li-electrolyte. Haeba ba na le liphetoho morerong oa lipelo tsa bona, pono ea bona e ka ba mpe le ho feta. Mathata a mang a amanang le ho nka corticosteroids a ka hlaha le ha a nkuoa hantle. Batho ba nang le mathata ana ba ka hloka ho noa meriana ea nako e khuts'oane le e telele ho alafa mathata ana.
Aronson JK. Corticosteroids-glucocorticoids. E ngotsoe ke: Aronson JK, ed. Litla-morao tsa Meyler tsa Lithethefatsi. 16th ed. Waltham, MA: Elsevier; 2016: 594-657.
Meehan TJ. Atamela mokuli ea chefo. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 139.