Phenothiazine overdose

Phenothiazines ke meriana e sebelisetsoang ho alafa mathata a tebileng a kelello le maikutlo, le ho fokotsa ho nyekeloa ke pelo. Sengoliloeng sena se bua ka ho fetela holimo ha phenothiazines. Ho fetela holimo ho etsahala ha motho e mong a nka ntho e fetang e tloaelehileng kapa e khothalletsoang. Sena e ka ba ka phoso kapa ka boomo.

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 eo u nang le eena a e-na le ts'oaetso, letsetsa nomoro ea hau ea tšohanyetso 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 tloha kae kapa kae United States.

Motsoako o chefo ke phenothiazine, e ka fumanoang meriana e mengata.

Meriana ena e na le phenothiazine:

• Chlorpromazine
• Clozapine
• Fluphenazine
• Haloperidol
• Loxapine
• Molindone
• Perphenazine
• Pimozide
• Prochlorperazine
• Thioridazine
• Thiothixene
• Trifluoperazine
• Tšepiso

Meriana e meng le eona e ka ba le phenothiazine.

Ka tlase matšoao a phenothiazine overdose likarolong tse fapaneng tsa 'mele.

LIEKETSENG MAHALA

• Ha ho phefumolohe
• Ho hema ka potlako
• Ho hema butle

KOTSI LE PUO

• Ho rota ho thata kapa butle
• Ho se khone ho tšolla senya ka botlalo (ho boloka metsi)

MAHLO, DITSE, NKO, MOLOMO LE MORO

• Pono e lerootho
• Ho thata ho koenya
• Ho rotha ka metsi
• Molomo o omileng
• Ho ferekana ka nko
• Baithuti ba banyenyane kapa ba baholo
• Liso molomong, lelemeng kapa 'metsong
• Mahlo a mosehla (icterus)

PELO LE MALI

• Khatello ea mali e tlase (e matla)
• Ho otla ha pelo ho otlang
• Ho otla ha pelo kapele

METSI LE MAJOLE

• Ho phatloha ha mesifa
• Ho thatafala ha mesifa
• Ho sisinyeha ka potlako, ho sa ithaopele ha sefahleho (ho hlafuna, ho panya, ho fifala le ho sisinyeha ha leleme)

LITLHAKISO MOKHOA

• Ho ferekana, ho teneha kapele, pherekano
• Ho tsitsipana (ho oa)
• Ho ferekana, ho akheha (ho hloka karabelo)
• Ho otsela
• Feberu
• Mocheso oa 'mele o tlase
• Ho hloka botsitso ho hokahanngoa le ho tsitsipanya maoto le ho e tsitsipanya (akathisia)
• Ho thothomela, likoloi tsa motlakase tseo motho a ke keng a li laola (dystonia)
• Tsamaiso e sa tsamaellaneng, ho tsamaea butle, kapa ho tsukutleha (ka ts'ebeliso ea nako e telele kapa tšebeliso e feteletseng)
• Bofokoli

TS'ELISO TS'ELISO

• Liphetoho mokhoeng oa ho ilela khoeli

LEHATA

• Moferefere
• Ho utloahala ha letsatsi, ho chesoa ke letsatsi kapele
• Mmala oa letlalo oa fetoha

MALIMA LE MATSOSO

• Ho sokela
• Ho felloa ke takatso ea lijo
• Ho nyekeloa
  

A mang a matšoao ana a ka hlaha, leha moriana o nooa hantle.

Batla thuso ea bongaka hang-hang.

SE KE UA etsa hore motho a lahlele ntle le haeba taolo ea chefo kapa mofani oa tlhokomelo ea bophelo a u joetsa joalo.

Lokisetsa litaba tsena:

• Lilemo tsa motho, boima ba hae, le boemo ba hae
• Lebitso la moriana, le matla, haeba li tsejoa
• Chelete eo e metse
• Nako eo e neng e metsoa ka eona
• Haeba moriana o ne o laetsoe motho eo

Setsi sa hau sa chefo sa lehae se ka fihlelleha ka kotloloho ka ho letsetsa mohala oa naha oa mahala oa Poison Help hotline (1-800-222-1222) ho tsoa kae kapa kae United States. Nomoro ena ea mohala oa naha e tla u lumella ho bua 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 thibelo 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 seo ha u ea sepetlele haeba 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. Matšoao a tla phekoloa. Motho a ka amohela:

• Liteko tsa mali le moroto
• Ts'ehetso ea ho hema, ho kenyelletsa oksijene, tube ka molomo ho ea matšoafong, le mochini o phefumolohang (ventilator)
• X-ray sefubeng
• CT scan (k'homphieutha axial tomography kapa litšoantšo tse tsoetseng pele tsa boko)
• ECG (electrocardiogram, kapa ho batla pelo)
• Maro a kenang ka hare ho methapo (IV) ka mothapo
• Laxative
• Meriana ea ho khutlisa litlamorao tsa sethethefatsi

Pholiso e ipapisitse le bongata ba tšenyo. Ho pholoha matsatsi a 2 a fetileng hangata ke sesupo se setle. Matšoao a sistimi ea methapo e ka ba a sa feleng. Litla-morao tse tebileng haholo hangata li bakoa ke tšenyo ea pelo. Haeba tšenyo ea pelo e ka tsitsisoa, ho ka hlaphoheloa. Ho ka ba thata ho phekola likhathatso tsa morethetho oa bophelo tse sokelang bophelo, mme li ka baka lefu.

Aronson JK. Lithethefatsi tsa Neuroleptic. E ngotsoe ke: Aronson JK, ed. Litla-morao tsa Meyler tsa Lithethefatsi. 16th ed. Waltham, MA: Elsevier; 2016: 53-119.

Skolnik AB, Monas J. Antipsychotic. 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 155.