He aha te Barbiturate: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

Ko ngā barbiturates he rongoā rāhui e whakaroa ana i tō pūnaha io matua, e āwhina ana ki te whakamārie i te mahi roro ina kaha rawa ana. E mahi ana ēnei rongoā mā te whakanui i tētahi matū roro tūturu e kīia ana ko GABA, e āwhina ana i a koe kia okioki me te moe. Ahakoa i mua i te wā i whakahauhia ai mō te āwangawanga me ngā raruraru moe, e whakamahi ana ngā tākuta i ēnei rā i a rātou mā te āta tūpato ake nā te mea ka pōtaea te whakawhirinaki me ngā pānga taha kino.

He aha ngā Barbiturates?

Ko ngā Barbiturates he momo rongoā whakamaimoa e pōuri ana i tō pūnaha io matua. No tētahi rōpū rongoā rātou e whakaroa ana i te mahi roro me te io, e āhei ana koe kia okioki, kia pōuri, kia moe rānei i runga i te inenga.

E haere mai ana ēnei rongoā i ngā momo me ngā kaha rerekē. Ko ētahi e mahi ana i te tere engari kāore e roa, ko ētahi atu e roa ana te wā ki te mahi engari ka noho i roto i tō pūnaha mō ngā hāora, mō ngā rā rānei. Māu e whiriwhiri te momo tika i runga i te āhua e rongoa ana rātou me te pēhea te urupare o tō tinana ki te rongoā.

Whakaarohia ngā barbiturates hei pēhi waewae mō tō roro kaha rawa. Ina tere rawa tō pūnaha io nā te hopu, te āwangawanga, ētahi atu āhuatanga rānei, e āwhina ana ēnei rongoā ki te whakaroa i ngā mea ki tētahi tere e taea ana te whakahaere.

He aha ngā Barbiturates e Whakamahia Ana Mō?

E rongoa ana ngā Barbiturates i ētahi āhuatanga hauora kino e tika ana kia whakaroa te mahi roro. Ko te whakamahi tino noa i ēnei rā ko te whakahaere i ngā hopu, ina koa kāore anō ētahi atu rongoā i pai.

Koinei ngā āhuatanga matua e rongoa ana ngā tākuta ki ngā barbiturates, e hiahia ana ia tangata ki te tirotiro hauora āta:

• Ngā mate pāngia e te pōka: Te pōka nui rawa atu, te tūnga epilepticus rānei (te pōka roa)
• Anesthesia: I mua i te pokanga hei āwhina i a koe kia moe, kia kore e mōhiotia
• Te moe nui: Ina kāore anō ētahi rongoā moe i whai hua
• Ngā mate āwangawanga: I ētahi wā motuhake kāore ētahi atu rongoā e tika ana
• Te tango waipiro: Hei ārai i ngā tohumate kino o te tango
• Te pēhanga i roto i te roro: Te whakaiti i te pēhanga i roto i te kārei i muri i te wharanga roro

Ka tohua e tō tākuta ngā barbiturates ina nui ake ngā painga i ngā tūponotanga. Ko ēnei rongoā e rāhui ana mō ngā āhuatanga nui, mō te wā rānei kāore ētahi atu rongoā i whai oranga.

Me pēhea te mahi a ngā Barbiturates?

Ka mahi ngā Barbiturates mā te whakanui i te mahi o te GABA, he matū roro tūturu e āwhina ana ki te whakamārie i te mahi o ngā io. Ina piki ake ngā taumata GABA, ka iti ake te tūponotanga o ngā pūtau roro ki te pupuhi tere, ka waihanga i tētahi pānga whakamārie puta noa i tō pūnaha io.

E kiia ana he rongoā kaha ēnei me ngā pānga kaha ki tō roro me tō tinana. Kāore i rite ki ngā rongoā whakamārie ngawari, ka taea e ngā barbiturates te whakaiti i te manawa me te tere o te ngākau, koinei te take e hiahia ana rātou ki te aroturuki hauora.

Ko te kaha me te roa o ngā pānga e whakawhirinaki ana ki te barbiturate motuhake e tango ana koe. Ko ngā mea poto pēnei i te pentobarbital ka mahi i roto i ngā meneti engari he torutoru noa ngā hāora, i te wā e taea ai e ngā mea roa pēnei i te phenobarbital te hāora ki te mahi engari ka roa ngā rā.

Me pēhea taku tango i ngā Barbiturates?

Me tango tonu ngā barbiturates i te mea e tohua ana e tō tākuta, me te kore e huri i te horopeta, i te wā rānei i runga i a koe anō. Ko te tikanga o te tango e whakawhirinaki ana ki te āhua i tohua e tō tākuta me te āhuatanga e rongoatia ana.

Mō ngā pāpātai waha, ka taea e koe te tango me te kore kai rānei, ahakoa te tango me te paramanawa māmā ka āwhina i te whakaiti i te puku. Kaua rawa e inu waipiro i te wā e tango ana i ēnei rongoā, nā te mea he tino mōrearea, he mate pea te whakakotahi.

Mēnā kei te whiwhi koe i ngā pāpātai mā te werohanga (ara parenteral), ka tū tēnei i ngā wā katoa i roto i te taiao hauora i raro i te tirotiro a ngā mātanga. Mō ngā rongoā rākau, horoia ō ringa i mua i te whakauru me muri iho, ka takoto ki tō taha mō te ngongo pai.

Kaua rawa e kuru, e whati, e ngaungau rānei i ngā papa tuku-roa, nā te mea ka tukuna te nui rawa o te rongoā i te wā kotahi. Whakaorangia ngā pāpātai katoa ki te wāhi haumaru mai i ngā tamariki me ētahi atu tāngata ka tango ohorere i a rātou.

Kia Pēhea te Roa e Tango Ai au i ngā Pāpātai?

He rerekē te roa o te maimoatanga pāpātai i runga i tō āhuatanga motuhake me te pēhea tō urupare ki te rongoā. Ka tīmata tō tākuta ki te wā maimoatanga whai hua poto rawa atu hei whakaiti i ngā tūponotanga.

Mō te whakahaere i ngā pākia, tērā pea ka hiahia koe ki te tango pāpātai mō ngā marama, tau rānei i raro i te tirotiro hauora tupato. Mō ngā raruraru moe, te āwangawanga rānei, ko te maimoatanga te tikanga ka herea ki te torutoru wiki noa iho hei ārai i te whakawhirinaki mai i te whanake.

Kaua rawa e mutu te tango pāpātai ohorere, ina koa kua tango koe i a rātou mō te neke atu i te torutoru wiki. Me whakaiti haere tō tākuta i tō inenga i te wā hei ārai i ngā tohumate tangohanga mōrearea pea pēnei i ngā pākia.

He mea nui ngā whakaritenga whai-a-roto i te wā e tango ana i ngā pāpātai. Ka aroturukihia e tō tākuta te pai o te mahi a te rongoā me te mātakitaki mō ngā pānga taha e pā ana, ngā tohu rānei o te whakawhirinaki.

He aha ngā Pānga Taha o ngā Pāpātai?

Ka taea e ngā pāpātai te pānga taha mai i te ngawari ki te nui, ā, he mea nui kia mōhio ki ngā mea hei mātakitaki. Ko te nuinga o ngā tāngata ka pā ki te moe i te wā e tīmata ana i ēnei rongoā, engari he maha ngā wā ka pai ake tēnei i te wā e urutau ana tō tinana.

Ngā pānga taha noa e pā ana ki te nuinga o te tangata:

• Te pōrangi me te ngenge i te awatea
• Te whanoke, te kore pūmau rānei
• Te rangirua, te uaua rānei ki te arotahi
• Te whakapairuaki, te puku rānei
• Te ānini
• Te riri, te noho rānei

Ko ngā pānga taha nui ake me whai wāhi tonu ki te rongoā, tae atu ki te manawa puhoi, te rangirua nui, te uaua rānei ki te noho mataara. Ka pā anō pea te huringa o te ngākau ki ētahi tāngata, tae atu ki te pōuri, ngā whakaaro rānei e kore e rite.

Ngā pānga taha onge, engari pea he mōrearea:

• Ngā raruraru manawa nui, te pēhi rānei i te manawa
• Ngā tauhohenga pānga ki te kiri, te pūhi, te uaua rānei ki te manawa
• Te rangirua nui, ngā raruraru mahara rānei
• Te pānga o te kikorangi, te toto rānei e kore e rite
• Ngā raruraru ate (te kōwhai o te kiri, o ngā kanohi rānei)
• Ngā whakaaro whakamomori, ngā huringa ngākau nui rānei

Whakapā atu ki tō tākuta i te wā tonu mēnā ka pā ki a koe ētahi pānga taha nui. Me pūrongo anō ngā pānga taha noa mēnā ka pōuri, ka kore rānei e pai ake i te wā.

Ko wai e kore e tango i ngā Barbiturates?

Kaua ētahi tāngata e tango i ngā barbiturates nā te nui ake o ngā mōrearea o ngā raruraru nui. Ka āta arotake tō tākuta i tō hītori rongoā i mua i te whakahau i ēnei rongoā.

Kaua koe e tango i ngā barbiturates mēnā e mōhiotia ana he pānga ki ētahi rongoā barbiturate, mēnā rānei he mate ate nui tōu. Ko ngā tāngata e pā ana ki ētahi raruraru manawa, pēnei i te mate hāwhe nui, te moe rānei, kāore e taea te whakamahi i ēnei rongoā.

Ko ngā tāngata me whakamahi i ngā barbiturates me te tino tupato, me karo rānei i a rātou, ko:

• Ko te hunga he hītori mo te whakamahi tarukino, waipiro rānei
• Ko te hunga e mate ana i te tākihi, i te ate rānei
• Ko te hunga e mate ana i ētahi raruraru manawa
• Ko te hunga he hītori mo te pouri, ngā whakaaro whakamomori rānei
• Ngā wāhine hapū, ngā wāhine e whāngai ana i te u
• Ngā kaumātua (te piki ake o te tūponotanga o te hinga me te rangirua)
• Ko te hunga e tango ana i ētahi atu rongoā e pā ana ki te tūponotanga

Mēnā he pūtake tōu o ēnei āhuatanga, me āta whakatau tō tākuta i ngā tūponotanga me ngā painga. I ētahi wā ka hiahiatia tonu ngā barbiturates ahakoa ēnei āwangawanga, engari me nui ake te aroturuki me te whakatika i ngā horopeta.

Ngā Ingoa Waitohu Barbiturate

He maha ngā rongoā barbiturate e wātea ana i raro i ngā ingoa waitohu rerekē, ahakoa he maha ngā mea e wātea ana i tēnei wā hei momo generic. Ko te waitohu motuhake ka tohua e tō tākuta e whakawhirinaki ana ki tō āhuatanga me ngā hiahia maimoatanga.

Ngā ingoa waitohu barbiturate noa ko Nembutal (pentobarbital), Luminal (phenobarbital), me Seconal (secobarbital). Kei te wātea hoki ētahi barbiturates i roto i ngā hua whakakotahi me ētahi atu rongoā mō ngā āhuatanga motuhake.

Ka taea e tō kai rongoā te āwhina i a koe ki te mārama mēnā kei te whiwhi koe i tētahi momo waitohu, momo generic rānei o tō rongoā. He rite tonu te whai hua o ngā barbiturates generic ki ngā momo waitohu, ā, ka pāmatahia anō te haumaru.

Ngā Kōwhiringa kē Barbiturate

He maha ngā kōwhiringa kē haumaru ake i ngā barbiturates e wātea ana mō te nuinga o ngā āhuatanga i ēnei rā. Ko te tikanga ka whakamātau tō tākuta i ēnei kōwhiringa kē i te tuatahi i mua i te whakaaro ki ngā barbiturates nā te iti ake o te tūponotanga o te whakawhirinaki me ngā pānga taha kino.

Mō ngā raruraru moe, ko ngā rongoā hou pēnei i te zolpidem (Ambien) rānei, eszopiclone (Lunesta) te nuinga he kōwhiringa haumaru ake. Mō te āwangawanga, ko ngā benzodiazepines pēnei i te lorazepam (Ativan) rānei, ko ngā rongoā anti-depressant hou rānei, he pai ake pea.

Ngā maimoatanga kē mō ngā āhuatanga rerekē ko:

• Ngā Whawhai: Ngā rongoā anti-whawhai hou pēnei i te lamotrigine, levetiracetam, topiramate rānei
• Ngā raruraru moe: Ngā rongoā moe kore-benzodiazepine, melatonin, ngā tikanga akuaku moe rānei
• Āwangawanga: SSRIs, SNRIs, ngā rongoā anti-āwangawanga rānei
• Te tango waipiro: Benzodiazepines, ētahi atu rongoā motuhake rānei mō te tango waipiro

Ka mahi tō tākuta ki a koe ki te kimi i te rongoā haumaru me te whai hua mō tō āhuatanga motuhake. I ētahi wā ko ngā barbiturates tonu te kōwhiringa pai, engari ko te tūhura i ētahi atu kōwhiringa i te tuatahi te huarahi pai.

He Pai Anei Ngā Barbiturates I Ngā Benzodiazepines?

Ka whakamārie ngā barbiturates me ngā benzodiazepines i te pūnaha io, engari e mōhiotia ana he haumaru ake ngā benzodiazepines mō te nuinga o te tangata. Ahakoa e whai hua ana ngā mea e rua, he whānui ake te haumaru o ngā benzodiazepines, ā, he iti ake te tūponotanga ki te pā mai i ngā raruraru manawa kino.

He rongoā kaha ake ngā barbiturates ka whai hua ake mō ngā āhuatanga kino pēnei i ngā whawhai uaua ki te whakahaere. Heoi, ko tēnei kaha ake te tikanga he nui ake ngā tūponotanga o ngā pānga taha kino me te nui rawa o te rongoā.

Ko ngā painga nui o ngā benzodiazepines i ngā barbiturates ko te iti ake o te tūponotanga o te nui rawa o te rongoā mate, te iti ake o te pānga ki ētahi atu rongoā, me te nuinga o ngā pānga taha kino iti iho. Heoi, mō ētahi āhuatanga motuhake pēnei i te status epilepticus, kei te pai tonu ngā barbiturates te kōwhiringa.

Ka kōwhiri tō tākuta i waenga i ēnei rongoā i runga i tō āhuatanga motuhake, hītori hauora, me ngā āhuatanga tūponotanga takitahi. Kaua e tangohia tētahi momo rongoā me te kore e tino tirotirohia e te tākuta.

Ngā Pātai Auau Mō Ngā Barbiturates

Q1. He Haumaru Anei Ngā Barbiturates Mō Ngā Tāngata e Pā ana ki te Mate Ngākau?

Ka taea e te hunga e mate ana i te ngakau te tango i nga barbiturates i etahi wa, engari me nui ake te tirotiro hauora. Ka taea e enei rongoa te pa ki te tere o te ngakau me te toto toto, no reira me tino aro turuki to taakuta i a koe.

Mena he raruraru to ngakau, tera pea ka timata to taakuta ki te horopeta iti ake, ki te whiriwhiri ranei i tetahi barbiturate rereke e ngawari ana ki to punaha cardiovascular. He mea tika pea nga arowhai i nga wa katoa me te aroturuki i te ngakau i a koe e tango ana i enei rongoa.

Q2. Me aha ahau ki te tango pohehe ahau i te nui rawa o te Barbiturate?

Mena kei te whakaaro koe kua nui rawa atu te barbiturate i a koe, rapua tonu te awhina hauora ohorere ma te waea atu ki te 911, ma te haere ranei ki te ruma ohorere tata. Ka taea e te nui rawa o te barbiturate te raru ki te ora, me te hiahia tonu ki te rongoa ngaio.

Ko nga tohu o te nui rawa o te horopeta ko te tino hiamoe, te uaua ki te manawa, te rangirua, te ngaro ranei o te mahara. Kaua e tatari kia kite mena ka pai ake nga tohu i a raatau ake, na te mea ka tere te mate o te nui rawa o te barbiturate me te kore he wawaotanga hauora tika.

Q3. Me aha ahau ki te ngaro ahau i te horopeta o te Barbiturate?

Mena ka ngaro koe i te horopeta, tangohia i te wa e mahara ana koe, ki te kore e tata ana te wa mo to horopeta e whai ake nei. Kaua rawa e tango i nga horopeta e rua i te wa kotahi hei utu mo te horopeta i ngaro, na te mea he kino tenei.

Mo nga rongoa hopu, ko te ngaro i nga horopeta ka piki ake to tupono ki te hopu i nga hopu. Whakapa atu ki to taakuta mena ka wareware koe i nga horopeta, na te mea ka taea e ratou te awhina i a koe ki te whakawhanake i tetahi tikanga pai ake, ki te whakatika ranei i to waarangi rongoa.

Q4. Ahea ka taea e au te whakamutu i te tango i nga Barbiturates?

Kaua rawa e whakamutu i te tango i nga barbiturates ohorere me te kore te aratohu a to taakuta, ina koa kua neke atu i te wiki e tango ana koe. Ko te whakamutu ohorere ka puta he tohu tangohanga kino, tae atu ki nga hopu.

Ka hangaia e tō tākuta tētahi hōtaka whakaheke haere kia whakaheke pōturi i tō horopeta i roto i te wā. Ka roa pea tēnei tukanga i ngā wiki, i ngā marama rānei, i runga i te roa o tō tango i te rongoā me te horopeta e tango ana koe.

Q5. Ka taea e au te inu waipiro i te wā e tango ana au i ngā Barbiturates?

Kaua rawa koe e inu waipiro i te wā e tango ana koe i ngā barbiturates, nā te mea he tino mōrearea tēnei huinga, ā, ka mate pea. E rua ngā matū e pēhi ana i tō pūnaha io matua, ā, i te taha tahi ka pōturi mōrearea tō manawa me tō reiti ngākau.

Ahakoa te iti o te waipiro ka mōrearea i te taha tahi me ngā barbiturates. Ki te raru koe i te whakamahi waipiro, kōrerohia tēnei ki tō tākuta, nā te mea pea me whiriwhiri rongoā kē rānei, me whakarato rānei i ētahi atu tautoko mō te whakamutu waipiro.