He aha te Phenobarbital (Ara I roto i te Uaua): Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Phenobarbital he rongoā nō te rōpū rongoā e kīia ana he barbiturates, e āwhina ana ki te whakamārie i te roro me te pūnaha io. Ki te tukuna mā te IV (ara i roto i te uaua), ka tere te mahi ki te whakahaere i ngā pūhihi me te whakarato i te whakamārietanga i ngā hōhipera.

Kua whakamahia marie tēnei rongoā mō ngā tau tekau, ā, kei te noho tonu ko tētahi o ngā rongoā whai hua mō ētahi momo pūhihi me ngā ohorere hauora. Mā te māramatanga ki te āhua o tana mahi me te aha e tūmanakohia ana ka āwhina i a koe kia rite ake mēnā e hiahia ana koe, tētahi rānei e arohaina ana e koe, ki tēnei rongoā.

He aha te Phenobarbital?

Ko te Phenobarbital he rongoā barbiturate e whakaroa ana i te mahi i roto i tō roro me tō pūnaha io matua. Ko tētahi o ngā rongoā pūhihi tawhito rawa atu e whakamahia tonu ana i tēnei rā, kua tohua marie mō te neke atu i te 100 tau.

Ki te tukuna mā te IV, ka uru te rongoā ki roto i tō toto, e āhei ana kia tere ake te mahi i ngā pire, i ētahi atu momo rānei. Nō reira he mea nui rawa atu i ngā wā ohorere e hiahiatia ana te mahi tere.

Ko te momo IV te nuinga e whakamahia ana i ngā hōhipera, i ngā rūma ohorere, i ētahi atu whare rongoā rānei e taea ai e ngā kaiwhakarato hauora whakangungu te aroturuki i a koe. E kiia ana he matū whakahaere nā te mea he pānga whakamārie, nō reira e wātea ana anake mā te tirotiro hauora.

He aha te Phenobarbital e whakamahia ana mō?

Ko te phenobarbital IV te mea nui e whakamahia ana hei aukati i ngā pūhihi e kore e aro ki ētahi atu rongoā, e tū tonu ana rānei. Ka whakamahia hoki hei whakarato i te whakamārietanga i mua i ētahi tikanga rongoā, i ngā pokanga rānei.

Ka tūtohu pea tō tākuta i te phenobarbital IV mēnā kei te pā koe i ētahi āhuatanga hauora motuhake e hiahia ana kia tere te wawaotanga:

• Te tūnga epilepticus (ngā tūpātai tonu e roa ana neke atu i te 5 meneti)
• Ngā rōpū tūpātai kaha e kore e aro ki ētahi atu rongoā
• Te whakahaere tūpātai ohorere ina kore e whai hua ngā rongoā waha
• Te whakamātau i mua i ētahi tikanga rongoā, pokanga rānei
• Ngā tūpātai tangohanga waipiro i roto i ngā hōhipera
• Te riri kaha, te āwangawanga rānei e hiahia ana kia whakamātau tonu

I ētahi wā, ka whakamahi pea ngā tākuta i te phenobarbital IV mō ngā pēpi e pā ana ki ngā tūpātai, nā te mea he pai te aro ki ngā tūroro tino tamariki. He tino whai hua te rongoā nā te mea e mahi ana i ngā ara maha i roto i te roro hei aukati i te mahi tūpātai.

Me pēhea te mahi a te Phenobarbital?

E mahi ana te Phenobarbital mā te whakanui i ngā pānga o te matū roro tūturu e kīia ana ko GABA (waikawa gamma-aminobutyric), e āwhina ana i te whakamātau i te mahi roro. Whakaarohia te GABA hei "pēhi pēhi" tūturu o tō roro e whakaiti ana i ngā mea ina kaha rawa atu.

Ina puta ngā tūpātai, ka raru, ka kore e whakahaerehia te mahi hiko i roto i tō roro. Ka whakakaha te Phenobarbital i te kaha o tō roro ki te whakahaere i tēnei mahi mā te whakanui i ngā tohu whakamātau me te roa ake.

E whakaarohia ana tēnei rongoā he rongoā tūpātai kaha, pono hoki. He tino whai hua nā te mea e mahi ana i ngā momo kaiwhiwhi roro maha, e whai ana i ngā pānga whānui ki te aukati tūpātai. Ko te puka IV te tikanga ka tīmata te mahi i roto i te 15-30 meneti i muri i te whakahaere.

Me pēhea taku tango i te Phenobarbital?

Ka hoatu tonu te phenobarbital IV e ngā tāngata ngaio hauora whakangungu i roto i te taiao rongoā. E kore koe e hiahia ki te māharahara ki te tango i tēnei rongoā i a koe anō, nā te mea e hiahia ana kia āta aroturukihia me te taputapu IV tika.

Ka whakauru tō rōpū hauora i tētahi ngongo iti e kīia ana ko te catheter IV ki roto i te uaua, te tikanga i tō ringa, i tō ringa rānei. Ka werohia te rongoā mā tēnei ngongo ki roto i tō toto.

I te wā o te whakahaere, ka mātakitaki tata tō rōpū hauora i tō hā, te tere o te ngākau, me te pēhanga toto. Ka āta hoatu pea e rātou te rongoā i roto i ngā meneti maha hei whakaiti i te tūponotanga o ngā pānga taha me te whakarite kia pai te whakamanawa o tō tinana.

Kāore koe e hiahia ki te kai, ki te inu rānei i tētahi mea motuhake i mua i te whiwhinga i te phenobarbital IV. Inaha, ki te whai koe i ngā pūhihi kaha, ka pai pea tō rōpū hauora kia kaua koe i kai tata nei hei whakaiti i te tūponotanga o ngā raruraru.

Kia Pēhea te Roa e Tango Ai Au i te Phenobarbital?

Ko te roa o te maimoatanga phenobarbital IV e whakawhirinaki katoa ana ki tō āhuatanga hauora motuhake me te pai o tō urupare ki te rongoā. I ngā wā ohorere, ka kotahi noa pea te whiwhinga, mō te torutoru hāora rānei.

Mō te tūnga epilepticus, ngā rōpū pūhihi rānei, ka haere tonu te maimoatanga kia whakahaeretia ō pūhihi, kia tū tika ai tō āhuatanga. Ka puta pea tēnei i ngā hāora torutoru ki ngā rā maha, i runga i tō urupare takitahi.

Mēnā ka whakahaere pai te phenobarbital IV i ō pūhihi, ka whakawhiti pea tō tākuta i a koe ki ngā rongoā pūhihi waha mō te whakahaere wā-roa. Ko te tikanga ka puta tēnei whakawhitinga mā te āta haere hei whakarite i te whakahaere pūhihi tonu.

Ka whakatau tō rōpū hauora i ngā whakatau katoa mō te roa i runga i tō mahi pūhihi, te hauora whānui, me te pai o tō urupare ki te maimoatanga. Ka arotake tonu rātou mēnā kei te hiahia tonu koe i te rongoā, mēnā rānei he haumaru ki te whakaiti, ki te whakamutu rānei.

He Aha ngā Pānga Taha o te Phenobarbital?

Ka taea e te phenobarbital IV te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te whakamanawa i te wā e hoatu ana i raro i te tirotiro hauora. Ko ngā pānga tino noa e pā ana ki ngā āhuatanga whakamae o te rongoā.

Koinei ngā pānga taha ka tino tūpono koe ki te wheako, me te mahara kei te mātakitaki tata tō rōpū hauora i a koe:

• Te pōrangi, te whakangāwari rānei (he tino noa, e tūmanakohia ana)
• Te whanoke, te kore tū rānei
• Te rangirua, te "pō" rānei
• Te puhoi o te manawa (ka āta tirohia e tō rōpū hauora)
• Te pēhanga toto iti
• Te whakapairuaki, te puku riri rānei
• Te ānini
• Te riri, te huringa rānei o te ngākau

Ko ēnei pānga noa ka pai ake i te wā e ngaro ana te rongoā i tō tinana. E tūmanako ana tō rōpū hauora ki ēnei pānga, ā, he tikanga ā rātou hei whakahaere i a rātou kia noho haumaru.

Ahakoa he iti noa iho, he pānga taha kino tōna e hiahia ana kia tere te āwhina hauora, engari kia mahara kei roto kē koe i tētahi whare hauora:

• Te tino puhoi, te uaua rānei o te manawa
• Te tino hekenga o te pēhanga toto
• Ngā pānga mate pāwera kino (te pūwha, te pūpū, te uaua ki te manawa)
• Ngā huringa rereke o te manawa
• Te tino rangirua, te ngaro rānei o te mōhiotanga i tua atu i te pōrangi e tūmanakohia ana

Ka āta tirotiro tonu tō rōpū hauora mō ēnei pānga kino ake, ā, kua rite rātou ki te whakautu tonu mēnā ka puta. Ko te taiao hauora e whakahaerehia ana ka tino whakaiti i ngā tūponotanga e pā ana ki ēnei raruraru pea.

Ko wai kāore e tika kia tango Phenobarbital?

Kāore ētahi tāngata e tika kia whiwhi IV phenobarbital, me whai whakatūpato motuhake rānei mēnā ka pērā. Ka āta arotakehia e tō rōpū hauora tō hītori hauora i mua i te whakahaere i tēnei rongoā.

Ka tino tūpato tō tākuta ki te hoatu phenobarbital ki a koe mēnā he āhuatanga tōna:

• Ngā raruraru manawa kino, te pōraruraru rānei o te manawa
• Te mate pāwera e mōhiotia ana ki te phenobarbital, ki ētahi atu barbiturates rānei
• Te mate ate kino, te kore rānei o te ate
• Te porphyria intermittent acute (he āhuatanga ira onge)
• Te mate tākihi kino
• Ngā raruraru ngākau kino, te pēhanga toto iti rānei
• Te hītori o te waranga rongoā, waipiro rānei (ahakoa kāore i te aukati i te whakamahi)

Mēnā kei te hapū koe, kei te whāngote rānei koe, ka whakatauritehia e tō tākuta ngā painga ki ngā tūponotanga. I ngā wā o te hopu i te ora, he nui ake ngā painga i ngā tūponotanga, engari me whakatau tēnei whakatau mā te āta titiro a te tākuta.

Ka nui ake pea te ngawari o ngā pakeke ki ngā pānga o te phenobarbital, ā, me iti ake pea ngā horopeta, me nui ake rānei te aroturuki. Ka whakatikatika tō rōpū hauora i tā rātou huarahi i runga i tō tau me te āhua o tō hauora.

Ngā Ingoa Waitohu o te Phenobarbital

Kei te wātea te Phenobarbital i raro i ētahi ingoa waitohu, ahakoa ko te momo whānui te mea e whakamahia ana i roto i ngā hōhipera. He rite tonu te mahi a te rongoā ahakoa te ingoa waitohu.

Ko ētahi ingoa waitohu ka kitea pea ko Luminal, ahakoa he maha ngā hōhipera e whakamahi ana i te momo whānui e kiia ana ko "phenobarbital." Ka kōrero tō rōpū hauora ki a koe te momo e whiwhi ana koe, ahakoa he rite tonu ngā pānga me ngā whakaritenga aroturuki.

I ngā wā ohorere, he iti ake te hiranga o te waitohu motuhake i te whiwhi i te whakahaere hopu whai hua. Ka whakamahi ō tāngata hauora i te momo e wātea ana, e tika ana hoki mō tō āhuatanga.

Ngā Kōwhiringa kē mō te Phenobarbital

He maha atu ngā rongoā ka taea te whakamahi hei whakakapi, hei taha rānei i te IV phenobarbital mō te whakahaere hopu. Ka whiriwhiria e tō tākuta te kōwhiringa pai rawa atu i runga i tō momo hopu motuhake me tō āhuatanga hauora.

Ko ngā kōwhiringa kē mō te whakahaere hopu ohorere ko te lorazepam (Ativan), diazepam (Valium), levetiracetam (Keppra) rānei. He rerekē ngā painga o ia mea, ā, ka pai ake pea mō ētahi momo hopu, mō ngā āhuatanga tūroro rānei.

Mō te whakahaere hopu wā-roa, ko ngā rongoā waha pēnei i te lamotrigine, carbamazepine, valproic acid rānei, he pai ake pea ngā kōwhiringa. Kāore ēnei e hiahia ana ki te whakahaere IV, ā, ka taea te tango i te kāinga ina oti tō āhuatanga koi.

Ka kōrerohia e tō rōpū hauora te mahere rongoā pai rawa atu mō te wā roa ki a koe i te wā ka mārama te ohorere o te hopu. Ko te whāinga ko te kimi i te rongoā whai hua rawa atu me te iti rawa o ngā pānga taha mō tō āhuatanga motuhake.

He Pai Anei te Phenobarbital i te Lorazepam?

He rongoā hopu whai hua te phenobarbital me te lorazepam, engari he rerekē te āhua o tā rāua mahi, ā, he rerekē ngā painga. Ko te kōwhiringa "pai ake" ka whakawhirinaki ki tō āhuatanga hauora motuhake me te momo hopu e pā ana ki a koe.

Ko te tikanga, ka tere ake te mahi a te Lorazepam (i roto i te 2-5 meneti) engari kāore e roa te noho i roto i tō pūnaha. He maha ngā wā ka whakamahia hei rongoā tuatahi mō te aukati i ngā hopu koi nā te tere o te tīmatanga.

Ka roa ake te mahi a te Phenobarbital (15-30 meneti) engari ka whakarato i te whakahaere hopu roa ake. He maha ngā wā ka whakamahia i te wā kāore i whai hua te lorazepam, i te wā rānei e hiahiatia ana te whakahaere hopu roa ake.

He maha ngā tākuta e whakamahi ana i ēnei rongoā i te tahi, ka tīmata ki te lorazepam mō te whakahaere hopu tere me te tāpiri i te phenobarbital mō te whakahaere wā roa. Mā tō rōpū hauora e whiriwhiri te huarahi e tino whai hua ana mō tō āhuatanga motuhake.

Ngā Pātai Auau mō te Phenobarbital

He Haumaru Anei te Phenobarbital mō te Mate Ngākau?

Ka taea te whakamahi i te phenobarbital ki ngā tāngata e mate ana i te mate ngākau, engari e hiahia ana kia tūpato me te aroturuki anō. Ka taea e te rongoā te whakaheke i te pēhanga toto me te whakaiti i te tere o te ngākau, ka pā pea ki ngā tāngata e pā ana ki ētahi āhuatanga ngākau.

Ka āta arotakehia e tō rōpū hauora tō hauora ngākau i mua i te hoatutanga o te phenobarbital. Ka aroturukihia e rātou tō pēhanga toto me te manawataki o te ngākau i te wā o te rongoā kia mōhio ai te ngākau ki te rongoā.

Mēnā he ngoikore ngākau nui tō, he iti rawa rānei te pēhanga toto, ka whiriwhiria e tō tākuta tētahi rongoā rerekē, ka whakamahi rānei i te horopeta iti ake o te phenobarbital. Ka whakawhirinaki te whakatau ki te taurite i ngā hiahia whakahaere hopu me te haumaru ngākau.

He aha taku e mahi ai mēnā ka whiwhi au i te nui rawa o te Phenobarbital?

I te mea ka tukuna anake te phenobarbital IV e ngā tākuta i ngā wāhi hauora, he tino onge te horopeta nui. Ka tātai mārire tō rōpū hauora i tō horopeta, ā, ka aroturuki tonu i a koe i te wā o te rongoā.

Mēnā ka nui rawa te phenobarbital ka tukuna, ko ngā āwangawanga nui ko te nui rawa o te moe me te puhoi o te manawa. Kua whakangungua tō rōpū hauora ki te mōhio tonu ki ēnei tohu, ā, he rongoā ā rātou hei whakakore i ngā pānga.

Ko te rongoā mō te horopeta nui o te phenobarbital pea ko te manaaki tautoko pēnei i te āwhina manawa, ngā wai IV hei pupuri i te pēhanga toto, me te waro whakahohe i ētahi wā. Ka mahi tonu tō rōpū hauora mēnā ka whakapae rātou i tētahi hē horopeta.

He aha taku e mahi ai mēnā ka ngaro au i tētahi horopeta o te Phenobarbital?

Kāore tēnei pātai e pā ana ki te phenobarbital IV i te mea ka tukuna anake e ngā tākuta i ngā wāhi hauora. E kore koe e whai kawenga mō te wā, te whakahaere rānei i ngā horopeta i a koe anō.

Mēnā ka huri koe ki te phenobarbital waha mō te whakahaere i ngā pākia i te wā roa, ka hoatu e tō tākuta ki a koe ngā tohutohu motuhake mō ngā horopeta ngaro. I te nuinga o te wā, ka tango koe i te horopeta ngaro i te wā ka mahara koe, ki te kore e tata ana ki tō horopeta e whakaritea ana.

Mō te phenobarbital waha, kaua rawa e rua ngā horopeta hei utu mō ngā mea ngaro, i te mea he mōrearea tēnei. Whakapā atu ki tō kaiwhakarato hauora mēnā kāore koe i te mōhio ki te aha e mahi ai mō ngā horopeta ngaro o tētahi rongoā pākia.

Āhea ka taea e au te whakamutu i te tango Phenobarbital?

Ko te whakatau ki te whakamutu i te phenobarbital IV e whakawhirinaki ana ki tō whakahaere pākia me tō āhua hauora whānui. Ka whakatau tō rōpū hauora i tēnei whakatau i runga i ētahi āhuatanga tae atu ki te pai o te whakahaere i ō pākia me tō urupare ki te rongoā.

He maha ngā tāngata e whiwhi ana i te phenobarbital IV mō tētahi wā poto noa i te wā o te raruraru hauora. Kia tau ai ō rātou pūhihi, ā, kia tū tōtika ai tō āhua, ka huri pea tō tākuta i a koe ki ngā rongoā waha, ka whakaheke haere rānei i te horopeta.

Kaua rawa e whakamutu ohorere i te phenobarbital, nā te mea ka pā mai ngā pūhihi hoki mai. Ka hangaia e tō rōpū hauora tētahi mahere whakaheke haumaru mēnā e hiahia ana koe ki te whakamutu i te rongoā, me te whakarite kia mau tonu te whakamarumaru i ngā pūhihi i roto i te tukanga katoa.

Ka taea e au te taraiwa i muri i te whiwhinga i te Phenobarbital IV?

Kaua koe e taraiwa mō te 24-48 haora i muri i te whiwhinga i te phenobarbital IV, ā, ka roa pea i runga i tō urupare ki te rongoā. Ka mau tonu ngā pānga whakangāwari ahakoa ka mōhio koe kei te mātau, e pā ana ki tō wā urupare me tō whakatau.

Ka hoatu e tō tākuta ki a koe ngā tohutohu motuhake mō te wā e haumaru ana ki te hoki ki te taraiwa i runga i tō āhuatanga takitahi. E whakawhirinaki ana tēnei whakatau ki ngā āhuatanga pēnei i te horopeta i whiwhi koe, te tere o tō whakawātea i te rongoā, me tō whakaora whānui.

Mēnā ka tīmata koe i te rongoā pūhihi wā-roa, ka kōrero anō tō tākuta mō ngā here taraiwa e pā ana ki tō āhua pūhihi. He maha ngā whenua e whai ana i ngā ture motuhake mō te taraiwa i muri i ngā pūhihi, ahakoa te whakamahi rongoā.