Benzodiazepines, Opiates, uye Bharbiturates Zvose Zvinogona Kufuridzira
Kana iwe ukashandisa mamwe mishonga yemishonga-yakadai se benzodiazepines, opiates kana opioids, uye mabhakitiriri-unogona kushamisika kuti izvi zvinogona kukukanganisa sei dambudziko rako rekushaya chirwere cheperesi . Sezvo mishonga iyi inogona kuva nemigumisiro pamapurani maviri ehope , mushutu tutu, nekufema, zvinoguma zvingave zvakakosha.
Benzodiazepines
Chikoro chemishonga chinonzi benzodiazepines chinosanganisira mishonga yakawanda inobatsira kuderedza kufunganya.
Mamwe acho anoshanda semasuruti anononoka kana anoshandiswa seanticonvulsants kuti apore mhirizhonga. Sezvo mishonga iyi inogona kukonzera kurara, dzimwe nguva yakashandiswa pamusoro penguva pfupi kuti ibatsire kurara (kunyange kushandiswa kusingaperi kwechinangwa ichi kunodzwa). Mimwe yemishonga ye benzodiazepine inosanganisira:
- Alprazolam (Xanax)
- Chlordiazepoxide
- Clonazepam (KIonopin)
- Clorazepate
- Diazepam (Valium)
- Lorazepam (Ativan)
- Quazepam
- Midazolam
- Estazolam
- Flurazepam
- Temazepam (Restoril)
- Triazolam
Ibenzodiazepines inoshanda pedyo neGABA receptor pamusoro pemasero, izvo zvinokonzera kuti chloride iende zvakasununguka mumigwagwa yavo. Kurapa kwehope , zvakanyanya kuchinjwa nemishonga yakachengeteka iyo isingawedzere ngozi yekufemedzwa kana kufema.
Opiates
Maopiates (dzimwe nguva anonzi opioid kana narcotics) ikirasi yemishonga inowanzoshandiswa pakununurwa kunorwadza. Mimwe inoshandiswawo kubata chirwere kana kukora.
Sezvo vachigona kukonzera kurara semagumisiro emagetsi, vanogona kuva nemigumisiro inokosha pakufema munguva yekurara. Zvimwe zvemafuta anowanzosanganisira:
- Hydrocodone
- Oxycodone
- Fentanyl
- Mepridine
- Methadone
- Morphine
- Sufentanil
- Codeine
- Propoxyphene
- Buprenorphine
- Pentazocine
Aya maopiates anosunga kune zvakasiyana-siyana zveopioid receptors mukati mehutachiona uye mune imwe nzvimbo mumuviri.
Opioids inokonzerwa nekuwedzera kufema kupfurikidza, kufema zvisina kufanira, uye kufema kuderera. Izvozvo zvinogona kukonzera kuparara kwepabonde mukati .
Barbiturates
Mabhakitiriri ikirasi yemishonga yakave yakashandiswa kushandiswa, asi nekuda kwematambudziko makuru, kusanganisira pangozi yekuzvidzivirira uye kubviswa, zvakanyanya kupedzerwa sevashandi. Zvinogona kukonzera coma muyero inotyisa. Zvimwe zvebarbiturates dzinosanganisira:
- Amobarbital
- Phenobarbital
- Pentobarbital
- Secobarbital
- Thiopental
Bharbiturates inoshanda pa sodium uye potassium vatakuri mumasero, izvo zvinogona kudzivisa nzira inoshandiswa inoshandiswa muitiro muuropi. Izvi zvinogona kuita kuti munhu asvike uye kunyange ane coma uye ane zvakakosha pamigumisiro yekufema. Iyi mishonga haifaniri kushandiswa sevashandi zvekurara kurapa kusuruvara.
Iyo Mishonga Iyi Inobatsira Sei Kuputira Mukurara
Imwe yemishonga iyi inogona kuderedza kufema kwako uye kuita kuti nzvimbo yako yepamusoro iwedzere kudonha. Izvi zvinogona kukuvadza kufema-kuora mwoyo kufema, zvakadai sokurara kwepabonde. Sezvo mishonga iyi ichidzivisawo uwandu hwako hwekuziva, iwe unogona kunge usingagoni kuchengetedza gwara rako rokutengesa zvakakwana. Izvi zvinogona kutungamirira kuvhiringidzika kupemha, kunyunyuta kana kufungidzirwa, uye kunyange kufa. Iyi mishonga inowanzobatanidzwa mukufa kwevanhu vakawanda, kusanganisira pakati pevanhu vanozivikanwa.
Pakupedzisira, mishonga iyi inogona kuva nemigumisiro yakasiyana pamakoro ako ekurara, zvichiita kuti uvhiringidzire kurara kunyange iwe uchiramba usingazivi.
Kana iwe uine chirwere chokuputira, iwe unofanirwa kuva nepolysomnogram (PSG) inoshandiswa paunoshandisa chero ipi yemishonga iyi kuti uone nezvemigumisiro. Zvakakosha kurukura njodzi idzi nechiremba wako kuti uone kana zvakakosha zvemishonga zvinopfuura zvakakwanisa kukuvadza mumamiriro ako ezvinhu.
Sources:
Dolly, F uye Block, A. "Migumisiro ye flurazepam pamusoro pokurara-kuora mwoyo kwekufema uye kwemazuva ano kushatisa mune zvidzidzo zvisingatauriki." Am J Med 1982; 73: 239.
Harvey, RA uye Champe, PC. "Pharmacology." Lippencott , 2nd edition, 2000.
Katzung, BG. "Basic & Clinical Pharmacology." Lange , 9th edition, 2004.