Amitriptyline lom: cov tsos mob, kev kho mob thiab qhov tshwm sim

Cov txheej txheem:

Amitriptyline lom: cov tsos mob, kev kho mob thiab qhov tshwm sim
Amitriptyline lom: cov tsos mob, kev kho mob thiab qhov tshwm sim

Video: Amitriptyline lom: cov tsos mob, kev kho mob thiab qhov tshwm sim

Video: Amitriptyline lom: cov tsos mob, kev kho mob thiab qhov tshwm sim
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Kev nyuaj siab yog ib txwm muaj niaj hnub no. Yog li ntawd, ntau tus neeg yuav tsum tsis tu ncua noj tshuaj tshwj xeeb - antidepressants. Tab sis thaum siv cov tshuaj no, koj yuav tsum tau ceev faj heev. Cov tshuaj no muaj xws li tshuaj raws li amitriptyline. Kev tshuaj lom nrog cov tshuaj no feem ntau tshwm sim vim kev noj tshuaj ntau dhau ntawm cov ntsiav tshuaj. Yuav ua li cas kom paub intoxication? Thiab yuav pab tus neeg raug tsim txom li cas? Peb yuav teb cov lus nug no hauv kab lus.

Kev piav qhia ntawm cov tshuaj

Amitriptyline yog cov khoom muaj nyob hauv cov laus tiam tricyclic antidepressants. Cov tshuaj no zoo heev, yog li lawv tseem siv tshuaj.

Feem ntau, cov tshuaj nrog cov tshuaj no yog tsim nyob rau hauv tib lub npe - "Amitriptyline". Cov npe lag luam "Saroten" thiab "Triptizol" tsis tshua muaj.

Amitriptyline thaiv kev ntes los ntawm paj hlwb ntawm "hormones ntawm kev xyiv fab" - serotonin thiab norepinephrine. Yog li ntawd, cov tshuaj no khaws cia hauv lub cev. Ib tug neeg txoj kev ntxhov siab thiab kev xav tau ploj mus, thiab lub siab xav tau zoo.

Txawm li cas los xij, cov tshuaj no tsis ua haujlwm tam sim ntawd. Cov nyhuv antidepressant tuaj yeem hnov tsuas yog tom qab 10-14 hnub. Thaum lub sij hawm no, nws active tivthaiv accumulates nyob rau hauv lub cev. Muaj cov xwm txheej thaum cov neeg mob, tsis hnov mob tam sim ntawd hauv thawj hnub ntawm kev kho mob, arbitrarily nce koob tshuaj. Qhov no tuaj yeem ua rau muaj tshuaj lom nrog amitriptyline.

lub xeev kev nyuaj siab
lub xeev kev nyuaj siab

Kev nyuaj siab yog qhov tseem ceeb, tab sis tsis yog ib qho qhia rau kev teem caij kho no. Cov tshuaj no kuj yog siv los kho bulimia thiab anorexia, plab hnyuv khaus thiab urinary incontinence nyob rau hauv cov me nyuam.

Cov tshuaj tiv thaiv kev nyuaj siab no yog ib qho tshuaj noj nruj me ntsis. Nws yuav tsum tsis txhob noj ntawm nws tus kheej. Tag nrho cov kev kho mob yuav tsum nyob rau hauv kev saib xyuas ntawm tus kws kho mob.

Ua rau qaug cawv

Vim li cas amitriptyline lom tshwm sim? Feem ntau, qhov ua rau qaug cawv yog ua txhaum txoj cai noj tshuaj:

  1. Ntau dhau. Muaj cov xwm txheej thaum cov neeg mob nws tus kheej nce cov ntsiav tshuaj txhua hnub.
  2. Cawv cawv thaum kho. Cov kws kho mob nruj me ntsis txwv tsis pub haus cawv thaum noj tshuaj tiv thaiv kab mob. Ethanol txhim kho cov nyhuv ntawm cov tshuaj psychotropic. Qhov kev sib xyaw ua ke no ua rau muaj kev nyuaj siab rau lub paj hlwb.
  3. Noj lwm cov tshuaj uas tsis zoo nrog cov tshuaj tiv thaiv kev nyuaj siab. RauCov tshuaj xws li hypnotics, neuroleptics, thiab anticonvulsants. Qhov kev sib xyaw ntawm cov tshuaj no tuaj yeem ua rau muaj tshuaj lom.
Overdose ntawm antidepressants
Overdose ntawm antidepressants

Nyob rau hauv kev puas siab puas ntsws, tau muaj cov tshuaj lom tshuaj lom nrog lub hom phiaj ntawm kev tua tus kheej. Tom qab tag nrho, cov tshuaj no feem ntau raug muab rau kev nyuaj siab, thiab xws li lub siab lub ntsws tuaj yeem nrog cov tswv yim tua tus kheej. Yog li ntawd, cov neeg mob suicidal yuav tsum tau kho nrog tshuaj tua kab mob hauv tsev kho mob.

Amitriptyline lom kuj tau pom ntawm cov menyuam yaus. Qee hom ntawm cov ntsiav tshuaj no muaj xws li dragees. Ib tug me nyuam yuav ua yuam kev rau lawv rau cov vitamins qab zib thiab tsis txhob haus lawv. Yog li ntawd, cov tshuaj muaj zog no yuav tsum muab zais ntawm cov menyuam yaus kom deb li deb tau.

Dangerous dosage

Cov tshuaj tiv thaiv kev ntxhov siab no tuaj hauv daim ntawv ntawm 25mg ntsiav tshuaj. Tsuas yog tus kws kho mob tuaj yeem xaiv cov tshuaj uas xav tau. Tag nrho cov kev kho mob tshwm sim nyob rau hauv kev saib xyuas ntawm ib tug kws tshwj xeeb. Thaum tus mob zoo lawm, cov tshuaj txo qis, thiab thaum nws hnyav zuj zus, nws nce ntxiv.

Cov koob tshuaj pom zoo yuav tsum tsis txhob tshaj. Txawm tias thaum noj 6 ntsiav tshuaj, cov neeg laus pom cov tsos mob me me. Qhov koob tshuaj txaus ntshai rau menyuam yaus tseem tsawg dua. Me nyuam yaus tuaj yeem raug tshuaj lom los ntawm kev haus 3-4 ntsiav tshuaj.

Yog tus neeg mob noj tib lub sijhawm 1.5 grams tshuaj (60 ntsiav tshuaj), ces qhov no ua rau tuag. Txawm hais tias tus neeg mob tau noj tshuaj tuag ntau ntau hauv ib hnub, nws tseem ua rau muaj kev phom sij loj heev rau txoj sia.

Nws txhim kho li caskev npau suav

Xav txog cov kab mob ntawm amitriptyline lom. Tom qab noj ntau cov ntsiav tshuaj, cov khoom xyaw nquag tau sai sai absorbed rau hauv cov ntshav. Lub cev muaj ntau ntau ntawm serotonin thiab norepinephrine. Qhov no ua rau muaj zog overexcitation ntawm lub paj hlwb, qhov tsos ntawm hallucinations thiab convulsions. Tom qab ntawd, lub xeev no tau hloov pauv los ntawm kev nyuaj siab ntawm lub hlwb ua haujlwm thiab tsis nco qab txog coma.

Cov tshuaj tiv thaiv kev nyuaj siab no kuj muaj cov nyhuv anticholinergic. Yog li ntawd, tus neeg mob cov menyuam kawm ntawv dilate sharply, ua tsis taus pa luv tshwm, tsis kaj siab dryness nyob rau hauv lub qhov ncauj tshwm. Nrog rau qhov tseem ceeb tshaj ntawm cov tshuaj tso cai, cov tshuaj depresses ua pa thiab mob plawv. Qhov no feem ntau tuag taus.

Dilated menyuam kawm ntawv - ib tug kos npe rau ntawm intoxication
Dilated menyuam kawm ntawv - ib tug kos npe rau ntawm intoxication

Amitriptyline lom code raws li ICD-10 - T.34. Txoj cai no encodes intoxications nrog tshuaj psychotropic tsis cais lwm qhov chaw.

Hauv tshuaj, muaj peb qib kev qaug cawv. Peb yuav txiav txim siab txog cov tsos mob ntawm kev lom nyob ntawm qhov mob hnyav ntawm tus neeg mob.

Mild degree

mob me me tshwm sim nrog me me overdose. Piv txwv li, tus neeg mob noj ob ntsiav tshuaj es tsis txhob ntawm ib los yog noj tag nrho cov tshuaj txhua hnub ib zaug. Hauv qhov no, cov tsos mob hauv qab no ntawm amitriptyline lom tshwm sim:

  1. Kev zoo siab. Muaj lub cev muaj zog thiab kev puas siab puas ntsws. Tus neeg mob yuav nyob tsis tswm, chim siab thiab txhoj puab heev.
  2. Kev tsis txaus siab ntawm kev ua haujlwm excretory. Kev tso zis ntau zaus tshwm sim, qee zauminvoluntary.
  3. tsis pom kev. Vim cov menyuam kawm ntawv dilated, tus neeg mob tsis pom zoo. Txhua yam khoom nyob ib puag ncig zoo li fuzzy thiab qhov muag plooj rau nws.
Kev ntxhov siab nrog amitriptyline overdose
Kev ntxhov siab nrog amitriptyline overdose

Daim ntawv me me ntawm kev qaug cawv feem ntau muaj qhov tshwm sim zoo. Tom qab ob peb hnub, tus neeg mob rov zoo. Tsis muaj teeb meem hauv feem ntau.

Kev mob hnyav hnyav

Tshuaj lom ntawm qhov mob hnyav tshwm sim nrog qhov tseem ceeb tshaj ntawm cov koob tshuaj. Xws li intoxication kuj tshwm sim thaum cov tshuaj ua ke nrog cawv los yog tshuaj psychotropic muaj zog. Tus mob no yog nrog los ntawm cov tsos mob hauv qab no:

  1. mob nkees nkees. Tus neeg mob yuav pw tsaug zog hauv txhua txoj haujlwm.
  2. Kev puas hlwb. Qee qhov xwm txheej, pom kev pom thiab hnov lus pom tshwm sim.
  3. Slowness. Tus neeg mob zoo li qaug zog, nws txav tau qeeb thiab ua haujlwm tsis zoo. Kev hais lus yuav luag ntxhi.
  4. Hyperthermia. Tus neeg mob ua npaws (nce txog 38 degrees).
  5. Kev mob plawv thiab ua pa. Muaj zog tachycardia, thiab ntshav siab poob. Tus neeg mob ua pa hnyav thiab nrawm.
  6. Cov tsos mob dyspeptic. Tus neeg mob txhawj txog xeev siab thiab ntuav.
Drowsiness yog ib qho cim ntawm kev lom
Drowsiness yog ib qho cim ntawm kev lom

Nyob rau hauv kev lom nruab nrab, qhov kev mob tshwm sim zuj zus. Yog tias tus neeg mob tsis kho raws sijhawm, nws yuav tsis nco qab thiab poob rau hauv coma.

Siab

Kev qaug cawv hnyav tshwm sim thaumntau tshaj qhov kev kho mob ntawm cov tshuaj antidepressant los ntawm ntau zaus. Lub tsev kho mob ntawm amitriptyline tshuaj lom nrog kev tuag ntau dhau yog raws li hauv qab no:

  • tsis nco qab;
  • coma;
  • tsis muaj cov lus teb rau cov menyuam yaus rau lub teeb stimuli;
  • dab ntshav siab;
  • frequent weak pulse;
  • xav

Nov yog ib qho mob hnyav heev. Yog tsis muaj kev kho mob, nws yog inevitably tuag.

Mob hnyav nrog amitriptyline
Mob hnyav nrog amitriptyline

Yuav ua li cas pab tus mob

Nws tsis tuaj yeem kho tshuaj tua kab mob lom hauv tsev. Yog li ntawd, lub tsheb thauj neeg mob yuav tsum tau hu tam sim ntawd. Cov kws kho mob sai sai pib kho tus neeg mob, qhov muaj feem yuav cawm tau tus neeg mob ntau dua.

Yog tus neeg raug tsim txom tsis nco qab lawm, tom qab kev kho mob ua ntej nws yuav tsum tau txais kev pab hauv qab no:

  1. YYau lub plab nrog cov tshuaj tsis muaj zog ntawm poov tshuaj permanganate.
  2. Muab lub sorbent los ntxuav lub cev ("Enterosgel", "Smektu", activated carbon).
  3. Muab tus neeg mob tso rau ntawm nws nraub qaum, thiab tso lub hauv ncoo lossis lub cushion hauv qab nws lub taub hau.

Yog tus neeg mob tsis nco qab lawm, ces nws muab tso rau ntawm nws sab. Qhov no yuav tiv thaiv kom tsis txhob ntuav. Txog thaum tus kws kho mob tuaj txog, tus neeg mob yuav tsum nyob twj ywm, thaum nws tseem ceeb heev rau kev saib xyuas kev ua pa thiab lub plawv ua haujlwm.

Kev kho mob

Kev kho mob amitriptyline lom yog ua nyob rau hauv tsev kho mob. Yog hais tias tus neeg mob nyob rau hauv lub coma, ces muab tso rau hauv lub intensive care unit.

Thaum muaj tshuaj lom me me, tus neeg mob raug ntxuav tawm ntawm lub plab thiab muab tshuaj laxatives. Qhov no yuav pab tshem tawm amitriptyline seem ntawm lub cev.

Hauv qhov xwm txheej hnyav dua, cov tshuaj yaug nrog cov tshuaj infusion tau muab tso rau ntxuav lub cev lossis hemosorption yog nqa tawm.

Yog tias muaj tshuaj lom nrog amitriptyline, cov tshuaj tiv thaiv tsis raug tswj hwm. Txog niaj hnub no, tsis muaj cov tshuaj tiv thaiv zoo li no. Antidepressant intoxication tsuas yog kho tau cov tsos mob.

Tom qab tus neeg mob tus mob zoo lawm, cov tshuaj hauv qab no tau muab:

  1. Cholinesterase inhibitors ("Prozerin", "Physostigmine"). Cov tshuaj no tsis yog tshuaj tua kab mob, tab sis lawv txo qis cov nyhuv anticholinergic ntawm amitriptyline. Qhia nyob rau hauv kev nyuaj siab loj ntawm lub hauv nruab nrab lub paj hlwb.
  2. YCorticosteroids. Cov tshuaj hormonal yog siv thaum ntshav siab poob.
  3. tshuaj tiv thaiv kab mob. Cov tshuaj no raug muab tshuaj lom, nrog rau lub plawv dhia tsis ua haujlwm.
Cov tshuaj "Prozerin"
Cov tshuaj "Prozerin"

Cov neeg mob kuj pom tias nqus pa nrog oxygen. Thaum mob hnyav, cov neeg mob txuas nrog lub tshuab ua pa. Hauv thawj 5 hnub, kev soj ntsuam ib puag ncig ntawm kev ua pa, ntshav siab thiab lub plawv ua haujlwm yog tsim nyog.

Yuav ua li cas lom cuam tshuam kev noj qab haus huv

Txawm tias muaj kev kho mob raws sijhawm, cov teeb meem tom qab qaug cawv tsis tuaj yeem txiav tawm. Cov txiaj ntsig ntawm amitriptyline lom tuaj yeem cuam tshuam kev noj qab haus huv ntev tom qab rov zoo.

Intoxication feem ntau cuam tshuam rau hauv nruab nrab paj hlwb. Tom qab tshem tawm cov tsos mob hnyav tuaj yeem tshwm simCov kab mob pathological hauv qab no:

  • tsis khov kho;
  • kev tsis sib haum xeeb ntawm kev sib koom tes;
  • deterioration of mental activity;
  • muscle tsis muaj zog;
  • frequent relapses of depression.

Nyob rau hauv kev qaug cawv hnyav, muaj teeb meem los ntawm lwm yam kabmob kuj tuaj yeem tshwm sim:

  • pneumonia;
  • arrhythmia;
  • tsis ua haujlwm ntawm lub plawv, lub siab thiab lub raum ua haujlwm;
  • ncig los ntshav.

Yog tias qhov tshuaj lom tau nrog rau qhov tsis pom kev loj, ces nws tsis tuaj yeem tshem tawm tag nrho cov spasm ntawm qhov chaw. Rau ntau tus neeg, myopia tom qab intoxication tseem nyob mus ib txhis.

Zaj lus

Tshuaj lom nrog tshuaj rau kev nyuaj siab yog ib qho tshuaj lom neeg txaus ntshai tshaj plaws. Yog li ntawd, thaum noj cov nyiaj no, yuav tsum tau ceev faj heev. Tom qab tag nrho, qhov tshwm sim ntawm kev noj tshuaj ntau dhau tuaj yeem hloov tsis tau. Tshaj tus naj npawb ntawm cov ntsiav tshuaj tso cai, koj tuaj yeem tsim kev puas tsuaj rau koj txoj kev noj qab haus huv.

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