Iphunga elimhlophe lihamba ngamagama amaninzi kuquka i- sizzurp , izinto ezibomvu , ezincikiweyo , ziselo kunye ne- barre . Nangona kunjalo, naphezu kwala ma-monikers adlalayo, utywala obomvu luyingozi kakhulu kwaye uye wabulala okanye wabulala abantu abadumileyo ngokubambisa izibhedlele ezifana ne-DJ Screw, uPimp C, kunye noLil Wayne (baphathwa kwi-ICU).
Kwiminyaka yakutshanje, utywala obomvu ugujwa phakathi kweemvumi, abaxumi kunye nabadlali bezakhono ezifana noMoyaja Boy, Justin Bieber, noJaMarcus Russell.
Kuyabonakala ukuba yonke ingqalelo yayishushu kakhulu kumthengisi ongeyena ongeyena, u-Activis, owamise ukuvelisa kunye nokuthengisa kwesi sivuno esinomkhuhlane kakhulu (obizwa ngegama elibizayo) ngenxa yokwesaba kokusetyenziswa kakubi kweziyobisi.
Yintoni ebomvu ephuzayo?
Ukusela i-Purple yi-cocktail yesitalato engathatha iifom ezininzi zihlala zijikeleza esinye isithako esibangela ukufa: I-Actavis isandul Esi sivuno sokukhwehlela "umbulali" sinqunywe nge soda, i-candy, kwaye ngamanye amaxesha utywala-kunika umqondiso wesiginci.
I-Promethazine hydrochloride yinkalo ye-phenothiazine yeziyobisi; Eli klasi lamachiza lisetyenziselwa kwi-antihistamine eyahlukeneyo (i-allergies) kunye neyeza-antipsychotic. I-Promethazine isetyenziswe kwisiraphu yokukhupha i-antigistamine, i-antiemetic (ukulwa nokuhlanza) kunye nemiphumo yokudambisa. Eyodwa, i-promethazine ayinakubangela ukuba ixakeke ngaphandle kokuba ixutywe kunye nezinye izixinzelelo ezifana ne-codeine kunye notywala.
I-Codeine yi-prodrug eyenziwa ngumzimba wakho kwi-morphine. Ngomsila wokukhwehlela umyalelo, ikhodiyine isebenza ukukhupha umkhuhlane. Njengoko mhlawumbi uyazi, i-morphine kunye nezinye i-opioids nazo zinokubangela iimvakalelo ze-elation, analgesia, kunye ne-euphoria, nayo. Ukusetyenziswa kakubi kwee-opioid yinkinga ephakamileyo eMelika nasehlabathini lonke.
Ukusela i-Purple kufana ne-anesthetic kodwa ngaphandle kokuxhasa ubomi. Ucinezela umzimba wakho ngeendlela ezininzi xa uphuza ukusela. Enyanisweni, ngamanye amaxesha utywala kuthiwa "uncike" ngenxa yokuba uvakalelwa ukuxhomeka xa usela.
Kutheni iwayini elibomvu libulala?
Ukusuka kwimiba yenzululwazi, kunzima ukuphawula ngqo ukuba kululeka kangakanani umfusa obomvu ukubulala umntu. Ukususela kwimbono yezokwelapha, kukhuselekile ukutsho ukuba ukuxuba nayiphi na inani lelaphu elibomvu liyilo elibi .
Inxila ephuzileyo iqulethwe zizidangatheko ezi-3 ezinokubambisana kunye okanye ezinokubangela ukuba:
- ukudandatheka
- ukulala (ubuthongo)
- ukunyuka
- coma
- hypotension (uxinzelelo lwegazi oluphantsi)
- ukufa ngokukhawuleza.
I-Promethazine ukugqithisa ngokwayo ingabangela iimpawu zokulwa ne-anticholinergic ezifana:
- i-hyperthermia (ukwanda kweqondo lomzimba)
- isikhumba esomileyo kunye neembrane ezinamaqabunga
- ukuxhamla
- dirium
- ukuhluthwa kwepupillary (echaphazela umbono)
Ngaphezu koko, i-promethazine ukugqithisa ingabangela ukuba:
- ukunyuka kwamanyathelo ekupheleni (athetosis)
- ukukhutshwa kwengqondo
- ukunyaniseka
- ukulahlekelwa kwentando yokuzithandela (ataxia)
Ukukubeka ngokulula, ukusela i-messes kunye ne-physiology yakho ngeendlela ezahlukeneyo. Ukongezelela, xa ezinye iimbandezelo zentlungu ziphonsa kwimxube efana ne-barbituates, i-narcotics, kunye ne-tricyclic anti-depressants, iziphumo zibuhlungu kakhulu.
Uphando
Ngenjongo yokulula, eli nqaku lijoliswe kwiNkcenkceshe ephucukileyo ephucukileyo. i-iteration egujwa kakhulu kwaye ikhandwa ngabantu abadumileyo kunye nabaxhaphazi abafanayo. Nangona kunjalo, ukusela kunokuphinda kuphutshwe kwi-syrups yokukhwehlela ngaphezulu kwe-counter equkethe i-dextromethorphan. (Nceda ungafumani nayiphi na imibono.) I-Dextromethorphan ifana ne-disestative kettle (i-K ekhethekileyo) ne-phencyclidine (i-PCP). Njengabo bazalwana beekhemikhali, xa kuthathwa ngokugqithiseleyo, i-dextromethorphan inokubangela ukuba i-hallucinations kunye ne-out-of-body (dissociative) amava; Kwakhona kubangela iziphumo ezimbi ezimbi njengokwanda kwentliziyo, ingozi yexinzelelo, kunye ne-diaphoresis (i-sweating sweating).
Ukuba unikezwa indebe ye-styrofoam egcwala ngamanzi atywala obomvu - ngokucacileyo, iikomityi ze-styrofoam ziindlela ezikhethiweyo zokulawulwa - nceda wenqabe. Ukuba usebenzisa kakubi uDktank okanye nayiphi na iziyobisi zokuxhatshazwa, nceda ufune uncedo uze uxubushe nomlwelwe wezilwanyana okanye umgqirha unonophelo loogqirha okanye uncedisa ugqirha onokukuthungela kwisifo sengqondo somlutha.
Ukukhangele phambili, kukukhuthaza ukuba i-Activis icime ukuveliswa kunye nokuthengiswa kwe-Promethe, isiraphu yokukhwehlela. Nangona kunjalo, njengoko nayiphi na ummeli we-DEA okanye ugqirha wezokwelapha ungayingqina, xa kukho intando, kukho ikhona indlela. Njengamanje, abantu bayagcina isiraphu yokukhupha i-activis ye-Activis isine-promethazine kunye ne-codeine. Kuhlala kubonakala ukuba ngaba abathengisi beziyobisi okanye abanye abantu abanqwenela ukusela i-purple bathe bafumane enye indlela yokwenza i-cocktail igcwele i-promethazine kunye ne-opioids.
Imithombo:
I-athikili ebizwa ngokuthi "i-Purple itywala intsinzi kunye neempawu zokungaziphathi kakubi kwi-mixine ye-codeine ye-syrup mix mix" yi-LE Agnich kunye nabalobi ababambisene nabo abashicilelwe ngo-2013. Ukufikelela kwi-PubMed ngo-1/30/2015.
I-athikili ebizwa ngokuthi "i-Antitussives kunye nokusetyenziswa kakubi kweziyobisi" yiJM Burns kunye ne-EW Boyer evela kwiNkcitho yokuShatshazwa kweMveliso kunye nokuBuyiselwa koMhlaba okupapashwe ngo-2013. Ukufikelela kwi-PubMed ngo-1/30/2015.