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YS% ,xldfõ nyq,j yuqjk úI iys; Ydl. cd;sl úI yd U!IO f;dr;=re uOHia:dkh YS% ,xld cd;sl frday," fld<U'. oaús l¥re (Tabernaemantana dichotoma ). oaús l¥re. Ydlh y÷kd . ekSu (- Ydlh - l= vd folg fnfok w;= iys;hs ' m;% - ´ j,dldr " m%; súreoaO " os.dkq.;j msysgd we;'
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YS% ,xldfõ nyq,j yuqjk úI iys; Ydl cd;sl úI yd U!IO f;dr;=re uOHia:dkh YS% ,xld cd;sl frday," fld<U'
oaúsl¥re Ydlhy÷kd .ekSu(- Ydlh - l=vdfolgfnfok w;= iys;hs' m;% - ´j,dldr" m%;súreoaO" os.dkq.;jmsysgd we;' M,h - uiaiys;h' yriaw;gt,a,djefgkw;r fldgiafollgfnoS we;' lygyqre ;eô,s mdgM,hls' weg - ;o r;= meye;suohlskawdjrKh ù we;' wegj, úfrApl" fõokdkdYl$u;alrjkiq,Q yd úIiys; ix>gl we;' YrSr.;jQúgwefg%dmska (A tropin) wê-YrSr.;ùugiudkfrda. ,CIK we;s lrhs'
oaús l¥re • u| muKska YrSr.;jQ úg fmkajk frda.S ,CIK(- ysi roh" Tlaldrh" jukh" mdpkh' • wèl f,i YrSr.;jQ úg fmkajk frda.S ,CIK(- f;d," lg úh<d hEu' j;=r msmdih weia lKSksldj úYd, ùu" uqyqK r;= ùu" yDo iamkaok fõ.h jeäùu" udkisl wiunr;djh" widudkH yËd jeàï" isysh úl,aùu" Wkaudoh yd j,smamqj'
oaús l¥re • frda. m%;sldr woshr(- 1 iajdi kd, udrA.h mrSCId lsrSu" yqiau .ekSu yd reër ixirKh ;sfíoehs mrSCId lsrSu' tfia ke;fyd;a - lD;su iajikh yd yDo iamkaokh ,nd oSu - blaukska úfYaI{ ffjoH iyh ,nd .eksu' 2 wdudY fldapkh - kej; jukh lrùu u.ska ^YrSr.;ù meh 1 - 2 ;=<&'
oaús l¥re 3 wÕ=re iys; T!IO (Activated charcoal) 50-100g muK 100ml l osh fldg meh 2 la ;=< îug ,nd oSu' • ;on, Wkaudo ,CIK ;sfí kï-Physostigmine • j,smamqj i|yd - vhismEï Diazepam • frda.S ,CIKj,g wkql+,j ,nd fok fjk;a m%;sldr'
f.dv lÿre • Ydlh y÷kd .ekSu(- Ydlh -uDÿ ly-w¿ ñY% l| iy os,sfik m;%' M,h - f.da,dldr Yla;su;a os<sfikiq¨ ;eò,s meye;s M,hls' tys lyg yqre fc,s jeks m,amhla we;' weg - w¿ meye;s weg tla me;a;la W;a;, w;r wfkla me;a; wj;,h' úIldrl ix>glh- we,alf,dhsÙ iaá%Ékska (Alkaloid strychnine) wegj,we;s fuh m%Odk iakdhq moaO;shg n,mdhs' udrl ud;%h - tla weghla jqjo udrl m%;sM, we;s lrhs'
f.dv lÿre • úI ldrl l%shdldrs;ajh(- fud<fha iy iqIqïkdfõ mj;sk .a,hsiSka (glycene) keue;s ksfIaOl .kfha iakdhq ikakdhlh wjls%hdldrs;ajhg m;a lsrSu' fuu l%shd uiamsvqj, w;s W;af;ackl ;;ajhla we;sfõ'
f.dv lÿre • YrSr.; ùfuka miq we;sjk YrSr ,CIK' iq¿ jYfhka kï - uiamsvq fmr,Su" flkavd fmr,Su" m%;Sl wêl%shdldrs;ajh (hyperreflexia) wêl f,i kï - iuñ;sl kej; isÿjk fõokdldrS j,smamqjla$lïmkhla' ;o WK" YrSr whk iu;=,s;;dj Ä| jeáu (metabolic acidosis)" uia msvq ffi, Ä| jeáu iy tu ksid jl=.vq wl%Sh ùu" õI YrSr.; ùu ksid we;sjk ;j;a ,laIKhlah'
f.dv lÿre • j,smamqj usks;a;= 1$2 isg 2 olajd mj;sk w;r bkamiq uiamsvq nqre,a iajNdjhla fmkajhs' fuu fõokdldrS j,smamqj we;s jkafka frda.shd isysfhka isák úgoSh' tf;la j,smamqj os.gu mej;=kfyd;a isysh ke;sjk w;r tu ksid wdiajdi m%iajdi kej;Su ksid frda.shd ñh hhs'
f.dv lÿre • m%;sldr l%u(- • m<uqj iajdikd, udrA.h yqiau .ekSu yd reèr ixirKh ;sfíoehs mrSCId lsrSu' • j,smamqj i|yd - vhismEï 5-10mg Oukshg úoSu (intravenous). • tfukau *sfkdandìfgdaka yd f*ksfgdhska fidaähï jeks T!IO o j,smamqj md,khg fhd¯.; yel' • j,smamqj kej;=k miq wdudY fOdajkh iy wÕ=re ldrlhla (Activated charcoal) Åug oSu'
f.dv lÿre • fidaähï nhsldfndfkaÜ reèr wï,sl;djh md,kh reèr idïm, th i|yd mrSCIdj' • j,smamqj úIùug kï fuu ish,q m%;sldr l< hq;af;a ksIaYío ksoyia mrsirhloSh'
osh lÿre • Ydlh y÷kd .ekSu(- f;;a yd úh,s l,dmj, uqyqÿnv fjr< ;Srfha' u,a - iy meye;s uOHu m%foaYhla iys; iqÿ meye;s m;%' M,h - f.da,dldr fld< meyeh ----@ frdai meyehg yefrA' bÿKq úg wU f.ähla jeksh' msg; we;s ;ka;=uh wdjrKh c,fha mdùug WmldrSfõ'
osh lÿre • úIldrlh - uofha yDoh jia;=jg úIldrl jk irAfnrska(cerberine)" (odonllum)"f;jáka(thevetin) we;' • M,fha uoh úI iys; jk w;r M, folla urKh f.koSug ;rï úI iys;h'
osh lÿre úI YrSr.;jQ úg we;sjk YrSr ,CIK(- • mqmqre .ik iajNdjh yd uqLfha úh<s iajNdjh" Tlaldrh" jukh" mdpkh yd nfÙ oeú,a, uQ,sl ,CIKhkah' • yDo iamkaok fõ.h wvqùu" reèr mSvkh wvqùu yd yDo iamkaok rgdj wl%uj;a ùu' • j,smamqj yd isysuqrAPdùuo we;súh yel'
osh lÿre • frda. md,kh(- • wdudY fOdajkh • wÕ=re ñY%Kh (Activated charcoal) îug oSu' • wjYH reèr mrSCIK lsrSu' • frda. ,CIK wkqj lrk m%;sldr'
lfkare Ydlh y÷kd .ekSu(- lsrs jeks hqIhla iys; l=vd Ydlhlas' ;o fld< meye;s os,sfik iq¿ frAÇh m;% iys;h' mqIamh - úYd, mqkS,dldr iy frdai r;= iy iqÿ meye;s u,a lel=¿ w;= w. we;' M,h - fkdbÿkq M,h fld< meye;sh' bÿkq úg iyg yqre fld< meye;sh' ;%sfldaKdldr yeve;s w;r ueo tijqkq ¯rhla we;' úI ldrlh - f;jÜka A iy B, cardiacglycosides. úI ix>glh - ish¿ Ydl fldgia úfYaIfhka M,h‘ Ydlfha M,fha uofhka fldgila jqjo orefjl=g udrdka;sl úh yel'
lfkare • M,h YrSr.;jQ úg uq,ska Tlaldrh yd jukh we;s jkafka wdudYh WoaoSmkh ùu ksidh' • YrSr.; ùfuka meh 6-12 miq jukh we;sùug kï úI úYd, m%udKhla YrSrhg wjfYdaIKh úh hq;=h' • yDo jia;=jg úI ùu ksid yDo iamkaok fõ.h wvqùu" reèr mSvkh wvqùu yd yDo jia;=fõ iamkaok rgdj wl%uj;a ùu' • wks;a úI ùï ksid j,smamqj“ isys ùu' oDIaÀ m:h iy meye ùu jeks ,CIK oelsh yel'
lfkare frda. md,kh(- • frda.,CIK fkdue;s úI YrSr.; jQjkao frdayf,a meh 24 ksrSlaIKh l< hq;=h' • wdudY fYdaOkh wjYH kï l< hq;=h' • wÕ=re ñY%Kh (Activated charcoal) îug oSu' wjYH kï iEu meh 4 jrla 12'5-25 m%udKhla îug oSu' • yDo iamkaok fõ.h reêr mSvkh wdYajdi m%iajdih ióCIKh yd fndk m%udK yd uQ;%d msgùu ksrSCIKh' • reêrfha whk ixhq;sh (SE) meh 4 jrla mrSCId lsrSu' • yDo jia;=fõ l%shdldrs;ajh mrSCId lsrSu (ECG) • j,smamqj i|yd - vhismeï 5-10 mg jrla • n%eäldähd i|yd - wefg%dmska 0'5-2 mg jrla
T<s| • Ydlh y÷kd .ekSu(- tlla yer tlla f,i fld<j,ska hq;= isyska je,ls' oï meye;s u,a fmdl=rl keÜfÜ w. we;' weg - Yla;su;a os<sfikiq,q weg ;o r;= mdg jk w;r tys ueo l¿ meye;s ;s;la we;' úI ldrlh - fgdlaie,aÅhqñka >kfha weírska' úI iys; fldgi - weg b;d úI iys;h' levqkq tl weghla jqj;a urKh f.k osh yel'
T<s| frda. ,CIK(- • Tlaldrh" jukh" mdpkh" nfÙ fõokdj hkdos frda. ,CIK weírska u.ska wdka;%sl udrA.hg ydks lsrSu ksid we;sfõ' • tfukau wdka;%h ;=jd, ùu ksid f,a jukh yd iy meye wiQÑ msgùu oelsh yel' • wlaudj bosóu yd ydks ùuo oelsh yel' • r;= reêrdkq úkdY ùu" wvq reêr mSvkh yd Rcq úI ùu ksid jl=.vq l%shdldrs;ajh ì| jeàu is¥fõ' • oDIaÀú;dkhg f,a .e,Su" rla;ySk;djh" f,aj, iSks u| nj" ksosu; .;sh yd j,smamqjo we;súh yel'
T<s| frda. md,kh(- • weg fl<ska yemSfuka f;drj .s, we;akï úI ùï fndafyda úg fkdolajhs • tfy;a th meyeos,s ke;akï wÕ=re uqiq mdkh (Activated charcoal) îug oSu' • reêr mSvkh" wdYajdi m%iajdih" kdä jeáu" YrSrfha c, iu;=,s;;djh ióCIKh l< hq;=h' • reêrfha whk m%udKh ióCIKh lrkak' • frda. ,CIK wkqj lrk m%;sldro wjYHh'
fydË, Ydlh y÷kd .ekSu(- f;;a l,dmfha jefjk nyqjrAIsl Ydlhls' M,h -meIka ‘DÜ f.ähl yevhg iudkh' tu ksid w;a jeroSfuka <uhska w;r úI ùu we;s lrhs' wuq M,h - fld< meye;s w;r b¥Kq M,h lyg yqre ;eô,s fyda r;= jrAKfhka hq;=h th ;=ka fldgilg fnoS we;' weg uD¥ fc,s wdldr wdjrKhlska jeiS we;' th ihfkdfcksla .a,hsfldihsâ yd fgdlaie,aìhqñka j,ska iukaú;h' úI ix>glh iys; fldgi M,h fõ'
fydË, frda. ,CIK wjê ;=klska fmkajhs' 1 jk wjêh - nfâ reodj mdpkh lrleú,a, yd fkdikaiqïlu uQ,sl ,CIK fõ' 2 jk wjêh - f,a iy iSoï iu. mdpkh' lelal=u yd nfâ ol=Kq my< m%foaYh we,a¨úg we;sjk ;on, fõokdj' fuu ,CIK we;sjkafka wdka;%sl moaO;sh úkdYùu ksihs' 3 jk wjêh - fuh we;sjkafka wê ixfõos;dj ksid jk w;r" frda.S ,CIK úI YrSr.; ùfuka i;s 2-3 miq fmkajhs' tysoS yDo jia;=jg úI ùï ^ECG fjkia ùï iu.& wlaudj bosóu" wefia oDIaÀ ú;dkhg f,a .e,Sï fyda bosóu u.ska ydks ùu oelsh yel'
fydË, • frda. md,kh(- • wdudY fYdaOkh • wÕ=re uqiq mdkh (Activated charcoal) îug oSu' • frda. ,CIK wkqj lrk fjk;a m%;sldr'
tËre • Ydlh y÷kd .ekSu(- b;d m<,a" rjqï yeve;s m;% fldgia y;lg fnoS we;' odrhla oe;s iys;h' M,h - lgq iys; wdjrKhlska hq;=jk w;r th idkqLKaälh' weg - ´j,dldr weg" ¥Uqre meye;s miqìfï wˆ meye;s mq,a,s iys; lefvkiq,q wdjrKhlska hqla;h' úI ldrlh - fgdlaie,aìhqñka >kfha rsiska jk w;r" th uqˆ Ydlfhau we;' jeäu idkaøkh we;af;a wegj,h' tl weghla jqjo fyd|ska imd lEfuka cSú;CIhg m;aùug ;rï úI iys; fõ'
tËre a tËre fnfy;a tËre jeg tËre (Ricinus communis) (Jatropha curcas)
jeg tËre(Jatropha curcas) • Ydlh y÷kd .ekSu(- myg fn¥Kq m;% iy lyg yqre fld< u,a iys; l=vd m÷rls' úI ldrlh - fgdlaie,aìhqñka >kfhaliska Ydl u;mj;sk W.%úI ldrlhla jk fuys Wmrsu idkaøKh wegj, we;'
tËre • frda. ,CIK(- • frda. ,CIK fmkajkafkaYrSr.;ù meh lsysmhlg miqjh' • Tlaldrh" jukh" nfâ oeú,a, yd rsoSu" mdpkh hkdosh we;sjk w;r tajd ksid úc,kh" whk iu;=,s;;djh ì| jeàu" flKavd fmr,Su yd isysiqkaùu oelsh yel' • tfukau f,aj, iSks uolu" oDIaÀú;dkhg f,a .e,Su" uQ;%d iu. f,a hEu" j,smamqj yd isysuqrAPd ùu we;sfõ' • wlaudj úkdY ùu yd yosis jl=.vq wl%Sh ùuo iuyr úg is¥ úh yel'
tËre • frda. md,kh(- • wjYH úg wdudY fYdaOkh lsrSu • wjYH úg wÕ=re iys; mdkh (Activated charcoal) îug oSu' • reêrfha whk iajNdjh" wlaud tkaihsu m%udKh" r;= reêrdKq m%udKh ksrSCIKh l< hq;=h' • frda. ,CIK md,khg wjYH wfkla m%;sldro ,nd osh hq;=h'
kshÕ,d • .ïno m%foaYj, ish osú ydks lr .ekSug nyq,j fhdod .efka Ydlh y÷kd .ekSu(- • w,xldr oSma;su;a mqIamh • Ydlfha ish¿ fldgia úI iys;h • úI ix>gl ldrlh - Alkaloid Colchicine • udrdka;sl ud;%dj( jeâysàhka-úI ldrlh 6 mgisg 20 mg^Ydlfha w, 10 g colchicine 6 mg we;& • <uhska -0.5 isg 0.8 mg/kg we;'
kshÕ,d • úI ,CIK we;s jkafka YrSr.; ùfuka meh 6-12 g miqjh' frda. ,CIK(- • nfÙ lelal=u" Tlaldrh" jukh" f,a iys; mdpkh" úc,kh iu. W.% wdka;%sl wdndO' • tfukau reèr mSvkh wvqjQ úg úc,kh yd isys uqrAPd ùu we;s úh yel' • uq,a meh 24 g miq - iq¥ reèrdKq wvqùu" reèr mÜàld wvqùu" reèr leà .eiSu wvq ùu" hkdos widudkH YrSr f,a .e,Sïj,g u. mdohs'
kshÕ,d • yDo jia;=fõ rgdj wl%uj;a ùu" wlaudj wl%sh ùu" jl=.vq wl%sh ùu" fmky¿ wl%sh ùu" j,amamqj yd isys uqrAPd ùu oelsh yel' frda. md,kh(- • wdudY fYdaOkh • wÕ=re iys; mdkh (Activated charcoal) îug oSu' wjYH jqjfyd;a kej; kej; îug oSu wjYH fõ' • frda. ,CIK md,khg lrk m%;sldr'
w;a;k Ydlh y÷kd .ekSu(- • l| fld< mdg" W,ajQ m;% iys; l=vd Ydlhls' • mqIamh iq¥ fyda oï meye;s w;r .%euf*dakhl yevfhka hqla;h' • M,h lgq iys; f.da,dldrjk w;r rUqgka M,hg iudk fõ' • Wegh ;, weg j.g iudk lyg yqre ¥Uqre meyefhka hqla;h' • úI ldrl ix>glhka jkafka we,alf,dhsÙ wefg%dmska hyosine iy hyoscyamine. • uq,q Ydlhu úI ldrlh iys; jqjo jeâu idkaøKh we;af;a wegj,h' • tla weghla YrSr.; ùuo udrdka;sl úh yel'
w;a;k frda. ,CIK(- • frda. ,CIK anticholinergic úI ùïj,g iudk fõ' • W.=r lg úh,Su' • yDoh jia;=fõ iamkaok fõ.h jeâùu" wè reèr mSvkh" yDo iamkaok rgdj fjkiaùu' • lkSKsldj úYd, ùu iy oDIaàh fnd| ùu' • prAuh úh,s ùu yd r;= meye ùu' • W.% úI ùu" wdfõ.YS,s ùu" uxuq,djQ iajNdjh" oDIaàuh YÄo udhdjla weiSu" j,smamqj" iajikh kej;Su yd isysiqka ùu'
w;a;k frda. md,kh(- • wdudY fYdaOkh' • wÕ=re iys; mdkh (Activated charcoal) wjYH úg îug oSu' • j,smamqj i|yd Ysrd u.ska vhismEï 5-10mg' • reèrfha whk (SE) iy jdhq (blood gas) mrSCIdj' • frda. ,CIK wkqj lrk wksla m%;sldr'
ynr,(Alocasia macrorrhiza) Ydlh y÷kd .ekSu(- • w, iys; úYd, me<Eàhls' • m;% ir, úYd, m%udKfha tajdh' • úI ldrlh ld,aishï Tlaif,aÜ iaMàl iy y÷kd fkd.;a jdIamYS,s ix>gl' • ;j;a .Dy w,xlrk Ydlj,o ^ yd le,aishï & by; úI ldrl wvx.=h'
ynr, frda. ,CIK(- • Ydlfha l| wdydrhg .ekSfuka miq uqLfha fõokdj" oefjk iajNdjh iy wèl f,I fl< .e,Su oelsh yel' • miqj osfõ" f;d,aj," lïuq,aj," fÄg .%ka:sj, yd W.=frA bosóu ksid .s,Su yd l:d lsrSu wmyiq ùu' • úYd, jYfhka wdydrhg .;fyd;a wkakfida;%h yd wdudYfha jK ùï is¥ fõ' iajrd,fha bosóu ksid úh yel' • yDo iamkaok fõ.h wvqùu" fjõ,Su" uqLh werSug wmyiq ùu" j,smamqj" yosis jl=.vq wl%shNdjho we;s úh yel'
ynr, frda. md,kh(- • wèl fõokdldrS kï Ouks u.ska fõokd kdYl wjYHhs' • uqLh bosóu je,elaùug whsia yd lsrs Wrd îu wjYHhs' • iajrd,h bosóu yd yqiau.ekSfï wmyiq;d i|yd wld,kh (intubation) fyda Yajdikd, oajdrKh (tracheostomy) wjYH fõ' • jl=.vq l%shdldrs;ajh mrSCIdj' • YrSrfha øj iu;=,s;;dj mrSCIdj' • fjk;a frda.S ,CIK wkqj lrk m%;sldr'