Prof. Dr. Petko Marinov, MD: 12 - 14-xyoo-laus cov menyuam yaus muaj kev cuam tshuam ntau dhau cawv

Cov txheej txheem:

Prof. Dr. Petko Marinov, MD: 12 - 14-xyoo-laus cov menyuam yaus muaj kev cuam tshuam ntau dhau cawv
Prof. Dr. Petko Marinov, MD: 12 - 14-xyoo-laus cov menyuam yaus muaj kev cuam tshuam ntau dhau cawv
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Prof. Dr. Petko Marinov, MD, yog ib tug kws kho mob toxicology ntawm Toxicology Clinic ntawm Medical Academy-MBAL-Varna. Nws yog lub taub hau ntawm Department of "Pharmacology, Toxicology thiab Pharmacotherapy" nyob rau hauv Kws qhia ntawv ntawm Pharmacy ntawm lub Medical University - Varna. Nws muaj ntau dua 75 cov ntawv tshaj tawm hauv cov ntawv xov xwm tshawb fawb, 1 monograph thiab ntau dua 100 kev koom tes hauv kev sib tham txog kev tshawb fawb thiab cov rooj sib tham.

Rau qhov tshwm sim ntawm kev haus dej cawv thiab lwm yam kev quav yeeb quav tshuaj ntawm cov tub ntxhais hluas thiab cov tub ntxhais hluas hnub nyoog kawm ntawv, saib kev xam phaj nrog Prof. Dr. Petko Marinov.

Prof. Marinov, puas muaj tshuaj lom cawv puas tseem yog thawj qhov chaw ntawm lwm yam kev qaug cawv?

- Raws li txoj cai, hauv kev kho mob toxicology hauv yuav luag txhua lub tebchaws, cawv thiab tshuaj yeeb tshuaj sib ntaus sib tua thawj qhov chaw. Tab sis thaum 20-30 xyoo dhau los cov tshuaj intoxication dominated, tam sim no, nyob rau hauv 10 xyoo dhau los, thawj qhov chaw yog cawv lom.

Thiab qhov kev tsis zoo no puas txuas ntxiv mus?

- Cov qauv no yog qhov tsis zoo uas qhov tseeb ntawm cov cawv cawv tsis nce ntau. Xwb, tus naj npawb ntawm cov tub ntxhais hluas, cov tub ntxhais hluas, suav nrog cov tub ntxhais kawm uas ncav cuag peb. Peb tham txog kev txhawb nqa peb cov neeg mob.

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Prof. Dr. Petko Marinov

Kuv xav qhia tias peb tsuas suav cov neeg mob tau txais kev kho mob hauv tsev kho mob xwb. Txwv tsis pub, feem ntau, kev tsim txom ntawm cawv los ntawm cov tub ntxhais hluas raug saib xyuas thiab qhia los ntawm cov koom haum tsis yog tsoomfwv, los ntawm lawv qhov kev pom zoo tuaj yeem tau txais hauv qhov no. Tab sis nws yog qhov tseeb tias peb muaj cov neeg mob uas muaj hnub nyoog tsis paub qab hau. Kuv txhais tau tias 12, 13, 14-xyoo-laus uas tau ua dhau los ntawm cawv thiab xaus rau hauv tsev kho mob toxicology.

Yog vim li cas rau qhov no? Dab tsi yog qhov tshwm sim ntawm kev qaug cawv?

- Qhov ua rau qaug cawv, tau kawg, yog kev tsim txom ntawm cawv. Tsis tas li ntawd, cov enzymes uas rhuav tshem cawv hauv cov neeg laus tseem tsis tau mus txog lawv qhov kev ua haujlwm siab tshaj plaws hauv cov menyuam yaus. Qhov no txhais tau hais tias cawv yog qhov nyuaj dua rau kev ua haujlwm. Thiab ib tus neeg qaug cawv tuaj yeem muaj qhov tshwm sim hnyav dua.

Vim qhov tshwm sim ntawm kev haus cawv ntau, kev puas tsuaj tuaj yeem nyob hauv lub hauv paus paj hlwb, piv txwv li, lub hlwb. Tab sis nws tsis yog li ntawd xwb. Hauv cov tub ntxhais hluas no, qhov kev xav rau kev khaws nws tus kheej thiab kev pab cuam kuj tsis tsim nyog. Vim tias qaug dej qaug cawv thaum tseem hluas, nrog rau ntuav, tuaj yeem ua rau ntuav ntuav. Qhov ntawd yog, tau txais zaub mov mus rau hauv txoj hlab pa thiab tus menyuam tuag.

Kuv tuaj yeem ua piv txwv txog qhov tshwm sim ob peb hnub dhau los thaum menyuam yaus mus da dej hauv pas dej, ib tus poob dej, lwm tus khiav tawm thiab ob hnub lawv tsis qhia leej twg txog qhov xwm txheej. Qhov no, yoog raws peb lub ntsiab lus ntawm kev haus dej cawv, txhais tau hais tias muaj feem ntau yog tias ib tug ntawm cov menyuam yaus qaug cawv thiab raug mob hnyav, lwm tus yuav khiav tawm es tsis hu rau 911.

Lwm yam, tseem muaj teeb meem loj yog tsim kev vam khom. Cov lus siv kho mob - kev haus dej haus cawv ntev ntev, kev haus dej cawv thiab lwm yam - tej zaum yuav txawv, tab sis thaum kawg, nws yog tib yam. Cawv belongs rau pab pawg ntawm cov tshuaj narcotic, piv txwv li nws yog kev quav tshuaj.

Tab sis, yog tias ntau xyoo dhau los cov lus hais tias "kev haus dej haus cawv" txhais tau hais tias ib tus neeg thaum muaj hnub nyoog laus, feem ntau yog cov neeg laus, tam sim no tsis muaj ntau tshaj li ib lossis ob kis thaum peb ntsib kev quav yeeb quav tshuaj thaum muaj hnub nyoog 25 xyoos. Thiab hmoov tsis zoo, ntau tus neeg muaj hnub nyoog no - nruab nrab ntawm 25 thiab 30 xyoo - twb tuag vim qhov kev quav yeeb quav tshuaj no thiab haus dej tsis tu ncua.

Yog li kev tsim kev quav yeeb quav tshuaj ntawm cov tub ntxhais hluas yog lwm qhov teeb meem loj sib npaug. Thiab txij li feem ntau qhov kev tiv thaiv no tau ua ke nrog lwm hom, kev siv tshuaj yeeb tshuaj polyvalent tau tsim, uas nyuaj rau kev kov yeej thiab ua rau lub neej luv luv.

Prof. Marinov, luv luv tawm tswv yim txog lwm hom tshuaj lom - qhov ntau dua

- Raws li kuv tau hais thaum pib, qhov tshwm sim ntawm kev quav yeeb tshuaj tau txo qis hauv 10-15 xyoo dhau los. Ib qho ntawm cov laj thawj tseem ceeb yog tus neeg mob lub peev xwm kom yooj yim rau kev ruaj ntseg hu ua tshuaj benzodiazepines. Cov no yog cov tshuaj sedating rau calming xws li diazepam, lexotan, barbiturates.

Lawv yog qhov ua rau qaug cawv ntau tshaj 2 xyoo dhau los. Tab sis nrog cov kev taw qhia ntawm lub thiaj li hu ntsuab zaub mov txawv, uas yog nyob rau hauv ib tug nruj cov ntaub ntawv, tus naj npawb ntawm cov tshuaj lom nrog lawv yog heev txwv. Hauv 10 xyoo dhau los, peb tau sau npe yuav luag kaum npaug ntawm qhov kev lom lom nrog cov kev npaj no.

Feem ntau, thaum nws los txog tshuaj lom neeg, kev xav tua tus kheej yuav luag txhua qhov xav tias. Tsuas yog thaum yau, qhov tseeb, qhov chaw uas tus menyuam yaus tuaj yeem nqos qee cov ntsiav tshuaj. Hauv cov neeg laus, nws yog hais txog kev mob siab rau tus kheej, uas feem ntau ua rau muaj kev cuam tshuam.

Tus neeg mob ncav cuag yam khoom hauv tsev tshuaj, dab tsi ntawm tes. Yog li ntawd, kev lom nrog cov tshuaj tua kab mob, nrog rau cov tshuaj rau cov kab mob plawv tau tshwm sim niaj hnub no, tshwj xeeb tshaj yog nyob rau hauv cov tsev neeg nrog cov neeg laus uas noj cov tshuaj no.

Hais txog kev pheej hmoo lom raws caij nyoog, kev sib cuag nrog cov kab yog qhov tseem ceeb, piv txwv li, stings, stings los ntawm hiav txwv zaj, kev sib cuag nrog nab lom. Tab sis lawv muaj tsawg tus lej. Rau peb lub tsev kho mob, lawv tsis ntau tshaj 10-15 ib xyoos. Mushroom lom kuj tau txo qis heev nyob rau hauv xyoo tas los no, kuv xav hais tias muaj ib tug lull nyob rau hauv no hais txog. Tej zaum tib neeg yuav paub zoo dua tam sim no.

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