Poizoni wa ethylene glycol

Ethylene glycol ndi mankhwala opanda utoto, opanda fungo, komanso okoma. Ndi poizoni mukameza.

Ethylene glycol imamezedwa mwangozi, kapena itha kumwa mwadala poyesa kudzipha kapena m'malo mwa kumwa mowa (ethanol). Mankhwala ambiri a ethylene glycol amapezeka chifukwa chakumwa kwa zoletsa kuwuma.

Nkhaniyi ndi yongodziwa zambiri. MUSAMAGWIRITSE NTCHITO pofuna kuchiza kapena kusamalira poizoni weniweni. Ngati inu kapena munthu amene muli naye muli ndi chidziwitso, itanani nambala yanu yadzidzidzi (monga 911), kapena malo anu oletsa poizoni amatha kufikiridwa mwachindunji poyimbira foni ya nambala yaulere ya Poison Help (1-800-222-1222) ) kuchokera kulikonse ku United States.

Ethylene glycol

Ethylene glycol amapezeka muzinthu zambiri zapakhomo, kuphatikizapo:

• Kuletsa kutentha
• Zamadzimadzi zosambitsa galimoto
• Zamgululi De-icing
• Zotsukira
• Zamadzimadzi ananyema pagalimoto
• Zosungunulira zamakampani
• Zojambula
• Zodzoladzola

Chidziwitso: Mndandandawu sungakhale wophatikiza zonse.

Chizindikiro choyamba cha ethylene glycol kumeza ndikofanana ndikumverera komwe kumachitika chifukwa chomwa mowa (ethanol). Patangopita maola ochepa, zotsatira zowopsa kwambiri zimawonekera. Zizindikiro zake ndi monga kunyansidwa, kusanza, kugwedezeka, kugwa (kuchepa kwa chidwi), kapena kukomoka kumene.

Poizoni wa ethylene glycol ayenera kukayikiridwa mwa aliyense amene akudwala kwambiri atamwa mankhwala osadziwika, makamaka ngati poyamba amawoneka oledzera ndipo simungamve kununkhira pakumwa.

Kuchuluka kwa ethylene glycol kumatha kuwononga ubongo, mapapo, chiwindi, ndi impso. The poyizoni amayambitsa chisokonezo m'thupi la thupi, kuphatikizapo metabolic acidosis (kuchuluka kwa zidulo m'magazi ndi minofu). Zisokonezazi zitha kukhala zazikulu mokwanira kupangitsa mantha akulu, kulephera kwa ziwalo, ndi imfa.

Pafupifupi mamililita 120 a ethylene glycol akhoza kukhala okwanira kupha munthu wamkulu.

Pitani kuchipatala nthawi yomweyo. MUSAMAPANGITSE munthu kutaya pansi pokhapokha atamuuza kuti atero ndi malo oletsa poyizoni kapena katswiri wazachipatala.

Sankhani izi:

• Msinkhu wa munthuyo, kulemera kwake, ndi mkhalidwe wake
• Dzina la malonda (zosakaniza ndi mphamvu, ngati zikudziwika)
• Nthawi yomwe idamezedwa
• Ndalamayo inameza

Malo anu olamulirako poizoni amatha kufikiridwa mwachindunji poyimbira foni yaulere ya dziko lonse (1-800-222-1222) kuchokera kulikonse ku United States. Hotline iyi ikulolani kuti mulankhule ndi akatswiri pankhani yakupha. Akupatsani malangizo ena.

Uwu ndi ntchito yaulere komanso yachinsinsi. Malo onse oletsa poizoni ku United States amagwiritsa ntchito nambala iyi. Muyenera kuyimba ngati muli ndi mafunso aliwonse okhudzana ndi poyizoni kapena kupewa poyizoni. SIYENERA kukhala mwadzidzidzi. Mutha kuyimba pazifukwa zilizonse, maola 24 patsiku, masiku 7 pasabata.

Tengani chidebecho kuchipatala, ngati zingatheke.

Wothandizira zaumoyo amayesa ndikuwunika zizindikilo zofunika za munthuyo, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi.

Kuzindikira kwa ethylene glycol kawopsedwe nthawi zambiri kumachitika kudzera pakuphatikizika kwa magazi, mkodzo, ndi mayeso ena monga:

• Kusanthula kwa magazi kwamagazi
• Chemistry gulu ndi maphunziro a chiwindi
• X-ray pachifuwa (imawonetsa madzi m'mapapu)
• Kuwerengera kwathunthu kwa magazi (CBC)
• CT scan (ikuwonetsa kutupa kwa ubongo)
• EKG (electrocardiogram, kapena kutsata mtima)
• Kuyezetsa magazi kwa ethylene glycol
• Ma ketoni - magazi
• Osmolality
• Chophimba cha Toxicology
• Kupenda kwamadzi

Kuyesa kukuwonetsa kuchuluka kwa ethylene glycol, kusokonezeka kwamankhwala amwazi, ndi zizindikilo zotheka za impso kulephera komanso kuwonongeka kwa minofu kapena chiwindi.

Anthu ambiri omwe ali ndi poyizoni wa ethylene glycol amafunika kuti alowe kuchipatala cha anthu odwala mwakayakaya (ICU) kuti awunikire bwinobwino. Makina opumira (makina opumira) angafunike.

Iwo omwe posachedwapa (pakadutsa mphindi 30 mpaka 60 kuchokera ku dipatimenti yadzidzidzi) adameza ethylene glycol atha kupopa m'mimba (kuyamwa). Izi zitha kuthandiza kuchotsa poizoni wina.

Mankhwala ena atha kukhala:

• Makina oyambitsidwa
• Yankho la sodium bicarbonate lomwe limaperekedwa kudzera mu mtsempha (IV) kuti lisinthe asidi acidosis
• Mankhwala othandiza (fomepizole) omwe amachepetsa kupangika kwa zinthu zapoizoni mthupi

Pazovuta kwambiri, dialysis (makina a impso) atha kugwiritsidwa ntchito pochotsa ethylene glycol ndi zinthu zina zapoizoni m'magazi. Dialysis imachepetsa nthawi yofunikira kuti thupi lichotse poizoni. Dialysis imafunikanso ndi anthu omwe amadwala kwambiri impso chifukwa chakupha. Zitha kukhala zofunikira kwa miyezi yambiri komanso mwina zaka, pambuyo pake.

Momwe munthu amachitila bwino zimadalira momwe amalandirira mwachangu, kuchuluka komwe amameza, ziwalo zomwe zakhudzidwa, ndi zina. Chithandizo chikachedwa, mtundu uwu wa poyizoni amatha kupha.

Zovuta zingaphatikizepo:

• Kuwonongeka kwa ubongo ndi mitsempha, kuphatikizapo kugwidwa ndi kusintha kwa masomphenya
• Impso kulephera
• Kugwedezeka (kutsika kwa magazi ndi kukhumudwa kwa mtima)
• Coma

Kuledzera - ethylene glycol

• Ziphe

Aronson JK. Zamadzimadzi. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 567-570.

Nelson INE. Mowa woopsa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 141.