Chibayo cha hydrocarbon

Chibayo cha hydrocarbon chimayamba chifukwa chakumwa kapena kupuma mafuta, mafuta a palafini, kupukutira mipando, utoto wowonda, kapena zinthu zina zamafuta kapena zosungunulira. Ma hydrocarboni awa amakhala ndi mamasukidwe akayendedwe otsika kwambiri, zomwe zikutanthauza kuti ndi ochepa kwambiri, owonda kwambiri komanso oterera. Mukayesera kumwa ma hydrocarboni awa, ena atha kutsikira pamphepo yanu ndikupumira m'mapapu anu (aspiration) m'malo mopitilira chitoliro chanu chakumimba ndikulowa m'mimba mwanu. Izi zitha kuchitika mosavuta mukamayesera kutulutsa mpweya kuchokera mu thanki yamafuta ndi payipi ndi pakamwa panu.

Izi zimabweretsa kusintha mwachangu m'mapapu, kuphatikiza kutupa, kutupa, ndi magazi.

Zizindikiro zimatha kuphatikizira izi:

• Coma (kusowa poyankha)
• Kutsokomola
• Malungo
• Kupuma pang'ono
• Kununkhiza kwa mankhwala a hydrocarbon popumira
• Stupor (kuchepa kwa chidwi)
• Kusanza

Kuchipinda chodzidzimutsa, wothandizira zaumoyo adzawunika zizindikilo zofunika, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi.

Mayeso ndi njira zotsatirazi (zomwe zachitika kuti zitukuke) zitha kuchitika mu dipatimenti yadzidzidzi:

• Kuwunika kwa magazi m'magazi (acid-base balance) kuwunika
• Thandizo lakupuma, kuphatikiza mpweya, mankhwala opumira, kupuma chubu ndi makina opumira (makina), pamavuto akulu
• Kuwerengera kwathunthu kwa magazi (CBC)
• X-ray pachifuwa
• ECG (electrocardiogram, kapena kutsata mtima)
• Zamadzimadzi zamitsempha (zamitsempha kapena za IV)
• Gulu lamagetsi lamagazi
• Chophimba cha Toxicology

Omwe ali ndi zizindikilo zochepa amayenera kuyesedwa ndi madokotala kuchipinda chodzidzimutsa, koma sangafune kugona kuchipatala. Nthawi yochepetsetsa pambuyo pothira hydrocarbon ndi maola 6.

Anthu omwe ali ndi zizindikiro zolimbitsa thupi nthawi zambiri amalowetsedwa kuchipatala, nthawi zina kuchipatala (ICU).

Chithandizo chamankhwala chingaphatikizepo zina mwazomwe zingachitike mu dipatimenti yadzidzidzi.

Ana ambiri omwe amamwa kapena kupumira mankhwala a hydrocarbon ndikupanga mankhwala a pneumonitis amachira atalandira chithandizo chonse. Ma hydrocarboni oopsa kwambiri amatha kupangitsa kupuma mwachangu komanso kufa. Kuyamwa mobwerezabwereza kumatha kubweretsa ubongo wokhazikika, chiwindi komanso ziwalo zina.

Zovuta zitha kukhala izi:

• Kutulutsa madzi (madzi ozungulira mapapo)
• Pneumothorax (mapapu atagwa chifukwa chothamangitsidwa)
• Matenda a bakiteriya achiwiri

Ngati mukudziwa kapena kukayikira kuti mwana wanu wameza kapena wapumira mankhwala a hydrocarbon, tengani kuchipinda chodzidzimutsa nthawi yomweyo. OGWIRITSA ntchito ipecac kupangitsa munthuyo kuponya.

Ngati muli ndi ana aang'ono, onetsetsani kuti mwazindikira ndikusunga zinthu zomwe zimakhala ndi ma hydrocarbon mosamala.

Chibayo - hydrocarbon

• Mapapo

Blanc PD. Mayankho ovuta pazowopsa za poizoni. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 75.

Wang GS, Buchanan JA. Ma hydrocarbon. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 152.