Poizoni wa paraquat

Paraquat (dipyridylium) ndi wakupha wamsongole woopsa kwambiri (herbicide). M'mbuyomu, United States idalimbikitsa Mexico kuti igwiritse ntchito kuwononga chamba. Pambuyo pake, kafukufuku adawonetsa kuti herbicide iyi inali yowopsa kwa ogwira ntchito omwe amaigwiritsa ntchito kuzomera.

Nkhaniyi ikufotokoza mavuto azaumoyo omwe angachitike chifukwa chameza kapena kupuma mu paraquat.

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 omwe muli poizoni kwanuko atha kufikiridwa mwachindunji poyimbira foni ya nambala yaulere ya Poison Help (1-800-222-1222) kuchokera kulikonse ku United States.

Ku United States, paraquat amadziwika kuti ndi "yoletsa kugulitsa." Anthu ayenera kupeza layisensi yogwiritsira ntchito malonda.

Kupuma mu paraquat kumatha kuwononga mapapo ndipo kumatha kubweretsa matenda omwe amatchedwa paraquat lung. paraquat imawononga thupi ikakhudza m'kamwa, m'mimba, kapena m'matumbo. Mutha kudwala ngati paraquat ingakhudze khungu lanu. Paraquat itha kuwononganso impso, chiwindi, ndi kum'mero ​​(chubu chomwe chakudya chimatsikira mkamwa mwako kupita m'mimba mwako).

Ngati paraquat imameza, imfayo imatha kuchitika mwachangu. Imfa imatha kupezeka pamabowo am'mero, kapena chifukwa cha kutupa kwakukulu kwa dera lomwe limazungulira mitsempha yayikulu yamagazi ndi mayendedwe apakatikati pa chifuwa.

Kuwonetsedwa kwa paraquat kwanthawi yayitali kumatha kuyambitsa khungu m'mapapo otchedwa pulmonary fibrosis. Izi zimapangitsa kuti zikhale zovuta kupuma.

Zizindikiro za poyizoni ndi monga:

• Kutentha ndi kupweteka pakhosi
• Coma
• Kuvuta kupuma
• Kutuluka magazi
• Kugwidwa
• Chodabwitsa
• Kupuma pang'ono
• Kupweteka m'mimba
• Kusanza, kuphatikizapo kusanza magazi

Mudzafunsidwa ngati mwapatsidwa paraquat. Tengani chidebecho kuchipatala, ngati zingatheke.

Wothandizira zaumoyo amayesa ndikuwunika zizindikilo zanu zofunika, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi. Mayeso omwe angachitike ndi awa:

• Kuyesa magazi ndi mkodzo
• X-ray pachifuwa
• ECG (electrocardiogram, kapena kutsata mtima)
• Bronchoscopy (chubu kudzera mkamwa ndi pakhosi) kuti muwone kuwonongeka kwamapapu
• Endoscopy (chubu kudzera mkamwa ndi pakhosi) kuti muwone kuwonongeka konse kwa kholingo ndi m'mimba

Palibe mankhwala apadera a paraquat poyizoni. Cholinga ndikuthetsa zizolowezi ndikuchiza zovuta. Ngati mwawululidwa, njira zothandizira zothandizira ndi izi:

• Kuchotsa zovala zonse zakuda.
• Ngati mankhwalawo adakhudza khungu lanu, sambani malowo ndi sopo kwa mphindi 15. Osazipukuta zolimba, chifukwa zimatha kuthyola khungu lanu ndikulola paraquat yambiri ilowe m'thupi lanu.
• Ngati paraquat ilowa m'maso mwanu, ayikeni ndi madzi kwa mphindi 15.
• Ngati mwameza paraquat, mulandireni makala amoto mwachangu kuti muchepetse kuchuluka komwe kumayikidwa m'mimba. Odwala angafunike njira yotchedwa hemoperfusion, yomwe imasefa magazi kudzera pamakala kuti ichotse paraquat m'mapapu.

Kuchipatala, mudzalandira:

• Makala oyambitsidwa pakamwa kapena chubu kudzera mphuno m'mimba ngati munthuyo apereka thandizo pasanathe ola limodzi kuti amwe poyizoni
• Chithandizo chopumira, kuphatikiza mpweya, chubu kudzera pakamwa mpaka pakhosi, ndi makina opumira
• Zamadzimadzi kudzera mumtsempha (mwa IV)
• Mankhwala ochizira matenda

Zotsatira zake zimatengera momwe kuwonekera kwake kuli kovuta. Anthu ena amatha kukhala ndi zizindikilo zochepa zopumira ndikupeza bwino. Ena amatha kusintha m'mapapu awo. Ngati munthu wameza poizoni, amafa popanda thandizo lachipatala.

Zovuta izi zimatha kupezeka poyizoni ya paraquat:

• Kulephera kwa mapapo
• Mabowo kapena kuwotcha kummero
• Kutupa ndi matenda m'chifuwa, kukhudza ziwalo zofunika kwambiri ndi mitsempha yamagazi
• Impso kulephera
• Kutupa kwamapapu

Ngati mukukhulupirira kuti mwapatsidwa paraquat, pitani kuchipatala nthawi yomweyo.

Malo anu olamulirako poizoni amatha kufikiridwa mwachindunji poyimbira foni yaulere ya dziko lonse (1-800-222-1222) kuchokera kulikonse ku United States. Nambala yoyimbira 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.

Werengani zolemba pazogulitsa zonse zamankhwala. Osagwiritsa ntchito chilichonse chomwe chili ndi paraquat. Khalani kutali ndi malo omwe angagwiritsidwe ntchito. Sungani ziphe zonse mumtsuko wawo woyambirira komanso kuti ana asazione.

Paraquat mapapu

• 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.

Welker K, Thompson TM. Mankhwala. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 157.