Mankhwala a poizoni
Chlorine ndi mankhwala omwe amaletsa mabakiteriya kukula. Mankhwala a poyizoni amapezeka munthu akameza kapena kupumira mu (kupuma) klorini.
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.
Chlorine imagwirana ndi madzi mkati ndi kunja kwa thupi kupanga hydrochloric acid ndi hypochlorous acid. Zonsezi ndizowopsa kwambiri.
Mankhwala amapezeka mu:
- Gasi wotulutsidwa mukasakaniza bleach ndi zina mwazida zoyeretsera ndi ammonia (chloramine gasi)
- Gasi wotulutsidwa potsegula chidebe chodzaza ndi mafakitale cha ma chlorine omwe akhala kwa miyezi ingapo (mwachitsanzo, kutsegula koyamba kwa chidebe kutsekedwa kwa dziwe nthawi yonse yozizira)
- Oyeretsa mofatsa
- Zinthu zina zopaka ma bleach
- Madzi osambira (ndi mapiritsi omwe amagwiritsidwa ntchito m'madzi osambira)
Chidziwitso: Mndandandawu sungaphatikizepo kugwiritsa ntchito konse komanso magwero a chlorine.
Kupha poizoni wa mankhwala kumatha kuyambitsa zizindikilo m'magawo ambiri amthupi:
NDEGE NDI MAPIKO
- Kupuma kovuta (kupuma mu klorini)
- Kutupa kwam'mero (kungayambitsenso kupuma kovuta)
- Madzi akudzaza mapapo (pulmonary edema)
MAGAZI
- Kusintha kwakukulu pamlingo wama asidi wamagazi (pH balance), zomwe zimapangitsa kuwonongeka kwa ziwalo zonse za thupi
MASO, MAKUTU, MPhuno, NDI THOSO
- Kutaya masomphenya
- Kupweteka kwambiri pammero
- Kupweteka kwambiri kapena kutentha mphuno, maso, makutu, milomo, kapena lilime
DZIKO LAPANSI
- Magazi pansi
- Kutentha kwa chitoliro cha chakudya (kum'mero)
- Kupweteka kwambiri m'mimba
- Kusanza
- Kusanza magazi
MTIMA NDI MITU YA MWAZI
- Kutha
- Kuthamanga kwa magazi komwe kumayamba mwachangu (mantha)
Khungu
- Kutentha
- Mabowo (necrosis) pakhungu kapena minofu pansi pake
- Kukwiya
Pitani kuchipatala nthawi yomweyo. MUSAMAPANGITSE munthu kutaya pansi pokhapokha atamuuza kuti achite choncho ndi chipatala kapena wothandizira zaumoyo.
Ngati mankhwalawa ali pakhungu kapena m'maso, thirani madzi ambiri osachepera mphindi 15.
Ngati mankhwalawo amezedwa, perekani nthawi yomweyo madzi kapena mkaka, pokhapokha mutalangizidwa ndi omwe akupatsani. MUSAPATSE madzi kapena mkaka ngati wodwalayo ali ndi zizindikilo (monga kusanza, kugwedezeka, kapena kuchepa kwa chidwi) zomwe zimapangitsa kuti zikhale zovuta kumeza.
Ngati munthuyo wapuma ndi poizoni, nthawi yomweyo musunthire munthuyo kwa mpweya wabwino.
Pezani zotsatirazi:
- Msinkhu wa munthu, kulemera kwake, ndi momwe alili
- Dzina la malonda (ndi zosakaniza ndi mphamvu, ngati zikudziwika)
- Nthawi yomwe idamezedwa
- Kuchuluka kumeza
Malo anu olamulirako poizoni amatha kufikiridwa mwachindunji poyimbira foni yaulere ya dziko lonse (1-800-222-1222) kuchokera kulikonse ku United States. Nambala yoyimbira foni yamtunduwu 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.
Woperekayo amayesa ndikuwunika zizindikilo zofunika za munthuyo, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi. Zizindikiro zidzachitiridwa moyenera. Munthuyo akhoza kulandira:
- Chithandizo chopumira, kuphatikiza mpweya woperekedwa kudzera mu chubu kudzera mkamwa kupita m'mapapu, ndi makina opumira (mpweya wabwino)
- Bronchoscopy - kamera pansi pakhosi kuti ayang'ane zowotchera m'mapapo ndi m'mapapo
- X-ray pachifuwa
- ECG (kutsatira mtima)
- Endoscopy - kamera pansi pakhosi kuti ayang'ane zopsa m'mimba ndi m'mimba
- Zamadzimadzi kudzera mumtsempha (mwa IV)
- Mankhwala obwezeretsa zotsatira za poyizoni ndikuchiritsa zizindikilo
- Kuchotsa opaleshoni khungu lotenthedwa (kuperewera kwa khungu)
- Chubu kudzera mkamwa kulowa m'mimba kuti aspirate (kuyamwa kunja) m'mimba. Izi zimachitika pokhapokha munthuyo atalandira chithandizo chamankhwala pasanathe mphindi 30 mpaka 45 kuchokera poyizoni, ndipo klorini wambiri amezedwa.
- Kusamba khungu (kuthirira) - mwina maola angapo pakatha masiku angapo
Momwe munthu amachitila bwino zimadalira kuchuluka kwa poizoni yemwe ameza ndi momwe amalandila mwachangu. Munthu akalandira thandizo lachipatala msanga, mpata wabwino wochira.
Kumeza ziphe zotere kumatha kukhala ndi zotsatirapo zoipa m'mbali zambiri za thupi. Kuwotcha panjira kapena m'mimba kumatha kubweretsa kufa kwa minofu. Izi zitha kubweretsa matenda, mantha, ndi kufa, ngakhale miyezi ingapo mankhwalawo atamezedwa. Zilonda zam'madera omwe akhudzidwa zimatha kubweretsa mavuto kwakanthawi ndikupuma, kumeza, ndi kugaya.
Webusaiti ya Agency for Toxic Substances and Disease Registry (ATSDR). US department of Health and Human Services, Ntchito Zazaumoyo. Mbiri yoopsa ya klorini. wwwn.cdc.gov/TSP/substances/ToxSubstance.aspx?toxid=36. Idasinthidwa pa Seputembara 26, 2019. Idapezeka Novembala 6, 2019.
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.
Hoyte C. Zoyambitsa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 148.
Levine MD. Kuvulala kwamankhwala. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 57.