Poizoni wa utoto wa nsalu
Utoto wa nsalu ndi mankhwala omwe amagwiritsidwa ntchito kupaka utoto. Poizoni wa utoto wa nsalu amapezeka munthu akameza zambiri za zinthuzi.
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.
Chowopsa chakupangira utoto wansalu ndi soda wowononga.
Lero ndikosowa kupeza chophatikizirachi chakupha m'mitundu yambiri yamatumba.
Utoto wovala nsalu wanyumba wamba umapangidwa ndi zinthu zopanda poizoni, monga:
- Sopo wofatsa
- Zikopa
- Mchere
Ngakhale kuti zinthuzi nthawi zambiri zimawoneka kuti sizowopsa, zimatha kubweretsa mavuto ngati zimamezedwa kwambiri, makamaka kwa ana ang'onoang'ono.
Izi zimapezeka m'mitundu inayake yogwiritsira ntchito utoto wazovala kapena nsalu.
Kupha poizoni wa nsalu kumatha kubweretsa zizindikiritso m'malo ambiri amthupi.
NDEGE NDI MAPIKO
- Kupuma kovuta (kuchokera kupuma mu utoto)
- Kutupa kwam'mero (kungayambitsenso kupuma kovuta)
MAGAZI
- Kusintha kwakukulu pamlingo wama asidi wamagazi (pH balance), zomwe zimawononga 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
- Kuwotcha ndi mabowo omwe angakhalepo (zotupa) mummero
- Kupweteka kwambiri m'mimba
- Kusanza
- Kusanza magazi
MTIMA NDIPONSO MALANGIZO
- 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 izi mwa kuthira poyizoni kapena wothandizira zaumoyo.
Ngati mankhwalawo amezedwa, perekani nthawi yomweyo madzi kapena mkaka, pokhapokha mutalangizidwa ndi omwe akupatsani. MUSAMAPATSE madzi kapena mkaka ngati munthuyo ali ndi zizindikiro (monga kusanza, kugwedezeka, kapena kuchepa kwa chidwi) zomwe zimapangitsa kuti zikhale zovuta kumeza.
Ngati mankhwalawa ali pakhungu kapena m'maso, thirani madzi ambiri osachepera mphindi 15.
Ngati munthuyo wapuma ndi poizoni, nthawi yomweyo musunthire ku 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:
- Kuyesa magazi ndi mkodzo
- Chithandizo chopumira, kuphatikiza mpweya kudzera mu chubu m'mapapu, ndi makina opumira (chopumira)
- Bronchoscopy - kamera pansi pakhosi kuti ayang'ane zowotchera m'mapapo ndi m'mapapo (ngati poyizoni amafunidwa)
- 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 mkati mwa mphindi 30 mpaka 45 za poyizoni, ndipo mankhwala ambiri 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 akamalandira chithandizo chamankhwala mwachangu, mpata umakhala wabwino.
Ngati poyizoniyo akukhudzidwa ndi alkali yowononga, kuwonongeka kwakukulu kumatha kuchitika ku:
- Minyewa
- Impso
- Pakamwa
- Mimba
- Pakhosi
Zotsatira zake zimatengera kukula kwa izi. Kupha poizoni kuchokera ku utoto wokhala ndi alkali kumatha kubweretsa kuvulaza kumatendawa kwa milungu ingapo kapena miyezi.
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 patatha miyezi ingapo mankhwala atamezedwa. Zilonda zam'madera omwe akhudzidwa zimatha kubweretsa mavuto kwakanthawi ndikupuma, kumeza, ndi kugaya.
Ngati munthu wameza utoto wosakhala wowopsa wapakhomo, akhoza kuchira.
Utoto - nsalu
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.
Mofenson HC, Caraccio TR, McGuigan M, Greensher J. Poizoni wazamankhwala. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2020. Philadelphia, PA: Elsevier 2020: 1281-1334.