Zenera lakutsogolo lamasamba madzimadzi

Windshield washer fluid ndimadzi owala kwambiri opangidwa ndi methanol, chakumwa chakupha. Nthawi zina, pang'ono pang'ono za poizoni mowa, monga ethylene glycol, amawonjezeredwa mu chisakanizocho.

Ana ena achichepere amatha kulakwitsa kumwa madzi, zomwe zimatha kuyambitsa poyizoni mwangozi. Ngakhale zochepa zingayambitse mavuto aakulu. Nkhaniyi ikufotokoza za poyizoni pakumeza madzimadzi otsekemera.

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.

Methanol (methyl mowa, nkhuni mowa)

Poizoni uyu amapezeka mu:

• Zenera lakutsogolo lazenera (lomwe limakonda kutsuka mawindo agalimoto)

Zizindikiro za poyizoni wa washer poyizoni wamadzimadzi zimakhudza machitidwe amthupi osiyanasiyana.

Ndege ndi mapapo:

• Kupuma kovuta
• Palibe kupuma

Maso:

• Khungu, lathunthu kapena tsankho, nthawi zina limatchedwa "khungu chisanu"
• Masomphenya olakwika
• Kuchulukitsa (kukulira) kwa ophunzira

Mtima ndi magazi:

• Kuthamanga kwa magazi

Mchitidwe wamanjenje:

• Khalidwe lokwiya
• Coma (kusayankha)
• Kusokonezeka
• Kuvuta kuyenda
• Chizungulire
• Mutu
• Kugwidwa

Khungu ndi misomali:

• Milomo yabuluu ndi zikhadabo

Mimba ndi matumbo:

• Kupweteka m'mimba (koopsa)
• Kutsekula m'mimba
• Mavuto a chiwindi, kuphatikizapo jaundice (khungu lachikaso) ndi kutuluka magazi
• Nseru
• Kusanza, nthawi zina kumakhala magazi

Zizindikiro zina zitha kuphatikiza:

• Kutopa
• Kukokana kwamiyendo
• Kufooka
• Khungu lachikaso (jaundice)

Funani thandizo lachipatala mwachangu. MUSAMAPANGITSE munthu kutaya pansi pokhapokha atamuuza kuti atero ndi Poizoni kapena katswiri wazachipatala.

Mfundo zotsatirazi ndi zothandiza pakagwa tsoka:

• Msinkhu wa munthu, kulemera kwake, ndi mkhalidwe wake (mwachitsanzo, kodi munthuyo ali maso kapena watcheru?)
• Dzina la malonda (zosakaniza ndi mphamvu, ngati zikudziwika)
• Nthawi yomwe idamezedwa
• Kuchuluka kumeza

Komabe, MUSachedwe kupempha thandizo ngati izi sizikupezeka nthawi yomweyo.

Malo omwe muli poizoni kwanuko atha kufikiridwa mwachindunji mwa kuyimbira foni nambala yaulere ya dziko lonse (1-800-222-1222) kuchokera kulikonse ku United States. 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. Mutha kuyimba maola 24 patsiku, masiku 7 pasabata.

Wothandizira zaumoyo amayesa ndikuwunika zizindikilo zofunika za munthuyo, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi. Zizindikiro zidzachitiridwa moyenera. Munthuyo akhoza kulandira:

• Makina oyambitsidwa
• Thandizo la airway, kuphatikiza oxygen, chubu lopumira mkamwa (intubation), ndi makina opumira (mpweya wabwino)
• Kuyesa magazi ndi mkodzo
• X-ray pachifuwa
• Kujambula kwa CT (kompyuta ya tomography, kapena kulingalira bwino)
• EKG (electrocardiogram, kapena kutsata mtima)
• Zamadzimadzi kudzera mumitsempha (intravenous kapena IV)
• Mankhwala ochizira zizindikiro, kuphatikizapo mankhwala obwezeretsa mphamvu ya poyizoni (fomepizole kapena ethanol)
• Chubu kupyola pamphuno kuti muchotse poizoni wotsalayo ngati munthuyo amuwona mkati mwa mphindi 60 kuti amumeze

Chifukwa kuchotsedwa kwa methanol ndikofunikira kwambiri kuchipatala ndi kupulumuka, makina a impso (renal dialysis) adzafunika.

Methanol, chinthu chachikulu pophika magalasi otsekemera ndi mphepo, ndi chakupha kwambiri. Ma supuni awiri okha (30 milliliters) amatha kupha mwana. Pafupifupi ma ola 2 mpaka 8 (60 mpaka 240 milliliters) atha kupha munthu wamkulu. Khungu ndi lachilendo ndipo nthawi zambiri limakhalapo mosasamala kanthu za chithandizo chamankhwala. Ziwalo zingapo zimakhudzidwa ndikudya methanol. Kuwonongeka kwanthawi yayitali kumachitika.

Zotsatira zake zimadalira kuchuluka kwa poyizoni yemwe amezedwa ndi momwe mankhwala adalandirira posachedwa.

Ngakhale madzi ambiri otsekemera ndi mphepo yam'madzi ndi methanol, amathanso kukhala owopsa akadameza.

Kostic MA. Poizoni. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 63.

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.

Pincus MR, Bluth MH, Abraham NZ. Toxicology ndikuwunika mankhwala. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. Philadelphia, PA: Elsevier; 2017: chap 23.