Mpweya wa carbon monoxide
Carbon monoxide ndi mpweya wopanda fungo womwe umapha anthu masauzande ambiri ku North America. Kupuma mpweya wa carbon monoxide ndi kowopsa. Ndicho chomwe chimayambitsa imfa yakupha ku United States.
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.
Carbon monoxide ndi mankhwala omwe amapangidwa chifukwa chosapsa ndi gasi kapena zinthu zina zomwe zimakhala ndi mpweya. Izi zikuphatikizapo utsi, zotenthetsera zolakwika, moto, ndi mpweya wapakampani.
Zinthu zotsatirazi zitha kupanga carbon monoxide:
- Chilichonse chomwe chimayatsa malasha, mafuta, palafini, mafuta, propane, kapena nkhuni
- Makina oyendetsa galimoto
- Makala amakala (makala sayenera kuwotchedwa m'nyumba)
- Makina otenthetsera mkati ndi kunyamula
- Zowonjezera zotengera zonyamula katundu
- Masitovu (mbaula zamkati ndi zamisasa)
- Zowonjezera madzi zomwe zimagwiritsa ntchito gasi wachilengedwe
Chidziwitso: Mndandandawu sungakhale wophatikiza zonse.
Mukapuma mpweya wa carbon monoxide, poyizoni amalowa m'malo mwa mpweya wamagazi anu. Mtima wanu, ubongo, ndi thupi lanu zidzasowa mpweya wabwino.
Zizindikiro zimasiyanasiyana malinga ndi munthu. Omwe ali pachiwopsezo chachikulu amaphatikizapo ana aang'ono, achikulire, anthu omwe ali ndi matenda am'mapapo kapena amtima, anthu omwe ali pamalo okwera, komanso osuta. Carbon monoxide imatha kuvulaza mwana wosabadwa (mwana wosabadwa akadali m'mimba).
Zizindikiro za poyizoni wa carbon monoxide zitha kuphatikizira:
- Mavuto opumira, kuphatikiza kupuma, kupuma pang'ono, kapena kupuma mwachangu
- Kupweteka pachifuwa (kumachitika mwadzidzidzi mwa anthu omwe ali ndi angina)
- Coma
- Kusokonezeka
- Kugwedezeka
- Chizungulire
- Kusinza
- Kukomoka
- Kutopa
- Kufooka kwakukulu ndi kupweteka
- Mutu
- Kutengeka
- Kusokonekera chiweruzo
- Kukwiya
- Kuthamanga kwa magazi
- Minofu kufooka
- Kuthamanga kwachangu kapena kosazolowereka
- Chodabwitsa
- Nseru ndi kusanza
- Kusazindikira
Nyama zitha kupanganso poizoni ndi carbon monoxide. Anthu omwe ali ndi ziweto kunyumba amatha kuzindikira kuti nyama zawo zimafooka kapena kusalabadira kuwonetsedwa kwa kaboni monoxide. Nthawi zambiri ziweto zimadwala pamaso pa anthu.
Popeza zambiri mwa zizindikirazi zimatha kuchitika ndi matenda a ma virus, poyizoni wa carbon monoxide nthawi zambiri amasokonezeka ndi izi. Izi zitha kubweretsa kuchedwa kupeza thandizo.
Ngati munthuyo wapuma ndi poizoni, nthawi yomweyo musunthireni kumhepo yatsopano. Pitani kuchipatala nthawi yomweyo.
KUPewETSA
Ikani chowunikira cha carbon monoxide pansi paliponse pakhomopo. Ikani chowunikira china pafupi ndi zida zilizonse zoyatsa mafuta (monga ng'anjo kapena chotenthetsera madzi).
Mpweya wambiri wa carbon monoxide umachitika m'miyezi yachisanu pomwe ng'anjo, malo amoto wamagesi, ndi zotenthetsera zotsekemera zikugwiritsidwa ntchito ndipo mawindo atsekedwa. Onetsetsani kuti ma heater ndi zida zamagesi zimayang'aniridwa pafupipafupi kuti zitsimikizike kuti ndi zotheka kugwiritsa ntchito.
Mfundo zotsatirazi ndi zothandiza pakagwa tsoka:
- Msinkhu wa munthu, kulemera kwake, ndi mkhalidwe wake (mwachitsanzo, kodi munthuyo ali maso kapena watcheru?)
- Atenga nthawi yayitali bwanji atakhala ndi carbon monoxide, ngati akudziwika
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. Munthuyo akhoza kulandira:
- Thandizo la airway, kuphatikiza oxygen, chubu lopumira mkamwa (intubation), ndi makina opumira (mpweya wabwino)
- Kuyesa magazi ndi mkodzo
- X-ray pachifuwa
- EKG (electrocardiogram, kapena kutsata mtima)
- Zamadzimadzi kudzera mumitsempha (intravenous kapena IV)
- Hyperbaric oxygen therapy (mpweya wothamanga kwambiri woperekedwa mchipinda chapadera)
- Mankhwala ochizira matenda
Mpweya wa carbon monoxide ungayambitse imfa. Kwa iwo omwe apulumuka, kuchira kumachedwa. Momwe munthu amachitila bwino zimadalira kuchuluka ndi kutalika kwa kukhudzana ndi kaboni monoxide. Kuwonongeka kwamuyaya kwa ubongo kumatha kuchitika.
Ngati munthuyo adakali ndi vuto lakumva malingaliro pakadutsa milungu iwiri, mpata wochira kwathunthu ndiwowopsa. Kulephera kwa malingaliro kumatha kuonekeranso munthu atakhala kuti alibe chizindikiro kwa sabata limodzi kapena awiri.
Christiani DC. Kuvulala kwakuthupi ndi mankhwala kwamapapu. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 94.
Nelson LS, Hoffman RS. Mpweya woipa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 153.
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.