Nsomba zam'madzi

Jellyfish ndi zolengedwa zam'nyanja. Amakhala pafupi kuwona kudzera m'matupi okhala ndi zazitali, ngati zala zotchedwa mahema. Maselo obaya mkati mwa mahema amatha kukupweteketsani mukakumana nawo. Zilonda zina zimatha kuvulaza kwambiri. Pafupifupi mitundu 2000 ya nyama zomwe zimapezeka m'nyanja ndizopweteka kapena zakupha kwa anthu, ndipo zambiri zimatha kudwala kwambiri kapena kufa.

Nkhaniyi ndi yongodziwa zambiri. Musagwiritse ntchito pochizira kapena kuyang'anira mbola ya nsomba. Ngati inu kapena munthu amene muli naye mwalumidwa, 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 ku kulikonse ku United States.

Mafinya a Jellyfish

Mitundu ya jellyfish yomwe ingakhale yoopsa ndi iyi:

• Mkango wa mikango (Cyanea capillata).
• Mwamuna wankhondo wachipwitikizi (Physalia physalis ku Atlantic ndi Physalia utriculus ku Pacific).
• Nthiti yam'madzi (Chrysaora quinquecirrha), imodzi mwa nsomba zodziwika bwino kwambiri zomwe zimapezeka m'mphepete mwa nyanja ya Atlantic ndi Gulf.
• Jellyfish yamabokosi (Cubozoa) onse ali ndi thupi lofanana ndi bokosi kapena "belu" lokhala ndi mahema omwe amachokera pakona iliyonse. Pali mitundu yoposa 40 yama bokosi azokongoletsa. Izi zimayambira pachakudya cha nkhono zooneka ngati thimble mpaka ma chirodropids ofanana ndi basketball omwe amapezeka pafupi ndi magombe a kumpoto kwa Australia, Thailand, ndi Philippines (Chironex fleckeri, Chiropsalmus quadrigatus). Nthawi zina amatchedwa "mavu apanyanja," box jellyfish ndiowopsa kwambiri, ndipo mitundu yoposa 8 yapha anthu. Jellyfish yamabokosi imapezeka m'malo otentha kuphatikiza Hawaii, Saipan, Guam, Puerto Rico, Caribbean, ndi Florida, ndipo posachedwa mwadzidzidzi ku New Jersey.

Palinso mitundu ina ya jellyfish yoluma.

Ngati simukudziwa malo, onetsetsani kuti mufunse ogwira ntchito zoteteza m'nyanja zakomwe angathenso kulumidwa ndi nsomba zam'madzi komanso zoopsa zina zam'madzi. M'madera omwe timagulu timene timapezeka m'mabokosi timapezeka, makamaka dzuwa likamalowa komanso likutuluka, kulumikizidwa kwathunthu ndi "suti yoluma," hood, magolovesi, ndi zofunkha zimalangizidwa.

Zizindikiro za mbola za mitundu yosiyanasiyana ya jellyfish ndi izi:

MANE WA MKANGO

• Kupuma kovuta
• Kupweteka kwa minofu
• Kuwotcha khungu ndi kuphulika (koopsa)

PORTUGUESE MUNTHU WA NKHONDO

• Kupweteka m'mimba
• Zosintha zamkati
• Kupweteka pachifuwa
• Kuzizira
• Collapse (mantha)
• Mutu
• Kupweteka kwa minofu ndi kupweteka kwa minofu
• Kunjenjemera ndi kufooka
• Kupweteka kwa mikono kapena miyendo
• Anakweza malo ofiira pomwe analuma
• Mphuno yothamanga komanso maso amadzi
• Kumeza vuto
• Kutuluka thukuta

NYANJA

• Kutupa khungu pang'ono (ndi mbola zofatsa)
• Zilonda zam'mimba ndi kupuma movutikira (kuchokera pazambiri)

NYANYO YA NYANJA KAPENA Bokosi JELLYFISH

• Kupweteka m'mimba
• Kupuma kovuta
• Zosintha zamkati
• Kupweteka pachifuwa
• Collapse (mantha)
• Mutu
• Kupweteka kwa minofu ndi kupweteka kwa minofu
• Nseru ndi kusanza
• Kupweteka kwa mikono kapena miyendo
• Anakweza malo ofiira pomwe amaluma
• Kupweteka kwakukulu kowotcha komanso malo obaya amaphulika
• Imfa ya khungu
• Kutuluka thukuta

Kwa kulumidwa kwambiri, mbola, kapena mitundu ina ya poyizoni, ngozi imatha kumira pambuyo pobayidwa kapena kuyanjana ndi poyizoni.

Pitani kuchipatala nthawi yomweyo. Pitani kuchipatala nthawi yomweyo ngati ululu ukuwonjezeka kapena pali zizindikiro zilizonse za kupuma movutikira kapena kupweteka pachifuwa.

• Posakhalitsa, tsukani malo obayira ndi viniga wosiyanasiyana wa nyumba kwa masekondi 30. Vinyo woŵaŵa ndiwotetezeka komanso wogwira mtima pamitundu yonse ya mbola za nsomba. Viniga amaletsa mwachangu masauzande ang'onoang'ono osafota omwe atsalira pakhungu atalumikizana.
• Ngati viniga palibe, malo obayira amatha kutsukidwa ndi madzi am'nyanja.
• Tetezani malo okhudzidwawo ndipo MUSAPEWE mchenga kapena kupondereza chilichonse m'deralo kapena kufufuta malo oluma.
• Lowetsani malowa mu 107 ° F mpaka 115 ° F (42 ° C mpaka 45 ° C) madzi otentha apampopi, (osatenthetsa) kwa mphindi 20 mpaka 40.
• Mukamalowetsa m'madzi otentha, perekani antihistamine kapena mafuta a steroid monga kirimu cha cortisone. Izi zingathandize ndi ululu ndi kuyabwa.

Dziwani izi:

• Msinkhu wa munthu, kulemera kwake, ndi momwe alili
• Mtundu wa jellyfish, ngati zingatheke
• Nthawi yomwe munthuyo adalumidwa
• Malo okhala mbola

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.

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

• Antivenin, mankhwala obwezeretsa zovuta za poyizoni, atha kugwiritsidwa ntchito pamtundu wina wamatenda omwe amapezeka m'malo ena a Indo-Pacific (Chironex fleckeri)
• Kuyesa magazi ndi mkodzo
• Chithandizo chopumira, kuphatikiza mpweya, chubu kudzera pakamwa mpaka pakhosi, ndi makina opumira
• X-ray pachifuwa
• ECG (electrocardiogram, kapena kutsata mtima)
• Zamadzimadzi kudzera mumtsempha (mwa IV)
• Mankhwala ochizira matenda

Mitundu yambiri ya jellyfish imakula mkati mwa maola ochepa, koma mbola zina zimatha kuyambitsa khungu kapena zotupa zomwe zimatha milungu ingapo. Lumikizanani ndi omwe amakupatsani ngati mukupitiliza kuyabwa pamalo obaya. Mitundu yapakhungu yolimbana ndi zotupa imatha kukhala yothandiza.

Nkhondo yankhondo zaku Portugal komanso nsomba za m'nyanja sizimapha kawirikawiri.

Mbola zina za jellyfish zimatha kupha munthu mkati mwa mphindi zochepa. Mbola zina za jellyfish zimatha kubweretsa imfa mu 4 mpaka 48 maola pambuyo pobedwa chifukwa cha "Irukandji syndrome." Uku ndikuchedwa kuchitapo kanthu ku mbola.

Ndikofunika kuwunika mosamala anthu omwe alumidwa ndi nkhono kwa maola ambiri pambuyo pobayidwa. Funsani chithandizo chamankhwala nthawi yomweyo pazovuta zilizonse zopuma, chifuwa kapena kupweteka m'mimba, kapena thukuta.

Feng SY, Goto CS. Zolemba. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba.Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 746.

Otten EJ. Kuvulala koopsa kwa nyama. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 55.

Sladden C, Seymour J, Sladden M. Jellyfish amaluma. Mu: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, olemba. Kuchiza kwa Matenda a Khungu: Njira Zambiri Zakuchiritsira. 5th ed. Philadelphia, PA. Zowonjezera; 2018: chap 116.