Kangaude wamasiye wakuda

Kangaude wamasiye wakuda (Latrodectus genus) ali ndi thupi lakuda lonyezimira lokhala ndi mawonekedwe ofiira a hourglass pamimba pake. Kuluma koopsa kwa kangaude wakuda wamasiye ndi koopsa. Mtundu wa akangaude, omwe mkazi wamasiye wakuda ali nawo, uli ndi mitundu yayikulu kwambiri yazilombo zodziwika bwino.

Nkhaniyi ndi yongodziwa zambiri. Musagwiritse ntchito pochiza kapena kusamalira kangaude wakuda wamasiye. Ngati inu kapena munthu amene muli naye mwalumidwa, itanani nambala yanu yadzidzidzi (monga 911), kapena malo omwe mungapezeko poizoni kwanuko atha kulumikizidwa molunjika poyimbira foni ya nambala yaulere ya Poison Help (1-800-222-1222) kuchokera ku kulikonse ku United States.

Utsi wa kangaude wakuda wamasiye uli ndi mankhwala oopsa omwe amadwalitsa anthu.

Akazi amasiye akuda amapezeka ku United States konse, makamaka Kumwera ndi Kumadzulo. Nthawi zambiri amapezeka m khola, m khola, makhoma amiyala, mipanda, matabwa, mipando ya khonde, ndi zina zakunja.

Mtundu uwu wa kangaude umapezeka padziko lonse lapansi. Amapezeka kwambiri kumadera otentha komanso otentha, makamaka m'nyengo yachilimwe.

Chizindikiro choyamba cha kuluma kwamasiye wakuda nthawi zambiri chimakhala chowawa chofanana ndi chikhomo. Izi zimamveka pakulumidwa. Anthu ena samamva. Kutupa pang'ono, kufiira, ndi zilonda zooneka ngati chandamale zitha kuwoneka.

Pakadutsa mphindi 15 mpaka ola limodzi, kupweteka kwaminyewa kumafalikira kuchokera kumalo oluma kupita mthupi lonse.

• Ngati kuluma kuli kumtunda, nthawi zambiri mumamva kupweteka kwambiri m'chifuwa.
• Ngati kuluma kuli pamunsi mwanu, nthawi zambiri mumamva kuwawa m'mimba mwanu.

Zizindikiro zotsatirazi zitha kuchitika:

• Nkhawa
• Kuvuta kupuma
• Mutu
• Kuthamanga kwa magazi
• Kuchuluka malovu
• Kuchuluka thukuta
• Kuzindikira kuwala
• Minofu kufooka
• Nseru ndi kusanza
• Dzanzi ndi kumva kulasalasa mozungulira malo olumirako, ndiye nthawi zina zimafalikira chifukwa choluma
• Kusakhazikika
• Kugwa (komwe kumawoneka asanamwalire ana omwe alumidwa)
• Zilonda zopweteka kapena zotupa
• Kutupa pankhope pakangotha ​​kuluma. (Kutupa uku nthawi zina kumasokonezedwa ndi zovuta za mankhwala omwe amagwiritsidwa ntchito pochiza.)

Amayi apakati amatha kudwala ndikudwala.

Kulira kangaude wakuda wakuda ndi koopsa kwambiri. Pitani kuchipatala nthawi yomweyo. Itanani malo oyang'anira poizoni kuti akuwongolereni.

Tsatirani izi mpaka thandizo la mankhwala liperekedwe:

• Sambani malowo ndi sopo ndi madzi.
• Wokutira ayezi mu nsalu yoyera ndikuyiyika pamalo oluma. Siyani kwa mphindi 10 ndikupita kwa mphindi 10. Bwerezani izi. Ngati munthuyo ali ndi vuto lakutuluka kwa magazi, muchepetse nthawi yomwe ayezi amakhala pamalopo kuti apewe kuwonongeka kwa khungu.
• Sungani malo okhudzidwawo, ngati n'kotheka, kuti poizoni asafalikire. Chopangira chokha chingakhale chothandiza ngati kulumako kunali mikono, miyendo, manja, kapena mapazi.
• Masulani zovala ndikuchotsani mphete ndi zodzikongoletsera zina zolimba.

Dziwani izi:

• Msinkhu wa munthu, kulemera kwake, ndi momwe alili
• Nthawi yomwe kuluma kunachitika
• Malo omwe thupi limaluma
• Mtundu wa kangaude, ngati zingatheke

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. SIYENERA kukhala mwadzidzidzi. Mutha kuyimba pazifukwa zilizonse, maola 24 patsiku, masiku 7 pasabata.

Ngati n'kotheka, tengani kangaudeyo kuchipinda chodzidzimutsa. Ikani mu chidebe chotetezeka.

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

• Antivenin, mankhwala osinthira zovuta za poizoni, ngati alipo
• Kuyesa magazi ndi mkodzo
• Chithandizo chopumira, kuphatikiza mpweya, chubu kudzera pakamwa mpaka pakhosi, ndi makina opumira (chopumira)
• X-ray pachifuwa, x-ray m'mimba, kapena zonse ziwiri
• ECG (electrocardiogram, kapena kutsata mtima)
• Madzi amadzimadzi (IV, kapena kudzera mumitsempha)
• Mankhwala ochizira matenda

Mwambiri, ana, amayi apakati, ndi anthu okalamba angafunike kupatsidwa antivenin ya Latrodectus kuti athetse mphamvu ya poizoni. Komabe, imatha kuyambitsa mavuto ena ndipo imayenera kugwiritsidwa ntchito mosamala.

Zizindikiro zazikulu zimayamba kusintha mkati mwa masiku awiri kapena atatu, koma zizindikilo zowopsa zimatha kukhala milungu ingapo. Imfa mwa munthu wathanzi ndiyosowa kwambiri. Ana aang'ono, anthu omwe akudwala kwambiri, komanso achikulire sangapulumuke ndikulumidwa.

Valani zovala zokutetezani mukamayenda malo omwe akangaudewa amakhala. Musayike manja kapena mapazi anu mu zisa zawo kapena m'malo obisalapo, monga mdima, malo otetezedwa pansi pa mitengo kapena mabulosi, kapena malo ena achinyezi, opanda madzi.

• Artropods - zoyambira
• Arachnids - zofunikira
• Kangaude wamasiye wakuda

Achinyamata LV, Binford GJ, Degan JA. Kangaude amaluma. Mu: Auerbach PS, Cushing TA, Harris NS, eds. Mankhwala A m'chipululu cha Auerbach. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 43.

James WD, Elston DM, Chitani JR, Rosenbach MA, Neuhaus IM. Matenda a majeremusi, mbola, ndi kulumidwa. Mu: James WD, Elston DM, Tsatirani JR, Rosenbach MA, Neuhaus IM, eds. Matenda a Andrews a Khungu: Clinical Dermatology. Wolemba 13. Philadelphia, PA: Elsevier; 2020: chap 20

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.