Kangaude amatulutsa kangaude

Akangaude akuda Brown amakhala pakati pa 1 ndi 1 1/2 mainchesi (2.5 mpaka 3.5 sentimita) kutalika. Ali ndi zofiirira zakuda, zooneka ngati zeze kumtunda kwawo ndi miyendo yoyera bulauni. Thupi lawo lakumunsi limatha kukhala lofiirira, khungu, chikasu, kapena mtundu wobiriwira. Alinso ndi awiriawiri atatu a maso, m'malo mwa awiriawiri 4 akalulu ena amakhala nawo. Kuluma kwa kangaude wofiirira ndikowopsa.

Nkhaniyi ndi yongodziwa zambiri. Musagwiritse ntchito pochiza kapena kuyang'anira kuluma kwa kangaude. 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 wobalalika uli ndi mankhwala owopsa omwe amadwalitsa anthu.

Kangaude wamtundu wofiirira amapezeka kwambiri kum'mwera ndi pakati pa United States, makamaka ku Missouri, Kansas, Arkansas, Louisiana, kum'mawa kwa Texas, ndi Oklahoma. Komabe, amapezeka m'mizinda ikuluikulu ingapo.

Kangaude wamtundu wofiirira amakonda malo amdima, otetezedwa, monga pansi pa zipilala komanso pamatabwa.

Kangaude akakulirani, mumatha kumva kuluma kwakanthawi kapena kusowa kalikonse. Nthawi zambiri ululu umayamba mkati mwa maola angapo mutangolumidwa, ndipo umatha kukula. Ana atha kukhala ndi zovuta zina.

Zizindikiro zimaphatikizapo:

• Kuzizira
• Kuyabwa
• Kusamva bwino kapena kusasangalala
• Malungo
• Nseru
• Mtundu wofiyira kapena wotuwa mozungulira mozungulira kuluma
• Kutuluka thukuta
• Zilonda zazikulu mmalo mwa kulumako

Nthawi zambiri, izi zimatha kuchitika:

• Coma (kusowa poyankha)
• Magazi mkodzo
• Chikasu cha khungu ndi azungu amaso (jaundice)
• Impso kulephera
• Kugwidwa

Pazovuta zazikulu, magazi samachotsedwa pamalo olumirako. Izi zimabweretsa mabala akuda (eschar) patsamba lino. Eschar imachoka pambuyo pa milungu iwiri kapena isanu, ndikusiya zilonda kudzera pakhungu ndi mafuta. Chilondacho chingatenge miyezi yambiri kuti chichiritse ndikusiya chilonda chachikulu.

Pitani kuchipatala nthawi yomweyo. Imbani 911 kapena nambala yadzidzidzi yakomweko, kapena kuwongolera poyizoni.

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
• Mbali ya thupi idakhudzidwa
• Nthawi yoluma idachitika
• Mtundu wa kangaude, ngati umadziwika

Mutengereni munthuyo kuchipatala kuti akalandire chithandizo. Kuluma kumawoneka kosawoneka bwino, koma kumatha kutenga nthawi kuti kukhale koopsa. Kuchiza ndikofunikira kuti muchepetse zovuta. Ngati ndi kotheka, ikani kangaudeyo m'chotetezera chabwino ndikubweretsa kuchipinda chadzidzidzi kuti chizikudziwitsani.

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. Nambala yochezera iyi ikulolani kuti mulankhule ndi akatswiri a poizoni, kuphatikizapo kulumidwa ndi tizilombo. 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.

Tengani kangaude ku chipatala, ngati zingatheke. Onetsetsani kuti ili mu chidebe chotetezeka.

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

Zizindikiro zidzachiritsidwa. Chifukwa kulumidwa kwa kangaude kumakhala kopweteka, mankhwala opweteka amatha kuperekedwa. Maantibayotiki amathanso kuperekedwa ngati chilondacho chili ndi kachilomboka.

Ngati bala lili pafupi ndi cholumikizira (monga bondo kapena chigongono), mkono kapena mwendo ukhoza kuyikidwa kulumikizana kapena kuponyera. Ngati ndi kotheka, mkono kapena mwendo udzakwezedwa.

Pazovuta zazikulu, munthuyo akhoza kulandira:

• Kuyesa magazi ndi mkodzo
• Chithandizo chopumira, kuphatikiza mpweya, chubu kudzera pakamwa mpaka pakhosi, ndi makina opumira (chopumira)
• X-ray pachifuwa
• ECG (electrocardiogram, kapena kutsata mtima)
• Madzi amadzimadzi (IV, kapena kudzera mumitsempha)
• Mankhwala ochizira matenda

Ndi chithandizo chamankhwala choyenera, kupulumuka kwa maola 48 nthawi zambiri kumakhala chizindikiro choti akuchira. Ngakhale mutalandira chithandizo choyenera komanso chofulumira, zizindikilo zimatha kukhala masiku angapo mpaka milungu. Kuluma koyambirira, komwe kumatha kukhala kocheperako, kumatha kupita kukulira magazi ndikuwoneka ngati diso la ng'ombe. Zitha kukula, ndipo zizindikilo zina monga kutentha thupi, kuzizira, ndi zizindikilo zina zakutenga mbali m'thupi zimatha kuyamba. Ngati zilonda zam'mimba zayamba, pangafunike kuchitidwa opaleshoni kuti zithandizire kukulitsa chilonda chopangidwa pamalo olumirako.

Imfa ya kuluma kwa kangaude imakhala yofala kwambiri mwa ana kuposa achikulire.

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.

Loxosceles amachoka

• Artropods - zoyambira
• Arachnids - zofunikira
• Brown amataya kangaude kudzanja

Achinyamata LV, Binford GJ, Degan JA. Kangaude amaluma. Mu: Auerbach PS, Cushing TA, Harris NS, eds. Mankhwala a Aurebach's Wilderness. 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.