Iimpawu zeCarbon Monoxide Poisoning

Unokwazi njani ukuba unobuthi we-carbon monoxide?

I-Carbon monoxide ityhefu yintleon kwihlabathi lezokwelapha. Iimpawu zayo zifana nezinye iimeko kwaye akukho mqondiso omnye wegolide yegolide yezo zonke i-carbon monoxide. Ngamanye amazwi, kunzima ukubona, kodwa kukho utshintsho oluthile omele uluqaphele ngalo.

Iimpawu Zamaxesha amaninzi

Iimpawu eziqhelekileyo zomoya we-carbon monoxide zityhefu kwaye azihambelani neemeko ezininzi.

Iimpawu zokuqala

I-carbon monoxide ibopha kwi-hemoglobin ukwenza i-molecule ebizwa ngokuthi i-carboxyhemoglobin (COHb), ephazamisa amandla omzimba wokuthutha nokusebenzisa i-oxygen, ingakumbi kwingqondo. Ngenxa yoko, iimpawu ziyafana nezinye iimeko ezichaphazela ingqondo kwaye zibangela ukuncipha kwe-oxygenation (eyaziwa ngokuba yi "hypoxia"):

Ngenxa yokuba igesi kwaye iyakuthi ichaphazele wonke umntu ovelele kuyo, i-carbon monoxide ilula ukubona ukuba iimpawu zibetha abantu abaninzi ngelo xesha. Ngenxa yobume bakhe obufana ne-chameleon akusengomsebenzi olula, kodwa iintloko kunye neentlanzi zincinci zodwa zibangela ukuba nabani na ukuba bacinge nge-carbon monoxide yetyhefu njengento ebangela ukuba yintoni.

Nangona kunjalo, xa i-carbon monoxide ichaphazela izigulane ezininzi ngexesha elifanayo, ngokuqhelekileyo ixoshwa njengosulelo okanye ukutya okubi kunokuba kuthathwe i-carbon monoxide.

Iimpawu zoPhuculo

Njengoko i-carbon monoxide inetyhefu iyaqhubeka, impawu ziba zikhulu ngakumbi, kodwa zisengacacanga kwaye zinzima ukuchonga njengento ecacileyo kwi-carbon monoxide:

Akukho sikhewu esicacileyo sokubonisa ukuba kuthatha ixesha elingakanani ukuqhubela phambili kwintloko yesifo ukulahlekelwa yintliziyo.

Ukuboniswa kwe-carbon monoxide ixhomekeke ngexesha kunye nokuxininisa, oku kuthetha ukuba inani le-carbon monoxide emoyeni lubalulekile njengoko isigulane sihlala sichaze ngayo.

Iimpawu eziqhelekileyo

Umbala obomvu obomvu, obomvu (odla ngokubizwa ngokuba yi-cherry ebomvu) ngumqondiso omnye wokutshiza i-carbon monoxide. Ivela kumazinga aphezulu e-carboxyhemoglobin egazini.

Ngelishwa, ngokuqhelekileyo ukuhlolwa kwe-postmortem eyenza umbala obomvu obomvu. Iqondo le-carbon monoxide egazini elifunekayo ukwenzela ukuba ulusu lube lulo mbala luphezulu kangangokuthi luhlala lubulala.

Ngoko, isikhumba esiqhenqileyo kakhulu siphumelele umqondiso onokuba luncedo ekuqaliseni ukuba isigulane sibhekene ne-carbon monoxide yetyhefu. Ukunyangwa ngempumelelo, i-carbon monoxide isetyhefu kufuneka ibonakale ixesha elide ngaphambi kokuba isiguli siguqule ebomvu.

Iingxaki zexesha elide

Njengento efana ne-carbon monoxide yetyhefu yinto eninzi esingayiqondiyo ngale meko. Ukutshatyalaliswa kwexesha elide kumanqanaba aphakamileyo e-carbon monoxide-nangona xa amanqanaba awanjalo, kodwa ukuvezwa okuqhubekayo kwiintsuku ezininzi okanye kwiiveki-kunokukhokelela kwisifo somgubo we-arterial , cardiomyopathy , kunye nexesha elide, ezingaqondi kakuhle iingxaki zeengxaki.

Ukulimala kwengqondo yingozi enkulu eyenziwa zizigulane ezininzi ezine-carbon monoxide. Izigulana zinokuvelisa iingxaki zeengxaki (ubunzima bokugxila, ukulahleka kwememori, ukuthuthumela, ukuthetha ingxaki, njl.) Ngexesha elifanayo kunye ne-carbon monoxide kunye nexesha elizayo. Xa izibonakaliso zeempawu zesifo kunye neempawu zibonakaliswa kamva, zibizwa ngokuba zilibazisekile nge-neurologic sequelae (DNS).

Uphando luqhubela phambili ukuba kutheni oku kwenzekayo kunye nendlela yokuchonga ubunako beempawu zexesha elide. Ngokomzekelo, ukunyanzelwa komfundi kwiso kungacacisa ukuba ingqondo iza kuthatha njani iintsuku ezingama-30 emva kokungcola.

Olunye uphando olwalandela izigulane kwiminyaka emva kokuba bevezwe befumene ukuba izigulane zabo zenzeka ngaphezu kwazo ezingenayo imbali ye-carbon monoxide yetyhefu ekuphuhliseni isifo se-arterial.

Kukho unyango oluncinci olusiseko lwe-carbon monoxide. Uninzi ukhetho lujolise ekukhenkeleni i-carbon monoxide ngokukhawuleza. Ezi zonyango zivela kwi-oxygen ehamba phambili ehamba phambili (15-25 litres ngomzuzu) enikezelwa kwiimeko eziqhelekileyo zemoya yonke indlela yokukhanyisa ukufakwa emiphakeni ukuze ihlukanise i-carbon monoxide kwi-hemoglobin, okanye i-hyperbaric therapy oksijeni ekhutshwa phezulu kuneengxaki eziqhelekileyo zemoya.

Nini ukubona iDokotela

I-Carbon monoxide ityhefu kakhulu kwaye ihlala ifuna uhambo lokubona ugqirha. I-carbon monoxide inamathela kwigazi kwaye kuthatha iiyure eziliqela ukususa.

Naluphina ixesha elikrokreji lokukhangela i-carbon monoxide, khala 911. Musa ukulinda uncedo. Hambisa umoya omtsha ngokukhawuleza. Ngokuqhelekileyo, kulungile ukuphuma ngaphandle ngelixa ulinde i-ambulensi.

Xa ubona ugqirha, phawula ukuba imbali ibaluleke ngaphezu kweempawu. Indlela ebaluleke kakhulu yokubona ubuthi be-carbon monoxide ngukuqaphela izibonakaliso zengozi zokuziphatha ezikhokelela ekugqibeleni iimpawu zaqala ukuvela.

Izitofu eziphosakeleyo, izitshixo zomlilo, okanye izixhobo zokutshisa iinkuni zivame ukubeka ityala nge-carbon monoxide. Iimoto kunye namaloli awona macala aqhelekileyo kwisimo sokushishina, kunye neminye imithombo ye-carbon monoxide.

Ugqirha wakho unokucela ukuba uchaze ukuba ixesha elide lithathwa njani ukuba libi kakhulu ukufuna uncedo. Yintoni eyenzekayo ngelo xesha? Ngaba yimozulu epholileyo kwaye ezinye zeentsapho zenze isigqibo sokuqalisa i-barbecue phantsi kwepati? Le ngcaciso inokukunceda ukuqinisekisa ukuba iimpawu zakho ziyi-carbon monoxide yetyhefu.

> Imithombo:

> Wu, P., & Juurlink, D. (2014). I-carbon carbon monoxide. I-Canadian Medical Association Journal , 186 (8), 611-611. i-doi: 10.1503 / cmaj.130972

> Unsal Sac, R., Taşar, M., Bostancı, İ., Şimşek, Y., & Bilge Dallar, Y. (2015). Iimpawu zabantwana abane-Acute Carbon Monoxide Poisoning e-Ankara: I-Experience Centre Centre. Umbhalo WeeNzululwazi zezoNyango yaseKorea , 30 (12), 1836. i-doi: 10.3346 / jkms.2015.30.12.1836

> Izitayela, T., Przysiecki, P., Archambault, G., Sosa, L., Toal, B., Magri, J., & Cartter, M. (2014). Izibini ezimbini ezinxulumene ne-Carbon Monoxide Ukutshabalalisa-I-Connecticut, ngoOktobha 2011 no-Oktobha 2012. IiNqoloba zeMvelo kunye neMpilo yokuSebenza , 70 (5), 291-296. i-doi: 10.1080 / 19338244.2014.904267

> Jung, Y., Lee, J., Min, Y., Park, J., Jeon, W., & Park, E. et al. (2014). I-Carbon Monoxide-Inomdla weCardiomyopathy. I-Journal Circulation , 78 (6), 1437-1444. i-doi: 10.1253 / circj.cj-13-1282

> Chen, Y., Lin, T., Dai, M., Lin, C., Hung, Y., Huang, W., & Kao, C. (2015). Umngcipheko wePheripher Artery Disease in Patients With Carbon Monoxide Poisoning. Amachiza , 94 (40), e1608. i-doi: 10.1097 / md.0000000000001608

> Zou, J., Guo, Q., Shao, H., Li, B., Du, Y., & Liu, M. et al. (2015). Ukungabikho kwe-Reflex yomfundi kunye nokulahleka koBulumko Ukuqikelela ukuphela kwee-30 zeentsuku ze-Neurological Sequelae kwizigulane ngeCarbon Monoxide Poisoning. I-PLOS ONE , 10 (3), e0119126. i-doi: 10.1371 / iphephandaba.pone.0119126