Oogqirha basebenzisa izixhobo ezininzi ukuchonga i-Carbon Monoxide Poisoning Hospital
Ukuchonga i-carbon monoxide yetyhefu kunzima kunokuba kuzwakala. Ngokweqhinga, ukuboniswa kwekhabhoni ye-carbon monoxide kukhokelela kumazinga aphezulu e-carbon monoxide egazini, kwaye oko kukufumanisa. Ukunyaniseka kukuba i-carbon monoxide exposure isingqinisiso (ingakanani i-carbon monoxide emoyeni) kunye nexesha (ixesha elingakanani isigulane esiphefumulayo), oko kuthetha ukuba ukuxilongwa kwe-carbon monoxide yetyhefu kukudibanisa ukuqonda iimpawu kunye neempawu ukulinganisa inani le CO kwigazi.
Uhlolo lokuzihlola / Uvavanyo lwekhaya
Akukho khetho yokuzixilonga kwi-carbon monoxide yetyhefu, kodwa nabani na onokudideka okanye ukulahleka kwengqondo kufuneka babe ne-911 ababizele. Ngaphezu koko, umele ukrokre i-carbon monoxide enetyhefu xa umntu ongaphezu komntu omnye kwisakhiwo esinomthombo otshayo (isithando somlilo, indawo yomlilo, izithuthi zegesi, isitofu esifuthayo, njl njl.) Ukhononda ngeentloko kunye neentlanzi.
Ukuba i-carbon kono monoxide ityhulwa, bonke abahlala kwisakhiwo kufuneka baphume ngaphandle ukuze baphefumle umoya omtsha, kunye nokubiza 911. Ukuba ukrokrela utyhefu lwe-CO, ungazami ukuqhuba; Biza i-ambulansi.
CO kwiGazi
I-carbon monoxide (CO) ibopha kwi-hemoglobin ngendlela efanayo ne-oxygen. Ngelishwa, i-hemoglobin inamaxesha angaba ngu-230 ukuxhatshazwa kwe-CO kunokuba yenze i-oksijeni, ngoko ke ixabiso elincinci le-carbon monoxide liza kubopha i-hemoglobin kwaye ikhuphe i-oksijini kwi-equation. Sibiza i-hemoglobin ehambelana ne-CO "carboxyhemoglobin," kwaye yile milinganiselo esiyisebenzisayo ukuqinisekisa ubunzima be-carbon monoxide.
Uvavanyo lokuqala
Abanye abaphendulayo bokuqala banako ukulinganisa i-carboxyhemoglobin egazini besebenzisa ifowuni ebizwa nge-pulse carbon monoxide oximeter. Ngokukodwa, i-CO-oximeter ye-pulse iyalinganisa ukuzaliswa kwe-carbon monoxide kwi-hemoglobin (SpCO). Isebenzisa amagagasi okukhanya (ngokuqhelekileyo akhanyisa ngomunwe) ukulinganisa i-carbon monoxide saturation engenasvasively.
Enye ifom ye-non-vasive measurement isebenzisa umoya okhupha umoya ukufumana amanqanaba e-carbon monoxide. Olunye uphando lufumene i-CO exhaledi ukuba ingacacanga njengomlinganiselo we-carbon monoxide.
I-SpCO ayinakulinganiswa ngamazwe onke ngabaphenduli bokuqala, ngoko imbali kunye nokuhlolwa komzimba kusekho izinga legolide kwindawo. Ngelishwa, i-pulmeter ye-oximetry, esetyenziselwa ukulinganisa kuphela ukuba i-hemoglobin izaliswe yi-oxgyen okanye ayikho, iyakhohliswa yi-carbon monoxide yetyhefu ekuboniseni i-oksijeni ephezulu ngokuphezulu xa i-carboxyhemoglobin ikhona. Oku kubaluleke nakakhulu ukufumana imbali efanelekileyo kunye nokuhlolwa komzimba kwisigulane.
Uvavanyo lweLebhu
Esibhedlele, uvavanyo oluthile olungenayo kodwa oluchanekileyo lusetyenziswa. Ibizwa ngokuba yigazi yegazi.
Iigesi zegesi zegesi zilinganisa inani lemimoya yomoya-ngokuqhelekileyo i-oksijini kunye ne-carbon dioxide-egazini ngokwegazi. Uninzi lweemvavanyo zegazi luhambisa igazi kwiimvini, okulula kwaye kukhuselekileyo kwisigulane.
Iimvavanyo zegesi zegazi ziyimilinganiselo ye-oksijini kunye ne-carbon dioxide kuba ezo gesi ziguquka kakhulu ngaphambi kokuba emva kwegazi lijikeleze ngamathambo omzimba. Iigesi ze-arterial-kunokuba i-venous-measure inokwenzeka ukuba i-hemoglobin inike i-oksijini kwaye isuse i-carbon dioxide.
Ekubeni i-carbon monoxide ayisetyenziswanga kwaye ingasuswa kalula kwigazi, iyakwazi ukuvavanywa ngegazi okanye i-venous blood.
Iimvavanyo zegesi zegesi zibhekwa ngokuchanekileyo ngakumbi kune-CO-oximetry ye-pulse. Nangona i-oximetry inokubaluleka ukuchonga izigulane ezisemgangathweni onokuthi zibe ne-carbon monoxide yetyhefu, kufuneka igazi zegazi ziqinisekiswe ukuba ziqinisekise amazinga e-carboxyhemoglobin.
Ukucinga
I-carbon dioxide monoxide enobungozi obuvela kwiindawo eziphezulu zekhabhoni monoxide ngamaxesha amancinci wokubhengeza akusiyo kuphela umphumo we-carbon monoxide. Isifo esingapheliyo (ixesha elide) ukuboniswa kwekhabhoni ye-carbon monoxide kwiindawo ezincinci kakhulu kunokubangela ukuba umonakalo wesisu, ngakumbi kwinhliziyo nangengqondo.
Nangona amazinga e-carboxyhemoglobin kwizigulane ezivelelekanga zihlala zingaphantsi kunezigulane ezinzima, zikho ezinye iindlela zokuchonga umonakalo. Into eqhelekileyo kukuba ukhangele iifom nge-imaging yezokwelapha. I-IMRI) yindlela efanelekileyo yokuhlola ubuchopho ngenxa yokulimala kwingozi ye-carbon monoxide.
Ukuxilongwa okuhlukeneyo
Ngenxa yobuninzi beempawu kunye neempawu ezinxulumene ne-carbon monoxide ubuthi-ngenxa yesohlwayo, ukuhlanza, intloko, ukukhathala, intlungu yesifuba-ezinye izifo zixilongo. Umxube ophezulu wekhabhoni monoxide kwikhaya lomguli uya kubonisa ukuba kungenzeka ukuba i-carbon monoxide isetyhefu, kodwa ezinye iimbangela ziza kuphelelwa ngaphandle.
Uludwe lweengxaki zohlulo oluhlukeneyo lubanzi kakhulu ukuchonga. Icandelo ngalinye lihlukile kwaye kufuneka lihlolwe ngokusekelwe kwintetho yesigulane, imbali kunye neemvavanyo.
> Imithombo:
> Cannon, C., Bilkowski, R., Adhikari, S., & Nasr, I. I. (2004). Ukulungelelaniswa kwamanqanaba e-carboxyhemoglobin phakathi kweesampuli zegesi zegesi ezinobungozi. I-Annals yoMnxeba oPhezulu , 44 (4), S55. i-doi: 10.1016 / j.annemergmed.2004.07.181
> Hullin, T., Aboab, J., Desseaux, K., Chevret, S., no-Annane, D. (2017). Ulungelelwano phakathi kokunyaniseka kweklinikhi kunye nokulinganisa okungafaniyo kwe-carbon monoxide ingxininiso: Ucwaningo lwabantu. I-PLOS ONE , 12 (3), e0174672. http://doi.org/10.1371/journal.pone.0174672
> Kuroda, H., Fujihara, K., Kushimoto, S., & Aoki, M. (2015). I-Novel yokubamba kweekliniki yokulibazisa i-neurologic sequelae emva kwe-carbon monoxide yetyhefu kunye nezinto ezinxulumene nesiphumo. Neurotoxicology , 48 , 35-43. i-doi: 10.1016 / j.neuro.2015.03.002
> McKenzie, LB, Roberts, KJ, Shields, WC, McDonald, E., Omaki, E., Abdel-Rasoul, M., & Gielen, AC (2017). UkuSasazwa kunye nokuVavanywa kweMbonisi yeCarbon Monoxide Ukungenelela kwiZiphathi ezimbini: iSebe eliPhezulu kunye noLuntu lwaseMzaneni. Umbhalo wezeMpilo yendalo , 79 (9), 24-30.
> Rose, JJ, Wang, L., Xu, Q., McTiernan, CF, Shiva, S., Tejero, J., & Gladwin, MT (2017). I-Carbon Monoxide Inetyhefu: I-Pathogenesis, uLawulo, kunye neZikhokelo zeHlabathi zeNtsholongwane. I-American Journal of Respiratory and Critical Care Medicine , 195 (5), 596-606. http://doi.org/10.1164/rccm.201606-1275CI