Imveli kunye neZonyango ezintsha kwiConbon Monoxide Poisoning
I-hémoglobin iyakuthanda i-carbon monoxide kwaye iyayibopha malunga namaxesha angama-230 anamandla kunokuba iyenze kwi-oksijeni, eyona ngxaki kuba i-carbon monoxide ayinikezeli nayiphi na inzuzo emzimbeni. Ayithathi i-carbon monoxide ephezulu emoyeni ophefumlayo ukufumana i-carbon monoxide yetyhefu kwaye ithatha i-oksijini eninzi ukuyilahla, yintoni eyenziwa unyango.
Unyango lwe zithethe
I-Carbon monoxide yetyhefu ayikho into ongayiphatha ekhaya. Kuthatha, ubuncinci, i-100 pesenti ye-oksijeni yokuxinwa kwiiyure eziliqela ukukhipha igazi nge-carbon monoxide. Imodi enye ye-Carbon monoxide isifo esisodwa esifanelekile ukubiza 911.
Unyango olusisiseko lwe-carbon monoxide ubuthi ukulawula i-oksijeni ephezulu ngokungabonakali-mask-i-mask ye-oksijeni kunye nebhegi yeplastiki exhomeke kuyo-kubanga kuthatha ixesha elide ukuba luthathe indawo ye-carbon monoxide ehambelana ne-hemoglobin ene-oxygen. Isiqingatha-ubomi ngumlinganiselo wexesha elithathayo ukuphelisa isiqingatha senkunkuma emzimbeni. Isiqingatha sobomi bekhabhoni monoxide ngaphandle kokusebenzisa i-oksijini yimizuzu engama-320-ngaphezulu kweeyure ezintlanu ukunciphisa amazinga ngesigamu. Ngaloo nqanaba, kuya kuthatha malunga nosuku ukuba i-carbon monoxide isuswe.
Ukunika isigulane i-100 pesenti ye-oksijini kuncitshiswe ukunciphisa isigamu-ubomi ukuya kwiminithi engama-74, oko kuthetha ukuba kuya kuthatha iiyure ezingama-5 ukuya kwisigulana esikhatywe ngokukhawuleza ukufikelela kumazinga afanelekileyo e-carbon monoxide egazini.
Izigulane ze-carbon monoxide zetyhefu zichithe ixesha elininzi zihleli kwisebe elingxamisekileyo ukuphefumula oksijini.
Unyango lwe-Oxygen Hyperbaric
Enye indlela yokulawula i-oksijini phantsi kwengcinezelo kwindlu ye-hyperbaric, okuyiyona nto inokuthi isigulane silale kwaye iphefumula i-100 pesenti ye-oksijini kwiimpazamo ezi-1.5 ukuya kwezihlandlo ezi-2 eziphezulu ngaphezu kwengcinezelo yendalo.
Kwindlu ye-hyperbaric, unyango lwe-oksijini lunokunciphisa ubuncwane bokuphelisa i-carbon monoxide malunga nemizuzu engama-20.
Ngelishwa, amagumbi okuxhamla amacandelo awanakuthi atholakale, ngokukodwa kwimimandla yasemaphandleni. Kwimihlaba enokufikelela kwi-hyperbaric ye-oksijeni yonyango, kunokuthatha iiyure ezimbalwa ukulungiselela unyango. Ukuqwalasela isigulane kuya kufumana ulawulo lwe-oksijeni yendabuko ngexesha lokulinda, inzuzo yonyango elincinci lingase lilahleke. Ngaphezulu, ukuba izigulane ezininzi zichaphazeleka ngukukhishwa kwekhabhoni ye-carbon monoxide, enye kuphela ngexesha inokuphathwa kwi-hyperbaric chamber.
Nangona kukho ubungqina obucacileyo bokuthi unyango lwe-oksijeni yocirboni lucoca i-carbon monoxide kwigazi ngokukhawuleza, kukho ubungqina obuncinane bokuthi izigulane zibhetele kangcono ngenxa yalo. Olunye uhlalutyo lweemvavanyo ezilawulwa ngokungapheliyo lufumene iziphumo ezixubekileyo xa zijonga iziphumo zeengqondo zegolon monoxide ezinetyhefu ezigulane ezithe zafumana unyango lwe-oksijeni yonyango. Ulwaphulo lwe-Hyperbaric lunokukunceda isigulane, kodwa akukho sizathu sokukhathazeka ukuba asifumaneki lula.
Ezinye iiNyango
Ukubonelela i-oksijeni ukunciphisa amanqanaba e-carbon monoxide egazini liphela nje inxalenye yonyango lwe-carbon monoxide.
Umonakalo owenziwe kwingqondo nasentliziyweni ngenxa yokungabi ncitshiswa kwe-oksijini egazini ngexesha lokutyhefuza i-carbon monoxide idinga unyango ngokunjalo. Ngokuxhomekeke kubukhulu beetyhefu, izigulane zifuna ukuxhaswa kwengqondo kunye nomsebenzi wentliziyo. Ezinye izigulane ziza kufuna unyango lokukhukhumeza kwengqondo, olubandakanya imithi kunye nokwamkelwa kwiyunithi yokunyamekela.
Intliziyo iyancipha ukusilela kwe-oksijeni kunye nezigulane ziyakwazi ukuphazamiseka kwenhliziyo kunye ne-arrhythmias, enokuthi iphathwe esibhedlele ngamachiza okanye unyango lwamandla kagesi. Amanqanaba aphezulu e-oksijeni yamahhala e-blood-oxygen-molecules e-oxygen, engazibophelelwanga kwi-hemoglobin, eyaziwa nangokuthi i-radicals yamahhala-nayo inokunyusa ukuvuvukala, okubangela ukuba kunokwenzeka ukunyanzelwa komzimba.
Unyango lwexesha elizayo
Kukho unyango olutsha olutsha lwe-carbon monoxide enetyhefu ephuhliswayo. Uninzi lwala mayeza lunokuba yiminyaka emininzi kwaye yonke idinga ukufundwa okongeziweyo okongezelelweyo ukuqinisekisa ukukhusela nokusebenza.
KuKhanya
Ezinye iindawo zokukhanya zamehlo zibonise, kwizifundo zezilwanyana, ukukhawulezisa inkqubo yokuphula izibopho zeeyunithi phakathi kwe-hemoglobin ne-carbon monoxide. Ukuba inkqubo yokufumana umbala okhanyayo wokukhanya, omnye osondeleyo kunokwenzeka kwigazi, inokuphuhliswa, inokubonelela ngokukhawuleza indlela yokunciphisa amanqanaba e-carbon monoxide.
I-Oxygen Injections
Iisombululo ze-Hyperoxygenated injected ngqo kwigazi zinganika indlela yokuphakamisa amanqanaba e-oksijini ngaphaya kokunokwenzeka nakwi-hyperbaric therapy ye-oxygen. Izifundo zokuqala kunye namagundane abukeka ethembisa, kodwa kukho indlela ende yokuhamba ngaphambi kokuba abantu bazame.
Hydrogen Saline Solutions
Ngokufanayo, ukusetyenziswa kwesisombululo se-saline e-hydrogen-saline njenge-antioxidant ikhona kumazwe athile kwaye unokufumana inzuzo ethile ye-carbon monoxide yetyhefu. Ukulimala kwi-oksijeni engapheliyo-ejikelezayo kwigazi, kungabikho kwi-hemoglobin, yinto enokuthi yenzeke kuyo yonke imithi yokwelapha yangoku. Ukusebenzisa i-antioxidant eqinile ekulawuleni umonakalo onokubakho kungabaluleka ngokugqithiseleyo ukuguqula ubuthi be-carbon monoxide kwindawo yokuqala.
Utywala lwezoTywala
Olunye uphando lufumene ukuba izigulane zetyhefu yombango ye-carbon monoxide eyadla utywala wayenomonakalo ongaphantsi kobuchopho xa kuthelekiswa nezigulane zomoya we-carbon monoxide. Kukho ithuba lokuba ubukho bobunxila bungenza umehluko kwisiphumo sobutywala obukhulu. Ekubeni izigulane ezi zifundo sele sele zisela ngaphambi kokuba i-carbon monoxide isetyhefu, inokuthi inzuzo yenzeke xa utywala ufika kuqala.
> Imithombo:
> Buckley, N., Juurlink, D., Isbister, G., uBennett, M., & Lavonas, E. (2011). I-oksijeni ye-hyperbaric ye-carbon monoxide yetyhefu. I-Cochrane Database yeeNkqubo eziPhezulu . i-doi: 10.1002 / 14651858.cd002041.pub3
> Chiew, A., & Buckley, N. (2014). I-carbon carbon monoxide inetyhefu kwikhulu lama-21. Unonophelo olubalulekileyo , 18 (2), 221. inkcazo: 10.1186 / cc13846
> Kim, H., Choi, S., Chae, M., & Min, Y. (2018). Impembelelo ye-neuroprotective ye-ethanol kwi-carbon monoxide. Amachiza , 97 (1), e9569. i-doi: 10.1097 / md.0000000000009569
> Rose, J., Xu, Q., Wang, L., & Gladwin, M. (2015). Ukukhanyisa Ukukhanya kwiConbon Monoxide Poisoning. I-American Journal Of Respiratory and Medical Critical Care , 192 (10), 1145-1147. i-doi: 10.1164 / rccm.201508-1579
> Ilanga, X, Xu, H., Meng, X., Qi, J., Cui, Y., & Li, Y. et al. (2013). Ukusetyenziswa kweSolution of Hyperoxygenated Solution njengesiCwangciso soTyango seConbon Monoxide Poisoning. Plos ONE , 8 (12), e81779. i-doi: 10.1371 / iphephandaba.pone.0081779