Izindabuko zendabuko kanye nezintsha ezintsha ze-Carbon Monoxide Poisoning
I-hémoglobin ithanda i-carbon monoxide futhi iyayibopha cishe izikhathi ezingu-230 kunamandla okwenza umoya-mpilo, okuyinto inkinga kusukela i-carbon monoxide enganikeli noma yimuphi umvuzo emzimbeni. Akathathi i-carbon monoxide eningi emoyeni ophefumulayo ukuze uthole ubuthi obisi-carbon monoxide futhi kuthatha okuningi oksijini ukuze uyilahle, yilokho ukwelashwa okukuzungezayo.
Ukwelashwa Kwendabuko
I-Carbon monoxide poisoning akuyona into ongayiphatha ekhaya. Kuthatha, okungenani, amaphesenti angu-100 e-oksijeni yokuhlushwa amahora amaningana ukuze asuse igazi le-carbon monoxide. I-Carbon monoxide poisoning isimo esisodwa esifanele ukubiza 911.
Ukwelashwa okuyisisekelo koketshezi lwe-carbon monoxide ukuhlinzeka nge-oksijeni ephezulu ngokugeleza okungeyona i-mask-mask-i-mask oksijeni enezikhwama zepulasitiki ezilenga kuyo-uma nje kuthatha isikhathi eside ukufaka esikhundleni se-carbon monoxide esithinteka ku-hemoglobin nge-oxygen. Isikhathi sokuphila yisilinganiso sesikhathi esithathayo sokuqeda ingxenye yesisindo emzimbeni. Ingxenye yokuphila ye-carbon monoxide ngaphandle kokusebenzisa i-oxygen ingama-320 imizuzu-ngaphezulu kwamahora amahlanu ukunciphisa amazinga ngesigamu. Ngaleso sikhathi, kungathatha cishe usuku ukuze ikhishwa le-carbon monoxide lisuswe.
Ukunikeza isiguli amaphesenti angu-100 oksijeni kuncipha ukunciphisa ukuphela kwempilo emaminithini angu-74, okusho ukuthi kuzosithatha amahora angaphezu kwamahlanu ukuba nesiguli esivelele ngokucacile ukuze kufinyelele amazinga avumelekile e-carbon monoxide egazini.
Iziguli ezine-carbon monoxide poisoning zichitha isikhathi esiningi zihleli emnyangweni ophuthumayo ukuphefumula oksijini oqondile.
I-Hyperbaric Therapy Oxygen
Enye indlela yokuphatha i-oksijeni ngaphansi kwengcindezi ekamelweni le-hyperbaric, okuyisigqila lapho isiguli sigcina khona futhi iphefumula amaphesenti angu-100 e-oxygen ezinkingeni 1.5 kuya kwezingu-2 eziphakeme kunezingcindezi ezivamile zomkhathi.
Egumbini le-hyperbaric, ukwelapha oksijini kunganciphisa isigamu sokuphila kwe-carbon monoxide cishe imizuzu engama-20.
Ngeshwa, amakamelo angama-hyperbaric ayitholakali ngaso sonke isikhathi, ikakhulukazi ezindaweni zasemaphandleni. Ngisho nasezindaweni ezifinyelela ku-hyperbaric therapy oksijini, kungathatha amahora ambalwa ukuhlela ukwelashwa. Ukucabangela isiguli kuyothola ukuphathwa kwe-oksijeni yendabuko phakathi nenkathi yokulinda, inzuzo yokwelapha okusheshayo kungenzeka iselahlekile kakade. Ngaphezu kwalokho, uma iziguli eziningi zithinteka ngokuchayeka kwe-carbon monoxide, kuphela kuphela ngesikhathi esingaphathwa ekamelweni le-hyperbaric.
Nakuba kukhona ubufakazi obucacile bokuthi i-hyperbaric therapy ye-oxygen ikhipha i-carbon monoxide egazini ngokushesha, abukho ubufakazi obuncane bokuthi iziguli zingcono kakhulu ngenxa yalo. Ukuhlaziywa kwe-meta eyodwa yezilingo ezilawulwa ngokungahleliwe kutholwe imiphumela ehlangene lapho kubheka imiphumela yezinzwa zegciwane le-carbon monoxide elinobuthakathaka elithola i-hyperbaric therapy oksijithali. I-hyperbaric therapy ingase isize isiguli, kodwa asikho isizathu sokukhathazeka uma ingatholakali kalula.
Ezinye zokwelapha
Ukuhlinzeka nge-oksijeni ukunciphisa amazinga e-carbon monoxide egazini eliyingxenye eyodwa nje yokwelashwa kwe-carbon monoxide.
Umonakalo owenziwe ebuchosheni nasenhliziyweni ngenxa yokuntuleka kwe-oksijeni egazini ngesikhathi sokushisa i-carbon monoxide kudinga nokwelapha. Ngokuya ngobukhulu be-poisoning, iziguli zingadinga ukwesekwa kobuchopho nokusebenza komzimba. Ezinye iziguli zizodinga ukwelapha ukuvuvukala kobuchopho, okungabandakanya imithi nokwamukelwa ekamelweni lokunakekelwa okukhulu.
Inhliziyo izwela ukungabi khona kwe-oksijeni kanye neziguli ezingase zizwe ukucasuka kwenhliziyo nokuhlelwa kwemithi, okungaphathwa esibhedlela ngemithi noma ukwelashwa kagesi. Amazinga aphezulu e-oksijeni yamahhala e-bloodstream-oxygen engqamuzana ne-hemoglobin, eyaziwa ngokuthi ama-radicals mahhala-angaphinde akhule ukuvuvukala, okwenza kube nesidingo sokungenelela kwenhliziyo.
Ukwelashwa Kwesikhathi Esizayo
Kunezinhlobo ezimbalwa zokwelapha ezitholakalayo ze-carbon monoxide poisoning ezakhiwa. Eziningi zalezi zindlela zokwelapha zingase zibe iminyaka eminingi futhi zonke zidinga ukutadisha okwengeziwe okubalulekile ukuqinisekisa ukuphepha nokusebenza.
Ukukhanya
Amanye ama-wavevel of light akhonjisiwe, kwizifundo zesilwane, ukusheshisa inqubo yokuphula izibopho zamangqamuzana phakathi kwe-hemoglobin ne-carbon monoxide. Uma inqubo yokuthola umbala ofanele wokukhanya, oyedwa osondelene negazi, isungulwa, ingase inikeze indlela esheshayo yokunciphisa amazinga e-carbon monoxide.
Ama-injection e-oksijeni
Izixazululo ze-hyperoxygenated ezijojowe ngqo egazini zinganikeza indlela yokuphakamisa amazinga e-oksijeni ngaphezu kwanakho konke okungenzeka ngisho nangokwelapha i-hyperbaric okwelapha oksijini. Izifundo zakuqala nezinja zibukeka zithembisayo, kodwa kunendlela ende yokuhamba ngaphambi kokuba abantu bazame.
I-Hydrogen Saline Solutions
Ngokufanayo, ukusetshenziswa kwesisombululo se-saline e-hydrogen eline-salin njengoba i-antioxidant iyatholakala emazweni athile futhi ingaba nenzuzo ethile ye-carbon monoxide poisoning. Ukulimala okwe-oksijeni okungenasiphala-okuzungeze igazi, okungahambisani ne-hemoglobin, kuyisimo esiphuthumayo kuyo yonke imithi yokwelashwa yamanje. Ukusebenzisa i-antioxidant eqinile ukulawula umonakalo ongase ube khona kungase kubaluleke kakhulu njengokuguqula ubuthi be-carbon monoxide ekuqaleni.
Ukuvezwa Kokuphuza Utshwala
Ucwaningo oluthile oluthola ukuthi iziguli ze-carbon monoxide ezinobuthi obunobuthi owaphuza utshwala nazo zazinomonakalo omkhulu wobuchopho uma kuqhathaniswa neziguli ezine-carbon monoxide ubuthi kuphela. Kukhona ithuba lokuba khona utshwala kungenza umehluko emphumela we-CO enamandla kakhulu. Njengoba iziguli kulolu cwaningo zase ziphuza kakade ngaphambi kokushisa kwe-carbon monoxide, kungase kuvele ukuthi inzuzo kuphela eyenzeka uma utshwala lufika kuqala.
> Imithombo:
> Buckley, N., Juurlink, D., Isbister, G., Bennett, M., & Lavonas, E. (2011). I-oxyper Hyperbaric ye-carbon monoxide ubuthi. Idatha yeCochrane Yezibuyekezo Ezihleliwe . i-doi: 10.1002 / 14651858.cd002041.pub3
> Chiew, A., & Buckley, N. (2014). I-Carbon monoxide yobuthi ekhulwini lama-21. Ukunakekelwa Okubalulekile , 18 (2), 221. i-doi: 10.1186 / cc13846
> Kim, H., Choi, S., Chae, M., & Min, Y. (2018). Umphumela we-neuroprotective we-ethanol ekudakiseni okukhulu kwe-carbon monoxide. Imithi , 97 (1), e9569. i-doi: 10.1097 / md.0000000000009569
> Rose, J., Xu, Q., Wang, L., & Gladwin, M. (2015). Shining a Light on Carbon Monoxide Poisoning. I-American Journal Of Ukuphefumula Nezokwelapha Okunzima , 192 (10), 1145-1147. i-doi: 10.1164 / rccm.201508-1579ed
> Sun, X, Xu, H., Meng, X., Qi, J., Cui, Y., & Li, Y. et al. (2013). Ukusetshenziswa okungenzeka kweSolution Hyperoxygenated njengeSikhungo Sokwelapha se-Carbon Monoxide Poisoning. Plos ONE , 8 (12), e81779. i-doi: 10.1371 / iphephandaba.pone.0081779