Ungazi kanjani ukuthi une-carbon monoxide?
I-Carbon monoxide poisoning i-chameleon emhlabeni wezokwelapha. Izimpawu zalo zilinganisa nezinye izimo eziningi futhi azikho uphawu olulodwa lwezinga legolide lazo zonke izifo ezinobuthi be-carbon monoxide. Ngamanye amazwi, kunzima ukubona, kepha kunezinguquko ezimbalwa okufanele uziqaphele.
Izimpawu Ezivamile
Izimpawu ezivame kakhulu ze-carbon monoxide poisoning azicacile futhi zihlobene nezimo eziningi.
Izimpawu Zokuqala
I-carbon monoxide ibopha i-hemoglobin ukwakha i-molecule ebizwa ngokuthi i-carboxyhemoglobin (COHb), ephazamisa ikhono lomzimba lokuthutha nokusebenzisa i-oxygen, ikakhulukazi ebuchosheni. Ngenxa yalokho, izimpawu zifana nezinye izimo ezithinta ubuchopho futhi zibangela ukwehla kwe-oxygenation (eyaziwa ngokuthi "hypoxia"):
- Izinwele
- I-nausea
- Isizungu
- Ukukhathala
Ngenxa yokuthi igesi futhi ngokuvamile iyobathinta wonke umuntu ovelele kuso, i-carbon monoxide ilula ukubona uma izimpawu zishaya abantu abaningana ngesikhathi esisodwa. Ngenxa yemvelo yayo efana ne-chameleon akuseyona umsebenzi olula, kodwa ikhanda kanye nokuhlushwa yisisulu ngokuzihlukanisa ngokuvamile akubangela ukuthi umuntu acabange nge-carbon monoxide poisoning njengoba kungenzeka kakhulu.
Noma kunjalo, uma i-carbon monoxide ithinta iziguli eziningi ngesikhathi esifanayo, ngokuvamile ixoshwa njengokutheleleka noma ukudla okungalungile kunokuba kucatshangelwe ukuvezwa kwe-carbon monoxide.
Izimpawu Ezithuthukisiwe
Njengoba ubuthi be-carbon monoxide buqhubeka, izimpawu zithinta kakhulu, kepha zisalokhu zingacacile futhi zilukhuni ukubona ukuthi zithini ngokucacile ekuboniseni i-carbon monoxide:
- Ukudideka
- Ukuphelelwa umoya
- Ubuhlungu besifuba
- Ukuvota
- I-Blurry noma umbono kabili
- Ukulahlekelwa kokwazi
Ayikho umugqa wesikhathi esicacile wokubonisa ukuthi kuthatha isikhathi eside kangakanani ukuqhubeka kusuka enhlokweni yekhanda ukulahlekelwa ukwazi.
Ukuvezwa kwe-Carbon monoxide isikhathi esithile nokuxhomekeka komqondo, okusho ukuthi inani le-carbon monoxide emoyeni libaluleke kakhulu njengoba isiguli sigcina sibheke kuso.
Izimpawu ezijwayelekile
Umbala obala obomvu obomvu ovuthiwe (ovame ukubizwa ngokuthi i-cherry obomvu) uyisibonakaliso esisodwa se-carbon monoxide. Ivela emazingeni aphezulu e-carboxyhemoglobin egazini.
Ngeshwa, kuvame ukuhlolwa kwe-postmortem embula umbala obomvu obomvu. Izinga le-carbon monoxide egazini elidingekayo ukuze uthole isikhumba kulowo mbala liphakeme kakhulu kangangokuthi lihlala libulala njalo.
Ngakho-ke, isikhumba esicwebezele kakhulu sephuzile kakhulu isibonakaliso esingaba usizo ekunqumeni ukuthi isiguli sibhekene nobuthi obuthiwa yi-carbon monoxide. Ukuze uphathwe ngempumelelo, ubuthi be-carbon monoxide kumele bubonakale isikhathi eside ngaphambi kokuthi isiguli siguquke ngokubomvu okukhanyayo.
Izinkinga Zesikhathi Eside
Njengoba evamile njenge-carbon monoxide poisoning, kuningi esingaqondi ngakho ngalesi simo. Ukuvezwa isikhathi eside emazingeni aphezulu we-carbon monoxide-ngisho nalapho amazinga engekho phezulu, kodwa ukuvezwa okuqhubekayo izinsuku eziningi noma amasonto-kungabangela ukugula komzimba , ukushaya inhliziyo , nokuhlala isikhathi eside, izinkinga ezingasebenzi kahle.
Ukulimala ebuchosheni kuyingozi ephawulekayo eyenziwa iziguli eziningi ezine-carbon monoxide poisoning. Iziguli zingahlakulela izinkinga ze-neurological (ubunzima ukugxila, ukulahlekelwa inkumbulo, ukuthuthumela, ukukhuluma ngezinkathazo, njll) ngesikhathi esifanayo nesikhumba se-carbon monoxide noma esikhathini esizayo. Uma izibonakaliso zezimpawu zezinzwa ziboniswa kamuva, kuthiwa ziphuza i-neurologic sequelae (i-DNS).
Ukucwaninga kuyaqhubeka ukuthi kungani lokhu kwenzeka futhi ukuthi ukuveza kanjani amandla okuba nezimpawu zesikhathi eside. Isibonelo, ukuqhutshwa komfundi ebusweni kungase kusho ukuthi ubuchopho buyosabela kanjani ezinsukwini ezingaphezu kwezingu-30 emva kokuvezwa.
Ucwaningo olulodwa olwalandela iziguli eminyakeni eminingi ngemuva kokuba luvezwe luye lwathola ukuthi iziguli zalo zinamathuba amaningi kunalabo abangenawo umlando we-carbon monoxide ubuthi ukuze bathuthukise isifo se-arterial peripheral.
Kuncane kakhulu ukwelashwa okusekelwe ebufakazini be-carbon monoxide poisoning. Izinketho eziningi zigxila ekususeni i-carbon monoxide ngokushesha ngangokunokwenzeka. Lezi zindlela zokwelapha zivela ekuhambiseni okuyisisekelo esiphakeme kokuphuma kwe-oxygen (ama-15-25 amalitha ngomzuzu) okuhlinzekwa ezicindezelayo ezivamile zomkhathi wonke ekukhanyeni ukufakwa emaphashini ukuhlukanisa i-carbon monoxide ku-hemoglobin, noma i-hyperbaric therapy oksijini ekhishwa phezulu kunezingcindezi ezivamile zomkhathi.
Nini Ukubona Udokotela
I-carbon dioxide monoxide iyingozi kakhulu futhi ivumela uhambo lokubona udokotela njalo. I-carbon monoxide iyanamathela egazini futhi kuthatha amahora ambalwa ukuze isuse.
Noma ngabe kunini lapho kubhekwa khona ubuthi be-carbon monoxide, shayela u-911. Ungalindi usizo. Hambisa emoyeni fresh ngokushesha. Ngokuvamile, kungcono ukuphuma ngaphandle ngenkathi ulinde i-ambulensi.
Uma ubona udokotela, phawula ukuthi umlando ubaluleke kakhulu kunezimpawu. Indlela ebaluleke kakhulu yokubona ubuthi lwe-carbon monoxide ngokubona izimpawu zengozi zokuziphatha eziholela esikhathini lapho izimpawu ziqala ukuvela khona.
Izitofu eziphuthumayo, izindawo zokucima umlilo, noma izinto zokushisa izinkuni ngokuvamile zibeka icala lokushisa i-carbon monoxide ekhaya. Izimoto namaloli ziyizigebengu ezivamile endaweni yokuhweba, kanye neminye imithombo eminingi ye-carbon monoxide poisoning.
Udokotela wakho angakucela ukuthi uchaze ukuthi izimpawu zithatha isikhathi esingakanani ukuze zifune usizo. Kwenzekani phakathi naleso sikhathi? Ingabe isimo sezulu esiphuzile kanti abanye bomndeni babenqume ukuqala ibhande ngaphansi kwesigumbi? Lolu lwazi lungasiza ukuqinisekisa ukuthi izimpawu zakho ziyi-carbon monoxide enobuthi ngempela.
> Imithombo:
> Wu, P., & Juurlink, D. (2014). I-Carbon monoxide poisoning. I-Canadian Medical Association Journal , 186 (8), 611-611. doi: 10.1503 / cmaj.130972
> Unsal Sac, R., Taşar, M., Bostancı, İ., Şimşek, Y., noBilge Dallar, Y. (2015). Izimpawu zezingane ezine-Acute Carbon Monoxide Poisoning e-Ankara: Okuhlangenwe nakho Kwesikhungo Sodwa. Imibiko YeSayensi Yezokwelapha yaseKorea , 30 (12), 1836. ini: 10.3346 / jkms.2015.30.12.1836
> Izitayela, T., Przysiecki, P., Archambault, G., Sosa, L., Toal, B., Magri, J., & Cartter, M. (2014). I-Carbon-Related Related Carbon Monoxide Poisoning Ukuqubuka-Connecticut, Okthoba 2011 no-Okthoba 2012. I- Archives Of Environmental & Occupational Health , 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-Inomqondo Ophethwe Yi-Cardiomyopathy. I-Circulation Journal , 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). Ingozi Yokuphazamiseka Kwegazi Isifo Seziguli Ezigulini Ezine-Carbon Monoxide Poisoning. Imithi , 94 (40), e1608. i-doi: 10.1097 / md.0000000000001608
> Zou, J., Guo, Q., Shao, H., Li, B., Du, Y., & Liu, M. et al. (2015). Ukuntuleka kwe-Reflex yabafundi nokulahlekelwa kokuQaphela Ukubikezela Sequelae yama-30-Day Neurological in Iziguli ezine-Carbon Monoxide Poisoning. I-PLOS ONE , 10 (3), e0119126. i-doi: 10.1371 / iphephandaba.pone.0119126