Poyizoni wa hydrocarbon ukhoza kuchitika chifukwa chakumeza kapena kupuma. Kudya, komwe kumakhala kofala kwambiri kwa ana osakwana zaka zisanu, kungayambitse chibayo cha aspiration

Hydrocarbon poisoning: mwachidule

Kukoka mpweya, njira yodziwika kwambiri pakati pa achinyamata, imatha kuyambitsa minyewa yamitsempha yamagazi, nthawi zambiri popanda zizindikiro zoyambira.

Kuzindikira kwa chibayo kumapangidwa ndi kuunika kwachipatala, chifuwa cha X-ray ndi saturimetry.

Kutulutsa m'mimba kumaletsedwa chifukwa cha chiopsezo cholakalaka.

Chithandizo ndi chothandizira.

Kumwa ma hydrocarbons, monga mafuta a petroleum distillates (monga petulo, parafini, mafuta amchere, mafuta a nyale, zoonda, ndi zina zotero), kumayambitsa kuchepa kwadongosolo, koma kungayambitse chibayo chachikulu.

Kuthekera kwapoizoni kumadalira makamaka kukhuthala, kuyesedwa mu masekondi a Saybolt padziko lonse lapansi.

Low viscosity liquid hydrocarbons (SSU <60), monga petulo ndi mafuta amchere, amafalikira mofulumira pamtunda waukulu ndipo amatha kuyambitsa pneumonitis kuposa ma hydrocarbon okhala ndi masekondi a Saybolt onse> 60, monga phula.

Ngati amwedwa mochulukira, ma hydrocarbon otsika kwambiri amatha kuyamwa mwadongosolo ndi kuyambitsa poizoni m'katikati mwa mitsempha kapena chiwindi, zomwe nthawi zambiri zimakhala ndi ma halogenated hydrocarbons (monga carbon tetrachloride, trichlorethylene).

Kukoka kosangalatsa kwa ma halogenated hydrocarbons (monga guluu, utoto, zosungunulira, zopopera, petulo, ma chlorofluorocarbon omwe amagwiritsidwa ntchito ngati firiji kapena zopangira mu aerosols, onani zosungunulira zosasunthika), zomwe zimadziwika kuti huffing, inhalation ya nsalu yonyowa, kapena thumba, pokoka thumba la pulasitiki, ndizofala. pakati pa achinyamata.

Amayambitsa chisangalalo ndi kusintha kwa malingaliro ndikulimbikitsa mtima ku ma catecholamines amkati.

Zowopsa za ventricular arrhythmias zimatha kuchitika; izi zimachitika kawirikawiri popanda zizindikiro zowonetseratu kapena zizindikiro zina zochenjeza ndipo, koposa zonse, pamene odwala ali ndi nkhawa (mantha kapena kuthamangitsidwa).

Kudya kwa toluene kosatha kungayambitse kawopsedwe wapakati pa mitsempha yapakati, yodziwika ndi chiwonongeko cha periventricular, occipital ndi thalamic.

Symptomatology ya poizoni wa hydrocarbon

Ngati munthu wapuma mpweya atamwa madzi pang'ono amadzimadzi amadzimadzi, odwala amayamba kutsokomola, kutsamwitsidwa komanso kusanza.

Ana ang'onoang'ono amayamba kukhala ndi cyanosis, gwirani mpweya wawo komanso amakhala ndi chifuwa chokhazikika.

Achinyamata ndi akuluakulu amanena kutentha pamtima.

Kupuma chibayo kumayambitsa hypoxia ndi kupuma mavuto.

Zizindikiro ndi zizindikiro za chibayo zimayamba maola angapo zisanalowemo zisanawonekere pa X-ray.

Kuyamwa kwadongosolo kwanthawi yayitali, makamaka ma halogenated hydrocarbons, kumayambitsa kulefuka, chikomokere ndi kukomoka.

Chibayo chosapha nthawi zambiri chimatha pakatha sabata; nthawi zambiri pakameza mafuta amchere kapena nyali, masabata 5-6 amafunikira kuti athetse.

Arrhythmias nthawi zambiri imachitika isanayambike ndipo sizingatheke kuti ibwerenso ikangoyamba, pokhapokha ngati odwala akudandaula kwambiri.

Kuzindikira kwa poizoni wa hydrocarbon

Mayeso a X-ray pachifuwa ndi machulukitsidwe adachitika pafupifupi maola 6 atameza.

Ngati odwala asokonezeka kwambiri moti sangathe kufotokoza mbiri yawo, ayenera kuganiziridwa kuti ali ndi ma hydrocarboni ngati mpweya kapena zovala zili ndi fungo lodziwika bwino kapena ngati chidebe chapezeka pafupi.

Zotsalira za penti m'manja kapena m'kamwa zingasonyeze kununkhiza kwa penti posachedwapa.

The matenda a inhalation chibayo zachokera zizindikiro, pachifuwa X-ray ndi machulukitsidwe mayesero, amene anachita pafupifupi 6 h pambuyo ingestion kapena kale ngati zizindikiro kwambiri.

Ngati akuganiziridwa kuti akulephera kupuma, kuwunika kwa hemogas kumachitika.

Chapakati mantha dongosolo kawopsedwe amapezeka ndi minyewa kufufuza ndi MRI.

Chithandizo cha hydrocarbon poisoning

• Chithandizo chamankhwala
• Kuthira m'mimba contraindicated

Kuchotsa zovala zonse zoipitsidwa ndikutsuka bwino khungu ndi sopo. (CHENJEZO: kutaya m'mimba kumatsutsana chifukwa kumawonjezera chiopsezo chokoka mpweya).

Makala osavomerezeka.

Odwala omwe sanatulukepo chibayo kapena zizindikiro zina amatulutsidwa pambuyo pa maola 4-6.

Odwala zizindikiro amagonekedwa m'chipatala ndikuthandizidwa ndi chithandizo chothandizira; maantibayotiki ndi corticosteroids samawonetsedwa.

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Source:

MSD