Chefo ea hydrocarbon e ka bakoa ke ho ja kapa ho hema. Ho ja, ho atileng haholo ho bana ba ka tlase ho lilemo tse 5, ho ka baka pneumonia ea aspiration

Chefo ea Hydrocarbon: kakaretso

Ho hema, e leng tsela e atisang ho pepeseha har'a bacha, ho ka baka fibrillation ea ventricular, hangata ntle le matšoao a premonitory.

Tlhahlobo ea pneumonia e etsoa ka tlhahlobo ea bongaka, X-ray ea sefuba le saturimetry.

Ho ntša mpa ho hanetsoe ka lebaka la kotsi ea ho ba le takatso.

Kalafo e ea tšehetsa.

Ho kenngoa ha hydrocarbon, ka sebōpeho sa petroleum distillates (mohlala, peterole, parafine, oli ea liminerale, oli ea lebone, li-thiners, joalo-joalo), ho baka liphello tse fokolang tsa tsamaiso, empa ho ka baka pneumonia e matla haholo.

Monyetla oa chefo o ipapisitse le viscosity, e lekantsoeng ka Saybolt universal seconds.

Li-hydrocarbon tse nang le viscosity tse tlase (SSU <60), joalo ka peterole le oli ea liminerale, li hasana ka potlako sebakeng se seholo mme li na le monyetla oa ho baka pneumonitis ea ho hema ho feta li-hydrocarbon tse nang le universal Saybolt seconds > 60, joalo ka tar.

Ha li ka nooa ka bongata, li-hydrocarbon tse boima ba limolek'hule tse tlase li ka monngoa ka mokhoa o hlophisehileng 'me tsa baka litlamorao tse chefo tsamaisong ea methapo e bohareng kapa sebeteng, tse ka etsahalang ka li-halogenated hydrocarbons (mohlala, carbon tetrachloride, trichlorethylene).

Ho hema ka boitapoloso ha li-halogenated hydrocarbons (mohlala, sekhomaretsi, lipente, lihlapolli, li-sprays tse hloekisang, peterole, chlorofluorocarbons tse sebelisoang e le lihatsetsi kapa li-propellants ka li-aerosols, bona li-Volatile solvents), tse tsejoang e le ho huffing, ho bululeloa ka lesela, kapa mekotla, ho hema mokotla oa polasetiki, ho tloaelehile. hara batjha.

Li baka thabo le liphetoho boemong ba kelello 'me li hlokomelisa pelo ho li-catecholamine tsa tlhaho.

Ho ka 'na ha hlaha li-ventricular arrhythmias tse bolaeang; tsena ka kakaretso li etsahala ntle le matšoao a premonitory kapa matšoao a mang a lemosang, 'me ka holim'a tsohle, ha bakuli ba le tlas'a khatello ea maikutlo (ba tšohile kapa ba lelekoa).

Ho kenngoa ha toluene ka nako e telele ho ka baka chefo ea nako e telele ea tsamaiso ea methapo e bohareng, e khetholloang ke timetso ea periventricular, occipital le thalamic.

Symptomatology ea chefo ea hydrocarbon

Haeba motho a ka hema ka mor'a ho noa esita le tekanyo e nyane ea hydrocarbon ea metsi, bakuli ba qala ka ho khohlela, ho bipetsoa le maikutlo. ho hlatsa.

Bana ba banyenyane ba ba le cyanosis, ba tšoara phefumoloho ea bona le ho ba le sefuba se sa khaotseng.

Bacha le batho ba baholo ba tlaleha ho otloa ke pelo.

Inhalation pneumonia e baka hypoxia le matšoenyeho a ho hema.

Matšoao le matšoao a nyumonia a hlaha lihora tse 'maloa pele ho kenella ho bonahala ka X-ray.

Ho monyela ka nako e telele, haholo-holo halogenated hydrocarbons, ho baka ho khathala, ho akheha le ho ferekana.

Pneumonia e sa bolaeeng hangata e fela ka mor'a beke; hangata tabeng ea ho kenngoa ha oli ea diminerale kapa mabone, libeke tse 5-6 li hlokahala bakeng sa ho rarolla.

Hangata arrhythmias e etsahala pele e qala 'me ha ho bonolo hore e phete ka mor'a ho qala, ntle le haeba bakuli ba ferekane ka ho feteletseng.

Ho hlahlojoa ha chefo ea hydrocarbon

Tlhahlobo ea X-ray ea sefuba le saturation e entsoe ka lihora tse 6 ka mor'a ho ja.

Haeba bakuli ba ferekane haholo hoo ba ke keng ba fana ka histori, ho lokela ho belaelloa hore ba tla ba le li-hydrocarbons haeba moea kapa liaparo li na le monko o itseng kapa haeba ho fumanoa setshelo haufi le moo.

Mesaletsa ea pente matsohong kapa molomong e ka 'na ea fana ka maikutlo a ho fofonela ha morao tjena.

Tlhahlobo ea pneumonia ea inhalation e thehiloe matšoao, X-ray ea sefuba le liteko tsa saturation, tse etsoang hoo e ka bang lihora tse 6 ka mor'a ho kenngoa kapa pele ho moo ha ho e-na le matšoao a matla.

Haeba ho belaelloa hore motho o hlolehile ho hema, tlhahlobo ea haemogas e etsoa.

Chefo ea tsamaiso ea methapo e bohareng e fumanoa ka tlhahlobo ea methapo le MRI.

Kalafo ea chefo ea hydrocarbon

• Phekolo ea tšehetso
• Ho ntša maleng ho hanyetsanoa

Ho tlosoa ha liaparo tsohle tse silafetseng le ho hlatsoa letlalo ka botlalo ka sesepa. (TLHOKOMELISO: ho tsoa ka mpeng hoa hanyetsanoa kaha ho eketsa kotsi ea ho hema).

Mashala ha a khothalletsoe.

Bakuli ba sa kang ba ba le pneumonia ea inhalation kapa matšoao a mang ba lokolloa ka mor'a lihora tse 4-6.

Bakuli ba nang le matšoao ba kenngoa sepetlele 'me ba phekoloa ka phekolo e tšehetsang; lithibela-mafu le corticosteroids ha li bontšoe.

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Source:

MSD