Vanachiremba Vanoshandisa Zvigadzirwa Zvakawanda Kuziva Carbon Monoxide Poisoning muChipatara
Kunyatsoongorora carbon monoxide poisoning kwakaoma kupfuura zvinonzwika. Panofungidzira, carbon dioxide exposure inotungamirira kumazinga akakwirira ekhabhoni monoxide muropa, uye ndiyo inorwara. Ichokwadi ndechekuti kabhoni monoxide inodonhedzera inosungirirwa (iyo yakawanda sei carbon monoxide iri mumhepo) uye nguva (nguva yakareba sei murwere ari kufema), izvo zvinoreva kuti kuongorora carbon monoxide chepfu inobatanidza kuziva zviratidzo uye zviratidzo pamwe chete kuenzanisa kuwanda kwe CO mukati meropa.
Self Checks / At-Home Testing
Hapana huno-hutachiona hunokonzerwa nekomboni monoxide chepfu, asi ani naani ane kuvhiringidzika kana kurasikirwa kwekuziva anofanira kuva 911 akadana ivo. Kunyanya, iwe unofanirwa kufungidzira carbon monoxide chepfu kana kune munhu mumwe chete ari muimba ine moto unopisa (furna, moto, gasizi, magasi, moto, etc.) ari kunyunyuta kwemusoro uye kunyorera.
Kana ikakoni monoxide inouraya inofungidzirwa, vose vanogara chivako vanofanira kubuda panze kuti vafemedze mweya mutsva, pamwe nekudana 911. Kana uchifungira kuti CO inouraya, usaedza kutyaira; kudana ambulensi.
CO muRopa
Carbon monoxide (CO) inosunga hemoglobin nenzira yakadaro iyo oxygen inoita. Zvinosuruvarisa, hemoglobin ine nguva dzinenge makumi maviri nemaviri ekubatana kweCo kupfuura iyo inokonzera oksijeni, naizvozvo kunyange yakawanda yehavha inokonzerwa ne carbon monoxide ichabatanidza hemoglobin uye inovhara oksijeni kubva ku equation. Tinodana hemoglobin inobatanidzwa neC CO "carboxyhemoglobin," uye iyo ndiyo yero yatinoshandisa kuti tione kuoma kwe carbon monoxide chepfu.
Kutanga Kupindura Kuedzwa
Vamwe vanotanga kupindura vanokwanisa kuongorora carboxyhemoglobin muropa vachishandisa chigamu chinonzi pulse carbon monoxide oximeter. Kunyanya, iyo inoputika CO-oximeter inoyera kukwaniswa kwecarbon monoxide mu hemoglobin (SpCO). Inoshandisa mazhenje (anowanzopenya nepakati pezviuno) kuti aone carbon monoxide saturation noninvasively.
Imwe nzira yeusingaoneki inoshandisa mhepo yakanyanyisa kuongorora mazinga e carbon monoxide. Imwe tsvakurudzo yakawana CO yakanyanyisa kuva isina kururama sechinhu chinogadziriswa che carbon monoxide chepfu.
SpCO haisi kuenzaniswa nevanhu vose vanotanga kutanga, saka nhoroondo uye kuongorora kwepanyama ichiri chiyero chegoridhe munzvimbo. Zvinosuruvarisa, tsika dzemazuva ano oximetry, dzinoshandiswa kuenzanisa chete kana hemoglobin yakazara nehogoghi kana kuti kwete, inonyengedzwa ne carbon carbon monoxide mukuratidzira mukuratidzira zvakanyanyisa kukwaniswa kweokisijeni apo carboxyhemoglobin iripo. Izvi zvinoita kuti zvive zvakanyanya kukosha kuwana mbiri yakanaka nekuongorora mumuviri wemurwere.
Miedzo yebazi
Muchipatara, kuedzwa kunowedzera asi kwakarurama kunoshandiswa. Inonzi ropa gesi.
Ropa gesi kuongororwa rinoyera kuwanda kwemagesi emhepo-kazhinji oksijeni uye carbon dioxide-muropa mumvura kuburikidza nekuchera ropa kubva mumishonga. Mimwe miedzo yeropa inokonzera ropa kubva mumasurupa, izvo zviri nyore uye zvakachengeteka kumurwere.
Arterial blood gas test ndiyo inokonzera okisijeni uye carbon dioxide nokuti iyo gasi inoshanduka zvakanyanya kare uye mushure mekunge ropa richiyerera kuburikidza nemakumbo emumuviri. Arterial gases-panzvimbo pevhunduka-chiyero chinogona kuti hemoglobin inopa oxygen uye kubvisa carbon dioxide.
Sezvo carbon monoxide isingashandiswi kana nyore nyore kubviswa kubva muropa, inogona kuongororwa kuburikidza nehutachiona kana ropa.
Ropa rega yegesi rinoshandiswa rakarurama kupfuura kupisa CO-oximetry. Kunyange zvazvo oximetry inobatsira kuzivisa varwere vari munzvimbo iyo vanogona kunge vane carbon monoxide poisoning, gasi reropa rinofanira kuwanikwa kuti ritsigire maitiro e carboxyhemoglobin.
Imaging
Acute carbon monoxide poisoning inobva pakakwirira yakanyanya kabhoni monoxide munguva shoma shomanana yokuratidzwa haisi iyo chete inokonzera kubudisa carbon monoxide. Kupera (kwenguva yakareba) carbon exposure monoxide pazvikamu zvakaderera zvakanyanya zvinogona kukonzera kukanganisa kwemashu, kunyanya kumwoyo nekuropi.
Kunyangwe zviyero zve carboxyhemoglobin muzvirwere zvisingagoneki varwere vangave vari pasi kudarika varwere vakanyanya, kune dzimwe nzira dzingaona dambudziko. Chinyanya kukosha ndechokutarisa mavara nemaitiro ekurapa. Magnetic resonance imaging (MRI) ndiyo nzira yakanakisisa yokuongorora uropi kuti inogona kukuvara kubva ku carbon carbon monoxide.
Kusiyanisa Kuongorora
Pamusana pekusaziva kwezviratidzo uye zviratidzo zvakawanda zvinosanganisira carbon monoxide poisoning -nausea, kurutsa, musoro, kusuwa, kurwadziwa kwepfupa-zvimwe zvirwere zvinowanzofungidzirwa. Kushandiswa kwekomboni monoxide mumusha wemurwere kuchareva kuti zvinoita kuti carbon monoxide inopisa chepfu, asi zvimwe zvikonzero zvinotofanira kubudiswa kunze.
Izvo zvakasiyana-siyana zvekusiyanisa zvirwere zvakawandisa kuti zvizivikanwe. Nyaya imwe neimwe yakasiyana uye inofanira kuongororwa zvichienderana nemharidzo yerwere, nhoroondo, uye miedzo.
> Sources:
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> Hullin, T., Aboab, J., Desseaux, K., Chevret, S., & Annane, D. (2017). Kuwirirana pakati pemakiriniki ekunyanyisa uye zvakasiyana-siyana zvisingasviki zviyero zve carbon monoxide concentration: Chidzidzo chevanhu. PLoS ONE , 12 (3), e0174672. http://doi.org/10.1371/journal.pone.0174672
> Kuroda, H., Fujihara, K., Kushimoto, S., & Aoki, M. (2015). Nhoroondo yekliniki yakagadziriswa yekunonoka neurologic sequelae mushure me carbon carbon monoxide chepfu uye zvinhu zvinobatanidzwa nemigumisiro. Neurotoxicology , 48 , 35-43. doi: 10.1016 / j.neuro.2015.03.002
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