Ethylene glycol muchetura

Ethylene glycol isina ruvara, isina hwema, inotapira makemikari. Iyo ine chepfu kana ikamedzwa.

Ethylene glycol inogona kumedzwa netsaona, kana inogona kutorwa nemaune mukuedza kuzviuraya kana kutsiva kunwa doro (ethanol). Yakawanda ethylene glycol chepfu inoitika nekuda kwekumiswa kweantifreeze.

Ichi chinyorwa ndechekuziva chete. Usashandise iyo kurapa kana kubata chaiyo pozi kuratidzwa. Kana iwe kana mumwe munhu wauinaye aine mukana wekufona, fonera yako yemunharaunda emergency emergency (yakadai se911), kana nzvimbo yemunharaunda yekudzivirira chepfu inogona kusvikwa yakananga nekufonera iyo yenyika isingabhadhariswe Poison Rubatsiro nhare (1-800-222-1222 ) kubva chero kupi muUnited States.

Ethylene glycol

Ethylene glycol inowanikwa mune zvakawanda zvigadzirwa zvemumba, zvinosanganisira:

• Antifreeze
• Car wash mvura
• De-icing zvigadzirwa
• Detergents
• Mota dzakamedura mvura
• Maindasitiri solvents
• Paints
• Zvizoro

Ongorora: Rondedzero iyi inogona kunge isinga-sanganisira.

Chiratidzo chekutanga che ethylene glycol kumedza chakafanana nekunzwa kunokonzerwa nokunwa doro (ethanol). Mumaawa mashoma, zvimwe zvinokachidza zvinova pachena. Zviratidzo zvinogona kusanganisira kuda kurutsa, kurutsa, kugwinha, kusimuka (kudzikira kwenzvimbo yekungwarira), kana kutombofenda.

Ethylene glycol chepfu inofanirwa kufungidzirwa mune chero munhu anorwara zvakanyanya mushure mekunwa chinhu chisingazivikanwe, kunyanya kana ivo pakutanga vachionekwa vakadhakwa uye iwe usingakwanise kunhuwa doro pamhepo yavo.

Kuwedzeredza kweethylene glycol kunogona kukuvadza huropi, mapapu, chiropa, neitsvo. Iyo chepfu inokonzera kukanganiswa mumakemikari emuviri, kusanganisira metabolic acidosis (yakawedzera acids muropa uye zvinyama). Iko kukanganisa kungave kwakakomba zvakakwana kukonzera kukatyamara kwakanyanya, kutadza kwemuviri, uye kufa.

Zvishoma semamirilita zana nemakumi matanhatu (angangoita mana emafuta emvura) e ethylene glycol inogona kukwana kuuraya murume wepakati saizi.

Tsvaga rubatsiro rwechiremba ipapo. Usaite kuti munhu arase kumusoro kunze kwekunge audzwa kuti aite kudaro nenzvimbo yekudzora chepfu kana nyanzvi yezvehutano.

Sarudza ruzivo runotevera:

• Zera remunhu, huremu, uye mamiriro
• Zita rechigadzirwa (zvishandiso uye simba, kana zvichizivikanwa)
• Nguva yakamedzwa
• Mari yakamedzwa

Yako yepanzvimbo yekudzora huturu inogona kusvikwa yakananga nekufonera iyo yepasirose-isina muripo Poison Rubatsiro nhare (1-800-222-1222) kubva chero muUnited States. Iyi hotline inokurega iwe uchitaura nenyanzvi mune chepfu. Ivo vanozokupa iwe kumwe kuraira.

Iri ibasa remahara uye rakavanzika. Nzvimbo dzese dzemunharaunda dzekudzora chepfu muUnited States dzinoshandisa iyi nhamba yenyika. Iwe unofanirwa kufona kana iwe uine chero mibvunzo nezve chepfu kana kudzivirira chepfu. Hazvidi kuti ive emergency. Iwe unogona kufona chero chikonzero, maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.

Tora mudziyo uende nawo kuchipatara, kana zvichibvira.

Anopa hutano anozoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira tembiricha, kupomba, kufema, uye BP.

Kuongororwa kweethylene glycol chepfu kunowanzoitwa kuburikidza nekubatanidzwa kweropa, weti, uye kumwe kuyedzwa kwakadai se:

• Arterial ropa gasi kuongorora
• Chemistry pani uye chiropa chinoshanda zvidzidzo
• Chest x-ray (inoratidza mvura mumapapu)
• Yakazara kuverenga ropa (CBC)
• CT scan (inoratidza uropi kuzvimba)
• EKG (electrocardiogram, kana moyo wekutsvagisa)
• Ethylene glycol bvunzo yeropa
• Ketoni - ropa
• Osmolality
• Toxicology skrini
• Kuongorora urinal

Kuyedza kucharatidza kuwedzera kwematanho eethylene glycol, kukanganiswa kwemakemikari eropa, uye zvinogona kuitika zviratidzo zveitsvo kukundikana uye kukuvara kwemhasuru kana kwechiropa.

Vazhinji vanhu vane ethylene glycol chepfu vanofanirwa kubvumidzwa kuchipatara chevanotarisira zvakanyanya (ICU) kuti inyatso tarisa. Muchina wekufema (wekufema) ungangodiwa.

Avo avo munguva pfupi yapfuura (mukati memaminitsi makumi matatu kusvika makumi matanhatu ekuratidzira kudhipatimendi rekukurumidzira) vakamedza ethylene glycol vanogona kupomba mudumbu (kukweva). Izvi zvinogona kubatsira kubvisa imwe chepfu.

Mimwe mishonga inogona kusanganisira:

• Yakagadziriswa marasha
• Sodium bicarbonate solution yakapihwa kuburikidza netsinga (IV) kudzosera kwakasimba acidosis
• Mushonga (fomepizole) iyo inononoka kuumbwa kweiyo ine chepfu nezvigadzirwa mumuviri

Muzviitiko zvakakomba, dialysis (itsvo muchina) inogona kushandiswa kubvisa zvakananga ethylene glycol uye zvimwe zvinhu zvine chepfu kubva muropa. Dialysis inoderedza nguva inodiwa kuti muviri ubvise chepfu. Dialysis inodiwa zvakare nevanhu vanova nekukundikana kwakanyanya kweitsvo nekuda kwehupfu. Inogona kudikanwa kwemwedzi yakawanda uye pamwe makore, mumashure.

Kuita zvakanaka kwemunhu kunoenderana nekukurumidza kurapwa kunogamuchirwa, huwandu hwakamedzwa, nhengo dzakabatwa, nezvimwe zvinhu. Kana kurapwa kukanonoka, rudzi urwu rwehupfu hunogona kuuraya.

Zvinetso zvinogona kusanganisira:

• Uropi uye kukuvara kwetsinga, kusanganisira kubatwa uye shanduko muchiono
• Itsvo kutadza
• Shock (yakaderera BP uye yakaora mwoyo moyo basa)
• Coma

Kudhakwa - ethylene glycol

• Chepfu

Aronson JK. Glycols. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 567-570.

Nelson INI. Doro rinodhaka. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 141.