Paraquat chepfu

Paraquat (dipyridylium) inonyanya kuuraya sora inouraya (herbicide). Munguva yakapfuura, United States yakakurudzira Mexico kuti ishandise kuparadza mbanje. Gare gare, kutsvagurudza kwakaratidza kuti iyi herbicide yaive nenjodzi kune vashandi vanoiisa kumiti.

Ichi chinyorwa chinokurukura matambudziko ehutano anogona kuitika kubva mukumedza kana kufema mu paraquat.

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 yako ine chepfu inogona kusvikwa yakananga nekufonera iyo yenyika isingabhadhariswe Poison Rubatsiro nhare (1-800-222-1222) kubva chero kupi muUnited States.

MuUnited States, paraquat inorondedzerwa se "inorambidzwa kushandiswa kwekutengesa." Vanhu vanofanirwa kuwana rezinesi rekushandisa chigadzirwa.

Kufema mu paraquat kunogona kukonzera kukuvara kwemapapu uye kunogona kutungamira kuchirwere chinonzi paraquat lung. paraquat inokonzeresa kukuvadzwa kwemuviri kana ikabata mubato wemuromo, mudumbu, kana ura. Unogona kurwara kana paraquat ikabata chiganda paganda rako. Paraquat inogona zvakare kukuvadza itsvo, chiropa, uye esophagus (iyo chubhu iyo chikafu chinodzika kubva pamuromo wako kuenda mudumbu rako).

Kana paraquat ikamedzwa, kufa kunogona kukurumidza kuitika. Rufu runogona kuitika kubva mugomba mugurokuro, kana kubva kwakanyanya kuzvimba kwenzvimbo iyo yakakomberedza mikukutu yeropa uye mweya mukati mechipfuva.

Kureba kwenguva refu kune paraquat kunogona kukonzera kukuvara kwemapapu anonzi pulmonary fibrosis. Izvi zvinoita kuti zvive zvakaoma kufema.

Zviratidzo zveparaquat chepfu zvinosanganisira:

• Kupisa uye kurwadziwa pahuro
• Coma
• Kunetseka kufema
• Nemhino
• Kufenda
• Shock
• Kufema kwekufema
• Dumbu kurwadziwa
• Kusvipa, kusanganisira kurutsa ropa

Iwe uchabvunzwa kana iwe wakaratidzirwa kune paraquat. Tora mudziyo uende nawo kuchipatara, kana zvichibvira.

Anopa hutano anoyera nekutarisa zviratidzo zvako zvakakosha, zvinosanganisira kupisa, kupisa, kufema, uye kuwedzerwa kweropa. Miedzo inogona kuitwa inosanganisira:

• Ropa uye weti kuongororwa
• Chest x-ray
• ECG (electrocardiogram, kana moyo wekutsvagisa)
• Bronchoscopy (chubhu kuburikidza nemuromo nehuro) kuona chero kukuvara kwemapapu
• Endoscopy (chubhu kuburikidza nemuromo uye pahuro) kutsvaga chero kukuvara kugurokuro nedumbu

Iko hakuna chaiwo marapirwo eparaquat chepfu. Chinangwa ndechekusunungura zviratidzo uye kurapa matambudziko. Kana iwe ukafumurwa, matanho erubatsiro rwekutanga anosanganisira:

• Kubvisa mbatya dzose dzakasvibiswa.
• Kana kemikari ikabata ganda rako, geza nzvimbo yacho nesipo nemvura kwemaminitsi gumi nemashanu. Usatsvaire nesimba, nekuti izvo zvinogona kutyora ganda rako uye rega yakawanda yeparaquat ipinde mumuviri wako.
• Kana iyo paraquat yapinda mumaziso ako, ivhuze nemvura kwemaminetsi gumi nemashanu.
• Kana iwe wakamedza paraquat, kurapwa nemarasha akaomeswa nekukurumidza sezvinobvira kuitira kuti udzikise huwandu hwakanyorerwa mudumbu remudumbu. Vanhu vanorwara vangangoda nzira inonzi hemoperfusion, iyo inosvina ropa kuburikidza nemarasha kuyedza kubvisa paraquat mumapapu.

Kuchipatara, ungangogamuchira:

• Yakagadziriswa marasha nemuromo kana chubhu kuburikidza nemhino mukati mudumbu kana munhu wacho akapa rubatsiro mukati meawa yekumwa chepfu
• Kufema kwekutsigira, kusanganisira oxygen, chubhu kuburikidza nemuromo kupinda muhuro, uye muchina wekufema
• Mvura kuburikidza nemutsinga (na IV)
• Mushonga wekurapa zviratidzo

Mhedzisiro yacho inoenderana nekuti kuwonekera kwakanyanya sei. Vamwe vanhu vanogona kukudziridza zvinyoronyoro zvine chekuita nekufema-zviratidzo uye vagowana zvizere kupora. Vamwe vanogona kuve neshanduko dzechigarire mumapapu avo. Kana munhu akamedza muchetura, rufu runogona kunge pasina kurapwa kwekukurumidza.

Aya matambudziko anogona kuitika kubva kune paraquat chepfu:

• Kukundikana kwemapapu
• Makomba kana kutsva mudumbu
• Kuzvimba uye hutachiona mubhokisi rechipfuva, zvichikanganisa nhengo dzakakosha uye mitsipa yeropa
• Itsvo kutadza
• Kuora kwemapapu

Kana iwe uchitenda iwe wakaratidzwa kune paraquat, tsvaga kurapwa panguva iyoyo.

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 yenyika 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.

Verenga zvinyorwa pane ese makemikari zvigadzirwa. Usashandise chero chine paraquat. Gara kure nenzvimbo kwazvinogona kushandiswa. Chengetedza hupfu hwese mumudziyo wavo wepakutanga uye pasingasvikike kubva kuvana.

Paraquat lung

• Mapapu

Blanc PD. Mhinduro dzakakomba kukuratidzira kune chepfu. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 75.

Welker K, Thompson TM. Mishonga yezvipembenene. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 157.