Mucheka dhayi chepfu

Mucheka madhayi makemikari anoshandiswa kupenda machira. Mucheka dhayi chepfu inoitika kana mumwe munhu akamedza yakawanda yezvinhu izvi.

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.

Chinhu chine chepfu mumucheka dhayi chinokanganisa alkali.

Nhasi hazviwanzo kuwana chinhu chine chepfu mune akawanda machira edzimba.

Kazhinji dhayi remachira edzimba anogadzirwa kubva kune zvisina chepfu zvinhu, senge:

• Sipo dzakapfava
• Nguruve
• Munyu

Kunyangwe izvi zvinhu zvinowanzoonekwa zvisina ngozi, zvinogona kukonzera matambudziko kana zvikamedzwa muhuwandu, kunyanya muvana vadiki.

Chinhu ichi chinowanikwa mune mamwe madhayi anoshandiswa kupenda zvipfeko kana machira.

Mucheka dhayi chepfu inogona kukonzera zviratidzo munzvimbo zhinji dzemuviri.

AIRWAYS uye mapapu

• Kufema kunetseka (kubva kufema mune dhayi)
• Kuzvimba kwehuro (kunogona kukonzera kunetseka kufema)

ROPA

• Shanduko yakanyanya muacid level yeropa (pH balance), izvo zvinotungamira mukukuvara mune ese nhengo dzemuviri

MAZISO, Nzeve, MHUMO, NEHOSI

• Kurasikirwa kwemaonero
• Kurwadziwa kwakanyanya pahuro
• Kurwadziwa kwakanyanya kana kupisa mumhino, maziso, nzeve, miromo, kana rurimi

GASTROINTESTINAL SYSTEM

• Ropa muzvigaro
• Kupisa uye maburi anogona (maronda) mudumbu
• Kutambudzika kwakanyanya kwepamuviri
• Kusvipa
• Kusvipa ropa

MWOYO UYE KUTYANYA SYSTEM

• Kupunzika
• Kuderera kweropa rinokurumidza kukura (kuvhunduka)

GANDA

• Kunopisa
• Makomba (necrosis) muganda kana zvinyama pasi
• Kushatirwa

Tsvaga rubatsiro rwechiremba ipapo. Usaite kuti munhu arase kumusoro kunze kwekunge audzwa kuti aite saizvozvo nekudzora chepfu kana mupi wehutano.

Kana kemikari ikamedzwa, pakarepo ipa munhu mvura kana mukaka, kunze kwekunge warairwa neimwe nzira nemupi. Usape mvura kana mukaka kana munhu achinge aine zviratidzo (sekurutsa, kugwinha, kana kudzikira kwekusvinura) zvinoita kuti zvive zvakaoma kumedza.

Kana kemikari iri paganda kana mumaziso, svinura nemvura yakawanda kwemaminitsi gumi nemashanu.

Kana munhu akafemera huturu, chirumidza kumuendesa kumhepo nyowani.

Tora ruzivo runotevera:

• Zera remunhu, huremu, uye mamiriro
• Zita rechigadzirwa (uye zvinoshandiswa 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 nhamba yehotera yenyika ino ichaita kuti iwe utaure 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.

Iye mupi anoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira kupisa, kupomba, kufema, uye kuwedzerwa kweropa. Zviratidzo zvichabatwa sezvakakodzera. Munhu wacho anogona kugamuchira:

• Ropa uye weti kuongororwa
• Kufema kwekutsigira, kusanganisira oksijeni kuburikidza nechubhu mumapapu, uye muchina wekufema (ventilator)
• Bronchoscopy - kamera pazasi pehuro kuti itsvage zvinopisa mumhepo uye mumapapu (kana chepfu yaishuvira)
• Chest x-ray
• ECG (kutsvaga moyo)
• Endoscopy - kamera pasi pehuro kuti utsvage kutsva mudumbu uye mudumbu
• Mvura kuburikidza nemutsinga (na IV)
• Mishonga yekudzosera zvinoitika zvehupfu uye kurapa zviratidzo
• Kuvhiya kubviswa kweganda rakatsva (ganda kudzikiswa)
• Tube kuburikidza nemuromo kupinda mudumbu kuti utore (kuyamwa kunze) mudumbu. Izvi zvinoitwa chete kana munhu achinge awana kurapwa mukati memaminetsi makumi matatu kusvika makumi mashanu emuchetura, uye huwandu hwakawanda kwazvo hwechinhu chakamedzwa
• Kushambidza kweganda (kudiridza) - pamwe maawa mashoma mashoma kwemazuva akati wandei

Kuita zvakanaka kwemunhu kunoenderana nehuwandu hwecheta yakamedzwa uye nekukurumidza kurapwa kunogamuchirwa. Iyo inokurumidza iyo munhu kuwana rubatsiro rwechiremba, inove nani mukana wekupora.

Kana iyo chepfu ichisanganisira alkali inoparadza, kukuvara kwakanyanya kunogona kuitika kune:

• Esophagus
• Itsvo
• Muromo
• Dumbu
• Huro

Mhedzisiro yacho inoenderana nehukuru hwekukuvara uku. Kushatisa kubva kudhayi rine alkali kunogona kukonzera kuramba uchikuvara kumaturu aya kwemavhiki kana mwedzi.

Kumedza huturu hwakadai kunogona kukanganisa zvakanyanya kumativi mazhinji emuviri. Kupisa mumugwagwa kana mudumbu kunogona kutungamira kurufu rwekufa. Izvi zvinogona kukonzera hutachiona, kuvhunduka, uye kufa, kunyangwe mwedzi yakati wandei mushure mekunge chinhu chamedzwa. Mavara matsvuku munzvimbo dzakakanganiswa anogona kutungamira kumatambudziko enguva refu nekufema, kumedza, uye kugaya.

Kana munhu akamedza dhayi remumba risina chepfu, kupora kungangoitika.

Dyes - jira

Hoyte C. Caustics. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 148.

Mofenson HC, Caraccio TR, McGuigan M, Greensher J. Kurapa toxicology. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2020. Philadelphia, PA: Elsevier 2020: 1281-1334.