Ingi inobvisa chepfu

Inobvisa inki ikemikari inoshandiswa kubuda matinji einki. Ingi inobvisa chepfu inoitika kana mumwe munhu akamedza chinhu ichi.

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.

Zvinhu zvine chepfu zvinosanganisira:

• Kunwa doro (ethanol)
• Kusvina doro (isopropyl alcohol, inogona kuve ine chepfu kana ikamedzwa muhombe muhombe)
• Wood huni (methanol, inova muchetura)

Izvi zvinoshandiswa zvinogona kuwanikwa mu:

• Inobvisa inki
• Liquid machena

Tarira: Rondedzero iyi inogona kusasanganisira zvese zvinyorwa zvekubvisa inki.

Zviratidzo kubva kumarudzi ese ehupfu hwehuturu zvinogona kusanganisira:

• Kukuvara kwehuropi
• Kuderedza kufema
• Benzi (kuderera kwekuziva, kurara kuvhiringidzika)
• Kusaziva

Methanol uye isopropyl doro chepfu zviratidzo zvinogona kuitika munzvimbo dzakasiyana dzemuviri.

MAZISO, Nzeve, MHUMO, NEHOSI

• Bofu
• Kuona kwakashata
• Akawedzera (akakwidziridzwa) vadzidzi

GASTROINTESTINAL SYSTEM

• Marwadzo emudumbu
• Kusvotwa uye kurutsa
• Kubuda ropa kwakanyanya uye kurutsa ropa (kubuda ropa)

MOYO NEROPA

• Yakaderera BP, dzimwe nguva inotungamira mukuvhunduka
• Kuchinja kwakanyanya padanho reasidhi muropa (pH balance), izvo zvinotungamira mukundikana kwenhengo zhinji
• Kushaya simba
• Kupunzika

KIDHIYA

• Itsvo kutadza

MHUNGWA NEMAWARE

• Inokurumidza, isina kudzika kufema
• Fluid mumapapu
• Ropa mumapapu
• Kumira kufema

TSAMBA NEMAPFUPA

• Makumbo emakumbo

ZVINONZI SYSTEM

• Coma (yakaderera nhanho yekuziva uye kushayikwa kwekuteerera)
• Dzungu
• Kuneta
• Kutemwa nemusoro
• Kushungurudzika (kugumburwa)

GANDA

• Ganda rebhuruu, miromo, kana zvigunwe (cyanosis)

Wana rubatsiro rwechiremba ipapo. Usaite kuti munhu arase kumusoro kunze kwekunge audzwa kuti aite saizvozvo nekudzora huturu kana nyanzvi yehutano.

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

Tora ruzivo runotevera:

• Zera remunhu, huremu, uye mamiriro
• Zita rechigadzirwa (uye zvigadzirwa nemasimba, 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 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.

Anopa hutano anozoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira tembiricha, kupomba, kufema, uye BP. Zviratidzo zvichabatwa sezvakakodzera. Munhu wacho anogona kugamuchira:

• Kufema kwekutsigira, kusanganisira oxygen, chubhu inopinda mumuromo mumapapu, uye muchina wekufema (ventilator).
• Endoscopy - kamera pasi pehuro kuti utsvage kutsva mukati medu (kumedza chubhu) uye mudumbu.
• Fluid kuburikidza nemutsinga (by IV).
• Itsvo dialysis (muchina kubvisa chepfu uye kugadzirisa acid-base chiyero).
• Mushonga (antidote) kudzoreredza mhedzisiro yehupfu uye kurapa zviratidzo.
• Tube kuburikidza nemuromo kupinda mudumbu kuti utore (kuyamwa kunze) mudumbu. Izvi zvinoitwa chete kana munhu achinge awana kurapwa mukati memaminetsi makumi matatu nemakumi mana nemashanu ehupfu, uye huwandu hwakawanda kwazvo hwechinhu hwakamedzwa.

Kunyatsoita kwaanoita munhu kunoenderana nehuwandu hwehumhi hwakamedzwa uye nekukurumidza kurapwa kunogamuchirwa. Iyo inokurumidza iyo munhu kuwana rubatsiro rwechiremba, inove nani mukana wekupora.

Methanol ndicho chinhu chinotyisa uye chine chepfu chinogona kuva chinhu chinobvisa inki. Kazhinji zvinokonzeresa kusaona zvachose.

Nelson INI. Zvinodhakwa Zvinwiwa. 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.

Tolwani AJ, Saha MK, Wille KM. Metabolic acidosis uye alkalosis. Mune: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Chinyorwa cheCritical Care. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 104.

Zimmerman JL. Chepfu. Mune: Parrillo JE, Dellinger RP, eds. Critical Kuchengetedza Mushonga: Nheyo dzeKuongorora uye Management muVakuru. 5 ed. Philadelphia, PA: Elsevier; 2019: chits. 65.