Simbi inoshenesa chepfu

Simbi yekuchenesa yakasimba kwazvo zvigadzirwa zvemakemikari zvine acid. Ichi chinyorwa chinotaura nezve chepfu kubva mukumedza kana kufema mune zvigadzirwa zvakadaro.

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.

Simbi inoshambadza ine makemikari makemikari anonzi mahydrocarbon, anosanganisira:

• 1,2-butylene oxide
• Boric asidhi
• Cocoyl sarcosine
• Dicarboxylic mafuta asidi
• Dimethoxymethane
• Dodecanedioic asidhi
• N-propyl bromidhi
• Sodium hydroxide
• T-butanol

Mhando dzakasiyana-siyana dzekuchenesa simbi dzine izvi zvinosanganiswa.

Pazasi pane zviratidzo zvesimbi inoshambidza chepfu mumativi akasiyana emuviri.

AIRWAYS uye mapapu

• Kufema kunetseka (kubva kufema mumakemikari)
• Kuzvimba kwehuro (kunogona kukonzera kunetseka kufema)

MAZISO, Nzeve, MHUMO, NEHOSI

• Kurwadziwa kwakanyanya pahuro
• Kurwadziwa kwakanyanya kana kupisa mumhino, maziso, nzeve, miromo, kana rurimi
• Chiratidzo kurasikirwa

MOYO NEROPA

• Kupunzika
• Kuderera kweropa (kuvhunduka)

Dumbu uye INTESTINES

• Kutambudzika kwepamuviri - kwakanyanya
• Ropa muzvigaro
• Kupisa kwepombi yekudya (esophagus)
• Manyoka
• Kushungurudza uye kurutsa (pamwe neropa)

ZVINONZI SYSTEM

• Kushungurudzika
• Dzungu
• Kukotsira
• Kunzwa kudhakwa (euphoria)
• Kutemwa nemusoro
• Kurasikirwa kwekusvinura (kusaziva)
• Kufenda
• Kudzedzereka
• Kushaya simba

GANDA

• Kunopisa
• Kushatirwa
• Necrosis (maburi) mukati meganda kana zvinyama zvepasi

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

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

Kana munhu akamedza chinosuka simbi, mupe mvura kana mukaka ipapo ipapo, kunze kwekunge mupi akakuudza kuti usadaro. Usape chero chinhu kuti unwe kana munhu aine zviratidzo zvinoita kuti zvive zvakaoma kumedza. Izvi zvinosanganisira kurutsa, kugwinha, kana mwero wakadzikira wekusvinura.

Kana munhu akafemera muchetura, muendese kumhepo nyowani ipapo ipapo.

Iva neruzivo urwu rwakagadzirira:

• Zera remunhu, huremu, uye mamiriro
• Zita rechigadzirwa (zvinoshandiswa, 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 nhamba inokurega 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.

Tora mudziyo uende nawo kuchipatara, kana zvichibvira.

Iye mupi anoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira kupisa, kupomba, kufema, uye kuwedzerwa kweropa.

Miedzo inogona kuitwa inosanganisira:

• Ropa uye weti kuongororwa
• Bronchoscopy - kamera yakaiswa pasi pehuro kuti ione kupisa mumhepo uye mumapapu
• Chest x-ray
• ECG (kutsvaga moyo)
• Endoscopy - kamera pasi pehuro kuti utsvage kutsva mudumbu uye mudumbu

Kurapa kunogona kusanganisira:

• Fluid kuburikidza nemutsinga (IV).
• Kushambidza kweganda (kudiridza). Zvichida maawa mashoma mashoma kwemazuva akati wandei.
• Tube kuburikidza nemuromo kupinda mudumbu kushambidza kunze mudumbu (gastric lavage).
• Kuvhiya kubvisa ganda rakatsva.
• Kufema kwekutsigira, kusanganisira chubhu kuburikidza nemuromo kupinda mumapapu, uye muchina wekufema (ventilator).

Kuita zvakanaka kwemunhu kunoenderana nehuwandu hwecheta yakamedzwa uye nekukurumidza kurapwa kunogamuchirwa. Kumedza rudzi urwu rwehupfu kunogona kukanganisa zvakanyanya kumativi mazhinji emuviri. Iyo inokurumidza iyo munhu kuwana rubatsiro rwechiremba, ndiyo iri nani mukana wekupora.

Kupisa munzira kana mudumbu kunogona kutungamira kune tishu necrosis, zvichikonzera hutachiona, kuvhunduka, uye kufa, kunyangwe mwedzi yakati wandei mushure mekumedzwa kwechinhu ichi. Mavanga anogona kuumbika mumatumbu aya anotungamira kumatambudziko enguva refu nekufema, kumedza, uye kugaya.

Kana simbi yakashambidzika ikapinda mumapapu (aspiration), yakakomba uye inogona kusingaperi kukuvara kwemapapu kunogona kuitika.

Aronson JK. Organic solvents. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 385-389.

Wang GS, Buchanan JA. Mahydrocarbon. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 152.