Uturu hwezvipembenene

Mishonga yekuuraya zvipembenene ikemikari inouraya zvipembenene. Uturu hwezvipembenene hunowanikwa kana mumwe munhu akamedza kana kufema mune chinhu ichi kana chakapinza kuburikidza neganda.

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.

Mazhinji mapiritsi emumba ane mishonga inogadzirwa nemiti inonzi pyrethrins. Aya makemikari pakutanga aive akasarudzika kubva kune chrysanthemum maruva uye kazhinji haana kukuvadza. Nekudaro, ivo vanogona kukonzera kutyisidzira hupenyu kufema kufema kana vakafemerwa mukati.

Mishonga inouraya zvipembenene, ingashandiswa negreenhouse yekutengesa kana mumwe munhu anogona kuchengeta mugaraji ravo, ine zvinhu zvakawanda zvine njodzi. Izvi zvinosanganisira:

• Carbamates
• Organophosphates
• Paradichlorobenzenes (mothballs)

Mhando dzakasiyana dzehutachiona dzine aya makemikari.

Pazasi pane zviratidzo zvehupfu hwezvipembenene munzvimbo dzakasiyana dzemuviri.

Zviratidzo zve pyrethrin chepfu:

MHUNGWA NEMAWARE

• Kufema kunetseka

ZVINONZI SYSTEM

• Coma (yakaderera nhanho yekuziva uye kushayikwa kwekuteerera)
• Kufenda

GANDA

• Kushatirwa
• Kutsvuka kana kuzvimba

Zviratidzo zve organophosphate kana carbamate chepfu:

MOYO NEROPA

• Inononoka kurova kwemoyo

MHUNGWA NEMAWARE

• Kufema kunetseka
• Kushungurudza

ZVINONZI SYSTEM

• Kufunganya
• Coma (yakaderera nhanho yekuziva uye kushayikwa kwekuteerera)
• Kushungurudzika (kugumburwa)
• Dzungu
• Kutemwa nemusoro
• Kushaya simba

DAMBUDZIKO NEMBORO

• Kuwedzera weti

MAZISO, Nzeve, MHUMO, NEHOSI

• Kudonhedza mvura kubva pakawedzera mate
• Kuwedzera misodzi mumaziso
• Vana vadiki

Dumbu uye INTESTINES

• Dumbu rinorwadza
• Manyoka
• Kupererwa nechido
• Kusvotwa uye kurutsa

GANDA

• Miromo-yebhuruu miromo uye nzara

Ongorora: Uturu hwakakomba hunogona kuitika kana organophosphate ikasvika paganda rako risina kana iwe kana ukasashambidza ganda rako nguva pfupi yapfuura pauri. Makuru makemikari anonyorova kuburikidza neganda kunze kwekunge iwe wakachengetedzwa. Hupenyu hunotyisidzira hurema uye kufa kunogona kuitika nekukasira.

Zviratidzo zveparadichlorobenzene chepfu:

Dumbu uye INTESTINES

• Manyoka
• Marwadzo emudumbu
• Kusvotwa uye kurutsa

Tsitsi

• Tsandanyama mhasuru

Ongorora: Paradichlorobenzene mothballs haina kunyanya kutyisa. Vakatsiva iyo inotyisa camphor uye naphthalene mhando.

Wana rubatsiro rwechiremba ipapo. Usaite kuti munhu arase kumusoro kunze kwekunge uturu hwehuturu kana mupi wezvehutano akakuudza iwe.

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

Kana munhu akafemera muchetura, muendese kumhepo nyowani ipapo ipapo.

Iva neruzivo urwu rwakagadzirira:

• 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 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.

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 pasi pehuro kuti utsvage kutsva mumhepo uye mumapapu
• Chest x-ray
• ECG (electrocardiogram), kana kutsvaga moyo
• Endoscopy - kamera pasi pehuro kuti utsvage kutsva mudumbu uye mudumbu

Kurapa kunogona kusanganisira:

• Mvura ne IV (kuburikidza nemutsinga)
• Mushonga wekurapa zviratidzo
• Tube kuburikidza nemuromo kupinda mudumbu kuti uburitse dumbu (gastric lavage)
• Kugezwa kweganda (kudiridza), pamwe maawa mashoma mashoma kwemazuva akati wandei
• Kuvhiya kubvisa ganda rakatsva
• Kufema kwekutsigira, kusanganisira chubhu kuburikidza nemuromo mumapapu uye kwakabatana nemuchina wekufema (ventilator)

Kuita zvakanaka kwemumwe munhu kunoenderana nekuti huturu hwakanyanya sei uye nekukurumidza kurapwa kunogamuchirwa. Iyo inokurumidza rubatsiro rwekurapa runopihwa, zvirinani mukana wekupora. Kumedza idzi chepfu kunogona kuve nemhedzisiro zvakanyanya kumativi mazhinji emuviri.

Ichi chiratidzo chakanaka chekuti kupora kunoitika kana munhu akaramba achivandudza mumaawa mana kusvika matanhatu mushure mekugamuchira kurapwa.

Kunyangwe hazvo zviratidzo zvakafanana necarbamate uye organophosphate chepfu, zvinonetsa kupora mushure mechefu yeophophophhate.

Organophosphate muchetura; Carbamate muchetura

Cannon RD, Ruha AM. Mishonga yekuuraya zvipuka, mishonga yesora, uye makonzo. Mune: Adams JG, ed. Emergency Medicine. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013: chitsiko 146.

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 152.