He aha ka hana o ka chlorine i ke kino?
Klorine kinoeahe kinoea elemental, a he kinoea ʻawaʻawa loa me ka ʻala ʻala. I ka wā e hoʻokomo ʻia ai ke kinoea chlorine, e hōʻailona ʻia ka make ʻana o ke kino kanaka. Loaʻa paha i kekahi poʻe maʻi nā hōʻailona e like me ka ʻuʻu ʻana, ka ʻāʻī ʻana i kahi ʻāpana o ka sputum, a me ka paʻa o ka umauma. Hiki ke hoʻoulu ʻia ka ʻōpū hanu luna, nā maka, ka ihu, a me ka ʻāʻī o nā maʻikinoea chlorine. I nā hihia koʻikoʻi, hiki i nā maʻi ke hoʻomohala i nā hōʻailona e like me ka edema pulmonary acute a me ka maʻi pneumonia. ʻO ka inhalation lōʻihi o ke kinoea chlorine e hoʻolōʻihi i ka wikiwiki o ka ʻelemakule o ke kanaka, a e piʻi nui nā radical manuahi i loko o ke kino kanaka.
Hiki i kekahi poʻe maʻi ke ʻike i nā hōʻailona e like me ka ʻuʻu nui, ka edema pulmonary, a me ka dyspnea ma hope o ka inha ʻana i ke kinoea chlorine. ʻO ke kinoea chlorine ponoʻī he kinoea melemele a ʻona. Ma hope o ka inhalation, e hoʻopilikia pū ia i ka ʻili kanaka a me ke akepaʻa, a e hoʻonui hoʻi i ka manawa o nā maʻi e loaʻa ana i ka maʻi kanesa. Hoʻonui ʻia, e ʻike ʻia nā māmā o ka mea maʻi i nā rales maloʻo a i ʻole nā wheezing.
Inā loaʻa i ka mea maʻi ka dyspnea, paroxysmal cough, expectoration, ʻeha ʻōpū, distension abdominal, cyanosis māmā a me nā pilikia ʻē aʻe ma hope o ka inha ʻana i ke kinoea chlorine, pono ʻo ia e ʻimi koke i ka lāʻau lapaʻau e pale aku ai i ka hoʻoulu ʻana i ka nui o ke kinoea chlorine, e alakaʻi ai i ka hopena o ka make. a me ka pōʻino i nā kino o ka mea maʻi He mea weliweli ia i ke ola, a inā ʻaʻole ʻoe e ʻimi i ka lāʻau lapaʻau i ka manawa, e alakaʻi i nā hopena koʻikoʻi e like me ke kīnā o ke ola o ka mea maʻi.
Hiki i nā poʻe maʻi e hoʻāhu i ke kinoea chlorine ke kōkua i ka hoʻomaʻemaʻe ʻana i ke kino ma ka inu ʻana i ka waiū he nui, a pono e hoʻoneʻe ʻia ka mea maʻi i kahi me ka ea hou e mālama ai i ke kahe o ka ea. Hoʻokomo ʻia nā mea lāʻau e ka nebulization, a hiki i nā poʻe maʻi me nā hōʻailona koʻikoʻi o ka lāʻau make ke koho i nā glucocorticoids adrenal e kōkua i ka hoʻomaikaʻi ʻana i ke kūlana ma hope o ka ʻimi ʻana i ka lāʻau lapaʻau.
Hiki ke hoʻopōʻino i ka lolo ka hoʻohu ʻana i ka chlorine a koi i ka hui pū ʻana e hoʻomaikaʻi.
Inhalekinoea chlorinehe ʻano kinoea maʻalahi, ʻo ia hoʻi kahi ʻala hoʻonāukiuki ikaika a me ke kinoea ʻawaʻawa loa. Inā lōʻihi ka hanu ʻana, maʻalahi ia e alakaʻi i nā hōʻailona o ka ʻona i loko o ke kino o ke kanaka, a e hōʻike ana i nā hōʻailona e like me ka ʻuʻu a me ka paʻa o ka umauma. Inā ʻaʻole i mālama maikaʻi ʻia a me ka hoʻomaikaʻi ʻana, ua maʻalahi ka hana ʻino ʻana i nā pūnaewele lolo, a hiki ke hōʻino i nā aʻalolo lolo, ka hopena i ka dizziness, headache, etc.
Inā hoʻokomo ka mea maʻi i ka chlorine, pono ʻo ia e hele koke i waho, ma kahi ʻoluʻolu, a komo i ka ea hou. Inā loaʻa nā hōʻailona e like me dyspnea, pono ʻo ia e ʻimi i ka lāʻau lapaʻau i ka manawa.
3. Pehea e mālama ai i ka chlorine inhalation?
1. E hele i waho o ka pōʻino
Ma hope o ka hanu ʻanakinoea chlorine, pono ʻoe e haʻalele koke i ke kahua a neʻe i kahi ākea me ka ea hou. I ka hihia o ka maka a i ʻole ka ʻili, e holoi pono me ka wai a i ʻole ka paʻakai koke. Pono nā poʻe maʻi i ʻike ʻia i kahi nui o ke kinoea chlorine e ʻimi i ka lāʻau lapaʻau i ka manawa, e nānā i nā loli o ka hanu, ka pulse, a me ke kahe koko, a e hoʻoikaika no ka nānā ʻana i ke kinoea koko mua a me ka nānā ʻana i ka umauma X-ray.
2. Hoʻohāhā ʻana
Klorine kinoeahe mea hoʻonāukiuki i ka ʻōpū hanu kanaka, a hiki ke hoʻopilikia i ka hana hanu, me ka hypoxia. Ma hope o ka hoʻohu ʻana i ke kinoea chlorine, hāʻawi ka hāʻawi ʻana i ka oxygen inhalation i ka mea maʻi i ka manawa hiki ke kōkua i ka hoʻomaikaʻi ʻana i ke kūlana hypoxic a wehe i ke alaloa.
3. Laau lapaau
ʻO ka inhalation o kahi liʻiliʻi o ka chlorine hiki ke hōʻeha i ka hanu. Inā hoʻomau ka mea maʻi i ka ʻeha o ka puʻu, hiki iā ia ke hoʻohana i nā lāʻau lapaʻau no ka nebulization inhalation lapaʻau e like me ke kuhikuhi ʻana a ke kauka, e like me ka budesonide suspension, compound ipratropium bromide, etc., hiki ke hoʻomaikaʻi i ka ʻeha o ka puʻu. Kāohi i ka edema laryngeal. Inā loaʻa ka bronchospasm, hiki ke hoʻohana ʻia ka intravenous injection o ka glucose me ka doxofylline. Pono nā poʻe maʻi me ka edema pulmonary i ka wā mua, kūpono, a me ka manawa pōkole me ka adrenal glucocorticoids, e like me hydrocortisone, prednisone, methylprednisolone, a me prednisolone. Inā ʻike ʻia nā maka i ka chlorine, hiki iā ʻoe ke hoʻohana i nā kulu maka chloramphenicol e hōʻoluʻolu i nā hōʻailona, a i ʻole e hāʻawi i nā kulu maka cortisone 0.5% a me nā kulu maka antibiotic. Inā loaʻa ka ʻāʻī o ka ʻili, hiki ke hoʻohana ʻia ka 2% a hiki i ka 3% solution sodium bicarbonate no nā kōmike pulu.
4. Mālama i kēlā me kēia lā
Manaʻo ʻia nā poʻe maʻi e mālama i ka manawa hoʻomaha kūpono a me kahi noho mālie a maikaʻi hoʻi i ka wā hoʻōla. E koho i nā meaʻai māmā, maʻalahi, ʻai nui, ʻai i nā meaʻai a me nā huaʻai hou aʻe, e pale i nā meaʻai ʻala, anu, paʻakikī, pickled, a pale i ka inu ʻana a me ka puhi ʻana. Pono ʻoe e mālama i ka paʻa o ka naʻau a pale i ka pilikia noʻonoʻo a me ka hopohopo.
4. Pehea e wehe ai i ka chlorine mai ke kino?
Ke komo ke kino o ke kanaka i ke kinoea chlorine, ʻaʻohe ala e kipaku aku ai. Hiki iā ia ke wikiwiki i ka hoʻopau ʻana o ke kinoea chlorine e pale ai i ka make kanaka. ʻO ka poʻe maʻi e hanu ana i ka chlorine e hele koke i kahi me ka ea hou, e noho mālie a mahana. Inā pili ka maka a i ʻole ka ʻili me ka solution chlorine, e holoi koke me ka wai. Pono nā poʻe maʻi me ka nui o ka ʻiʻo nui e hoʻomaha ma kahi moe a nānā no 12 mau hola i mea e hoʻoponopono ai i nā hōʻailona hikiwawe like.
5. He aha nā hōʻailona o ka make kinoea kanaka?
Ua kapa ʻia ka lāʻau ʻawaʻawa i ke kalapona monoxide. ʻO ka make ʻana o ka carbon monoxide ka mea e alakaʻi nui ai i ka hypoxia, a ʻo nā hōʻailona o ka make ʻana mai ka maʻalahi a hiki i ke koʻikoʻi. ʻO ka poʻe maʻi me ka maʻi ʻawaʻawa e hōʻike nui ʻia e like me ke poʻo ʻeha, dizziness, nausea, luaʻi, palpitation, nāwaliwali, hiamoe, a me ka ʻike ʻole. Hiki iā lākou ke ho'ōla koke ma hope o ka hanu ʻana i ka ea hou me ka haʻalele ʻole ʻana i nā sequelae. ʻO ka poʻe maʻi me ka ʻawaʻawa haʻahaʻa ʻaʻole ʻike, ʻaʻole maʻalahi ke ala aʻe, a i ʻole ka comatose māmā. ʻO kekahi poʻe maʻi ua ʻulaʻula ka maka, nā lehelehe ʻulaʻula cherry, ka hanu ʻino, ke koko, ka pulse, a me ka puʻuwai puʻuwai, hiki ke hoʻihoʻi ʻia me ka mālama ʻana, a maʻamau ʻaʻole e haʻalele i ka hopena. ʻO nā poʻe maʻi i ʻona nui ʻia i loko o ka coma hohonu, a ʻo kekahi poʻe i loko o ka coma me ka wehe ʻana o ko lākou mau maka, a he ʻano ʻē ka wela o ke kino, ka hanu, ke koko, a me ka puʻuwai. Pneumonia, pulmonary edema, respiratory failure, renal failure, cardiac arrhythmia, myocardial infarction, gastrointestinal bleeding, etc.
6. Pehea e hana ai me ke kinoea make?
1. Lapaʻau etiological
ʻAʻole pili i ke ʻano o ke kinoea ʻino, he mea nui e haʻalele koke i ka ʻona, hoʻoneʻe i ka mea ʻona i kahi ea hou, a mālama i ka ʻōpū hanu me ke keʻe ʻole. I ka hihia o ka cyanide poisoning, hiki ke holoi ʻia nā ʻāpana pili me ka wai nui.
2. Laau lapaau
1. Phenytoin a me phenobarbital: No nā poʻe maʻi me nā hōʻailona neuropsychiatric, hiki ke hoʻohana ʻia kēia mau lāʻau no ka pale ʻana i ka convulsions, e pale aku i ka nahu ʻana o ke alelo i ka wā o ka convulsions, a no ka hoʻomalu ʻana i nā maʻi me ka cirrhosis ate, ka hānō a me ka maʻi diabetes.
2. 5% sodium bicarbonate solution: hoʻohana ʻia no ka nebulization inhalation e nā poʻe maʻi me ka ʻawaʻawa kinoea e hoʻomaha ai i nā hōʻailona hanu.
3. 3% boric acid solution: hoʻohana ʻia no ka inhalation nebulized i nā poʻe maʻi me ke kinoea alkaline e hoʻomaha i nā hōʻailona hanu.
4. Glucocorticoids: No ka maʻi pinepine, pōkole o ka hanu, ka umauma a me nā hōʻailona ʻē aʻe, hiki ke hoʻohana ʻia ka dexamethasone, a pono e hoʻohana i nā lāʻau antispasmodic, expectorant, a me nā anti-infective inā pono. Pono e hoʻohana ʻia me ka akahele i ka poʻe ʻelemakule a me nā mea maʻi me ka hana ʻino o ka ate a me ka hana ʻāʻī. ʻAʻole kūpono ka hoʻohana ʻana i nā poʻe maʻi me ke koko kiʻekiʻe, ka metabolism electrolyte abnormal, myocardial infarction, glaucoma, etc.
5. Hypertonic dehydrating agents a me diuretics: e like me furosemide a me torasemide e pale a mālama i ka cerebral edema, hoʻoikaika i ke kahe o ke koko, a mālama i nā hana hanu a me ke kahe. Pono e nānā pono ʻia nā pae electrolyte i ka wā e hoʻohana ʻia ai nā diuretics e pale ai i nā pilikia electrolyte a i ʻole ka hoʻohui ʻana o ka potassium intravenous.
3. ʻO ka lāʻau lapaʻau
ʻAʻole koi ʻia ka lāʻau lapaʻau ʻana i ke kinoea ʻino, a hiki ke hoʻohana ʻia ka tracheotomy no ka hoʻopakele ʻana i nā maʻi asphyxiated.
4. Nā lāʻau lapaʻau ʻē aʻe
Hyperbaric oxygen therapy: inhale oxygen e hoʻonui i ke kaomi hapa o ka oxygen i loko o ke kinoea inhaled. Pono e hāʻawi ʻia ka hyperbaric oxygen therapy i nā maʻi i comatose a i ʻole ka mōʻaukala o ka coma, a me ka poʻe me nā hōʻailona o ka ʻōnaehana cardiovascular a me ka carboxyhemoglobin i hoʻonui nui ʻia (ma kahi o 25%). mālama. Hiki i ka Hyperbaric oxygen therapy ke hoʻonui i ka oxygen dissolved kino i loko o ke koko no ka hoʻohana ʻana i nā ʻiʻo a me nā cell, a hoʻonui i ka alveolar oxygen partial pressure, hiki ke hoʻolōʻihi i ka dissociation o carboxyhemoglobin a hoʻoikaika i ka wehe ʻana o CO, a ʻo kona hoʻomaʻemaʻe ʻana he 10 mau manawa wikiwiki. ma mua o kēlā me ka ʻole o ka oxygen inhalation, ʻoi aku ka wikiwiki o 2 mau manawa ma mua o ka lawe ʻana i ka oxygen kaomi maʻamau. ʻAʻole hiki i ka Hyperbaric oxygen therapy ke hoʻopōkole wale i ke ala o ka maʻi a hoʻemi i ka nui o ka make, akā e hōʻemi a pale paha i ka hiki ʻana mai o ka encephalopathy lohi.
