I-chlorine yenzani emzimbeni?
Igesi ye-chlorineiyigesi eyisisekelo, futhi iyigesi enobuthi obunamandla enephunga elibukhali elinamandla. Uma igesi ye-chlorine ihogeliwe izodala izimpawu zobuthi obuncane emzimbeni womuntu. Ezinye iziguli zingaba nezimpawu ezinjengokukhwehlela, ukukhwehlela isikhwehlela esincane, nokuqina kwesifuba. Ipheshana eliphezulu lokuphefumula, amehlo, ikhala, nomphimbo weziguli kungase kukhuthazweigesi ye-chlorine. Ezimweni ezimbi kakhulu, iziguli zingase futhi zibe nezimpawu ezifana ne-acute pulmonary edema kanye nenyumoniya. Ukuhogela igesi ye-chlorine isikhathi eside kuzosheshisa ijubane lokuguga komuntu, futhi ama-radicals mahhala emzimbeni womuntu azokhula kakhulu.
Ezinye iziguli zingase zibe nezimpawu ezinjengokukhwehlela okukhulu, i-pulmonary edema, ne-dyspnea ngemva kokuhogela igesi ye-chlorine. Igesi ye-chlorine ngokwayo iyigesi ephuzi futhi enobuthi. Ngemuva kokuhogela, kuzodala nokulimala esikhunjeni somuntu kanye nesibindi, futhi kuzokwandisa amathuba eziguli ezinomdlavuza. Ngokukhula, amaphaphu esiguli azovela ama-rales omile noma ukushaywa umoya.
Uma isiguli sine-dyspnea, ukukhwehlela kwe-paroxysmal, i-expectoration, ubuhlungu besisu, ukuvuleka kwesisu, i-cyanosis emnene nokunye ukungaphatheki kahle ngemva kokuhogela igesi ye-chlorine, kufanele afune usizo lwezokwelapha ngokushesha ukuze agweme ukuhogela igesi ye-chlorine eningi, okuzoholela ekuphenduleni ubuthi obuthuthukisiwe. kanye nokulimala kwezitho zesistimu yesiguli Kubeka impilo engozini, futhi uma ungafuni ukwelashwa ngesikhathi, kuzoholela emiphumeleni emibi njengokukhubazeka impilo yonke yesiguli.
Iziguli ezihogela igesi ye-chlorine zingasiza ukuqeda ubuthi emzimbeni ngokuphuza ubisi oluningi, futhi isiguli kufanele sidluliselwe endaweni enomoya omusha ukuze kugcinwe ukujikeleza komoya. Izinto zihogelwa yi-nebulization, futhi iziguli ezinezimpawu ezinzima zobuthi zingakhetha ama-adrenal glucocorticoid ukusiza ukuthuthukisa isimo ngemva kokufuna ukwelashwa.
2. Ingabe i-chlorine iyawuthinta ubuchopho?
Ukuhogela i-chlorine kungase kulimaze ubuchopho futhi kudinga ukubambisana okusebenzayo ukuze kuthuthuke.
Ukuhogelaigesi ye-chlorineiwuhlobo lwegesi olula, okubuye kube iphunga elinamandla elicasulayo kanye negesi enobuthi kakhulu. Uma ihogelwe isikhathi eside, izoholela kalula ezimpawini zikashevu emzimbeni womuntu, futhi izokhombisa izimpawu ezinjengokukhwehlela nokucinana kwesifuba. Uma ingelashwa kahle futhi Ithuthukiswe, kulula ukubangela ukwephulwa kwamangqamuzana obuchopho, futhi ingase ilimaze izinzwa zobuchopho, okuholela esikhumbeni, ikhanda elibuhlungu, njll.
Uma isiguli sihogela i-chlorine, kudingeka siphumele ngaphandle ngokushesha, endaweni epholile, futhi sibambe umoya ohlanzekile. Uma kunezimpawu ezifana ne-dyspnea, udinga ukufuna ukwelashwa ngesikhathi.
3. Indlela yokwelapha i-chlorine inhalation?
1. Phuma endaweni eyingozi
Ngemva kokuhogelaigesi ye-chlorine, kufanele uphume ngokushesha endaweni yesehlakalo futhi uye endaweni evulekile enomoya omusha. Esimeni sokungcoliswa kwamehlo noma isikhumba, hlambulula kahle ngamanzi noma ngosawoti omningi ngokushesha. Iziguli ezichayeke esilinganisweni esithile segesi ye-chlorine kufanele zifune usizo lwezokwelapha kusenesikhathi, ziqaphe izinguquko zokuphefumula, ukushaya kwenhliziyo, nomfutho wegazi, futhi zilwele ukuhlaziya igesi legazi kusenesikhathi kanye nokuhlolwa kwe-X-ray yesifuba okushukumisayo.
2. Ukuhogela umoya-mpilo
Igesi ye-chlorineiyacasula indlela yokuphefumula yomuntu, futhi ingase ithinte umsebenzi wokuphefumula, ehambisana ne-hypoxia. Ngemva kokuhogela igesi ye-chlorine, ukunikeza isiguli umoya-mpilo wesiguli ngesikhathi kungasiza ukuthuthukisa isimo se-hypoxic futhi kugcine indlela yokuphefumula ivulekile.
3. Ukwelashwa kwezidakamizwa
Ukuhogela inani elincane le-chlorine kungabangela ukungakhululeki kokuphefumula. Uma isiguli siqhubeka nokungakhululeki emphinjeni, singasebenzisa imithi yokwelapha i-nebulization inhalation njengoba eyalelwa udokotela, njengokumiswa kwe-budesonide, i-compound ipratropium bromide, njll., engathuthukisa ukungakhululeki komphimbo. Vimbela i-edema ye-laryngeal. Uma kwenzeka i-bronchospasm, umjovo we-glucose nge-intravenous plus doxofylline ungasetshenziswa. Iziguli ezine-edema yamaphaphu zidinga ukwelashwa kusenesikhathi, okwanele, nangesikhathi esifushane ngama-adrenal glucocorticoid, njenge-hydrocortisone, i-prednisone, i-methylprednisolone, ne-prednisolone. Uma amehlo echayeke ku-chlorine, ungasebenzisa amathonsi ehlo e-chloramphenicol ukuze udambise izimpawu, noma unikeze amathonsi esweni e-cortisone angu-0.5% kanye namathonsi esweni e-antibiotic. Uma ukushiswa kwe-asidi yesikhumba kukhona, isixazululo se-sodium bicarbonate esingu-2% ukuya ku-3% singasetshenziselwa ukuminyaniswa okumanzi.
4. Ukunakekelwa kwansuku zonke
Iziguli zelulekwa ukuba zigcine isikhathi esanele sokuphumula nendawo ethule, enomoya omuhle phakathi nesikhathi sokululama. Khetha ukudla okulula, okugayekayo, okunomsoco, yidla imifino nezithelo kakhulu, gwema ukudla okubabayo, okubandayo, okuqinile, okufakwe emanzini anosawoti, futhi gwema ukuphuza nokubhema. Kufanele futhi ugcine ukuzinza ngokomzwelo futhi ugweme ukucindezeleka kwengqondo nokukhathazeka.
4. Ungawususa kanjani ushevu we-chlorine emzimbeni?
Lapho umzimba womuntu uhogela igesi ye-chlorine, ayikho indlela yokuyikhipha. Ingasheshisa kuphela ukuchithwa kwegesi ye-chlorine ukuvimbela ubuthi bomuntu. Iziguli ezihogela i-chlorine kufanele ngokushesha ziye endaweni enomoya omusha, zithule futhi zifudumale. Uma amehlo noma isikhumba sihlangana nesisombululo se-chlorine, hlambulula kahle ngamanzi ngokushesha. Iziguli ezinesisindo somzimba esiningi kufanele ziphumule embhedeni futhi zibheke amahora angu-12 ukuze zibhekane nezimpawu ezihambisanayo ezingalindelekile.
5. Yiziphi izimpawu zokungenwa ubuthi begesi yomuntu?
Ubuthi begesi bubizwa nangokuthi ubuthi be-carbon monoxide. Ubuthi be-carbon monoxide ngokuyinhloko buholela ku-hypoxia, futhi izimpawu zobuthi zingasukela kokuncane kuye kokuqina. Iziguli ezinoshevu obuncane zibonakala ngokuyinhloko njengekhanda elibuhlungu, isiyezi, isicanucanu, ukuhlanza, ukushaya kwenhliziyo, ubuthakathaka, ukozela, ngisho nokuquleka. Bangalulama ngokushesha ngemva kokuphefumula umoya omusha ngaphandle kokushiya ama-sequelae. Iziguli ezinoshevu olinganiselwe ziqulekile, akulula ukuphaphama, noma ngisho nokuquleka kancane. Ezinye iziguli zixube ubuso, izindebe ezibomvu ze-cherry, ukuphefumula okungavamile, umfutho wegazi, ukushaya kwenhliziyo, nokushaya kwenhliziyo, okungalulama ngokwelashwa okusebenzayo, futhi ngokuvamile azishiyi i-sequelae. Iziguli ezinoshevu onzima zivame ukuquleka, kanti ezinye ziqulekile zivule amehlo, futhi izinga lokushisa lomzimba wazo, ukuphefumula, umfutho wegazi, nokushaya kwenhliziyo akujwayelekile. Inyumoniya, i-pulmonary edema, ukwehluleka ukuphefumula, ukwehluleka kwezinso, i-cardiac arrhythmia, i-myocardial infarction, ukopha emathunjini, njll. kungase kwenzeke kanyekanye.
6. Indlela yokubhekana negesi enobuthi?
1. Ukwelashwa kwe-Etiological
Kungakhathaliseki ukuthi hlobo luni lwe-gas poisoning eyingozi, kubaluleke kakhulu ukushiya indawo enobuthi ngokushesha, udlulisele umuntu onoshevu endaweni enomoya omusha, futhi ugcine umgudu wokuphefumula ungavinjelwa. Uma kunoshevu we-cyanide, izingxenye zokuthintana eziguquguqukayo zingagezwa ngamanzi amaningi.
2. Ukwelashwa kwezidakamizwa
1. I-Phenytoin ne-phenobarbital: Ezigulini ezinezimpawu ze-neuropsychiatric, le mithi ingasetshenziswa ukuvimbela ukudlikizeka, ukugwema ukuluma ulimi ngesikhathi sokudlikizela, nokulawula iziguli ezine-cirrhosis yesibindi, isifuba somoya kanye nesifo sikashukela kufanele kukhutshazwe.
2. Isixazululo esingu-5% se-sodium bicarbonate: sisetshenziselwa ukuhogela i-nebulization yiziguli ezinoshevu wegesi ye-asidi ukuze kudambise izimpawu zokuphefumula.
3. Isixazululo se-boric acid esingu-3%: sisetshenziselwa ukuhogela i-nebulized ezigulini ezinoshevu wegesi ye-alkali ukuze kukhululeke izimpawu zokuphefumula.
4. Ama-Glucocorticoid: Uma ukhwehlela njalo, ukuphefumula kanzima, ukucinana kwesifuba nezinye izimpawu, i-dexamethasone ingasetshenziswa, futhi imishanguzo elwa namagciwane, i-expectorant, ne-anti-infective kufanele isetshenziswe uma kudingeka. Kufanele isetshenziswe ngokuqapha kubantu asebekhulile kanye neziguli ezinokukhubazeka kwesibindi nokusebenza kwezinso. Iziguli ezinomfutho wegazi ophakeme, i-electrolyte metabolism engavamile, i-myocardial infarction, i-glaucoma, njll. ngokuvamile azifaneleki ukusetshenziswa.
5. I-Hypertonic dehydrating agents kanye ne-diuretics: njenge-furosemide ne-torasemide ukuvimbela nokwelapha i-cerebral edema, ukukhuthaza ukujikeleza kwegazi lobuchopho, nokugcina imisebenzi yokuphefumula nokujikeleza kwegazi. Amazinga e-Electrolyte kufanele aqashwe ngokucophelela lapho kusetshenziswa ama-diuretics ukuvimbela ukuphazamiseka kwe-electrolyte noma ukufakwa kanyekanye kwe-potassium emthanjeni.
3. Ukwelashwa ngokuhlinzwa
Ubuthi obuyingozi begesi ngokuvamile akudingi ukwelashwa ngokuhlinzwa, futhi i-tracheotomy ingase isetshenziselwe ukutakula iziguli eziphelelwe umoya.
4. Okunye ukwelashwa
Ukwelashwa kwe-oxygen ye-Hyperbaric: phefumula umoya-mpilo ukwandisa ukucindezela kwengxenye ye-oksijeni kugesi eliphefumulelwe. Iziguli eziquleka noma ezinomlando we-coma, kanye nalezo ezinezimpawu ezisobala zesistimu yenhliziyo nemithambo yegazi kanye ne-carboxyhemoglobin ekhuphuka kakhulu (ngokuvamile> 25%), kufanele zinikezwe ukwelashwa kwe-hyperbaric oxygen. phatha. Ukwelashwa kwe-oxygen ye-hyperbaric kungakhuphula umoya-mpilo oncibilikisiwe womzimba egazini ukuze kusetshenziswe izicubu namaseli, futhi kwandise ukucindezela kwengxenye ye-alveolar oxygen, okungasheshisa ukuhlukaniswa kwe-carboxyhemoglobin futhi kukhuthaze ukususwa kwe-CO, futhi izinga layo lokususa lishesha izikhathi eziyi-10. kunalokho ngaphandle kokuhogela umoya-mpilo, izikhathi ezi-2 ngokushesha kunomfutho ojwayelekile wokuthatha umoya-mpilo. Ukwelashwa kwe-oxygen ye-hyperbaric akukwazi nje ukufinyeza inkambo yesifo futhi kunciphise izinga lokufa, kodwa futhi kunciphise noma kuvimbele ukuvela kokubambezeleka kwe-encephalopathy.
ungakwazi ukuphuza i-liquid carbon dioxide?
