Zachikhalidwe ndi Zatsopano Zopangidwira Kwa Poizoni ya Carbon Monoxide
Hemoglobin imakonda kaboni monoxide ndipo imaigwiritsa ntchito pafupifupi 230 kuposa mphamvu ya oxygen, yomwe ndi vuto kuyambira pamene carbon monoxide siimapereka phindu lililonse kwa thupi. Sichimatengera carbon monoxide mumlengalenga womwe mumapuma kuti mupeze poizoni wa carbon monoxide ndipo zimatengera mpweya wochuluka kuti muchotse, zomwe ndizo zomwe mankhwala amachiza.
Chithandizo Chachikhalidwe
Mpweya wa carbon monoxide si chinthu chomwe mungathe kuchichitira panyumba. Kutenga mavitamini a oksijeni okwana 100 peresenti kumatenga maola angapo kuti athetse magazi a carbon monoxide. Mpweya wa carbon monoxide ndi vuto limodzi lomwe nthawi zonse limakhala loyitana 911.
Chithandizo chachikulu cha poizoni wa carbon monoxide ndi kutulutsa mpweya wabwino kwambiri wosasuntha mask-mpweya wa masikiti ndi thumba la pulasitiki likupachikidwapo-malinga ndi nthawi yomwe zimatengera m'malo mwa mpweya wotchedwa hemoglobin ndi oksijeni. Half-moyo ndi muyeso wa nthawi yomwe imatengera kuthetsa theka la thupi m'thupi. Theka la moyo wa carbon monoxide popanda kugwiritsa ntchito mpweya ndi 320 minutes-kuposa maola asanu kuti athe kuchepetsa magawo ndi theka. Pa mlingo umenewo, zingatenge pafupifupi tsiku kuti carbon monoxide ichotsedwe.
Kupereka wodwala 100 peresenti ya oksijeni kumachepetsa kuthetsa kwa theka la moyo kwa mphindi 74, zomwe zikutanthauza kuti zidzatengera maola oposa asanu kuti wodwalayo azidziwika bwino kuti athandizidwe ndi mpweya wa monoxide m'magazi.
Odwala ndi poizoni wa carbon monoxide amathera nthawi yochuluka atakhala mu dipatimenti yowonjezera kupuma mpweya wowongoka.
Mankhwala Oxygen a Hyperbaric
Njira inanso ndiyo kupereka oksijeni pansi pa kupanikizika m'chipinda cha hyperbaric, chomwe chimakhala phukusi limene wodwala akugona ndipo amapuma mpweya wokwanira 100 peresenti pamayesero 1.5 mpaka 2 kuposa momwe chilengedwe chimakhalira.
Mu chipinda cha hyperbaric, chithandizo cha okosijeni chingachepetse moyo wa hafu ya carbon monoxide kwa mphindi pafupifupi 20.
Mwamwayi, zipinda za hyperbaric sizipezeka mosavuta nthawi zonse, makamaka m'madera akumidzi. Ngakhale m'madera omwe ali ndi hyperbaric therapy, angatenge maola angapo kuti akonze mankhwala. Kuganizira wodwalayo kudzalandira kulandira kwa oxygen nthawi ya kuyembekezera, kupindula kwa mankhwala pang'ono mofulumira kungakhale kutayika kale. Komanso, ngati odwala ambiri ali ndi mpweya woipa wa carbon monoxide, amodzi okha pa nthawi amatha kuchiritsidwa m'chipinda cha hyperbaric.
Ngakhale pali umboni woonekeratu wakuti hyperbaric oxygen therapy imachotsa mpweya monoxide m'magazi mwamsanga, palibe umboni wosonyeza kuti odwala ali bwino chifukwa cha izo. Kusanthula kwa meta imodzi ya mayesero omwe amachitidwa mosavuta kunapeza zotsatira zosiyana poyang'ana zotsatira za mitsempha ya odwala carbon dioxide poizoni omwe analandira chithandizo cha okosijeni cha hyperbaric. Thandizo la hyperbaric lingathandize wodwalayo, koma palibe chifukwa chodandaula ngati sichipezeka mosavuta.
Mankhwala Ena
Kupereka okosijeni kuchepetsa mpweya wa carbon monoxide m'magazi ndi gawo limodzi chabe la mankhwala a poizoni a carbon monoxide.
Kuwonongeka kwa ubongo ndi mtima chifukwa cha kusowa mpweya mu magazi nthawi ya poizoni ya monixide kumafuna chithandizo. Malingana ndi kuopsa kwake kwa poizoni, odwala angafunikire kuthandizira ubongo ndi ntchito ya mtima. Odwala ena amafunikira chithandizo cha kutupa kwa ubongo, zomwe zingaphatikizepo mankhwala ndi kuvomereza ku chipatala chachikulu.
Mtima umaganizira za kusowa kwa oxygen ndi odwala omwe angathe kukhumudwa mtima ndi kukonzanso, zomwe zingaperekedwe kuchipatala ndi mankhwala kapena magetsi. Mpweya wapamwamba wa mpweya wabwino m'magazi omwe sagwiritsidwa ntchito ku hemoglobin, omwe amadziwikanso kuti amawomboledwa opanda mphamvu-angaperekenso kutupa, zomwe zimapangitsa kuti pakhale kuwopsa kwa mtima.
Zochiritso Zamtsogolo
Pali mankhwala ochepa omwe angapangidwe poizoni wa carbon monoxide zomwe zikupangidwa. Zambiri mwa mankhwalawa zikhoza kukhala zaka zambiri ndipo zonse zimafuna kuphunzira kwina koonjezera kuti zipeze chitetezo ndi zothandiza.
Kuwala
Kuunika kwa kuwala kwapadera kwawonetsera, mu maphunziro a zinyama, kuti azifulumizitsa kuswa kwa maselo pakati pa hemoglobin ndi carbon monoxide. Ngati njira yokhala ndi mtundu woyenera wa kuwala, yoyandikana kwambiri ndi magazi, imapangidwira, ingapereke njira yowonjezera kuchepetsa miyeso ya carbon monoxide.
Oxygen Injections
Njira zowonjezereka zowonongeka mwadzidzidzi m'magazi zimapereka njira yowonjezera ma oksijeni kuposa zonse zomwe zingatheke ngakhale ndi hyperbaric therapy. Maphunziro oyambirira ndi mbewa akuwoneka kuti akudalira, koma pali njira yochuluka yopitira anthu asanayese kuyesera.
Mankhwala a Hydrogen Saline
Mofananamo, kugwiritsa ntchito mankhwala a salin-rich saline monga antioxidant kumapezeka m'mayiko ena ndipo kungakhale ndi phindu la poizoni wa carbon monoxide. Kuwonongeka kwa mpweya wochuluka wambiri wosasunthika kuzungulira magazi, osati kumangiriza ku hemoglobin, ndi mwayi wotengera kwa mankhwala onse amachiritso. Kugwiritsira ntchito mankhwala amphamvu oletsa antioxidant kuti athetse kuwonongeka kungakhale kofunika kwambiri monga kubwezeretsa poizoni wa carbon monoxide poyamba.
Kuwa Mowa
Kafukufuku wina anapeza kuti odwala a poizoni wa carbon monoxide omwe amamwa mowa anali ndi ubongo wochepa poyerekezera ndi odwala omwe amakhala ndi poizoni wa carbon monoxide okha. Pali mwayi kuti kukhalapo kwa mowa kungapangitse kusiyana kwa zotsatira za poizoni wa CO. Popeza odwala omwe ali mu phunziroli anali atamwa mowa usanafike poizoni wa carbon monoxide, zikhoza kutanthauza kuti ubwino wokha umachitika ngati mowa umabwera poyamba.
> Zotsatira:
> Buckley, N., Juurlink, D., Wotsutsa, G., Bennett, M., & Lavonas, E. (2011). Mpweya wa hyperbaric wa carbon monoxide poizoni. Mndandanda wa Cochrane Wowonongeka Kwambiri . lembani: 10.1002 / 14651858.cd002041.pub3
> Chiew, A., & Buckley, N. (2014). Mpweya wa monixide m'zaka za m'ma 2100. Chisamaliro chovuta , 18 (2), 221. doi: 10.1186 / cc13846
> Kim, H., Choi, S., Chae, M., & Min, Y. (2018). Neuroprotective zotsatira za ethanol mu phokoso la carbon monoxide. Mankhwala , 97 (1), e9569. lembani: 10.1097 / md.0000000000009569
> Rose, J., Xu, Q., Wang, L., & Gladwin, M. (2015). Kuwala Kuwala pa Mpweya wa Monixide Poizoni. American Journal Of Respiratory And Critical Care Medicine , 192 (10), 1145-1147. lembani: 10.1164 / rccm.201508-1579ed
> Sun, X., Xu, H., Meng, X., Qi, J., Cui, Y., & Li, Y. et al. (2013). Kugwiritsa Ntchito Njira Yothetsera Matenda a Hyperoxygenated monga Njira Yothandizira Poizoni wa Pakinoni Monoxide. Plos ONE , 8 (12), e81779. lembani: 10.1371 / magazini.pone.0081779