Lingaka li Sebelisa Lisebelisoa Tse Ngata ho Hlalosa Chefo ea Carbon Monoxide Sepetlele
Ho lemoha chefo ea carbon monoxide ho thata ho feta kamoo ho utloahalang kateng. Ho latela khopolo, carbon exposure monoxide e lebisa maemong a phahameng a carbon monoxide maling, 'me ke eona e fumanoang. Ntho ea bohlokoa ke hore khase ea carbon monoxide e na le mokokotlo (hore na carbon monoxide e kae moeeng) le nako (nako eo mokuli a neng a ntse ae phefumoloha), e leng ho bolelang hore ho tseba hore chefo ea carbon monoxide ke motsoako oa ho lemoha matšoao hammoho le matšoao ho lekanya palo ea CO ka mali.
Ho hlahloba / Tlhahlobo ea Lehae
Ha ho na khetho ea ho itlhahloba bakeng sa chefo ea carbon monoxide, empa mang kapa mang ea nang le pherekano kapa tahlehelo ea kutloisetso o lokela ho ba le 911 a ba bitsitse. Ho feta moo, o lokela ho belaela hore carbon monoxide e chefo haeba motho a fetang a le mong mohahong o nang le mohloli oa mollo (sebōpi, sebaka sa mollo, lisebelisoa tsa khase, setofo se chesang lehong, joalo-joalo) ke ho belaela ka hlooho le ho nyeheloa ke pelo.
Haeba ho belaelloa hore motho o na le chefo ea carbon monoxide, bohle ba sebetsang mohahong ba lokela ho tsoela ka ntle ho ea phefumoloha moea o hloekileng, hammoho le ho bitsa 911. Haeba u belaela CO chefo, u se ke ua leka ho khanna; Letsetsa ampulense.
CO ka Mali
Carbon monoxide (CO) e tlama hemoglobin ka tsela e tšoanang le eo oksijene e e etsang. Ka bomalimabe, hemoglobin e na le makhetlo a ka bang 230 likamano tsa CO ho feta kamoo e etsang oksijene kateng, kahoo esita le carbon monoxide e fokolisitsoeng e tla khomarela hemoglobin ebe e thibela oksijene ho tsoa ho equation. Re bitsa hemoglobin e kopantsoeng le CO "carboxyhemoglobin," 'me eo ke tekanyo eo re e sebelisang ho fumana hore na carbon monoxide e chefo hakae.
Tlhahlobo ea Pele
Ba bang ba pele ba arabelang ba na le matla a ho lekanya carboxyhemoglobin maling a sebelisa mochine o bitsoang pulse carbon monoxide oximeter. Ka ho khetheha, CO-oximeter ea mokokotlo e lekanya ho hlahisa carbon monoxide ho hemoglobin (SpCO). E sebelisa maqhubu a khanyang (hangata a khanya ka menoana) ho lekanya matla a carbon monoxide e sa amoheleheng.
Tsela e 'ngoe ea tekanyo e seng ea tlhaho e sebelisa moea o tsitsitseng ho fumana hore na monoxide ea carbon ke efe. Lipatlisiso tse ling li fumane hore CO e tsitsitseng e sa nepahala e le chefo ea chefo ea carbon monoxide.
SpCO ha e lekanyetsoe ke bohle ba arabelang pele, kahoo histori le tlhahlobo ea 'mele e sa ntse e le boemo ba khauta sebakeng seo. Ka bomalimabe, tloaelo ea moetlo oximetry, e sebelisetsoang ho lekanya feela hore na hemoglobin e khotsofatsoa ke oxgyen kapa che, e thetsitsoe ke chefo ea carbon monoxide ho bonts'a oksijene e phahameng ka ho fetisisa ea oksijene ha carboxyhemoglobin e teng. Sena se etsa hore e be sa bohlokoa le ho feta ho fumana histori e ntle le ho hlahloba mokuli.
Liteko tsa laboratori
Ha a le sepetlele, ho hlahlojoa teko e ngata haholo empa e nepahetse. E bitsoa khase ea mali.
Litlhahlobo tsa khase ea mali li lekanya boholo ba likhase tsa sepakapaka-hangata oksijene le carbon dioxide-maling ka ho tšolla mali ho tswa ho methapo. Tse ling tsa liteko tsa mali li hula mali ho tsoa meleng, e leng bonolo le e sireletsehileng bakeng sa mokuli.
Liteko tsa khase ea khase ea mali ke tekanyo ea oksijene le carbon dioxide hobane likhase tseo li fetoha haholo pele le ka mor'a mali a phalla ka metsoako ea 'mele. Likhase tsa arteria-ho e-na le tekanyo ea venous-bokhoni ba hemoglobin ho fana ka oksijene le ho tlosa carbon dioxide.
Kaha carbon monoxide ha e sebelisoe kapa ha e sebelisoe habonolo maling, e ka hlahlojoa ka mali leha e le afe kapa a mafura.
Liteko tsa khase ea mali li nkoa li nepahetse ho feta mocheso CO-oximetry. Le hoja oxyetry e le thusa ho khetholla bakuli ba moo ba nang le chefo ea carbon monoxide, likhase tsa mali li lokela ho fumanoa ho tiisa litekanyetso tsa carboxyhemoglobin.
Ho nahana
Chefo e kotsi ea carbon monoxide e bakoang ke maemo a phahameng a carbon monoxide ka nako e khutšoanyane ea ho pepeseha ha se pheliso feela ea ho hlahisa carbon monoxide. Ho sa feleng (nako e telele) ho hlahisa carbon monoxide maemong a fokolang haholo ho ka boela ha baka tšenyo ea lisele, haholo-holo pelong le boko.
Le hoja litekanyetso tsa carboxyhemoglobin li hlahelang bakuli ba sa foleng li ka 'na tsa e-ba tlaase ho feta bakuli ba nang le bokooa, ho na le litsela tse ling tsa ho lemoha tšenyo. Ntho e tloaelehileng ka ho fetisisa ke ho sheba liphatsa tsa lefutso ka litšoantšo tsa bongaka. Papiso ea mahlaseli a motone (MRI) ke tsela e molemo ka ho fetisisa ea ho hlahloba boko bo ka 'nang ba lematsoa ke chefo ea carbon monoxide.
Litlhahlobo tse sa tšoaneng
Ka lebaka la ho se tšoane ha matšoao a mangata a amanang le chefo ea carbon monoxide -a lebaka, ho hlatsa, hlooho ea mokhathala, mokhathala, bohloko ba sefuba-tse ling tse fumanoang hangata li belaelloa. K'hemik'hale e kholo ea carbon monoxide lapeng la mokuli e tla fana ka maikutlo a monyetla oa hore chefo ea monoxide e chefo, empa ho na le lisosa tse ling tse lokelang ho felisoa.
Lethathamo la lipalo tse fapaneng le le lengata haholo ho tseba. Ntho e 'ngoe le e' ngoe e fapane 'me e lokela ho hlahlojoa ho itšetlehile ka tlhaloso ea mokuli, histori le liteko.
> Mehloli:
> Cannon, C., Bilkowski, R., Adhikari, S., & Nasr, I. (2004). Tšebelisano ea likarolo tsa carboxyhemoglobin pakeng tsa lisebelisoa tsa mafura le mafura a mali a mali. Annals Of Emergency Medicine , 44 (4), S55. doi: 10.1016 / j.annemergmed.2004.07.181
> Hullin, T., Aboab, J., Desseaux, K., Chevret, S., & Annane, D. (2017). Tšebelisano pakeng tsa matla a kliniki le litekanyo tse fapaneng tseo e seng tsa tlhaho tsa mohopolo oa carbon monoxide: Thuto ea baahi. PLoS ONE , 12 (3), e0174672. http://doi.org/10.1371/journal.pone.0174672
> Kuroda, H., Fujihara, K., Kushimoto, S., & Aoki, M. (2015). Tlhaloso ea litsebi tsa morao-rao ea ho lieha ha neurologic sequelae ka mor'a chefo ea carbon monoxide le lintho tse amanang le liphello. Neurotoxicology , 48 , 35-43. doi: 10.1016 / j.neuro.2015.03.002
> McKenzie, LB, Roberts, KJ, Shields, WC, McDonald, E., Omaki, E., Abdel-Rasoul, M., & Gielen, AC (2017). Ho Fanoa le Tlhaloso ea Motsoako oa Carbon Monoxide Ho kena Litsing Tse peli: Lefapha la Tšohanyetso le Metseng ea Metseng. Journal of Health Health , 79 (9), 24-30.
> Rose, JJ, Wang, L., Xu, Q., McTiernan, CF, Shiva, S., Tejero, J., & Gladwin, MT (2017). Chefo ea Monoxide ea Chefo: Pathogenesis, Management, le Tlhahiso ea Bokamoso ea Therapy. Journal of American Respiratory and Critical Care Medicine , 195 (5), 596-606. http://doi.org/10.1164/rccm.201606-1275CI