Ndị dọkịta na-eji ọtụtụ ihe eji emepụta ịchọpụta carbon carbon monoxide na-egbu egbu na Ụlọ Ọgwụ
Ịchọpụta nsị nke carbon monoxide siri ike karịa ka ọ na-ada. Na tiori, ikuku monoxide na-eduga n'ọtụtụ dị elu nke carbon monoxide n'ọbara, nke ahụ bụ nyocha. Nke bụ eziokwu bụ na ikuku carbon monoxide na-edozi ahụ (ole carbon monoxide dị) na oge (ogologo oge ka onye ọrịa na-eku ume), nke pụtara na nyochapụta nsị na-egbu carbon monoxide bụ ihe jikọrọ ịmara ihe ịrịba ama na ihe mgbaàmà nakwa na-atụle ego ole CO n'ime ọbara.
Nyocha Onwe Onye / Nlele Ule
Enweghị nhọrọ nyocha onwe onye maka nsị na-emepụta carbon monoxide, ma onye ọ bụla nke nwere mgbagwoju anya ma ọ bụ ihe ọmụma nke njedebe ga-akpọ 911 maka ha. Ọzọ, ị kwesịrị iche na carbon monoxide na-egbu mmadụ ma ọ bụrụ na ihe karịrị otu onye na ụlọ nwere ebe combustion (ọkụ, ọkụ ọkụ, ọkụ gas, ọkụ ọkụ, wdg) na-eme mkpesa nke isi ọwụwa na ọgbụgbọ.
Ọ bụrụ na a na-enyo enyo a na-atụ carbon monoxide, ndị niile bi n'ụlọ a ga-aga n'èzí iji mee ka ikuku dị ọhụrụ na-akpọ, na-akpọ 911. Ọ bụrụ na ị na-enyo enyo na nsị oyi, Kpọọ ụgbọ ihe mberede.
Chop na Ọbara
Carbon monoxide (CO) na-ejikọta na hemoglobin n'otu ụzọ yiri oxygen. O di nwute, hemoglobin nwere ihe di ka ugboro iri ato na ato maka CO karia ya maka ikuku oxygen, ya mere obere obere inhaled carbon monoxide ga-ejide ha na hemoglobin ma gbochie ikuku oxygen. Anyị na - akpọ hemoglobin nke na - ejikọta na CO "carboxyhemoglobin," nke ahụ bụkwa ihe anyị ji eji chọpụta oke carbon poisoning.
Nlereanya nke mbụ na-arụ ọrụ
Ụfọdụ ndị mbụ na-azaghachi nwere ike ịlele carboxyhemoglobin na ọbara site na iji ngwaọrụ a na-akpọ oxyximide oximeter. Kpachara anya, ogologo ihe ntanetị na-eme ka saturation nke carbon monoxide na hemoglobin (SPCO). Ọ na - eji ebili mmiri na - ebili (na - ejikarị mkpịsị aka eme ihe) iji tụọ saturation carbon monoxide n'enweghị ihe ọ bụla.
Ụdị ọzọ nke mmeri na-enweghị mmetọ na-eji ikuku ikuku iji chọpụta ọkwa nke carbon monoxide. Ụfọdụ nchọpụta achọpụtala na CO na-ezighi ezi dị ka njedebe nke nsị carbon monoxide.
Ọ bụghị ndị niile na-aza ajụjụ mbụ ka a na-atụle SpCO, ya mere akụkọ ihe mere eme na nchọpụta anụ ahụ ka bụ ihe edozi ahụ. O di nwute, nchịkọta ụbụrụ a na-eji eme ihe, ma ọ bụ na ejiri oxygyen jupụta na hemoglobin ma ọ bụ na ọ bụghị, a na-eji ọgwụ carbon monoxide mebie iji gosi ikuku oxygen mgbe carboxyhemoglobin dị. Nke a na - eme ka ọ dị mkpa karịa inweta ezigbo akụkọ ihe mere eme na nyocha anụ ahụ nke onye ọrịa ahụ.
Nyocha nke Laboratory
N'ụlọ ọgwụ ahụ, a na-eji nyocha dịkwuo njọ karị ma na-eme ezi. A na-akpọ ya ọbara gas.
Usoro ule ọbara na-enyocha ọnụ ọgụgụ ikuku gas na-ekpuchi-na-abụkarị oxygen na carbon dioxide-n'ime ọbara site na ịpị ọbara site na akwara. Imirikiti ọbara ndị ọzọ na-amanye ọbara site na veins, nke dị mfe na nchekwa maka onye ọrịa ahụ.
Nnyocha ubara ọbara bụ ihe ọkọlọtọ maka ikuku oxygen na carbon dioxide n'ihi na gas ndị ahụ gbanwere tupu oge ọbara ebute site na anụ ahụ. Agụmakwụkwọ na-emepụta ihe-kama iji anụ ọkụglobin nwere ike inye oxygen na iwepu carbon dioxide.
Ebe ọ bụ na a dịghị eji carbon monoxide mee ihe ma ọ bụ na-ewepụ ya ọbara, ọ nwere ike ịnwale ya site n'ọbara ma ọ bụ ọbara ọbara.
A na-elele ule ọbara na-adaba karia oke ọbara-CO. Ọ bụ ezie na ụrọ dị irè iji chọpụta ndị ọrịa nọ n'ọnọdụ ahụ nwere ike ịnweta nsị carbon monoxide, a ghaghị ịnweta gas ọbara iji gosi ọkwa carboxyhemoglobin.
Imaging
Nnukwu carbon monoxide na-egbu egbu nke na-esi n'ọtụtụ dị elu nke carbon monoxide na obere oge ikpughe abụghị nanị mmetụta nke ikuku carbon monoxide. Ogologo (ogologo oge) ikuku carbon monoxide na ụda dị ala nwere ike ịkpata mmebi ahụ, karịsịa n'obi na ụbụrụ.
Ọ bụ ezie na ọkwa nke carboxyhemoglobin na-adịghị ala ala na-arịa ọrịa nwere ike ịbụ ala karịa na nnukwu ọrịa, e nwere ụzọ ndị ọzọ iji chọpụta mmebi. Ihe kachasị mkpa bụ ile anya na anụ ahụ site na nyocha ahụike. Imaging resonance magnetic (MRI) bụ ụzọ kasịsị mma iji nyochaa ụbụrụ maka mmerụ ahụ site na nsị na-emetụta carbon monoxide.
Ndị nchọpụta dị iche iche
N'ihi nhụjuanya nke ọtụtụ ihe ịrịba ama na mgbaàmà ndị e jikọtara ya na carbon monoxide na-egbu egbu , ịgba agbọ, isi ọwụwa, ike ọgwụgwụ, ihe mgbu obi-ndị ọzọ na-enyocha ya na-eche mgbe niile. Nnukwu ọkụ nke carbon monoxide na ụlọ onye ọrịa ga-egosi na o nwere ike ịnweta nsị carbon monoxide, ma ihe ndị ọzọ ka ga-achịkwa.
Ndepụta nke diagnoses dị iche iche dị oke oke iji mata. Okwu nke ọ bụla dị iche na nke a ga-enyocha site na ngosi nke onye ahụ, akụkọ ihe mere eme, na ule.
> Isi mmalite:
> Cannon, C., Bilkowski, R., Adhikari, S., & Nasr, I. (2004). Njikọ nke carboxyhemoglobin na ọkwa dị n'etiti venous na ọbara ọbara. Ndekọ nke Ọgwụ Mberede , 44 (4), S55. doi: 10.1016 / j.annemergmed.2004.07.181
> Hullin, T., Aboab, J., Desseaux, K., Chevret, S., & Annane, D. (2017). Mkparịta ụka n'etiti ịdị na-agwọ ọrịa na dịgasị iche iche na-enweghị mmerụ nke ikuku carbon monoxide: Ọmụmụ ihe ọnụ ọgụgụ. EKWU NDỊ , 12 (3), e0174672. http://doi.org/10.1371/journal.pone.0174672
> Kuroda, H., Fujihara, K., Kushimoto, S., & Aoki, M. (2015). Nkọwapụta nke ọhụụ nke na-egbu oge neurologic na-akpata mgbe carbon monoxide na-egbu egbu na ihe ndị metụtara ya. Neurotoxicology , 48 , 35-43. Echiche: 10.1016 / j.neuro.2015.03.002
> McKenzie, LB, Roberts, KJ, Shields, WC, McDonald, E., Omaki, E., Abdel-Rasoul, M., & Gielen, AC (2017). Nkesa na Nyocha nke Mmegide Monoxide Detector Intervention na Ntọala Abụọ: Ngalaba Mberede na Obodo Urban. Journal of Health Environmental , 79 (9), 24-30.
> Rose, JJ, Wang, L., Xu, Q., McTiernan, CF, Shiva, S., Tejero, J., & Gladwin, MT (2017). Mkpụrụ Monoxide nke Carbon: Ụdị Pathogenesis, Management, na Ọdịnihu nke Ọgwụgwọ. American Journal of Respiratory and Critical Care Medicine , 195 (5), 596-606. http://doi.org/10.1164/rccm.201606-1275CI