Intoxication: hom, cov tsos mob thiab kev kho mob
Zoo Siab
Intoxication yog cov kev tshwm sim thiab cov tsos mob uas tshwm sim los ntawm kev raug tshuaj lom rau lub cev, xws li kev siv tshuaj ntau dhau, cov tsiaj muaj kuab lom, lub cev nyhav xws li cov hlau lead thiab cov mercury, lossis kev raug cov tshuaj tua kab thiab tshuaj tua kab.
Kev mob plab yog ib hom kev lom thiab yog li ntawd, tuaj yeem ua rau lub zos tsis zoo, xws li liab thiab mob rau ntawm daim tawv nqaij, lossis ntau dua cov kev tsis haum tshuaj, xws li ntuav, kub taub hau, tawm hws ntau, ua tsis taus pa, tsis nco qab thiab, txawm tias, muaj kev pheej hmoo tuag. Yog li, nyob rau hauv muaj cov cim thiab cov tsos mob uas tuaj yeem ua rau lub siab tsis txaus siab ntawm qhov teeb meem no, nws yog qhov tseem ceeb heev uas yuav tsum mus rau chav kub ntxhov sai, kom kho tau, nrog mob plab zom mov, siv tshuaj los yog tshuaj tiv thaiv kab mob, tshuaj los ntawm tus kws kho mob.
Hom kev lom
Nws muaj ob hom kev lom, xws li:
- Exogenous intoxication: tshwm sim thaum kev siv tshuaj lom nyob hauv thaj chaw ib puag ncig, muaj peev xwm kis tau los ntawm kev noj, sib chwv nrog daim tawv lossis nqus tau pa. Qhov tshwj xeeb tshaj plaws yog kev siv tshuaj hauv qhov siab, xws li tshuaj tiv thaiv kab mob ntsws, ua kom loog, tshuaj anticonvulsants lossis ntxhov siab, siv cov tshuaj tsis raug cai, tom ntawm cov tsiaj muaj kuab lom, xws li nab los yog scorpion, haus dej cawv ntau dhau los yog nqus tau tshuaj, piv txwv;
- Endogenous intoxication: yog tshwm sim los ntawm kev sib ntxiv ntawm cov tshuaj phem uas lub cev tsim tawm, xws li urea, tab sis uas feem ntau tshem tawm los ntawm kev ua haujlwm ntawm lub siab thiab lim los ntawm lub raum, thiab tuaj yeem tsim tau thaum cov kabmob no muaj qhov tsis txaus.
Tsis tas li ntawd, kev qaug cawv tuaj yeem mob siab, thaum nws ua rau cov tsos mob thiab cov tsos mob tom qab kev sib chwv ib zaug nrog cov tshuaj, lossis mob ntev, thaum nws cov cim tau hnov tom qab tsub zuj zuj ntawm cov tshuaj hauv lub cev, noj rau ib lub sijhawm ntev, xws li intoxications los ntawm cov tshuaj xws li Digoxin thiab Amplictil, piv txwv, lossis los ntawm cov hlau, xws li cov hlau lead thiab cov tshuaj mercury.
Gastroenteritis, tseem hu ua kev lom khoom noj, tshwm sim vim muaj cov kab mob me me, xws li kab mob thiab kab mob, lossis lawv cov co toxins, hauv cov zaub mov, tshwj xeeb tshaj yog thaum tswj kev tsis zoo, ua rau xeev siab, ntuav thiab raws plab. Yog xav paub ntxiv txog qhov xwm txheej no, saib yuav ua li cas txheeb xyuas thiab kho kev lom cov zaub mov.
Cov tsos mob tseem ceeb
Raws li muaj ntau yam tshuaj lom, muaj ntau yam cim thiab cov tsos mob uas tuaj yeem ua rau qaug, thiab qee qhov tseem ceeb yog:
- Lub plawv dhia ceev lossis qeeb;
- Nce lossis txo qis hauv cov ntshav siab;
- Nce lossis qis dua ntawm cov tub ntxhais kawm ntawv txoj kab xev;
- Khaus tob tob;
- Cov tawv nqaij liab lossis tawv nqaij;
- Pom kev hloov, xws li plooj, turbidity lossis darkening;
- Ua tsis taus pa;
- Ntuav;
- Zawv plab;
- Mob plab;
- Somnolence;
- Kev ua kom pom tseeb thiab coj khaub ncaws;
- Tso zis thiab quav tso zis lossis quav tso quav;
- Slowness thiab teeb meem ua txav.
Yog li, hom, siv zog thiab cov tsos mob intoxication sib txawv raws li cov hom tshuaj lom uas noj, qhov ntau thiab lub cev ntawm tus neeg uas tau noj nws. Ib qho ntxiv, menyuam yaus thiab tus neeg laus muaj lub cev lom tau yooj yim.
Thawj pab rau lom
Thawj cov kev pab ntsuas kom ua thaum txhaum cai yog:
- Hu rau SAMU 192 sai, kom thov kev pab thiab tom qab ntawd mus rau Lub Chaw Haujlwm Pov Thaiv Kev Tiv Thaiv Kev Tshuaj Lom (CIAVE), los ntawm tus xov tooj 0800 284 4343, kom tau txais kev taw qhia los ntawm cov kws tshaj lij thaum kev pab kho mob tuaj txog;
- Tshem tawm cov neeg sawv cev lom, ntxuav nrog dej yog tias nws chwv nrog daim tawv nqaij, lossis hloov ib puag ncig yog tias nqus tau;
- Ua kom tus neeg mob nyob hauv ib qho chaw tom qab, yog tias koj plam meej pem;
- Tshawb rau cov ntaub ntawv ntawm cov tshuaj uas ua rau raug lom, yog tias ua tau, xws li kos lub thawv tshuaj, cov khoom ntim lossis cov tsiaj muaj tsiaj muaj tsiaj nyob ze, kom pab qhia rau pawg neeg saib xyuas mob.
Zam kev muab cov dej rau haus los yog ua rau ntuav, tshwj xeeb tshaj yog tias cov tshuaj noj tsis paub, acidic lossis corrosive, vim tias qhov no tuaj yeem ua rau tsis zoo tshwm sim ntawm cov tshuaj rau ntawm cov hnyuv. Txhawm rau kom paub ntau ntxiv txog yuav ua li cas thaum raug mob lossis lom, soj ntsuam tawm cov kev pabcuam ua ntej muaj tshuaj lom.
Yuav kho tus mob li cas
Txoj kev kho rau intoxication sib txawv raws li nws cov laj thawj thiab tus neeg mob, thiab tuaj yeem pib twb nyob hauv tsheb tos neeg mob los yog thaum mus txog hauv chav kho mob ceev, los ntawm pab pawg kho mob, thiab koom nrog:
- Kev ntsuas ntawm cov cim tseem ceeb, xws li kev ntxhov siab, lub plawv dhia thiab ntshav oxygenation, thiab lub zog ruaj khov, nrog rau dej lossis siv oxygen, piv txwv, yog tias tsim nyog;
- Txheeb xyuas qhov ua rau muaj kev qaug cawv, los ntawm kev ntsuam xyuas ntawm tus neeg raug mob keeb kwm, cov tsos mob thiab kuaj lub cev;
- Kev tshem tawm ntau, uas lub hom phiaj txo qis qhov kev sib kis ntawm cov kab mob mus rau lub chaw muaj tshuaj lom, los ntawm kev ntsuas xws li lub plab zom zaub mov, nrog cov dej qab ntsev los ntawm lub plab nasogastric, kev tswj hwm ntawm lub tshuab hluav ncaig hauv cov zom zaub mov kom pab txhawb qhov nqus tau ntawm cov pa tshuaj lom, lossis lub plab hnyuv tso tawm. ., nrog rau kev noj qab haus huv, xws li mannitol;
- Siv tshuaj tiv thaiv kab mob, yog tias muaj, uas yuav qhia tau tseeb txog txhua hom yeeb tshuaj. Qee cov tshuaj tiv thaiv feem ntau yog:
| Cov tshuaj tiv thaiv | Intoxicating tus neeg sawv cev |
| Acetylcysteine | Paracetamol |
| Atropine | Organophosphate thiab carbamate tshuaj tua kab, xws li Chumbinho; |
| Methylene xiav | Cov tshuaj hu ua methemoglobinizers, uas tiv thaiv cov ntshav oxygen, xws li nitrates, cov pa roj pa tawm, naphthalene thiab qee yam tshuaj noj, xws li chloroquine thiab lidocaine, piv txwv; |
| BAL lossis dimercaprol | Qee cov hlau hnyav, xws li arsenic thiab kub; |
| EDTA-calcium | Qee cov hlau hnyav, xws li txhuas; |
| Flumazenil | Piv txwv Benzodiazepine tshuaj, xws li Diazepam lossis Clonazepam, piv txwv; |
| Naloxone | Piv txwv li Opioid analgesics, piv txwv li Morphine lossis Codeine |
Anti-scorpion, anti-acid los yog anti-arachnid ntshav dej | Tshuaj lom scorpion, nab lossis kab laug sab. |
| Vitamin K | Cov tshuaj tua kab los yog tshuaj anticoagulant, xws li warfarin. |
Tsis tas li ntawd, kom tsis txhob muaj ib qho kev qaug dab peg, nws yog qhov tseem ceeb yuav tsum tau them sai sai rau cov khoom lag luam uas tsim kev sib txuas ntawm ib hnub, tshwj xeeb tshaj yog cov neeg ua haujlwm nrog cov khoom siv tshuaj, xws li hauv cov chaw tsim khoom lossis chaw cog ntoo, thiab kev siv ntawm cov cuab yeej tiv thaiv yog qhov tseem ceeb.
Yuav tsum tau saib xyuas tshwj xeeb rau cov menyuam yaus, uas muaj kev pheej hmoo tiv tauj lossis siv lub zog nqus cov khoom tsis raug cai thiab kev raug mob hauv tsev. Tsis tas li, kuaj xyuas seb dab tsi yog qhov pab cuam ua ntej rau lwm yam kev raug teeb meem ntau hauv tsev.
Cov Khoom Tshiab
Tafenoquine
