Ubuthi be-ethylene glycol

I-Ethylene glycol iyikhemikhali elingenambala, elingenaphunga, elinambitheka kamnandi. Inobuthi uma igwinyiwe.

I-Ethylene glycol ingagwinywa ngengozi, noma ingathathwa ngamabomu ukuzama ukuzibulala noma ukufaka esikhundleni sokuphuza utshwala (i-ethanol). Iningi lobuthi be-ethylene glycol lwenzeka ngenxa yokungeniswa kwe-antifreeze.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukwelapha noma ukuphatha ukuvezwa kobuthi uqobo. Uma wena noma umuntu onaye unokuchayeka, shayela inombolo yakho ephuthumayo yasendaweni (njenge-911), noma isikhungo sakho sendawo sokulawula ubuthi singafinyelelwa ngqo ngokushayela ucingo lwasimahla lwe-Poison Help hotline (1-800-222-1222) ) kusuka noma yikuphi e-United States.

I-Ethylene glycol

I-Ethylene glycol itholakala kwimikhiqizo eminingi yasendlini, kufaka phakathi:

• I-Antifreeze
• Uketshezi lokugeza izimoto
• Imikhiqizo ye-De-icing
• Izinto zokugeza
• Uketshezi lwamabhuleki ezimoto
• Izixazululo zezimboni
• Amapende
• Izimonyo

Qaphela: Lolu hlu kungenzeka lungabandakanyi konke.

Uphawu lokuqala lokungenisa kwe-ethylene glycol lufana nomuzwa obangelwa ukuphuza utshwala (i-ethanol). Emahoreni ambalwa, imiphumela enobuthi ethe xaxa iyabonakala. Izimpawu zingafaka isicanucanu, ukuhlanza, ukudlikizela, ukulala (ukwehla kwezinga lokuqapha), noma i-coma.

Ubuthi be-Ethylene glycol kufanele busolwe kunoma ngubani ogula kakhulu ngemuva kokuphuza into engaziwa, ikakhulukazi uma ekuqaleni ebonakala edakiwe futhi ungezwa iphunga lotshwala emoyeni wabo.

Ukweqisa ngokweqile kwe-ethylene glycol kungalimaza ubuchopho, amaphaphu, isibindi nezinso. Ubuthi budala ukuphazamiseka kumakhemikhali omzimba, kufaka phakathi i-metabolic acidosis (ukwanda kwama-acid egazini nasezicutshini). Ukuphazamiseka kungaba nzima ngokwanele ukudala ukushaqeka okukhulu, ukwehluleka komzimba, nokufa.

Ama-milliliters ayi-120 (cishe ama-ounces ama-4 amanzi) we-ethylene glycol anganela ukubulala indoda elingana.

Funa usizo lwezokwelapha ngokushesha. UNGENZI umuntu alahle phansi ngaphandle uma etshelwa isikhungo sokulawula ubuthi noma uchwepheshe wezokunakekelwa kwempilo.

Thola imininingwane elandelayo:

• Iminyaka yomuntu, isisindo, nesimo
• Igama lomkhiqizo (izithako namandla, uma kwaziwa)
• Isikhathi lapho yagwinywa khona
• Inani ligwinyiwe

Isikhungo sakho sendawo sokulawula ubuthi singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke (1-800-222-1222) kusuka noma yikuphi e-United States. Le nombolo yocingo izokuvumela ukuthi ukhulume nezazi ekufakweni kobuthi. Bazokunikeza eminye imiyalelo.

Le yisevisi yamahhala futhi eyimfihlo. Zonke izikhungo zokulawula ubuthi e-United States zisebenzisa le nombolo kazwelonke. Kufanele ushaye uma unemibuzo mayelana nobuthi noma ukuvimbela ubuthi. Akudingeki ukuthi kube yisimo esiphuthumayo. Ungashayela nganoma yisiphi isizathu, amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki.

Thatha isiqukathi uhambe naso uye esibhedlela, uma kungenzeka.

Umhlinzeki wezokunakekelwa kwempilo uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi.

Ukuhlonza ubuthi be-ethylene glycol kuvame ukwenziwa ngokuhlanganiswa kwegazi, umchamo, nokunye ukuhlolwa okufana nalokhu:

• Ukuhlaziywa kwegesi yegazi
• Iphaneli ye-Chemistry nezifundo zomsebenzi wesibindi
• I-x-ray yesifuba (ikhombisa uketshezi emaphashini)
• Qedela ukubalwa kwegazi (CBC)
• I-CT scan (ikhombisa ukuvuvukala kobuchopho)
• I-EKG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
• Ukuhlolwa kwegazi kwe-Ethylene glycol
• Amaketoni - igazi
• I-Osmolality
• Isikrini se-Toxicology
• Ukuhlolwa komchamo

Ukuhlolwa kuzokhombisa ukukhuphuka kwamazinga e-ethylene glycol, ukuphazamiseka kwamakhemikhali egazi, kanye nezimpawu zokuhluleka kwezinso nokulimala kwemisipha noma kwesibindi.

Iningi labantu elinobuthi be-ethylene glycol lidinga ukungeniswa egunjini labagula kakhulu esibhedlela (i-ICU) ukuze liqashwe eduze. Kungadingeka umshini wokuphefumula.

Labo okusanda kwenziwa (kungakapheli imizuzu engama-30 kuye kwengu-60 yokwethulwa emnyangweni ophuthumayo) bagwinye i-ethylene glycol kungenzeka badonse isisu (bamunce). Lokhu kungasiza ukususa obunye ubuthi.

Ezinye izindlela zokwelashwa zingafaka:

• Amalahle avuliwe
• Isixazululo se-sodium bicarbonate esinikezwe nge-vein (IV) ukuguqula i-acidosis enamandla
• I-antidote (fomepizole) ebambezela ukwakheka kwemikhiqizo enobuthi emzimbeni

Ezimweni ezinzima, i-dialysis (umshini wezinso) ungasetshenziselwa ukususa ngqo i-ethylene glycol nezinye izinto ezinobuthi egazini. I-Dialysis inciphisa isikhathi esidingekayo ukuze umzimba ususe ubuthi. I-Dialysis iyadingeka nakubantu abaqala ukuhluleka okukhulu kwezinso ngenxa yobuthi. Kungadingeka izinyanga eziningi futhi mhlawumbe neminyaka, ngemuva kwalokho.

Ukuthi umuntu wenza kahle kangakanani kuncike ekutheni welashwa ngokushesha kangakanani, inani eligwinyiwe, izitho ezithintekile, nezinye izinto. Lapho ukwelashwa kubambezeleka, lolu hlobo lobuthi lungabulala.

Izinkinga zingafaka:

• Ukulimala kobuchopho nezinzwa, kufaka phakathi ukuquleka kanye nezinguquko kumbono
• Ukuhluleka kwezinso
• Ukushaqeka (umfutho wegazi ophansi nokusebenza kwenhliziyo okucindezelekile)
• I-Coma

Ukudakwa - i-ethylene glycol

• Ubuthi

U-Aronson JK. AmaGlycols. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 567-570.

UNelson ME. Izidakwa ezinobuthi. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 141.