I-pneumonia ye-Hydrocarbon

I-Hydrocarbon pneumonia ibangelwa ukuphuza noma ukuphefumula uphethiloli, uphalafini, ipholishi yasendlini, upende omncane, noma ezinye izinto ezinamafutha noma izincibilikisi. Lawa ma-hydrocarbon ane-viscosity ephansi kakhulu, okusho ukuthi mancane kakhulu, mancane kakhulu futhi ayashelela. Uma uzama ukuphuza la ma-hydrocarbon, amanye angahle ashelele phansi i-windpipe yakho nasemaphashini akho (isifiso) kunokuba wehle ipayipi lakho lokudla (esophagus) ungene esiswini sakho. Lokhu kungenzeka kalula uma uzama ukukhipha igesi uphume ethangini legesi ngombhobho nomlomo wakho.

Le mikhiqizo idala ushintsho olusheshayo emaphashini, kufaka phakathi ukuvuvukala, ukuvuvukala nokopha.

Izimpawu zingafaka noma yikuphi okulandelayo:

• I-Coma (ukuntuleka kokuphendula)
• Ukukhwehlela
• Imfiva
• Ukuphelelwa umoya
• Ukuhogela umkhiqizo we-hydrocarbon ekuphefumuleni
• Isiphukuphuku (ukwehla kwezinga lokuqapha)
• Ukuhlanza

Egumbini lezimo eziphuthumayo, umhlinzeki wezokunakekelwa kwempilo uzohlola izimpawu ezibalulekile, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi.

Ukuhlolwa nokungenelela okulandelayo (izinyathelo ezithathiwe ukuze kwenziwe ngcono) kungenziwa emnyangweni ophuthumayo:

• Ukuqapha kwegesi yegazi (i-acid-base balance)
• Ukwesekwa kokuphefumula, kufaka phakathi i-oxygen, ukwelashwa ngokuphefumula, ishubhu lokuphefumula kanye nomshini wokuphefumula (umshini), ezimweni ezinzima
• Qedela ukubalwa kwegazi (CBC)
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
• Uketshezi ngomthambo (ngemithambo yegazi noma nge-IV)
• Iphaneli yokuguqula igazi
• Isikrini se-Toxicology

Labo abanezimpawu ezincane kufanele bahlolwe odokotela egumbini lezimo eziphuthumayo, kepha bangahle bangadingi ukuhlala esibhedlela. Isikhathi esincane sokubheka ngemuva kokuhogela i-hydrocarbon ngamahora ayisithupha.

Abantu abanezimpawu ezilinganiselayo nezimbi bavame ukungeniswa esibhedlela, kwesinye isikhathi baye egumbini labagula kakhulu (i-ICU).

Ukwelashwa esibhedlela kungabandakanya okunye noma konke ukungenelela okuqale emnyangweni ophuthumayo.

Iningi lezingane eziphuza noma ezihogela imikhiqizo ye-hydrocarbon futhi zithuthukise i-pneumonitis yamakhemikhali zilulama ngokuphelele ngemuva kokwelashwa. Ama-hydrocarbon aphezulu anobuthi angaholela ekuhlulekeni kokuphefumula okusheshayo nasekufeni. Ukungena okuphindiwe kungaholela ebuchosheni obungapheli, isibindi nokunye ukulimala komzimba.

Izinkinga zingafaka noma yikuphi okulandelayo:

• I-Pleural effusion (uketshezi oluzungeze amaphaphu)
• I-Pneumothorax (ukuwa kwamaphaphu kusuka ekuthungeni)
• Izifo zesibili zebhaktheriya

Uma wazi noma usola ukuthi ingane yakho igwinye noma yahogela umkhiqizo we-hydrocarbon, yihambise egumbini lezimo eziphuthumayo ngokushesha. UNGAYisebenzisi i-ipecac ukwenza umuntu aphose.

Uma unezingane ezincane, qiniseka ukuthi ukhomba futhi ugcina izinto ezinama-hydrocarbon ngokucophelela.

I-pneumonia - i-hydrocarbon

• Amaphaphu

IBlanc PD. Izimpendulo ezinzima ekudalweni okunobuthi. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 75.

U-Wang GS, uBuchanan JA. Ama-hydrocarbon. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 152.