Iwindowel washer fluid
I-Windshield washer fluid uketshezi olunemibala egqamile olwenziwe nge-methanol, utshwala obunoshevu. Kwesinye isikhathi, kwengezwa ingxube encane yobunye utshwala obunobuthi, njenge-ethylene glycol.
Ezinye izingane ezincane zingaphutha uketshezi lube ujusi, okungaholela ekufakweni kobuthi ngengozi. Ngisho nemali encane ingadala umonakalo omkhulu. Lo mbhalo ukhuluma ngobuthi obuvela ekugwinyeni uketshezi lwe-washer fluid.
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 sendawo sakho sobuthi singafinyelelwa ngqo ngokushayela ucingo lwasimahla lwe-Poison Help hotline (1-800-222-1222) kusuka noma yikuphi e-United States.
I-Methanol (i-methyl alcohol, i-alcohol alcohol)
Lo shevu utholakala ku:
- I-Windshield washer fluid (esetshenziselwa ukuhlanza amawindi ezimoto)
Izimpawu ze-windshield washer fluid poisoning zithinta izinhlelo eziningi zomzimba ezihlukene.
I-Airway namaphaphu:
- Ubunzima bokuphefumula
- Akukho ukuphefumula
Amehlo:
- Ubumpumputhe, obuphelele noma obuncane, kwesinye isikhathi buchazwa ngokuthi "ukungaboni kweqhwa"
- Ukubona okufiphele
- Ukwehliswa (ukunwetshwa) kwabafundi
Inhliziyo negazi:
- Umfutho wegazi ophansi
Uhlelo lwezinzwa:
- Ukuziphatha okuthukuthele
- I-Coma (ukungaphenduli)
- Ukudideka
- Kunzima ukuhamba
- Isiyezi
- Ubuhlungu bekhanda
- Ukuquleka
Isikhumba nezipikili:
- Izindebe nezinzipho ezinombala oluhlaza okwesibhakabhaka
Isisu namathumbu:
- Ubuhlungu besisu (obukhulu)
- Uhudo
- Izinkinga zesibindi, kufaka phakathi i-jaundice (isikhumba esiphuzi) nokopha
- Isicanucanu
- Ukuhlanza, kwesinye isikhathi kunegazi
Ezinye izimpawu zingafaka:
- Ukukhathala
- Amajaqamba omlenze
- Ubuthakathaka
- Isikhumba esiphuzi (i-jaundice)
Funa usizo lwezokwelapha ngokushesha. UNGENZI umuntu ahlanze ngaphandle uma etshelwe yi-Poison Control noma uchwepheshe wezokunakekelwa kwempilo.
Imininingwane elandelayo iyasiza ngosizo oluphuthumayo:
- Iminyaka yomuntu, isisindo, nesimo (isibonelo, ingabe umuntu uvukile noma uqaphile?)
- Igama lomkhiqizo (izithako namandla, uma kwaziwa)
- Isikhathi sigwinyiwe
- Inani ligwinyiwe
Kodwa-ke, UNGALIBALI ukubiza usizo uma lolu lwazi lungatholakali ngokushesha.
Isikhungo sakho sendawo esinoshevu singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke engakhokhelwa (1-800-222-1222) kusuka noma yikuphi e-United States. 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. Ungashayela amahora angama-24 ngosuku, izinsuku ezingu-7 ngesonto.
Umhlinzeki wezokunakekelwa kwempilo uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi. Izimpawu zizophathwa ngendlela efanele. Umuntu angathola:
- Amalahle avuliwe
- Ukusekelwa kwe-Airway, kufaka phakathi i-oxygen, ishubhu lokuphefumula ngomlomo (intubation), nomshini wokuphefumula (umshini wokuphefumula)
- Ukuhlolwa kwegazi nomchamo
- I-x-ray yesifuba
- Iskena se-CT (computerized tomography, noma i-advanced imaging)
- I-EKG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
- Uketshezi ngomthambo (ngemithambo yegazi noma nge-IV)
- Imithi yokwelapha izimpawu, kufaka phakathi ama-antidotes wokuguqula umphumela wobuthi (i-fomepizole noma i-ethanol)
- Tube ngamakhala ukuze ususe ubuthi obusele uma lowo muntu ebonakala kungakapheli imizuzu engama-60 eyigwinyile
Ngoba ukususwa ngokushesha kwe-methanol kuyisihluthulelo sokwelashwa nokusinda, umshini wezinso (i-renal dialysis) uzodingeka.
I-Methanol, isithako esiyinhloko ewindini lokuwasha iwindi lomoya, inobuthi obukhulu. Izipuni ezimbili nje (30 milliliters) zingaba yingozi enganeni. Cishe ama-ounces amabili kuya kwangu-8 (60 kuya ku-240 milliliters) angabulala umuntu omdala. Ubumpumputhe buvamile futhi buhlala buhlala njalo naphezu kokunakekelwa kwezokwelapha. Izitho eziningi zithinteka ngokudliwa kwe-methanol. Ukulimala okungapheli kwesitho kungenzeka.
Umphumela wokugcina uncike ekutheni ungakanani ushevu owagwinywayo nokuthi ukwelashwa kwatholakala ngokushesha kangakanani.
Yize uketshezi oluningi lwesifudumezi somoya luyindlela eniselwa ngamanzi ye-methanol, isengaba yingozi uma igwinywa.
I-Kostic MA. Ubuthi. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 63.
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.
UPincus MR, uBluth MH, u-Abraham NZ. I-Toxicology kanye nokuqapha izidakamizwa ezelaphayo. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. IPhiladelphia, PA: Elsevier; I-2017: isahluko 23.