Lāʻau make ʻai ʻo Ethylene glycol

ʻO Ethylene glycol kahi mea kala ʻole, ʻaʻohe ʻaʻala, ʻono ʻono. He mea ʻawahia inā e ale ʻia.

Hiki ke ale wale ʻia ʻo Ethylene glycol, a i ʻole lawe ʻia me ka noʻonoʻo ʻole i ka hoʻāʻo pepehi kanaka a i ʻole ma ke ʻano he pani no ka inu ʻana i ka wai ʻona (ethanol). ʻO ka hapa nui o nā lāʻau make ethylene glycol ma muli o ke komo ʻana o ka antifreeze.

ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana ia mea e mālama a mālama i kahi lāʻau make maoli. Inā loaʻa ʻoe a i ʻole kekahi mea āu e launa pū ai, e kāhea i kāu helu pilikia kūloko (e like me 911), a i ʻole hiki ke kiʻi pololei ʻia kāu kikowaena lāʻau make kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help manuahi ʻole (1-800-222-1222) ) mai nā wahi a ʻAmelika Hui Pū ʻIa.

ʻO Ethylene glycol

ʻIke ʻia ʻo Ethylene glycol i nā huahana home he nui, e like me:

• Antifreeze
• Nā wai holoi kaʻa
• Nā huahana De-icing
• Nā mea holoi lole
• Nā wai hoʻoheheʻe kaʻa
• Nā mea hoʻoheheʻe ʻenehana
• Pena
• Nā mea hoʻonani

Kahakaha: ʻAʻole paha piha kēia papa inoa.

ʻO ka hōʻailona mua o kaʻai ʻana o ka ethylene glycol e like me ka manaʻo i hoʻokumu ʻia e ka inu ʻona (ethanol). I loko o kekahi mau hola, ʻike ʻia nā hopena ʻino hou aʻe. Pākuʻi ʻia paha nā ʻōuli me ka nausea, ka luaʻi, ka haʻalulu, ka haʻalulu (hoʻemi i ke kiʻekiʻe o ka makaʻala), a i ʻole ke koma.

Pono e kānalua ʻia ka mānoanoa Ethylene glycol i kēlā me kēia mea i maʻi nui ma hope o ka inu ʻana i kahi mea i ʻike ʻole ʻia, keu hoʻi inā inu mua lākou a ʻaʻole hiki iā ʻoe ke honi i ka waiʻona i ko lākou hanu.

Hiki i kahi overdose o ka ethylene glycol ke hōʻino i ka lolo, akemāmā, ate, a me nā puʻupaʻa. ʻO ka lāʻau make ke kumu o nā haunaele o ke kemika o ke kino, e like me ka metabolic acidosis (hoʻonui ʻia nā waikawa i ke kahe o ke koko a me nā aʻa. Kūleʻa paha nā haunaele e hiki ai ke haʻalulu nui, nā hemahema o nā meaola, a me ka make.

Ma ka liʻiliʻi o 120 milliliter (ma kahi o 4 auneke wai) o ka ethylene glycol e lawa ai e luku i kahi kāne awelika.

E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i kahi kanaka ke ʻole ke haʻi ʻia e ia e ke kikowaena mālama lāʻau ʻona a i ʻole ʻoihana mālama ola.

E hoʻoholo i ka ʻike aʻe:

• ʻO ka makahiki o ke kanaka, kaupaona, a me ke kūlana
• Ka inoa o ka huahana (nā mea hoʻohui a me nā ikaika, inā ʻike ʻia)
• Ka manawa i ale ʻia
• Ua ale ʻia ka nui

Hiki ke kiʻi pololei ʻia kāu kikowaena lāʻau hoʻomake lāʻau kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help manuahi (1-800-222-1222) mai nā wahi a pau o ʻAmelika Hui Pū ʻIa. E hoʻokuʻu kēia laina wela iā ʻoe e kamaʻilio me nā loea i ka lāʻau make. E hāʻawi lākou iā ʻoe i nā ʻōkuhi ʻē aʻe.

He lawelawe manuahi kēia a pilikino. Hoʻohana nā kikowaena mālama lāʻau ʻona āpau i ʻAmelika Hui Pū ʻIa i kēia helu aupuni. E kāhea ʻoe inā he nīnau kāu e pili ana i ka lāʻau make a i ʻole ka pale ʻana i ka lāʻau make. ʻAʻole pono ia e pilikia. Hiki iā ʻoe ke kāhea no nā kumu, 24 mau hola i ka lā, 7 mau lā o ka pule.

Lawe i ka ipu me ʻoe i ka haukapila, inā hiki.

E ana a mālama ka mea mālama ola i nā ʻōuli nui o ke kanaka, e like me ka mahana, ka lāʻau, ka hanu, a me ke kahe o ke koko.

Hoʻomaopopo pinepine ʻia nā kuhi o ka ethylene glycol toxicity ma o ka hoʻohui ʻana o ke koko, mimi, a me nā hoʻokolohua ʻē aʻe e like me:

• ʻImi kinoea Arterial
• ʻO ka ʻepekema kemika a me nā ʻatikala hana ate
• Pākuʻi x (hōʻike i nā wai i nā akemāmā)
• Helu piha koko (CBC)
• CT scan (hōʻike i ka pehu ʻana o ka lolo)
• EKG (electrocardiogram, a i ʻole ka huli puʻuwai)
• Hōʻike koko Ethylene glycol
• Ketones - koko
• Osmolality
• Pākuhi Toxicology
• Urinalysis

E hōʻike nā hoʻokolohua i ka hoʻonui ʻia o nā pae o ka ethylene glycol, nā haunaele kemika o ke koko, a me nā hōʻailona kūpono ʻole o ke kōpaʻa ʻole a me nā ʻino a me nā ʻino.

ʻO ka hapa nui o ka poʻe me ka lāʻau ʻona ethylene glycol pono e hoʻokomo ʻia i kahi keʻena mālama maʻi nui (ICU) no ka nānā pono ʻana. Pono paha kahi mīkini hanu (respirator).

ʻO ka poʻe i hala iho nei (ma waena o 30 a 60 mau minuke o ka hōʻike i ka keʻena pilikia) ua ale i ka ethylene glycol i kā lākou ʻōpū i paumaʻi ʻia (omo ʻia). Hiki i kēia ke kōkua e hemo i kekahi o nā lāʻau make.

Hiki i nā mālama ʻē aʻe ke:

• Lanahu i hoʻā ʻia
• Hāʻawi ʻia ʻo Sodium bicarbonate solution ma o kahi aa (IV) e hoʻohuli i ka acidosis koʻikoʻi
• ʻO kahi antidote (fomepizole) e lohi i ka hoʻokumu ʻia ʻana o nā mea make ʻona i loko o ke kino

I nā hihia koʻikoʻi, hiki ke hoʻohana ʻia ka dialysis (mīkini mīkini) e lawe pololei i ka ethylene glycol a me nā mea ʻona ʻē aʻe mai ke koko. Hoʻemi ka dialysis i ka manawa e pono ai no ke kino e hemo i nā toxins. Pono pū kekahi i ka Dialysis e ka poʻe e hoʻomōhala ana i nā kōkō nui ma ke ʻano he hopena o ka lāʻau make. Pono paha ia i mau mahina a mau makahiki paha, ma hope.

Aia ke ʻano o ke kanaka ma muli o ka wikiwiki o ka loaʻa ʻana o ka lāʻau, ka moni i ale ʻia, nā meaola i hoʻopili ʻia, a me nā kumu ʻē aʻe. Ke hoʻolohi ʻia ka mālama ʻana, hiki i kēia ʻano ʻona ke make.

Komo pū nā pilikia:

• Hoʻopilikia ka lolo a me nā aʻalolo, e like me ka hopu ʻana a me nā loli i ka hihiʻo
• Hewa ʻole nā ​​hakuʻala
• Pākuʻi (hoʻohaʻahaʻa i ke koko a me ka naʻau kaumaha)
• Koma

Intoxication - ethylene glycol

• Nā lāʻau ʻino

Aronson JK. ʻO Glycols. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 567-570.

ʻO Nelson ME. Nā wai ʻona. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 141.