Mtundu wambiri wa mankhwala osokoneza bongo wambiri muzochipatala umayambitsa poizoni. Ngakhale anthu omwe sali ovomerezeka ndi ntchito kuti apange kapena kugwiritsa ntchito mankhwalawa nthawi zambiri amadziwika ndi matendawa mwa kutsekemera fumbi kapena mpweya woopsa.
Zizindikiro ndi zizindikiro za poizoni wowopsa
Mawonetseredwe am'chipatala a vutoli akukhudzana ndi kuwonjezeka kwazitsulo zolemera kwambiri m'magazi (zoposa 800-100 μg / L za zamoyo zam'thupi). Kuphwanya poizoni ndi mpweya wotsogolera kapena fumbi lomwe lili ndi mankhwalawa likugwirizana ndi zizindikiro zotere:
- magazi;
- ululu waukulu m'mimba;
- phokoso la mphuno ndi kutaya thupi mofulumira kwa ma neurons aatali;
- mutu;
- kukumbukira ndi kusokonezeka maganizo.
Pali kachilombo koyambitsa matenda omwe amachititsa kuti pang'onopang'ono kuchepa kwazitsulo kumakhala kochepa kwambiri. Monga lamulo, mtundu uwu wa matendawa ndi wapadera kwa anthu ogwira ntchito m'mafakitale a mankhwala pogwiritsa ntchito mankhwala otsogolera. Ali ndi zizindikiro zotsatirazi:
- kupweteka kwa impso;
- kuthamanga kwa magazi;
- kuwonongeka kwa dongosolo la mitsempha lozungulira;
- kawirikawiri - kuperewera .
Kuchiza kwa poizoni wotsogolera
Choyamba, chotsani gwero la kukhudzana ndi mpweya ndi fumbi lomwe lili ndi kutsogolera. Njira zina zothandizira mankhwalawa zimachokera kumayambiriro kwa thupi lomwe limapanga mankhwala osiyanasiyana ndi zitsulo zotsutsa zotsatira zoipa zomwe zimapangitsa kuti ziwonongeke. Pochita izi, calcium salts dimercaprol, EDTA ndi cuprin (D-penicillamine) amagwiritsidwa ntchito, komanso wothandizira, dimeraptosuccinic acid, akuyesedwanso.
Chithandizo cha mankhwala chimatsimikiziridwa pambuyo poyerekeza kuchuluka kwa mankhwala osakanizidwa ndi kutsogolera, opambanitsidwa mu mkodzo. Mankhwalawa amawoneka othandiza ngati 1 mg ya mankhwala osokoneza bongo amaposa 1 μg ya kutsogolo mu mkodzo umene watulutsidwa masana.
Ndi poizoni woopsa komanso kukula kwa matenda osokoneza ubongo, ndibwino kuti muzipereka mankhwala awiri nthawi yomweyo - mchere wa calcium wa EDTA ndi Dimercaprol. Kukhalapo kwa cerebral edema kumaphatikizanso kugwiritsa ntchito Dexamethasone ndi Mannitol.
Njira yothandizira ndi masiku asanu, koma ngati kuli kotheka, ikhoza kubwerezedwa pakapita kanthawi kochepa.