Doctors Yi amfani da kayan aiki da dama don gano Carbon Monoxide ciwo a cikin asibitin
Binciken ƙwayar carbon monoxide yana da wuya fiye da sauti. A ka'idar, daurin karamin monoxide yakan kai ga matsanancin matakan carbon monoxide a cikin jini, kuma wannan shine ganewar asali. Gaskiyar ita ce daukan carbon monoxide shine maida hankali (yadda yawancin carbon monogen yake a cikin iska) da kuma lokacin (tsawon lokacin da mai haƙuri yake numfashi), wanda ke nufin cewa bincikar shan guba na monoxide shine haɗuwa da alamun ganewa da bayyanar cututtuka da auna yawan adadin CO a cikin jini.
Tuntun kai / Gwaje-gwaje-gwaje a gida
Babu wani zaɓi na ganewar mutum don guba na carbon monoxide, amma duk wanda ya rikice ko rashin hasara ya kamata a kira shi 911. Bugu da ƙari, ya kamata ka yi tsammanin shan guba na monoxide idan fiye da mutum guda a cikin ginin da tushen wuta (wutar lantarki, murhu, kayan aikin gas, konewa na itace, da dai sauransu) yana gunaguni da ciwon kai da kuma tashin hankali.
Idan ana tsammanin shan gine-gine na monoxide, duk wanda ke zaune a ginin ya kamata ya fita waje don numfashin iska, tare da kira 911. Idan kun yi tsammanin gubawar guba, kada ku yi kokarin fitar da; Kira motar asibiti.
CO cikin Blood
Carbon monoxide (CO) yana danganta ga hemoglobin kamar yadda oxygen yake. Abin takaici, haemoglobin yana da kimanin sau 230 da dangantaka da CO fiye da shi don oxygen, don haka ko da ƙananan ƙwayar carbon monoxide za ta ɗaure ga hemoglobin kuma toshe oxygen daga lissafi. Muna kiran haemoglobin da aka haɗe da CO "carboxyhemoglobin," kuma wannan shine ma'auni da muke amfani da su don ƙayyade yawancin guba na monoxide.
Gwajin gwaji na farko
Wasu masu amsawa na farko suna da ikon auna carboxyhemoglobin a cikin jini ta amfani da na'urar da ake kira mai kwakwalwa tazarar motar carbon monoxide. Musamman, magungunan CO-bugun jini yana daidaita saturation na carbon monoxide a cikin hemoglobin (SPCO). Yana amfani da raƙuman ruwa (yawanci yana haskakawa ta hannun yatsun hannu) don auna saturation na carbon monoxide ba tare da ɓoye ba.
Wani nau'i na nau'i marasa amfani ba yana amfani da iska don ƙayyade matakan carbon monoxide. Wasu bincike sun gano cewa CO ya zama daidai kamar yadda aka kwatanta da guba na monoxide.
Ba a ƙaddamar da SPCO ba daga dukan masu amsawa na farko, saboda haka tarihi da jarrabawar jiki shine harkar zinariya a wurin. Abin takaici, fassarar tarihin bugun jini, wanda aka yi amfani da shi don auna kawai ko haemoglobin yana da cikakken kwayar oxgyen ko ba haka ba, an shawo kan guba na monoxide don nuna nuna kyamar oxygen a lokacin da carboxyhemoglobin yake. Wannan ya sa ya fi mahimmanci don samun tarihin mai kyau da nazarin jiki na mai haƙuri.
Tests na Laboratory
A asibiti, wani abu mai banƙyama amma ana amfani da gwaji mafi dacewa. An kira shi da jini.
Jirgin gas na jini yana gwada adadin iskar gas-yawanci oxygen da carbon dioxide-a cikin jini ta hanyar zubar da jini daga arteries. Yawancin gwaje-gwaje na jini sun jawo jini daga jikin daji, wanda ya fi sauƙi kuma mafi aminci ga mai haƙuri.
Gwaran jini na gwajin gas shine daidaitattun oxygen da carbon dioxide saboda waɗannan gas suna canzawa sosai kafin kuma bayan jini yana gudana ta jikin kyallen jikin mutum. Tsarin yanayi - maimakon magunguna-ma'auni na yiwuwar hemoglobin don samar da oxygen kuma don cire carbon dioxide.
Tun da ba a yi amfani da carbon monoxide ba kuma ba a iya cire shi daga jini ba, ana iya gwada ta ta hanyar jini ko jini.
Ana gwada gwaje-gwajen gas na jini fiye da bugun jini CO-oximetry. Ko da yake hoto yana da amfani don gano marasa lafiya a wurin da ke da yiwuwar samun guba na monoxide, dole a samu gashin jini don tabbatar da matakan carboxyhemoglobin.
Hoto
Kwayar carbon monoxide mai sauƙi wanda ya fito daga ƙananan ƙananan carbon monoxide a cikin ɗan gajeren lokaci na ficewa ba shine kawai tasirin tasirin carbon monoxide ba. Na'urar (dogon lokacin) yaduwar karfin carbon monoxide a ƙananan ƙarami na iya haifar da lalacewar nama, musamman ga zuciya da kwakwalwa.
Ko da yake matakan carboxyhemoglobin a cikin kwanan nan mai daukan hoto marasa lafiya na iya zama m fiye da marasa lafiya, akwai wasu hanyoyi don gano lalacewa. Mafi mahimmanci shi ne duba kullun ta hanyar hoton likita. Hanyoyin fuska ta Magnetic (MRI) shine hanya mafi kyau don bincika kwakwalwa don rauni mai tsanani daga guba na monoxide.
Bincike daban-daban
Saboda mummunan launi mafi yawan alamu da bayyanar cututtukan da ke hade da gubar dalma na monoxide , zubar da ciwon zuciya, ciwon kai, gajiya, ciwon kwakwalwa-wasu cututtuka da ake zargi akai-akai. Kyakkyawan ƙaddamar da ƙwayar carbon monoxide a gidan mai haƙuri zai bada shawara akan yiwuwar shan guba na monoxide, amma sauran matsaloli dole ne a dakatar da su.
Jerin samfurori daban-daban yana da yawa don ganewa. Kowane akwati ya bambanta kuma ya kamata a kimanta shi bisa ga gabatarwa, tarihin, da gwaje-gwajen mai haƙuri.
> Sources:
> Cannon, C., Bilkowski, R., Adhikari, S., & Nasr, I. (2004). Daidaitawar matakan carboxyhemoglobin tsakanin samari da jini na samfurori. Annals of Medicine Emergency , 44 (4), S55. Doi: 10.1016 / j.annemergmed.2004.07.181
> Hullin, T., Aboab, J., Desseaux, K., Chevret, S., & Annane, D. (2017). Daidaitawa tsakanin ƙwayar ƙwayar cuta da kuma matakan da ba su da kullun da ke tattare da ƙaddamar da ƙwayar carbon monoxide: Nazarin yawan jama'a. BABI NA KUMA , 12 (3), e0174672. http://doi.org/10.1371/journal.pone.0174672
> Kuroda, H., Fujihara, K., Kushimoto, S., & Aoki, M. (2015). Kwanan littafi na asibiti wanda aka jinkirta jinkirin neurologic bayan bayan da guba na carbon monoxide da abubuwan da ke hade da sakamako. Neurotoxicology , 48 , 35-43. Doi: 10.1016 / j.neuro.2015.03.002
> McKenzie, LB, Roberts, KJ, Garkuwa, WC, McDonald, E., Omaki, E., Abdel-Rasoul, M., da Gielen, AC (2017). Rarraba da Bincike na Ma'aikatar Monoxide Detector Dama a Biyu Saituna: Cibiyar gaggawa da kuma Urban Community. Labarai na Lafiya ta Mahalli , 79 (9), 24-30.
> Rose, JJ, Wang, L., Xu, Q., McTiernan, CF, Shiva, S., Tejero, J., & Gladwin, MT (2017). Carbon Monoxide Rashin ciwo: Kwararru, Gudanarwa, da Gudun Daji na Farko. American Journal of Respiratory and Mental Medicine , 195 (5), 596-606. http://doi.org/10.1164/rccm.201606-1275CI