Yog koj raug lom ces ua li cas? Cia peb kawm txog 'Kev Lom Zem Organophosphate'!

Peb txhua tus siv tshuaj tua kab thiab tshuaj tua nroj. Zoo li peb ua tsis tau yam tsis muaj lawv rau kev ua haujlwm hauv tsev lossis ua liaj ua teb. Tab sis koj puas tau xav txog qhov xwm txheej txaus ntshai twg tuaj yeem tshwm sim yog tias qee cov tshuaj lom neeg hauv cov khoom noj no nkag mus rau hauv peb lub cev? Ib qho xwm txheej txaus ntshai no hu ua 'Organophosphate lom'. Txawm hais tias qhov no yog ib qho teeb meem loj me ntsis, cia peb tham txog nws yooj yim thiab hauv txoj kev nkag siab.

Cov 'organophosphates' no yog dab tsi? Lawv nyob qhov twg?

Hais yooj yim xwb, 'Organophosphates' yog ib pawg tshuaj lom neeg sib xyaws ua ke. Peb feem ntau pom lawv nyob rau hauv:

• Hauv cov tshuaj tua kab: Hauv cov tshuaj siv los tswj cov kab hauv kev ua liaj ua teb thiab hauv tsev.
• Hauv cov tshuaj tua kab: Hauv cov khoom uas tua kab xws li yoov tshaj cum thiab yoov.
• Hauv cov tshuaj tua nroj: Cov tshuaj siv los tua cov nroj tsuag.
• Qee cov tshuaj lom neeg ua tsov rog rau cov hlab ntsha: Cov no yog cov tshuaj lom neeg txaus ntshai uas ua rau lub paj hlwb puas tsuaj thiab siv rau hauv kev ua tsov rog.

Yog cov 'organophosphates' no nkag mus rau hauv peb lub cev, lawv ua rau peb lub paj hlwb puas tsuaj thiab cuam tshuam txoj kev ua haujlwm ntawm peb cov kabmob. Txawm hais tias qhov kev lom no tshwm sim luv luv lossis ntev, nws tuaj yeem ua rau muaj mob hnyav xws li ua tsis taus pa thiab txawm tias tuag.

Cov hom organophosphates twg uas feem ntau ua rau lom tau?

Nov yog qee hom organophosphates uas feem ntau ua rau lom:

• Chlorpyrifos - Tej zaum koj kuj tau hnov ​​​​​​txog 'Dursban'.
• Diazinon
• Fenthion
• Malathion
• Parathion

Hauv kev ua tsov rog tshuaj lom neeg, cov organophosphate hu ua 'Sarin' yog qhov siv ntau tshaj plaws.

Kev lom organophosphate ntau npaum li cas?

Cov kev lom no tau tshaj tawm thoob plaws ntiaj teb, tshwj xeeb tshaj yog nyob rau hauv cov teb chaws ua liaj ua teb. Tab sis tam sim no cov neeg paub ntau ntxiv txog qhov txaus ntshai ntawm cov tshuaj no dua li yav dhau los, tus naj npawb ntawm kev lom tau txo qis me ntsis. Txawm li cas los xij, qhov no tseem yog teeb meem kev noj qab haus huv tseem ceeb.

Puas tseem siv cov tshuaj organophosphates?

Yog lawm, qee cov organophosphates tseem siv rau hauv kev ua liaj ua teb ua cov tshuaj tua kab rau cov qoob loo zaub mov. Yog li ntawd, koj yuav tsum ceev faj heev thaum siv cov no.

Cov tsos mob ntawm 'Kev Lom Zem Organophosphate' yog dab tsi?

Cov tsos mob ntawm qhov kev lom no tuaj yeem cuam tshuam rau ntau yam kab mob hauv koj lub cev. Nco ntsoov tias, cov tsos mob no tuaj yeem tshwm sim sai sai lossis lawv tuaj yeem tshwm sim maj mam.

• Lub plawv thiab cov hlab ntsha:
• Lub plawv dhia nce lossis txo qis.
• Ntshav siab nce lossis txo.
• Lub plawv dhia tsis xwm yeem.
• Lub paj hlwb nruab nrab:
• Mob taub hau.
• Tsis so.
• Qaug dab peg.
• Poob siab.
• Coma xeev.
• Qhov muag:
• Kua muag ntws.
• Qhov muag liab.
• Cov menyuam kawm ntawv nqaim.
• Kev zom zaub mov:
• Mob plab.
• Xeev siab thiab ntuav.
• Mob raws plab.
• Cov kab mob genitourinary:
• Tso zis ntau zaus los yog tso zis tsawg dua.
• Cov kab mob musculoskeletal:
• Cov leeg tsis muaj zog.
• Mob nqaij ntshiv.
• Cov leeg nqaij co tsis tswj tau (fasciculations).
• Kev ua pa:
• Ntsws ntswg, zoo li mob khaub thuas.
• Ua pa nrov nrov.
• Ua tsis taus pa.
• Lub hauv siab nruj.
• Ua pa sai dua lossis qeeb dua li qub (hyperpnea lossis bradypnea).
• Cov hnoos qeev tawm ntau dhau los ntawm lub ntsws (bronchorrhea).
• Tawv nqaij:
• Tawm hws ntau dhau.

Tseem Ceeb: Yog tias koj lossis ib tus neeg koj paub muaj ib lossis ntau yam ntawm cov tsos mob no tom qab raug cov organophosphates, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Cov 'organophosphates' no nkag mus rau hauv lub cev li cas? Leej twg muaj kev pheej hmoo tshaj plaws?

Muaj peb txoj kev tseem ceeb uas cov tshuaj no nkag mus rau hauv peb lub cev:

1. Nkag los ntawm qhov ncauj lossis qhov ntswg: Los ntawm kev haus lossis nqus cov khoom noj lossis cov kua uas muaj cov no.

2. Kev nqus tau los ntawm daim tawv nqaij: Qee cov organophosphates tuaj yeem nqus tau rau hauv lub cev txawm tias lawv kov daim tawv nqaij los xij.

Cia peb saib seb leej twg muaj feem yuav raug lom no tshaj plaws:

• Cov neeg uas ua haujlwm nrog tshuaj tua kab thiab tshuaj tua nroj tsuag ntau zaus: Cov neeg ua liaj ua teb, cov neeg ua haujlwm hauv daim teb, thiab cov neeg ua haujlwm tswj kab tsuag muaj kev pheej hmoo ntau dua vim tias lawv raug cov tshuaj no tas li.
• Rau cov neeg nyob hauv thaj chaw uas muaj kev ua tsov rog lossis kev ua phem: Yog tias cov khoom zoo li cov 'tshuaj tua kab mob' uas tau hais los saum toj no raug siv.
• Rau cov neeg uas noj cov no nrog lub hom phiaj ntawm kev ua phem rau lawv tus kheej: Qhov no yog qhov xwm txheej tu siab heev.

Yog tias koj xav tias koj tab tom ua phem rau koj tus kheej lossis muaj kev xav tua tus kheej, nws yog ib qho tseem ceeb heev uas yuav tsum tau nrog ib tus neeg uas koj ntseeg siab tham, lossis nrhiav kev pab tswv yim txog kev noj qab haus huv ntawm lub hlwb. Koj tsis nyob ib leeg xwb, thiab tsis txhob ntshai thov kev pab.

Thaum cov organophosphates nkag mus rau hauv lub cev, yuav muaj li cas? Hais yooj yim xwb...

Zoo, tam sim no cia peb saib seb muaj dab tsi tshwm sim thaum cov 'organophosphates' no nkag mus rau hauv lub cev. Qhov no yog ib zaj dab neeg txog kev tshawb fawb me ntsis, tab sis kuv yuav qhia rau koj yooj yim xwb.

Yuav kom peb lub paj hlwb ua haujlwm tau zoo, muaj ib yam tshuaj xa xov hu ua 'acetylcholine' (neurotransmitter). Qhov no yog yam uas tswj ntau yam, xws li kev txav ntawm cov leeg. Thaum qhov 'acetylcholine' (acetylcholine) no ua haujlwm tiav, ib qho enzyme hu ua 'cholinesterase' tuaj thiab rhuav nws. Qhov no tso cai rau lub paj hlwb rov qab mus rau qhov qub thiab tiv thaiv cov leeg thiab cov hlab ntsha kom tsis txhob raug txhawb nqa ntau dhau.

Xav txog seb, koj tig lub teeb los ntawm kev nias lub khawm. Cov enzyme 'cholinesterase' no ua haujlwm zoo li tua lub khawm thaum koj ua tiav.

Tam sim no, thaum cov organophosphates nkag mus rau hauv lub cev, lawv nres qhov kev ua haujlwm ntawm cov enzyme cholinesterase. Tom qab ntawd muaj dab tsi tshwm sim? Es tsis txhob rhuav tshem acetylcholine, nws sib sau ua ke ntawm cov synapses qhov twg cov hlwb hlab ntsha txuas rau ib leeg. Nws zoo li lub teeb hloov raug kaw. Tom qab ntawd lub paj hlwb dhau los ua overstimulated, tag nrho lub cev poob kev tswj hwm, thiab cov tsos mob txaus ntshai uas kuv tau hais ua ntej tshwm sim. Koj puas nkag siab?

Yog tsis kho ces yuav muaj teeb meem dab tsi tshwm sim?

Yog tias kev lom los ntawm cov tshuaj organophosphate tsis raug kho sai, cov tsos mob yuav hnyav zuj zus thiab ua rau tuag taus. Kev ua tsis taus pa yog qhov ua rau tuag ntau tshaj plaws los ntawm qhov kev lom no.

Tsis tas li ntawd xwb, tej zaum yuav muaj lwm yam teeb meem tshwm sim:

• Kev puas tsuaj ntawm cov hlab ntsha cranial
• Kev tsis nco qab
• Cov kab mob ntawm cov leeg nqaij (Myopathy)
• Kev mob neuropathy ntawm cov hlab ntsha sab nraud
• Kev puas siab puas ntsws

Cov kws kho mob yuav kuaj mob 'organophosphate lom' li cas?

Feem ntau tus kws kho mob kuaj mob qhov kev lom no raws li koj cov tsos mob, cov ntaub ntawv hais txog cov tshuaj uas koj tau raug (yog tias koj ua haujlwm nrog cov tshuaj tua kab, koj yuav tsum qhia rau koj tus kws kho mob), thiab qee zaum kuaj ntshav. Tshwj xeeb, kuaj ntshav los xyuas koj cov acetylcholinesterase.

Vim tias cov tsos mob ntawm kev lom organophosphate zoo ib yam li lwm yam kab mob, koj tus kws kho mob yuav xaj kom kuaj ntxiv kom ntsuas koj txoj kev noj qab haus huv tag nrho thiab txiav txim siab qhov ua rau koj cov tsos mob. Piv txwv li:

• Lwm cov kev kuaj ntshav
• Kev kuaj zis
• Kev kuaj duab xws li MRI lossis CT scans
• EEG (kev kuaj uas ntsuas kev ua haujlwm ntawm lub hlwb)
• Kev tshawb nrhiav txog kev xa xov ntawm cov hlab ntsha (kev sim uas ntsuas qhov ceev uas cov lus xa mus los ntawm cov hlab ntsha)

Vim tias qhov kev lom no ua rau tuag taus, cov kws kho mob qee zaum yuav pib kho ua ntej tau txais tag nrho cov ntawv qhia txog kev kuaj mob.

Yuav kho cov tshuaj lom organophosphate li cas?

Vim qhov no yog ib qho xwm txheej ceev, kev kho mob yuav tsum pib tam sim ntawd. Muaj ntau txoj kev kho mob tseem ceeb:

1.Kev tshem tawm cov kab mob: Qhov no tseem ceeb heev.

• Tshem cov khaub ncaws: Txhua cov khaub ncaws uas tus neeg raug lom hnav yuav tsum tau tshem tawm tam sim ntawd, vim nws kuj tseem yuav muaj cov tshuaj lom. Cov neeg ua haujlwm hauv tsev kho mob yuav tshem cov khaub ncaws kom zoo.
• Ntxuav Tawv Nqaij: Ntxuav koj daim tawv nqaij kom huv si, tsawg kawg yog peb zaug, nrog xab npum thiab dej. Qhov no yuav tshem tawm cov tshuaj lom neeg ntawm daim tawv nqaij. Tom qab ntawd koj yuav tau txais ib lub tsho tsev kho mob huv si rau koj hnav.

2. Kev kho mob nrog tshuaj:

• Atropine: Cov tshuaj no ua haujlwm los ntawm kev txo qhov kev ua haujlwm ntau dhau ntawm lub paj hlwb.
• Pralidoxime: Qhov no yog tshuaj tua kab mob rau cov organophosphates. Nws ua kom cov enzyme cholinesterase uas rhuav tshem acetylcholine rov ua haujlwm dua.
• Ob yam tshuaj no yog muab los ntawm 'IV', uas yog, los ntawm cov kua saline uas muab rau hauv cov leeg ntshav.

3. Kev kho mob rau kev ua pa nyuaj:

• Yog tias cov tsos mob hnyav heev thiab ua pa nyuaj, kev ntxig lub raj ua pa, uas txhais tau tias yuav tsum tau ntxig lub raj ua pa, kom txoj hlab pa qhib.

Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab kho tas?

Qhov no nyob ntawm seb qhov lom ntau npaum li cas thiab hnyav npaum li cas. Ib txhia neeg yuav zoo dua li ob peb hnub, thaum lwm tus yuav siv sijhawm ntau lub lis piam. Koj tus kws kho mob yuav txiav txim siab lub sijhawm zoo tshaj plaws rau koj tus mob.

Puas ua tau kom rov zoo los ntawm qhov kev lom no?

Yog, nws muaj peev xwm rov zoo tag nrho los ntawm kev lom organophosphate. Txawm li cas los xij, muaj kev pheej hmoo tias cov tsos mob yuav rov tshwm sim lossis kev puas tsuaj mus tas li rau lub paj hlwb yuav tshwm sim.

Koj txoj kev xav txog kev rov zoo nyob ntawm ntau yam:

• Kev raug rau cov tshuaj organophosphates ntau npaum li cas.
• Hom organophosphate uas raug rau.
• Txoj kev uas cov organophosphates nkag mus rau hauv lub cev (los ntawm kev ua pa, los ntawm daim tawv nqaij, lossis kev noj).
• Koj txoj kev noj qab haus huv thaum lub sijhawm raug tus kab mob.

Piv txwv li, yog tias koj nqus tau qee cov organophosphates, koj yuav muaj cov tsos mob sai dua thiab hnyav dua li yog tias lawv kov koj daim tawv nqaij.

Raws li cov ntaub ntawv los ntawm Lub Koom Haum Kev Noj Qab Haus Huv Ntiaj Teb, tus nqi tuag vim yog kev lom organophosphate tuaj yeem sib txawv ntawm 2% thiab 25%. Yog li ntawd , kev kho mob sai sai tuaj yeem txo qhov kev puas tsuaj rau lub neej.

Puas tuaj yeem tiv thaiv kev lom los ntawm Organophosphate?

Muaj tej lub sij hawm, tshwj xeeb tshaj yog thaum muaj kev ua tsov rog lossis yog koj tsis paub txog kev siv 'organophosphates', qhov no yuav nyuaj rau zam.

Txawm li cas los xij, yog tias koj ua haujlwm nrog cov tshuaj lom neeg no, koj tuaj yeem ua cov hauv qab no kom txo koj qhov kev pheej hmoo:

• Hnav cov khoom siv tiv thaiv tus kheej (PPE): tej yam xws li hnab looj tes thiab lub ntsej muag.
• Tshem tawm cov khaub ncaws uas tau kov cov tshuaj lom neeg sab nraud thiab hloov ua ntej nkag mus hauv tsev.
• Da dej thiab ntxuav koj lub cev kom huv si tom qab ua haujlwm nrog cov khoom no.
• Ntxuav koj txhais tes kom huv si ua ntej noj mov lossis haus dej.

Thaum twg koj yuav tsum mus ntsib kws kho mob? Yuav ua li cas thaum muaj xwm txheej ceev?

Yog koj xav tias koj tau raug cov tshuaj organophosphates, mus rau tsev kho mob ze tshaj plaws lossis hu rau cov kev pabcuam kho mob thaum muaj xwm txheej ceev tam sim ntawd. Tsis txhob nkim sijhawm. Tsis txhob tos kom txog thaum koj pib muaj cov tsos mob.

Nco ntsoov, qhov no yog qhov xwm txheej uas yuav ua rau tuag taus, yog li ua sai sai yog qhov tseem ceeb tshaj plaws.

Cov lus nug tseem ceeb uas yuav tsum nug koj tus kws kho mob

Yog koj lossis ib tus neeg koj paub muaj teeb meem no, koj tuaj yeem nug koj tus kws kho mob cov lus nug no:

• Kev kho mob hom twg uas pom zoo rau kuv?
• Puas muaj tej yam tshwm sim ntawm kev kho mob?
• Yuav ua li cas kom tshem tawm cov tshuaj lom tom qab raug tshuaj lom? (Tshwj xeeb tshaj yog nyob rau hauv ib puag ncig hauv tsev)
• Kuv yuav paub li cas yog tias muaj cov organophosphates nyob rau hauv kuv qhov chaw ua haujlwm?
• Yog tias kuv ua haujlwm nrog organophosphates ntawm chaw ua haujlwm, kuv yuav ua li cas thiaj li muaj kev nyab xeeb los tiv thaiv kuv tus kheej kom tsis txhob raug lom?

Thaum kawg, tej yam uas yuav tsum nco ntsoov

'Kev Lom Zem Los Ntawm Organophosphate' yog ib qho teeb meem loj heev. Muaj ntau tus neeg hauv peb lub tebchaws, tshwj xeeb tshaj yog cov neeg ua liaj ua teb, yuav muaj kev pheej hmoo. Cov tshuaj no ua rau tib neeg thiab tsiaj txhu muaj teeb meem. Yog li ntawd, ib tug yuav tsum ceev faj heev thaum siv cov no.

Yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob ntawm kev lom organophosphate, tsis txhob ntshai. Nrhiav kev kho mob tam sim ntawd. Kev kho mob thaum ntxov tuaj yeem tiv thaiv kev poob txoj sia. Nyob twj ywm kom muaj kev nyab xeeb, nyob twj ywm kom paub txog!

Cov tshuaj Organophosphates, kev lom, tshuaj tua kab, tshuaj tua kab, cov tsos mob, kev pab thawj zaug, kev nyab xeeb