Sumaweyntu waa xaalad aad u halis ah, marka marka calaamadaha ugu horreeya ee sarkhaantu (lallabbo, matag, madax xanuun, daciifnimo, shuban, luminta miyirka), waa lagama maarmaan in la waco dhakhtar. Xitaa haddii ay dhacdo in si fudud loo sumoobo, dhibbanaha waa in uu kormeero dhaqtar ugu yaraan 4 saacadood.
Mabaadiida guud ee daaweynta sumowga
Iyadoo aan loo eegin nooca sunta sunta ah ee keena sunta, caawimaad ayaa la siiyaa qaabka soo socda.
- Dib u soo celi waddada hawo-mareenka hawada, waxay caadi u tahay heerka wadnaha iyo cadaadiska dhiigga.
- Samee shay-baarka (ka saarista sunta).
- Hawlgabka suntan waxaa lagu sameeyaa caawinta walxaha lidka ku ah, taas oo ka takhalusi karta ficilka sunta.
- Waxay sameeyaan daaweynta caabuqa oo ay tirtiraan calaamadaha sumowga.
- Qiimee baahida loo qabo isbitaal dhigista sunta.
Daaweynta sunta carbon monoxide
Gargaarka koowaad ee qofka sunta ah waa inuu keeno helitaanka hawo cusub. Dhibbanaha waa in la geeyaa wadada, nadiifinta afka mataga, adoo isticmaalaya qaaddo ama faraha ku duuban faashadda. Marka dabiiciga ah, ceelka hawada waa la rakibay. Si looga fogaado weerarka soo noqnoqda ee matag, 10 mg maadada metoclopramide ayaa lagu duraa xididada (analogues - cerucal, raglan).
Kadibna daaweynta oksijiinta ayaa la sameeyaa - sumowga carbon monoxide waa nooca kaliya ee degdega ah marka oksijiinta loo isticmaalo qaabkeeda saafi ah. Haddii dhibbanuhu uu miyir qabo, isticmaal maaskaro (10-15 l / min). Xaaladda miyir-beelka, waxaa lagu sameeyaa iyada oo la adeegsado hawo-dabiici oo soo socda oo sanbabada leh 100% oxygen.
Bukaanka ayaa lagu duraa lafdhabarta dhibcaha ee xalalka polyionic (cholol, quartosol, acesol, 500 ml) ama sodium hydrogencarbonate (4%, 400 ml) iyo hemodez (400 ml). Daaweynta waxaa lagu kabaa adigoo qaadanaya ascorbic acid iyo glucose.
Daaweynta sunta khamriga
Haddii ay dhacdo in uu sumoobo baaxadda leh ethanol, waxaa kakooban hawlo degdeg ah:
- afkiisa waxaa ka soo baxa xigmad;
- rakibidda ceelka marka laga hadlayo jadeecada;
- neefta oksijiinta;
- maamulka miisaanka qafiifka ah (0.1%, 1 ml):
- daweynta xididada metoclopramide (10 mg).
Detoxification leh dhuxul firfircoon ama iyadoo la dhaqayo caloosha waa mid aan waxtar lahayn, tan iyo ethanol si dhakhso ah u nuugo.
Cabbitaanka khamrigu wuxuu ka caawiyaa in la baabi'iyo daaweynta leh daawo khaas ah - methadoxil. Waxay xoojinaysaa qashinka ethanol iyo acetaldehyde jirka, oo yareeya saameynta sunta. Geli daroogada 5-10 ml guska ama intravenous dilis for 1.5 saacadood (300-900 mg lagu qasi jiray 500 ml 5% glucose ama xal saline). Dhibbanaha waxaa la siiyaa fitamiino, waxay raacaan hemodynamics.
Daaweynta sunta mercury
Mercury waa mid ka mid ah sunta ugu badan ee aadka u daran. Xaaladda lagu sumoobo maadada mercuryka ama marka ay cusbada ku dhuftaan caloosha, isbitaal dhigista waa lagama maarmaan. Ka hor inta uusan imaan dhakhtarka, dhibbanaha waa in uu cabbaa 2 ilaa 3 koob oo biyo ah, nadiifi caloosha, qaado dhuxusha dhaqdhaqaaqa. Afka waa in la raaciyaa xal daciif ah oo kaneeco ah.
Nooca mercury-ka ah waxaa ka mid ah daaweynta unugyada antidote, kaas oo lagu maamulo intramuscularly (5 ml, 5%) muddo 20 maalmood ah. Beddelka casri ah ee unithiol waa succimer of mesodimercapto succinic acid - antidote this waa wax yar sunta ah oo leh saameyn ka yar.
Daaweynta sunta leh acetic acid
Nuxurka asaliga ah wuxuu keenaa gubashooyinka ugu xoog badan ee xuubka xuubka, bararka cunaha, cuncunka kudhaca shaqooyinka hematopoietic iyo guuldarada kelyaha. Sababtoo ah edema, macmacaanka gastric waxaa la samayn karaa ugu dambeyn 1 ilaa 2 saacadood ka dib marka acetic acid galo jirka. Morphine subcutaneously waa la isku duraa ka hor inta aan la dhaqin (1 ml 1% xal).
Ku sumo leh acetic acid micnaheedu waa daaweyn leh hydrocarbonate sodium (faleebo ama buufin 600-1000 ml, 4%) si loo ilaaliyo kaadida alkolada iyo ka hortagga kalyaha. Sababtoo ah adkaynta dhiigga, dhibbanaha waa inuu ku shubaa xakameynta ama xal-beddelida.