snake bite

சமீபத்தில் பாம்புக்கடிக்கான சிகிச்சை  முறைகள் பற்றி நெட்டில் மேய்ந்து கொண்டிருந்த பொது கண்ணில் பட்ட சில சுவாரஸ்யமான தகவல்கள் இங்கே பகிர்ந்து கொள்கிறேன்....

An international expert on snakebite, the late Dr. Alistair Reid of the LiverpoolSchool of Tropical Medicine found out that only 10 to 15% of venomous bites endin death. The possibility of survival, even without treatment, is incredibly good in80-90% of cases. One of the reasons for this is that many snakebites are by non-venomous snakes. Secondly, a large percentage of venomous snakebites are dry bitesi.e., the snake does not always inject venom. Sometimes, it might inject only a tinyquantity of venom. The snake can inject the quantity of venom it wants. This is anentirely voluntary process. Hence, one can never know how much venom was injectedexcept by observing the progression of the symptoms. In other words the recoveryin snakebite without even treatment is great. Every traditional healer uses this factto his / her advantage and propagates his / her own method to treat snakebite viz.,herbal details, “snakestone” or mantra or plain soda water and most villagers would be happy to go to him.

 

The traditional methods such as application of tourniquet, cutting (incision) andsuction, washing the wound, snake stone or other methods have adverse effects andhence, they have to be discarded. The mneumonic used to recall some of the traditionalmethods followed is “WHISTTLE” and these are described below.

Washing the Wound:

Victims and bystanders have a tendency to wash the wound to remove any venomon the surface.

This should not be done as the action of washing increases the flow  of venom into system by stimulating the lymphatic system.

Household remedies:

Various forms of household remedies are applied to the site of bite which may enhance absorption of venom.

 

Incision) Cutting and Suction:

Cutting the site of bite and suctioning incoagulable blood increases the risk of  bleeding to death as well as increases the risk of infection. Venom is not cleared or removed from the snakebite site by this method.

Snake stone:

Snake stone is applied to the site of bite saying that it will absorb the venom andfalls once the venom is absorbed. This contributes to delay in seeking appropriatehealth care.

Tourniquets:

Tight tourniquets made of rope, string and cloth, have been followed traditionallyto stop venom

flow into the body following snakebite. The problems noticed withtourniquets are :-Risk of ischemia and loss of the limb

Risk of necrosis

Risk of massive neurotoxic blockade

Risk of embolism if used in viper bites.

Release of tourniquet may lead to hypotension.

Gives patient a sense of false security, which encourages them to delay their 

 journey to hospital

Thermal methods:

Cauterytreatment

is followed in some areas. It is injurious and not benecial

Cryotherapy

•

involving the application of ice to the bite was proposed in the1950’s. It was subsequently shown that this method had no benefit and merely increased the necrotic effect of the venom.

Local application of anti snake venom:

Local application of anti snake venom has not shown any benecial effects

Electrical Therapy:

Electric shock therapy for snakebite received a signicant amount of presscoverage in the 1980’s. The theory behind it stated that applying an electric current to

the wound denatures the venom. Much of the support for this method came from lettersto journals and not scientic papers. It has been demonstrated that the electric shock has no benecial effect and hence, it has been abandoned as a method of first aid.

 

சினிமாவுல காட்டுற மாதிரி கதாநாயகி தாவணிய கிழிச்சி பாம்பு கடிபட்ட கதா நாயகனுக்கு கட்டு போட்டா அவரோட காலோ கையோ(உயிரோடு சேர்ந்து) போகறது நிச்சயம்..  கதா நாயகன் பாம்பு கடி பட்ட நாயகியோட காயத்துலருந்து விஷத்த உறிஞ்சி எடுத்தா ரெண்டு பேருக்கும் சங்குதான் ...இப்படி பல விஷயங்கள் கிடைக்குது இந்த சைட்-ல  

மேலும் சுவாரஸ்யமான தகவல் களுக்கு கீழ் கண்ட தளத்தில் படிக்கவும்.

http://www.scribd.com/doc/22703884/HANDBOOK-ON-TREATMENT-GUIDELINES-FOR-SNAKE-BITE-AND-SCORPION-STING-2008-TNHSP-PUBLICATION

கரையான்.