Nitric acid poyizoni
Nitric acid ndi madzi owopsa achikasu. Ndi mankhwala omwe amadziwika kuti caustic. Ngati ingalumikizane ndimatenda, imatha kuvulaza.
Nkhaniyi ikufotokoza za poyizoni pakumeza kapena kupuma nitric acid.
Nkhaniyi ndi yongodziwa zambiri. MUSAMAGWIRITSE NTCHITO pofuna kuchiza kapena kusamalira poizoni weniweni. Ngati inu kapena munthu amene muli naye muli ndi chidziwitso, itanani nambala yanu yadzidzidzi (monga 911), kapena malo omwe muli poizoni kwanuko atha kufikiridwa mwachindunji poyimbira foni ya nambala yaulere ya Poison Help (1-800-222-1222) kuchokera kulikonse ku United States.
Asidi nitriki
- Feteleza
- Zinthu zomwe zimagwiritsidwa ntchito poyeretsa zitsulo (monga migolo ya mfuti)
Chidziwitso: Mndandandawu sungakhale wophatikizira onse.
Zizindikiro zakumeza nitric acid zitha kuphatikiza:
- Kupweteka m'mimba - kwambiri
- Kutentha pakhungu kapena pakamwa
- Kutsetsereka
- Malungo
- Kupweteka pakamwa - kwakukulu
- Kuthamanga kwakukulu kwa kuthamanga kwa magazi (mantha)
- Kutupa kwam'mero, komwe kumabweretsa kupuma movutikira
- Kumva kupweteka - kwakukulu
- Kusanza, magazi
Zizindikiro za kupuma mu (inhaling) nitric acid zitha kuphatikiza:
- Milomo yabuluu ndi zikhadabo
- Kukhazikika pachifuwa
- Kutsamwa
- Kutsokomola
- Kutsokomola magazi
- Chizungulire
- Kuthamanga kwa magazi
- Kutentha mwachangu
- Kupuma pang'ono
- Kufooka
Pitani kuchipatala nthawi yomweyo. MUSAMAPANGITSE munthu kutaya pansi pokhapokha atamuuza kuti atero ndi Poizoni kapena katswiri wazachipatala.
Ngati mankhwalawo amezedwa, perekani nthawi yomweyo madzi kapena mkaka, pokhapokha mutalangizidwa ndi othandizira azaumoyo. Perekani ma ounces 4 mpaka 6 (mamililita 120 mpaka 180) a mkaka wa magnesia, ngati zingatheke.
MUSAMAPATSE madzi kapena mkaka ngati munthuyo ali ndi zizindikiro (monga kusanza, kugwedezeka, kapena kuchepa kwa chidwi) zomwe zimapangitsa kuti zikhale zovuta kumeza.
Ngati munthuyo wapuma ndi poizoni, nthawi yomweyo musunthire ku mpweya wabwino.
Izi ndi zothandiza kwa omwe akuyankha mwadzidzidzi:
- Msinkhu wa munthuyo, kulemera kwake, ndi mkhalidwe wake
- Dzina la malonda (ndi zosakaniza ndi mphamvu, ngati zikudziwika)
- Nthawi yomwe idamezedwa kapena kupumira
- Ndalamazo zimameza kapena kupuma
Komabe, MUSachedwe kupempha thandizo ngati izi sizikupezeka nthawi yomweyo.
Malo anu olamulirako poizoni amatha kufikiridwa mwachindunji poyimbira foni yaulere ya dziko lonse (1-800-222-1222) kuchokera kulikonse ku United States. Nambala yoyimbira iyi ikulolani kuti mulankhule ndi akatswiri pankhani yakupha. Akupatsani malangizo ena.
Uwu ndi ntchito yaulere komanso yachinsinsi. Malo onse oletsa poizoni ku United States amagwiritsa ntchito nambala iyi. Muyenera kuyimba ngati muli ndi mafunso aliwonse okhudzana ndi poyizoni kapena kupewa poyizoni. SIYENERA kukhala mwadzidzidzi. Mutha kuyimba pazifukwa zilizonse, maola 24 patsiku, masiku 7 pasabata.
Woperekayo amayesa ndikuwunika zizindikilo zofunika, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi. Munthuyo akhoza kulandira:
- Thandizo la airway, kuphatikiza oxygen, chubu lopumira mkamwa (intubation), ndi makina opumira (mpweya wabwino)
- Kuyesa magazi ndi mkodzo
- Kamera pansi pakhosi (endoscopy) kuti muwone zotentha mu chitoliro cha chakudya (mmero) ndi m'mimba
- X-ray pachifuwa
- CT kapena kujambula kwina
- ECG (electrocardiogram, kapena kutsata mtima)
- Zamadzimadzi kudzera mumitsempha (intravenous kapena IV)
- Mankhwala ochizira matenda
- Pewani mphuno m'mimba kuti muyamwe (aspirate) asidi otsala ngati munthuyo amawonedwa atangotsala pang'ono kuwonekera ndipo ambiri amezedwa
Kuti muwone khungu, chithandizo chitha kuphatikizira:
- Kuchotsa opaleshoni khungu lotenthedwa (kuchotsa)
- Pitani kuchipatala chomwe chimayang'anira chisamaliro chamoto
- Kusamba khungu (kuthirira), mwina kwa maola angapo kwa masiku angapo
Kulandila kuchipatala kungakhale kofunikira kuti mupitilize chithandizo. Kuchita opaleshoni kungafunike ngati mimbayo, m'mimba, kapena matumbo apanga mabowo (zotumphukira) chifukwa chokhala ndi asidi.
Momwe munthu amachitila bwino zimadalira kuchuluka kwa poyizoni yemwe amezedwa, poizoni wambiri, komanso momwe amalandila mwachangu. Munthu akamalandira chithandizo chamankhwala mwachangu, mpata wabwino wochira umakhala wabwino kwambiri. Kuwonongeka kumatha kubweretsa matenda akulu komanso kuwopsa, komwe kumatha kupha. Kuvulala kosatha komanso kulumala kumatha kuchitika.
Hoyte C. Zoyambitsa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 148.
Pfau PR, Hancock SM. Matupi akunja, ma bezoar, ndi maimidwe oyambitsa. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 27.
US National Library of Medicine, Specialised Information Services, tsamba la Toxicology Data Network. Asidi nitriki. toxnet.nlm.nih.gov. Idasinthidwa pa February 14, 2012. Idapezeka pa Januware 14, 2019.