Sulfuric acid muchetura
Sulfuric acid ikemikari yakasimba kwazvo inoparadza. Zvinokanganisa zvinoreva kuti zvinogona kukonzera kutsva kwakanyanya uye kukuvara kwetishu kana zvasvika pakubatana neganda kana mucous membranes. Ichi chinyorwa chinotaura nezve chepfu kubva kune sulfuric acid.
Ichi chinyorwa ndechekuziva chete. Usashandise iyo kurapa kana kubata chaiyo pozi kuratidzwa. Kana iwe kana mumwe munhu wauinaye aine chinoitika, fonera yako yemunharaunda emergency emergency (yakadai se911), kana nzvimbo yako yekudzivirira chepfu inogona kusvikwa yakananga nekufonera iyo isina muripo Poison Rubatsiro nhare (1-800-222-1222) kubva chero kupi muUnited States.
Sulfuriki asidhi
Sulfuric acid inowanikwa mu:
- Mota bhatiri asidi
- Dzimwe sipo
- Makemikari munitions
- Mamwe mafetiraiza
- Mimwe yekugezesa ndiro
Ongorora: Rondedzero iyi inogona kunge isinga-sanganisira.
Zviratidzo zvekutanga zvinosanganisira kurwadziwa kwakanyanya pakubata.
Zviratidzo kubva pakumedza zvinogona zvakare kusanganisira:
- Kufema kunetseka nekuda kwehuro kuzvimba
- Kunopisa mumuromo nehuro
- Kudonhedza mvura
- Kupindwa nechando
- Kukurumidza kukura kwekudzikira kweropa (kuvhunduka)
- Kurwadziwa kwakanyanya mumuromo nehuro
- Zvinetso zvekutaura
- Kusvipa, neropa
- Chiratidzo kurasikirwa
Zviratidzo kubva mukufema muhupfu zvinogona kusanganisira:
- Bhuruu ganda, miromo, uye nzara
- Kufema kunetseka
- Kushaya simba kwemuviri
- Kurwadziwa pachifuva (kuomarara)
- Choking
- Kukosora
- Kukosora ropa
- Dzungu
- Kuderera kweropa
- Kukurumidza kupisa
- Kufema kwekufema
Zviratidzo kubva paganda kana kumeso kusangana zvinogona kusanganisira:
- Kupisa kweganda, kubuda kwemvura, uye kurwadziwa
- Kupisa kweziso, kubuda kwemvura, uye kurwadziwa
- Chiratidzo kurasikirwa
Usaite kuti munhu arase. Tsvaga rubatsiro rwechiremba ipapo.
Kana kemikari iri paganda kana mumaziso, svinura nemvura yakawanda kwemaminitsi gumi nemashanu.
Kana kemikari yakamedzwa, pakarepo ipa munhu mvura kana mukaka. Usape mvura kana mukaka kana munhu wacho aine zviratidzo zvinoita kuti zvinetse kumedza. Izvi zvinogona kusanganisira kurutsa, kugwinha, kana mwero wakaderera wekusvinura.
Kana munhu akafemera huturu, chirumidza kumuendesa kumhepo nyowani.
Tora ruzivo runotevera, kana zvichibvira:
- Zera remunhu, huremu, uye mamiriro
- Zita rechigadzirwa (pamwe nemidziyo uye simba kana zvichizivikanwa)
- Nguva yakamedzwa
- Mari yakamedzwa
Tora mudziyo uende nawo kuimba yekukurumidzira.
Yako yepanzvimbo yekudzora huturu inogona kusvikwa yakananga nekufonera iyo isina muripo Poison Rubatsiro nhare (1-800-222-1222) kubva chero kupi muUnited States. Iyi nhamba yehotera yenyika ino ichaita kuti iwe utaure nenyanzvi mune chepfu. Ivo vanozokupa iwe kumwe kuraira.
Iri ibasa remahara uye rakavanzika. Nzvimbo dzese dzemunharaunda dzekudzora chepfu muUnited States dzinoshandisa iyi nhamba yenyika. Iwe unofanirwa kufona kana iwe uine chero mibvunzo nezve chepfu kana kudzivirira chepfu. Hazvidi kuti ive emergency. Iwe unogona kufona chero chikonzero, maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.
Anopa hutano anozoongorora nekuongorora zviratidzo zvakakosha zvemunhu, zvinosanganisira:
- Oxygen saturation
- Kupisa
- Pulse
- Mwero wekufema
- Ropa kumanikidza
Zviratidzo zvichabatwa sezvakakodzera. Munhu wacho anogona kugamuchira:
- Kuongororwa kweropa
- Airway uye / kana yekufema rutsigiro - inosanganisira oksijeni kuburikidza nechokunze dhizaini dhizaini kana endotracheal intubation (kuiswa kweanofema chubhu kuburikidza nemuromo kana mhino munzira yemhepo) nekuiswa pane mweya wekufema (weupenyu mutsigiro wekufema muchina).
- Electrocardiogram (ECG)
- Endoscopy - kamera inoshandiswa kuongorora pasi pahuro kuti uone kutsva mudumbu uye mudumbu
- Laryngoscopy kana Bronchoscopy - chishandiso (laryngoscope) kana kamera (bronchoscope) inoshandiswa kuongorora pasi pahuro kuti uone kutsva munzira
- Kudiridza kwemaziso
- Mvura kuburikidza nemutsinga (IV)
- Mishonga yekurapa zviratidzo
- Kuvhiya kugadzirisa chero kukuvara kwenyama
- Kuvhiya kubviswa kweganda rakatsva (ganda kudzikiswa)
- Kugezwa kweganda (kudiridza), pamwe maawa mashoma mashoma kwemazuva akati wandei
- X-ray dzechifuva nedumbu
Kuita zvakanaka kwemunhu kunoenderana nekukasira kwazvinoita huturu uye kukanganiswa. Kukuvadza kwakanyanya kumuromo, pahuro, maziso, mapapu, esophagus, mhino, uye mudumbu zvinogoneka. Mhedzisiro mhedzisiro inoenderana nekuti yakawanda sei kukuvara kune.
Kukuvadza kunoramba kuchiitika kune ezophagus uye mudumbu kwevhiki dzinoverengeka mushure mekumedzwa kwehupfu, izvo zvinogona kukonzera hutachiona hwakakomba uye kutadza kwenhengo dzakawanda. Kurapa kunogona kuda kubviswa kwechikamu cheyesophagus uye mudumbu.
Kana iyo chepfu ikapinda mumapapu, kukuvara kwakanyanya kunogona kuitika, zvese nekukasira uye kwenguva refu.
Kumedza muchetura kunogona kukonzera rufu. Zvinogona kuitika sekureba sekunge mwedzi mushure mechefu.
Battery acid muchetura; Hydrogen sulfate muchetura; Oiri ye vitriol chepfu; Matting acid muchetura; Vitriol brown brown chepfu
Hoyte C. Caustics. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 148.
Mazzeo AS. Pisa maitiro ekuchengetedza. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 38.