I-Sodium Cyanide: Iingozi zeMpilo kunye nemilinganiselo yoNcedo lokuQala

Sodium i-cyanide yikhemikhali eyityhefu kakhulu ebeka imingcipheko enkulu yempilo ebantwini. Eli nqaku lijonge ukuphonononga ngokubanzi i ingozi yezempilo idityaniswa ne sodium cyanide kwaye uchaze ngokufanelekileyo amanyathelo oncedo lokuqala kufuneka ithathwe xa unokuvezwa.

Iingozi Zempilo

I-Sodium cyanide isebenza ngokuthintela ii-enzymes zokuphefumla, nto leyo ekhokelela ekuphelisweni yi-intracellular. Ityhefu ebukhali inokwenzeka ngokuphefumla, ukuginywa ngomlomo, okanye ukufunxwa nge-percutaneous. Ukufunxa ubuncinane i-50 - 100mg ye -Sodium Cyanide kunokubangela ukufa ngequbuliso.

Kwabo bangafi ngoko nangoko, ikhosi yeklinikhi iyenzeka ngokwezigaba ezine:

1. Inqanaba le-Prodromal : Iimpawu ziquka ukurhawuzelelwa yi-mucosal, ukuphefumla okungakumbi nokunzulu, ukudinwa, intloko ebuhlungu. Xa kutyiwa, kukho ukungakhululeki kwincam yolwimi nasemlonyeni womlomo.

2. Isigaba sokuphelelwa ngamandla : Sibonakaliswa ziingxaki zokuphefumla, uxinzelelo lwegazi oluphezulu, kunye nokubonakala kolusu olubomvu ngokuqaqambileyo kunye neenwebu ze-mucous.

3. Inqanaba lokuxhuzula : Ukuxhuzula, i-coma, kunye nokungaphumeleli kokuphefumla kwenzeka ngeli nqanaba.

4. Inqanaba lokufa komzimba : Kweli nqanaba lokugqibela, kukho ukuphumla kwemisipha ngokupheleleyo, kulandele ukuyeka ukuphefumla kunye nokubetha kwentliziyo, ekugqibeleni okukhokelela ekufeni.

Ukuvezwa kwexesha elide kumanqanaba aphantsi e-cyanide kunokubangela ukuphuhliswa kwe-neurasthenic syndrome, ukucaphuka kwamehlo kunye nomgudu wokuphefumula ongasentla, kwaye kunokubangela ukuqhambuka kwesikhumba.

Iimvavanyo zoNcedo lokuqala

Ukuqhagamshelana nolusu

Ngokukhawuleza susa iingubo ezingcolileyo kwaye uhlambulule ngokucokisekileyo indawo echaphazelekayo ngamanzi asebenzayo okanye isisombululo se-5% ye-sodium thiosulfate ubuncinane imizuzu engama-20. Funa unyango ngokukhawuleza.

Uqhagamshelo lamehlo

Phakamisa ngokukhawuleza iinkophe kwaye uhlambulule amehlo ngokucokisekileyo kunye nomthamo omkhulu wamanzi asebenzayo okanye i-saline eqhelekileyo ubuncinane imizuzu eyi-15. Emva koko, funa uncedo lwezonyango lwengcali.

Inhalation

Hambisa ngokukhawuleza umntu ochaphazelekayo ukusuka kwindawo engcolileyo ukuya kwindawo enomoya omtsha. Qinisekisa ukuba umgaqo womoya uhlala ungaphazamisekanga. Ukuba umntu unengxaki yokuphefumla, mnike ioksijini. Kwimeko yokuphefumula kunye nokubanjwa kwentliziyo, qalisa ngokukhawuleza ukuphefumula okwenziweyo (ukuphepha umlomo - ukuya emlonyeni wokuvuselela umlomo) kunye nokunyanzeliswa kwesifuba sangaphandle. Lawula i-amyl nitrite inhalation kwaye ulungiselele unyango olukhawulezileyo.

Ukungenisa

Cela ixhoba ukuba lisele amanzi amaninzi ashushu ukuze ligabhe. Emva koko, yenza i-gastric lavage nge-1: 5000 isisombululo se-potassium permanganate okanye isisombululo se-5% ye-sodium thiosulfate. Ngaphandle kokulibazisa, tshintshela ixhoba kwiziko lonyango ukuze ufumane unyango olungakumbi.

Ngenxa yokuba iSodium cyanide inobuthi obugqithisileyo , kubalulekile ukuba uqaphele kakhulu xa usebenzisa le khemikhali. Xa kukho naluphi na uchaphazeleko, ukuphunyezwa ngokukhawuleza kwamanyathelo oncedo lokuqala kunokuphucula kakhulu amathuba okusinda kwaye kunciphise ubukhali bomonakalo.