I-Sodium Cyanide: Izingozi Zezempilo kanye Nezinyathelo Zosizo Lokuqala

Sodium i-cyanide ikhemikhali enobuthi kakhulu ebeka engcupheni enkulu yezempilo kubantu. Lesi sihloko sihlose ukuhlola kabanzi izingozi zempilo okuhlobene nayo i-sodium cyanide futhi uchaze okufanele izinyathelo zosizo lokuqala okumele kuthathwe uma kuvela.

Izingozi Zezempilo

I-sodium cyanide isebenza ngokuvimbela ama-enzyme okuphefumula, okuholela ku-intracellular asphyxiation. Ubuthi obunzima bungenzeka ngokuhogela, ukumunca ngomlomo, noma ukumuncwa nge-percutaneous. Ukuphuza okuncane okungama-50 - 100mg we I-Sodium Cyanide kungabangela ukufa kungazelelwe.

Kulabo abangafi ngaso leso sikhathi, inkambo yomtholampilo ivamise ukuvela ngezigaba ezine:

1. Isiteji se-Prodromal: Izimpawu zihlanganisa ukucasuka kwe-mucosal, ukuphefumula okwandayo nokujulile, ukukhathala, ikhanda elibuhlungu. Lapho kudliwe, kuba ndikindiki esihlokweni solimi nasemgodleni womlomo.

2. Isiteji se-Dyspnea: Ibonakala ngobunzima bokuphefumula, umfutho wegazi ophakeme, nokubukeka okubomvu okukhanyayo kwesikhumba nolwelwesi lwamafinyila.

3. Isigaba sokudlikizela: Ukuquleka, ukukoma, nokwehluleka ukuphefumula kwenzeka phakathi nalesi sigaba.

4. Isigaba sokukhubazeka: Kulesi sigaba sokugcina, kukhona ukuphumula okuphelele kwemisipha, okulandelwa ukunqamuka kokuphefumula nokushaya kwenhliziyo, okuholela ekufeni.

Ukuchayeka isikhathi eside emazingeni aphansi e-cyanide kungaholela ekwakhekeni kwe-neurasthenic syndrome, ukucasuka kwamehlo kanye nomgudu wokuphefumula ongenhla, futhi kungase kubangele nokuqubuka kwesikhumba.

Izinyathelo Zokuqala Zokusiza

Isikhumba Imininingwane

Ngokushesha khipha izingubo ezingcolile bese ugeza kahle indawo ethintekile ngamanzi agobhozayo noma isisombululo se-sodium thiosulfate esingu-5% okungenani imizuzu engu-20. Thola usizo lwezokwelapha ngokushesha.

Ukuxhumana Kwamehlo

Phakamisa amajwabu amehlo ngokushesha futhi ugeze amehlo kahle ngamanzi agelezayo noma usawoti ovamile okungenani imizuzu eyi-15. Ngemva kwalokho, funa usizo lwezokwelapha oluchwepheshile.

Inhalation

Ngokushesha susa umuntu othintekile endaweni engcolile umyise endaweni enomoya omusha. Qinisekisa ukuthi umzila womoya uhlala ungavimbekile. Uma umuntu enenkinga yokuphefumula, mnike umoya-mpilo. Uma kwenzeka ukuphefumula nokuphefumula kwenhliziyo, qalisa ngokushesha ukuphefumula okwenziwe (gwema ukuvuselela umlomo - ukuya emlonyeni) kanye nokucindezelwa kwesifuba kwangaphandle. Lawula i-amyl nitrite inhalation futhi uhlele ukwelashwa ngokushesha.

Ukungenisa

Cela isisulu siphuze amanzi amaningi afudumele ukuze sihlanze. Bese, hlanza i-gastric lavage ngesisombululo se-potassium permanganate esingu-1:5000 noma isisombululo se-sodium thiosulfate esingu-5%. Ngaphandle kokulibala, dlulisela isisulu esikhungweni sezokwelapha ukuze sithole ukwelashwa okwengeziwe.

Njengoba kunikezwe ubuthi obukhulu be I-sodium cyanide, kubalulekile ukuqapha lapho uphatha le khemikhali. Uma kwenzeka noma yikuphi ukuchayeka, ukuqaliswa okusheshayo kwezinyathelo ezifanele zosizo lokuqala kungathuthukisa kakhulu amathuba okusinda futhi kunciphise ubungako bokulimala.