Cov tsos mob ntawm formaldehyde lom tshwm sim hauv lub sijhawm luv luv tom qab kis tau. Cov tawv nqaij, mucous daim nyias nyias ntawm lub ntsws, nrog rau cov kab mob plab tuaj yeem mob - txhua yam nyob ntawm seb cov tshuaj muaj pes tsawg leeg tau txais. Txawm hais tias muaj kev phom sij npaum li cas los xij, koj yuav tsum hu rau cov kws kho mob, thiab ua ntej lawv tuaj txog, tso pa tawm hauv chav uas tus neeg mob nyob thiab tshem cov khaub ncaws uas yuav tiv thaiv nws ua pa.
Formalin siv qhov twg?
Hais txog formaldehyde (formalin), nws tsim nyog sau cia tias qhov no yog cov tshuaj aqueous uas tsis muaj xim. Yog li ntawd, visually txheeb xyuas nws yuav tsis ua hauj lwm. Tab sis nws tuaj yeem pom tau yooj yim los ntawm nws cov ntxhiab tsw - muaj zog, ua tsis taus pa.
Yog tias peb tham txog qhov twg formaldehyde siv, ces ua ntej koj yuav tsum tau xyuam xim rau kev lag luam rooj tog. Nws yog muaj tias formalin-raws li resins yog siv rau kev ua ntoo thiab tsis yog xwb.
Cov tshuaj kuj muaj nyob rau hauv cov organic dyes, plastics thiab pharmaceuticals. Nwsnquag siv los ua tus neeg sawv cev ntxiv dag zog. Cov kab hauv qab yog cov formaldehyde zoo kawg nkaus tans cell proteins, uas tso cai rau koj mus xaus nrog tanned gelatin. Qhov kawg, dhau los, yog siv zog thaum ua haujlwm nrog tawv, textiles thiab tsim cov yeeb yaj kiab.
Cov tshuaj hauv tsev, tshuaj pleev ib ce, embalming thiab tshuaj tua kab mob kuj tseem muaj formalin.
Txoj kev lom zem
Formaldehyde yog cov tshuaj lom. Vim li no, nws muaj cov nyhuv cauterizing thiab irritating ntawm mucous daim nyias nyias thiab cov ntaub so ntswg. Yog hais tias cov khoom no nkag mus rau hauv lub cev, nws yuav inevitably oxidize, reacts nrog ntshav, thiab tig mus rau formic acid.
Qhov tshwm sim ntawm cov txheej txheem zoo li no tuaj yeem ua rau lub raum tsis ua haujlwm, vim tias qhov hnyav ntawm lub cev yuav nce ntxiv. Qhov xwm txheej yog qhov nyuaj ntxiv los ntawm qhov tseeb tias cov tshuaj no maj mam tawm ntawm lub cev.
Tab sis qhov cuam tshuam tsis zoo rau tib neeg lub cev ntawm formaldehyde tsis txwv rau qhov no. Txij li thaum nws muaj cov yam ntxwv ntawm mutagen thiab carcinogen, qhov kev puas tsuaj yuav kis mus rau cov paj hlwb thiab lub hlwb. Tsis tas li, cov tshuaj muaj qhov cuam tshuam tsis zoo rau lub plab zom mov.
Xav txog cov txiaj ntsig ntawm formaldehyde ntawm lub cev, nws tsim nyog sau cia qhov tseeb tias nws kis tau sai heev hauv lub cev. Nws yuav siv sij hawm 12 teev kom nkag mus rau hauv cov pob txha, yog li kev kho mob tsis tuaj yeem ncua.
Yuav ua li cas lom?
Nws yog ib qho tseem ceeb kom nkag siab tias ntau yam tshuaj uas muaj formalin tsis yogtuaj yeem muaj kev cuam tshuam tsis zoo rau tib neeg. Tib lub sijhawm, formaldehyde tuaj yeem cuam tshuam tsis zoo rau tib neeg lub cev yog tias nws nyob hauv daim ntawv ntawm vapors. Koj tuaj yeem nqus tau nws ua ntej nws paub meej tias muaj cov khoom tsis zoo hauv chav. Dab tsi ntxiv, txawm tias thaum tsw ntxhiab tsw phem, tib neeg tsis tas yuav hnov mob sai sai.
Vim li no, formaldehyde vapor lom yog ib qho kev hem thawj rau kev noj qab haus huv. Tsis tas li ntawd, cov khoom uas muaj ntau qhov sib xyaw ua ke tuaj yeem ua rau muaj kev phom sij.
Qhov feem ntau ua rau lom muaj xws li:
- tawv tawv vim kev tuav rawv. Yog tias muaj kev sib cuag ncaj qha nrog cov tshuaj, qhov hlawv yuav tshwm sim. Qhov kev puas tsuaj loj tshaj plaws yuav yog thaum formalin nkag mus rau hauv lub qhov muag: tus neeg raug tsim txom tuaj yeem pom ib nrab lossis tag nrho nws pom.
- Tsis ua raws li cov cai tswj kev nyab xeeb tom haujlwm. Kev phom sij tuaj yeem tshwm sim yog tias cov neeg ua haujlwm ntawm cov chaw siv formalin tsis hnav lub tshuab ua pa, tiv thaiv kev tiv thaiv, thiab cov khaub ncaws tshwj xeeb.
- Noj cov zaub mov uas tau kho nrog formaldehyde. Xws li kev lom neeg tuaj yeem tshwm sim vim yog kev ua ntawm cov neeg muag khoom uas xav ua kom zoo nkauj ntawm cov ntses thiab nqaij kom ntev, kho lawv nrog cov tshuaj no. Txhawm rau kom tsis txhob ua tus neeg raug tsim txom ntawm tus cwj pwm no, koj yuav tsum tau hnov tsw cov khoom ntawm pawg khoom no ua ntej koj yuav. Txij li cov tshuaj formalin muaj cov ntxhiab tsw zoo, nws yooj yim kom hnov nws.
- Kev mob tshwm sim lossis kev noj tshwj xeeb ntawm formaldehyde. Cov me nyuam xav paub yuav saj cov tshuaj.
Yog li, yog tias muaj ntxhiab tsw ntawm formalin ntawm cov khoom noj, khoom lossis hauv huab cua, koj yuav tsum tau ceev koj tus kheej kom deb ntawm qhov chaw nws nyob.
Cov tsos mob ntawm formaldehyde lom
Pom pom tseeb npaum li cas ntawm kev puas tsuaj rau lub cev yuav yog nyob ntawm qhov ntau ntawm cov tshuaj nyob rau hauv cov huab cua lossis cov khoom uas nkag mus rau hauv.
Kev tuag tuaj yeem tshwm sim yog tias 50-60 ml ntawm formalin tau nkag mus rau hauv plab hnyuv lossis lub ntsws. Hauv cov menyuam yaus thiab cov neeg muaj kev noj qab haus huv tsis zoo, kev hloov pauv tsis tuaj yeem tshwm sim los ntawm qhov tsawg dua.
Nws yog ib qho tseem ceeb kom nkag siab tias qhov kev phom sij tsis yog mob hnyav xwb, tab sis kuj muaj cov kab mob lom. Nws yog qhov tshwm sim ntawm kev ua haujlwm ntev ntawm formalin rau lub cev. Qhov tshwm sim ntawm cov txheej txheem zoo li no tuaj yeem ua teeb meem nrog lub hauv paus paj hlwb, lub ntsws puas thiab txawm mob qog nqaij hlav.
Raws li cov tsos mob ntawm formaldehyde lom, lawv suav nrog:
- mob qa;
- ntxub kua muag thiab qaub ncaug;
- hnoos qhuav;
- pupil dilation;
- hnoos hnoos, qee zaum ua rau mob plab thiab ua pa (yog tias muaj tshuaj lom neeg);
- mob plab, ntuav thiab xeev siab;
- dab ntshav siab;
- nce plawv dhia;
- tsis nco qab, uas tuaj yeem nkag mus rau qhov tsis nco qab;
- mob raws txoj kevesophagus tshwm sim los ntawm mucosal hlawv (cov no yog cov cim qhia ntawm qhov ncauj formaldehyde lom);
- tsis khov thaum taug kev, tsis muaj kev sib koom tes ntawm kev txav;
- tes co;
- mob hauv qee thaj chaw ntawm daim tawv nqaij, nrog rau qhov liab;
- pom npuas nrog cov kua ntshiab hauv.
Yog tias cov tshuaj nyob hauv huab cua, cov tsos mob ntawm formaldehyde lom yuav cuam tshuam rau lub ntsws. Yog tias cov organic compound no nkag mus rau hauv daim tawv nqaij, cov paib yuav tshwm sim, raws li, ntawm daim tawv nqaij.
Kev nyuaj siab
Tsis pub dhau 20-40 feeb tom qab tshuaj lom, tus neeg raug mob yuav deteriorate heev. Peb tab tom tham txog cov teeb meem xws li:
- mob siab mob siab thiab mob siab ua haujlwm. Nyob rau hauv lub xeev no, qhov mob tshwm nyob rau hauv txoj cai hypochondrium, lub mucous daim nyias nyias thiab daim tawv nqaij tig daj, tsis nco qab lawm. Tag nrho cov no yog nrog los ntawm cov kua quav dub thiab ntuav tsaus nti. Cov xim ntawm daim tawv nqaij kuj hloov - nws ua daj ntseg.
- o ntawm cov mucous ntawm lub larynx thiab lub ntsws. Qhov tshwm sim tuaj yeem ua rau tuag taus.
- plab hnyuv los ntshav. Nws tshwm sim vim qhov tseeb tias cov phab ntsa vascular ntawm duodenum thiab submucosal txheej ntawm lub plab yog corroded los ntawm cov tshuaj.
pab xub thawj
Ua rau muaj tshuaj lom sai sai, vim tus neeg raug tsim txom yuav tuag los ntawm qhov mob poob siab, pulmonary edema lossis los ntshav sab hauv. Thawj qhov uas yuav tsum tau ua yog tshem tus neeg muaj tshuaj lom los ntawm chav tsev lossis qhov chaw sib cuag nrog cov tshuaj.
Nws tseem ceeb heev kom nkag siab tias nws yuav tsis ua haujlwm los muab kev pabcuam tag nrho siv cov khoom pabcuam thawj zaug. Nws yog ib qho tseem ceeb kom hu lub tsheb thauj neeg mob. Thiab thaum tos nws tuaj txog, kev pab thawj zaug yuav tsum tau muab thaum muaj formaldehyde lom. Lub algorithm ntawm kev ua hauv qhov xwm txheej no yog raws li hauv qab no:
- Muab tus neeg mob nkag mus rau huab cua ntshiab thiab so. Nws yog ib qho tsim nyog yuav tsum tau khawm tus neeg raug tsim txom lub tsho thiab qhib txhua qhov rais hauv chav.
- Tsis txhob sim ua kom ntuav kom nqus plab lossis yaug nws. Cov txheej txheem no yuav tsum tau ua los ntawm cov kws kho mob nkaus xwb, siv cov tshuaj tshwj xeeb thiab lub plab hnyuv.
- Tau tus neeg raug qaug cawv. Rau qhov no, cov dej txias txias yog tsim nyog. Yog tias cov tshuaj lom yog vim formaldehyde nkag mus rau hauv huab cua, nws raug nquahu kom muab cov tshuaj yej sov so rau tus neeg mob (nws yuav tsum tsis txhob kub).
- Tsim kom muaj txoj hauv kev ntshiab yog tias tus neeg raug mob tsis nco qab. Ua li no, koj yuav tsum tig tus neeg mob lub taub hau mus rau ib sab, muab nws rov qab ua ntej.
- Ntxuav thaj chaw cuam tshuam ntawm lub cev siv dej ntws. 20 feeb yuav txaus. Qhov kev txiav txim no yog qhov tsim nyog yog tias cov tshuaj tau nkag mus rau ntawm daim tawv nqaij lossis daim tawv nqaij.
Kev kho mob
Thawj yam kws kws kho mob ua tom qab lawv tuaj txog yog ntsuas tus neeg mob tus mob tom qab formaldehyde lom. Kev kho mob yog nqa tawm thaum tau txais cov ntaub ntawv anamnestic. Rau qhov no, ntsuas qhov siab, ua pa, mem tes, thiab lwm yam.
Kev pab thawj zaug los ntawm kws kho mob suav nrog cov hauv qab no:
- Bettingdropper nrog cov kev daws teeb meem uas txo qis kev qaug cawv.
- Lub plab kab noj hniav yog ntxuav nrog ntsev los yog dej los ntawm lub raj. Cov txheej txheem zam kev puas tsuaj ntau rau phab ntsa ntawm lub plab thiab cov hnyuv, thiab tseem pab tshem tawm cov seem ntawm cov tshuaj.
- Txhaj tshuaj tua kab mob. Lawv siv rau qhov mob hnyav tom qab qhov kub hnyiab ntawm txoj hlab pas.
- CPR thiab intubation rau laryngeal edema.
- Tshuaj yog siv los tswj cov ntshav siab, ua pa thiab lub plawv dhia.
Thaum twg mus pw hauv tsev kho mob?
Yog tias tus neeg mob qhov mob hnyav dua, lawv tuaj yeem raug coj mus rau chav saib xyuas toxicology lossis kev saib xyuas hnyav.
Kev kho mob, uas tau ua hauv tsev kho mob, suav nrog cov kauj ruam hauv qab no:
- Formalin tshuaj tua kab mob yog qhia. Nws yog 3% ammonium chloride lossis carbonate. Lub hom phiaj ntawm cov txheej txheem no yog txhawm rau ua kom tsis zoo ntawm formalin.
- Ntxhis cov ntshav yog lub raum raug cuam tshuam.
- Txhaj tshuaj uas normalize lub plawv dhia.
- Npau plab los ntshav yuav tsum nres yog tias kuaj pom.
- Droppers tau muab tso rau txhawm rau txhawm rau ua kom muaj zog diuresis. Ua kom cov zis tso zis ntau ntxiv tso cai rau kom tshem tawm cov tshuaj sai dua ntawm lub cev, muab lub raum ua haujlwm tau khaws cia.
Kev kho thiab kuaj tus neeg mob hauv tsev kho mob yog ua tib yam. Raws li kev ntsuas ntsuaselectrocardiogram, ultrasound, urinalysis thiab ntshav biochemistry yog siv.
Kev Tiv Thaiv
Yog tias koj yuav tsum ua haujlwm hauv lub Hoobkas uas siv cov formalin, ces koj yuav tsum ua tib zoo ua raws li cov cai kev nyab xeeb:
- siv kev tiv thaiv ua pa;
- nruab qhov cua zoo hauv thaj chaw ua haujlwm;
- tsis txhob haus luam yeeb lossis noj hauv thaj chaw uas muaj cov khoom siv formaldehyde.
phom sij rau kev noj qab haus huv tuaj yeem yog chav nrog cov rooj tog tshiab lossis ntaub pua plag. Cov kab hauv qab yog tias formalin feem ntau siv hauv cov txheej txheem tsim khoom ntawm cov khoom no. Yog hais tias nws cov concentration yog siab, ces ib qho tsis kaj siab tsw yuav hnov nyob rau hauv lub chav tsev. Nyob rau hauv cov ntaub ntawv no, nquag cua yog pom zoo.
Raws li cov tshuaj pleev ib ce, tshuaj thiab tshuaj hauv tsev, lawv yuav tsum muab khaws cia rau hauv qhov chaw uas menyuam yaus ncav tsis tau.
Results
Formalin yog ib yam khoom txaus ntshai uas tuaj yeem ua rau muaj kev phom sij loj rau tib neeg kev noj qab haus huv. Koj tuaj yeem txheeb xyuas nws los ntawm qhov tsis hnov tsw tsw ntxhiab tsw. Thaum muaj tshuaj lom nrog cov tshuaj no, cov tsos mob tshwm sim sai. Thiab yog tias lawv yog, koj yuav tsum hu lub tsheb thauj neeg mob tam sim ntawd los ntxuav tus neeg mob lub cev.
