Bariuma me kona mau hui
Ka inoa lāʻau lapaʻau ma ka ʻōlelo Pākē: Barium
inoa Pelekane:Barium, Ba
ʻO ka mīkini ʻawaʻawa: Bariumhe metala lepo ʻalaʻala keʻokeʻo keʻokeʻo keʻokeʻo e kū nei ma ke ʻano ma ke ʻano o ka barite ʻona (BaCO3) a me ka barite (BaSO4). Hoʻohana nui ʻia nā pūhui Barium i ka keramika, ka ʻoihana aniani, ke kinai kila, nā lāʻau lapaʻau like ʻole, nā pesticides, ka hana reagent kemika, a me nā mea ʻē aʻe.barium oxide, barium hydroxide, barium stearate, etc.Metala Bariumʻaneʻane ʻaʻohe mea ʻawaʻawa, a pili ka ʻawaʻawa o nā pūhui barium i ko lākou solubility. He mea ʻawaʻawa loa nā pūhui barium hiki ke hoʻoheheʻe ʻia, ʻoiai ʻo ka barium carbonate, ʻoiai ʻaneʻane hiki ʻole ke hoʻoheheʻe ʻia i ka wai, he mea ʻawaʻawa ma muli o kona hiki ke hoʻoheheʻe ʻia i loko o ka waikawa hydrochloric e hana ai i ka barium chloride. ʻO ke kumu nui o ka make ʻana o ka barium ion, ʻo ia ka hoʻopaʻa ʻana i nā kaila potassium i hilinaʻi ʻia i loko o nā cell e nā ion barium, kahi e alakaʻi ai i ka piʻi ʻana o ka potassium intracellular a me ka emi ʻana o ka ʻike pāpaʻi extracellular, e hopena i ka hypokalemia; Manaʻo kekahi poʻe ʻepekema ʻē aʻe e hiki i nā ion barium ke hoʻoulu i ka arrhythmia a me nā hōʻailona ʻōpū ma o ka hoʻoulu ʻana i ka myocardium a me nā ʻiʻo maʻemaʻe. ʻO ke komo ʻana o ka mea hoʻoheheʻebariumʻO nā pūhui i loko o ka ʻōpū o ka ʻōpū e like me ka calcium, helu ʻia ma kahi o 8% o ka nui o ka ʻai. ʻO nā iwi a me nā niho nā wahi hoʻopaʻa nui, ʻoi aku ma mua o 90% o ka nui o ke kaumaha o ke kino.Bariumʻai ʻia ma ka waha e hoʻokuʻu ʻia ma o nā feces; ʻO ka hapa nui o ka barium i kānana ʻia e nā puʻupaʻa e hoʻopaʻa hou ʻia e nā tubules renal, me ka liʻiliʻi wale nō e ʻike ʻia i loko o ka mimi. ʻO ka hapalua o ke ola o ka barium ma kahi o 3-4 mau lā. Ma muli o ka ʻai ʻana i nā pūhui barium e like me ka pauka fermentation, ka paʻakai, ka palaoa alkali, ka palaoa, alum, a pēlā aku. ʻAʻole kakaikahi ka lāʻau ʻawaʻawa o ka barium ʻoihana a komo nui ʻia e ka ʻōpū hanu a i ʻole ka ʻili ʻeha a me nā membrane mucous. Ua loaʻa pū kekahi i nā hōʻike o ka lāʻau make ma muli o ka ʻike ʻana i ka barium stearate, maʻamau me ka subacute a i ʻole ka hoʻomaka mau ʻana a me kahi manawa huna o 1-10 mau mahina.
Ka nui lapaʻau
ʻO ka nui o nā mea ʻawaʻawa o ka heluna kanaka e lawe ana i ka barium chloride ma kahi o 0.2-0.5g
ʻO ka nui o ka make no nā pākeke ma kahi o 0.8-1.0g
Nā hōʻike maʻi: 1. ʻO ka manawa incubation o ka lāʻau ʻawaʻawa maʻamau he 0.5-2 mau hola, a ʻo ka poʻe me ka ʻai nui e ʻike i nā hōʻailona make i loko o 10 mau minuke.
(1) ʻO nā hōʻailona mua o ka digestive nā hōʻailona nui: ka ʻeha o ka waha a me ka ʻāʻī, ka ʻāʻī maloʻo, ka ʻūlū, ke poʻo, ka luaʻi, ka luaʻi ʻana, ka ʻeha o ka ʻōpū, ka maʻi maʻi pinepine, ka wai a me ke kahe koko, i hele pū ʻia me ka paʻa o ka umauma, palpitations, a me ka helu. ma ka waha, ka maka, a me na lala.
(2) Holomua 'i'o lolo: 'O ka po'e ma'i i 'ike mua 'ia me ka ma'i ma'i 'ole a pa'a 'ole, e ne'e ana mai nā 'i'o lala a hiki i nā 'ā'ī, nā 'i'o alelo, nā 'i'o diaphragm, a me nā 'i'o hanu. Hiki i ka lolo ʻiʻo alelo ke hoʻopilikia i ka ʻai ʻana, nā maʻi ʻōlelo, a i nā hihia koʻikoʻi, hiki i ka maʻi ʻāʻī hanu ke alakaʻi i ka pilikia o ka hanu ʻana a me ka ʻeha. (3) Poino Cardiovascular: Ma muli o ka toxicity o ka barium i ka myocardium a me kona mau hopena hypokalemic, hiki i nā maʻi ke loaʻa i ka pōʻino myocardial, arrhythmia, tachycardia, pinepine a i ʻole he nui o ka wā mua, diphthongs, triplets, atrial fibrillation, conduction block, etc. hiki ke loaʻa i ka arrhythmia koʻikoʻi, e like me nā kani ectopic like ʻole, ka lua a i ʻole ke kolu o ka atrioventricular block, ventricular flutter, ventricular fibrillation, a me ka hopu ʻana i ka naʻau. 2. Hoʻololi pinepine ka manawa incubation o ka inhalation poisoning ma waena o 0.5 a 4 mau hola, i hōʻike ʻia e like me nā hōʻailona hanu e like me ka ʻeha ʻāʻī, ka ʻāʻī maloʻo, ka ʻāʻī, pōkole o ka hanu, ka paʻa o ka umauma, a me nā mea ʻē aʻe. ʻO nā hōʻike maʻi ʻē aʻe e like me ka ʻawaʻawa waha. 3. Hiki ke ʻike ʻia nā hōʻailona e like me ka numbness, ka luhi, ka nausea, a me ka luaʻi ʻana i loko o 1 hola ma hope o ka lawe ʻana i ka ʻili ʻawaʻawa ma o ka ʻili pohō a me ke ahi ʻili. Hiki i ka poʻe maʻi me ke kuni nui ke hoʻomohala koke i nā hōʻailona i loko o 3-6 mau hola, me ka convulsions, pilikia ka hanu ʻana, a me ka pōʻino nui o ka myocardial. Ua like pū nā hōʻike lapaʻau me ka ʻawaʻawa waha, me nā hōʻailona maʻi gastrointestinal. Hoʻopau pinepine ke kūlana me ka wikiwiki, a pono e uku nui ʻia i ka wā mua.
ʻO ka diagnostic
Hoʻokumu ʻia nā pae hoʻohālikelike ma ka mōʻaukala o ka ʻike ʻana i nā pūhui barium i loko o ka ʻōpū hanu, ka digestive tract, a me ka mucosa ʻili. Hiki ke hōʻike ʻia nā hōʻike maʻi e like me ka maʻi ʻiʻo flaccid a me ka pōʻino o ka myocardial, a hiki i nā hoʻokolohua hoʻokolohua ke hōʻike i ka hypokalemia refractory, hiki ke ʻike ʻia. ʻO ka Hypokalemia ke kumu pathological o ka make ʻana o ka barium. Pono e hoʻokaʻawale ʻia ka emi ʻana o ka ikaika o ka ʻiʻo mai nā maʻi e like me ka hypokalemic periodic paralysis, botulinum toxin poisoning, myasthenia gravis, progressive muscular dystrophy, peripheral neuropathy, a me acute polyradiculitis; Pono e hoʻokaʻawale ʻia nā hōʻailona o ka ʻōpū e like me ka nausea, ka luaʻi, a me ka ʻōpū o ka ʻōpū mai ka ʻai ʻana; Pono e hoʻokaʻawale ʻia ka hypokalemia mai nā maʻi e like me ka make trialkyltin, metabolic alkalosis, familial periodic paralysis, a me ka aldosteronism mua; Pono e hoʻokaʻawale ʻia ka arrhythmia mai nā maʻi e like me ka digitalis poisoning a me ka maʻi puʻuwai organik.
Kumu o ka lapaau:
1. No ka poʻe e pili ana i ka ʻili a me ka mucous membranes e wehe i nā mea ʻawaʻawa, pono e holoi pono ʻia ka wahi hoʻopili me ka wai maʻemaʻe koke i mea e pale ai i ka komo hou ʻana o nā ion barium. Pono e mālama ʻia ka poʻe maʻi i ke kuni me nā kemika a hāʻawi ʻia i ka 2% a i ka 5% sodium sulfate no ka hoʻoheheʻe ʻana o ka ʻeha; ʻO ka poʻe e hanu ana ma ka ʻōpū hanu, pono lākou e haʻalele koke i ke kahua o ka ʻona, e holoi pinepine i ko lākou waha e hoʻomaʻemaʻe i ko lākou waha, a e lawe i ka nui o ka sodium sulfate ma ka waha; No ka poʻe e ʻai ana ma o ka digestive tract, pono lākou e holoi mua i ko lākou ʻōpū me ka 2% a i ka 5% sodium sulfate solution a i ʻole ka wai, a laila e hāʻawi i 20-30 g sodium sulfate no ka maʻi maʻi. 2. Detoxification lāʻau sulfate hiki ke hana insoluble barium sulfate me barium ions e detoxify. ʻO ka koho mua e hoʻokomo i ka 10-20ml o 10% sodium sulfate intravenously, a i ʻole 500ml o 5% sodium sulfate intravenously. Ma muli o ke kūlana, hiki ke hoʻohana hou ʻia. Inā ʻaʻohe mea mālama sodium sulfate, hiki ke hoʻohana ʻia ka sodium thiosulfate. Ma hope o ka hoʻokumu ʻia ʻana o ka barium sulfate insoluble, hoʻokuʻu ʻia ma o nā puʻupaʻa a koi i ka hoʻonui ʻana i ka wai a me ka diuresis e pale i nā puʻupaʻa. 3. ʻO ka hoʻoponopono ʻana i ka hypokalemia i ka manawa kūpono ke kī i ka hoʻopakele ʻana i ka arrhythmia puʻuwai koʻikoʻi a me ka lolo o ka ʻiʻo hanu ma muli o ka make ʻana o ka barium. ʻO ke kumu o ka hoʻohui pāpaʻi ʻo ia ka hāʻawi ʻana i ka potassium lawa a hiki i ka hoʻi ʻana o ka electrocardiogram i ka maʻamau. Hiki ke ho'ohana 'ia ma ka waha, me ka 30-60ml o 10% potassium chloride i loa'a i kēlā me kēia lā ma nā pu'upu'u mahele; Pono nā poʻe maʻi maʻalahi a koʻikoʻi i ka hoʻonui ʻana i ka potassium intravenous. ʻO ka poʻe maʻi me kēia ʻano mea ʻawaʻawa maʻamau, ʻoi aku ka kiʻekiʻe o ka hoʻomanawanui no ka potassium, a ʻo 10 ~ 20ml o 10% potassium chloride hiki ke intravenously infused me 500ml o ka physiological saline a i ʻole ka hopena glucose. Hiki i nā poʻe maʻi koʻikoʻi ke hoʻonui i ka nui o ka infusion o ka potassium chloride intravenous i 0.5% ~ 1.0%, a hiki i ka pākēneka supplementation rate hiki ke hiki i 1.0 ~ 1.5g i kēlā me kēia hola. Pono pinepine nā poʻe maʻi koʻikoʻi i nā doses unconventional a me ka hoʻonui wikiwiki ʻana o ka potassium ma lalo o ka nānā ʻana i ka electrocardiographic. Pono e hana i ka electrocardiogram koʻikoʻi a me ka nānā ʻana i ka pāpaʻi koko i ka wā e hoʻonui ai i ka potassium, a pono e uku ʻia i ka mimi a me ka hana renal. 4. No ka mālama ʻana i ka arrhythmia, hiki ke hoʻohana ʻia nā lāʻau lapaʻau e like me cardiolipin, bradycardia, verapamil, a i ʻole lidocaine no ka mālama ʻana e like me ke ʻano o ka arrhythmia. No nā poʻe maʻi me ka mōʻaukala olakino ʻike ʻole a me nā loli electrocardiogram haʻahaʻa, pono e hoʻāʻo koke ʻia ka potassium koko. ʻAʻole pono ka hoʻohui ʻana i ka potassium i ka wā e nele ai ka magnesium, a pono e uku ʻia i ka hoʻohui ʻana i ka magnesium i ka manawa like. 5. ʻO ka maʻi ʻana o ka ʻiʻo o ka hanu mīkini ke kumu nui o ka make ma ka lāʻau make barium. Ke ʻike ʻia ka lolo o ka ʻiʻo hanu, pono e hana koke ʻia ka endotracheal intubation a me ka mechanical ventilation, a pono paha ka tracheotomy. 6. Hōʻike ka noiʻi e hiki i nā ana hoʻomaʻemaʻe koko e like me ka hemodialysis ke hoʻolalelale i ka wehe ʻana i nā ion barium mai ke koko a loaʻa kekahi waiwai therapeutic. 7. Pono e hoʻonui koke ʻia nā lāʻau kākoʻo hōʻailona ʻē aʻe no ka luaʻi koʻikoʻi a me ka maʻi maʻi maʻi me nā wai e mālama ai i ke koena o ka wai a me ka electrolyte a pale i nā maʻi lua.
Ka manawa hoʻouna: Sep-12-2024