I vunah emaw, i mitah emaw chemical a lo lut a nih chuan engtin nge ni ang? Chemical kang chungchang hi han sawi ila!

Aw, a chang chuan beisei loh takin accident a thleng thei a ni lawm ni? A bik takin inchhung hna thawh emaw, hnathawhna hmuna chemical hmanga hnathawh emaw hian tihsual tlemte hian chhiatna nasa tak a thlen thei a ni. Vawiin hian chutiang accident hlauhawm tlemte, mahse a tam zawk chu i hriat chuan ven theih accident pakhat chungchang kan sawi dawn a ni. Chu chu chemical burns , a nih loh leh English-a `(Chemical Burns)` kan tih angin. A awlsam zawngin sawi ila, hei hi chemical khauh tak, chhe thei tak avanga i taksa tissue tihchhiatna a ni. Hei hi vun leh mit chauh ni lovin, taksa chhunga a luh chuan a thleng thei a ni.

Chemical hal chu eng nge ni tak tak?

I vun, i mit, a nih loh leh i taksa chhunga tissue nalh tak takte chungah chemical na tak a lo lut a nih chuan, chu tissue te chu a tichhe tan ang tih han ngaihtuah teh. A tam zawkah chuan hei hi i taksaah chemical i paih palh hian a thleng thin. Mahse a chang chuan chemicals te hi i ei thei a, kawng dangin i taksaah a lut thei bawk.

Heng chemical kangte hi kangmei tenau, tenau atanga hliam na tak tak, nunna atana hlauhawm tak thlengin a awm thei. Kangmei tenau te chu a dam thuai ang a, mahse kang na tak chuan tissue te chu a tichhe vek thei a, hliam a tuar thei a, thihna pawh a thlen thei bawk. Chuvangin, chemical kang a nih chuan damdawi in enkawl vat a pawimawh hle.

He accident avanga hlauhawm ber chu tute nge ni?

Tunah chuan, ‘Hei hi tu chungah mah a thleng thei lo em ni?’ tiin i ngaihtuah mai thei. Ni e, a dik a ni. Chemical hmanga hnathawk apiang chu an hlauhawm hle. Entir nan:

• In sak hna thawktute
• Factory-a hnathawkte an ni
• Loneitute
• Laboratory technician te an ni
• Auto Mechanics lam a ni
• Sipai lam mite an ni
• Plumber te an ni

Heng mite hi chemical chi hrang hrang an tawk fo avangin hlauhawm takah an awm a ni. Amaherawhchu, kan zavaia ngaihtuah tur pawimawh tak a awm. Naupang tê tê, a bîk takin naupang tê tête chu in chhûnga chemical awm vangin an hlauhawm hle thei a ni. Detergent, bleach, a nih loh leh toilet cleaner an man a, an khawih emaw, an hmuiah emaw an dah a nih chuan han ngaihtuah teh? Ngaihtuah chian a hlauhawm khawp mai, a ni lawm ni? Chuvang chuan in lamah pawh he thil hi kan fimkhur hle a ngai a ni.

Engvangin nge heng chemical burn te hi a lo awm? A chhante chu engte nge ni?

A awlsam zawngin, chemical na tak i vunah emaw, i mit emaw, i taksa chhungah emaw a lo luh chuan i cell-te a tichhe tan a ni. He chhiatna hi a chang chuan vun chunglam hliam te tak te angin a lang thei a, mahse a hnuaia tissue te pawh a nghawng thei bawk. Chemical hal hi thermal burn aiin a hlauhawm zawk thei. I hria em? Chemical thenkhat chu vun nena an inzawm hnuah pawh hna an thawk chhunzawm zel a, chu chuan tissue chu a "ei" vek a ni.

Chemical halna thlentu tam berte chu engte nge ni?

Kan nitin nunah, inchhungah te, kan hnathawhna hmunah te, kan ngaihtuah phak loh, hetiang ang chetsualna thlen thei chemical chhiar sen loh a awm a. Chung zinga ṭhenkhat chu:

• Battery acid: I hria em, thil car battery, truck battery, etc. A chang chuan, inchhunga hman tur inverter battery-ah pawh he acid hi a awm ve bawk. A khauh hle a, i vunah a tlak chuan kang nasa tak a thlen thei bawk.
• Bleaching powder/liquid: Kan in tihfai nan leh thawmhnaw sil nan kan hmang thin a ni lawm ni? Hei pawh hi fimkhur taka hman tur a ni.
• Detergents: Laundry detergent, tui chi hrang hrang. Thenkhat chu an khauh thei hle.
• Drain Cleaners: Hengte hi a khauh hle. Sink chhunga thil awmte chu a tithianghlim thei khawpa an khauh chuan i vun chungah eng nge an tih ang tih chu i ngaihtuah thei ang.
• Fertilizers: Huan siamna leh buh chinna atana hman tur fertilizer thenkhat chu a khauh hle.
• Hair relaxers: Hengte hi salon-ah an hmang thin. I vun an tawk a nih chuan an hal thei a ni.
• Metal Cleaners leh Rust Removers: Garage leh workshop-ah te hmuh tur a awm.
• Paint paih chhuak thei:
• Pesticides: Agriculture-ah bakah in chhungah pawh bedbugs leh cockroaches tihhlum nan hman a ni. Hengte hi vun tan chauh ni lovin, thawkna lam tan pawh a pawi hle.
• Sanitizer leh Disinfectant: Tunlai hian hengte hi a hluar hle. Disinfectant khauh tak tak thenkhat chu hman fo chuan vun tan a pawi thei hle.
• Swimming pool-a chemical hman tur:
• Toilet Bowl Cleaners: Hengte pawh hi a khauh hle a, fimkhur taka hman tur a ni.
• Wet cement: A hnawih thar chuan i vun a tawk a nih chuan a kang thei. Mi tam takin hei hi an hre lo.

Chemical kang hian eng symptoms nge a neih?

Tunah chuan hetiang chemical burn hian eng symptoms nge a lantir tih hi han en ila. Hei hi kangmei chhuahna hmun azirin a danglam thei.

Vun kang natna lan chhuah dan:

Chemical pakhat i vunah a lo lut a nih chuan a hnuaia thilte hi a thleng thei a ni.

• Blisters emaw blisters emaw a awm
• Vun a hring, a vawt
• Na
• Vun peeling
• A sen hring
• Vun rawng a inthlak (a dum emaw a dum emaw a ni thei) .
• Vung

Mit kang natna lan chhuah dan:

I mitah chemical a lut a nih chuan thil awmdan chu a hlauhawm hle. Hetiang symptoms hi zawng rawh:

• Mit hmuh a fiah lo
• Mitmeng a hring chhuak
• Natna nasa tak a nei
• Mit a sen vek
• Burning, stinging sensation a awm thin
• Mittui a luang chhuak
• Mitdelna na tak takah chuanA thleng thei hial a ni.

A ei avanga natna lan chhuah dan (chemical ingestion): 1.1.

Chemical pakhat chu accident-a emaw, hriat lohna avanga ei a nih chuan, symptoms te chu:

• A rilru a na
• Khuh
• Thusawi harsa (`Dysphonia`) .
• Drooling a awm
• Hoarseness a awm
• Thisen sang hniam (Hypotension) .
• Nausea leh luak chhuak, thisen chhuak pawh a ni thei
• Kawng emaw, kawr emaw a na (a bik takin ei laiin) .
• Pum chhunga perforations , esophagus (ril atanga chaw ei tur phurtu tube), emaw cornea (mit hmalam lens) emaw a perforations.
• Thâwk harsa (Dyspnea) .
• Thlawhna kawng chunglam a hring (`Edema`) .

Pawimawh: Heng symptoms te hi i hmuh chuan damdawi in pan nghal rawh! Hun khawhral suh.

Engtin nge doctor-te hian hei hi an hriat chian?

Damdawi in i kal chuan Doctor-in a kang chu a en tlangpui ang a, a zau zawng leh a thukzia a hre chhuak ang. Mahse a chang chuan, a bik takin taksaah chemical a lut tawh a nih chuan test belh a ngai thin.

• Thisen test: Chemical ei hian i chhungril taksa peng hrang hrangte hnathawh a tichhe thei a ni. I vun emaw mit emaw hmangin i taksaah chemical i la lut thei bawk. Chuvangin i doctor chuan thisen chhiar kim (`Complete Blood Count (CBC)`) leh i kal, thin leh lung hnathawh enfiahna tur test te a ti thei ang.
• Endoscopy: Chemical i ei tawh chuan he test hi tih theih a ni. He test-ah hian tube (endoscope) te tak te, flexible tak, camera vuah chu ka chhungah dahin, kawchhung, chaw kawng leh pum te enfiah a ni. Hei hian kangmei chhuak avanga chhiatna awm leh awm loh enfiah nan a pui thei a ni.
• Mit enfiah: Mit lam doctor emaw mit lam doctor emaw chuan mit a kang leh awm loh a enfiah ang. Mit chu tuiin uluk takin an silfai hmasa ang a, i mit hmuhna a chhiat leh kang thuk zawng an enfiah ang. Mit chhiatna hmun hriat theihna turin dye bik an hnawih thei bawk.
• Imaging: Chest X-ray emaw CT scan (Computed Tomography scan) emaw hmangin chemical ei avanga chhungril lama chhiatna, a bik takin chaw kawng emaw, pum chhunga perforation awm leh awm loh enfiah theih a ni.

Chemical kang nghal i nih chuan engtin nge i tih ang? Enkawlna dawng nghal rawh!

Hei hi a pawimawh ber a ni. Chemical hal hnua tih nghal tur tlemte a awm. Hlauthawng suh, heng thilte hi ti vat rawh.

1. Emergency ambulance service ko rawh (Sri Lanka-ah, 1990). Tichuan a hnuaia mi ang hian ti rawh:

2. Thawmhnaw phelh dan:Protective gloves vuah ngei ang che. Scissor hmangin thawmhnaw chemical a tihbawlhhlawh tawh zawng zawng chu uluk takin paih chhuak rawh. Thawmhnaw chu taksa peng dang nena inzawm tir suh.

3. Chemicals lakchhuah: Gloves i la bun lai hian chemical powder dry a awm chuan zawi zawiin brush off la, rubbing ai chuan. Rubbing hian vun hmun dangah a darh thei bawk.

4. Tui hmanga silfai: Vun emaw mit kang emaw chu tui lum hmangin uluk takin silfai thin ang che. Minute 30 tal flush chhunzawm zel la, chemicals hian vun a hnawih hnuah pawh vun a tichhe chhunzawm zel thei a ni. I silfai dawnin taksa peng dangah tui bawlhhlawh a lut lo turin fimkhur rawh.

Special Note: Chemical thenkhat tui hmanga sil loh tur a awm. Entirnan, carbolic acid (`Phenol`), sulfuric acid (`Sulfuric Acid`), dry powder, leh metal compound thenkhat. Hetiang thil chungchangah hian rinhlelhna i neih chuan damdawi lam thurawn zawng nghal rawh.

5. Tui in tur: Chemical a ei a nih chuan tui tlem pe la, pum chhungah a dilute ang. Luak chhuak tur engmah pe suh. Hei hi a chhan chu luak chhuak hian chemical chu chaw kawng (esophagus) atanga a rawn let leh chuan a tichhe zual thei a ni.

Tichuan damdawi inah kal nghal rawh. I theih chuan specialized burn center (a ``Burn Center'') ah kal a tha ber. Damdawi in pangngaia emergency department-ah i kal a nih pawhin a tul chuan burn unit-ah an refer ang che.

Damdawi in i kal hian eng nge thleng thin?

Damdawi in i kal hnuah doctor leh nurse ten uluk takin an enkawl ang che. An tih hmasak ber tur chu:

• I kangmei nasat dan tehfung siam rawh.
• Kangmei chu silfai chhunzawm rawh.
• I na a nih chuan painkillers pe rawh .
• Infection laka inven nan antibiotics hi vunah cream angin pek emaw, vein-ah inject emaw a ni.
• Dry dressing emaw bandage emaw hmanga kang tenau emaw, kang nasat lutuk emaw hnawih.

Kang a nasat chuan vun kang chu paih chhuah nan operation neih a ngai mai thei. Mi thenkhat chuan skin graft an mamawh mai thei . Hei hian taksa hmun hrisel dang atanga vun lak a, a kang lai hmuna vun thlak a huam a ni. Digestive tract-a perforation ang chi thil siam that nan pawh operation neih a ngai thei bawk.

Heng chemical kang hi a veng thei lo em ni?

Thufing pakhat a awm a, ‘Tihdam aiin invenna a tha zawk,’ tih hi a ni lawm ni? Chuvangin heng chemical kang laka kan inven nan hian kan tih theih tur a awm. A awlsam hle a, mahse a pawimawh hle:

• A theih chuan, chemical khauh tak tak ai chuan thil khauh lo zawk, him zawk hmang rawh .
• Chemical te hi an luhna bawm him takah dah la, bottle dang ah dah suh, a chhunga thil awm chu i theihnghilh mai thei.
• I thawk a ni.Chemical hi eng nge a nih leh eng hlauhawm nge a thlen tih chiang takin hria ang che.
• Chemical hi hmun him takah dah la, a bik takin naupang tê tête hmuh theih lohna hmunah dah rawh. Hmun sang takah, cupboard khar chhunga awm ang maiin.
• Chemical hmanga hnathawh hunah , invenna thawmhnaw emaw, hmanrua emaw, kutkawr, goggles, leh hmai tuamna te hak ngei ngei tur a ni.

Dam hnuah pawh side effect a awm thei em? (Hmuh dan tur) .

Chemical kang tenau tam zawk hi chu hliam lian tham a hnutchhiah lovin a dam thin. Amaherawhchu, a kang nasat chuan a chang chuan hun rei tak chhung nghawng a nei thei a ni. Chung zingah chuan:

• Vun, pum, a nih loh leh chaw kawng cancer vei theihna .
• Esophageal strictures - hliam vang pawh a ni thei.
• Mit pum, chaw kawng emaw, mit (cornea)-a perforation awm .
• Scars a la awm reng.
• Vun rawng a danglam.
• Mit hmuhna hloh.

Hetiang thil hi mi zawng zawngah a thleng vek lo a, mahse he hlauhawmna hi kangmei nasa tak a awm chuan a awm tih hriat reng a pawimawh.

Engtikah nge doctor ka hmuh leh a ngaih?

Kang chu a dam tan tawh a nih pawhin doctor pan leh a ngai mai thei. Chutiang hunah chuan damdawi lam thurawn lak a pawimawh. Entir nan:

• Kang avanga natna nasa tak a awm chuan.
• Hliam atanga thil sen emaw, greenish emaw a chhuak a nih chuan.
• Kangmei chu a zual zel niin a lang a nih chuan .
• Infection chhinchhiahna (redness, swelling, warmth, increased nain) i hmuh chuan.

I doctor zawh tur zawhna pawimawh

Doctor hmu tura i kal hian hetiang zawhna hi zawh theihnghilh suh la, chutiang chuan thil awmdan chu i hrethiam zawk thei ang.

• He chemical kang atang hian eng hun rei tak chhunga harsatna nge awm thei?
• Kangmei a dam lai hian natna kai leh hliam a awm theihna tur tihtlem nan eng nge ka tih ang?
• He kangmei hi engtiang chiahin nge a pawi?
• Nakin lawkah hetiang chemical burn ka neih theihna tur tihtlem nan eng nge ka tih ang?

A tawp berah chuan hriat reng tur (Take-Home Message) .

Chuvangin, tunah chuan chemical kang hi thil awlsam tak a ni lo tih i hrethiam tawh mai thei. Thil tihsual tlemte hian chhiatna nasa tak a thlen thei a ni. Chemical hmanga hnathawh hunah fimkhur hle tur a ni a, a bik takin in lamah. In lamah pawh faina hmanrua leh pesticide te chu naupang tê tête hmuh theih lohna hmunah dah la.

Chemical kang i neih chuan a pawimawh ber chu hlauthawng ni lovin, rang taka first aid pe a, damdawi in pan nghal mai hi a ni tih hre reng ang che. Heat burn pangngai ang lo takin chemical burn hian vun a hnawih hnuah pawh vun a tichhe chhunzawm zel thei a ni. Chuvangin, rang taka enkawl hi a pawimawh hle.

Chutiang hlauhawm lakah nang leh i chhungte in him theih nan ka tawngtai a ni!

` Chemical kang, vun kang, mit kang, chemical tha lo, first aid, kang chhinchhiahna, kang enkawlna