ࡱ> ikhU Zbjbjnn ;faa#9 $$$$$8888p,,8@."R@T@T@T@T@T@T@$CEx@-$x@$$@$$R@R@90R<jwf";>@@0@<;}FX}F4R<}F$R<x@x@9@}F B : HNG DN CHM SC SC KHE MA NNG NNG CHO CNG NG V NGI LAO NG (Gi km Cng vm s /SYT-NVY ngy thng 4 nm 2023 ca S Y t Lm ng) I. CC VN  SC KHE THNG GP TRONG MA NNG NNG Vo ma nng nng c th gp phi mt s vn  sc khe thng gp l: Say nng, say nng hoc t qu do nng. Nguyn nhn ch yu l do phi tip xc qu lu hoc lm vic trong mi trng nng nng, nhit  cao hoc cing c th do thay i nhit  mi trng t ngt. Mt s i tng c nguy c cao gm: + Ngi gi, tr nh v ph n c thai. + Nhng ngi lm vic, luyn tp vi cng  cao  ngoi tri nng lu hoc trong mi trng nng bc: ngi lao ng nng nghip, cng nhn lm vic  cc l gch, l luyn gang thp, v.v. + Nhng ngi mc cc bnh mn tnh: tng huyt p, bnh phi tc nghn mn tnh, hen ph qun, i tho ng, v.v. II. BIU HIN Biu hin ca cc vn  sc khe thng gp trong ma nng nng ph thuc vo thi gian tip xc vi nng nng, mc  tng thn nhit ca c th. + Mc  nh: Mt mi, kht nc, hoa mt, chng mt, tng nhp tim, tng nhp th, hi hp nh trng ngc, chut rt. + Mc  nng: au u d di, kh th tng dn, cm gic bun nn hoc nn, yu hoc lit na ngi, co git, ngt xu hoc hn m, try tim mch (tim p nhanh, huyt p tt, & ) v c th t vong. III. CCH X TR Khi gp vn  sc khe do nng nng, ty theo mc  biu hin m cn nhanh chng p dng nhng bin php x tr ph hp nh sau: 1. Mc  nh: + Chuyn ngay nn nhn vo ch mt, thong gi. + Ni lng qun o hoc ci b bt qun o bn ngoi ca nn nhn. Sau , lau c th nn nhn bng khn mt hoc c th di nc mt vo c th nn nhn ri lau kh. t khn thm nc mt hoc nc  ti cc v tr nh vng nch, vng bn, hai bn c  gip nhanh chng gim nhit  c th. + Nu nn nhn ung c nc, cho ung tng ngm nh nc mt. Tt nht l ung nc c b sung mui v khong cht nh nc Oresol pha ng liu lng theo hng dn s dng. + Nu nn nhn b chut rt, cn xoa bp nh nhng vng c b chut rt. + Lu khng  cho nhiu ngi vy quanh nn nhn. Sau khong 10 - 15 pht cc biu hin s gim dn. 2. Mc  nng: Nu nn nhn c cc biu hin  mc  nng, cn gi ngay cp cu 115 hoc nhanh chng a nn nhn n c s y t gn nht. Lu trong qu trnh vn chuyn thng xuyn chm mt cho nn nhn. IV. BIN PHP D PHNG 1. Khuyn co chung - Hn ch i ra ngoi tri nng trong nhng ngy nng nng, c bit trong khong thi gian t 10 gi sng n 4 gi chiu. - Nhng ngi ang  trong phng iu ha nhit  thp khng nn i ra ngoi tri nng t ngt m cn phi c mt khong thi gian  c th thch nghi vi mi trng bn ngoi bng cch tng nhit  iu ha trong phng hoc ngi ngh trong bng mt trc khi i ra ngoi tri. - Mc qun o sng mu, thong mt, thm m hi. - Tng cng n cc loi rau xanh v hoa qu, nn c mn canh trong ba n hng ngy. c bit cn ung ti thiu 1,5  2 lt nc/ngy. Nn ung thnh nhiu ln trong ngy, khng nn ung qu nhiu nc trong mt ln. - Rn luyn thn th  nng cao sc  khng v sc chng chu ca bn thn vi iu kin thi tit nng nng. 2. i vi nhng ngi phi lm vic trong thi tit nng nng - B tr thi gian lm vic vo nhng lc tri mt m nh vo sng sm hoc chiu mun. Hn ch thi gian lm vic trong mi trng nhit  cao. Nu bt buc phi lm vic th khng nn lm vic qu lu trong mi trng nng bc, trnh cc hot ng th lc qu sc. Nn nh k sau khong 45 pht n 1 gi lm vic th ngh ngi  ni thong mt trong khong thi gian t 15 - 20 pht. - Hn ch ti a din tch tip xc ca nh nng ln c th c bit l vng vai gy. S dng phng tin bo h c nhn ph hp khi lm vic ngoi tri nng nh qun o bo h lao ng, mi, nn, knh. Mc qun o rng, thong mt v thm m hi. C th s dng thm cc loi kem chng nng. - Khng s dng cc loi  ung c cn. Cn ung nc u n trong sut thi gian lm vic. c bit cn ung thm cc loi nc c b sung thm mui v khong cht nh Oresol i vi nhng ngi b mt nhiu m hi trong qu trnh lm vic. - Thc hin cc bin php lm thong mt ni lm vic nh s dng mi che, cc tm phn chiu nhit, vt liu cch nhit, h thng phun nc, phun sng, lp t h thng iu ha, h thng qut thng gi ph hp. HNG DN X L NC H GIA NH BNG CC BIN PHP N GIN (Gi km Cng vm s /SYT-NVY ngy thng 4 nm 2023 ca S Y t Lm ng) I. MC CH Ti liu ny nhm hng dn mt s bin php x l nc n gin  c nc an ton s dng nhm phng chng cc dch, bnh ly qua ng tiu ha nh tay chn ming, t, l, thng hn&  B D > @ TVv*0RVJϿϯϣvfVfVJh uCJOJQJaJh uh 5CJOJQJaJh uh u5CJOJQJaJ"h~Rh 6CJOJQJ]aJh~RCJOJQJaJh h CJOJQJaJh CJOJQJaJhH);6CJOJQJ\]aJhn6CJOJQJ\]aJ%h3h36CJOJQJ\]aJh 5CJOJQJaJh h 5CJOJQJaJp B D p B$<<`a$gd~R$<<`a$gdX`$xx`a$gd $a$gd Vv*RJ~ v!!$F'.)**V++,,,-f99$((`a$gd\$a$gd3$<<`a$gdX`JN~ v!|!!!$%F'J',).)2)******T+V+++,Ŵ~k[khH);6CJOJQJ\]aJ%h3h36CJOJQJ\]aJh 5CJOJQJaJh~RCJOJQJaJh CJOJQJaJ hX`h @CJOJQJaJ hX`h u@CJOJQJaJh uh 5CJOJQJaJh uh u5CJOJQJaJh h CJOJQJaJh uCJOJQJaJ,,, ,,,--8f9n9999;;X<====>>h>>>??NAPA\A|BB"C̼̼̼̼udTh1Rh 5CJOJQJaJ h\h @CJOJQJaJ#h\h 6@CJOJQJaJh CJOJQJaJh1RCJOJQJaJUh uCJOJQJaJh h CJOJQJaJh uh 5CJOJQJaJh uh u5CJOJQJaJ%h3h36CJOJQJ\]aJh 6CJOJQJ\]aJ p dng i vi nhng h gia nh cha c cp nc sch t cc c s cung cp nc tp trung hoc trong trng hp khn cp (nh li lt, hn hn) khng c nc sch  s dng. II. CC BIN PHP X L NC 1. La chn ngun nc Nn la chn nc ging o, nc ging khoan  x l. Trong trng hp khng c ngun nc ngm, phi s dng nc ao h, sng sui, knh rch th cn la chn nhng im c kh nng t b nhim nht, c gng ly nc cng xa b cng tt  x l theo cc bc sau y. 2. Cc bin php x l nc Bc 1: Lm trong nc C nhiu cch lm trong nc, n gin nht l dng phn chua hoc lc bng vi sch. - Lm trong bng phn chua: Dng phn chua vi liu lng 1g phn chua (mt ming bng khong na t ngn tay) cho 20 lt nc. Mc mt go nc, ho lng phn tng ng th tch nc cn lm trong cho tan ht, cho vo dng c cha nc v khuy u, ch khong 30 pht cho cn lng ht xung y ri gn ly nc trong. - Nu khng c phn chua th c th dng vi sch  lc nc, gi li cc cn bn, lm vi ln cho n khi c nc trong (ch vi lc bng ct tng  lc nc i qua c, cn thay vi khi thy cn trn vi lc nhiu). Lu : Trong trng hp phi s dng ngun nc b mt qu c hoc nhiu ph sa cn lc b bt ph sa bng cc lp vi mn trc khi lm trong nc. Bc 2: Kh trng nc Sau khi nc  c lm trong cn tin hnh kh trng nc. C th kh trng nc bng ha cht hoc un si. a) Kh trng nc bng ha cht: - i vi h gia nh: Thng kh trng nc bng Cloramin B. Cloramin B c ng gi di dng vin vi nhiu hm lng khc nhau. Hin nay ph bin nht l vin Cloramin B 0,25g hoc vin Aquatabs 67mg rt tin li cho kh trng cc th tch nc nh nh chum, vi, lu, x, chu hoc b cha nc nh. Mt vin Cloramin B 0,25g c th kh trng c 25 lt nc, mt vin Aquatabs 67mg c th kh trng c 20 lt nc trong. - i vi ngun nc cp cho tp th hoc nhiu h gia nh s dng: Kh trng bng ho cht bt (thng l Cloramin B loi 27% clo hot tnh, Clorua vi) v phi do cn b y t ch o, hng dn thc hin. Cch kh trng: - Vin Cloramine B 0,25g: Cho 1 vin Cloramin B 0,25g vo thng ng 25 lt nc  c lm trong, khuy u, y np, ch 30 pht sau c th s dng lm nc sinh hot c. - Vin Aquatab 67mg: Cho 1 vin Aquatabs 67mg vo thng ng 20 lt nc  c lm trong, khuy u, y np ch 30 pht c th s dng c. - Kh trng bng ha cht bt: Thng c s dng kh trng lng nc cp ln. Lng bt cn dng c tnh ton trn c s nng  yu cu l 10mg Cloramine hot tnh trong l lt nc. i vi bt Cloramine B 27%,  kh trng khong 300 lt nc cn tin hnh nh sau: Ha tan 3g bt Cloramine B 27% (tng ng 1/3 tha canh) vo mt go nc ri  vo b hoc thng cha 300 lt nc  c lm trong, trn u, y np ch 30 pht l c th dng c. Lu : - Nc  c kh trng c th s dng cho mc ch sinh hot. - Tuy nhin nc ny vn phi un si ri mi ung trc tip c. - Khng tin hnh kh trng ng thi vi nh phn v phn lm mt tc dng kh trng ca Clo. - Sau khi kh trng ngi thy mi Clo th vic kh trng mi c tc dng. - Nu l cho qu nhiu Clo th m np, ch thm na gi hoc mt gi na cho bt mi nng. b. un si nc - Ch s dng nc  ung trc tip sau khi  un si. - Nc sau khi un si khng c  qu lu, nn thng xuyn un nc mi hng ngy  ung. - Trong trng hp khng c ha cht kh trng, ch n ung nc  un si k, khng n cc loi rau sng ra bng nc cha kh trng. c. S dng cc thit b lc nc Ngoi cc bin php x l nc nh trn, h gia nh c th s dng thm thit b lc  x l nc. Hiu qu lc nc ca thit b ph thuc vo cht lng nc u vo, cng ngh lc, tnh trng v cht lng ca thit b lc, thi gian s dng& Hin nay c nhiu loi thit b lc nc ca nhiu hng vi cc loi cng ngh khc nhau. Nn s dng nhng thit b  c kim nh, cp php ca cc c quan chc nng, ng thi tun th hng dn s dng ca nh sn xut  m bo hiu qu lc nc. Lu : Nc u vo ca cc thit b lc nc phi l nc  c lm trong, khng dng trc tip nc b mt t ao h, sng sui, knh rch&  trnh bt tc thit b lc.      PAGE \* MERGEFORMAT 2 PAGE  99;*<X<=?PA|BBCC&GHHIFJpJfKLOOOPPjQ R@R$((`a$gd\"C$CCCCC&G*GHHHIFJJJfKjKMMOOOOOPPPPjQnQ R&R@RDRRRpStSTTTVVFX嵩嘩嵩|l|lh\h 5CJOJQJaJh\h\5CJOJQJaJh CJOJQJaJ h\h @CJOJQJaJh\CJOJQJaJh\h 6CJOJQJaJh1Rh 5CJOJQJaJh1Rh1R5CJOJQJaJh h CJOJQJaJh1RCJOJQJaJ*@RRpSTTXZZZZZ Z"Z&Z(Z`ZbZdZvZxZzZ|Z~Zh]hgd q, &`#$gd q,$a$$((`a$gdSG$((`a$gd\FX^XXXpYYYZZZZZZZ"Z$Z(Z*ZXZZZ\Z^Z`ZdZfZrZtZvZZZZɽyyuh`H h`H0Jjh`H0JUh~pjhUmHnHu*hmHnHuhjhUhjhUhSGCJOJQJaJh\CJOJQJaJh\h 6CJOJQJaJh h CJOJQJaJh1RCJOJQJaJ~ZZZZ$((`a$gdSG9 0&P 1F:p#. 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