ʻO ka Mercury Amalgam Removal Technique (SMART) palekana

ʻO nā ʻōlelo koi a ka IAOMT no ka lawe ʻana i amalgam ʻike ʻia ʻo Safe Mercury Amalgam Removal Technique (SMART). Hoʻomaopopo e hōʻike ʻia ʻo SMART ma ke ʻano he ʻōlelo aʻoaʻo. Pono nā loiloi laikini e hana i kā lākou manaʻo ponoʻī e pili ana i nā koho maʻamau e hoʻohana ai i kā lākou hana. Aia nā ʻōlelo aʻoaʻo a ka SMART protocol i kēia mau ana, i helu ʻia ma aneʻi me ka ʻepekema noiʻi. 

Ke hoʻohana nei i nā hōʻike ʻepekema i loaʻa, ua hoʻomohala ka IAOMT i nā ʻōlelo palekana no ka hemo ʻana o nā hoʻopiha amalgam mercury o nā niho, e like me nā hana palekana e hoʻohana ʻia no ka hana. Kūkulu nā ʻōlelo aʻoaʻo a ka IAOMT ma luna o nā hana kuʻuna amalgam hoʻoneʻe palekana e like me ka hoʻohana ʻana i nā masks, ka wai wai, a me ka omo kiʻekiʻe me ka hoʻopili ʻana i kēia mau hoʻolālā maʻamau me ka nui o nā hana palekana hou aʻe, ka mea e ʻike wale ʻia ai i ka noiʻi ʻepekema.

• Pono e hoʻokomo pono ʻia kahi mea hoʻokaʻawale amalgam, hoʻohana, a mālama ʻia e hōʻiliʻili i nā wao amalgam mercury i mea e hoʻokuʻu ʻole ʻia ai i ka effluent mai ke keʻena kahua niho.^{25, 61-73}
• Pono e loaʻa kahi kānana kūpono i kēlā me kēia lumi kahi e hemo ai nā hoʻopiha mercury.^{29, 74-76} kahi e koi ai i kahi ʻōnaehana kānana lewa kiʻekiʻe (e like me kahi ma kahi o ka waha aerosol waha kumu) hiki ke hemo i ka mahu mercury a me nā mea hoʻohui amalgam i hoʻokumu ʻia i ka wā o ka hemo ʻana o hoʻokahi a ʻoi paha nā hoʻopiha mercury.^{45, 77}
• Inā hiki, pono e wehe i nā puka aniani e hōʻemi i ka mercury i ka lewa.^{29, 77-79}
• Hāʻawi ʻia ka mea hoʻomanawanui i kahi lānahu o nānahu, chlorella, a i ʻole nā ​​mea like like e holoi a ale i mua o ke kaʻina hana (inā ʻaʻole hōʻole ka mea maʻi a i ʻole nā ​​contraindications ʻē aʻe e kūpono ʻole ana kēia clinically).^{77, 80, 81}
• Nā pale pale a me nā uhi no ka kauka niho,^{25, 45} kahua niho nā limahana,^{25, 45} a me ka mea hoʻomanawanui⁴⁵ pono ma kahi. Pono e pale ʻia nā mea āpau i loko o ka lumi no ka mea ʻo ka nui o nā hunaahi i hana ʻia i ka wā o ke kaʻina hana e hōʻalo i ka hōʻiliʻili ʻia e nā hāmeʻa omo.^{36, 45} Hōʻike ʻia e hiki ke hoʻolaha ʻia kēia mau ʻāpana mai ka waha o ka mea maʻi a i nā lima, nā lima, ka maka, ka umauma a me nā ʻāpana ʻē aʻe o ka anatomy o ka mea hana niho a me ka anatomy o ka mea maʻi.⁴⁵
• Pono e hoʻohana ʻia nā mīkina lima nitrile non-latex e ka dentist a me nā limahana niho āpau i ka lumi.^{45, 46, 77, 82-83}
• E hoʻohana ʻia nā pale pale maka a me nā uhi lauoho / poʻo e ka kauka niho a me nā limahana niho āpau i ka lumi.^{45, 77, 80}
• ʻO kahi mākia paʻa pono, i hoʻopaʻa ʻia i ka hanu e helu ʻia e hopu i ka mercury a i ʻole kaomi maikaʻi, pono e uhi ʻia ka pale maka i hāʻawi ʻia i ka ea a i ʻole oxygen e ka kauka niho a me nā limahana niho āpau i ka lumi.^{36, 45, 76, 77}
• I mea e pale aku ai i ka ʻili a me ka lole o ka mea maʻi, kahi kino piha, pale pale ʻole, a me ke poʻo piha / alo / ʻāʻī ā lalo / a puni ka dam, pono e hoʻohana.^{45, 77, 80}
• Hāʻawi ʻia ka ea a oxygen paha ma o ka pale ihu no ka mea hoʻomanawanui e pono ai e hoʻohana e hōʻoia i ka mea maʻi ʻaʻole e inhale i kekahi mahu o ka mercury a i ʻole ka amalgam particulate i ke kaʻina hana.^{45, 77, 80} ʻO kahi kanal nasal kahi koho ʻē aʻe no kēia kumu ke uhi paʻa ʻia ka ihu o ka mea maʻi me ka pale impermeable.
• He poho kahua niho^{74-76, 84-87} hana ʻia me nā mea nitrile non-latex^{45, 77, 83} pono e kau a hoʻopaʻa pono ʻia i ka waha o ka mea maʻi.
• Pono e waiho i kahi ejector saliva ma lalo o ka dam niho e hōʻemi i ka loaʻa ʻana o ka mercury i ka mea maʻi.^{45, 77}
• I ka wā o ka hoʻopau ʻana o amalgam i ka hoʻoneʻe ʻana, pono ka dentist e hoʻohana i kahi hakahaka aerosol oral ma kahi kokoke i ke kahua hana (ʻo ia hoʻi, ʻelua a ʻehā mau ʻīniha mai ka waha o ka mea maʻi) e hoʻoliʻiliʻi i ka loaʻa ʻana o ka mercury.^{45, 88}
• Hana ka heʻe wikiwiki i ka hopu ʻoi aku ka maikaʻi ke hoʻopili ʻia me kahi mea hoʻomaʻemaʻe.^{45, 87} ʻaʻole koi ʻia akā makemake ʻia.
• ʻO ka nui o ka wai e hōʻemi i ka wela^{45, 74, 76, 77, 86, 89-91} a me kahi mīkini wikiwiki wikiwiki e hopu i nā hoʻokuʻu mercury^{25, 29, 45, 74-77, 86, 90, 91} koi ʻia e hōʻemi i nā pae mercury ambient.⁴⁶
• Pono e hoʻokaʻawale ʻia ka amalgam i loko o nā ʻāpana a hemo i nā ʻāpana nui i hiki,^{45, 74, 77, 80} me ka hoʻohana ʻana i kahi drill carbide drill liʻiliʻi.^{29, 86}
• Ke pau ke kaʻina hana hemo, pono e holoi pono ʻia ka waha o ka mea maʻi me ka wai^{77, 80} a laila holoi ʻia me kahi slurry o ka lānahu, chlorella a i ʻole ka adsorbent like.⁸¹
• Pono nā kaukuki niho e mālama i nā lula pekelala, mokuʻāina, a kūloko e kamaʻilio ana i ka mālama pono ʻana, ka hoʻomaʻemaʻe ʻana, a me / a i ʻole ke kīloi ʻia ʻana o nā mea i hoʻohaumia ʻia i ka mercury, nā lole, nā pono pono, nā papa o ka lumi, a me ka papahele ma ka keʻena niho.
• I ka wā o ka wehe ʻana a me ka mālama ʻana i nā pahele omo i nā ʻoihana a i ʻole i ka ʻāpana omo nui, pono nā limahana niho e hoʻohana i nā pono pilikino pilikino ponoʻī i hōʻike ʻia ma luna.