

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
I-Sodium nitrite ne-sodium thiosulfate yimithi esindisa impilo esetshenziswa ndawonye njenge-antidote ekunobuthi be-cyanide. Le mithi emibili isebenza njengeqembu ukusiza umzimba wakho ukuthi ungaqedi futhi uqede i-cyanide eyingozi ohlelweni lwakho. Ngenkathi le nhlanganisela ingase izwakale isabisa, kuyindlela yokwelapha esungulwe kahle esindise izimpilo ezingenakubalwa ezimweni eziphuthumayo.
I-Sodium nitrite ne-sodium thiosulfate yimithi ephuthumayo eyakha uhlelo lwe-antidote olunamacandelo amabili. I-Sodium nitrite iyinhlanganisela yamakhemikhali esiza ukuguqula amaseli akho abomvu egazi abe yifomu elingabopha ne-cyanide. I-Sodium thiosulfate bese isiza umzimba wakho ukuthi uqede ngokuphepha i-cyanide ngezinso zakho.
Cabanga ngale nhlanganisela yemithi njengeqembu lokuhlenga elikhethekile. I-sodium nitrite isebenza kuqala ukubamba ubuthi, kuyilapho i-sodium thiosulfate isiza ukuyikhipha emzimbeni wakho. Yomibili imithi inikezwa nge-IV ngqo egazini lakho, okubavumela ukuthi basebenze ngokushesha lapho isikhathi sibucayi.
Le mithi ivame ukugcinwa ezibhedlela nasezindaweni zezokwelapha eziphuthumayo njengengxenye yamakhithi e-antidote ye-cyanide. Abayona imithi ongahlangana nayo ekunakekelweni kwezokwelapha okuvamile, kodwa kunalokho ukwelashwa okukhethekile okugcinelwe izimo eziphuthumayo zokunobuthi.
Ukusetshenziswa okuyinhloko kwalolu hlu lwemithi ukwelapha ukunobuthi be-cyanide, isimo esingavamile kodwa esingabulala. Ukunobuthi be-Cyanide kungenzeka ezingozini zezimboni, emlilweni wendlu, noma ukuchayeka kumakhemikhali athile. Lolu hlelo lwe-antidote yilona ukuvikela okungcono kakhulu komzimba wakho kulolu hlobo lokunobuthi.
Ubuthi be-cyanide bukwenzeka lapho le nto enobuthi ivimbela amaseli akho ukuthi angasebenzisi umoya-mpilo ngendlela efanele. Noma ngabe igazi lakho lingaqukatha umoya-mpilo omningi, amaseli akho awukwazi ukuwufinyelela. Lokhu kudala isimo esiyingozi lapho izitho zakho ziqala ukuhluleka yize uphefumula kahle futhi ujikeleza kahle.
Kwezinye izimo, odokotela bangase futhi bacabange ukuthi le mithi isetshenziselwa amacala abucayi obuthi be-hydrogen sulfide, nakuba lokhu kungavamile. Isinqumo sokusebenzisa le mithi sincike ngaso sonke isikhathi ohlotsheni oluthile nobucayi bobuthi obuhilelekile.
Le nhlanganisela yemithi isebenza ngenqubo ekrelekrele yezinyathelo ezimbili enika umzimba wakho isikhathi sokululama. I-Sodium nitrite idala lokho odokotela abakubiza nge-methemoglobin, esebenza njengento yokukhohlisa ukuheha nokubopha nge-cyanide. Lokhu kukhipha ubuthi okwesikhashana ezithweni zakho ezibalulekile.
Ngenkathi i-sodium nitrite ikuthengela isikhathi, i-sodium thiosulfate iqala ukusebenza esixazululweni sangempela. Isiza ukuguqula i-cyanide eboshiwe ibe yinto ephephe kakhulu ebizwa nge-thiocyanate. Izindlu zakho ezingcolisayo zingabe sezisusa ngokuphepha le thiocyanate ngomchamo wakho.
Lena akuyona imithi ebuthakathaka nganoma iyiphi indlela. Kuyindlela yokwelapha enamandla, esheshayo eyenzelwe izimo eziphuthumayo ezisongela impilo. Inqubo yonke ngokuvamile ithatha amahora amaningana, lapho amaqembu ezokwelapha ekubheka eduze ukuze aqinisekise ukuthi konke kusebenza njengoba bekuhloswe.
Ngeke uzithathele wena le mithi - ihlale inikezwa ochwepheshe bezokwelapha abaqeqeshiwe ezindaweni eziphuthumayo. I-sodium nitrite iza kuqala, inikezwe kancane nge-IV ngemizuzu engu-2-4. Abasebenzi bezokwelapha bazokubheka ngokucophelela ngalesi sikhathi, beqaphela noma yiziphi izinguquko ezikhathazayo.
Ngemva nje kwe-sodium nitrite, uzothola i-sodium thiosulfate ngomugqa ofanayo we-IV. Lo muthi wesibili unikezwa kancane, ngokuvamile ngemizuzu engu-10-20. Isikhathi kanye nomthamo kubalwa ngokunembile ngokuya ngesisindo sakho nobukhulu besimo sakho.
Ngesikhathi sokwelashwa, uzoqashwa eduze ngemishini ehlukahlukene yezokwelapha. Lokhu kufaka phakathi ukuhlola amazinga akho omoya-mpilo, izinga lokushaya kwenhliziyo, umfutho wegazi, nezinye izimpawu ezibalulekile. Ithimba lakho lezokwelapha lingase futhi lidonse amasampula egazi ukuze lilandelele ukuthi ukwelashwa kusebenza kahle kangakanani.
Akukho ukulungiselela okukhethekile okudingekayo ngakho mayelana nokudla noma isiphuzo. Ezimweni eziphuthumayo, lezi zinto zithatha isihlalo sangemuva ekukutholeni ukwelashwa okusindisa impilo okudingayo ngokushesha ngangokunokwenzeka.
Lokhu kwelashwa ngokuvamile kunikezwa njengomthamo owodwa ophuthumayo kunokuba kube umuthi oqhubekayo. Lonke ukwelashwa kokuqala kuvame ukuthatha imizuzu engaba ngu-30 ukuqedela. Kodwa-ke, abanye abantu bangase badinge umthamo wesibili uma ukwelashwa kokuqala kungahlinzeki ngemiphumela eyanele.
Ithimba lakho lezokwelapha lizinquma ukuthi ngabe imithamo eyengeziwe iyadingeka yini ngokuya ngezimpawu zakho kanye nemiphumela yokuhlolwa kwegazi. Bazobheka izimpawu zokuthi amazinga e-cyanide emzimbeni wakho ayancipha nokuthi izitho zakho ziqala ukusebenza ngokujwayelekile futhi.
Ngemuva kokwelashwa kokuqala, cishe uzohlala esibhedlela ukuze uqhubeke nokuqashwa kanye nokunakekelwa okusekelayo. Lesi sikhathi sokubheka singahlala noma yikuphi kusuka emahoreni ambalwa kuya ezinsukwini ezimbalwa, ngokuya ngokuthi ubuthi bakho babunzima kangakanani nokuthi usabela kahle kangakanani ekwelashweni.
Njenganoma yimuphi umuthi onamandla, le nhlanganisela ye-antidote ingabangela imiphumela engemihle, yize ivame ukulawuleka uma iqhathaniswa nobuthi be-cyanide obungelashwanga. Ukuqonda le miphumela kungakusiza ukuthi wazi ukuthi yini ongayilindela ngesikhathi sokwelashwa.
Imiphumela esivamile ongase uhlangabezane nayo ihlanganisa ikhanda, isiyezi, isicanucanu, kanye nezinguquko emibaleni yesikhumba sakho. Abanye abantu baqaphela ukuthi isikhumba sabo sithatha umbala oluhlaza okwesibhakabhaka, okuyisibonakaliso sokuthi i-sodium nitrite isebenza njengoba bekuhloswe.
Nawa amanye emiphumela emibi ebikwa kaningi okufanele uyazi:
Le miphumela ejwayelekile ivamise ukuthuthuka emahoreni ambalwa njengoba imithi yenza umsebenzi wayo futhi umzimba wakho uqala ukululama. Ithimba lakho lezokwelapha lizokugada ngokuqhubekayo futhi linganikeza ukwelashwa okwengeziwe ukusiza ukuphatha noma yiziphi izimpawu ezingakhululeki.
Imiphumela emibi ebucayi ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kungabandakanya ukwehla okukhulu komfutho wegazi, ukushaya kwenhliziyo okungajwayelekile, noma izimpawu zokungezwani komzimba. Kodwa-ke, kubalulekile ukukhumbula ukuthi lezi zingozi zilinganiswa nobunjalo obusongela impilo bokubulawa ubuthi be-cyanide.
Eminye imiphumela emibi engavamile kodwa ebucayi amaqembu ezokwelapha aqaphela ukuthi ihlanganisa:
Ithimba lakho lezokwelapha liqeqeshwe ukubona nokwelapha lezi zinkinga ngokushesha uma zenzeka. Ukusetha esibhedlela kuqinisekisa ukuthi noma yimiphi imiphumela emibi ingaxazululwa ngokushesha ngokungenelela okufanele.
Noma ngabe le mithi ingasindisa impilo, izimo ezithile zezokwelapha zidinga ukuqapha okwengeziwe ngesikhathi sokwelashwa. Abantu abanegazi eliningi elincane, izinkinga zenhliziyo, noma ubunzima bokuphefumula badinga ukuqashwa ngokucophelela. Kodwa-ke, ezimweni eziphuthumayo zokubulawa yisiyane, izinzuzo ngokuvamile zidlula lezi zingozi.
Abantu abanokuntuleka kwe-glucose-6-phosphate dehydrogenase (G6PD) babhekana nezingozi eziphakeme ekuphathweni nge-sodium nitrite. Lesi simo sezakhi zofuzo sithinta indlela amangqamuzana abomvu egazi abhekana ngayo nemithi ethile. Uma wazi ukuthi unalesi simo, qiniseka ukuthi wazisa ithimba lakho lezokwelapha ngokushesha.
Abesifazane abakhulelwe badinga ukucatshangelwa okukhethekile, ngoba kokubili ukubulawa yisiyane nokwelashwa kungathinta ingane esakhula. Ithimba lakho lezokwelapha lizohlola ngokucophelela izingozi nezinzuzo, ngokuvamile lixhumana nochwepheshe ukuqinisekisa imiphumela engcono kakhulu kokubili umama nengane.
Abantu abanezifo ezithile ezingavamile zegazi noma labo abathatha imithi ethile bangase badinge nezindlela zokwelashwa eziguquliwe. Ithimba lakho lezokwelapha lizobuyekeza umlando wakho wezokwelapha kanye nemithi yamanje ukuze kulungiswe uhlelo lokwelashwa ngokufanele.
Le mithi ivame ukutholakala ngaphansi kwamagama abo ajwayelekile kunamagama athile omkhiqizo. Izibhedlela eziningi nezindawo eziphuthumayo zizigcina njengengxenye yamakhithi ajwayelekile e-cyanide antidote. Izinhlobo ezijwayelekile zisebenza kahle njenganoma yiziphi ezinye izindlela ezinamagama omkhiqizo.
Ungase uzwe ochwepheshe bezokwelapha bekhuluma ngale mithi njengengxenye ye-
Enye indlela enkulu yokuhlanganiswa kwalezi zinto yi-hydroxocobalamin (igama lomkhiqizo i-Cyanokit), enye i-antidote ye-cyanide evunywe yi-FDA. I-Hydroxocobalamin isebenza ngendlela ehlukile ngokubopha ngqo ku-cyanide bese iyiguqula ibe yinto engenangozi engasuswa umzimba wakho.
Ezinye izikhungo zezokwelapha zikhetha i-hydroxocobalamin ngoba ingase ibe nemiphumela emincane futhi ayidingi inqubo yezinyathelo ezimbili. Kodwa-ke, zombili lezi zindlela zokwelapha zisebenza kahle kakhulu uma zisetshenziswa ngendlela efanele. Ukukhetha kuvame ukuncika kulokho okutholakala ngokushesha kanye nesimo sakho sezokwelapha esithile.
Kwezinye izimo, odokotela bangase basebenzise ukwelashwa okusekelayo kanye noma esikhundleni se-antidotes ethile. Lokhu kungabandakanya ukwelashwa nge-oxygen ephezulu, uketshezi lwe-IV, kanye nemithi yokusekela umfutho wegazi nomsebenzi wenhliziyo ngenkathi umzimba wakho ululama.
Ngemva kokusho lokho, akukho okunye okungathatha indawo yokuhlolwa nokwelashwa okufanele kwezokwelapha ezimweni zobuthi be-cyanide. Amakhambi asekhaya noma imithi etholakala ngaphandle kwemvume kadokotela ayikwazi ukwelapha lolu hlobo lobuthi ngempumelelo.
Zombili izindlela zokwelapha zisebenza kahle kakhulu ebuthini be-cyanide, futhi ukukhetha kuvame ukuncika ezintweni ezingokoqobo kunokuba zibe ngcono. I-Hydroxocobalamin (Cyanokit) ingase ithandwe kwezinye izimo ngoba kulula ukuyiphatha futhi ingase ibe nemiphumela emincane yenhliziyo nemithambo yegazi.
Inhlanganisela ye-sodium nitrite kanye ne-sodium thiosulfate isetshenziswe ngempumelelo amashumi eminyaka futhi inesithombe sokuphepha esisunguliwe kahle. Ivame ukutholakala kalula futhi ayibizi kakhulu kune-hydroxocobalamin, okuyenza ibe yindlela ekahle eminyangweni eminingi yezimo eziphuthumayo.
Iqembu lakho lezokwelapha lizokhetha ukwelashwa okufanele kakhulu ngokusekelwe esimweni sakho esithile, okutholakalayo, kanye nomlando wakho wezokwelapha. Zombili izinketho zisindise izimpilo ezingenakubalwa, futhi noma iyiphi ingase isebenze kahle kakhulu uma inikezwa ngendlela efanele.
Into ebaluleke kakhulu akuyona ukuthi yiluphi uhlobo lwe-antidote olusetshenziswayo, kodwa ukuthi ukwelashwa kuqala ngokushesha kangakanani. Isikhathi sibalulekile ekuphuzeni i-cyanide, futhi ukuqala noma yikuphi ukwelashwa okufanele ngokushesha kubaluleke kakhulu kunokuphikisana ngokuthi iyiphi inketho engase ibe ngcono kancane.
Abantu abanezifo zenhliziyo badinga ukuqashwa okucophelelayo ngesikhathi sokwelashwa, kodwa imithi ingase isindise impilo. I-Sodium nitrite ingathinta umfutho wegazi nokushaya kwenhliziyo, okusho ukuthi iqembu lakho lezokwelapha lizobheka ukusebenza kwenhliziyo yakho eduze kakhulu ngesikhathi sokwelashwa.
Odokotela bakho cishe bazosebenzisa ukuqashwa okuqhubekayo kwenhliziyo futhi bangase balungise isivinini sokuphathwa ukuze banciphise ukucindezeleka kwenhliziyo nemithambo yegazi. Bangase futhi babe neminye imithi yenhliziyo elungele uma udinga ukusekelwa okwengeziwe ngesikhathi sokwelashwa.
Iphuzu elibalulekile ukuthi ukubulawa yi-cyanide okungelashwanga cishe ngaso sonke isikhathi kuyabulala, kuyilapho izingozi ezivela ku-antidote zingalawulwa ngokunakekelwa kwezokwelapha okufanele. Ithimba lakho lezokwelapha liqeqeshwe ukulinganisa lezi zinto futhi linikeze ukwelashwa okuphephe kakhulu.
Ngeke uziphathe le mithi ngokwakho, njengoba inikezwa kuphela ochwepheshe bezokwelapha abaqeqeshiwe ezindaweni zasesibhedlela ezilawulwayo. Ukulinganisa kubalwa ngokucophelela ngokusekelwe esisindweni sakho nesimo sakho, futhi abasebenzi bezokwelapha bakuqapha ngokuqhubekayo ngesikhathi sokwelashwa.
Uma iphutha lokulinganisa lingenzeka, ithimba lakho lezokwelapha lingaliqaphela ngokushesha ngokubheka njalo izimpawu zakho ezibalulekile kanye nokuhlolwa kwegazi. Banamaphrothokholi endaweni yokuphatha noma yiziphi izinkinga ezivela ekulinganiseni okweqile.
Indawo yesibhedlela iqinisekisa ukuthi noma yiziphi izinkinga zingaxazululwa ngokushesha ngemithi eyengeziwe, ukusekelwa komfutho wegazi, noma ezinye izindlela zokungenelela njengoba kudingeka. Yingakho le mithi inganikezwa ngaphandle kwezikhungo ezifanele zezokwelapha.
Lo mbuzo awusebenzi kule mithi ngoba inikezwa njengemithi ephuthumayo kunokuba imithamo ehleliwe. Uzothola ukwelashwa okuphelele ngesikhathi sokuvakasha kwakho okuphuthumayo, futhi akukho isimiso sokulinganisa esiqhubekayo okufanele silondolozwe.
Uma ithimba lakho lezokwelapha linquma ukuthi udinga umthamo wesibili, lizowunikeza ngokusekelwe ekuphenduleni kwakho ekwelashweni kokuqala kanye nesimo sakho samanje. Lesi sinqumo senziwa ochwepheshe bezokwelapha ngokusekelwe ekuhlolweni komtholampilo kanye nemiphumela yaselebhu.
Ngemuva kokwelashwa kwakho okuphuthumayo, ngokuvamile uzoshintshela ekunakekelweni okusekelayo nasekuqapheni kunokuba uqhubeke nale mithi ethile. Uhlelo lwakho lokululama luzogxila ekusizeni umzimba wakho ukuthi uqede ngokugcwele noma yiziphi ubuthi obusele futhi ubuyisele ukusebenza okuvamile.
Le mithi ngokuvamile inikezwa njengokwelashwa okuphuthumayo kwesikhathi esisodwa kunokuba kube ukwelashwa okuqhubekayo. Uma usuwutholile umthamo wokuqala (futhi mhlawumbe umthamo wesibili uma kudingeka), isigaba sokwelashwa sivamise ukuba siqediwe.
Ithimba lakho lezokwelapha lizinquma ukuthi ukwelashwa kwe-antidote kuqediwe nini ngokusekelwe ezimpawini zakho, izimpawu ezibalulekile, kanye nemiphumela yokuhlolwa kwegazi. Bazobe bebheka izimpawu zokuthi i-cyanide isuswe futhi ukuthi imisebenzi ejwayelekile yomzimba wakho iyabuyela.
Ngemuva kokwelashwa ngomuthi wokulwa, ukunakekelwa kwakho kuzogxila ezinyathelweni zokusekela ukusiza umzimba wakho ukuthi ululame ngokugcwele. Lokhu kungabandakanya ukuqhubeka nokuqapha, ukwelashwa nge-oxygen, uketshezi lwe-IV, kanye neminye imithi yokusekela izitho zakho njengoba zizilapha ebuthini.
Imithi iqala ukusebenza ngemizuzu ngemuva kokunikezwa, kodwa ungase ungazizwa ungcono ngokushesha. I-sodium nitrite iqala ukubopha ne-cyanide cishe ngokushesha, ngenkathi i-sodium thiosulfate iqala inqubo yokusiza umzimba wakho ukuthi uqede ubuthi.
Abantu abaningi baqala ukubonisa izimpawu zokuthuthuka ngaphakathi kwehora lokuqala lokwelashwa, nakuba ukululama okuphelele kungathatha amahora amaningi kuya ezinsukwini kuye ngobukhulu bokubulawa ubuthi. Ithimba lakho lezokwelapha lizolandela inqubekela phambili yakho ngokuhlola njalo izimpawu ezibalulekile kanye nokuhlolwa kwegazi.
Kubalulekile ukuqonda ukuthi ukululama kuvame ukuba kancane kancane kunokuba ngokushesha. Umzimba wakho udinga isikhathi sokubuyisela ukusetshenziswa okuvamile kwe-oxygen emangqamuzaneni akho nokulungisa noma yimuphi umonakalo odalwe ubuthi. Umuthi wokulwa umisa inqubo yokubulawa ubuthi, kodwa ukuphola kuthatha isikhathi esengeziwe.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.