Malangizo a IAOMT olimbikitsa kuchotsa amalgam amadziwika kuti Safe Mercury Amalgam Removal Technique (SMART). Dziwani kuti SMART imaperekedwa ngati malangizo. Ogwira ntchito omwe ali ndi zilolezo ayenera kusankha okha momwe angagwiritsire ntchito mankhwalawa. Malangizo a SMART protocol akuphatikizapo njira zotsatirazi, zomwe zalembedwa pano ndi kafukufuku wa sayansi:
Malingaliro a IAOMT otetezedwa a amalgam kuchotsa protocol adasinthidwa posachedwa pa Julayi 19, 2019. Komanso, pa Julayi 1, 2016, malingaliro amachitidwe a IAOMT adasinthidwa kukhala Safe Mercury Amalgam Removal Technique (SMART), komanso maphunziro a madokotala a mano a IAOMT kuti akhale wotsimikizika mu SMART adayambitsidwa.
Kubwezeretsa konse kwamalum mano kumakhala pafupifupi 50% ya mercury,1 ndipo malipoti ndi kafukufuku ndizofanana kuti izi zimadzaza nthunzi za mercury.2-16
Kafukufuku wasayansi akuwonetsa kuti ma mercury amalgam amavumbula akatswiri amano, ogwira ntchito zamano, odwala mano, ndi / kapena fetus kuti atulutse mpweya wa mercury, mercury-containing particulate, ndi / kapena mitundu ina ya kuipitsidwa kwa mercury.4-48
Kuphatikiza apo, nthunzi ya mercury imadziwika kuti imatulutsidwa m'mazinyo a mercury amalgam odzaza pamitengo yayikulu kwambiri pakutsuka, kuyeretsa, kukuta mano, kutafuna, ndi zina zambiri,5, 14, 15, 24, 30, 49-54 ndi mercury imadziwikanso kuti imamasulidwa panthawi yoikapo, m'malo mwake, ndikuchotsa mankhwala a mercury amalgam.2, 25, 28, 29, 32, 36, 41, 45, 46, 55-60
Pogwiritsa ntchito umboni womwe ulipo asayansi, IAOMT yakhazikitsa njira zachitetezo zochotsera mankhwala a mercury amalgam omwe akupezeka kale, kuphatikiza njira zodzitetezera zomwe zingagwiritsidwe ntchito pochita izi. Malangizo a IAOMT amapangira njira zodalirika zotetezera amalgam monga kugwiritsa ntchito maski, kuthirira madzi, komanso kuyamwa kwamphamvu powonjezerapo njira zowonjezerazi ndi njira zina zowatetezera, kufunikira komwe kwapezeka posachedwapa pakufufuza kwasayansi.
- Cholekanitsa amalgam chiyenera kukhazikitsidwa bwino, kugwiritsidwa ntchito, ndikusungidwa kuti chisonkhanitse zinyalala za mercury amalgam kuti zisatulutsidwe mumtsinje wochokera ku ofesi yamano.25, 61-73
- Chipinda chilichonse chomwe amachotsa ma mercury chimayenera kukhala ndi kusefera kokwanira,29, 74-76 zomwe zimafunikira makina azosefera mpweya wambiri (monga malo opumira pakamwa pa aerosol) omwe amatha kuchotsa mpweya wa mercury ndi amalgam tinthu tomwe timapanga panthawi yomwe kuchotsedwa kwa mercury imodzi kapena zingapo.45, 77
- Ngati n'kotheka, mawindo ayenera kutsegulidwa kuti achepetse kuchuluka kwa mercury mlengalenga.29, 77-79
- Wodwalayo adzapatsidwa makala, chlorella, kapena adsorbent yofananira kuti atsuke ndikumeza asanagwiritse ntchito (pokhapokha wodwalayo atakana kapena pali zotsutsana zina zomwe zimapangitsa izi kukhala zosayenera).77, 80, 81
- Zovala zodzitchinjiriza ndi zophimba kwa mano,25, 45 ogwira mano,25, 45 ndi wodwalayo45 ziyenera kukhala m'malo. Onse omwe ali mchipindacho ayenera kutetezedwa chifukwa kuchuluka kwa tinthu tating'onoting'ono tomwe timachitika sizingatengeke ndi zida zokoka.36, 45 Zawonetsedwa kuti tinthu tating'onoting'ono titha kufalikira kuchokera mkamwa mwa wodwalayo mpaka m'manja, mikono, nkhope, chifuwa ndi ziwalo zina za ntchito ya mano ndi mawonekedwe a wodwalayo.45
- Magolovesi osakhala a latex a nitrile ayenera kugwiritsidwa ntchito ndi dokotala wa mano ndi onse ogwira ntchito mano m'chipindacho.45, 46, 77, 82-83
- Zishango zakumaso ndi zokutira tsitsi / kumutu ziyenera kugwiritsidwa ntchito ndi dokotala wa mano ndi onse ogwira ntchito mano mchipindacho.45, 77, 80
- Pangakhale chisindikizo choyika bwino, chopumira chomwe chimavotera kuti chigwire mankhwala a mercury kapena kupsinjika kwabwino, chigoba chosindikizidwa bwino chomwe chimapereka mpweya kapena mpweya chiyenera kuvalidwa ndi dotolo wamano ndi onse ogwira ntchito mano mchipindacho.36, 45, 76, 77
- Pofuna kuteteza khungu ndi zovala za wodwalayo, thupi lathunthu, chotchinga chosakanika, komanso chotchinga mutu / nkhope / khosi pansi / mozungulira dziwe, ziyenera kugwiritsidwa ntchito.45, 77, 80
- Mpweya wakunja kapena mpweya womwe umaperekedwa kudzera pachisoti cha m'mphuno kwa wodwalayo uyeneranso kugwiritsidwa ntchito kutsimikizira kuti wodwalayo satulutsa mpweya uliwonse wa mercury kapena amalgam particulate panthawiyi.45, 77, 80 Mphuno yamphongo ndi njira yovomerezeka pazifukwa izi malinga ngati mphuno ya wodwalayo ili ndi chotchinga chosagonjetseka.
- Damu lamano74-76, 84-87 amene amapangidwa ndi non-lalabala zakuthupi zakuthupi45, 77, 83 ziyenera kuikidwa ndikusindikizidwa bwino mkamwa mwa wodwalayo.
- Woponya malovu ayenera kuikidwa pansi pa damu la mano kuti achepetse kuwonekera kwa mercury kwa wodwalayo.45, 77
- Pakati pa kuchotsedwa kwa amalgam, dotolo ayenera kugwiritsa ntchito chopukusira pakamwa poyandikira pafupi ndi malo ogwiritsira ntchito (mwachitsanzo, mainchesi awiri kapena anayi kuchokera mkamwa mwa wodwalayo) kuti athetse kuchepa kwa mercury.45, 88
- Kuthamangitsidwa mwachangu kumatulutsa bwino mukakhala ndi chida Chotsuka,45, 87 zomwe sizokakamizidwa koma ndizokondedwa.
- Madzi ochuluka kuti achepetse kutentha45, 74, 76, 77, 86, 89-91 ndi chida chodziwika bwino chothamangitsira anthu kuti atenge kutulutsa kwa mercury25, 29, 45, 74-77, 86, 90, 91 amafunika kuti achepetse milingo yama mercury.46
- Kuphatikizana kuyenera kugawidwa mzidutswa ndikuchotsedwa mu zidutswa zazikulu momwe zingathere,45, 74, 77, 80 ntchito yaing'ono awiri carbide kubowola.29, 86
- Njira yochotsedwerayo ikamalizidwa, pakamwa pa wodwalayo pamafunika kuthiriridwa ndi madzi77, 80 ndiyeno kutsukidwa ndi slurry wa makala, chlorella kapena adsorbent ofanana.81
- Madokotala a mano ayenera kutsatira malamulo a feduro, boma, ndi madera akumaloko pakuwongolera kusamalira, kuyeretsa, ndi / kapena kutaya zinthu zodetsedwa ndi mercury, zovala, zida, malo achipinda, ndi pansi paofesi yamazinyo.
- Pakutsegulira ndikukonza misampha yoyendetsa kapena yoyikira, ogwira ntchito mano ayenera kugwiritsa ntchito zida zodzitetezera zomwe zafotokozedwa pamwambapa.
Ndikofunika kudziwa kuti monga chitetezo, IAOMT siyikulimbikitsanso kuchotsedwa kwa amalgam azimayi omwe ali ndi pakati kapena akuyamwitsa komanso kuti IAOMT sivomereza kuti ogwira ntchito mano omwe ali ndi pakati kapena akuyamwitsa azigwira ntchito zomwe zimasokoneza amalgam kudzazidwa (kuphatikiza kuchotsedwa kwawo).