Hypothermia

He haʻahaʻa haʻahaʻa ʻo Hypothermia i ka mahana o ke kino, ma lalo o 95 ° F (35 ° C).

ʻO nā ʻano ʻeha ʻeha ʻē aʻe e pili ana i nā lālā i kapa ʻia he ʻeha anuanu peripheral. ʻO kēia mau mea, ʻo ka hau ka hau paʻa loa. ʻO nā hōʻeha nonfreezing e kū mai ka hōʻike ʻana i nā anu anuanu e pili ana i nā wāwae auwaha a me nā kūlana o ka wāwae immersion. ʻO nā Chilblains (i kapa ʻia he pernio) he mau puʻupuʻu liʻiliʻi, ʻili a ʻeha hoʻi ma ka ʻili e hana pinepine ʻia ma nā manamana lima, pepeiao, a me nā manamana wāwae. ʻO lākou kahi ʻano o ka hōʻeha nonfreezing e hoʻomohala i ke anu, maloʻo nā kūlana.

E hoʻomohala paha ʻoe i ka hypothermia inā ʻoe:

• Kahiko loa a ʻōpio paha
• Maʻi maʻamau, ʻo ka poʻe hoʻi i loaʻa ka pilikia o ka puʻuwai a i ʻole ke kahe
• Malnourished
• Luhi loa
• Lawe i kekahi mau lāʻau i kuhikuhi ʻia
• Ma lalo o ka mana o ka waiʻona a lāʻau paha

Kū ka Hypothermia ke nalowale ka nui o ka wela ma mua o ka hiki i ke kino ke hana. I ka hapanui o nā hihia, hana ia ma hope o nā kau lōʻihi i ke anuanu.

ʻO nā kumu maʻamau ka:

• Ma waho me ka lawa ʻole o nā lole pale i ka hoʻoilo
• Ke hāʻule nei i loko o ka wai anuanu o kahi loko, kahawai, a i ʻole kekahi ʻano wai ʻē aʻe
• Ke komo ʻana i nā kapa pulu i ke aniau a me ke anuanu
• Hoʻoikaika i ka hana, ʻaʻole inu i ka wai lawa, a i ʻole lawa ka ʻai ʻana i ke anuanu

Ke hoʻomohala nei kekahi kanaka i ka hypothermia, nalo mālie lākou i ka hiki ke noʻonoʻo a neʻe. I ka ʻoiaʻiʻo, ʻaʻole paha lākou e ʻike he pono lākou i ka lāʻau pōpilikia. ʻO kekahi me ka hypothermia paha e loaʻa i ka hau.

Aia nā ʻōuli me:

• Huikau
• Hiamoe
• Pālehu a me ka ʻili anuanu
• Hanu mālie a i ʻole ka helu puʻuwai
• ʻAʻole hiki ke kāohi ʻia (ʻoiai ma nā mahana haʻahaʻa o ke kino, kū paha ka haʻalulu)
• Nāwaliwali a me nā lilo o ka hoʻohui ʻana

Lethargy (nāwaliwali a me ka hiamoe), hiki i ka cardiac hopu, haʻalulu, a me ke koma ke hoʻonohonoho me ka ʻole o ka mālama koke. Hiki i ka Hypothermia ke make.

E hana i kēia mau kaʻina hana inā manaʻo ʻoe he hypothermia kekahi:

1. Inā loaʻa i kekahi kanaka nā ʻōuli o ka hypothermia e kū nei, keu hoʻi i ka huikau a i ʻole nā ​​pilikia e noʻonoʻo ana, e kāhea koke iā 911.
2. Inā ʻike ʻole ke kanaka, e nānā i ke ala ea, ka hanu ʻana, a me ka holo ʻana. Inā pono, e hoʻomaka i ka hanu hoʻopakele a i ʻole CPR. Inā he hanu ka mea i loaʻa ma mua o 6 mau hanu i kēlā me kēia minuke, e hoʻomaka i ka hanu hoʻopakele.
3. Lawe i ke kanaka i loko i kahi mahana a uhi i nā kapa mahana. Inā hiki ʻole i ka hale, e kiʻi i ke kanaka mai ka makani a hoʻohana i kahi kapa moe e hoʻolako i ka hoʻāpā mai ka lepo anuanu.Uhi ke poʻo o ke kanaka a me ka ʻāʻī e kōkua i ka mālama ʻana i ka wela o ke kino.
4. Pono e hoʻoneʻe i nā poʻe o ka hypothermia koʻikoʻi mai ke anuanu me ka hoʻoikaika iki e like me ka hiki. Kōkua kēia i mea e pale ai i ka mehana mai ka shunted mai ke kumu o ke kanaka i nā mākala. I loko o kahi kanaka hypothermic haʻahaʻa loa, manaʻo ʻia he palekana ka muscular hoʻoikaika kino, eia nō naʻe.
5. Ke komo i loko, hemo i nā lole mākū a paʻa paha a hoʻololi iā lākou i nā lole maloʻo.
6. Hahana i ke kanaka. Inā pono, e hoʻohana i ka wela o kou kino iho e kōkua i ka hoʻomehana ʻana. E noi i nā compresses mehana i ka ʻāʻī, ka paia o ka umauma, a me ke aʻa. Inā makaʻala ke kanaka a hiki iā ia ke ale wale, hāʻawi i nā wai mehana ʻole, ʻono, wai ʻole e kōkua i ka hoʻomehana ʻana.
7. Noho me ke kanaka a hiki i ke kōkua lapaʻau.

E hāhai i kēia mau palekana:

• Mai manaʻo ua ʻike ʻia kekahi e moe wale ana i ke anuanu ua make.
• Mai hoʻohana i ka wela pololei (e like me ka wai wela, kahi pale pumehana, a i ʻole ke kukui wela) e hoʻomehana ai i ke kanaka.
• Mai hāʻawi i ka waiʻona i ke kanaka.

Kāhea iā 911 i kēlā me kēia manawa ke manaʻo ʻoe he hypothermia kekahi. Hāʻawi i ke kōkua mua ʻoiai ke kali nei no ke kōkua pilikia.

Ma mua o kou hoʻolilo ʻana i ka manawa ma waho i ke anuanu, mai inu wai ʻona a puhipaka paha. Inu nui i nā wai a loaʻa ka lawa o ka meaʻai a hoʻomaha.

E ʻaʻahu i nā kapa kūpono i nā anu anuanu e pale ai i kou kino. Pākuʻi ʻia kēia mau mea:

• Mittens (ʻaʻole nā ​​mīkina lima)
• ʻO ka makani, pale wai, nā lole hoʻoliʻiliʻi nui
• ʻElua pālua kākini
• ʻO ka scarf a me ka pāpale e uhi i nā pepeiao (e pale i ka pohō nui ma o ka piko o kou poʻo)

Pale aku:

• ʻO ke anuanu loa, keu hoʻi me ka makani nui
• Nā lole pulu
• Ka maikaʻi ʻole o ka holo ʻana, ka mea mai ka makahiki mai, ka lole paʻa a i ʻole nā ​​kāmaʻa, nā kūlana paʻa, ka luhi, kekahi mau lāʻau, puhipaka, a me ka wai ʻona.

Wela ke kino haʻahaʻa; Hōʻike anu; Hōʻike

• Nā ʻili o ka ʻili

Prendergast HM, Erickson TB. Nā hana e pili ana i ka hypothermia a me ka hyperthermia. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 65.

Zafren K, Danzl DF. Frostbite a nonfreezing ʻeha hōʻeha. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 131.

Zafren K, Danzl DF. ʻO hypothermia pōʻino. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 132.