Nā pilikia kūpilikiʻi
Hoʻokumu ʻia nā kūpilikia wela a i ʻole nā maʻi e ka hōʻike ʻana i ka wela a me ka lā nui loa. Hiki ke pale ʻia nā maʻi wela ma ke akahele ʻana i ke aniau wela.
Hiki i nā hōʻeha wela ma muli o ke kiʻekiʻe o ka mahana a me ka wela. E ʻike paha ʻoe i nā hopena o ka wela ma mua inā:
- ʻAʻole maʻa ʻoe i nā mahana wela a i ʻole ka hoʻohaʻahaʻa kiʻekiʻe.
- He keiki ʻoe a makua makua paha.
- Ua maʻi ʻē ʻoe mai kekahi kumu ʻē aʻe a ua ʻeha paha ʻoe.
- ʻO ʻoe ka momona.
- Ke hoʻoikaika nei nō ʻoe. ʻOiai ʻo ke kanaka ma ke ʻano maikaʻi e hiki ke ʻeha i ka maʻi wela ke nānā ʻole ʻia nā ʻōuli.
ʻO ka mea aʻe e paʻakikī ai i ke kino ke hoʻoponopono i kona mahana, a hoʻonui i kahi ulia pōpilikia wela:
- ʻO ka inu ʻana i ka waiʻona ma mua a i ʻole i ka wā e ʻike ʻia ai ka wela a i ʻole ke kiʻekiʻe o ka wai
- ʻO ka inu ʻole ʻana i nā wai ke hana ʻoe i nā lā mehana a wela paha
- Maʻi maʻi puʻuwai
- ʻO kekahi mau lāʻau: He laʻana nā beta-blockers, nā wai wai a i ʻole nā diuretics, kekahi mau lāʻau i hoʻohana ʻia e mālama ai i ke kaumaha, psychosis, a i ʻole ADHD.
- Pilikia i ka wai ʻaʻā
- ʻO ka lole nui loa
ʻO ke kuʻi wela ka pae mua o ka maʻi wela. Inā mālama ʻole ʻia kēia mau ʻōuli, hiki iā lākou ke alakaʻi i ka luhi wela a laila hahau wela.
Kū ka wela wela ke hiki ʻole i ke kino ke hoʻoponopono i kona ana wela, a piʻi mau nei ia. Hiki i ke kuʻi wela ke hoʻonāukiuki, hōʻino ka lolo, holo pono ʻole o ka ʻōpū, a me ka make pū kekahi.
ʻO nā ʻōuli mua o ka wela wela pū kekahi:
- Ka luhi
- ʻO nā kūpikipiki a me nā ʻeha e hana pinepine ʻia i nā wāwae a i ʻole ka ʻōpū
- Ka makewai
- Nui ka sweating kaumaha
Ma hope nā hōʻailona o ka luhi wela me:
- ʻIli ʻoluʻolu, ʻili
- Mimi ʻeleʻele
- Puʻupuʻu, ʻālohilohi
- ʻEha poʻo
- ʻO Nusea a me ka luaʻi
- Nawaliwali
Aia nā ʻōuli o ka heatstroke (kāhea iā 911 a i ʻole ka helu kūloko kūloko koke):
- Fever - ka mahana ma luna o 104 ° F (40 ° C)
- ʻO ka ʻili maloʻo, wela, a ʻulaʻula
- Huikau loa (hoʻololi i ka pae o ka ʻike)
- Hana kūpale
- Hanu wikiwiki, pāpaʻu
- Wikiwiki, nāwaliwali lāʻau ikiʻai
- Ka hopu ʻana i nā maʻi
- Unconsciousness (nalo o ka pane)
Inā manaʻo ʻoe he maʻi wela paha kā kekahi.
- E hoʻomoe ke kanaka i kahi wahi anuanu. E hāpai i nā wāwae o ke kanaka ma kahi o 12 ʻīniha (30 kenimika).
- E noi i nā lole ʻoluʻolu, pulu (a i ʻole ka wai anuanu pololei) i ka ʻili o ke kanaka a hoʻohana i ka peahi e hoʻohaʻahaʻa i ka mahana o ke kino. E hoʻokau i nā kaomi anuanu ma ka ʻāʻī o ke kanaka, a me kona ʻūlū, a me nā ʻelima.
- Inā makaʻala, hāʻawi i ke kanaka i kahi mea inu e inu ai (e like me ka inu haʻuki), a i ʻole e hana i ka mea inu paʻakai me ka hoʻohui ʻana i kahi teaspoon (6 gram) o ka paʻakai no ka lita (1 lita) o ka wai. E hāʻawi i kahi kīʻaha hapa (120 milliliters) i kēlā me kēia 15 mau minuke. E hana ka wai anuanu ke loaʻa ʻole nā mea inu paʻakai.
- No nā ʻūpī mākala, hāʻawi i nā mea inu e like me ka mea i ʻōlelo ʻia ma luna a lomilomi mālie i nā mākala, akā paʻa, a hoʻomaha lākou.
- Inā hōʻike ke kanaka i nā hōʻailona o ka pīhoihoi (nā lehelehe bluish a me nā manamana lima a hoʻemi i ka makaʻala), hoʻomaka i ka hopu ʻana, a i ʻole nalo paha i ka ʻike, kāhea iā 911 a hāʻawi i ke kōkua mua e pono ai.
E hāhai i kēia mau palekana:
- Mai hāʻawi i ke kanaka i nā lāʻau i hoʻohana ʻia e mālama i ke kuni (e like me aspirin a i ʻole acetaminophen). ʻAʻole lākou e kōkua, a hōʻeha paha lākou.
- MAI hāʻawi i ke kanaka i nā papa paʻakai.
- Mai hāʻawi i ke kanaka i nā wai i loaʻa ka ʻalekō a i ʻole ka caffeine. E paʻakikī lākou i ke kino e kaohi i kona ana wela i loko.
- Mai hoʻohana i nā ʻōpala ʻalekika i ka ʻili o ke kanaka.
- MAI hāʻawi aku i ke kanaka i kekahi mea ma ka waha (ʻaʻole i nā mea inu paʻakai) inā e luaʻi a i ʻole ʻike ʻole ke kanaka.
Kāhea iā 911 inā:
- Lilo ke kanaka i ka noʻonoʻo i kēlā me kēia manawa.
- Aia kekahi hoʻololi ʻē aʻe i ka makaʻala o ke kanaka (e laʻa me ka huikau a me ka hopu ʻana).
- Loaʻa ke kuni o ke kanaka ma mua o 102 ° F (38.9 ° C).
- Aia nā ʻōuli ʻē aʻe o ka heatstroke (e like me ka wikiwiki wikiwiki a i ʻole ka hanu wikiwiki ʻana).
- ʻAʻole hoʻomaikaʻi ke kūlana o ke kanaka, a i ʻole worsens ʻoiai ʻo ka lāʻau.
ʻO ka hana mua i ka pale ʻana i nā maʻi wela ke noʻonoʻo mua nei.
- E ʻike i ke ʻano o ka mahana no ka lā holoʻokoʻa ma waho ʻoe.
- E noʻonoʻo e pili ana i kāu hana ʻana me ka wela i ka wā i hala.
- E hōʻoia i ka nui o nā wai e inu.
- E ʻike inā loaʻa ke aka i kahi āu e hele nei.
- E aʻo i nā hōʻailona mua o ka maʻi wela.
I mea e pale aku ai i nā maʻi wela:
- E ʻaʻahu i nā lole lewalewa, māmā a me nā lole ʻalani māmā i ka wā wela.
- Hoʻomaha pinepine a ʻimi i ka malu ke hiki.
- Hōʻalo i ka hoʻoikaika kino a me ka hoʻoikaika kino i waho ma ka wā wela a mahana paha.
- Inu nui i nā wai i kēlā me kēia lā. Inu hou i nā wai ma mua, i ka wā, a ma hope o ka hoʻoikaika kino.
- E makaʻala loa e hōʻalo i ka hoʻomehana nui inā ʻoe e lawe i nā lāʻau e hōʻino i ka hoʻoponopono o ka wela, a i ʻole ke kaupaona a makua paha ʻoe.
- E akahele i nā kaʻa wela i ke kauwela. E ʻae i ke kaʻa e hōʻalili ma mua o ka komo ʻana i loko.
- Mai haʻalele i kahi keiki e noho ana i loko o kahi kaʻa e kūlia i ka lā wela, ʻoiai ma hope o ka wehe ʻana o nā puka aniani.
Ma hope o ka hoʻōla ʻia ʻana mai ka maʻi wela nui, e nānā me kāu kauka olakino no ka ʻōlelo aʻo ma mua o ka hoʻi ʻana i ka hana kaumaha. E hoʻomaka i ka hoʻoikaika kino i kahi anuanu a hoʻonui mālie i ke kēkelē o ka wela. Ma mua o ʻelua mau pule, e hoʻonui i ka lōʻihi a me ka paʻakikī o kou hoʻoikaika kino ʻana, a me ka nui o ka wela.
Heatstroke; ʻO ka maʻi wela; Make wai - wela pilikia
- Nā pilikia kūpilikiʻi
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Platt M, Kumukūʻai MG. Maʻi wela. 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 133.
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 66.
Sawka MN, O'Connor FG. Nā maʻi ma muli o ka wela a me ke anuanu. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 101.