Poisoning

Hiki ke hana ʻia ka lāʻau ʻona ke ʻino ʻoe, moni ʻole, a hoʻopā paha i kahi mea e maʻi nui ai. Hiki i kekahi mau mea ʻino ke make.

Hana pinepine ʻia ka lāʻau make mai:

• ʻO ka lawe ʻana i ka lāʻau nui a i ʻole ka lawe ʻana i ka lāʻau i kumu ʻole ʻia nāu
• Ka hanu ʻana a me ka ale ʻana i ka hale a i ʻole nā ​​ʻano kemika ʻē aʻe
• Hoʻomoʻa i nā kemika ma o ka ʻili
• Ke komo nei i ke kinoea, e like me carbon monoxide

Hiki i nā hōʻailona a i ʻole nā ​​hōʻailona o ka lāʻau make ke komo pū:

• Nui loa a liʻiliʻi paha nā haumāna
• Wikiwiki a wikiwiki paha ka puʻuwai puʻuwai
• Hanu wikiwiki a lohi loa paha
• Drooling a waha maloʻo loa paha
• ʻEha ʻōpū, nausea, luaʻi, a i ʻole diarrhea
• ʻO ka hiamoe a hyperactivity paha
• Huikau
• ʻLelo lohi
• ʻO nā neʻe like ʻole a paʻakikī paha i ka hele wāwae
• Huakaʻi paʻakikī
• Ka nalowale ʻana o ka ʻōpū a i ʻole ka mālama ʻana o ka ʻai
• ʻO ka wela a ʻulaʻula paha o nā lehelehe a me ka waha, i kumu ʻia e ka inu ʻona
• Hanu ʻaʻala
• ʻO nā kuni kemikū a i ʻole nā ​​kinai ma luna o ke kanaka, ka lole, a i ʻole kahi e puni ai ke kanaka
• ʻEha ʻeha
• ʻEha poʻo
• Lilo o ka hihiʻo
• Kahe koke ʻana ke koko
• Nā ʻōmole pila a i ʻole nā ​​pila i hoʻopuehu ʻia

Hiki i nā pilikia olakino ʻē aʻe ke kumu i kekahi o kēia mau ʻōuli. Eia nō naʻe, inā manaʻo ʻoe ua ʻona kekahi, pono ʻoe e hana wikiwiki.

ʻAʻole nā ​​mea ʻino a pau i nā ʻōuli i kēia manawa. I kekahi manawa hele lohi mai nā ʻōuli a hana paha i mau hola ma hope o ka hōʻike ʻana.

Paipai ka Poison Control Center i ka lawe ʻana i kēia mau ʻanuʻu inā ua make kekahi.

HEAHA KA HANA MUA

• Noho mālie. ʻAʻole nā ​​lāʻau āpau a i ʻole nā ​​kemika e hoʻonāukiuki i ka lāʻau make.
• Inā ua hala ke kanaka a ʻaʻole hanu paha, e kāhea koke iā 911 a i ʻole ka helu kūloko kūloko.
• No kahi lāʻau ʻino e like me carbon monoxide, e lawe i ke kanaka i ka ea hou i kēia manawa.
• No ka lāʻau make ma ka ʻili, wehe i nā kapa i hoʻopā ʻia e ka lāʻau make. E holoi i ka ʻili o ke kanaka me ka wai e holo ana no 15 a 20 mau minuke.
• No ka lāʻau make i nā maka, holoi i nā maka o ke kanaka me ka wai e holo ana no 15 a 20 mau minuke.
• No ka lāʻau make i ale ʻia, mai hāʻawi i ka lanahu i hoʻā ʻia ke kanaka. Mai hāʻawi aku i nā keiki i ka syrup ipecac. Mai hāʻawi i ke kanaka i kekahi mea ma mua o ke kamaʻilio ʻana me ka Poison Control Center.

E KOKUA ANA

Kāhea i ka helu pilikia ʻoihana poison Control Center ma 1-800-222-1222. Mai kali a loaʻa i ke kanaka nā ʻōuli ma mua o kou kāhea ʻana. E hoʻāʻo e hoʻomākaukau i ka ʻike aʻe:

• ʻO ka ipu a hue paha mai ka lāʻau a lāʻau make paha
• Ke kaupaona o ke kanaka, ka makahiki, a me nā pilikia olakino
• ʻO ka manawa i loaʻa ai ka lāʻau make
• Pehea i loaʻa ai ka lāʻau make, e like me ka waha, ʻimi ʻana, a i ʻole ka ʻili a me ka maka maka
• Ua luai paha ke kanaka
• He aha ke ʻano o ke kōkua mua āu i hāʻawi ai
• Kahi e noho ai ke kanaka

Loaʻa ke kikowaena i nā wahi a pau o ʻAmelika Hui Pū ʻIa. 7 lā o ka pule, 24 hola i ka lā. Hiki iā ʻoe ke kelepona a kamaʻilio pū me kahi loea ʻona e ʻike i ka mea e hana ai inā he lāʻau make. Hiki pinepine ʻoe i ke kōkua ma o ke kelepona a ʻaʻole pono e hele i ka lumi pilikia.

Inā pono ʻoe e hele i ka lumi pilikia, e nānā ka mea mālama ola i kāu mahana, ka lāʻau, ka nui o ka hanu, a me ke kahe o ke koko.

Pono ʻoe i nā hoʻokolohua ʻē aʻe, e like me:

• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• Nā kukuna X
• ECG (electrocardiogram)
• Nā hana e nānā ai i loko o kāu mau kahawai (bronchoscopy) a i ʻole esophagus (ʻōpuʻu ʻoki) a me ka ʻōpū (endoscopy)

I mea e mālama ʻole ai i ka lāʻau make mai ke omo ʻia, loaʻa paha iā ʻoe:

• Lanahu i hoʻā ʻia
• ʻO kahi paipu ma o ka ihu i loko o ka ʻōpū
• He laxative

Hiki i nā mālama ʻē aʻe ke:

• Holoi a hoʻoinu i ka ʻili a me nā maka
• Kākoʻo hanu, me ka paipu ma o ka waha i loko o ka windpipe (trachea) a me ka mīkini hanu
• Nā Fluids ma o ke aa (IV)
• Nā lāʻau lapaʻau e hoʻohuli i nā hopena o ka lāʻau make

E hana i kēia mau hana e pale ai i ka lāʻau make.

• Mai hoʻokaʻawale i nā lāʻau lapaʻau.
• E lawe i kāu mau lāʻau e like me ke kuhikuhi a kāu mea hāʻawi. Mai lawe i ka lāʻau keu a lawe pinepine paha ma mua o ke kuhikuhi.

E haʻi i kāu mea lawelawe a kauka lāʻau e pili ana i nā lāʻau a pau āu e lawe ai.

• Heluhelu i nā lepili no nā lāʻau lapaʻau over-the counter. E hāhai mau i nā ʻōkuhi ma ka lepili.
• Mai lawe i ka lāʻau i ka pouli. E ʻike pono hiki iā ʻoe ke ʻike i kāu mea e lawe nei.
• Mai hoʻopili iki i nā kemika o ko ka hale. Hiki ke hana i nā kinoea weliweli i ka hana ʻana pēlā.
• E mālama mau i nā kemika o ka home i loko o ka ipu i komo mai lākou. Mai hoʻohana hou i nā ipu.
• E hoʻopaʻa a paʻa ʻole i nā lāʻau āpau i nā hiki ʻole o nā keiki.
• E heluhelu a hāhai i nā lepili ma nā kemika o ko ka hale. E komo i ka lole a i nā mīkina lima e pale aku ai iā ʻoe ke lawelawe, inā kuhikuhi.
• E hoʻouka i nā mīkini ʻike kalapona. E hōʻoia i ka loaʻa hou o nā pila.

Latham MD. Toxicology. I: Kleinman K, Mcdaniel L, Molloy M, eds. ʻO Harriet Lane Handbook, Ke. 22nd ʻepekema Piladelapia, PA: Elsevier; 2021: chap 3.

Meehan TJ. Hele i ka mea maʻi ʻona. 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 139.

ʻO Nelson LS, Ford MD. Lāʻau make ʻino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 102.

ʻO Theobald JL, Kostic MA. Poisoning. I: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 77.

• Poisoning