Lāʻau make ʻino ʻo Mercuric

ʻO Mercuric oxide kahi ʻano o ka mercury. He ʻano paʻakai kala. Aia kekahi ʻano o nā lāʻau make mercury. Kūkākūkā kēia ʻatikala i ka lāʻau make mai ka ale ʻana i ka oxur mercuric.

ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana ia mea e mālama a mālama i kahi lāʻau make maoli. Inā loaʻa ʻoe a i ʻole kekahi mea āu e launa pū ai, e kāhea i kāu helu pilikia kūloko (e like me 911), a i ʻole hiki ke kiʻi pololei ʻia i kahi kikowaena lāʻau make kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help free (1-800-222-1222) mai nā wahi a ʻAmelika Hui Pū ʻIa.

ʻAilika Mercuric

Loaʻa i ka oxurur Mercuric i kekahi:

• Nā pihi pihi (ʻaʻole kūʻai hou ʻia nā paila i loaʻa ka mercury i United States)
• Nā mea hoʻomaʻi maʻi kīnā ʻole
• Fungicides

Ua loaʻa nā hōʻike o ka make ʻana o ka mercury inorganic mai ka hoʻohana ʻia ʻana o nā kalima hoʻoliʻiliʻi ʻili.

Kahakaha: ʻAʻole paha komo kēia papa inoa.

ʻO nā ʻōuli o ka lāʻau ʻawahia mercuric oxide pū kekahi:

• Paʻi ʻōpū (koʻikoʻi)
• Mākī koko
• Hoʻoemi i ka puka mimi (pau paha)
• Drooling
• Hoʻopilikia loa i ka hanu ʻana
• ʻIno metallic i ka waha
• ʻEha nā waha
• Hoʻopū ka ʻōpū (hiki i ka pehu ke hoʻopau i ka ʻāʻī)
• Pākuʻi (haʻahaʻa haʻahaʻa haʻahaʻa)
• ʻO ka luaʻi, me ke koko

E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i kahi kanaka ke ʻole ke haʻi ʻia e Poison Control a i ʻole kahi ʻoihana mālama ola. Inā hoʻohaumia ʻia ka lole me ka lāʻau make, e hoʻāʻo e hoʻoneʻe iā ia me ka pale ʻana iā ʻoe iho mai ka hoʻopili ʻana me ka lāʻau make.

Kōkua ka ʻikepili aʻe no ke kōkua pilikia:

• Ka makahiki o ke kanaka, kaupaona, a me ke kūlana (ʻo kahi laʻana, e ala a makaala paha ke kanaka?)
• Ka inoa o ka huahana (nā mea hoʻohui a me nā ikaika, inā ʻike ʻia)
• Ka manawa ua ale ʻia
• Ua ale ʻia ka nui

Eia naʻe, mai hoʻopanee i ke kāhea ʻana i ke kōkua inā ʻaʻole loaʻa koke kēia ʻike.

Hiki ke kiʻi pololei ʻia kāu kikowaena lāʻau hoʻomake lāʻau kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help manuahi (1-800-222-1222) mai nā wahi a pau o ʻAmelika Hui Pū ʻIa. E hoʻokuʻu kēia lālani lāhui iā ʻoe e kamaʻilio me nā loea i ka lāʻau make. E hāʻawi lākou iā ʻoe i nā ʻōkuhi ʻē aʻe.

He lawelawe manuahi kēia a pilikino. Hoʻohana nā kikowaena mālama lāʻau ʻona āpau i ʻAmelika Hui Pū ʻIa i kēia helu aupuni. E kāhea ʻoe inā he nīnau kāu e pili ana i ka lāʻau make a i ʻole ka pale ʻana i ka lāʻau make. ʻAʻole pono ia e pilikia. Hiki iā ʻoe ke kāhea no nā kumu, 24 mau hola i ka lā, 7 mau lā o ka pule.

E ana a mālama ka mea mālama ola i nā hōʻailona koʻikoʻi, e like me ka mahana, ka lāʻau, ka hanu ʻana, a me ke kahe o ke koko. E mālama ʻia nā ʻōuli ma ke kūpono. E loaʻa paha i ke kanaka:

• Kākoʻo Airway, e like me ka oxygen, paipu hanu ma o ka waha (intubation), a me ka mīkini hanu (ventilator)
• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• ʻO ka pahu paʻi kiʻi i lalo o ka ʻāʻī (endoscopy) e ʻike ai i ke ahi i ka paipu meaʻai (esophagus) a me ka ʻōpū
• Pākuʻi x-ray
• ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
• Nā Fluids ma o kahi aa (intravenous a i ʻole IV)
• Nā lāʻau lapaʻau e mālama ai i nā ʻōuli
• Ua kapa ʻia nā lāʻau lapaʻau he chelators e lawe i ka mercury mai ke kahe o ke koko a me nā ʻaʻa, kahi e hōʻemi ai i ka hōʻeha wā lōʻihi

ʻO kēlā me kēia mea i ale i kahi pakuhi e pono koke i nā kukuna x e ʻike pono ʻaʻole paʻa ka pila i ka esophagus. ʻO ka hapanui o nā pākeke moni e hele i loko o ka esophagus e hala i waho o ke kino i ka pahu me ka ʻole o ka pilikia. Eia nō naʻe, hiki i nā paukū paʻa i ka esophagus ke kumu i kahi puka i ka esophagus me ka wikiwiki, e alakaʻi ana i ka maʻi nui a me ka haʻalulu, a he mea make paha ia. He mea nui ia e ʻimi koke i ke kōkua lapaʻau ma hope o ka ale ʻia ʻana o ka pila.

Aia ka maikaʻi o ke kanaka ma muli o ka nui o nā lāʻau make i ale ʻia a me ka wikiwiki i loaʻa ai ka lāʻau. ʻO ka wikiwiki o ke kōkua olakino o kekahi kanaka, ʻo ka ʻoi aku ka maikaʻi o ka manawa kūpono no ke ola ʻana. ʻO ka dialysis kidney (filtration) ma o kahi mīkini e pono ai inā ʻaʻole ola nā puʻupaʻa ma hope o ka make ʻana o ka mercury. Hiki i ka hakuʻala ʻole a me ka make ke hana, ʻoiai me nā kau liʻiliʻi.

Hiki i ka lāʻau make Mercuric oxide ke alakaʻi i ka maikaʻi ʻole o ka meaola a me ka make.

ʻO Theobald JL, Mycyk MB. ʻO nā hao a me nā hao hao kaumaha. 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 151.

Tokar EJ, Boyd WA, Freedman JH, Waalkes MP. Nā hopena ʻino o nā metala. I: Klaassen CD, Watkins JB, eds. Nā Pono o Casarett lāua ʻo Doull o Toxicology. ʻEkolu huaʻōlelo. Nu Ioka, NY: McGraw Hill Lapaʻau; 2015: chap 23.