Lāʻau make ʻino
ʻO ka waikawa oxalic kahi mea ʻona, ʻaʻohe waihoʻoluʻu. He kemika ia i ʻike ʻia ma ke ʻano he caustical. Inā hoʻopili ia i nāʻaʻaʻa, hiki iā ia ke hōʻeha.
Kūkākūkā kēia ʻatikala i ka lāʻau make mai ka ale ʻana i ka waikawa oxalic.
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.
ʻAkika ʻākela
Hiki ke loaʻa ka waikawa oxalic i kekahi:
- Nā huahana anti-popo
- ʻO Bleaches
- Mea hoʻomaʻemaʻe metala
- Nā lau Rhubarb
Kahakaha: ʻAʻole paha komo kēia papa inoa.
ʻO nā ʻōuli o ka lāʻau ʻawa oxalic e komo pū ana:
- Abdominal eha
- ʻO nā lapalapa a me nā palapū kahi i hoʻopili aku ai ka waikawa i ka ʻili, nā lehelehe, nā alelo, a me nā gum
- Hāneʻe
- Ka hopu ʻana i nā maʻi
- ʻEha o ka waha
- Pāhaʻi
- ʻEha ʻeha
- Nā haʻalulu (haʻalulu ʻole)
- ʻO ka luaʻi
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 ua ale ʻia ka kemikū, e hāʻawi koke i ka wai i ka mea a i ʻole ka waiū, ke ʻole ke aʻo ʻia e kahi mea mālama ola. MAI hāʻawi i ka wai a i ʻole ka waiū inā loaʻa ke kanaka i nā ʻōuli (e like me ka luaʻi, ka haunaele, a i ʻole ka pae o ka makaʻala i hōʻemi ʻia) e paʻakikī e ale.
Kōkua ka ʻikepili aʻe no ke kōkua pilikia:
- Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
- 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 hāʻawi i nā hōʻailona koʻikoʻi, e like me ka mahana, ka lāʻau, ka hanu ʻana, a me ke kahe o ke koko. 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
- CT a i ʻole kiʻi ʻimi kiʻi ʻē aʻe
- 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
- Tube ma o ka waha i loko o ka ʻōpū e hoʻohihi i ka waikawa ke koe ke ʻike ʻia ke kanaka ma hope koke iho o ka puka a ale ʻia ka nui
No ka hōʻike ʻana i ka ʻili, hiki i ka mālama ʻana ke:
- ʻO ka wehe ʻana o ka ʻili i puhi ʻia (debridement)
- Hoʻololi i kahi haukapila e loea i ka mālama ʻana i ka wela
- Holoi i ka ʻili (hawai), hiki paha i kēlā me kēia mau hola no nā lā he nui
Pono e komo i ka haukapila. Hiki ke koi ʻia ke ʻoki inā loaʻa ka esophagus, ʻōpū, a i ʻole nā ʻōpū i nā lua (perforations) mai ke kū ʻana i ka waikawa.
Ma ke ʻano o ka hilinaʻi ʻana o ke kanaka i ka nui o nā lāʻau make i ale ʻia, pehea ka nui o ka lāʻau make, 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.
Hiki ke hōʻino nui i ka waha, gastrointestinal tract, a i ʻole ke alaloa a hoʻomaka koke i ka make ke mālama ʻole ʻia. ʻO nā puka (perforation) i ka esophagus a me ka ʻōpū ke kumu i nā maʻi ʻino ma ka umauma a me nā ʻōpū o ka ʻōpū, kahi e hopena ai i ka make.
ʻO Hoyte C. Caustics. 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 148.
Ka Waihona Waihona Lapaʻau o U.S. National Medicine, Nā lawelawe ʻike kūikawā, pūnaewele pūnaewele Toxicology Data Network. ʻAkika ʻākela. toxnet.nlm.nih.gov. Hoʻohou ʻia ʻApelila 16, 2009. Loaʻa iā Ianuali 15, 2019.