Lāʻau make awa Boric
He lāʻau make weliweli ka Boric acid. ʻO ka ʻona ʻana mai kēia kemika hiki ke huʻi a lōʻihi paha. Kū pinepine ka make ʻino boric acid i ka manawa e ale ai kekahi i nā huahana roach-pepehi kanaka i piha i ka kemikū. ʻO ka waikawa Boric kahi kemika caustic. Inā hoʻopili ia i nāʻaʻaʻa, hiki iā ia ke hōʻeha.
Kū ka lāʻau make i loko o ka poʻe i hōʻike pinepine ʻia i ka waikawa boric. ʻO kahi laʻana, i ka wā i hala, ua hoʻohana ʻia ka waikawa boric e disinfect a mālama i nā ʻeha. ʻO ka poʻe i loaʻa pinepine i kēlā ʻano lapaʻau pinepine ʻana i ka maʻi, a ua make kekahi.
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 Boric
ʻIke ʻia ʻo Boric acid i:
- Nā antiseptics a me nā astringents
- ʻO nā enamel a me nā aniani
- Ke hana ʻana i nā aniani aniani
- Pahu lāʻau lapaʻau
- ʻIli ʻili
- Pena kekahi
- Kekahi koʻokoʻo a me nā pesticides ant
- Nā kemika kiʻi
- Pauka e pepehi i nā ʻūhā
- ʻO kekahi huahana holoi maka
Kahakaha: ʻAʻole paha piha kēia papa inoa.
ʻO nā ʻōuli nui o ka lāʻau ʻona boric ʻo ka luaʻi polū-ʻōmaʻomaʻo, diarrhea, a me ka ʻulaʻula ʻulaʻula i ka ʻili. Hiki i nā ʻōuli ʻē aʻe ke:
- Pahū
- Hāneʻe
- Koma
- Ka hopu ʻana i nā maʻi
- Hiamoe
- Fiva
- Ka nele o ka makemake e hana i kekahi mea
- Kaomi haʻahaʻa
- Ua hoʻoliʻiliʻi nui i ka puka mimi (a ʻaʻohe paha)
- Ka ʻili o ka ʻili
- ʻO ke kuʻi ʻana i nā mākala maka, nā lima, nā lima, nā wāwae, a me nā wāwae
Inā aia ka kemika ma ka ʻili, hemo ia e ka holoi ʻana i kahi.
Inā ua ale ʻia ke kemika, e ʻimi koke i ka lāʻau.
Inā hoʻopili ka kemika i nā maka, holoi i nā maka me ka wai anuanu no 15 mau minuke.
E hoʻoholo i ka ʻike aʻe:
- ʻO ka makahiki o ke kanaka, kaupaona, a me ke kūlana
- Ka inoa o ka huahana (nā mea hoʻohui a me ka ikaika, inā ʻike ʻia)
- Ka manawa i ale ʻia
- Ua ale ʻia ka nui
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.
Lawe i ka ipu me ʻoe i ka haukapila, inā hiki.
E ana a mālama ka mea mālama ola i nā ʻōuli nui o ke kanaka, e like me ka mahana, ka lāʻau, ka hanu, a me ke kahe o ke koko. Pili ka mālama ʻana i nā ʻōuli o kēlā me kēia. 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 ke kiʻi paʻi kiʻi i lalo o ka ʻāʻī (endoscopy) e ʻike ai i ka wela i ka esophagus a me ka ʻōpū
- Pākuʻi x-ray
- ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
- Nā Fluids ma o kahi aa (IV)
- Nā lāʻau lapaʻau e mālama ai i nā ʻōuli
Nānā: ʻAʻole mālama pono ka lanahu i hana ʻia (adsorb) waikawa boric.
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 ʻae ʻia ke kanaka i ka haukapila no ka hoʻomaikaʻi hou aku. Pono paha ke ʻoki inā loaʻa ka lua o ka esophagus, ʻōpū, a me ka ʻōpū mai ka waikawa.
ʻO ke kiʻekiʻe make o ke pēpē mai nā lāʻau make o boric acid. Eia nō naʻe, ʻoi aku ka nui o ka make ʻana o ka waikawa boric ma mua o ka wā i hala no ka mea ʻaʻole hoʻohana hou ʻia ka lāʻau ma ke ʻano he disinfectant i nā kahu hānai. ʻAʻole hoʻohana ʻia ia i nā hoʻomākaukau lapaʻau. He mea hoʻohui ka waikawa Boric i loko o kekahi mau lāʻau pili wahine i hoʻohana ʻia no nā maʻi hū, ʻoiai ʻaʻole kēia kahi maʻamau maʻamau.
ʻO ka ale ʻana i kahi nui o ka waikawa boric hiki ke loaʻa nā hopena koʻikoʻi ma nā wahi he nui o ke kino. Kū mau ka ʻino i ka esophagus a me ka ʻōpū i mau pule ma hope o ka ale ʻia ʻana o ka waikawa boric. ʻO ka make ʻana mai nā pilikia a hiki i kekahi mau mahina ma hope. ʻO nā puka (perforations) i ka esophagus a me ka ʻōpū e hopena i nā maʻi nui ma nā umauma a me nā ʻōpū o ka ʻōpū, kahi e hopena ai i ka make.
ʻAwahia borax
Aronson JK. ʻAkika Boric. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 1030-1031.
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 Boric. toxnet.nlm.nih.gov. Hoʻohou ʻia ʻApelila 26, 2012. Loaʻa iā Ianuali 16, 2019.