ʻĀkena Sodoma hypochlorite

ʻO Sodium hypochlorite kahi kemika i ʻike pinepine ʻia i loko o ke keʻokeʻo, mea hoʻomaʻemaʻe wai, a me nā huahana hoʻomaʻemaʻe. ʻO Sodium hypochlorite kahi kemika caustic. Inā hoʻopili ia i nāʻaʻaʻa, hiki iā ia ke hōʻeha.

Hiki i ke ale ʻana i ka sodium hypochlorite ke alakaʻi i ka lāʻau make. Hiki i nā māhu sodium hypochlorite hanu ke kumu i ka lāʻau make, keu hoʻi inā hui ʻia ka huahana me ka amonia.

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.

ʻO Sodoma hypochlorite

Loaʻa ka Sodium hypochlorite ma:

• Hoʻohana ʻia ka kemika e hoʻohui i ka māhoe i nā loko ʻauʻau
• Nā mea hoʻomaʻi maʻi kīnā ʻole
• ʻO kekahi mau hoʻonā hoʻōloi
• Mea hoʻomaʻemaʻe wai

Kahakaha: ʻAʻole paha piha kēia papa inoa.

Hoʻohinu ʻia i lalo (dilute) ʻo ka sodium hypochlorite ka mea e hoʻonāukiuki wale i ka ʻōpū māmā. ʻO ka ale ʻana i ka nui i hiki ke hana i nā ʻōuli koʻikoʻi. ʻOi aku ka nui o nā paʻalima ʻoi loa o ka sodium hypochlorite i nā mea ʻāpala ʻoihana ʻoi aku ka hōʻeha koʻikoʻi.

Mai hoʻopili iki i ka amonia me ka sodium hypochlorite (nā huahana pāʻōlō a me nā mea pākuʻina i loko o ke kala. Hoʻopuka kēia hemahema home maʻamau i kahi kinoea ʻona e hiki ai ke hōʻeha a me nā pilikia hanu nui.

ʻO nā ʻōuli o ka make ʻana o ka sodium hypochlorite:

• ʻUla, ʻulaʻula nā maka
• ʻEha ʻeha
• ʻO Coma (nele i ka pane ʻole)
• Coughing (mai ka uahi)
• Delirium (hoʻonāukiuki a huikau)
• Hahaʻi manaʻo
• Kaomi haʻahaʻa
• ʻEha i ka waha a i ʻole ka ʻāʻī
• Hiki ke ahi i ka esophagus
• Hoʻonāukiuki i ka ʻili o kahi i hōʻike ʻia, wela, a hū paha
• Pākuʻi (haʻahaʻa haʻahaʻa haʻahaʻa)
• Paʻi puʻuwai lohi
• ʻEha o ka ʻōpū a i ʻole ka ʻeha o ka ʻōpū
• ʻO ka ʻōpū ʻōpū, kahi e alakaʻi ai i ka hanu paʻakikī
• 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 ma ka ʻili a i ʻole i nā maka ka kemika, e pīpī i ka wai he nui no 15 mau minuke.

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.

Inā hanu ke kanaka i ka lāʻau make, hoʻoneʻe koke iā lākou i ka ea hou.

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

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 hoʻokomo ʻia ke kanaka i ka haukapila. E ana a mālama ka mea hāʻawi i nā hōʻailona koʻikoʻi o ke kanaka, e like me ka mahana, ka pālū, ka hanu hanu, 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 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
• CT a i ʻole kiʻi ʻimi kiʻi ʻē aʻe
• 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) sodium hypochlorite.

No ka hōʻike ʻana i ka ʻili, hiki i ka mālama ʻana ke:

• Irigigation (holoi o ka ʻili), maliʻa paha i kēlā me kēia mau hola no nā lā he nui
• ʻO ka wehe ʻana o ka ʻili i puhi ʻia (ʻili ʻili)
• Hoʻololi i kahi haukapila e loea i ka mālama ʻana i ka wela

Pono e ʻae ʻia ke kanaka i ka haukapila e hoʻomau i ka lāʻau. Pono paha ke ʻoki inā loaʻa ka lua o ka esophagus, ʻōpū, a me nā ʻōpū mai ka waikawa.

ʻO ka ale ʻana, honi ʻana, a i ʻole ka pā ʻana i ka mea keʻokeʻo o ka hale ʻaʻole paha ia e pilikia i kekahi pilikia nui. Eia nō naʻe, hiki i nā pilikia ʻoi loa ke kū mai me ka ʻumehe ikaika-ʻoihana, a i ʻole mai ka hoʻohuihui pū ʻana me ka amonia.

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.

Me ka ʻole o ka mālama koke ʻana, hiki nō ka nui o ka hōʻino ʻana i ka waha, ka puʻu, nā maka, nā akemāmā, esophagus, ka ihu, a me ka ʻōpū, a hoʻomau ʻia e hana i mau pule ma hope o ka ale ʻia ʻana o ka lāʻau make. 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.

Bleach; Kaluhiokalani; Pākuʻi Carrel-Dakin

Aronson JK. ʻO ka sodium hypochlorite a me ka waikawa hypochlorous. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 418-420.

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. ʻO Sodoma hypochlorite. toxnet.nlm.nih.gov. Hoʻohou ʻia Malaki 5, 2003. Loaʻa iā Ianuali 16, 2019.