Lāʻau makepono Sulphuric
He kemika ikaika loa ʻo Sulfuric acid e ʻaʻai. ʻO ke kumu o ka corrosive hiki iā ia ke hana i nā wela nui a me nā ʻino o ke kino ke pili i ka ʻili a me nā membrane mucous. Kūkākūkā kēia ʻatikala i ka lāʻau make mai ka waikawa sulfuric.
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 kāu kikowaena lāʻau make kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help (1-800-222-1222) mai nā wahi a ʻAmelika Hui Pū ʻIa.
ʻAkika sulfuric
Loaʻa ʻo Sulphuric acid i:
- ʻAkika pākela kaʻa
- Nā mea holoi holoi
- ʻO nā mea kaua kemika
- ʻO kekahi mau mea momona
- ʻO kekahi mea holoi ipu holoi
Kahakaha: ʻAʻole paha piha kēia papa inoa.
ʻO nā hōʻailona mua e pili ana i ka ʻehaʻeha ma ka hoʻopili ʻana.
Pākuʻi ʻia nā ʻōuli mai ka ale ʻana:
- Hoʻopilikia i ka hanu ʻana ma muli o ka pehu o ka puʻu
- Puhi i ka waha a me ka puʻu
- Drooling
- Fiva
- Hoʻolālā wikiwiki o ke kahe haʻahaʻa (haʻalulu)
- ʻEha nui ma ka waha a me ka puʻu
- Pilikia haʻi ʻōlelo
- ʻO ka luaʻi, me ke koko
- Lilo hihio
Pākuʻi ʻia nā ʻōuli mai ka hanu ʻana i ka lāʻau make:
- ʻO kaʻili polū, nā lehelehe, a me nā manamana lima
- Pilikia hanu
- Nāwaliwali o ke kino
- Paʻi umauma (paʻa)
- Kāpena
- ʻ Clelo huna
- ʻApu ʻana i ke koko
- Puʻupuʻu
- Kaomi haʻahaʻa
- Pākuʻi wikiwiki
- Pokole o ka hanu
Pākuʻi ʻia paha nā ʻōuli mai ka ʻili a i ʻole ka maka maka:
- ʻO ka wela ʻana o ka ʻili, ka hoʻokahe ʻana, a me ka ʻeha
- Puhi ka maka, kahe kahe, a me ka ʻeha
- Lilo hihio
Mai hoʻolei i kahi kanaka i luna. E ʻimi koke i ke kōkua lapaʻau.
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 ke kemika, hāʻawi koke i ka wai i ka mea a i ʻole ka waiū. MAI hāʻawi i ka wai a i ʻole ka waiū inā loaʻa i kahi kanaka nā ʻōuli e paʻakikī e ale. Pākuʻi paha kēia i ka luaʻi, nā lūlū, a i ʻole ka pae hoʻēmi i hōʻemi ʻia o ka makaʻala.
Inā hanu ke kanaka i ka lāʻau make, hoʻoneʻe koke iā lākou i ka ea hou.
E kiʻi i ka ʻike aʻe, inā hiki:
- Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
- Ka inoa o ka huahana (a me nā mea hoʻohui a me ka ikaika inā ʻike ʻia)
- Ka manawa ua ale ʻia
- Ua ale ʻia ka nui
Lawe i ka ipu me ʻoe i ka lumi pilikia.
Hiki ke kiʻi pololei ʻia kāu kikowaena lāʻau hoʻomake lāʻau kūloko ma ke kāhea ʻana i ka laina kōkua kōkua Poison Help (1-800-222-1222) mai nā wahi a pau o ʻAmelika Hui Pū ʻIa. E ʻae kēia helu hotline aupuni 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 o ke kanaka, e like me:
- Ka māʻona oxygen
- Mahana
- Pulse
- Lāki hanu
- Kaomi koko
E mālama ʻia nā ʻōuli ma ke kūpono. E loaʻa paha i ke kanaka:
- Nā hoʻāʻo koko
- Ke kōkua Airway a me / a hanu paha - me ka oxygen ma o ka lawe ʻana i waho a i ʻole intubation endotracheal (hoʻokomo ʻia o kahi pahu hanu ma o ka waha a i ʻole ka ihu i loko o ke alaloa) me ke kau ʻana ma ka ventilator (ka mīkini hanu kākoʻo ola).
- Electrocardiogram (ECG)
- Endoscopy - hoʻohana ʻia kahi kāmela e nānā i lalo i ka ʻāʻī e ʻike i nā wela i ka esophagus a me ka ʻōpū
- Laryngoscopy a i ʻole Bronchoscopy - hoʻohana ʻia kahi hāmeʻa (laryngoscope) a i ʻole pahupaʻikiʻi (bronchoscope) e nānā i lalo i ka ʻāʻī e ʻike i nā wela i ke ala ākea
- ʻO ka hoʻoinu wai
- Nā Fluids ma o kahi aa (IV)
- Nā lāʻau lapaʻau e mālama ai i nā ʻōuli
- ʻOki kino e hoʻoponopono i kekahi nāʻaʻaʻa
- ʻO ka wehe ʻana o ka ʻili i puhi ʻia (ʻili ʻili)
- Holoi ʻana i ka ʻili (hawai), i kēlā me kēia mau hola paha i mau lā
- X-kukuna o ka umauma a me ka ʻōpū
Ma ke ʻano o ka hilinaʻi ʻana o ke kanaka i ka wikiwiki o ka hoʻoheheʻe ʻia ʻana o ka lāʻau make. Hiki ke hōʻino nui i ka waha, ka puʻu, nā maka, nā akemāmā, esophagus, ka ihu, a me ka ʻōpū. ʻO ka hopena hope loa e pili ana i ka nui o ka pohō.
Ke hoʻomau nei ka hōʻino i ka esophagus a me ka ʻōpū no kekahi mau pule ma hope o ka ale ʻia ʻana o ka lāʻau make, a hiki i ka maʻi nui a me ka holo pono ʻole o nā mea he nui. Pono paha ka mālama ʻana i ka hemo ʻana o kahi ʻāpana o ka esophagus a me ka ʻōpū.
Inā komo ka mea make i loko o nā akemāhau, hiki mai paha ka pōʻino nui, ma ka manawa koke a me ka wā lōʻihi.
ʻO ka ale ʻana i ka lāʻau make ka mea e make ai. Hiki paha iā ia ke lōʻihi o hoʻokahi mahina ma hope o ka lāʻau make.
ʻĀkika ʻākika inu; ʻĀkena ʻino hydrogen; ʻAila o ka lāʻau make vitriol; Lāʻau make ʻino Matting; ʻAwahia ʻaila Vitriol
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.
ʻO Mazzeo AS. Kuni i nā kaʻina hana mālama. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 38.