Lāʻau make wai Hydrochloric

ʻO ka Hydrochloric acid kahi wai maʻemaʻe, ʻona. He kemika caustical a corrosive nui ia, ʻo ia ke kumu e hoʻopōʻino koke i nā kino, e like me ka puhi ʻana, ma ka hoʻopili ʻana.

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 Hydrochloric

Loaʻa ʻo Hydrochloric acid i:

• Nā mea hoʻomomona pono
• Nā kemika wai
• Nā fluxes soldering
• Ipu kīwī a me nā mea hoʻomaʻemaʻe porcelain ʻē aʻe

ʻAʻole pili kēia papa inoa.

Pākuʻi ʻia nā ʻōuli mai ka ale ʻana i ka waiʻonika hydrochloric:

• Wela ka waha a me ka puʻu, e ʻeha ai ka ʻeha
• Drooling
• ʻO ka paʻakikī hanu ma muli o ka pehu ʻana o ka puʻu
• ʻEha ʻeha loa
• Ka luaʻi koko
• ʻEha ʻeha puʻuwai
• Fiva
• Ka hāʻule wikiwiki ʻana o ke koko (haʻalulu)

Nā ʻōuli mai ka hanu ʻana i ka hydrochloric acid:

• ʻO kaʻula Bluish i nā lehelehe a me nā manamana lima
• Pīkī pahu
• Kāpena
• ʻApu ʻana i ke koko
• Puʻupuʻu
• Kaomi haʻahaʻa
• Pākuʻi wikiwiki
• Pokole o ka hanu
• Nawaliwali

Inā pili ka mea ʻawahia i kou ʻili a maka paha, loaʻa paha iā ʻoe:

• Pahū
• Burns
• ʻEha
• Lilo hihio

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 ka mea i loko o ka lāʻau make, hoʻoneʻe koke iā ia i ka ea hou.

Inā hiki, e hoʻoholo i kēia ʻike:

• 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)
• I ka ale ʻia ʻana a i ʻole ka hanu ʻia ʻana
• Ehia i ale ʻia a i ʻole hanu ʻia

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 laina wela 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 ʻōuli nui o ke kanaka, e like me ka mahana, ka lāʻau, ka hanu, 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 i ka puʻu e ʻike ai i ke ahi ma ke ala waena (bronchoscopy)
• ʻO ka pahu paʻi kiʻi i lalo o ka ʻāʻī e ʻike ai i ke ahi i ka esophagus a me ka ʻōpū (endoscopy)
• Pākuʻi x-ray
• EKG (electrocardiogram, a i ʻole ka huli puʻuwai)
• Nā Fluids ma o kahi aa (IV)
• Nā lāʻau lapaʻau e mālama ai i nā ʻōuli
• Tube ma ka ihu i loko o ka ʻōpū e omo (aspirate) kekahi koena inā loaʻa ka mea make ma hope koke iho o ka ʻai ʻana i ka lāʻau make.

Nānā: ʻAʻole mālama pono ka lanahu i hana ʻia (adsorb) waikawa hydrochloric.

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

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.

Pono paha ke kanaka e noho i ka haukapila no ka mālama hou ʻana. Hiki i nā lāʻau ʻona ke loaʻa nā hopena koʻikoʻi ma nā wahi he nui o ke kino. Hiki paha ka hōʻino nui i ka waha, ka puʻu, a me ka ʻōpū. ʻO nā puka (perforations) i ka esophagus a me ka ʻōpū e hopena i nā maʻi nui i ka umauma a me nā ʻōpū o ka ʻōpū, kahi e hopena ai i ka make. Pono paha ke ʻoki e hoʻoponopono i nā perforations. He maʻi nui ka maʻi ʻaʻai o ka esophagus i ka poʻe e noho ana ma hope o ke komo ʻana i ka waikawa hydrochloric.

ʻO Blanc PD. Nā pane kūpilikiʻi i nā hōʻike lāʻau make. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 75.

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.

Waihona Puke o ka Lapaʻau, Nā lawelawe ʻike kūikawā, Toxicology Data Network pūnaewele. Kalikona hydrogen. toxnet.nlm.nih.gov. Hoʻohou ʻia ʻOkakopa 19, 2015. Loaʻa iā Ianuali 17, 2019.