ʻ .kia ʻino Hydrofluoric

ʻO ka waikawa hydrofluoric kahi kemika kahi aika ikaika loa. ʻO ka maʻamau ma ke ʻano wai. ʻO Hydrofluoric acid kahi mea kemika caustical e kūpikipiki nui, ʻo ia hoʻi ke kumu o ka hōʻino ʻana i nā kino, e like me ke puhi ʻana, ma ka hoʻopili ʻana. Kūkākūkā kēia ʻatikala i ka lāʻau make mai ka ale ʻana, ka hanu ʻana, a i ʻole ka hoʻopā ʻana i ka waikawa hydrofluoric.

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 hydrofluoric

Hoʻohana pinepine ʻia kēiaʻakika no nā ʻoihana ʻenehana. Hoʻohana ʻia ia i:

• ʻO ka hana ʻana i ka pale kamepiula
• ʻO nā ipukū fluorescent
• ʻAkika aniani
• Ke hana ʻenekini ʻoloke kiʻekiʻe
• Hoʻopau hou kekahi lepo o ka hale

Kahakaha: ʻAʻole paha piha kēia papa inoa.

Mai ka ale ʻana:

• ʻO ka wela i ka waha a me ka puʻu e ʻeha ai ka ʻeha
• Drooling
• Hoʻopilikia ke hanu ʻana mai ka ʻāʻī a me ka waha e pehu a wela ana
• Abdominal eha
• Koko luaʻi
• ʻEha ʻeha
• Uha (mai ke koko haʻahaʻa a haʻalulu paha)
• Paʻi kuʻi ʻole

Mai ka hanu ʻana i (hanu) i ka waikawa:

• Nā lehelehe Bluish a me nā manamana lima
• ʻO Chills
• Pīkī pahu
• Kāpena
• Koko hoʻoheheʻe
• Pākuʻi wikiwiki
• Puʻupuʻu
• Fiva
• Nawaliwali

Inā pili ka lāʻau make i kou ʻili a i ʻole nā ​​maka, loaʻa paha iā ʻoe:

• Pahū
• Burns
• ʻEha
• Lilo hihio

Hiki ke loaʻa nā hopena pololei ma ka puʻuwai i ka lāʻau make wai hydrofluoric. Hiki iā ia ke alakaʻi i ke kaulike ʻole, a i kekahi manawa hoʻoweliweli i ke ola, nā puʻuwai puʻuwai.

ʻO ka poʻe i launa pū me kēia lāʻau make e loaʻa paha kahi hui o nā hōʻailona i helu ʻia.

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.

Lawe koke i ke kanaka i ka haukapila.

Kōkua ka ʻikepili aʻe no ke kōkua pilikia:

• ʻO 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 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 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.

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. Hiki i ka ale ʻana i kēia waikawa ke hana i kahi kahe nui o ke kahe o ke koko. Inā hanu ka mea i ka uahi mai ka waikawa, lohe paha ka mea hāʻawi i nā hōʻailona o ka wai i loko o nā akemā i ka hoʻolohe ʻana i ka pahu me kahi stethoscope.

Pili ka mālama pilikino i ka hopena o ka lāʻau make. E mālama ʻia nā ʻōuli ma ke kūpono.

Inā ua ale ke kanaka i ka lāʻau make, hiki i ka lāʻau ke komo pū me:

• 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 e ʻike ai i ke ahi i ka esophagus a me ka ʻōpū (endoscopy)
• Pākuʻi x-ray
• ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
• Nā Fluids ma o kahi aa (IV)
• ʻO nā hopena magnesium a me ka calcium e hoʻopau ai i ka waikawa
• Nā lāʻau lapaʻau e mālama ai i nā ʻōuli

Inā pā ka mea i ka lāʻau make, hiki i ka lāʻau ke komo pū:

• Hoʻopili ka magnesium a me nā kalima kalima i ka ʻili e hoʻokau i ka waikawa (hāʻawi ʻia ʻia nā hopena ma o kahi IV)
• Nānā e nānā no nā hōʻailona o ka lāʻau make ākea
• Nā lāʻau lapaʻau e mālama ai i nā ʻōuli
• 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

Inā hanu ka mea i loko o ka lāʻau make, komo pū paha ka lāʻau:

• Kākoʻo Airway, e like me ka mea i ʻōlelo ʻia ma luna
• Nā hana hanu e hāʻawi i ka calcium i loko o nā akemāmā
• Pākuʻi x-ray
• ʻO ka pahu paʻi kiʻi i lalo i ka puʻu e ʻike ai i ke ahi ma ke ala waena (bronchoscopy)
• ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
• Nā lāʻau lapaʻau e mālama ai i nā ʻōuli

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.

He weliweli loa ʻo Hydrofluoric acid. ʻO nā ulia pōpilikia loa e pili ana i ka hydrofluoric acid ke kumu i ka wela nui ma ka ʻili a me nā lima. He ʻeha loa ka ʻā ʻana. E loaʻa ka nui o nā scarring a me nā nalowale o ka hana i ka wahi i hoʻopilikia ʻia.

Pono e ʻae ʻia ke kanaka i ka haukapila e hoʻomau i ka lāʻau. Hiki i ka ale ʻana i kēia lāʻau make 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 ke kumu i nā maʻi ʻino ma 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 hydrofluoric.

ʻAkika Fluorohika

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. Fluoride hydrogen. toxnet.nlm.nih.gov. Hoʻohou i Iulai 26, 2018. Loaʻa iā Ianuali 17, 2019.