ʻO ka make make Sodium bisulfate
ʻO Sodium bisulfate kahi waikawa maloʻo e hoʻopilikia paha inā e ale ʻia i ka nui. Kūkākūkā kēia ʻatikala i ka lāʻau make mai ka ale ʻana i ka sodium bisulfate.
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.
Sodium bisulfate
Loaʻa ka Sodium bisulfate i:
- Nā mea hoʻomaʻemaʻe hale
- ʻO nā mea holoi wai
- Ke hoʻopau hao ʻana
- ʻAau ʻauʻau pH mea hoʻohui
Kahakaha: ʻAʻole paha komo kēia papa inoa.
ʻO nā ʻōuli mai ka ale ʻana ma mua o ka punetune (15 milliliters) o kēia waikawa e komo pū paha:
- Pilikia hanu
- ʻEha ʻā i ka waha
- ʻEhaʻeha o ka umauma mai nā wela o ka esophagus
- Pohā
- Drooling
- ʻLelo hoʻowahāwahā
- ʻO ka luaʻi, ke koko
- ʻO ke kaumaha haʻahaʻa haʻahaʻa (haʻalulu) e hoʻonāwaliwali ai
Inā pili ka kemika i kou ʻili, hiki i nā ʻōuli ke hoʻopili pū me:
- Pahū
- Burns
- ʻEha, ʻulaʻula ʻili
Inā loaʻa i kou mau maka, loaʻa paha iā ʻoe:
- Hoʻoemi i ka hihiʻo
- ʻEhaʻeha maka
- ʻUlaʻula maka a haehae
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 e ale ʻia ka kemika, e hāʻawi koke i ka wai i ka mea a i ʻole ka waiū, ke ʻole a kēnā 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 ma ka ʻili a i ʻole i nā maka ka kemika, e holoi me ka nui o ka wai (ma ka liʻiliʻi he 2 mau lita [1.9 liters]) no 15 mau minuke.
Inā hanu ke kanaka i ka lāʻau make, hoʻoneʻe koke iā lākou i ka ea hou.
Kōkua ka ʻikepili aʻe no ke kōkua pilikia:
- 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 ua 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 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 ventilator (mīkini hanu)
- 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 (paipu meaʻai) a me ka ʻōpū (endoscopy)
- Pākuʻi x-ray
- ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
- Nā Fluids ma o ke aa (intravenous a i ʻole IV)
- Nā lāʻau lapaʻau e mālama ai i nā ʻōuli
No ka hōʻike ʻana i ka ʻili, hiki i ka mālama ʻana ke:
- Irrigation (holoi i ka ʻili), i kēlā me kēia mau hola paha i nā lā he nui
- ʻIli debridement (wehe ʻoki o ka ʻili kuni ʻia)
- Hoʻololi i kahi haukapila e loea i ka mālama ʻana i ka wela
Pono paha ke komo ʻana i ka haukapila e hoʻomau i ka mālama ʻana. Hiki ke koi ʻia ke ʻoki inā loaʻa i ka esophagus, ʻōpū a i ʻole ka ʻōpū ke ulu i nā lua (perforation) mai ke kū ʻana i ka waikawa.
Pehea ka hilinaʻi a ke kanaka e pili ana i ka wikiwiki o ka dilute a hoʻoneʻe ʻia o ka sodium bisulfate. Loaʻa ka manawa kūpono o ke ola inā hāʻawi ʻia kahi lāʻau kūpono kūpono ma hope koke iho o ka ale ʻia ʻana o ka lāʻau make. Me ka ʻole o ka mālama koke ʻia ʻana, nui ka pōʻino i ka waha, ka ʻāʻī, nā maka, nā akemāmā, esophagus, ka ihu, a me ka ʻōpū e hiki ai, kaukaʻi ʻia i ka hopena o ka hopena. ʻO nā puka (perforation) 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.
Hiki ke hōʻino i ka esophagus ma hope o 2 a 3 mau pule ma hope o ka ale ʻana i ka lāʻau make. Hiki ke make a 1 mau mahina a ʻoi paha ka lōʻihi ma hope o ka ale ʻana i ka lāʻau make. ʻO ka poʻe e ola ana ua hoʻomau paha i nā pilikia o ka ʻōpū a i ʻole ka esophagus.
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 US; Nā lawelawe ʻike kūikawā; Pūnaewele Pūnaewele Toxicology Data. Sodium bisulfate. toxnet.nlm.nih.gov. Loaʻa iā Pepeluali 14, 2019.