Pāʻalā hoʻōloʻo lauoho
Hana ʻia ka lāʻau ʻāpala huluhulu i ka wā e ale ai kekahi i ka lauoho huluhulu a pīpī paha ia i ko lākou ʻili a i ʻole i ko lākou mau maka.
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 nā mea hoʻopōʻino i ka mea hoʻohaʻahaʻa lauoho.
- Hoʻopau ʻo Ammonium
- ʻAlekohola Ethyl
- Hydrogen peroxide
Hoʻohana ʻia nā mea ma luna i nā ʻano ʻelemākule lauoho.
ʻO nā ʻōuli o ka lāʻau ʻumehe lauoho i:
- Abdominal eha
- ʻIke makapō
- Pilikia hanu
- ʻEha ʻāʻī i ka ʻāʻī
- Puhi i ka maka, ʻulaʻula, a haehae
- Hāneʻe
- Coma (hoʻemi i ka pae o ka ʻike a me ka nele o ka pane)
- Diarrhea (wai, koko)
- Kaomi haʻahaʻa
- ʻAʻole hiki ke hele maʻamau
- ʻAʻohe puka mimi
- Rash
- ʻLelo lohi
- Kāhāhā
- ʻO ka luaʻi
E kiʻi koke i ke kōkua lapaʻau. Mai hoʻolei i ke kanaka ke ʻole ke kāohi lāʻau ʻona a i ʻole ke kahu olakino e ʻōlelo ai iā ʻoe. 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 ke kanaka i ka huluhulu lauoho, hāʻawi koke iā lākou i ka wai a i ʻole ka waiū, ke ʻōlelo ʻole kahi mea lawelawe iā ʻoe. MAI hāʻawi i kekahi mea inu inā he ʻōuli ko ke kanaka e paʻakikī e ale. Pākuʻi ʻia kēia mau mea:
- ʻO ka luaʻi
- Nā manaʻo hoʻohoka
- ʻO kahi pae hōʻemi o ka makaʻala
E hoʻomākaukau i kēia ʻike:
- 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 ua ale ʻia
- Ua ale ʻia ka nui
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.
Lawe i ka ipu me ʻoe i ka haukapila, inā hiki.
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.
E loaʻa paha i ke kanaka:
- Nā hoʻāʻo ʻana o ke koko a me ka mimi
- Kākoʻo hanu, me kahi paipu ma o ka waha i loko o nā akemāmā, a me ka mīkini hanu (ventilator)
- Pākuʻi x-ray
- ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
- Endoscopy - hoʻonoho ʻia ka pahupaʻi i lalo i ka puʻu e ʻike ai i ka wela i ka esophagus a me ka ʻōpū
- Nā Fluids ma o kahi aa (e IV)
- Nā lāʻau lapaʻau e mālama i nā hopena o ka lāʻau make
- ʻO ke keʻoki e wehe i ka ʻili i puhi ʻia (inā pono)
- Holoi o ka ʻili (irrigation). Maliʻa paha i kēlā me kēia mau hola no nā lā he nui
Inā nui ka lāʻau make, e hoʻokomo ʻia ke kanaka i ka haukapila.
Ma ke ʻano o ka hilinaʻi a kekahi i ka nui o ka lāʻau make a me ka loaʻa koke o ka lāʻau iā lākou. Hāʻawi ʻia ke kōkua lapaʻau wikiwiki, ʻo ka ʻoi aku ka maikaʻi o ka manawa no ka hoʻōla.
Hiki paha ka hōʻino nui i ka waha, ka puʻu, a me ka ʻōpū. Aia ka hopena i ka nui o kēia pohō. Hiki ke hoʻomau i ka hōʻino ʻana i ka esophagus a me ka ʻōpū no kekahi mau pule ma hope o ka ale ʻia ʻana o ka huahana. Hiki i kahi lua ke ulu i loko o kēia mau lālā, a hiki i ke kahe i ke kahe a me ka maʻi nui. Pono paha kahi ʻoki e mālama i kēia a me nā pilikia ʻē aʻe.
Lāʻau hoʻomālamalama lauoho
Holstege CP, Borek HA. Ka hoʻohaumia ʻana o ka mea hoʻomanawanui. 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 42.
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.