Pā lūlū kēpau
ʻO nā kinikini hoʻoheheʻe lula he wai lula, e like me epoxy. Hiki ke loaʻa ka lāʻau ʻona mai ka ale ʻana i ka kēpau ninini ea. Hiki paha i nā puhi kēpau ke mea make.
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.
Hiki i ka Epoxy a me ka kēpau ke lilo i mea make inā lākou e ale ʻia a hanu ʻia paha kā lākou mahu.
ʻIke ʻia nā kēpau lūlū lula i nā huahana kēpau līlī.
Ma lalo iho nā ʻōuli o ka lāʻau ʻona mai ke kēpau lūlū i nā ʻāpana like ʻole o ke kino.
NA ALANUI A ME NA NUI
- Hanu paʻakikī
- Hanu wikiwiki
NĀ MAKA, NOHO, NAHI, A ME NUI
- Drooling
- ʻEhaʻeha maka
- Lilo o ka hihiʻo
- ʻEha nui ma ka waha a me ka puʻu
- ʻEha nui a puhi paha i ka ihu, maka, pepeiao, lehelehe, a alelo paha
- ʻŌhū ʻōhū (kahi e kumu ai ka hanu paʻakikī)
- Hoʻololi ka leo, e like me ke kani a i ʻole ka leo muffled
KUHI A ME NA INTESTINES
- ʻEha ʻeha loa
- ʻO ka luaʻi, a i ʻole ka luaʻi o ke koko
- ʻO nā wela o ka paipu meaʻai (esophagus)
- Koko i loko o ka pahu
NA MOKU PUUWAI A KOKO
- Ke koko haʻahaʻa (hoʻomohala wikiwiki)
- Hāneʻe
ʻIli
- Hoʻonāukiuki
- Burns
- Nā puka i ka ʻili a i ʻole nā mea ma lalo o ka ʻili
E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i kahi kanaka ke ʻole ke kāohi lāʻau ʻona a i ʻole ke kahu olakino e haʻi iā ʻoe e hana pēlā.
Inā ma ka ʻili a i ʻole i nā maka ka kemika, e pīpī i ka wai he nui no 15 mau minuke.
E hoʻomākaukau i kēia ʻike:
- ʻO 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 i ale ʻia
- Ua ale ʻia ka nui
Hiki ke kiʻi pololei ʻia i kāu kikowaena lāʻau make 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 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 loaʻa paha i ke kanaka:
- Nā hoʻāʻo ʻana o ke koko a me ka mimi
- Kākoʻo hanu ʻana, me ka oxygen, he paipu ma o ka waha i loko o ka ʻāʻī, a me kahi mīkini hanu
- Pākuʻi x-ray
- ECG (electrocardiogram a i ʻole ka huli ʻana o ka naʻau)
- Kākoʻo hanu
- ʻO Bronchoscopy, kāmela i lalo i ka ʻāʻī e ʻike i ka wela ma nā ala ea a me nā akemāmā
- ʻO Endoscopy, kāmela i lalo o ka puʻu e ʻike ai i ka nui o nā wela i ka esophagus a me ka ʻōpū
- Intravenous fluids (ma o kahi aa)
- Lapaʻau e mālama i nā ʻōuli
- Laxatives
- ʻO keʻoki e wehe i kaʻili i puhiʻia (debridement)
- Tube ma ka waha i loko o ka ʻōpū e hemo i ka kēpau inā ma loko o 30 a 45 mau minuke ma hope o ke komo ʻana
- Holoi i ka ʻili (hawai), 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 a lākou i ale ai a me ka wikiwiki o ka loaʻa ʻana o 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.
Hiki i ka ale ʻana i nā mea ʻino ke loaʻa i nā hopena koʻikoʻi ma nā ʻāpana he nui o ke kino. Hiki ke hōʻino nui i ka waha, ka puʻu, nā maka, nā akemāmā, esophagus, ka ihu, a me ka ʻōpū.
Pili ka hopena i ka nui o nā pohō. Ke hoʻomau nei ka hōʻino i ka esophagus a me ka ʻōpū no nā pule he nui ma hope o ka ale ʻana i ka lāʻau make. Perforation (hole) hiki ke hoʻomohala i kēia mau lālā, e alakaʻi ana i ke kahe nui a me ka maʻi. Hiki ke make i kekahi mau mahina ma hope. Pono paha ka mālama ʻana i ka hemo ʻana o kahi ʻāpana o ka esophagus a me ka ʻōpū.
ʻIngpala ʻino; Lāʻau ʻino Resin
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.
Pfau PR, Hancock SM. Nā kino ʻē, nā bezoar, a me nā ingestions caustic. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 27.