Hoʻopaʻi niho niho
ʻO ka niho ʻāpala kahi huahana e hoʻomaʻemaʻe ai nā niho. Kūkākūkā kēia ʻatikala i nā hopena o ka moni ʻana i ka nui o ka niho ʻāpala.
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 ʻona ʻona pū kekahi:
- Sodium fluoride
- Triclosan
Loaʻa nā mea hoʻohui i:
- Nā ʻāpala niho ʻokoʻa
ʻO ka ale ʻana i ka nui o ka nīpī niho maʻamau ke kumu o ka ʻeha o ka ʻōpū a me ka paʻa ʻana o ka ʻōpū.
Hiki ke hana i kēia mau hōʻailona hou ke moni nei i kahi nui o ka ʻāpala niho i loko o ka fluoride:
- Nā manaʻo hoʻohoka
- Pohā
- Hanu paʻakikī
- Drooling
- Maʻi hohola
- ʻOno ka paʻakai a kolo paha i ka waha
- Kuhi puʻuwai lohi
- Pāhaʻi
- Nā haʻalulu
- ʻO ka luaʻi
- Nawaliwali
Mai hoʻolei i kahi kanaka ke ʻole ke haʻi ʻia e hana i ka lāʻau make a i ʻole ka ʻoihana mālama ola. E ʻimi koke i ke kōkua lapaʻau.
Inā ua ale ʻia ka huahana, hāʻawi koke i ka wai i ka mea a waiū paha, ke ʻole i haʻi 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.
E hoʻoholo i ka ʻike aʻe:
- 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 ʻae kēia helu hotline aupuni 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.
Inā ʻoe e ale i ka ʻāpiki niho ʻole i loaʻa ka fluoride, ʻaʻole pono ʻoe e hele i ka haukapila.
ʻO ka poʻe e ale i ka nui o ka toothpaste fluoride, keu hoʻi inā he keiki liʻiliʻi lākou, pono paha e hele i ka keʻena pilikia o ka haukapila.
Ma ke keʻena pilikia, e ana a mālama ka mea hāʻawi i nā hōʻailona koʻikoʻi o ke kanaka, e like me ka mahana, ka lāʻau, ka hanu, a me ke kahe o ke koko. E hana ʻia nā hoʻokolohua koko a me ka mimi. E loaʻa paha i ke kanaka:
- Hoʻoneʻe ʻia ka lanahu i mea e pale aku ai i ke koena o ka lāʻau make mai ke komo ʻana i loko o ka ʻōpū a me nā wahi digestive.
- Kākoʻo Airway a me ka hanu ʻana, me oxygen. I nā hihia kūpilikiʻi, e hele ʻia kahi paipu ma ka waha i loko o nā akemāmā e pale ai i ka ʻiʻini. A laila makemake ʻia kahi mīkini hanu (ventilator).
- Kalipuna (kahi antidote), e hoʻohuli i ka hopena o ka lāʻau make.
- Pākuʻi x-ray.
- ECG (electrocardiogram, a i ʻole ka huli puʻuwai).
- Endoscopy: ʻo kahi kāmela 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 ai i nā ʻōuli.
- Tube ma o ka waha (kākaʻikahi) i loko o ka ʻōpū e holoi i ka ʻōpū (gastric lavage).
ʻO ka poʻe e ale i kahi nui o ka toothpaste fluoride a ola i nā hola he 48 mau.
ʻO ka hapa nui o nā niho niho nonfluoride nontoxic (nonpoisonous). E ola paha ka poʻe.
- Anatomi niho
Meehan TJ. Hele i ka mea maʻi ʻona. 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 139.
ʻO Tinanoff N. Daries caries. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 312.