ʻAilā kakolina diesel
ʻO kaʻaila Diesel kahi aila kaumaha i hoʻohana ʻia i nā ʻenekomi diesel. Hana ʻia ka lāʻau make kakela kakela ke ale kekahi i ka aila diesel.
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.
Nā hydrocarbons like ʻole
ʻAilā kakolina diesel
Hiki i ka lāʻau ʻaila diesel ke hana i nā hōʻailona ma nā ʻāpana he nui o ke kino.
NĀ MAKA, NOHO, NAHI, A ME NUI
- Lilo o ka hihiʻo
- ʻEha nui i ka ʻāʻī
- ʻEha nui a puhi paha i ka ihu, maka, pepeiao, lehelehe, a alelo paha
ʻSTLELO GASTROINTESTINAL
- Koko i loko o ka pahu
- ʻO nā wela o ka puʻu (esophagus)
- ʻEha ʻeha loa
- ʻO ka luaʻi
- Koko luaʻi
NA MOKU PUUWAI A KOKO
- Hāneʻe
- Ke koko haʻahaʻa e hoʻomohala wikiwiki (haʻalulu)
NUI NA ALOHA A ME NA ALANUI
- Pilikia hanu
- Empyema (maʻi i loaʻa i ka maʻi e hoʻopuni ana i nā akemāmā)
- Hemorrhagic pulmonary edema (kahe koko i loko o ka akemāmā)
- ʻO ka huhū a me ka puʻu
- Kaumaha hanu a i ʻole holomua
- Pneumothorax (hāneʻe o ka māmā, hapa a i ʻole piha)
- Pleural effusion (wai e hoʻopuni ana i nā akemāmā, e hoʻēmi nei i ko lākou hiki ke hoʻonui)
- ʻO ka maʻi bacterial a i ʻole ka maʻi viral
- ʻO ka ʻōpū ʻōpū (hiki i ke kumu o ka hanu paʻakikī)
ʻO ka nui o nā hopena weliweli o ka hydrocarbon (e like me ka ʻaila diesel) ka lāʻau make ma muli o ka hanu ʻana i ka uahi.
ʻERLĀ NERVOUS
- Hoʻoikaika
- ʻIke makapō
- Poino ka lolo mai nā haʻahaʻa oxygen haʻahaʻa (hiki i nā pilikia hoʻomanaʻo a hoʻemi ʻia ka hiki ke noʻonoʻo pono)
- Coma (hoʻemi i ka pae o ka ʻike a me ka nele o ka pane)
- Huikau
- Hoʻoemi i ka hoʻohui ʻana
- Puʻupuʻu
- ʻEha poʻo
- Ka hopu ʻana i nā maʻi
- Somnolence (hiamoe a hoʻēmi i ka pane ʻana)
- Nawaliwali
ʻIli
- Burns
- Hoʻonāukiuki
E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i kahi kanaka ke ʻole i haʻi ʻia e hana i ka lāʻau make a i ʻole ʻoihana mālama ola.
Inā ua ale ʻia ka kemikū, e hāʻawi koke i ka wai i ka mea a i ʻole ka waiū, ke ʻole ke aʻo 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 ʻana, hoʻoluliluli, a i ʻole pae hoʻemi ʻia o ka makaʻala) paʻakikī e ale.
Inā ma ka ʻili a i ʻole i nā maka ka kemika, e pīpī i ka wai he nui no 15 mau minuke.
E kiʻi i ka ʻike aʻe:
- 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 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 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.
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 hanu ʻana, me ka oxygen i hāʻawi ʻia ma o ka paipu ma o ka waha i loko o nā akemāmā, a me ka mīkini hanu (ventilator)
- ʻO Bronchoscopy - kāmela i lalo i ka ʻāʻī e ʻike i ka wela ma nā ala ea a me nā akemāmā
- Pākuʻi x-ray
- ECG (puʻuwai e huli ana)
- Endoscopy - pahupaʻiwikiō i ka ʻāʻī e ʻike i ka wela i ka esophagus (ʻōpuʻu ʻine) a me ka ʻōpū
- Nā Fluids ma o ke aa (e IV)
- Lapaʻau e mālama i nā ʻōuli
- ʻO ka wehe ʻana o ka ʻili i puhi ʻia (ʻili ʻili)
- Tube ma o ka waha i loko o ka ʻōpū e aspirate (omo i waho) ka ʻōpū, akā wale nō i nā hihia o ke komo nui ʻana inā ʻike ʻia ka mea i make i loko o hoʻokahi hola o ka ale ʻana i ka lāʻau make a inā ʻaʻohe mea ʻeha i ka esophagus
- Holoi ʻana i ka ʻili (hawai), i kēlā me kēia mau hola paha i mau lā
Aia ka maikaʻi o ke kanaka i ka nui o nā lāʻau make i ale ʻia a me ka wikiwiki e loaʻa ai ka lāʻau. ʻO ka wikiwiki o ke kōkua olakino o ke kanaka, ʻo ka ʻoi aku ka maikaʻi o ka manawa kūpono no ke ola ʻana.
Hiki i ka ale ʻana i ka wahie diesel ke hōʻino i nā kapa o ka:
- ʻEsopago
- Nā Mīkini
- Waha
- ʻŌpū
- ʻĀhaʻi
Hiki ke hana i nā pōʻino koʻikoʻi a mau loa inā komo ka diesel i loko o nā māmā.
Hiki paha ke hōʻeha i ka ʻeha, me kahi puka e hana ai i ka puʻu, esophagus, ʻōpū a me nā akemāmā. Hiki i kēia ke alakaʻi i ke kahe nui a me ka maʻi, a make paha. Pono paha kahi ʻoki e mālama i kēia mau pilikia.
ʻO ka ʻono ʻino o ka wahie diesel ʻaʻole paha e ale ʻia kahi nui. Eia nō naʻe, ua loaʻa nā hihia o ka lāʻau make i nā poʻe e hoʻāʻo nei e omo (siphon) kinoea mai kahi pahu kaʻa e hoʻohana ana i ko lākou waha a me ka ʻauwai kīhāpai (a i ʻole ka paipu like). Weliweli loa kēia hana a aʻoaʻo ʻole ʻia.
ʻAilā
ʻO Blanc PD. Nā pane kūpilikiʻi i nā hōʻike lāʻau make. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 75.
Wang GS, Buchanan JA. Nā Hydrocarbons. 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 152.