Pihi pihi

ʻO nā pila uila he mau uila, pōkole a puni. Hoʻohana mau ʻia lākou i nā wati a me nā kōkua pepeiao. Hoʻopau pinepine nā keiki i kēia mau pakuhi a i ʻole hoʻokau iā lākou i ko lākou ihu. Hiki iā lākou ke hanu i ka hohonu (inhaled) mai ka ihu.

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.

Eia kekahi, hiki iā ʻoe ke kāhea i ka National Button Battery Ingestion Hotline (800-498-8666).

Hoʻohana kēia mau hāmeʻa i nā paila pihi:

• Nā mīkini helu
• Kāmera
• Kōkua hoʻolohe
• Kukui kukui
• Nā Wati

Inā kau ke kanaka i ka pila i ko lākou ihu a hanu hou iā ia i loko, loaʻa paha kēia mau ʻōuli:

• Nā pilikia hanu
• Cough
• Ponia (inā ʻaʻole ʻike ʻia ka pila)
• Hiki ke paʻa i ke ala ākea
• ʻUhihi

ʻAʻole hiki i kahi puʻupuʻu i ale ʻia ke waiho i kekahi ʻōuli. Akā inā paʻa ia i ka paipu meaʻai (esophagus) a i ʻole ka ʻōpū, hiki paha kēia mau ʻōuli:

• Abdominal eha
• Nā noho koko
• Ka hāʻule ʻana o Cardiovascular (haʻalulu)
• ʻEha ʻeha
• Drooling
• Nusea a i ʻole ka luaʻi (hiki paha i ke koko)
• ʻIno metallic i ka waha
• ʻEha ʻeha a paʻakikī paha

E ʻimi 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.

E hoʻomākaukau i kēia ʻike:

• Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
• Ka manawa ua ale ʻia ka pila
• Ka nui o ka pihi i ale ʻia

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 hoʻokuʻu kēia helu hotline 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.

Eia kekahi, hiki iā ʻoe ke kāhea i ka National Button Battery Ingestion Hotline (800-498-8666).

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:

• X-kukuna e huli i nā pailiko
• Bronchoscopy - hoʻonoho ʻia ka pahupaʻi i lalo i ka puʻu i loko o nā akemāmā e hemo ai i ka paukū inā aia ia i ka windpipe a i ʻole nā ​​ake māmā
• Laryngoscopy pololei - (kahi hana e nānā ai i ka pahu leo ​​a me nā kaula leo) a i ʻole ke ʻoki ʻana inā loaʻa ka hanu i loko o ka uila a ke hana nei ia i kahi poloka ala e hoʻoweliweli ai ke ola.
• Endoscopy - pahupaʻiwikiō e hoʻoneʻe ai i ka pakuhi inā e ale ʻia a aia nō i ka esophagus a i ʻole ka ʻōpū
• Fluids e ke aa (intravenous)
• Nā lāʻau lapaʻau e mālama ai i nā ʻōuli
• Nā hoʻāʻo ʻana o ke koko a me ka mimi

Inā ua hele ka pila i loko o ka ʻōpū i loko o ka ʻōpū liʻiliʻi, ʻo ka hana maʻamau e hana i kahi x-ray hou i 1 a 2 mau lā e hōʻoia i ka neʻe ʻana o ka pila ma o nā ʻōpū.

E hoʻomau ka ukali o ka uila me nā kukuna x a hala i ka pahu. Inā ulu ka nausea, ka luaʻi, ka fiva, a i ʻole ka ʻeha o ka ʻōpū, ʻo ia paha ka hopena o ka paila i ka pale o nā ʻōpū. Inā kū kēia, pono paha ke ʻoki e wehe i ka pakuhi a hoʻohuli i ka paʻa.

Holo ka hapanui o nā pākeke i loko o ka ʻōpū a me nā ʻōpū me ka ʻole o nā pōʻino koʻikoʻi.

Ma ke ʻano o ka hilinaʻi ʻana o kekahi i ke ʻano o ka pakuhi a lākou i ale ai a me ka wikiwiki o ka loaʻa ʻana o ka lāʻau. Hāʻawi ʻia ke kōkua lapaʻau wikiwiki, ʻo ka ʻoi aku ka maikaʻi o ka manawa no ka hoʻōla.

ʻO ka wela ʻana i ka esophagus a me ka ʻōpū e hopena i ka ulcer a me ka liu o ka wai. Hiki i kēia ke alakaʻi i ka maʻi maʻi nui a me ka ʻoki ʻana paha. Hiki i nā pilikia ke ʻoi aku ka lōʻihi o ka hoʻopili ʻana o ka pila me nā kūkulu kūloko.

ʻO nā paukū e ale ana

ʻO Munter DW. Nā kino haole esophageal. 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 39.

ʻO Schoem SR, Rosbe KW, Bearelly S. Aerodigestive haole kino a me nā hana kai. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 207.

ʻO Thomas SH, Goodloe JM. Nā kino haole. 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 53.

ʻO Tibballs J. Pediatric ʻona a me ka envenomation. I: Bersten AD, Handy JM, nā huahana. Manuahi Manaʻo Kākoʻo Oh. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 114.