Lāʻau makekino
ʻO Chlorine kahi kemika e pale i ka ulu ʻana o nā bacteria. Hana ʻia ka lāʻau make o Chlorine ke ale ʻia a hanu paha kekahi i (inhales) mālamalama.
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.
Hana ʻo Chlorine me ka wai i loko a i waho o ke kino e hana i ka waikawa hydrochloric a me ka waikawa hypochlorous. Pāʻona loa lāua.
Aia ʻo Chlorine i:
- Hoʻokuʻu ʻia ke kinoea i ka wā e hoʻohuihui ana i ka mea ʻāpala me kekahi o nā huahana hoʻomaʻemaʻe pauda a me ka amonia (kinoea chloramine)
- Hoʻokuʻu ʻia ke kōpena i ka wehe ʻana i kahi ipu hana piha piha o ka papine mālamalama e noho ana no kekahi mau mahina (e laʻa me ka wehe mua ʻana o kahi pahu ma hope o ka pani ʻana o kahi loko wai i ka hoʻoilo a pau
- Nā mea hoʻomaʻemaʻe māmā
- ʻO kekahi mau huahana hoʻōla
- Ka wai ʻauʻau (a me nā papa i hoʻohana ʻia i ka wai ʻauʻau)
Kaha: ʻAʻole hiki i kēia papa inoa ke hoʻopili i nā hoʻohana a me nā kumuwaiwai āpau o chlorine.
Hiki i ka lāʻau make koline ke hana i nā hōʻailona ma nā ʻāpana he nui o ke kino.
NA ALANUI A ME NA NUI
- ʻO ka paʻakikī hanu (mai ka hanu ʻana i ka chlorine)
- ʻO ka ʻōpū ʻōpū (hiki i ke kumu o ka hanu paʻakikī)
- Hoʻopiha ka wai i nā ake (edema pulmonary)
KOKO
- Hoʻololi koʻikoʻi i ke kiʻekiʻe o ka waikawa o ke koko (ke kaulike pH), e alakaʻi ai i ka hōʻino ʻana i nā kino 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 paipu meaʻai (esophagus)
- ʻEha ʻeha loa
- ʻO ka luaʻi
- Koko luaʻi
NA MOKU PUUWAI A KOKO
- Hāneʻe
- Ke koko haʻahaʻa e hoʻomohala wikiwiki (haʻalulu)
ʻIli
- Burns
- Lā (nekrosis) i ka ʻili a i ʻole nā mea i lalo o lalo
- Hoʻonāukiuki
E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i kahi kanaka ke ʻole ke haʻi ʻia e ka hale ʻawaʻawa a mea lawelawe olakino.
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 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 hāʻawi. MAI hāʻawi i ka wai a i ʻole ka waiū inā loaʻa ka ʻōuli i ka mea maʻi (e like me ka luaʻi ʻana, hoʻoluliluli, a i ʻole he pae hoʻemi i ka makaʻala) e paʻakikī e ale.
Inā hanu ke kanaka i ka lāʻau make, hoʻoneʻe koke i ke kanaka i ka ea hou.
E kiʻi i ka ʻike aʻe:
- Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
- Ka inoa o ka huahana (a me 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 kahi mīkini hanu (ventilator)
- ʻO Bronchoscopy - kāmela i lalo i ka ʻāʻī e nānā i nā wela ma nā ala ea a me nā akemāmā
- Pākuʻi x-ray
- ECG (puʻuwai e huli ana)
- Endoscopy - kāmela i lalo i ka ʻāʻī e nānā no ka wela i ka esophagus a me ka ʻōpū
- Nā Fluids ma o kahi aa (e IV)
- ʻO ka lāʻau e hoʻohuli i ka hopena o ka lāʻau make a 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. Hana wale ʻia kēia ke loaʻa i ke kanaka ka mālama olakino ma waena o 30 a 45 mau minuke o ka lāʻau make, a ua ale ʻia ka nui loa o ka chlorine.
- Holoi i ka ʻili (hawai) - maliʻa paha 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 i ale ʻia a me ka wikiwiki e loaʻa ai ka lāʻau. Ke loaʻa koke i ke kanaka ke kōkua olakino, ʻo ka ʻoi aku ka maikaʻi o ka manawa e ola ai.
Hiki i ka ale ʻana i nā mea ʻino ke loaʻa i nā hopena koʻikoʻi ma nā ʻāpana he nui o ke kino. ʻO nā wela i ke ala ākea a i ʻole nā wahi gastrointestinal hiki ke alakaʻi i ka make ʻana i nā kiko. ʻO kēia ka hopena i ka maʻi, haʻalulu, a me ka make, i mau mau mahina ma hope o ka ale ʻia ʻana o ka mea. Hiki i ke kino scar ma nā wahi i hoʻopilikia ʻia ke alakaʻi i nā pilikia lōʻihi me ka hanu ʻana, ka ale ʻana a me ka digestion.
ʻOihana no nā mea ʻona Toxic and Disease Registry (ATSDR) pūnaewele. Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka, US Health Health Service. Hōʻike Toxicological no ka mālamu. wwwn.cdc.gov/TSP/substances/ToxSubstance.aspx?toxid=36. Hoʻohou i Kepakemapa 26, 2019. Loaʻa iā Nowemapa 6, 2019.
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.
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.
ʻO Levine MD. Nā hōʻino kemika. 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 57.