Hoʻopau ka inika i ka lāʻau make

ʻO ka remover ka inika kahi kemika i hoʻohana ʻia e puka i waho nā nika ink. Kū ka lāʻau make ink i ka wā e ale ai kekahi i kēia lāʻau.

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:

• Inu waiʻona (ethanol)
• ʻĀnai ʻana i ka waiʻona (waiʻona isopropyl, hiki ke lilo i mea ʻona ke moni ʻia i nā kaha nui)
• ʻAlekohola lāʻau (methanol, he mea ʻawahia loa)

Hiki ke loaʻa kēia mau mea hoʻohui i:

• Holo hou ka inika
• Pākuʻi wai

Kaha: ʻAʻole hiki i kēia papa inoa ke hoʻopili i nā kumuwaiwai a pau o ka lawe ʻana i ka inika.

ʻO nā ʻōuli mai nā ʻano ʻona ʻona āpau e komo pū paha:

• Poino lolo
• Hoʻoemi hanu
• ʻO Stupor (hoʻemi i ka ʻike, hiamoe hiamoe)
• Manaʻo ʻole

Hiki i nā metanol a me nā lāʻau ʻona isopropyl ʻona ke hana i nā wahi like ʻole o ke kino.

NĀ MAKA, NOHO, NAHI, A ME NUI

• Makapō
• ʻIke makapō
• Hoʻonui ʻia (dilated) haumāna

ʻSTLELO GASTROINTESTINAL

• Abdominal eha
• ʻO Nusea a me ka luaʻi
• Kahe nui ke kahe ʻana a me ka luaʻi ʻana i ke koko (hemorrhage)

HEPU ME KE KOKO

• Ke koko haʻahaʻa, i kekahi manawa e alakaʻi i ka haʻalulu
• Hoʻololi koʻikoʻi i ka pae o ka waikawa i ke koko (ke kaulike pH), kahi e alakaʻi ai i ka holo ʻole o nā mea he nui
• Nawaliwali
• Hāneʻe

KIDNEYS

• Hewa ʻole nā ​​hakuʻala

NUI NA ALOHA A ME NA ALANUI

• Hanu wikiwiki, pāpaʻu
• Loli i loko o nā ake māmā
• Koko i ka hāhā
• Kuʻu hanu

MUSLES A ME NA IWI

• Pākuʻi wāwae

ʻERLĀ NERVOUS

• Coma (hoʻemi i ka pae o ka ʻike a me ka nele o ka pane)
• Puʻupuʻu
• Ka luhi
• ʻEha poʻo
• Convulsions (hopu 'ia)

ʻIli

• ʻO kaʻili polū, nā lehelehe, a me nā manamana lima (cyanosis)

E kiʻi 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 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:

• 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 hoʻokuʻu kēia lālani lāhui 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 mālama ola i nā ʻōuli nui o ke kanaka, e like me ka mahana, ka lāʻau, ka 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, he paipu ma o ka waha i loko o nā akemāmā, a me kahi mīkini hanu (ventilator).
• Endoscopy - kāmele i lalo i ka ʻāʻī e nānā no ka wela i ka esophagus (ʻōpuʻu ʻine) a me ka ʻōpū.
• Nā Fluids ma o kahi aa (e IV).
• ʻO ka dialysis kidney (mīkini e wehe ai i ka lāʻau make a hoʻoponopono i ke kaulike acid-base).
• ʻO ka lāʻau lapaʻau (antidote) e hoʻohuli i ka hopena o ka lāʻau make a mālama i nā ʻōuli.
• 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 30-45 mau minuke o ka lāʻau make, a ua ale ʻia ka nui loa o ka waiwai.

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.

ʻO ka methanol ka mea weliweli a ʻona hoʻi i hiki ke lilo i mea hoʻohui i ka remo inika. Hoʻokumu pinepine ia i ka makapō mau.

ʻO Nelson ME. Nā Waihona Paha. 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 141.

Tolwani AJ, Saha MK, Wille KM. Metabolic acidosis a me alkalosis. I: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Puke aʻo o ka mālama koʻikoʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 104.

Zimmerman JL. Poisonings. I: Parrillo JE, Dellinger RP, eds. Lapaʻau mālama koʻikoʻi: nā loina o ka ʻike a me ka hoʻokele i ka makua. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 65.