Pulu holoi holoi Windshield

ʻO ka wai holoi Windshield kahi wai aniani kala i hana ʻia i ka methanol, kahi ʻona ʻawahia. I kekahi manawa, hoʻohui ʻia i kekahi wai ʻuʻuku me nā wai ʻona ʻino, e like me ka ethylene glycol.

Kuhi hewa paha kekahi mau keiki liʻiliʻi i ka wai no ka wai, a hiki i ka lāʻau make ʻole. ʻOiai nā mea liʻiliʻi e hiki ke hōʻeha i nā kino. Kūkākūkā kēia ʻatikala i ka lāʻau make mai ka ale ʻana i ka wai holoi holoi aniani.

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.

Methanol (methyl waiʻona, lāʻau lāʻau)

Loaʻa kēia lāʻau ʻona ma:

• Windshield washer fluid (hoʻohana ʻia e hoʻomaʻemaʻe i nā puka aniani kaʻa)

ʻO nā ʻōuli o ka wili aniani holoi wai holoi e hoʻopili i nā ʻōnaehana o ke kino.

Alaloa a me nā māmā:

• Pilikia hanu
• ʻAʻohe hanu

Maka:

• ʻO ka makapō, piha a hapa paha, i kekahi manawa wehewehe ʻia ʻo "blindness snow"
• ʻIke makapō
• Hoʻonui (hoʻonui) o nā haumāna

Puʻuwai a me ke koko:

• Kaomi haʻahaʻa

ʻŌnaehana hopohopo:

• ʻO ka lawena hoʻonāukiuki
• Coma (unresponsiveness)
• Huikau
• Ke hele wāwae paʻakikī
• Puʻupuʻu
• ʻEha poʻo
• Ka hopu ʻana i nā maʻi

ʻIli a me nā kui:

• Nā lehelehe ʻeleʻele a me nā manamana lima

ʻŌpū a me nā ʻōpū:

• Paʻi ʻōpū (koʻikoʻi)
• Pohā
• Nā pilikia o ke ake, e like me ka jaundice (ʻili melemele) a me ke kahe ʻana o ke kahe
• Nusea
• ʻO ka luaʻi, ke koko

Hiki i nā ʻōuli ʻē aʻe ke:

• Ka luhi
• Pākuʻi wāwae
• Nawaliwali
• ʻIli melemele (jaundice)

E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i kahi kanaka ke ʻole ke haʻi ʻia e Poison Control a i ʻole kahi ʻoihana mālama ola.

Kōkua ka ʻikepili aʻe no ke kōkua pilikia:

• Ka makahiki o ke kanaka, kaupaona, a me ke kūlana (ʻo kahi laʻana, e ala a makaala paha ke kanaka?)
• 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

Eia naʻe, mai hoʻopanee i ke kāhea ʻana i ke kōkua inā ʻaʻole loaʻa koke kēia ʻike.

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 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. Hiki iā ʻoe ke kāhea i 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:

• Lanahu i hoʻā ʻia
• Kākoʻo Airway, e like me ka oxygen, paipu hanu ma o ka waha (intubation), a me ka mīkini hanu (ventilator)
• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• Pākuʻi x-ray
• CT (kamepiula tomography, a i ʻole ke kiʻi holomua) scan NineManga.com
• EKG (electrocardiogram, a i ʻole ka huli puʻuwai)
• Nā Fluids ma o kahi aa (intravenous a i ʻole IV)
• Lapaʻau e mālama i nā ʻōuli, me nā antidotes e hoʻohuli i ka hopena o ka lāʻau make (fomepizole a i ʻole ethanol)
• Tube ma ka ihu e hemo i ka lāʻau make i ʻike ʻia ke kanaka i loko o 60 mau minuke o ka moni ʻana iā ia

Ma muli o ka hemo wikiwiki ʻana o ka methanol he kī i ka mālama ʻana a me ke ola ʻana, e pono ana paha kahi mīkini ʻalani (kidney dialysis).

ʻO ka methanol, ka mea nui i ka aniani holoi wai holoi, he mea ʻawahia loa. Ma ka liʻiliʻi o 2 punetēpu (30 milliliter) hiki ke make i kahi keiki. Ma kahi o 2 a 8 auneke (60 a 240 mau mililiter) hiki ke make no ke kanaka makua. Kūleʻa ka makapō a paʻa mau me ka mālama olakino. Hoʻopili ʻia nā ʻōnaehana lehulehu e ka lawe ʻana i ka methanol. Hiki ke hōʻino i nā ʻōnaehana paʻa mau.

ʻO ka hopena hope loa e pili ana i ka nui o ka lāʻau make i ale ʻia a me ka manawa hea i loaʻa ai ka lāʻau.

ʻOiai ʻo ka nui o nā aniani holoi holoi aniani he ʻano wai i hoʻoinu ʻia o ka methanol, hiki nō ke lilo i mea weliweli ke moni ʻia.

Kostic MA. Poisoning. 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 63.

ʻO Nelson ME. Nā wai 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 141.

ʻO Pincus MR, Bluth MH, ʻAberahama NZ. Toxicology a me ka nānā ʻana i ka lāʻau therapeutic. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. Piladelapia, PA: Elsevier; 2017: chap 23.