Lāʻau make kalapona
ʻO Carbon monoxide kahi aila ʻaʻohe ʻaʻala e kumu i nā make he mau kaukani i kēlā me kēia makahiki ma ʻAmelika Hema. Weliweli loa ka hanu ʻana i ke kalapona kalapona. ʻO ia ke kumu nui o ka make make ʻana ma ʻAmelika Hui Pū ʻIa.
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 Carbon monoxide kahi kemika i hana ʻia mai ka hoʻopau piha ʻole ʻana o ke kinoea kūlohelohe a i ʻole nā huahana ʻē aʻe i loaʻa i ke kalapona. Hoʻopili kēia i ka luhi, nā hoʻomehana hewa, nā ahi, a me nā hoʻokuʻu ʻana o ka hale hana.
Hiki paha i nā mea aʻe ke hana i ka carbon monoxide:
- ʻO kēlā me kēia mea e kuni i ka lānahu, kaʻaila, kaʻaila, kaʻaila, propane, a me ka wahie
- Nā ʻenekini kaʻa
- Pāhuʻu lanahu (ʻaʻole pono e puhi ʻia ka lanahu i loko o ka hale)
- Nā ʻōnaehana hoʻomehana i loko a me ka halihali
- Nā mea hoʻomehana propane lawe
- Nā kapuahi (nā kapuahi i loko a me kahi hoʻomoana)
- Nā mea hoʻomehana wai e hoʻohana i ka ʻaila kūlohelohe
Kahakaha: ʻAʻole paha piha kēia papa inoa.
Ke hanu ʻoe i ka carbon monoxide, hoʻololi ka lāʻau make i ka oxygen i kou kahe koko. E pōloli kou naʻau, lolo, a me kou kino i ka oxygen.
Hoʻololi nā ʻōuli i kēlā me kēia kanaka. ʻO kēlā mau mea i ka makaʻu nui me nā keiki ʻōpio, nā mākua makua, ka poʻe me ka maʻi puʻuwai a puʻuwai paha, nā poʻe kiʻekiʻe kiʻekiʻe, a me nā mea puhipaka. Hiki i ke kalapona kalapona ke hōʻeha i kahi ʻōpū (pēpē hānau ʻole i loko o ka ʻōpū).
Pākuʻi ʻia paha nā ʻōuli o ke kalapona kalapona me:
- Nā pilikia hanu, me ka hanu ʻole, ka hanu ʻole, a me ka hanu wikiwiki ʻana
- ʻEha o ka umauma (hiki wawe i ka poʻe me angina)
- Koma
- Huikau
- Nā manaʻo hoʻohoka
- Puʻupuʻu
- Hiamoe
- Mauleʻa
- Ka luhi
- Nāwaliwali āpau a achiness
- ʻEha poʻo
- Hyperactivity
- Hoʻoholo kūpono ʻole
- Huhū
- Kaomi haʻahaʻa
- Nāwaliwali ka ʻiʻo
- ʻO ke kuʻi puʻuwai wikiwiki a i ʻole kūpono ʻole
- Pāhaʻi
- ʻO Nusea a me ka luaʻi
- Manaʻo ʻole
Hiki i nā holoholona ke hoʻomake ʻia e carbon monoxide. E ʻike paha ka poʻe he mau holoholona kā lākou i ko lākou holoholona i nāwaliwali a i ʻole pane ʻole mai ka hōʻike ʻana o carbon monoxide. ʻO ka manawa pinepine e maʻi nā holoholona holoholona i mua o nā kānaka.
Ma muli o ke ʻano he nui o kēia mau ʻōuli me nā maʻi viral, hilahila pinepine ka lāʻau ʻona kalapona me kēia mau ʻano. Hiki i kēia ke alakaʻi i kahi lohi i ka loaʻa ʻana o ke kōkua.
Inā hanu ka mea i loko o ka lāʻau make, hoʻoneʻe koke iā ia i ka ea hou. E ʻimi koke i ka lāʻau.
KOHO ANA
E hoʻouka i kahi mīkini ʻike kalapona ma kēlā me kēia papa o kou home. E hoʻonoho i kahi mea ʻike hou ma kahi kokoke i nā mīkini ahi kuni nui (e like me ka umu a me ka mea hoʻowai wai).
Hana ʻia nā mea make ʻona kalapona he nui i nā mahina hoʻoilo ke hoʻohana ʻia nā umu ahi, nā kapuahi ahi, a me nā mea hoʻomehana lawe lawe a pani ʻia nā puka aniani. Nānā pinepine ʻia nā mea hoʻomehana a me nā mīkini ʻenekini kuni uila e ʻike pono ua palekana lākou e hoʻohana.
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?)
- Pehea ka lōʻihi o lākou e hōʻike ai i ka carbon monoxide, inā ʻike ʻia
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 loaʻa paha i ke kanaka:
- 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
- EKG (electrocardiogram, a i ʻole ka huli puʻuwai)
- Nā Fluids ma o kahi aa (intravenous a i ʻole IV)
- Hyperbaric oxygen therapy (hāʻawi ʻia ka oxygen me ke kiʻekiʻe kiʻekiʻe i kahi keʻena kūikawā)
- Nā lāʻau lapaʻau e mālama ai i nā ʻōuli
Hiki i ka make make kalapona ke kumu make. No ka poʻe i ola, lohi ka hoʻōla. Aia ke ʻano o ke kanaka ma muli o ka nui a me ka lōʻihi o ke kū ʻana i ka carbon monoxide. Hiki ke hōʻino i ka lolo paʻa.
Inā hōʻino ke kanaka i ka hiki i ka noʻonoʻo ma hope o 2 mau pule, ʻoi aku ka maikaʻi o ka loaʻa o ke ola piha. Hiki ke hōʻike hou ʻia ka noʻonoʻo noʻonoʻo ʻole ma hope o ka loaʻa ʻole o kahi ʻōuli i kekahi no 1 a 2 mau pule.
ʻO Christiani DC. Nā hōʻeha kino a me nā kemika o ka hū. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 94.
ʻO Nelson LS, Hoffman RS. Nā lāʻau hoʻoneʻe i hoʻoiho ʻia. 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 153.
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.