ʻĀpana puʻukū paʻa maloʻo

ʻO nā pila uila maloʻo kahi ʻano maʻamau o ke kumu waiwai. Kāhea ʻia nā pākeke uila maloo liʻiliʻi i kekahi manawa i nā pila pihi.

Kūkākūkā kēia ʻatikala i nā hopena weliweli mai ka ale ʻana i kahi puʻupuʻu maloʻo maloʻo (me nā pihi pihi) a i ʻole ka hanu ʻana i ka nui o ka lepo a i ʻole ka uahi mai nā puhi uila.

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.

Loaʻa i nā paila pūnaewele maloʻo maloʻo:

• Dioxide Manganese
• ʻAmoniuma koleka

Aia i loko o nā pihi uila maloo Alkaline:

• Sodium hydroxide
• Pāpūkona hydroxide

Aia i loko o nā lākea o nā lula maloʻo lithium dioxide:

• Dioxide Manganese

Hoʻohana ʻia nā pila uila maloʻo e mana i nā ʻano mea like ʻole. Hiki ke hoʻohana ʻia nā pākana liʻiliʻi maloʻo liʻiliʻi e hana ai i nā wati a me nā calculator, ʻoiai nā mea nui (e laʻa me ka nui o nā pākana "D") i nā mea e like me nā kukui uila.

Pili nā ʻōuli i ke ʻano o ka pila i ale ʻia.

ʻO nā ʻōuli o ka lāʻau ʻawaʻawa maloʻo acidic pū kekahi:

• Ua emi ka hiki i ka noʻonoʻo
• ʻO ka huhū a i ʻole ke kuni ʻana i ka waha
• Pākuʻi kaʻiʻo
• ʻLelo lohi
• ʻO ka pehu ʻana o nā wāwae o lalo, nā kuʻekuʻe wāwae, a i ʻole nā ​​wāwae
• Hele wāwae Spastic
• Haʻalulu
• Nawaliwali

Nā ʻōuli i hiki ke hopena i ka hanu ʻana i ka nui o ka paukū acidic, a i ʻole nā ​​mea, ka lepo, a me ka uahi mai nā puhi uila e komo pū ana:

• ʻO ka hoʻonāukiuki a me ka hano
• Hoʻoemi i ka hiki i ka noʻonoʻo
• Hilikia hiamoe
• ʻEha poʻo
• Pākuʻi kaʻiʻo
• Numbness o nā manamana a me nā manamana wāwae
• ʻIli ʻili
• Ponia (mai ka huhū a me ka paʻa o nā alaloa)
• ʻLelo lohi
• Hele wāwae Spastic
• Nāwaliwali i nā wāwae

Hiki i nā ʻōuli o ka lāʻau ʻona alkaline ke hoʻopili pū ʻia:

• Abdominal eha
• Hoʻopilikia i ka hanu ʻana mai ka pehu ʻana o ka puʻu
• Pohā
• Drooling
• Ka hāʻule wikiwiki ʻana o ke koko (haʻalulu)
• ʻEha ʻeha
• ʻO ka luaʻi

Pono ka mālama koke ʻana ma hope o ke ale ʻia o ka pila.

E kiʻi koke i ke kōkua lapaʻau. Mai hoʻolei i kahi kanaka ke ʻole e haʻi ʻia e hana i ka lāʻau make a i ʻole kahi mea mālama ola. E hāʻawi koke i ka wai i ka mea a i ʻole ka waiū, ke ʻole a kauoha ʻia e kahi mea hāʻawi.

Inā hanu ka mea i ka uahi mai ka pila, hoʻoneʻe koke iā lākou i ka ea hou.

Inā haki ka pila a hoʻopā ka ʻike i nā maka a i ʻole ʻili, holoi i kahi me ka wai no 15 mau minuke.

E kiʻi i ka ʻike aʻe:

• Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
• ʻAno o ka uila
• 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 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.

Hiki ke kiʻi ʻia ka National Battery Ingestion Hotline www.poison.org/battery ma 202-625-3333. Kāhea koke inā manaʻo ʻoe ua ale ʻia kahi pakuhi o nā nui a me nā kinona.

Lawe i ka pila me ʻoe i ka haukapila, inā hiki.

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.

Pono ke kanaka i nā kukuna x e ʻike pono ʻaʻole paʻa ka pākiko i ka esophagus. ʻO ka hapanui o nā pākeke moni i hala i ka esophagus e hele i loko o ka pahu me ka ʻole o ka pilikia. Eia nō naʻe, inā paʻa ka pila i ka esophagus, hiki ke kumu i kahi puka i ka esophagus me ka wikiwiki.

E loaʻa paha i ke kanaka:

• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• Kākoʻo hanu, me ka oxygen ma o kahi paipu mai ka waha i loko o nā akemāmā, a me kahi mīkini hanu (ventilator)
• ʻO Bronchoscopy - kāmela a me ka pahu i hoʻonoho ʻia i lalo i ka puʻu i loko o nā akemāmā a me nā ala ea e hoʻoneʻe i kahi pākiko e paʻa i ka hanu
• 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 endoscopy o luna - kahi ʻōmole a me ka pahu paʻi kiʻi ma o ka waha i loko o ka esophagus a me ka ʻōpū e hemo ai i kahi puʻukū i paʻa i ka Tube moni (esophagus)
• X-kukuna e nānā no ka puʻukū

E mālama ʻia nā ʻōuli ma ke kūpono.

Aia ka maikaʻi o ke kanaka ma muli o ka nui o nā lāʻau make i ale ʻia a me ka wikiwiki i loaʻa ai ka lāʻau. ʻO ka wikiwiki o ke kōkua olakino o kekahi kanaka, ʻo ka ʻoi aku ka maikaʻi o ka manawa kūpono no ke ola ʻana. Hiki ke loaʻa hou ke ola piha inā mālama wikiwiki ʻia.

ʻIke pinepine ʻia nā pilikia koʻikoʻi ma hope o nā ulia pōpilikia ʻoihana. ʻO ka hapa nui o nā hōʻike home (e like me ka palu ʻana i kekahi wai mai kahi pūniki e hemo ana a i ʻole ke ale ʻana i kahi pihi pihi) mea liʻiliʻi. Inā ʻaʻole hele i kekahi o nā puʻupuʻu nui ma loko o ka naʻau i loko o kahi manawa kaupalena a ke kumu nei ia e kahe ai ka ʻōpū a hoʻoweliweli paha, e pono ai kahi kaʻina hana me ka anesthesia āpau.

ʻO nā paila - cell maloʻo

ʻO Bregstein JS, Roskind CG, Sonnett FM. Lapaʻau pōpilikia. I: Polin RA, Ditmar MF, eds. Nā Hunahuna Pediatric. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 5.

Pūnaewele National Poison Center. ʻO ka pihi NBIH pākuhi e inu ana i ka triage a me ke alakaʻi alakaʻi. www.poison.org/battery/guideline. Hoʻohou Iune 2018. Loaʻa iā Nowemapa 9, 2019.

Pfau PR, Hancock SM. Nā kino ʻē, nā bezoar, a me nā ingestions caustic. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 27.

ʻO Thomas SH, Goodloe JM. Nā ʻĀina 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.