Lāʻau makehewa
Hoʻohana ʻia ka mea paʻa e hoʻohui i nā kaula uila a i ʻole nā ʻāpana hao ʻē aʻe. Hana ʻia ka lāʻau make kolo ke ale ke kanaka i ka solder i ka nui. Hiki ke hana i ka wela o ka ʻili inā pili ka solder i ka ʻili.
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 i loko o ka solder i hiki ke hōʻeha ʻia:
- Antimony
- Bismuth
- Cadmium
- Keleawe
- ʻO Ethylene glycol
- Kēpau
- ʻAkika momona
- Kālā kālā
- Tin
- Kiniki
Loaʻa i kēia solder kēia mau mea. Loaʻa paha iā ia nā mea ʻino ʻē aʻe.
Nā ʻōuli no ke kēpau:
BLADDER A ME KIDNEYS
- Poino hakuʻala
NĀ MAKA, NOHO, NOHE, WAIWAI, A ME NUIʻU
- ʻIno hao
- Nā pilikia ʻike
- Nā maka melemele (jaundice)
- Lohe hoʻolohe
KUHI A ME NA INTESTINES
- Abdominal eha
- Konipōpō
- Pohā
- Make wai nui loa
- Loaʻa ka ʻai ʻole
- ʻO ka luaʻi
- Kaumaha emi
HEPU ME KE KOKO
- Hāneʻe
- Piʻi koko kiʻekiʻe
- Ke koko haʻahaʻa (haʻalulu)
MUSCLES A HUI
- Pālolo
- ʻEha ka ʻili
- Ka luhi
- Nawaliwali
- ʻEha hui
ʻERLĀ NERVOUS
- Coma (hoʻemi i ka pae o ka ʻike a me ka nele o ka pane)
- Huikau
- Excitability
- Nā Haleluʻa
- ʻEha poʻo
- Huhū
- Ka nele o ka makemake e hana i kekahi mea
- Pilikia hiamoe
- Haʻalulu
- Pākuʻi
- Nā neʻe hui ʻole
- Ka hopu ʻana (convulsions)
ʻIli
- ʻIli pale
- ʻIli melemele (jaundice)
Nā ʻōuli no ka piʻina a me ka zinc chloride:
BLADDER A ME KIDNEYS
- Hoʻoemi i ka puka mimi
- ʻAʻohe puka mimi
NĀ MAKA, NOHO, NOHE, WAIWAI, A ME NUIʻU
- Wela i ka waha a me ka puʻu
- Nā maka melemele (icterus)
KUHI A ME NA INTESTINES
- Pohā
- ʻO ka luaʻi
ʻIli
- ʻIli melemele (jaundice)
Nā ʻōuli no ka ethylene glycol:
- Hoʻopilikia i ka koena acid o ke koko (hiki ke alakaʻi i ka holo ʻole o nā ʻōhua he nui)
- Hewa ʻole nā hakuʻala
Nā ʻōuli no cadmium:
- Poino hakuʻala
- Hoemi i ka hana lolo a i ʻole ka ʻike
- Hoʻoemi i ka hana māmā
- Ka palupalu ʻana o nā iwi a me nā kōpaʻa ʻole
Nā ʻōuli no ka bismuth:
- Pohā
- Hoʻonāukiuki maka
- Gum maʻi (gingivitis)
- Poino hakuʻala
- ʻIno hao
- Hoʻonāukiuki ʻili
Nā ʻōuli no ke kālā:
- ʻO ka hoʻohuʻu ʻeleʻele-ʻeleʻele o ka ʻili a me nā membrane mucous
- Waihona kālā i ka maka
Nā ʻōuli no ka antimony:
- ʻO ke kuni kemikala
- Kaumaha
- Puʻupuʻu
- Eczema (ʻili maloʻo a me ka huhū)
- ʻEha poʻo
- Ka huhū o nā membrane mucous (waha, ihu)
- Nā pilikia ʻōpū
Nā ʻōuli no ke keleawe:
- Abdominal eha
- Pohā
- ʻO ka luaʻi
- Heart, hakuʻala, a me ke akepaʻa hānai
- Huikau (ʻike ʻole)
- Fiva
E kiʻi koke i ke kōkua lapaʻau. Mai hoʻolei i ke kanaka ke ʻole ke kāohi lāʻau ʻona a i ʻole ke kahu olakino e ʻōlelo ai iā ʻoe. Inā aia ka solder ma ka ʻili a i ʻole i nā maka, e pīpī i ka wai he nui no 15 mau minuke.
Inā ua ale ʻia ka mea solder, e hāʻawi koke i ka wai i ke kanaka, ke ʻōlelo aʻoaʻo ʻole ʻia e kahi mea hāʻawi. MAI hāʻawi i ka wai inā loaʻa i ke kanaka nā ʻōuli (e like me ka luaʻi, hopu ʻana, a i ʻole pae hoʻemi ʻia o ka makaʻala) paʻakikī e ale.
E hoʻoholo i ka ʻike aʻe:
- Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
- Ka inoa o ka huahana (a me nā mea hoʻohui, 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.
Lawe i ka ipu 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.
ʻO nā hoʻāʻo e hana ʻia ana paha:
- Nā hoʻāʻo ʻana o ke koko a me ka mimi
- 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 (electrocardiogram a i ʻole ka huli ʻana o ka naʻau)
- Endoscopy - kāmela i lalo i ka ʻāʻī e nānā no ka wela i ka esophagus a me ka ʻōpū
Hiki ke hoʻopili ʻia i ka mālama ʻana:
- Nā Fluids ma o ke aa (e IV)
- ʻO ka lāʻau lapaʻau (antidote) e hoʻohuli i ka hopena o ka lāʻau make
- Lanahu i hoʻā ʻia
- Tube ma o ka waha i loko o ka'ōpū e holoi i ka'ōpū (gastric lavage)
- Holoi ʻana i ka ʻili (hawai), i kēlā me kēia mau hola paha i mau lā
- ʻOki kino e hoʻoneʻe i ka ʻili i puhi ʻia
- Kākoʻo hanu, me ka paipu ma o ka waha i loko o nā akemāmā a pili i kahi mīkini hanu (ventilator)
- Dialysis (mīkini hakuʻala)
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. Hāʻawi ʻia ke kōkua lapaʻau wikiwiki, ʻo ka ʻoi aku ka maikaʻi o ka manawa no ka hoʻōla.
Pili nā hopena i ke ʻano o ka lāʻau make i ale ʻia:
- He mea ʻawahia loa ka Ethylene glycol.
- ʻO ka hoʻōla piha ʻana mai ka lāʻau make kēpau i hoʻokahi makahiki a ʻoi paha. Hiki paha iā ia ke hōʻino i ka lolo paʻa.
- Inā haʻahaʻa ka nui o ka zinc a me ka piula, pono ke ola i loko o 6 mau hola.
- Hoʻololi ka ʻili o ka ʻili ma muli o ka lāʻau make kālā.
- ʻO ka make ʻona lōʻihi me ka antimony a me cadmium e alakaʻi i ka maʻi ʻaʻai māmā.
- ʻO ka hoʻōla ʻana mai ka lāʻauʻawaʻawa e pili ana i ka nui o nā kino i hōʻino ʻia.
Hiki i ka ale ʻana i nā mea ʻino ke loaʻa i nā hopena koʻikoʻi ma nā ʻāpana he nui o ke kino. Hiki i nā wela i ke ala ākea a i ʻole nā ʻōpū o ka gastrointestinal ke alakaʻi i ka necrosis kikoʻī, e hopena ai i ka maʻi, haʻalulu, a me ka make a hala kekahi mau mahina ma hope o ka moni mua ʻana o ka lāʻau. Hiki ke hana i nā scars i loko o kēia mauʻaʻaʻa e alakaʻi ana i nā pilikia lōʻihi me ka hanu ʻana, ka ale ʻana a me ka digestion
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 Theobald JL, Mycyk MB. ʻO nā hao a me nā hao hao kaumaha. 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 151.