Paʻi ka mea hoʻomaʻemaʻe ʻauʻau
ʻO ka make ʻana o ka wai holoi holoi ke ale aku kekahi i kēia ʻano hoʻomaʻemaʻe, hoʻopā iā ia, a i ʻole hanu i kāna uahi. Loaʻa i kēia mau mea hoʻomaʻemaʻe ka chlorine a me nā waikawa. ʻOi aku paha ka Chlorine ma mua o nā waikawa e hoʻonāukiuki loa ai.
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 ʻinoʻino i ka hoʻomaʻemaʻe wai ʻauʻau:
- Bromine
- Kalipuna koloride
- Kalipuna hypochlorite
- Keleawe keleawe
- Kolina
- Lehu lehua
- Sodium bicarbonate
- ʻO nā waikawa mālie like ʻole
Loaʻa i kēia mau mea hoʻomaʻemaʻe wai ʻauʻau ʻokoʻa.
Ma lalo nā ʻōuli o ka wai ʻauʻau hoʻomaʻemaʻe ʻona ma nā ʻāpana like ʻole o ke kino.
NĀ MAKA, NOHO, NAHI, A ME NUI
- Lilo o ka hihiʻo
- ʻEha nui i ka ʻāʻī
- ʻEha nui a puhi paha i ka ihu, maka, pepeiao, lehelehe, a alelo paha
KUHI A ME NA INTESTINES
- Koko i loko o ka pahu
- ʻO nā wela o ka paipu meaʻai (esophagus)
- ʻEha ʻeha loa
- Nusea
- ʻO ka luaʻi (loaʻa paha i ke koko)
HEPU ME KE KOKO
- Hāneʻe
- Ke koko haʻahaʻa e hoʻomohala wikiwiki (haʻalulu)
- Nui loa a liʻiliʻi paha ka waikawa i ke koko - hiki i ka hōʻino ʻana o nā meaola
NUI NA ALOHA A ME NA ALANUI
- Ka pilikia o ka hanu (mai ka hanu ʻana i ka mea)
- ʻO ka ʻōpū ʻōpū (hiki i ke kumu o ka hanu paʻakikī)
ʻIli
- Wela
- Nā puka i ka ʻili a i ʻole nā mea ma lalo o ka ʻili
- Hoʻonāukiuki
E kiʻi koke i ke kōkua lapaʻau. Mai hoʻolei i ke kanaka ke ʻole ke kāohi lāʻau ʻona a i ʻole kahi mea mālama ola e haʻi iā ʻoe.
Inā aia ka mea hoʻomaʻemaʻe ma ka ʻili a i ʻole i nā maka, holoi me ka nui o ka wai ma kahi o 15 mau minuke.
Inā ua ale ke kanaka i ka mea hoʻomaʻemaʻe, e hāʻawi koke iā lākou i ka wai a i ʻole ka waiū, inā haʻi kahi mea hāʻawi iā ʻoe e hana pēlā. Mai hāʻawi i kekahi mea e inu ai inā loaʻa ka ʻōuli i ke kanaka e paʻakikī e ale. Hoʻopili kēia i ka luaʻi, hopu ʻana, a i ʻole pae hoʻemi o ka makaʻala.
Inā he hanu ka mea o ka mea hoʻomaʻemaʻe, hoʻoneʻe iā lākou i ka ea hou i kēia manawa.
E hoʻomākaukau i kēia ʻike:
- 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 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.
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 puʻuwai e huli ai
- 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 kahi aa (e IV)
- Lapaʻau e mālama i nā ʻōuli
- 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
- Kōkua hanu, me ka paipu ma o ka waha i loko o nā akemāmā, a me ka mīkini hanu (ventilator)
Maikaʻi ka hilinaʻi ʻana o kekahi i ka nui o ka lāʻau make 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.
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 Burns i ke alahele a i ʻole nā ʻōpū o ka gastrointestinal ke alakaʻi i ka necrosis iʻa, e hopena i ka maʻi, haʻalulu, a me ka make, a hala kekahi mau mahina ma hope o ka ale mua ʻia 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.
Ke wehe nei i kahi pākeke nui o nā papa chlorine hiki ke hōʻike iā ʻoe i kahi kinoea māʻamaʻama ikaika e lilo i mea make loa. E wehe mau i ka ipu ma waho. E mālama i kou alo i kahi mamao loa mai ka ipu hāmama i hiki.
ʻO Hoyte C. Caustics. 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 148.
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.