Pā nahu ka punawelewele punaewele

Hōʻike kēia ʻatikala i nā hopena o ka nahu ʻana mai ka punawelewele punaewele. ʻOi aku ka ʻona o ka ʻāpana punawelewele kāne ma mua o nā nahu ʻana e nā wahine. ʻO ka papa o nā kolo i pili i ka punawelewele, ke kikowaena o ka nui o nā mea ʻona i ʻike ʻia.

ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana iā ia e mālama a mālama i kahi nahu mai kēia ʻano punawelewele. 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 ka lāʻau make i loko o ka punawelewele, funnel-web spider.

Loaʻa nā ʻano kikoʻī o nā punawelewele i funnel ma ka hikina hema o Australia, a puni ʻo Sydney. Loaʻa nā mea ʻē aʻe ma ʻEulopa, Nūhōlani a me Chile. ʻAʻole lākou he ʻōiwi i ʻAmelika Hui Pū ʻIa, ʻoiai e mālama paha kekahi poʻe iā lākou ma ke ʻano he holoholona hānai ʻē. ʻO nā pūnaewele i kūkulu ʻia e kēia hui o nā spider me nā paipu e like me nā funnel e hoʻonui ʻia i kahi wahi i pale ʻia e like me ka lua o kahi kumulāʻau a i ʻole kahi lua i ka honua.

He ʻeha a weliweli hoʻi ka nahu ʻana i ka punawelewele. Ua ʻike ʻia lākou e hoʻokumu i kēia mau ʻōuli i nā ʻāpana like ʻole o ke kino:

NĀ MAKA, NOHO, NAHI, A ME NUI

• Drooling
• ʻElmiʻi maka maka
• Hōʻike pālua
• Pahu i ka paʻakikī
• ʻO ka ʻūlū ʻana a i ʻole ka helu ʻana i ka waha a i ʻole nā ​​lehelehe ma waena o 10 a 15 mau minuke

HEPU ME KE KOKO

• Hāneʻe (pūʻiwa)
• Helu puʻuwai wikiwiki

LUNGS

• Hanu paʻakikī

MUSCLES A HUI

• ʻEha hui
• ʻO nā spasms mākala koʻikoʻi, ma ka maʻamau i nā wāwae a me ka ʻōpū

ʻERLĀ NERVOUS

• Hoʻoikaika
• Huikau
• ʻO Coma (nele i ka pane ʻole)
• ʻEha poʻo
• Numbness o ka waha a me nā lehelehe
• Nā haʻalulu (haʻalulu)
• ʻO Shivering (haʻalulu)

ʻIli

• Hoʻoikaika ka sweating
• ʻUlaʻula a puni ka pūnaewele o ka nahu

KUHI A ME NA INTESTINES

• Pohā
• ʻO Nusea a me ka luaʻi

Pāʻona nui nā nahu spider funnel-web. E ʻimi koke i ke kōkua lapaʻau. Kāhea i ka Poison Control Center a i ʻole 911 no ke alakaʻi.

Hoʻomaʻamaʻa koke kahi nahu i nā ʻano o kēia mau kiʻina 4, i hoʻohālikelike ʻia ma hope o ka hana nahu ʻana a ka nahesa Nūhōlani a ʻehā mau ʻanuʻu:

1. E hoʻomaʻemaʻe i ka wahi me ke kopa a me ka wai a wahī i ka lōʻihi o ka ʻāpana o ka nahu me kahi bandage elastis.
2. Hoʻopili i kahi wili i ka ʻāpana nahu e hoʻoliʻiliʻi i ka wahi.
3. E mālama i ka mea i hōʻino ʻia mai ka neʻe ʻana.
4. E mālama i ka bandage i kahi e lawe ʻia ai ka mea i hōʻino ʻia i kahi haukapila kokoke loa a i ʻole kahi kikowaena mālama pilikia.

E hoʻomākaukau i kēia ʻike:

• Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
• Ka manawa i nahu ʻia ai
• Kahi ma ke kino kahi o ka nahu
• Ke ʻano o ka nananana, inā hiki

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. 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.

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 ka ʻeha ma ke kūpono.

E loaʻa paha i ke kanaka:

• ʻO Antivenin, kahi lāʻau e hoʻohuli i nā hopena o ka lāʻau make, inā loaʻa
• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• Kākoʻo hanu, e like me ka oxygen, paipu ma o ka waha i loko o ka ʻāʻī, a me ka mīkini hanu (ventilator)
• Pākuʻi x-ray
• ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
• Nā wai kūpikipiki (IV, a i ʻole i kahi aa)
• Nā lāʻau lapaʻau e mālama ai i nā ʻōuli

Hiki i nā nūnū punawelewele punaewele ke hoʻoweliweli i ke ola, keu hoʻi i nā keiki. Pono lākou e mālama koke ʻia me antivenin e kahi mea hāʻawi ʻike. ʻOiai me ka lapaʻau kūpono a wikiwiki hoʻi, mau paha nā ʻōuli no kekahi mau lā a i mau pule. Liʻiliʻi paha ka nahu mua a holomua paha i ka pehu koko a like me ka maka o ka bipi. (Like kēia me ke ʻano o ka nahu ʻana o ka spider brown brown.)

ʻO ka wahi i pā ʻia e ka nahu e lilo i hohonu. ʻO nā ʻōuli ʻē aʻe e like me ke kuni, ke anu, a me nā ʻōuli ʻē aʻe o ke komo ʻana o ka ʻōnaehana ʻōnaehana e ulu paha. Hiki ke hana i kahi scarring hohonu a pono paha ke kauka e hoʻomaikaʻi i ka helehelena o ka ʻili.

• ʻO nā Arthropods - nā hiʻohiʻona maʻamau
• Arachnids - nā hiʻohiʻona maʻamau

Keʻokeʻo J. Envenomation. I: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Nā Kumuhana a Davidson a me ka hana o ka lāʻau. 23rd Ed. Piladelapia, PA: Elsevier; 2018: chap 8.

Boyer LV, Binford GJ, Degan JA. Nahu Punawelewele. I: Auerbach PS, Cushing TA, Harris NS, hua. ʻO Aurebach's Wilderness Medicine. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 43.

ʻO Otten EJ. Nā hōʻeha holoholona lōhiu. 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 55.