ʻO Stingray

ʻO kahi stingray kahi holoholona o ke kai me kahi huelo e like me ka huita. Loaʻa i nā huelo he wīwī ʻoi loa e loaʻa ana ka ʻona. Hōʻike kēia ʻatikala i nā hopena o kahi stingray stingray. ʻO ka stingray ka pūʻulu iʻa maʻamau e hōʻeha i nā kānaka. Iwakāluakūmālua mau ʻano stingray i loaʻa i nā kai kahakai o US, 14 ma ka ʻAkelanika a me 8 ma ka Pākīpika.

ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana iā ia e mālama a mālama i kahi stingray stingray maoli. Inā ʻeha ʻoe a mea paha āu e noho pū ana, kāhea i kāu helu pilikia kūloko (e like me 911), a i ʻole hiki ke kiʻi pololei ʻia kāu kikowaena lāʻau make kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help manuahi (1-800-222-1222) mai ma nā wahi a pau o ʻAmelika Hui Pū ʻIa.

Pāpona ka lāʻau make

Noho nā stingrays a me nā lāhui e pili ana i ka wai ʻawaʻawa i nā moana a puni ka honua.

Ma lalo nā ʻōuli o ke kuʻi ʻana o ka stingray i nā ʻāpana like ʻole o ke kino.

NA ALANUI A ME NA NUI

• Pilikia hanu

Pepeiao, ihu a me ka ʻōpuʻu

• ʻO Salivating a me drooling

HEPU ME KE KOKO

• ʻAʻohe puʻuwai puʻuwai
• Paʻi kuʻi ʻole
• Kaomi haʻahaʻa
• Hāneʻe (pūʻiwa)

ʻERLĀ NERVOUS

• Mauleʻa
• ʻO ke kūpikipiki o ke kino a me ke kuʻi ʻana o ka mākala
• ʻEha poʻo
• Pōpō a me ka ʻalalā ʻana
• Pālolo
• Nawaliwali

ʻIli

• Kahena
• ʻO ke kala a me ka bl ʻana, i kekahi manawa me ke koko
• ʻO ka ʻeha a me ka pehu ʻana o nā lymph node kokoke i ka wahi o ka nahu
• ʻEha ʻeha ma kahi o ka ʻū
• Hoʻoulu
• ʻO ka pehu ʻana, ma ke kahua ʻū a ma ke kino holoʻokoʻa, keu hoʻi inā ma ka ʻili o ka kumu ka lāʻau

KUHI A ME NA INTESTINES

• Pohā
• ʻO Nusea a me ka luaʻi

E ʻimi koke i ke kōkua lapaʻau. Kāhea aku i kāu lawelawe kūloko kūloko. E holoi i kahi me ka wai paʻakai. Wehe i nā ʻōpala, e like me ke one, mai ka pūnaewele ʻeha. Hoʻopulu i ka ʻeha i ka wai wela loa a hiki i ke kanaka ke hoʻomanawanui no 30 a 90 mau minuke.

E hoʻomākaukau i kēia ʻike:

• Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
• ʻAno holoholona holoholona
• Ka manawa o ka ʻami
• Kahi o ka ʻami

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.

E haʻi lākou iā ʻoe inā ʻoe e lawe i ke kanaka i ka haukapila. E haʻi pū lākou iā ʻoe pehea e hana ai i nā kōkua mua i hiki ke hāʻawi ʻia ma mua o kou hōʻea ʻana i ka haukapila.

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 pulu ka ʻeha i kahi hopena hoʻomaʻemaʻe a hemo i nā ʻōpala i koe. E mālama ʻia nā ʻōuli. E hana ʻia kekahi a i ʻole o kēia mau kaʻina hana:

• 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)
• ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
• Nā wai kūpikipiki (IV, ma o ke aa)
• Ua kapa ʻia ka lāʻau lapaʻau he antiserum e hoʻohuli i ka hopena o ka lāʻau make
• Lapaʻau e mālama i nā ʻōuli
• Nā kukuna X

Pili ka hopena ma muli o ka nui o ka wai ʻona i komo i loko o ke kino, kahi o ka ʻona, a me ka manawa e loaʻa koke ai ka lāʻau i ke kanaka. Hiki paha i ka nū a i ʻole ke kani paha i mau pule he nui ma hope o ka ʻū ʻana. Hoʻokomo paha ka hohonu hohonu i kahi ʻoki no ka hemo ʻana. ʻO ka hoʻohaunaele ʻana o ka ʻili mai ka lāʻau make i kekahi manawa ua koʻikoʻi e koi i ke ʻoki ʻana.

ʻO ka puncture i ka umauma a i ʻole ka ʻōpū o ke kanaka e alakaʻi i ka make.

Auerbach PS, DiTullio AE. Envenomation e nā wai vertebrates. I: Auerbach PS, Cushing TA, Harris NS, hua. ʻO Aurebach's Wilderness Medicine. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 75.

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.

Pōhaku DB, Scordino DJ. Wehe ʻia ke kino haole. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 36.