Pā ʻūpā
Hōʻike kēia ʻatikala i nā hopena o kahi ʻūpā ʻū.
ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana iā ia e mālama a hoʻomalu i kahi wī. 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 poʻi holoi. Hoʻokomo ʻia ia iā ʻoe ke ʻeha ʻoe.
Hāpai nā nalo i kēia onaona. Hoʻopilikia kekahi poʻe i ka lāʻau make a loaʻa ka hopena koʻikoʻi inā ʻeha lākou. ʻAʻole pono ka hapa nui o ka poʻe i ka lāʻau olakino pilikia inā ʻeha lākou.
Ma lalo nā ʻōuli o ka ʻūmū ma nā ʻāpana like ʻole o ke kino.
NĀ MAKA, NOHO, NAHI, A ME NUI
- ʻO ka pehu o ka ʻāʻī, nā lehelehe, nā alelo, a me nā waha *
NA MOKU PUUWAI A KOKO
- Helu puʻuwai wikiwiki
- Hoʻoemi nui i ke kahe o ke koko
- Uhaʻi (pūʻiwa) *
LUNGS
- Ka hanu paʻakikī ʻana *
ʻIli
- Hives *
- Kāwili
- ʻO ka pehu a me ka ʻeha ma kahi o ka ʻū
KUHI A ME NA INTESTINES
- ʻ .miʻi ʻōpū
- Pohā
- ʻO Nusea a me ka luaʻi
Kaha: ʻO nā ʻōuli i kaha ʻia me kahi asterisk ( *) mai kahi hopena maʻi ʻino i ka lāʻau make, ʻaʻole mai ka lāʻau make ponoʻī.
No nā hopena koʻikoʻi:
Kāhea iā 911 inā loaʻa ka maʻi maʻi i ke kanaka (ʻōhū nui a paʻakikī i ka hanu ʻana). Pono paha ʻoe e hele i ka haukapila inā koʻikoʻi ka hopena.
Inā loaʻa iā ʻoe kahi maʻi āpau i ka ʻūpā, pi, ʻāwi a i ʻole nā ʻūlū lākeke melemele, e hāpai mau i kahi ʻōniʻoniʻu pi a ʻike pehea e hoʻohana ai. Pono kēia mau kime i kahi palapala. Loaʻa i loko o lākou kahi lāʻau i kapa ʻia ʻo epinephrine, kahi āu e lawe koke ai inā loaʻa kahi ʻūpā ʻūpā.
E mālama i ka ʻūpā ʻū:
- E hoʻāʻo e hemo i ka stinger mai ka ʻili (inā aia nō i kēia manawa). No ka hana ʻana i kēia, ʻānai pono i ka hope o ka pahi a i ʻole nā mea lahilahi, ʻulaʻula, a me nā maka pololei (e like me kahi kāleka hōʻaiʻē) ma ʻō aku o ka stinger inā hiki i ke kanaka ke noho mālie a palekana ia e hana pēlā. A i ʻole, hiki iā ʻoe ke huki i ka stinger me nā tweezers a i ʻole kou mau manamana lima. Inā ʻoe e hana i kēia, mai ʻūʻī i ka ʻeke lū ma ka hope o ka stinger. Inā haki kēia ʻeke, e hoʻokuʻu hou ʻia ka lāʻau make.
- E hoʻomaʻemaʻe maikaʻi i ka wahi me ke kopa a me ka wai.
- E kau i ka hau (ʻūlū ʻia i kahi lole maʻemaʻe) ma ka pūnaewele o ka ʻami no 10 mau minuke a laila holo aku no 10 mau minuke. E hana hou i kēia hana. Inā loaʻa nā pilikia o ke kanaka me ke kahe o ke koko, e hoʻēmi i ka manawa o ka hau ma kahi e pale ai i ka ʻeha o ka ʻili.
- E mālama mau i ka wahi i hoʻopilikia ʻia, inā hiki, e pale aku i ka laha ʻana.
- E hoʻokuʻu i nā lole a hemo i nā apo a me nā mea paʻa paʻa ʻē aʻe.
- Hāʻawi i ka diphenhydramine (Benadryl a me nā mana ʻē aʻe) i ka waha inā hiki iā lākou ke ale. Hiki ke hoʻohana wale ʻia kēia lāʻau antihistamine no nā ʻōuli māmā.
E hoʻomākaukau i kēia ʻike:
- Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
- ʻAno o ka ʻūpala
- ʻO ka manawa ke kuʻi
- 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.
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.
Inā pono ke kipa lumi pilikia, e ana a mālama ka mea mālama olakino i nā hōʻailona koʻikoʻi o ke kanaka, e like me ka mahana, ka pālū, ka hanu ʻana, a me ke koko E mālama ʻia nā ʻōuli. E loaʻa paha i ke kanaka:
- Nā ho'āʻo koko a me ka mimi.
- Kākoʻo hanu, me ka oxygen. Pono paha nā hopena maʻi ʻeha i kahi puʻupuʻu i lalo i ka puʻu a me ka mīkini hanu (ventilator).
- Pākuʻi x-ray.
- ECG (electrocardiogram, a i ʻole ka huli puʻuwai).
- Nā wai kūpikipiki (IV, ma o ke aa).
- Nā lāʻau lapaʻau e mālama ai i nā ʻōuli.
Aia ke ʻano o ka hilinaʻi o ke kanaka ma muli o ke ʻano o ka maʻi āpau o lākou i ka naonao kolo a me ka wikiwiki o ka loaʻa ʻana o ka lāʻau iā lākou. ʻO ka wikiwiki o ko lākou loaʻa ʻana i ke kōkua lapaʻau, ʻo ka ʻoi aku ka maikaʻi o ka manawa kūpono no ke ola ʻana. Hoʻonui ka manawa o nā kino āpau i ka wā e lilo ana nā kūloko i mea nui loa.
ʻOi aku ka maikaʻi o ka poʻe maʻi ʻole i ka nīpī, nā pi, nā peʻa a i ʻole nā pā melemele i loko o 1 pule.
MAI hoʻokomo i kou mau lima a i ʻole nā wāwae i nā pūnana a i nā hives a i ʻole nā wahi hūnā ʻē aʻe. Hōʻalo i ka ʻaʻahu ʻana i nā lole ʻalani a me nā ʻala a i ʻole nā ʻala ʻē aʻe inā ʻoe ma kahi e ʻike ʻia ai nā nūnū e ʻākoakoa.
- ʻO Wasp
ʻO Elston DM. Nā nahu a me nā ʻūlū. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 85.
ʻO Erickson TB, Marquez A. Enropomation a me ka parasitism. I: Auerbach PS, Cushing TA, Harris NS, hua. ʻO Aurebach's Wilderness Medicine. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 41.
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.