Punawelewele kāne kāne ʻeleʻele

ʻO ka punawelewele ke kāne make ʻeleʻele (Latrodectus genus) he kino ʻeleʻele hinuhinu me kahi ʻano hourglass ʻulaʻula ma kona wahi ʻōpū. ʻO ka nahu ona o kahi punawelewele wahine kāne make ʻeleʻele. ʻO ka genus o nā spider, nona ka wahine kāne make ʻeleʻele, nona ka helu nui loa o nā mea ʻona i ʻike ʻia.

ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana iā ia e mālama a hoʻomalu i kahi nīwīwīwīwīwī ʻeleʻele. Inā nahu ʻia ʻoe a i ʻole kekahi mea āu, e kāhea i kāu helu kūloko 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.

ʻO ka ʻona o ka punawelewele, ke kāne make ʻeleʻele, he mau kemikona ʻawahia e maʻi ai ka poʻe.

Loaʻa nā wahine kāne make ʻeleʻele ma nā wahi o ʻAmelika Hui Pū ʻIa, ka hapanui ma ka Hema a me ke Komohana. ʻIke ʻia lākou i nā hale papaʻa, nā hale, nā paia pōhaku, nā pā, nā wahie, nā lako hale, a me nā hale o waho.

ʻIke ʻia kēia ʻano laha spider ma ka honua holoʻokoʻa. Nui lākou i ka aniau a me nā aniau subtropical, keu hoʻi i nā mahina kau wela.

ʻO ka ʻōuli mua o ka nahu ʻana o ka wahine kāne make ʻeleʻele ka maʻa mau e like me ka pinprick. ʻIke ʻia kēia ke hana ʻia ka nahu. ʻAʻole paha manaʻo kekahi poʻe. Liʻiliʻi paha ka pehu, ʻulaʻula, a ʻeha hoʻi i hoʻokahua ʻia.

Ma hope o 15 mau minuke i 1 hola, hohola kahi ʻeha puʻupuʻu puʻupuʻu mai ka wahi nahu a i ke kino holoʻokoʻa.

• Inā ka nahu ma ke kino o luna, ʻike pinepine ʻoe i ka nui o ka ʻeha ma kou umauma.
• Inā ka nahu ma kou kino haʻahaʻa, ʻike pinepine ʻoe i ka nui o ka ʻeha o kou ʻōpū.

Hiki i nā ʻōuli keu aʻe ke hana:

• Hopohopo
• Hanu paʻakikī
• ʻEha poʻo
• Piʻi koko kiʻekiʻe
• Hoʻonui ka lihi
• Hoʻonui sweating
• ʻIke māmā
• Nāwaliwali ka ʻiʻo
• ʻO Nusea a me ka luaʻi
• Numbness a me ke kani ʻana a puni ka pūnaewele nahu, a laila hoʻolaha i kekahi manawa mai ka nahu
• Hoʻomaha ʻole
• Ka hopu ʻana (ʻike pinepine ʻia ma mua o ka make ʻana i nā keiki i nahu ʻia)
• ʻO ka ʻehaʻeha o ka ʻeha a ʻeha hoʻi
• ʻO ka pehu helehelena i nā hola ma hope o ka nahu. (Kuhi ʻia kēia ʻano o ka ʻōhū i kekahi manawa me kahi maʻi āpau i ka lāʻau i hoʻohana ʻia i ka lāʻau.)

Loaʻa i nā wahine hāpai i ka ʻohi a hele i ka hana.

Pāʻona nui nā nahu spider wahine ʻeleʻele loa. E ʻimi koke i ke kōkua lapaʻau. Kāhea i ka Center Control Poison no ke alakaʻi.

E hāhai i kēia mau kaʻina a hiki i ka hāʻawi ʻia ʻana o ke kōkua lapaʻau.

• E hoʻomaʻemaʻe i ka wahi me ke kopa a me ka wai.
• E wahī i ka hau i ka lole maʻemaʻe a kau ma kahi o ka nahu. E waiho iā ia no 10 mau minuke a laila haʻalele no 10 mau minuke. E hana hou i kēia hana. Inā loaʻa ka pilikia o ke kahe o ke kanaka, 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. Kōkua paha kahi mālamana home inā ʻo ka nahu ma nā lima, nā wāwae, nā lima a me nā wāwae.
• E hoʻokuʻu i nā lole a hemo i nā apo a me nā mea paʻa paʻa ʻē aʻe.

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.

Inā hiki, lawe mai i ka punawelewele i ka lumi pilikia. E hoʻokomo iā ia i kahi pahu paʻa.

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 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)
• ʻO nā kukuna x, nā kukuna x o ka ʻōpū, a i ʻole ʻelua paha
• 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

Ma ka laulā, pono e hāʻawi ʻia nā keiki, nā wahine hāpai, a me nā poʻe mākua iā Latrodectus antivenom e hoʻohuli i ka hopena o ka lāʻau make. Eia nō naʻe, hiki ke kumu i nā hopena maʻi kūpilikiʻi a pono e hoʻohana pono ʻia.

Hoʻomaka ka hoʻomaʻemaʻe o nā hōʻailona ʻoi loa ma waena o 2 a 3 mau lā, akā mau paha nā ʻōuli milder no kekahi mau pule. Kākaʻikahi ka make i ke kanaka olakino. ʻO nā kamaliʻi ʻōpio, nā poʻe maʻi nui, a ʻaʻole hiki i nā poʻe ʻelemākule ke ola i kahi nahu.

E ʻaʻahu i nā kapa pale i ka wā e hele ana i nā wahi kahi e noho ai kēia mau nananana. MAI hoʻokomo i kou mau lima a i ʻole nā ​​wāwae i loko o kā lākou pūnana a i loko paha o kā lākou mau wahi i hūnā ʻia, e like me nā wahi pouli, malu ma lalo o nā paukū a i ʻole underbrush, a i ʻole nā ​​wahi ʻūlū a mākū.

• ʻO nā Arthropods - nā hiʻohiʻona maʻamau
• Arachnids - nā hiʻohiʻona maʻamau
• Punawelewele kāne kāne ʻeleʻele

Boyer LV, Binford GJ, Degan JA. Nahu Punawelewele. I: Auerbach PS, Cushing TA, Harris NS, hua. Ka Laau Lāʻau ʻo Auerbach. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 43.

James WD, Elston DM, Hana iā JR, Rosenbach MA, Neuhaus IM. ʻO nā maʻi Parasite, nā ʻūlū, a me nā nahu. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o Andrews 'o ka ʻili: Dermatology Haumāna. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 20

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.