Punawelewele recluse Brown

Aia nā spider brown recluse ma waena o 1 a me 1 1/2 ʻīniha (2.5 a 3.5 kenetimika) ka lōʻihi. He kala ʻeleʻele lākou, ʻano like me ka violin ma ko lākou kino kiʻekiʻe a me nā wāwae ʻeleʻele māmā. ʻEʻeleʻele paha ko lākou kino i lalo, ʻeleʻele, melemele, a ʻōmaʻomaʻo paha. ʻElua kā lākou mau maka o lākou, ma kahi o 4 mau paʻa i loaʻa i nā punawelewele ʻē aʻe. Poʻopoʻo ka nahu o ka spider recluse brown.

ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana iā ia e mālama a hoʻomalu i kahi nahu spider brown brown recluse. 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.

Loaʻa i ka ʻona o ka spider recluse brown i nā kemikona ʻawahia e maʻi ai ka poʻe.

ʻO ka spider brown recluse spider ka mea maʻamau ma ka hema a ma waena o nā mokuʻāina ʻo ʻAmelika Hui Pū ʻIa, ʻo ia hoʻi ma Missouri, Kansas, Arkansas, Louisiana, Texas hikina, a me Oklahoma. Eia nō naʻe, ua loaʻa lākou i kekahi mau kūlanakauhale nui ma waho o kēia mau wahi.

ʻOi aku ka spider brown recluse i nā wahi pouli a me nā wahi pale, e like me ma lalo o nā lanai a me nā ulu lāʻau.

Ke nahu mai ka nananana iā ʻoe, ʻike paha ʻoe i kahi kui ʻoi loa paha ʻole. Hoʻoulu ka ʻeha ma waena o nā hola mua ma hope o ka nahu ʻia ʻana, a lilo i mea koʻikoʻi. Loaʻa paha nā keiki i nā hopena koʻikoʻi.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO Chills
• Kāwili
• ʻO ka manaʻo hōʻeha a hōʻeha ʻole paha
• Fiva
• Nusea
• ʻO kaʻulaʻula a purplish paha i kahi pōʻai a puni i ka nahu
• Hoʻoulu
• ʻEha nui (ulcer) ma kahi o ka nahu

Kākaʻikahi ka hopena o kēia mau ʻōuli:

• ʻO Coma (nele i ka pane ʻole)
• Koko i ka mimi
• Melemele o ka ʻili a keʻokeʻo o nā maka (jaundice)
• Hewa ʻole nā ​​hakuʻala
• Ka hopu ʻana i nā maʻi

I nā hihia koʻikoʻi, ʻoki ʻia ka lako o ke koko mai kahi o ka nahu. Loaʻa kēia i nā scarring ʻeleʻele (eschar) ma ka pūnaewele. Hoʻopili ka eschar ma hope o 2 a 5 mau pule, e waiho ana i kahi maʻi maʻi ma o ka ʻili a me nā mea momona. He mau mahina paha ka ulcer e hoʻōla a waiho i kahi ʻeha hohonu.

E ʻimi koke i ka lāʻau lapaʻau pilikia. Kāhea iā 911 a i ʻole ka helu kūloko kūloko, a i ʻole kaohi lāʻau ʻona.

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
• Pā ka ʻaoʻao o ke kino
• Ka manawa i nahu ai
• Ke ʻano o ka nananana, inā ʻike ʻia

Lawe i ke kanaka i ka lumi pilikia no ka mālama ʻana. ʻAʻole paha ke nānā aku ka nahu i ke koʻikoʻi, akā hiki ke hoʻolōʻihi i kekahi manawa e lilo i mea koʻikoʻi. He mea nui ka mālama ʻana e hōʻemi i nā pilikia. Inā hiki, kau i ka punawelewele i loko o kahi ipu paʻa a lawe iā ia i kahi lumi pilikia no ka ʻike ʻana.

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 ʻae kēia helu hotline iā ʻoe e kamaʻilio me nā loea i ka lāʻau make, me nā nahu insect. 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 nananana i ka haukapila me ʻoe, inā hiki. E hōʻoia aia i loko o 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 mālama ʻia nā ʻōuli. Ma muli o ka hōʻeha ʻana o ka nahu spider brown brown, e hāʻawi ʻia ai nā lāʻau ʻeha. Hiki ke kuhikuhi ʻia nā lāʻau antibiotic inā maʻi ka ʻeha.

Inā kokoke ka ʻeha i kahi hui (e like me ke kuli a me ke kuʻe lima), hiki ke kau i ka lima a i ʻole ka wāwae i loko o kahi paʻa a maʻa paha. Inā hiki, e hāpai ʻia ka lima a i ka wāwae paha.

I nā hopena koʻikoʻi hou aʻe, hiki i ke kanaka ke 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

Me ka noʻonoʻo pono, ke ola ma mua o 48 mau hola he hōʻailona ia e ukali ana ka hoʻōla. ʻOiai me ka lapaʻau kūpono a wikiwiki hoʻi, mau paha nā ʻōuli no kekahi mau lā a i mau pule. ʻO ka nahu kumu, heʻuʻuku paha, e holomua i kahi kīʻaha koko a like me ka maka o ka bipi. A laila lilo ia i hohonu, a hoʻonui ʻia nā ʻōuli e like me ke kuni, ke anuanu, a me nā ʻōuli ʻē aʻe o ke komo ʻana o ka ʻōnaehana ʻōnaehana ʻē aʻe. Inā ua hoʻomohala ka scarring mai kahi ulcer, pono ʻia ke kaha ʻana e hoʻomaikaʻi i ke ʻano o ka ʻili i hoʻokumu ʻia ma ke kahua o ka nahu.

ʻO ka make ʻana mai nā nahu spider brown recluse spider ka mea maʻamau i nā keiki ma mua o nā mākua.

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.

Loxosceles reclusa

• ʻO nā Arthropods - nā hiʻohiʻona maʻamau
• Arachnids - nā hiʻohiʻona maʻamau
• ʻAi ka spider brown brown i ka lima

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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.