ʻĀpala ʻo Oleander
Kū ka lāʻau make ʻole ʻo Oleander ke ʻai kekahi i nā pua a nau ʻia ka lau a i ʻole nā koʻokoʻo o ka mea kanu oleander (Nerium oleander), a i ʻole kona mea pili, ka oleander melemele (Cascabela thevetia).
ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana ia mea e mālama a mālama i kahi lāʻau make maoli. 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.
ʻO nā mea ʻona ʻona pū kekahi:
- Digitoxigenin
- Neriin
- Oleandrin
- ʻO Oleondroside
Kaha: ʻAʻole hiki i kēia papa inoa ke hoʻopili i nā mea lāʻau make āpau.
Loaʻa nā lāʻau ʻona i nā wahi āpau o ka mea kanu oleander:
- Nā pua
- Lau lau
- Kumumea
- Nā lālā
Hiki i ka lāʻau make Oleander ke hoʻopili i nā ʻāpana o ke kino.
HEPU ME KE KOKO
- Paʻi kuʻi ʻole a kuʻi paha
- Kaomi haʻahaʻa
- Nawaliwali
NĀ MAKA, NOHO, NOHE, WAIWAI, A ME NUIʻU
- ʻIke makapō
- Nā haunaele o ka hihiʻo, e pili ana i nā mea a puni nā mea
KUHI A ME NA INTESTINES
- Pohā
- Loaʻa ka ʻai ʻole
- ʻO Nusea a me ka luaʻi
- ʻEha ʻeha
ʻERLĀ NERVOUS
- Huikau
- Make
- Kaumaha
- Hoʻohuli manaʻo
- Puʻupuʻu
- Hiamoe
- Mauleʻa
- ʻEha poʻo
- Lethargy
ʻIli
- ʻO Hives
- Rash
Kaha: ʻO ke kaumaha, ka nalo o ka makemake ʻole, a me ka ʻalo a ʻike pinepine ʻia i nā hihia overdose mau.
E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i kahi kanaka ke ʻole e haʻi ʻia e hana i ka lāʻau make a i ʻole kahi mea mālama ola.
E kiʻi i ka ʻike aʻe:
- Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
- Ua ale ʻia ka inoa a me kahi ʻāpana o ka mea kanu
- Ka manawa ua ale ʻia
- Ua ale ʻia ka nui
Hiki ke kiʻi pololei ʻia kāu kikowaena lāʻau hoʻomake lāʻau kūloko 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 hoʻokuʻu kēia helu hotline iā ʻoe e kamaʻilio me nā loea i ka lāʻau make. 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 i kahi 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 hāʻawi i nā hōʻailona koʻikoʻi o ke kanaka, e like me ka mahana, ka pālū, ka hanu hanu, a me ke kahe o ke koko. E mālama ʻia nā ʻōuli ma ke kūpono. E loaʻa paha i ke kanaka:
- Lanahu i hoʻā ʻia
- Nā hoʻāʻo ʻana o ke koko a me ka mimi
- Kākoʻo hanu, me ka oxygen ma o ka paipu ma o ka waha i loko o nā akemāmā, a me kahi mīkini hanu (ventilator)
- Pākuʻi x-ray
- ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
- Nā Fluids ma o kahi aa (IV)
- Nā lāʻau lapaʻau e mālama i nā hōʻailona me kahi lāʻau lapaʻau e hoʻohuli i nā hopena o ka lāʻau make
- Tube ma o ka waha i loko o ka'ōpū e holoi i ka'ōpū (gastric lavage)
Maikaʻi kāu hilinaʻi ʻana i ka nui o nā lāʻau make i ale ʻia a me ka wikiwiki e loaʻa ai ka lāʻau. ʻO ka wikiwiki o kou loaʻa ʻana i ke kōkua olakino, ʻo ka ʻoi aku ka maikaʻi o ka manawa kūpono no ke ola ʻana.
Kūleʻa nā ʻōuli no 1 a 3 mau lā a koi paha i kahi noho haukapila. ʻAʻole paha make.
Mai hoʻopā a ʻai i kekahi mea kanu āu e kamaʻāina ʻole ai. E holoi i kou mau lima ma hope o ka hana ʻana i ka māla a i ʻole ke hele wāwae ʻana i ka ulu lāʻau.
Lāʻau make Rosebay; ʻAlohani ʻaʻ Oleander melemele; Lāʻau makeʻo Thevetia peruviana
- Oleander (Nerium oleander)
Graeme KA. Hoʻokomo i nā mea kanu ʻona. I: Auerbach PS, Cushing TA, Harris NS, hua. Ka Laau Lāʻau ʻo Auerbach. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 65.
Mofenson HC, Caraccio TR, McGuigan M, Greensher J. Lāʻau ʻona. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier 2020: chap 1281-1334.