Ke ʻike nei ʻoe i kekahi manawa i nā ʻūmiʻi ʻiʻo koke a ʻeha hoʻi ma kou ʻāʻī? A i ʻole he paʻakikī iā ʻoe ke hana i nā hana o kēlā me kēia lā ma muli o nā ʻūmiʻi ʻiʻo ma kou mau lima a me nā manamana lima? Malia paha he kanaka ʻoe e hopohopo nei e pili ana i nā wrinkles ma kou lae. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi injection kūikawā a nā kauka e hoʻohana ai e mālama i ia mau kūlana. He lāʻau pale kēia i kapa ʻia ʻo AbobotulinumtoxinA. Ua lohe paha ʻoe iā ia ma lalo o ka inoa inoa `(Dysport)`.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau pale?
He ʻano lāʻau lapaʻau "Neuro-muscular blocker" kēia. ʻO ia hoʻi, he hopena iki kona i ka pilina ma waena o nā aʻalolo a me nā ʻiʻo . E noʻonoʻo e hele mai ana kahi hōʻailona mai ko kākou lolo i kahi ʻiʻo e "ʻaelike". ʻO ka hana a kēia inikini, ʻo ia ka hoʻonāwaliwali ʻana i ka hōʻailona e hele ana i ka ʻiʻo. Ua like ia me ka hoʻopau ʻana i kahi kuapo no kekahi manawa. Hoʻomaha iki kēia i nā ʻiʻo i paʻa pono ʻole a me ka ʻūlū.
Hoʻohana nui ʻia kēia no:
- No nā hihia kahi i wili paʻa ai nā ʻiʻo o ka ʻāʻī: Manaʻo kekahi poʻe ua paʻa ko lākou ʻāʻī me he mea lā ua huki ʻia i kekahi ʻaoʻao. He lāʻau lapaʻau kēia no kēia.
- No ka ʻōwili ʻana i nā ʻiʻo ma nā lima o nā mākua: e paʻa nā kuʻekuʻe lima, nā pulima lima , a me nā manamana lima.
- No ka ʻōwili ʻana ma luna o nā ʻāʻī o nā keiki: Hoʻohana pū nā kauka i kēia ke loaʻa i kekahi mau keiki ma luna o 2 mau makahiki nā ʻiʻo ʻāʻī ʻoʻoleʻa.
- No nā kumu hoʻonani : E like me ka ʻike ʻana o ka poʻe he nui, hoʻohana ʻia nō hoʻi ia e hōʻemi i nā laina ʻūlū ma waena o nā kuʻemaka.
ʻO ka mea nui loa, he lāʻau pale kēia e hāʻawi wale ʻia e ke kauka akamai, ma ka haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole loa e hāʻawi ʻia e ʻoe iho a i ʻole e kekahi mea i mākaukau ʻole.
Nā mea e haʻi aku i kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale
No kou palekana, he mea nui loa ia e haʻi i kāu kauka i kou mōʻaukala olakino piha ma mua o ka loaʻa ʻana o kēia lāʻau pale. Mai hūnā i kahi mea liʻiliʻi loa. ʻAʻole paha e kūpono kēia lāʻau pale me kekahi mau kūlana.
| Ke kūlana āu e pono ai e hōʻike | No ke aha mai kēlā? (ʻAʻole maopopo) |
|---|---|
| Nā pilikia hanu (e like me ka hānō) | ʻAʻole hiki i kēia lāʻau pale ke hoʻonāwaliwali i nā ʻiʻo hanu i ka hapanui o ka manawa, no laila ʻoi aku ka nui o ka pilikia inā aia kekahi pilikia. |
| Nā maʻi aʻalolo a i ʻole nā maʻi ʻiʻo (e like me Myasthenia Gravis, ALS) | No kekahi kanaka me kēia mau maʻi, hiki i kēia lāʻau pale ke hoʻonāwaliwali nui i nā ʻiʻo a hoʻonui i nā hōʻailona. |
| Nā maʻi ʻaleka | E hōʻoia e haʻi i kāu kauka inā ua loaʻa iā ʻoe kahi maʻi allergy ma mua i ka Botox, ka protein waiū bipi, ka albumin, a i ʻole kekahi lāʻau lapaʻau/meaʻai ʻē aʻe. |
| Ka hāpai ʻana a i ʻole ka hoʻolālā ʻana e loaʻa kahi keiki/hānai waiū | ʻOiai ʻaʻohe ʻikepili piha e pili ana i nā hopena o kēia lāʻau pale i nā makuahine hāpai a me nā makuahine hānai, ʻaʻole ia e ʻōlelo ʻia ma ke ʻano laulā. |
| He maʻi a ʻeha paha ma kahi i inikini ʻia | Inā ʻoe e hoʻokomo i loko o kahi i loaʻa ai ka maʻi, hiki iā ia ke laha. No laila pono ʻoe e kali a hiki i ka ho'ōla ʻana o ka ʻili. |
| Maʻi puʻuwai a i ʻole ka maʻi diabetes | He mea nui i ke kauka ke ʻike i kou kūlana olakino holoʻokoʻa. |
Nā mea e makaʻala ai ma hope o ka loaʻa ʻana o ka lāʻau pale
ʻAe, i kēia manawa ua loaʻa iā ʻoe ka lāʻau pale, he mea nui loa nā hola a me nā lā e hiki mai ana.
Inā hana ʻia kēia mau mea, mai lohi!
Ua manaʻo ʻia kēia he mau pilikia . Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) .
- Inā pilikia ʻoe i ka hanu ʻana a i ʻole ke manaʻo nei ʻoe e ʻū ana kou umauma.
- Inā pilikia ʻoe i ka ʻōlelo ʻana a i ʻole e loli kou leo (e like me ke ʻōlelo ʻana me ka leo haʻalulu).
- Inā pilikia ʻoe i ka ale ʻana i ka meaʻai a me ka mea inu (inā manaʻo ʻoe e ʻū ana ʻoe ʻoiai ke inu nei i kahi wai liʻiliʻi).
Hana ʻia kēia mau mea inā laha nā hopena o ka lāʻau pale i nā ʻāpana koʻikoʻi ʻē aʻe o ke kino. He mea kākaʻikahi loa kēia, akā he mea nui e makaʻala.
Nā mea ʻē aʻe e pono e nānā ʻia
- Ka nāwaliwali loa: Manaʻo ʻia e nāwaliwali ka ʻiʻo i hoʻokomo ʻia. Akā inā manaʻo ʻoe i ka nāwaliwali maʻamau a i ʻole ka luhi ʻē, e haʻi i kāu kauka .
- Nā loli o ka ʻike: Inā ʻike ʻoe i ka ʻike pōwehiwehi, ka ʻike pālua, a i ʻole ka manaʻo o nā lihilihi maka e kulou ana, e ʻoluʻolu, mai hoʻokele a hoʻohana paha i nā mīkini weliweli.
- Nā maka maloʻo : Hiki i kekahi poʻe ke loaʻa nā maka maloʻo. Hiki ke ʻoluʻolu ʻole kēia inā ʻoe e komo i nā aniani hoʻopili. E nīnau i kāu kauka e pili ana i nā kulu maka lubricating.
- Paʻakikī ke kāohi ʻana i ka mimi : He mea laha ʻole kēia. Inā hana ʻia kēia, e haʻi koke aku i kāu kauka .
He aha nā hopena ʻaoʻao āu e manaʻo ai?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau pale ke hana i nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. ʻO ka hapa nui o ka manawa, he liʻiliʻi nā hopena ʻaoʻao.
| ʻAno o ka hopena ʻaoʻao | Nā Laʻana |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā pilikia hanu a me ke ale ʻana | Paʻakikī ka hanu ʻana, paʻakikī ke ale ʻana, paʻakikī ke ʻōlelo ʻana. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a kūpono ʻole, ʻeha umauma. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā maka pehu, nā lihilihi e kulou ana, ʻeha ke kino, mae wale, nalowale ke kaohi ʻana i ka mimi. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| Ka wahi inikini | ʻEha, e polū ana e like me ka palapū. |
| Nā ʻano laulā | ʻEha poʻo, poniuniu, waha maloʻo, ihu wai. |
Hiki iā ia ke launa pū me nā lāʻau lapaʻau ʻē aʻe?
ʻAe. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau pale. ʻOi aku ka kikoʻī:
- Nā lāʻau ʻaʻai lāʻau aminoglycoside - e.g. gentamicin, neomycin.
- Nā lāʻau hoʻomaha ʻiʻo ʻē aʻe.
- ʻO nā inikini botulinum toxin ʻē aʻe.
No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā mea hoʻohui).
Mai poina, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hopohopo a kāhea koke aku i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
Leka Lawe-Home
- He inikini kūikawā ʻo AbobotulinumtoxinA (Dysport) i hāʻawi wale ʻia e ke kauka no nā mea e like me ka hoʻopaʻa ʻana i nā ʻiʻo a me ka hoʻēmi ʻana i nā wrinkle.
- Ma mua o ka loaʻa ʻana o ka lāʻau pale, e haʻi piha i kāu kauka e pili ana i kou mau maʻi āpau, nā maʻi allergies, a me nā lāʻau lapaʻau āu e lawe nei.
- Inā pilikia ʻoe i ka hanu ʻana, ka moni ʻana, a i ʻole ka ʻōlelo ʻana ma hope o ka loaʻa ʻana o ka lāʻau pale, he pilikia ia. E ʻimi koke i ke kōkua lapaʻau.
- Inā ʻike ʻoe i ka ʻike pohihihi a i ʻole ke poʻo māmā, e pale i ka hoʻokele kaʻa ʻana a i ʻole ke komo ʻana i nā hana weliweli a hiki i kou hoʻōla ʻana.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau pale, e kūkākūkā me kāu kauka.
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