He mea weliweli anei ke hāʻawi nui i kāu keiki liʻiliʻi i ka paracetamol? (Acetaminophen Toxicity) E ʻike kākou i ke ʻano o kēia!

Ke loaʻa i kāu keiki liʻiliʻi ke kuni a ʻeha paha ke kino, hāʻawi pinepine mākou iā lākou i ka paracetamol, ʻeā? Inā ʻoe e hele e ʻike i ke kauka a kūʻai paha i ka lāʻau lapaʻau mai kahi hale kūʻai lāʻau lapaʻau, e loaʻa mau iā ʻoe kēia paracetamol. ʻOiaʻiʻo, inā hāʻawi pololei ʻia, he palekana loa ia a he pono. Eia naʻe, ua ʻike anei ʻoe i kekahi manawa, ma muli o ka naʻaupō a i ʻole kahi hewa liʻiliʻi, inā loaʻa i ke keiki ka paracetamol nui loa, hiki ke hana i kahi pilikia nui? ʻO ia ka mea a mākou e kapa nei he `(Acetaminophen Toxicity)` a i ʻole ka lāʻau make paracetamol.

He aha kēia "Acetaminophen Toxicity"?

I ka ʻōlelo maʻalahi, ʻo ka paracetamol kahi lāʻau lapaʻau a nā kauka e hāʻawi ai i nā keiki ʻōpio e hoʻēmi i ke kuni a hoʻomaha i ka ʻeha. Ua lohe paha ʻoe iā ia ʻo "Tylenol®". He palekana loa ia ke hāʻawi ʻia i ka nui kūpono. Makemake nā kauka e hāʻawi i ka paracetamol ma kahi o ka aspirin, no ka mea, hiki i ka aspirin ke hana i kahi maʻi kakaikahi akā weliweli i kapa ʻia ʻo "Reye's syndrome" i kekahi mau keiki (hiki ke hoʻopilikia i ka lolo a me ke akepaʻa o ke keiki).

Eia nō naʻe, inā lawe kekahi, ʻoiai he keiki ʻōpiopio, i ka nui o ka paracetamol ma mua o ka mea i ʻōlelo ʻia, ma laila e hoʻomaka ai ka pilikia. ʻO ia hoʻi, hiki ke loaʻa ka lāʻau make o ka paracetamol (Acetaminophen Toxicity). He kūlana weliweli loa kēia. Ua ʻike anei ʻoe i ka mea e hana ʻia? ʻO ko kākou akepaʻa ka mea nāna e kānana i kēia mau lāʻau lapaʻau a wehe i nā mea ʻino mai ke kino. No laila, ke lawe ʻoe i ka paracetamol nui loa i ka manawa hoʻokahi, ʻaʻole hiki i ke akepaʻa ke lawelawe iā ia. Inā lawe ke keiki i ka paracetamol nui loa (a inā lawe lākou i ka nui i ʻōlelo ʻia no ka manawa lōʻihi), hoʻomaka nā mea ʻawahia e hōʻiliʻili i loko o ke kino. Hiki i kēia lāʻau make ke kumu i ka luaʻi ʻana, ka hōʻino ʻana o ke akepaʻa, a me ka make . No laila, inā hana ʻia kekahi mea e like me kēia, he mea nui loa ia e hana koke.

Pehea ʻoe e ʻike pono ai i ka nui o ka paracetamol (Tylenol) e hāʻawi ai i kahi keiki liʻiliʻi?

He nīnau koʻikoʻi loa kēia. ʻAʻole like ka nui o ka lāʻau i hāʻawi ʻia i kēlā me kēia keiki. Aia ia i kekahi mau kumu:

• Ke kaumaha a me ka makahiki o ke keiki: ʻO kēia ka mea nui loa.
• Pehea e hāʻawi ai i ka paracetamol: ʻO ia hoʻi, ma ke ʻano he wai, he pila, a i ʻole he papa hiki ke hoʻoheheʻe ʻia.
• Nā lāʻau lapaʻau ʻē aʻe a ke keiki e lawe nei i ka manawa: ʻAʻole paha e kūlike ka Paracetamol me kekahi mau lāʻau lapaʻau, a i ʻole pono paha e hoʻololi ʻia ka nui.

No laila, e hoʻoholo pū ʻoe a me ke kauka o kāu keiki i ka nui kūpono o ka paracetamol e hāʻawi i kāu keiki.

He mea nui: E hoʻomanaʻo, ʻo nā lāʻau lapaʻau ʻē aʻe āu e hāʻawi ai i kāu keiki, ʻoiai nā lāʻau lapaʻau anu ma luna o ke kūʻai aku, hiki ke loaʻa pū ka paracetamol. No laila, e heluhelu pono i ka lepili ma ka ʻeke lāʻau anu a i ʻole sinus e ʻike i ka nui o ka paracetamol i loko.

I kēlā me kēia manawa āu e hāʻawi ai i kāu keiki i ka paracetamol, he mea maikaʻi ke kākau i lalo i ka nui o ka lāʻau a me ka manawa āu i hāʻawi ai ma kekahi wahi.

Pehea ka maʻamau o kēia ʻawahia ʻana o ka paracetamol?

ʻO ka ʻoiaʻiʻo, ʻoi aku ka maʻamau o ka overdose a me ka ʻawahia o ka paracetamol ma mua o kou manaʻo. Hiki i kekahi ke loaʻa nā hopena maikaʻi ʻole mai ka lawe ʻana i ka paracetamol nui loa. Ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, ua manaʻo ʻia he 50,000 mau kānaka i kēlā me kēia makahiki e hele i ka lumi pilikia me nā pilikia i hoʻokumu ʻia e ka lawe ʻana i ka paracetamol nui loa. ʻO kēia ʻawahia o ka paracetamol ke kumu nui o ka hōʻino ʻana o ke akepaʻa (hepatotoxicity).

ʻOi aku ka pilikia o kekahi poʻe i ka hōʻino ʻia o ke akepaʻa ma mua o nā poʻe ʻē aʻe. No ka laʻana, ʻoi aku ka nui o ka loaʻa ʻana o nā ʻōuli koʻikoʻi o nā pēpē a me nā keiki liʻiliʻi i loaʻa mua i ka maʻi akepaʻa, a i ʻole ka poʻe i loaʻa i ka hepatitis A, B, a i ʻole C, inā lawe nui lākou i ka paracetamol. He paʻakikī i ko lākou akepaʻa ke hoʻomaʻemaʻe pono i ka lāʻau, hiki ke alakaʻi i ka hāʻule ʻana o ke akepaʻa.

He aha nā kumu o ka lāʻau make ʻana o ka paracetamol i nā keiki liʻiliʻi?

I ka ʻōlelo maʻalahi, hana ke akepaʻa o kāu keiki ma ke ʻano he kānana no ke kino. Hoʻomaʻemaʻe ia i nā lāʻau lapaʻau a wehe i nā mea ʻawahia mai ke kino. Eia nō naʻe, inā pono ke akepaʻa o kāu keiki e hoʻomaʻemaʻe i ka nui o nā lāʻau lapaʻau i ka manawa hoʻokahi, a inā pono ia e hoʻomaʻemaʻe mau i nā lāʻau lapaʻau no ka manawa lōʻihi, hiki i ke akepaʻa ke oki i ka hana. Hiki i ka lāʻau ʻawahia Paracetamol ke hana i kāu keiki:

• Inā ʻoe e lawe i ʻoi aku ma mua o ka nui i kuhikuhi ʻia, a inā ʻoe e lawe i kekahi mau lāʻau i kokoke loa.
• Inā ʻoe e lawe i ka lāʻau i kuhikuhi ʻia no kekahi mau lā i ka lālani.

He aha nā hōʻailona o ka lāʻau make ʻana o ka paracetamol i nā keiki ʻōpio?

ʻOiai inā lawe nui ʻoe i ka paracetamol, ʻaʻole paha e hoʻomaka koke nā hōʻailona. Hiki ke hala a hiki i 24 mau hola no ka nalo ʻana o kekahi mau hōʻailona. No laila, he mea nui loa e hoʻomanaʻo i ka wā āu i hāʻawi ai i kāu keiki i ka paracetamol a pehea ʻoe i hāʻawi ai (inā he wai, he papa, a i ʻole he capsule/papa hoʻokuʻu manawa).

ʻO kekahi mau hōʻailona o ka lāʻau make ʻana o ka paracetamol:

• Ka luaʻi mau a me ka luaʻi ʻana .
• ʻEha ma ka ʻaoʻao ʻākau o ka ʻōpū, ma lalo o nā iwi ʻaoʻao .
• ʻAʻohe ʻono o ka meaʻai .
• Manaʻo luhi mau.
• ʻO ka mimi ʻeleʻele, malia paha me ke koko , a i ʻole ka emi ʻana o ka nui a i ʻole ke alapine (pinepine) o ka mimi ʻana.
• Ka huikau, ka hiamoe, a me ka nalowale o ka ʻike .
• Melemele o ka ʻili a me nā maka (kapa mākou he jaundice).
• Paʻakikī ka hanu ʻana .
• ʻIke pōwehiwehi .

Inā loaʻa i kāu keiki kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​a ke kānalua nei ʻoe ua lawe nui lākou i ka paracetamol, e kelepona koke i ka 911, a i ʻole e lawe i kāu keiki i ka keʻena pilikia o ka haukapila kokoke loa. A i ʻole, e kelepona i kāu Poison Control Center kūloko. Ma Sri Lanka, hiki iā ʻoe ke kelepona i ka Poison Information Center o ke aupuni.

He aha nā pilikia e hiki mai ana mai ka lāʻau make ʻana o ka paracetamol?

He pilikia weliweli ke ola o ka overdose Paracetamol. Inā ʻaʻole mālama koke ʻia ka overdose, hiki ke hana ʻia kēia mau mea:

• Ka hōʻino nui ʻana o ke akepaʻa a me ka hāʻule ʻana o ke akepaʻa .
• Ka hāʻule ʻana o nā puʻupaʻa .
• ʻO ka pancreatitis (ka mumū o ka pancreas).
• Hiki ke make .

Pehea e hoʻoholo ai nā kauka inā loaʻa i kahi keiki ka lāʻau make paracetamol?

E nānā ke kauka i kāu keiki a nīnau iā ʻoe e pili ana i nā lāʻau lapaʻau āu i lawe ai. Eia kekahi laʻana:

• ʻEhia ka nui āu i lawe ai?
• Ma kahi o ka manawa hea ʻoe i lawe ai?
• He aha ke ʻano lāʻau lapaʻau āu i lawe ai? (E like me ka wai, ka pila, a i ʻole ke ʻano e hoʻoheheʻe ʻia i ka wai).

I mea e hōʻoia ai ʻaʻole i lawe nui kāu keiki i ka paracetamol, e hana ʻia kekahi mau hoʻāʻo koko no kāu keiki. E nānā kēia mau hoʻāʻo koko no:

• ʻO ke kiʻekiʻe o ka paracetamol i loko o ke koko o ke keiki.
• ʻO ka hana o ke akepaʻa , ʻo ia hoʻi, pehea ka maikaʻi o ka hana ʻana o ke akepaʻa.

He aha nā lāʻau lapaʻau no ka lāʻau make ʻana me ka paracetamol?

Aia ka lāʻau lapaʻau i ka lōʻihi o ka manawa mai ka lawe ʻana o kāu keiki i ka lāʻau lapaʻau hewa. Ma muli o ka manawa i loaʻa ai ka overdose, hiki ke komo pū ka lāʻau lapaʻau me:

• Ke ʻō ʻana i ko lākou ʻōpū / holoi ʻōpū: Inā hele mai ke keiki no ka mālama ʻana ma lalo o 30 mau minuke ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e hoʻāʻo nā kauka e wehe i ka lāʻau lapaʻau mai ka ʻōpū o ke keiki. Hana ʻia kēia ma ke komo ʻana i kahi paipu ma ka waha a holoi i ka ʻōpū. He holomua wale nō kēia inā hele mai ke keiki no ka mālama ʻana ma hope koke o ka lawe ʻana i ka lāʻau lapaʻau.
• Lanahu i hoʻāla ʻia: I loko o ʻehā hola o ka lawe ʻana i ka lāʻau lapaʻau, hiki i nā kauka ke hāʻawi i kāu keiki i ka lanahu i hoʻāla ʻia (kahi pauka i kāwili ʻia me ka wai). ʻO kēia ke kumu o nā kemika ʻawahia i loko o ke alapine gastrointestinal o kāu keiki e pipili i ka lanahu, e ʻae ana iā lākou e hele ma waena o nā ʻōpū a puka i waho o ke kino me ka ʻole o ka omo ʻia.
• N-acetylcysteine ​​​​(NAC): ʻO kēia ka lāʻau lapaʻau nui e hiki ke pale i ka hōʻino ʻana o ke akepaʻa mai ka overdose paracetamol. Eia naʻe, ʻaʻole hiki ke hoʻihoʻi i ka hōʻino ʻana o ke akepaʻa i hana mua ʻia. Hiki i kāu kauka ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau ma ka waha a i ʻole intravenously (IV). ʻOi aku ka maikaʻi inā hāʻawi ʻia i loko o ʻewalu hola o ka overdose paracetamol. Hiki i ka N-acetylcysteine ​​​​(NAC) ke hoʻoulu i ka nausea a me ka luaʻi. Pono paha kāu keiki e lawe i kekahi mau mahele o NAC ma kahi o 72 mau hola. Hoʻoholo ʻia ka mahele e nā pae paracetamol koko o ke keiki.
• Hoʻoili ʻana o ke akepaʻa:Inā koʻikoʻi ka hōʻino ʻana o ke akepaʻa, pono paha i kāu keiki ke hoʻoili ʻia ke akepaʻa. E wehewehe ke kauka i nā kikoʻī iā ʻoe.

He aha ke kūlana olakino o nā keiki i make i ka paracetamol?

ʻO ka wānana e pili ana i ka nui o ka paracetamol i lawe ʻia e ke keiki a me ka wikiwiki o ka hoʻomaka ʻana o ka lāʻau. ʻOi aku ka nui o ka hiki i nā keiki e loaʻa ana ka lāʻau lapaʻau koke no ka lāʻau make paracetamol e hoʻōla me ka ʻole o nā pilikia olakino lōʻihi, e like me ka hōʻino ʻana o ke ake.

Pehea e pale aku ai i ka lāʻau make paracetamol i nā keiki?

I mea e pale aku ai i nā pōʻino o ka hāʻawi ʻana i ka paracetamol nui loa, e hahai pono i ka nui i kuhikuhi ʻia. E kamaʻilio me kāu kauka e pili ana i ka nui kūpono no ke kaumaha a me ka makahiki o kāu keiki. Mai hāʻawi i nā lāʻau lapaʻau he nui i loaʻa ka paracetamol i ka manawa like.

Eia kekahi mau ala ʻē aʻe e pale aku ai i ka lāʻau make paracetamol:

• E mālama i nā lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki. E mālama i nā lāʻau lapaʻau mai nā keiki aku. E pani mau i nā poʻi palekana no nā keiki.
• E heluhelu i nā lepili. Mai hāʻawi aku ma mua o ka nui i kuhikuhi ʻia. Hiki i kekahi mau lama paracetamol wai ke loaʻa nā ʻano like ʻole. No laila e heluhelu pono i ka lepili ma kēlā me kēia ʻōmole. Inā he mau nīnau kāu e pili ana i ka nui e hāʻawi ai, e nīnau i kāu kauka.
• E pale i ka pālua ʻana . He nui nā lāʻau lapaʻau (e like me nā lāʻau anu) i loaʻa ka paracetamol i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. E heluhelu i ka lepili e ʻike ai inā loaʻa mua ka paracetamol i ka lāʻau.
• E hahai i nā ʻōlelo a kāu kauka. Mai hāʻawi i kāu keiki i ka paracetamol no ka manawa lōʻihi ma mua o ka ʻōlelo a ke kauka. Mai waiho i ka manawa lōʻihi ma waena o nā lāʻau, a e hahai mau i nā ʻōlelo no ka nui kūpono. I ka hāʻawi ʻana i ka lāʻau wai, e hoʻohana i ka mea ana i hāʻawi ʻia i loko o ka ʻeke e ana i ka nui pololei.
• E kākau i lalo i ka ʻike o ka nui o ka lāʻau. E mālama i kahi moʻolelo o ka manawa i hāʻawi ʻia ai ka lāʻau a me ka nui i hāʻawi ʻia.
• E ana i ka lāʻau lapaʻau ma kahi i hoʻomālamalama maikaʻi ʻia. Mai hāʻawi i ka lāʻau lapaʻau i loko o kahi lumi pouli. Inā ʻoe e hana pēlā, ʻoi aku ka nui o kou hāʻawi ʻana i ka nui kūpono ʻole.

I ka manawa hea e kamaʻilio ai ʻoe me ke kauka e pili ana i ka lāʻau make paracetamol?

He pilikia weliweli ke ola o ka lāʻau make ʻana o ka Paracetamol. Inā manaʻo ʻoe ua lawe kāu keiki i ka paracetamol nui loa, pono ʻoe e kāhea koke i ka 911 (ma Sri Lanka, he helu pilikia e like me 1990), e hele i ka lumi pilikia, a i ʻole e kāhea koke i kahi kikowaena kaohi lāʻau make.

Manaʻo nā kauka he lāʻau lapaʻau palekana a maikaʻi hoʻi ʻo Tylenol no kāu keiki e hōʻoluʻolu i ka ʻeha a hoʻēmi i ke kuni ke hāʻawi ʻia e like me nā kuhikuhi ma ka pūʻolo. Eia nō naʻe, no ka mea, loaʻa ʻo Tylenol i nā lāʻau lapaʻau he nui, hiki iā ʻoe ke hāʻawi nui i kāu keiki me ka ʻike ʻole. Hiki ke lilo i mea weliweli kēia. ʻO ka lawe ʻana i ka Tylenol nui loa hiki ke hōʻino i ke akepaʻa a me ka make. Inā manaʻo ʻoe ua lawe nui kāu keiki i ka Tylenol, ʻoiai ma ke kuhihewa, e ʻimi koke i ke kōkua lapaʻau. ʻAʻole paha i loaʻa i kāu keiki kekahi mau hōʻailona, ​​​​akā he mea nui e loaʻa ke kōkua.

ʻO ka mea hope loa, e hoʻomanaʻo (Leka Lawe-Home)

No laila, ʻoiai he lāʻau lapaʻau maʻamau ka paracetamol a mākou e hoʻohana ai no ke kuni a me ka ʻeha, he mea nui loa ia e hoʻohana pono a akahele. ʻOi loa aku i ka hāʻawi ʻana i nā keiki ʻōpio, e hoʻomanaʻo e hāʻawi wale i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, a no ka helu o nā lā i kuhikuhi ʻia e like me ke kauka. E nānā pū inā loaʻa ka paracetamol i nā lāʻau ʻē aʻe.

Inā loaʻa iā ʻoe kahi kānalua iki ua lawe nui kāu keiki i ka paracetamol, mai kānalua e lawe koke i kāu keiki i ka haukapila kokoke loa. No ka mea, hiki i ka mālama koke ke hoʻopakele i ke ola o ke keiki a pale i ka hōʻino hou ʻana i ke akepaʻa.

Makemake mākou a pau e olakino a hauʻoli kāu keiki!

ʻO Paracetamol, acetaminophen, olakino o nā keiki, lāʻau make, akepaʻa, nui o ka lāʻau, palekana