E noʻonoʻo ʻoe ua nalowale ʻoe a hoʻomaka koke kou umauma e kuʻi ... I ka pololei, manaʻo ʻia he mea e neʻe ana i loko o kou umauma, wikiwiki loa. He paʻakikī iki ka hanu ʻana, manaʻo ʻoe i ka hopohopo, a me ka poniuniu. Ke hele ʻoe i kahi haukapila, ʻoiai ke Keʻena Pōpilikia (ETU), i kahi manawa e like me kēia, hāʻawi nā kauka iā ʻoe i kahi lāʻau lapaʻau kūikawā a wikiwiki hoʻi i kapa ʻia ʻo Adenosine e kāohi i kēia helu puʻuwai kūpono ʻole. ʻAʻole kēia he lāʻau lapaʻau e hoʻohana ai ma ka home. No laila i kēia lā, e kamaʻilio maopopo kākou e pili ana i kēia Adenosine, kāna hana, a me nā mea e makaʻala ai.
I ka ʻōlelo maʻalahi, he aha ka Adenosine?
ʻO Adenosine kahi lāʻau lapaʻau i hāʻawi ʻia e hoʻihoʻi i ka helu o kou puʻuwai i kahi mele maʻamau ke kuʻi wikiwiki kou puʻuwai (kahi kūlana a mākou e kapa nei i kekahi manawa ʻo Supraventricular Tachycardia a i ʻole SVT).
E noʻonoʻo e like me ka hoʻomaka hou ʻana i kahi kamepiula ke hāʻule. He inikini kēia i hoʻokomo pololei ʻia i loko o kahi aa koko. Ke hāʻawi ʻia ka inikini, 'hoʻomaha' ia i ka hana uila o ka puʻuwai no kekahi mau kekona a laila ʻae iā ia e hoʻomaka hou e hana maʻamau. ʻAʻole kēia he lāʻau ʻeha a i ʻole he lāʻau lapaʻau maʻamau no ka maʻi puʻuwai . Hāʻawi wale ʻia ia i nā kūlana kūikawā, ma ka haukapila, a ma lalo o ka nānā ʻana o ke kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia no kou palekana. E hōʻoia e haʻi i kāu kauka e pili ana i kēia mau mea ma mua o kou loaʻa ʻana o ka inikini adenosine.
- Inā loaʻa iā ʻoe kahi maʻi puʻuwai: ʻOi aku hoʻi kahi maʻi kahi e paʻi mālie ai ka puʻuwai (haʻahaʻa ka helu o ka puʻuwai), a inā he maʻi puʻuwai ʻē aʻe kāu i ʻike ʻia, he mea nui e haʻi aku.
- Inā loaʻa iā ʻoe ka maʻi māmā: Inā loaʻa iā ʻoe kahi maʻi māmā lōʻihi e like me ka hānō a i ʻole COPD (Chronic Obstructive Pulmonary Disease), he ʻike koʻikoʻi loa kēia.
- Nā Allergies: Inā ua loaʻa iā ʻoe kahi allergy i kēia lāʻau Adenosine, a i ʻole kekahi lāʻau ʻē aʻe, meaʻai, a kala paha, e ʻoluʻolu e hoʻomaopopo mai iā mākou.
- Hāpai a me ka hānai ʻana: He mea nui e hoʻomaopopo i kāu kauka inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a e hānai waiū paha.
Ma ka haʻi ʻana i kēia ʻike i kāu kauka me ka hūnā ʻole ʻana, hiki iā ia ke hāʻawi iā ʻoe i ka lāʻau kūpono a palekana loa.
Pehea e hoʻohana ai i kēia lāʻau lapaʻau a me kona manaʻo
Hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a i ʻole nā limahana kahu maʻi i aʻo ʻia. Ua hoʻopili ʻia ʻoe i kahi mīkini e nānā ana i kou helu puʻuwai (monitor ECG).
Hoʻokomo koke ʻia ka lāʻau lapaʻau i loko o ke aʻa. Ke hoʻokomo ʻia pēlā,E manaʻo paha ʻoe he mea ʻē iki no kekahi mau kekona . Eia kekahi laʻana:
- Ke manaʻo nei au i ka ʻūmiʻi a me ke kaumaha i loko o koʻu umauma.
- ʻUlaʻula ka maka a wela ke kino (ulaʻula ka maka).
- Paʻakikī iki koʻu hanu ʻana.
- Ua puni iki koʻu poʻo no kekahi manawa.
Mai hopohopo no kēia mau mea. He mau hopena ʻaoʻao maʻamau kēia o ka adenosine a e nalo loa i loko o kahi manawa pōkole, ma kahi o 30 kekona. ʻAʻohe pono e hopohopo no ka mea ke nānā pono nei kāu kauka a me nā kahu maʻi iā ʻoe.
Ke hāʻawi nei ʻoe i kēia i nā keiki?
ʻAe, hāʻawi ʻia kēia lāʻau lapaʻau i nā pēpē hānau hou a me nā keiki i kekahi mau hihia. Akā, hana ʻia ia ma lalo o ka nānā pono ʻana a nā kauka loea, me ke akahele nui.
He aha inā nui loa ka lāʻau lapaʻau? (Overdosage)
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa kūpono o ka overdose. E helu nā kauka i ka nui kūpono e pili ana i kou kaumaha a me kou kūlana. Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau home, pono ʻoe e hele koke i ka Emergency Department (ETU) kokoke loa a kāhea aku i ke National Poisons Information Center ma ka Colombo National Hospital .
Nā mea ʻē aʻe e pili ana i ka adenosine
Hiki i kekahi mau lāʻau lapaʻau a me nā meaʻai āu e lawe ai ke launa pū me ka adenosine, no laila he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
- Kapeina: ʻO ka kapeina, i loaʻa i ke kofe, ke kī, a me kekahi mau mea inu palupalu (colas), hiki ke hōʻemi i ka pono o ka lāʻau Adenosine.
- Theophylline: He lāʻau lapaʻau kēia i hoʻohana ʻia no ka mālama ʻana i ka hānō. Hoʻemi pū ia i nā hopena o ka adenosine.
- ʻO Dipyridamole: He lāʻau lapaʻau kēia i hoʻohana ʻia no ka mālama ʻana i nā maʻi puʻuwai. ʻO ka lawe ʻana i kēia hiki ke hoʻonui nui i nā hopena o ka adenosine.
- Nā lāʻau lapaʻau ʻē aʻe no ke koko a me ka maʻi puʻuwai: Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i kēia.
No laila, inā ʻoe e lawe ana i nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka, nā lāʻau lapaʻau kūʻai ʻole ʻia, nā mea kanu kuʻuna, nā huaora, a i ʻole nā mea hoʻohui, e hāʻawi i ke kauka i kahi papa inoa piha o lākou āpau.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me kā mākou i ʻōlelo ai ma mua, he pōkole loa nā hopena o ka adenosine. Pēlā nō hoʻi nā hopena ʻaoʻao. Eia nō naʻe, he mea maikaʻi ke makaʻala i kekahi mau mea.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā mea e hōʻike koke aku ai i ka hui lapaʻau | |
| Nā hopena maʻi ʻaleka | Inā loaʻa iā ʻoe kekahi huhū o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo, e haʻi koke mai iā mākou. |
| Nā loli i ka helu o ka puʻuwai | Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka poniuniu nui, a i ʻole ka puʻuwai kūpono ʻole ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e haʻi koke mai iā mākou. |
| Paʻakikī nui ka hanu ʻana | Inā paʻakikī ka hanu ʻana, e hoʻomaopopo i ka hui lapaʻau. |
| Nā mea i maʻa mau ʻole a nalowale koke | |
| ʻO ka ʻulaʻula o ka maka | He mea maʻamau kēia a e nalo wale nō ia i loko o kekahi mau kekona a i ʻole hoʻokahi minuke. |
| ʻEha poʻo, luaʻi | Hiki i kekahi poʻe ke loaʻa i kahi ʻeha poʻo iki a i ʻole ka nausea. E nalo koke nō hoʻi kēia. |
Leka Lawe-Home
- He inikini kūikawā ka Adenosine a hana wikiwiki i hāʻawi ʻia ma lalo o ka mākaʻikaʻi lapaʻau ma kahi haukapila e hoʻihoʻi i ka ʻōuli maʻamau o ka puʻuwai i ka wā e paʻi wikiwiki loa ai ka puʻuwai.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e hōʻoia e haʻi maopopo i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, nā lāʻau lapaʻau āpau āu e lawe nei, a me nā maʻi allergies āu e loaʻa nei.
- ʻAʻohe kumu e makaʻu ai, no ka mea, e nānā pono ʻia ʻoe e ka hui lapaʻau me ke kōkua o kahi mīkini ECG i ka wā a ma hope o ka lāʻau lapaʻau.
- ʻO nā mea e like me ka ʻūmiʻi o ka umauma a me ka ʻulaʻula o ka maka e kū mai ana ma hope o ka lawe ʻana i ka lāʻau lapaʻau he mea maʻamau ia a e nalo wale nō i loko o kekahi mau kekona.
- Mai makaʻu e nīnau i ke kauka a i ʻole ke kahu maʻi e pili ana i kekahi ʻeha a nīnau paha āu e loaʻa ai. Aia lākou ma laila e kōkua iā ʻoe.
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