Ke haʻi aku nā kauka iā ʻoe he maʻi puʻuwai paʻakikī ko kāu pēpē hānau hou, he paʻakikī ke hōʻike i ka makaʻu a me ka haʻalulu āu e manaʻo ai ma ke ʻano he makua. Ma kekahi ʻaoʻao, manaʻo ʻoe ua kaumaha a makaʻu hoʻi no kāu pēpē. Ma kekahi ʻaoʻao, manaʻo ʻoe ʻaʻole ʻoe maopopo i kahi huaʻōlelo hoʻokahi a nā kauka e ʻōlelo nei a i ʻole nā inoa o nā lāʻau lapaʻau. I kēlā mau manawa, ʻo kekahi o nā inoa kamaʻāina āu e lohe ai ʻo 'Alprostadil.' No laila i kēia lā, e kamaʻilio maʻalahi a me ke akahai e pili ana i ke ʻano o kēia lāʻau lapaʻau, no ke aha i hāʻawi ʻia ai i nā pēpē, a me nā mea āu e pono ai e ʻike e pili ana.
No ke aha i hāʻawi ʻia ai kēia lāʻau lapaʻau i kahi pēpē? E hoʻomaopopo mua kākou i kēia.
Ma mua o ko kākou kamaʻilio ʻana e pili ana i kēia lāʻau lapaʻau, pono kākou e hoʻomaopopo iki. E noʻonoʻo, i ka wā e noho ana ke pēpē i loko o ka ʻōpū o ka makuahine, ʻaʻole hana kona mau māmā, ʻeā? Loaʻa iā ia ka oxygen e pono ai mai ke kaula umbilical. No laila, i kēia manawa, aia kahi pilina liʻiliʻi, e like me ke ala 'bypass', ma waena o ke kīʻaha koko e lawe ana i ke koko mai ka puʻuwai a i nā māmā (Pulmonary Artery), a me ke kīʻaha koko nui e lawe ana i ke koko i ke kino (Aorta). ʻO kēia ka mea a mākou e kapa nei ʻo Ductus Arteriosus . Ke hānau ʻia ke pēpē a hoʻomaka e hanu iā ia iho, ʻaʻole pono hou kēia ala 'bypass'. No laila e pani ia ma kona iho i loko o kekahi mau hola. ʻO ia ke kaʻina hana maʻamau.
Eia nō naʻe, ua hānau ʻia kekahi mau pēpē me nā kīnā puʻuwai paʻakikī loa (Congenital Heart Defects). No ka laʻana, ʻaʻole paha e hana pono ʻia ke kīʻaha koko e lawe ana i ke koko i nā māmā, a i ʻole he ʻokoʻa paha ke ʻano o ka hoʻopili ʻana o nā kīʻaha koko nui. I kēia hihia, inā e ālai ʻia ke ala 'bypass' a mākou i kamaʻilio ai ma mua i kapa ʻia ʻo Ductus Arteriosus , ʻaʻole e loaʻa i ke kino o ka pēpē a me nā māmā ke koko oxygenated lawa. He mea weliweli loa kēia no ke ola o ka pēpē.
ʻO ia ka manawa e pono ai nā kauka e hana i ke ʻoki kino e mālama i ke ala 'bypass', ʻo ka ductus arteriosus, e wehe ʻia a hiki i ka hoʻoponopono ʻia ʻana o ka pilikia o ka puʻuwai. ʻO ka lāʻau lapaʻau e hoʻōla ai i ke ola i hāʻawi ʻia no kēia ua kapa ʻia ʻo alprostadil.
No laila, he aha maoli ka Alprostadil?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau synthetic ʻo alprostadil e like me kahi kemika i kapa ʻia ʻo 'Prostaglandin' i hana maoli ʻia i loko o ko mākou kino. Hoʻohana pinepine ʻia ia ma ko mākou ʻāina ma lalo o ka inoa inoa ʻo Prostin VR .
ʻO ka hana nui o kēia, ʻo ia ke kāohi ʻana i ka ductus arteriosus mai ka pani ʻana a me ka mālama ʻana iā ia e wehe. Ua like ia me ke kau ʻana i kahi lāʻau liʻiliʻi ma waenakonu o ka puka e mālama iā ia e wehe. Mālama kēia lāʻau i ke kino o ke pēpē i ka lako me ke koko e pono ai a hiki i ke ʻoki puʻuwai. No laila, he lāʻau lapaʻau koʻikoʻi loa kēia, e like me ke alahaka manawa pōkole .
Pehea ʻoe e hāʻawi ai i kēia lāʻau lapaʻau i kahi pēpē?
ʻAʻole kēia he lāʻau lapaʻau e hoʻohana ma ka home. Hāʻawi ʻia ʻo Alprostadil ma kahi haukapila, ʻoi aku hoʻi ma kahi Neonatal Intensive Care Unit (NICU) a i ʻole Pediatric Intensive Care Unit (PICU).
ʻO kēia no ka mea pono e hāʻawi pololei ʻia kēia lāʻau lapaʻau i loko o kahi aʻa, e like me ka hopena saline (infusion intravenous) , me ke akahele loa, a mau. Eia kekahi, ʻoiai e hāʻawi ʻia ana kēia lāʻau lapaʻau, e nānā pono ʻia nā mea e like me ka puʻuwai o ka pēpē, ke koko, a me nā pae oxygen e nā kauka a me nā limahana hānai 24 mau hola o ka lā me nā lako kūikawā. No laila e hoʻomanaʻo he palekana loa kāu pēpē.
Nā mea nui e hoʻomaopopo i ke kauka
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e kūkākūkā i kēia ʻike e pili ana i kāu pēpē me kāu hui lapaʻau. ʻO ka maʻamau, e nīnau nā kauka iā ʻoe i kēia, akā he mea maikaʻi iā ʻoe ke ʻike i kēia.
- Inā he pilikia kahe koko ko ka pēpē (no ka laʻana, kahi kūlana kahi i ʻole e paʻa maʻalahi ai ke koko).
- Inā pilikia ka pēpē i ka hanu ʻana .
- Inā ua hōʻike mua ʻoe i kahi maʻi allergy i kahi lāʻau lapaʻau a meaʻai paha.
- Inā he maʻi ʻē aʻe kou.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka alprostadil ke hana i kekahi mau hopena ʻaoʻao. Akā, mai hopohopo, no ka mea, aia ke pēpē i loko o ka lumi mālama koʻikoʻi, ua mākaukau nā limahana e ʻike a mālama koke i kekahi o kēia mau mea.
| Hopena ʻaoʻao | He aha e ʻike ai |
|---|---|
| Nā mea e hōʻike koke aku ai i ke kauka a i ʻole nā limahana kahu maʻi | |
| Nā hopena maʻi ʻaleka | ʻO ka ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o nā lehelehe/alelo/maka. |
| Nā loli hanu | Ka pau ʻana o ka hanu ʻana no ka manawa pōkole (Apnea), ka emi ʻana a i ʻole ka hoʻonui ʻana i ka nui o ka hanu ʻana. |
| Nā loli i ka helu o ka puʻuwai a i ʻole ke koko | Hoʻemi ʻia a hoʻonui ʻia paha ka nui o ka puʻuwai, hoʻemi ʻia ke koko. |
| kuni | Hoʻonui ʻia ka mahana o ke kino. |
| Nā hopu ʻana | Nā haʻalulu a i ʻole nā ʻōʻō o ke kino. |
| Ka holoi ʻana | ʻUlaʻula o ka ʻili. |
| Nā mea e haʻi aku i ke kauka inā hoʻomau lākou | |
| ʻeha ka ʻōpū | Ka maʻi pākī. |
| ʻEha ma kahi i hāʻawi ʻia ai ka lāʻau lapaʻau | Ka pehu ʻana a ʻulaʻula paha ma kahi i hāʻawi ʻia ai ka lāʻau lapaʻau i loko o ke aʻa. |
E hoʻomanaʻo, ʻaʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. No laila , inā ʻike ʻoe i kekahi mau loli ʻē i ke ʻano a i ʻole ke ʻano o kāu pēpē, a inā he mau hopohopo kāu, e haʻi koke aku i ke kauka a i ʻole ke kahu maʻi.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila, e nā limahana lapaʻau i aʻo ʻia, me ka hoʻohana ʻana i nā mīkini kūikawā (nā pamu infusion), no laila ua haʻahaʻa loa ka manawa o ka overdose. Eia nō naʻe, inā he kānalua kāu, e kamaʻilio koke me ke kauka a kahu maʻi paha e mālama ana i kāu keiki. No ka ʻike laulā e pili ana i kekahi lāʻau lapaʻau a lāʻau make paha, hiki iā ʻoe ke kelepona i ka National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo . I kahi pilikia, pono ʻoe e hele pololei i ka Emergency Treatment Unit (ETU) o ka haukapila.
Leka Lawe-Home
- He lāʻau lapaʻau ola manawa pōkole ʻo Alprostadil i hāʻawi ʻia i nā pēpē hānau hou me ka maʻi puʻuwai hānau ʻia (hānau ʻia me).
- ʻO kāna hana nui ka mālama ʻana i kahi kīʻaha koko kūikawā i kapa ʻia ʻo Ductus Arteriosus e hāmama a hiki i ka wā e ʻoki ʻia ai ka puʻuwai o ke pēpē.
- Hāʻawi ʻia kēia lāʻau lapaʻau ma ke keʻena mālama koʻikoʻi o ka haukapila, ma lalo o ka nānā piha ʻana o nā kauka a me nā kahu maʻi . No laila, mai hopohopo e pili ana i ka palekana o ka pēpē.
- Inā ʻike ʻoe i kekahi mau hōʻailona ʻē i kāu pēpē (e like me ke kuni, ka paʻakikī o ka hanu ʻana, nā loli o ka ʻili) i ka wā e hāʻawi ana i ka lāʻau lapaʻau, e hoʻomaopopo koke i ke limahana lapaʻau .
- ʻAʻole kēia lāʻau lapaʻau he hopena mau loa no ka pilikia o ka puʻuwai o ka pēpē. Eia nō naʻe, he alahaka koʻikoʻi loa ia e hoʻomākaukau ai i ka pēpē no ke ʻoki ʻana, ʻo ia ka hopena mau loa.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo