ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ka Baclofen Intrathecal Injection!

Ke ʻike nei ʻoe a i ʻole kekahi āu i ʻike ai i kekahi manawa i nā ʻūmiʻi ʻiʻo, nā ʻūmiʻi, a me ka ʻeha nui? A i ʻole ke ʻike nei ʻoe i kou mau wāwae a me kou mau lima i paʻakikī ke hele? He lāʻau lapaʻau kūikawā kēia no ka poʻe me nā ʻūmiʻi ʻiʻo nui i kapa ʻia ʻo "Baclofen Intrathecal Injection". ʻOiai paha he paʻakikī ke kani ʻana o ka inoa, e mālama kākou i ka maʻalahi.

He aha kēia lāʻau i kapa ʻia ʻo Baclofen? Pehea kāna hana?

I ka ʻōlelo maʻalahi, ʻo ka baclofen kahi lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo o kou kino. I ka pololei, he lāʻau lapaʻau ia no ka māhele "hoʻomaha ʻiʻo". Hoʻemi kēia lāʻau i ka ʻūmiʻi pono ʻole, ka spasms, a me ka ʻeha o kou mau ʻiʻo. E noʻonoʻo, ma muli o kekahi mau maʻi aʻalolo a i ʻole nā ​​maʻi iwi kuamoʻo, hiki i nā ʻiʻo ke ʻūmiʻi me ka hiki ʻole ke kāohi. ʻO ia ka manawa e lilo ai kēia lāʻau lapaʻau i kapa ʻia ʻo baclofen i mea pono loa.

He aha ka inikini intrathecal? Pehea e lawelawe ʻia ai?

Eia ka mea nui. Hāʻawi ʻia kēia lāʻau baclofen ma ke ʻano he pila. Akā i kekahi mau hihia koʻikoʻi, a i ʻole i ka wā ʻaʻole lawa nā pila e kāohi ai, hoʻokomo pololei nā kauka i kēia lāʻau i loko o ke kahe a puni kou iwi kuamoʻo ((cerebrospinal fluid)). ʻO ia ka mea i kapa ʻia ʻo (Intrathecal Injection).

E noʻonoʻo, aia kahi wai kūikawā e hoʻopuni ana i ko kākou lolo a me ke kaula iwi kuamoʻo no ka pale ʻana. Ke hoʻokomo pololei ʻia kēia lāʻau lapaʻau i loko o kēlā wai, hele pololei ia i nā aʻalolo e kaohi ana i nā ʻiʻo. A laila, me kahi mahele haʻahaʻa, hiki iā ʻoe ke loaʻa nā hopena maikaʻi.

Hana pinepine ʻia kēia e kahi loea ma kahi haukapila a i ʻole ke keʻena lapaʻau. Loaʻa i kekahi poʻe kahi pamu kūikawā (pamu i hoʻokomo ʻia) i hoʻokomo ʻia ma lalo o ka ʻili e hoʻouna mau i ka lāʻau i loko o ko lākou kino. Pono ʻoe e kipa i kāu kauka e hoʻopiha i ka lāʻau. ʻOiai he ʻano paʻakikī kēia lāʻau lapaʻau, hana ʻia e kahi hui o nā kauka i ʻike maikaʻi i kēia.

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He aha nā mea e pono ai ʻoe e haʻi aku i kāu hui lapaʻau ma mua o ka hana ʻana i kēia lāʻau lapaʻau?

Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau baclofen intrathecal, he mea nui e haʻi i kāu kauka a kahu maʻi paha i kēia mau mea:

• He maʻi kahe koko kou?
• Loaʻa iā ʻoe ka maʻi diabetes ((Diabetes Mellitus))?
• Ke mālama ʻia nei ʻoe no kekahi maʻi noʻonoʻo ((Maʻi noʻonoʻo)) a i ʻole ua loaʻa iā ʻoe kekahi ma mua?
• He maʻi puʻupaʻa kou?
• Ua loaʻa anei iā ʻoe kahi hahau i hala koke aku nei?
• Loaʻa iā ʻoe nā maʻi hoʻopaʻa (seizures) e like me ka epilepsy ?
• ʻO ka mea nui loa, he hopena maʻi āpau kāu i ka baclofen, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole kala?
• Ua hāpai ʻoe? A i ʻole ke manaʻolana nei ʻoe e hāpai?
• ʻO ʻoeHe makuahine hānai waiū ʻoe?

Me ka ʻike pololei i kēia ʻike, hiki i ke kime lapaʻau ke hoʻoholo inā kūpono kēia lāʻau iā ʻoe a ʻaʻole paha, a me nā hana palekana e pono ai ke hana ʻia.

Ke hāʻawi ʻia nei kēia lāʻau lapaʻau i nā keiki ʻōpio?

ʻAe, i kekahi mau hihia kūikawā, hāʻawi ʻia kēia lāʻau baclofen intrathecal i nā keiki ʻōpio a hiki i ka 4 mau makahiki . Akā, pono nā kumu kūikawā no ia mea, a hana ʻia me ke akahele loa a ma lalo o ka nānā ʻana a ke kauka loea. Inā ʻoe e noʻonoʻo ana i kēia lāʻau no kahi keiki, he mea nui e kamaʻilio me ke kauka pediatric e pili ana i ia mea a e ʻimi i kāna ʻōlelo aʻo.

He aha kaʻu e hana ai inā e hala ana kahi manawa lapaʻau a i ʻole e pau ana ka lāʻau lapaʻau i loko o kaʻu pamu?

He mea nui loa kēia. Inā ua hāʻawi ʻia ʻoe i kahi lā i hoʻonohonoho ʻia e loaʻa ai kāu inikini, a i ʻole kahi lā e hoʻopiha ai i kāu pamu, he mea nui e hele pololei i kēlā lā. Hiki i kēia ke hana i nā pilikia inā ʻoe e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau.

Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele i ka lā i hoʻonohonoho ʻia, e ʻoluʻolu e kelepona koke i kāu hui lapaʻau e hoʻonohonoho hou i ka manawa. Mai hoʻopanee.

He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?

Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o kēia lāʻau lapaʻau, e hele koke i ka lumi pilikia o ka haukapila kokoke loa, a i ʻole e kelepona i kahi kikowaena kaohi lāʻau make. Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi.

He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau? (Nā Hana Pilikino Lāʻau Lapaʻau)

Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka wā e lawe ʻia ai me ka baclofen. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai).

He mea nui loa ʻaʻole e lawe pū me kēia mau mea i ka baclofen:

• ʻO kekahi mau lāʻau lapaʻau ʻūlū e pili ana i ka hui narcotic ((Nā lāʻau lapaʻau Narcotic no ke ʻūlū))

Eia kekahi, e makaʻala loa no ka mea hiki i ka baclofen ke launa pū me kēia mau mea:

• ʻAila ((ʻAila))
• ʻO kekahi mau antihistamines (hoʻohana ʻia no nā maʻi allergies, coughs, a me ke anu)
• ʻO kekahi mau lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
• ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me amitriptyline, fluoxetine, sertraline)
• ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana (e.g., phenobarbital, primidone)
• Nā mea hoʻomāmā i hoʻohana ʻia i ka wā o ke ʻoki kino (e.g., halothane, isoflurane, methoxyflurane, propofol)
• Nā lāʻau anesthetic kūloko (e.g. lidocaine, pramoxine, tetracaine)
• Nā lāʻau lapaʻau ʻē aʻe i hāʻawi ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana
• Nā lāʻau lapaʻau Narcotic no ka ʻeha
• ʻO nā Phenothiazines (e like me chlorpromazine, mesoridazine, prochlorperazine, thioridazine) he mau lāʻau lapaʻau i hoʻohana ʻia e mālama i kekahi mau maʻi noʻonoʻo.

ʻAʻole i piha kēia papa inoa, no laila e haʻi pono i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.

He aha nā mea ʻē aʻe e pono iaʻu e makaʻala i ka wā e lawe ai i kēia lāʻau?

• Inā ʻaʻole e hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona (e like me ka ʻoʻoleʻa o nā ʻiʻo a me ka ʻeha), e haʻi koke aku i kāu hui lapaʻau.
• Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena ʻaoʻao koʻikoʻi ((withdrawal symptoms)). Inā makemake kāu kauka e hoʻōki ʻoe i ka lawe ʻana i kēia lāʻau lapaʻau, e hoʻemi mālie ʻo ia i ka nui. No laila e hahai pono i nā ʻōlelo a kāu kauka.
• Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a puni ʻoe. No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i kekahi mea e pono ai ka makaʻala a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
• Mai kū koke a noho paha i luna, ʻoiai inā he ʻelemakule ʻoe. Hiki i ka hana ʻana pēlā ke hoʻopōʻino i ka poniuniu a hāʻule paha ʻoe.
• E hōʻalo loa i ka waiʻona. Hiki i ka waiʻona ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau.
• Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe e hoʻohiamoe ai iā ʻoe (e laʻa me kekahi mau lāʻau hoʻomaha ʻeha, nā lāʻau hiamoe, nā lāʻau lapaʻau allergy), ʻo ka lawe ʻana i kēia me ka baclofen e hoʻohiamoe paha iā ʻoe. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
• Inā pilikia ʻoe i ka hanu ʻana a i ʻole e hiamoe nui ʻoe , e hele koke i kahi lumi pilikia.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i ka mālama ʻana i ka baclofen intrathecal ke hoʻoulu i nā hopena ʻaoʻao i kekahi poʻe.

Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka:

• Nā hopena maʻi ʻaleka : ʻŌhūhū ʻili, maneʻo, pehu (ʻoi aku hoʻi o ka maka, lehelehe, alelo, a i ʻole ka ʻāʻī - he mea weliweli kēia no ka mea hiki ke pilikia ka hanu ʻana).
• Kaumaha o ka ʻōnaehana nerve waena (CNS depression) : Hanu lohi a papau paha, paʻakikī ka hanu ʻana, maule, poniuniu, huikau, paʻakikī ke ala.
• Ke koko haʻahaʻa : poniuniu, maule a poʻo hina paha, ʻike maka pōwehiwehi.

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​mai manaʻo he mea maʻamau lākou. E ʻimi koke i ke kōkua lapaʻau.

Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):

• He manaʻo wela a ʻā paha i nā lālā
• Ka poniuniu ((Poniuniu))
• Hiamoe ((Hiamoe))
• ʻEha poʻo ((ʻEha poʻo))
• Ka nāwaliwali o nā ʻiʻo ((Nāwaliwali o nā ʻiʻo))
• Ka luaʻi ((Ka luaʻi))
• Luaʻi ((Vomiting))

ʻAʻole kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻike ʻole ʻia, e kamaʻilio me kāu kauka e pili ana i ia mea.

Ma hea ʻoe e mālama ai i kēia lāʻau lapaʻau?

ʻAʻole kēia he lāʻau lapaʻau e hāʻawi pinepine ʻia iā ʻoe ma ka home. Hāʻawi ʻia ʻo Baclofen ma o ka intravenous ma kahi haukapila a i ʻole ke keʻena lapaʻau, no laila e mālama ʻia ma laila. Inā he pamu kāu, pono ʻoe e hele i ka haukapila/keʻena lapaʻau e hoʻopiha hou ʻia.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

He hōʻuluʻulu manaʻo wale nō kēia o ka lāʻau lapaʻau me Baclofen Intrathecal Injection. Hiki ke ʻokoʻa ke ʻano o kona hoʻopilikia ʻana i kēlā me kēia kanaka. No laila, inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka, kahu maʻi, a kauka lāʻau paha.

He lāʻau lapaʻau kūikawā kēia. He mea nui loa ka hahai pololei ʻana i nā kuhikuhi a ke kauka, e hele i ka lāʻau lapaʻau i nā lā i hoʻonohonoho ʻia, a e makaʻala i nā hopena ʻaoʻao. Inā pēlā, e kōkua kēia lāʻau lapaʻau iā ʻoe e loaʻa ka hoʻomaha mai kēia pilikia paʻa ʻiʻo koʻikoʻi.

Ke makemake nei iā ʻoe e ho'ōla koke!

ʻO Baclofen, Intrathecal Injection, nā ʻūmiʻi ʻiʻo, ka mea hoʻomaha ʻiʻo, ke kaula kuamoʻo, nā hopena ʻaoʻao, nā pilina lāʻau