Ua kuhikuhi ʻia anei ʻoe e ke kauka i kahi ʻano lāʻau lapaʻau ʻo 'Barbiturate'? A i ʻole ua lohe paha ʻoe i kēia inoa ma kekahi wahi? He ʻano lāʻau lapaʻau kēia e hoʻomaha ai i ko mākou noʻonoʻo a me ke kino a lawe mai i ka hiamoe. ʻOiai he lāʻau lapaʻau kahiko kēia, ke paipai mau nei nā kauka iā lākou no kekahi mau kūlana olakino. Akā pono ʻoe e makaʻala loa i ka wā e hoʻohana ai iā lākou. ʻAe, e kamaʻilio maopopo kākou e pili ana i kēia mau 'Barbiturates'.
He aha nā barbiturates maʻalahi?
I ka ʻōlelo maʻalahi, ʻo 'Barbiturates' kahi ʻano lāʻau lapaʻau e hoʻohaʻahaʻa, a hoʻolohi paha, i ka hana o kāu ʻōnaehana nerve waena (ʻo ia hoʻi, kou lolo a me ke kaula spinal). No loko lākou o kahi papa o nā lāʻau i kapa ʻia ʻo 'sedative-hypnotic'.
- Nā lāʻau hoʻomaha: Hoʻohana ʻia kēia mau mea e hōʻoluʻolu iā ʻoe a hoʻemi i ka hopohopo.
- Nā lāʻau hoʻohiamoe: Hoʻohiamoe kēia iā ʻoe.
Hana kēia lāʻau lapaʻau ma ka hoʻonui ʻana i ka hana o kahi neurotransmitter i kapa ʻia ʻo `gamma-aminobutyric acid (GABA)` i loko o ko kākou lolo. Hoʻomalu ʻo `GABA` i ka hana o nā hunaola lolo a hoʻomālielie iki iā lākou. Ke lawe ʻoe i nā `Barbiturates`, piʻi ka hopena o `GABA`, no laila e lohi hou aku ka hana o kou lolo, e hoʻomaha ai a hiamoe hoʻi ʻoe.
No nā kūlana hea e kuhikuhi ai nā kauka i kēia lāʻau lapaʻau?
I ka wā ma mua, ua hoʻohana nui ʻia kēia mau 'barbiturates' e hāʻawi i ka anesthesia ma mua o ke ʻoki ʻana. E hoʻomoe i ka mea maʻi i ka hiamoe hohonu. Akā i kēia lā, ua hoʻomohala ʻia nā lāʻau lapaʻau hou i ʻoi aku ka palekana a me nā hopena ʻaoʻao liʻiliʻi.
Eia nō naʻe, he lāʻau lapaʻau koʻikoʻi nā barbiturates no kekahi mau hihia kūikawā.
Hoʻohana nui ʻia kēia mau mea:
- Kāohi a kāohi i nā hopu ʻana: He mea kūpono loa kēia i ka kaohi ʻana i nā hopu ʻana i ka poʻe me nā maʻi e like me ka epilepsy.
- No ka hiamoe ʻole: Hāʻawi ʻia kēia mau mea e mālama i ka hiamoe ʻole no ka manawa pōkole.
- No ka hōʻoluʻolu ʻana i ka mea maʻi ma mua o ka anesthesia: Hoʻohana ʻia kēia mau mea e hōʻemi i ka hopohopo noʻonoʻo o ka mea maʻi a hoʻomoe koke iā lākou ma mua o ke ʻoki ʻana.
- No ke kāohi ʻana i ke kaomi intracranial kiʻekiʻe: Inā piʻi ke kaomi intracranial ('intracranial hypertension') i kahi kūlana e like me ka ʻeha o ka lolo, hiki ke hāʻawi ʻia kēia mau lāʻau lapaʻau e hōʻemi iā ia.
ʻO ka mea nui loa, ʻo ia ka lawe ʻia ʻana o kēia lāʻau lapaʻau ma ke ʻōlelo aʻo a ke kauka, ma ke ʻano nui a no ka lōʻihi i kuhikuhi ʻia e ia . Mai hoʻohana i nā lāʻau lapaʻau a haʻi a lawe paha ma mua o ka mea i kauoha ʻia e ke kauka.
He aha nā ʻano barbiturates i hoʻohana nui ʻia?
Aia kekahi mau ʻano 'Barbiturates' ma ka honua. Hoʻohana ʻia kekahi ma ko mākou ʻāina, ʻaʻole kekahi. Eia kekahi o nā mea i ʻike pinepine ʻia.
| Inoa Lāʻau Lapaʻau | He aha ka mea i hoʻohana nui ʻia ai? |
|---|---|
| Phenobarbital | Hoʻohana pinepine ʻia ia e pale a kāohi i nā hopu ʻana (ʻoi aku hoʻi i nā keiki). |
| ʻAmobarbital | Hoʻohana ʻia e mālama i ka insomnia pōkole a no kekahi mau hoʻokolohua neurological. |
| ʻO Butalbital | ʻAʻole hāʻawi wale ʻia kēia. Hāʻawi ʻia ia me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe e like me Paracetamol, Aspirin, a me Caffeine no nā migraines a me nā ʻeha poʻo. |
| Pentobarbital | Hoʻohana ʻia ia e hōʻoluʻolu iā ʻoe ma mua o ka anesthesia a e hoʻōki i nā hopu ʻana e hoʻomau nei. |
| ʻO Primidone | He lāʻau i hoʻololi ʻia i Phenobarbital i loko o ke kino. Hāʻawi ʻia kēia e pale aku i nā hopu ʻana. |
Ka pono a me nā pōmaikaʻi o kēia mau lāʻau lapaʻau
ʻO kahi pōmaikaʻi kūikawā o nā barbiturates, ʻo ia ka ʻokoʻa o ka lōʻihi o ka hana. Hoʻopau ʻia kekahi mai ke kino i loko o nā minuke, aʻo kekahi e noho ana i loko o ke kino no nā lā. ʻAe kēia i ke kauka e koho i ka lāʻau lapaʻau kūpono no nā pono o ka mea maʻi.
Ua māhele ʻia lākou i 4 mau ʻāpana nui e pili ana i ko lākou lōʻihi o ka hana.
| Māhele | Ka manawa hana | Nā Laʻana |
|---|---|---|
| Hana pōkole loa | He manawa pōkole loa, e like me 15 mau minuke. | ʻO Methohexital |
| Hana pōkole | Ma kahi o 3-4 mau hola. | Pentobarbital, Secobarbital |
| Hana waena | Ma kahi o 4-6 mau hola. | ʻAmobarbital, Butalbital |
| Hana lōʻihi | 12 hola a ʻoi aku paha. | Phenobarbital |
He aha nā pilikia a me nā pilikia o nā barbiturates?
ʻO ke kumu nui i hoʻohana ʻole ʻia ai nā barbiturates e like me ka wā ma mua, ʻo ia ko lākou mau pilikia a me nā hopena ʻaoʻao. He mea nui loa ia e makaʻala i kēia mau mea.
- Ka Hoʻomanawanui, ka Hilinaʻi, a me ka Hoʻohui:
- Hoʻomanawanui: Ke hoʻomau ʻoe i ka lawe ʻana i ka mahele like, e maʻa kou kino iā ia a ʻaʻole hiki ke loaʻa ka hopena like me ma mua. A laila, pono ʻoe e hoʻonui i ka mahele o ka lāʻau e loaʻa ai ka hopena like.
- Hilinaʻi: Ua maʻa loa ke kino i ka lāʻau lapaʻau a hiki ʻole ke hana maʻamau me ka ʻole o ia. Inā hoʻōki koke ʻia ka lāʻau lapaʻau, hiki ke loaʻa nā hōʻailona haʻalele e like me ka hoʻomaha ʻole a me ka haʻalulu.
- ʻAi ʻona:He kūlana noʻonoʻo kēia. ʻO ka hiki ʻole ke hoʻōki i ka hoʻohana ʻana i ka lāʻau lapaʻau, ʻoiai ua ʻike ʻo ia he hopena maikaʻi ʻole ia, a ke hoʻomau nei ke kanaka i ka ʻimi a me ka hoʻohana ʻana ia mea.
- Nā palpitations o ka puʻuwai a me nā pilikia hanu: Hoʻohaʻahaʻa kēia mau lāʻau lapaʻau i kou helu puʻuwai a me ke koko. Inā ʻoe e overdose, hiki i kou hanu ke oki loa a hiki ke hoʻoweliweli i ke ola. He kūlana weliweli loa kēia.
- Nā pilina me nā lāʻau lapaʻau ʻē aʻe: Hoʻopilikia nā Barbiturates i ka hana o ko kākou ake. No laila, ʻo nā lāʻau lapaʻau ʻē aʻe āu e lawe ai (e laʻa me nā pila hoʻomalu hānau, nā lāʻau hoʻokahe koko) e hoʻopau koke ʻia mai ke kino, e hōʻemi ana i ko lākou pono.
- Nā pilikia no nā makuahine hāpai a me nā makuahine hānai: ʻO ka lawe ʻana i kēia lāʻau lapaʻau i ka wā hāpai e hoʻopilikia paha i ka ulu ʻana o ka pēpē i loko o ka ʻōpū. Eia kekahi, hiki iā ia ke hele i ka pēpē ma o ka waiū umauma. No laila, inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha, e hōʻoia e haʻi i kāu kauka e pili ana i kēia.
Āhea ʻoe e ʻike ai i ke kauka a hele i ka ETU?
Inā ua kuhikuhi ʻia ʻoe i nā barbiturates, e hoʻomau i ka hele ʻana i kāu mau manawa i koho ʻia e like me ka ʻōlelo a kāu kauka iā ʻoe. ʻAʻole kēia he mau lāʻau lapaʻau lōʻihi. E loiloi kāu kauka i kou kūlana a hoʻoholo inā pono ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i kahi lāʻau ʻē aʻe.
Eia kekahi, inā manaʻo ʻoe ʻaʻole hana pono ka lāʻau lapaʻau, a inā paha e hoʻopilikia ana nā hopena ʻaoʻao i kāu mau hana o kēlā me kēia lā, e kamaʻilio me kāu kauka.
I ka manawa hea e hele koke ai i ka Emergency Treatment Unit (ETU)
Ua like nā hōʻailona o ka overdose barbiturate me nā hōʻailona o ka ʻona waiʻona. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e lawe koke i ka mea maʻi i ka lumi pilikia haukapila kokoke loa (ETU) .
- Ka paʻakikī o ka hanu ʻana (dyspnea) a i ʻole ka pōkole o ka hanu Ka hiamoe nui, ka nalowale o ka ʻike, a i ʻole ka coma
- Ka huikau, ka hiki ʻole ke noʻonoʻo pono
- He puʻuwai lohi loa (bradycardia) a i ʻole he pulse wikiwiki akā nāwaliwali paha ʻO ka poniuniu nui
- Ka luaʻi a me ka luaʻi
- Hypothermia (haʻahaʻa o ke kino)
- ʻO ke kala polū o nā lehelehe a i ʻole nā mākuʻi lima (cyanosis) - ʻO ke ʻano kēia ʻaʻole lawa ka oxygen i ke kino.
- ʻAʻole hiki ke hoʻoikaika i nā maka, nā haumāna liʻiliʻi a nui paha
ʻO ka overdose Barbiturate kahi pilikia olakino e hoʻoweliweli nei i ke ola, no laila mai hoʻowahāwahā i kēia mau hōʻailona.
He mea maikaʻi anei inā inu wau i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau?
ʻAʻole loa!He hui weliweli loa nā Barbiturates a me ka waiʻona. Hoʻohaʻahaʻa nā mea ʻelua i ka ʻōnaehana nerve, no laila ke lawe pū ʻia, he koʻikoʻi loa nā hopena. Hiki i kēia ke hoʻopau i ka hanu ʻana, nalowale ka ʻike, hōʻino i nā ʻōpū o loko, a me ka make. No laila, e pale i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
Nā hōʻailona hilinaʻi a me ka haʻalele ʻana
E like me ka mea i ʻōlelo ʻia ma mua, inā ʻoe e hoʻomau i ka hoʻohana ʻana i kēia lāʻau lapaʻau, hiki i kou kino ke hilinaʻi iā ia. Inā ʻoe e hoʻōki koke i ka lawe ʻana, e ʻike kou kino i nā hōʻailona haʻalele. Hiki i kēia mau mea ke lilo i mea weliweli.
- Ka hoʻomaha nui a me ka haunaele
- Nā haʻalulu lima
- Ka huikau
- Nā kūlana hoʻonāukiuki koʻikoʻi
Inā ʻike ʻoe i kēia mau hōʻailona, ʻo ia hoʻi, inā manaʻo ʻoe i ka ʻoluʻolu ʻole ke hoʻōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau, mai hilahila a makaʻu paha e haʻi aku i kāu kauka e pili ana i ia mea. Ua ʻike nā kauka hiki ke hana ʻia kēia ma muli o ke ʻano o kēia mau lāʻau lapaʻau. A laila, hiki iā ia ke hoʻemi mālie i ka nui o ka lāʻau lapaʻau a kōkua iā ʻoe e haʻalele i ka lāʻau lapaʻau me ka ʻole o ka ʻoluʻolu ʻole.
Leka Lawe-Home
- ʻO nā Barbiturates kahi ʻano lāʻau lapaʻau e hoʻolohi i ka hana o ka lolo, e hoʻoulu ai i ka mālie a me ka hiamoe.
- Hoʻohana ʻia kēia mau mea e mālama i nā kūlana e like me ka hopu ʻana a me ka insomnia.
- Pono e lawe ʻia kēia lāʻau lapaʻau inā i kuhikuhi ʻia e ke kauka. E lawe wale ia ma ka nui i kuhikuhi ʻia a no ka manawa i kuhikuhi ʻia.
- Aia kahi pilikia nui o ka maʻi ʻona a me ka overdose me kēia mau mea. Inā ʻike ʻoe i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a i ʻole ka nalowale o ka ʻike, e hele koke i ka ETU .
- E pale i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau. He mea weliweli loa ia.
- E hoʻopaʻa i kāu lāʻau lapaʻau a mālama pono, ʻoiai ma kahi hiki ʻole i nā keiki a me nā ʻōpio ke kiʻi aku.
- Inā he mau hopohopo kou, ʻoluʻolu ʻole, a i ʻole he mau nīnau e pili ana i ka lāʻau lapaʻau, e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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