He ʻōkana ko kākou puʻuwai e hana ana i kahi mele ʻano ʻē loa, ʻeā? Akā i kekahi manawa, no nā kumu like ʻole, hiki ke hoʻopilikia ʻia kēia mele. Hiki i ka puʻuwai ke lilo koke i wikiwiki loa, a i ʻole hiki ke hoʻomaka e kuʻi ma ke ʻano kūpono ʻole, me ke kauoha ʻole. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he 'arrhythmia'. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā a ikaika hoʻi a nā kauka e hoʻohana ai e hoʻihoʻi i ka puʻuwai i ka maʻamau i nā hihia koʻikoʻi. ʻO ia ka injection i kapa ʻia ʻo Bretylium.
I ka ʻōlelo maʻalahi, he aha ʻo Bretylium?
He lāʻau lapaʻau ʻo Bretylium i hāʻawi ʻia i kekahi kanaka me ka puʻuwai wikiwiki a ʻano ʻole paha (arrhythmia). No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo antiarrhythmics .
E noʻonoʻo e hoʻomalu ʻia ko kākou puʻuwai e kahi ʻōnaehana hōʻailona uila palupalu loa. I kekahi manawa, lilo kēia ʻōnaehana hōʻailona uila i mea hana nui, a hoʻomaka ka puʻuwai e kuʻi wikiwiki loa. ʻO ka hana a ka inikini Bretylium, ʻo ia ke kāohi i kekahi o kēlā mau hōʻailona uila hana nui a hoʻihoʻi i ka puʻuwai i kahi mele maʻamau a paʻa. He lāʻau lapaʻau kēia i hoʻohana pinepine ʻia i nā pilikia e hoʻopakele i nā ola. Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā mea ʻē aʻe. No laila, inā he mau nīnau kāu e pili ana i kēia, hiki iā ʻoe ke nīnau i kāu kauka.
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He inikini kēia i hāʻawi mau ʻia ma ke ʻano intravenous, ma lalo o ka nānā ʻana a ke kauka, ma kahi haukapila a i ʻole ke keʻena lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻoholo ʻana e hāʻawi iā ʻoe i ka lāʻau pale Bretylium, he mea nui i kāu kauka ke ʻike i kou mōʻaukala olakino piha. Pono ʻoe e haʻi aku iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kūlana olakino | He aha kāu e haʻi aku ai i ke kauka |
|---|---|
| Nā maʻi puʻuwai ʻē aʻe | Inā he mau maʻi puʻuwai ʻē aʻe kāu i ʻike mua ʻia ai, e ʻoluʻolu e haʻi mai iā mākou e pili ana iā lākou. |
| Maʻi puʻupaʻa | Inā he maʻi puʻupaʻa kou, e ʻoluʻolu e hoʻomaopopo mai iā mākou. |
| Nā maʻi ʻaleka | Inā loaʻa iā ʻoe kahi hopena maʻi, ʻaʻole wale i kēia lāʻau lapaʻau Bretylium, akā i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha, e ʻoluʻolu e haʻi mai iā mākou e pili ana. |
| Hāpai keiki | Inā ʻoe e hāpai ana i kēia manawa, a i ʻole e kali koke ana i kahi pēpē, e haʻi i kāu kauka. |
| Ka hānai ʻana i ka waiū umauma | Inā he makuahine ʻoe e hānai waiū ana i kāu keiki, he mea nui loa nō hoʻi e hoʻomaopopo iā ia. |
Pehea e hāʻawi ʻia ai kēia lāʻau i ke kino?
E like me kaʻu i ʻōlelo ai ma mua, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi mau ʻia kēia iā ʻoe ma ka haukapila a i ʻole ke keʻena lapaʻau .
- Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini i loko o kou aʻa koko, a i ʻole ma ke ʻano he infusion, e like me ka saline, i loko o kou kino .
- Hana ʻia kēia kaʻina hana e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻAe, i kekahi mau hihia kūikawā, pono paha e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki. Akā, pono ia i ka mālama kūikawā a me ka nānā ʻana. Na kāu kauka e hoʻoholo i kēlā.
He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?
ʻOiai ke lawelawe ʻia nei kēia lāʻau e nā limahana lapaʻau ma ka haukapila, ua haʻahaʻa loa ka manawa kūpono o ka 'overdose'. Ua ʻike lākou i ka nui kikoʻī. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau. A i ʻole, ma Sri Lanka, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . Hiki iā ʻoe ke hoʻomaopopo i ka Emergency Treatment Unit (ETU) kokoke loa.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
Ke lawe pū ʻia kekahi mau lāʻau lapaʻau me kekahi lāʻau lapaʻau ʻē aʻe, hiki ke loli ko lākou hopena. Kāhea mākou i kēia he "Nā Hana Pilikino Lāʻau Lapaʻau". Aia kekahi mau lāʻau lapaʻau e hiki ke launa pū me ka lāʻau pale Bretylium.
No laila, he mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā mea hoʻohui āu e lawe nei, a inā ʻoe e puhipaka a inu waiʻona paha.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau | |
|---|---|
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| Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau | |
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ʻAʻole i loko o kēia papa inoa nā lāʻau lapaʻau a pau, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka inikini Bretylium ke hana i kekahi mau hopena ʻaoʻao. Akā, mai hopohopo, aia ʻoe ma lalo o ka nānā ʻana o ke kauka ma ka haukapila, a ua mākaukau lākou e mālama koke i kekahi mea.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka a i ʻole ke kahu maʻi | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo a ʻāʻī paha (he pilikia paha kēia). |
| Ke koko haʻahaʻa | ʻO ka poniuniu koke, nā maka polū, ka ʻike maka pohihihi, a me ka manaʻo e nalowale paha kou ʻike ke kū ʻoe i luna. |
| Nā hiʻohiʻona ʻē aʻe | Ke kuni e pau ʻole ana, piʻi ka hanu ʻana a i ʻole ka puʻuwai ʻana, luhi nui. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| Pōʻino | Manaʻo māmā a poniuniu paha. |
| Ka luaʻi | Manaʻo e like me ʻoe e luaʻi ana (Nausea). |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e haʻi koke i kāu kauka a kahu maʻi paha.
Leka Lawe-Home
- He lāʻau lapaʻau ikaika ʻo Bretylium i hāʻawi wale ʻia ma ka haukapila no nā kūlana koʻikoʻi e like me ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i kou mau maʻi āpau, nā maʻi allergies, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻOiai e hāʻawi ʻia ana kēia lāʻau lapaʻau iā ʻoe, e nānā mau ana ke limahana lapaʻau i nā mea e like me kou helu puʻuwai a me ke koko. No laila, mai hopohopo.
- Inā loaʻa iā ʻoe nā hōʻailona maʻi ʻaleka koʻikoʻi e like me ka pehu ʻana o ka maka a me ka ʻāʻī, a i ʻole nā hōʻailona o ke koko haʻahaʻa e like me ka ʻeha poʻo nui a me nā maka polū, e hoʻomaopopo koke mai iā mākou.
- E hoʻomanaʻo ʻaʻole kēia he lāʻau lapaʻau e lawe i ka home a hoʻohana.
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