E noʻonoʻo ʻoe he ʻoki liʻiliʻi kāu, e like me ka unuhi ʻana i ka niho a i ʻole ka wehe ʻana i ka puʻupuʻu ʻili. A laila hoʻomānoino ke kauka i kahi e hana ʻia ai ke ʻoki a hana i ka hana i ʻole ʻoe e ʻeha, ʻeā? I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia i ia mau hihia. He lāʻau lapaʻau kēia i hāʻawi pinepine ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau a hoʻohana ʻia e nā kauka. No laila, he mea nui loa ka makaʻala i kēia.
He aha kēia lāʻau lapaʻau? (Bupivacaine; Epinephrine)
I ka ʻōlelo maʻalahi, he anesthetic kūloko kēia, ʻo ia hoʻi, hoʻomāʻū ia i ka wahi i hāʻawi ʻia ai ka injection a me ka wahi a puni iā ia no kekahi manawa, me ka ʻole o ka hoʻomāʻū ʻana i ke kino holoʻokoʻa. ʻO ia hoʻi, ʻaʻole ʻoe e ʻike i kekahi ʻeha.
ʻElua ʻano nui o kēia lāʻau pale:
1. Bupivacaine: ʻO kēia ka mea e hoʻomānoʻonoʻo ai i ka ʻili, ʻo ia hoʻi, ʻaʻole ʻoe e ʻeha.
2. Epinephrine: Ua hoʻohui ʻia kēia no ʻelua kumu. ʻO kekahi e hoʻolōʻihi i ke ʻeha. ʻO kekahi e hoʻopaʻa i nā kīʻaha koko liʻiliʻi ma kahi i hoʻokomo ʻia ai, e hōʻemi ana i ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana.
No laila, mahalo i ka hui pū ʻana o nā mea ʻelua, hiki i ke kauka ke mālama iā ʻoe me ka palekana me ka ʻole o ka ʻeha.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau pale, e nīnau kāu kauka e pili ana i kou olakino. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e hōʻoia e haʻi i kāu kauka. He mea nui loa kēia no kou palekana.
- ʻO ka maʻi diabetes a i ʻole ke kiʻekiʻe o ke kō.
- Ka hemahema o ka G6PD: He ʻano hoʻoilina kēia i hānau ʻia ai kekahi poʻe.
- ʻO kēlā me kēia ʻano maʻi puʻuwai .
- Ke koko kiʻekiʻe .
- Ke koko haʻahaʻa .
- Kekahi maʻi o ke akepaʻa a i ʻole nā puʻupaʻa .
- Nā maʻi o ka māmā (e like me ka hānō a i ʻole COPD).
- Ka maʻi thyroid .
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
- Inā he maʻi ʻoe i kēia lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha.
ʻO ka ʻoi aku ka piha o kou mōʻaukala olakino, ʻoi aku ka palekana e hiki ai iā ia ke mālama iā ʻoe.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home a kūʻai mai paha mai kahi hale kūʻai lāʻau lapaʻau.
He lāʻau pale kēia i hāʻawi mau ʻia ma ka haukapila a i ʻole ke keʻena lapaʻau e ke kauka kūpono a i ʻole ke loea olakino i aʻo ʻia, no laila ʻaʻole pono ʻoe e hopohopo e pili ana i ka hoʻohana ʻana.
- No nā keiki: Hoʻohana ʻia ia i kekahi mau hihia kūikawā no nā keiki ʻōpio ma luna o 12 mau makahiki. Akā hana ʻia me ke akahele nui a me nā hana palekana kūikawā.
- No ka poʻe ʻelemakule: Hiki i ka poʻe ma luna o 65 mau makahiki ke ʻike i nā hopena o kēia lāʻau i ʻoi aku ka ikaika. No laila, hoʻohaʻahaʻa pinepine ke kauka i ka nui o ka lāʻau i hāʻawi ʻia iā lākou.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā hana ʻia kēia ma kekahi ʻano a i ʻole inā manaʻo ʻoe ua loaʻa iā ʻoe ka nui o ka lāʻau lapaʻau, e hoʻomaopopo koke i nā limahana lapaʻau. I ka hihia o kahi pilikia, pono ʻoe e hele pololei i ka Emergency Treatment Unit (ETU) . Inā makemake ʻoe i ka ʻōlelo aʻoaʻo e pili ana i ka lāʻau make, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no nā kikoʻī.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Inā ʻoe e lawe ana i ka lāʻau lapaʻau no nā kūlana ʻē aʻe, he mea nui loa ia e haʻi i kāu kauka e pili ana i ia mea. No ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia mea hoʻopau ʻeha a hana i nā hopena ʻaoʻao makemake ʻole ʻia. Hōʻike ka papa ma lalo nei i kekahi mau lāʻau lapaʻau e launa pū paha ma kēia ʻano.
| Māhele lāʻau lapaʻau | Nā laʻana a me nā wehewehena |
|---|---|
| Nā lāʻau hoʻopau ʻeha a me nā antibiotics | ʻO kekahi mau lāʻau lapaʻau e like me ka acetaminophen, dapsone, a me nitrofurantoin. |
| Nā lāʻau lapaʻau no ka maʻi puʻuwai a me ke koko | Nā lāʻau lapaʻau like ʻole i hoʻohana ʻia e kāohi i ka helu o ka puʻuwai a me ke koko. (Laʻana: Nitroglycerin) |
| Lāʻau lapaʻau no ke olakino noʻonoʻo | Nā lāʻau lapaʻau no nā kūlana e like me ke kaumaha a me ka hopohopo, ʻoiai nā lāʻau MAOI. |
| Nā lāʻau lapaʻau no nā hopu ʻana | Nā lāʻau lapaʻau e like me ka phenobarbital a me ka phenytoin. |
| Nā lāʻau anesthetics a me nā lāʻau lapaʻau ʻē aʻe | ʻO nā mea hoʻomaʻemaʻe ʻē aʻe i hoʻohana ʻia i ka wā o ke ʻoki ʻana, ʻo ia ka nitrous oxide, a me nā mea hoʻomaʻemaʻe kūloko ʻē aʻe e like me ka lidocaine. |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā huahana lāʻau lapaʻau, a me nā mea hoʻohui āu e lawe nei. E haʻi pū iā lākou inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai ma hope o ka lawe ʻana i ka lāʻau lapaʻau
Ma hope o kou loaʻa ʻana o kēia inikini, pono ʻoe e makaʻala iki e pili ana i ka wahi mae. No ka mea, ʻaʻole ʻoe e ʻike i ka ʻeha, hiki iā ʻoe ke hōʻeha i kēlā wahi me ka ʻike ʻole.
Eia kekahi laʻana, inā he niho kou a ʻeha kou ʻāʻī, pono ʻoe e makaʻala ʻaʻole e nahu i kou papālina a inu paha i nā mea inu wela a pau loa ka ʻeha. Eia kekahi, inā he ʻeha kou ma kou ʻili, e pale i kēlā wahi mai ka hahau ʻia a i ʻole ke kahakaha ʻia.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| 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, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli i ka helu o ka puʻuwai | Manaʻo e like me ka wikiwiki o ka puʻuwai a i ʻole ke kuʻi ʻano ʻē, ka poniuniu, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana. |
| Nā hopena ma ka ʻōnaehana nerve waena | Hanu lohiLohi lohi ...Lohi lohi ...Lohi lohi ...Lohi lohi ...Lohi lohi ...Lohi lohi ...Lohi lohi ...Lohi lohi ...Lohi lohi ... |
| ʻO ka Methemoglobinemia | Paʻakikī ka hanu ʻana; ʻEha poʻo; E lilo ana nā lehelehe, nā kui, a i ʻole ka ʻili i ke keʻokeʻo, hina, a polū paha; Luhi nui. |
| Nā hopu ʻana | Nā ʻōhū koke. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Hopohopo a hoʻomaha ʻole paha | Ke manaʻo nei i kahi manaʻo hopohopo ʻē. |
| Hiamoe | E hiamoe iki paha ʻoe. |
| Ka luaʻi a me ka luaʻi | ʻŌpū ʻeha, nausea, a luaʻi paha. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- ʻO Bupivacaine; He inikini anesthetic kūloko ka Epinephrine i hāʻawi ʻia e ke kauka wale nō ma ka haukapila a i ʻole ke keʻena lapaʻau e hōʻoluʻolu i ka ʻeha.
- Ma mua o ka loaʻa ʻana o kēia lāʻau pale, e haʻi i kāu kauka e pili ana i kou mau maʻi āpau (e like me ka maʻi diabetes, ka maʻi puʻuwai) a me nā lāʻau lapaʻau āpau āu e lawe ai.
- Ma hope o ke komo ʻana, e hōʻoia e pale i ka wahi mai ka ʻeha. ʻOiai ʻaʻole ʻoe e ʻeha, hiki iā ʻoe ke hōʻeha iā ʻoe iho me ka manaʻo ʻole.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka pehu ʻana o ka maka, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha o ka umauma.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka e pili ana.
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