Ua hoʻolālā ʻia ʻoe e hana i ke ʻoki kino? A i ʻole ke hoʻomākaukau nei kekahi āu i ʻike no ke ʻoki kino? ʻO ka makaʻu nui a ka poʻe he nui i ka wā e pili ana i ke ʻoki kino, ʻo ia ka ʻeha e hiki mai ana ma hope o ke ʻoki kino. Akā i kēia lā, no ka mea ua holomua ka ʻepekema lapaʻau , nui nā ala e kāohi ai i kēia ʻeha. I kēia lā, e kamaʻilio mākou e pili ana i kekahi ʻano hana hou a kūikawā. ʻO ia ka Bupivacaine Implant.
I ka ʻōlelo maʻalahi, he aha ka Bupivacaine?
He lāʻau lapaʻau ʻo Bupivacaine i hoʻohana ʻia e pale aku a mālama paha i ka ʻeha ma hope o ke ʻoki ʻana. No loko ia o kahi hui o nā lāʻau i kapa ʻia ʻo local anesthetics .
E noʻonoʻo ua hana ʻia ke ʻoki ʻana ma kou lima. ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ke kāohi manawa pōkole i ka ʻeha mai ka hele ʻana i ka lolo ma o nā aʻalolo ma ka lima kahi i hana ʻia ai ke ʻoki ʻana. Ua like ia me ke ālai ʻana i nā "hōʻailona ʻeha" e hele ana ma o lākou. A laila, ʻaʻole ʻoe e ʻike i kekahi ʻeha ma kahi o ke ʻoki ʻana.
ʻO ka mea kūikawā e pili ana i kēia, ʻaʻole ia e hāʻawi ʻia ma ke ʻano he pila a i ʻole he inikini. He mea hoʻokomo ia . ʻO ia hoʻi, i ka wā o ke ʻoki ʻana , e kau kāu kauka i kahi mea liʻiliʻi e loaʻa ana kēia lāʻau lapaʻau i loko o ka ʻeha ʻoki. Mai laila mai, e hoʻokuʻu ʻia ka lāʻau lapaʻau a hoʻomalu ʻia ka ʻeha no kekahi mau lā. ʻO kahi inoa inoa maʻamau no kēia ʻo `(Xaracoll)`.
Nā mea e pono ai kāu kauka e ʻike ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau:
ʻOiai he lāʻau lapaʻau kēia i hāʻawi ʻia ma kahi haukapila, he mea nui loa ia e hoʻomaopopo i kāu hui lapaʻau e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa ai, no ka mea, na kēlā ʻike e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe.
Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e ʻoluʻolu e haʻi i kāu kauka e pili ana i ia mea.
- Ka hemahema o G6PD: He kūlana kēia e pili ana i kahi enzyme i loko o ke koko o kekahi poʻe.
- Maʻi puʻuwai : Inā loaʻa iā ʻoe kekahi maʻi puʻuwai.
- Maʻi puʻupaʻa : Inā he mau pilikia me ka hana puʻupaʻa.
- Maʻi akepaʻa : Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Ke koko haʻahaʻa:Inā haʻahaʻa pinepine kou koko.
- Nā maʻi o ka māmā: Nā maʻi e pili ana i ka māmā e like me ka hānō.
- Nā Allergies: Inā loaʻa iā ʻoe kekahi mau allergies i Bupivacaine a i ʻole nā mea hoʻomaʻemaʻe ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu, pono ʻoe e hōʻike iā lākou.
- Hāpai keiki: E hōʻoia e hoʻomaopopo i kāu kauka inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana .
He mea nui loa ia no kou palekana ponoʻī e kamaʻilio me kāu kauka e pili ana i kou mōʻaukala olakino me ka hūnā ʻole i kekahi mea.
Pehea e hoʻohana ai au i kēia? He aha kaʻu e makaʻala ai?
ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau i ka home. Hoʻokomo ʻia ia i loko o kahi ʻoki e kāu hui lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau i ka wā o ke ʻoki ʻana. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hoʻohana ʻana.
Akā, aia kekahi mau mea nui e ʻike ai.
- Hoʻohana ʻia i nā keiki: Pono paha ka mālama kūikawā inā hoʻohana ʻia kēia lāʻau lapaʻau i nā keiki ʻōpio. E kamaʻilio me kāu kauka e pili ana i kēia.
- Inā ʻoe e overdose: Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui , a i ʻole e hoʻomaopopo i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
- E makaʻala i ka wahi mae: ʻO kēia ka mea nui loa āu e hoʻomanaʻo ai. Hoʻomāe ka lāʻau lapaʻau i ka wahi i hana ʻia ai ke ʻoki kino, no laila ʻaʻole ʻoe e ʻeha. No laila hiki iā ʻoe ke hōʻeha i kēlā wahi. No ka laʻana, inā ua hana ʻia ke ʻoki kino ma kou wāwae a ua hoʻopili ʻia kēia lāʻau lapaʻau, ʻaʻole ʻoe e ʻeha no ka mea e mae kou wāwae. Akā inā ua kuʻi hewa ʻoe i kou wāwae i kahi paʻakikī, ʻoki iā ia, a puhi ʻia paha e kahi mea wela, ʻaʻole ʻoe e ʻike. No laila pono ʻoe e makaʻala loa i ka ʻāpana mae o kou kino.
He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Hiki i kekahi mau hopena ʻaoʻao ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
E nānā kākou i ke ʻano o ia mea ma ka papa ma lalo nei.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| ⚠️ Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ka hui lapaʻau | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka kaumaha o ka ʻōnaehana nerve waena (kaumaha CNS) | Ka hanu lohi a papau paha, ka paʻakikī o ka hanu ʻana, ka maule ʻana, ka poniuniu, a me ka nalowale o ka ʻike. |
| Nā hōʻailona o ka Methemoglobinemia | ʻEha poʻo, luhi ʻē, paʻakikī i ka hanu ʻana, nausea, luaʻi, puʻuwai wikiwiki, ʻili polū a i ʻole nā lehelehe. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, maule, ʻeha ka umauma, paʻakikī ke hanu. |
| Nā loli i ke koko | Hoʻonui a emi paha ke koko (nā hōʻailona e like me ka dizziness, ka nāwaliwali, ka ʻike maka pōʻeleʻele). |
| Nā hopu ʻana | Nā haʻalulu o ke kino a i ʻole nā hopu ʻana. |
| 🙂 Nā mea i maʻa mau ʻole i ka koʻikoʻi, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā hopena noʻonoʻo | Hoʻomaha ʻole, hoʻomaha ʻole. |
| Hiamoe | Manaʻo hiamoe ma ke ʻano ʻē. |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka luaʻi, ka luaʻi. |
ʻAʻole kēia papa inoa i nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e kamaʻilio me kāu kauka e pili ana iā lākou.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me Bupivacaine. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia a me nā lāʻau lapaʻau kūʻai ʻole ʻia, nā huaora, a me nā huahana lāʻau. Eia kekahi, e haʻi i kāu kauka inā puhipaka ʻoe a inu waiʻona paha.
ʻO kekahi mau lāʻau lapaʻau e hiki ke launa pū me kēia lāʻau lapaʻau:
- ʻAsetaminopena
- Kekahi mau lāʻau antibiotic (e.g. dapsone, nitrofurantoin, sulfonamides)
- ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana (e like me phenobarbital, phenytoin, valproic acid)
- Kolorokuina
- ʻO Cyclophosphamide
- ʻO ka nitroglycerin
- ʻO nā mea hoʻomaʻamaʻa kūloko ʻē aʻe e like me ka lidocaine a me ka tetracaine
- Kuina
ʻAʻole piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Bupivacaine Implant i hoʻokomo ʻia ma kahi o ke ʻoki ʻana e kāohi i ka ʻeha ma hope o ke ʻoki ʻana.
- Ma mua o kou loaʻa ʻana o kēia lāʻau lapaʻau, he mea nui e haʻi aku i kāu kauka e pili ana i kou mau maʻi a me nā maʻi allergies a pau.
- E akahele loa no ka mea hiki iā ʻoe ke hōʻeha hewa i kahi ʻāpana kino i mae i ka lāʻau lapaʻau.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, nā loli o ka puʻuwai, nā hopu ʻana, a i ʻole nā hopena maʻi koʻikoʻi.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka e pili ana.
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