Ua pono anei ʻoe e hana i ke ʻoki kino? A i ʻole ke hoʻolālā nei ʻoe e hana i hoʻokahi i ka wā e hiki mai ana? ʻO ka makaʻu nui loa iā mākou i kēlā mau manawa, ʻo ia ka ʻeha e kū mai ana ma hope o ke ʻoki kino. Akā i kēia manawa, ma muli o ka holomua o ka ʻepekema lapaʻau, he nui nā ala e kāohi ai i kēia ʻeha. ʻĀ, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā e kāohi ana i ka ʻeha e kū mai ana ma hope o ke ʻoki kino no kekahi mau lā.
He aha kēia mea hoʻokomo Bupivacaine?
I ka ʻōlelo maʻalahi, he lāʻau hoʻomāmā kēia i hāʻawi ʻia e hoʻōki i ka ʻeha e kū mai ana ma hope o ke ʻoki ʻana. E like me ka hoʻomāmā ʻana i kou ʻāʻī ma mua o ka unuhi ʻana i ka niho, hoʻomāmā kēia lāʻau i ka ʻili a me nā ʻiʻo a puni ke kahua ʻoki. Akā, ʻaʻole ia e like me ka inikini anesthetic maʻamau.
Hiki mai kēia lāʻau lapaʻau (Liposomal Bupivacaine) ma ke ʻano he 'implant' liʻiliʻi a palupalu. E noʻonoʻo e hana ana ʻoe i kahi ʻoki hernia. Hoʻokomo ke kauka lapaʻau i kēia ʻāpana lāʻau lapaʻau i loko o ka ʻeha ma hope o ka pau ʻana o ke ʻoki ʻana a ma mua o ka humuhumu ʻia ʻana o ka ʻeha. ʻO ka mea kūikawā e pili ana i kēia, ʻo ia ka hoʻokuʻu mālie ʻana i ka mea hoʻopau ʻeha i loko o ke kino i loko o kekahi mau lā. ʻO ia hoʻi, loaʻa iā ʻoe ka hōʻoluʻolu nui mai ka ʻeha o ke ʻoki ʻana no 2-3 mau lā pololei. ʻO kekahi o nā inoa inoa 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 ka haukapila, he mea nui loa ia e hāʻawi i ke kauka i kahi wehewehe piha o kou kūlana olakino, no ka mea, ʻaʻole paha e kūlike kēia lāʻau lapaʻau me kekahi mau kūlana olakino.
E hōʻoia e haʻi i kāu kauka e pili ana i kēia mau mea:
- Inā ua loaʻa iā ʻoe kahi hopena maʻi ma mua i ka Bupivacaine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe.
- Inā loaʻa iā ʻoe ka maʻi puʻuwai, ka maʻi akepaʻa, a i ʻole ka maʻi puʻupaʻa.
- Inā he maʻi koko kou e like me ka hemahema o G6PD.
- Inā loaʻa iā ʻoe nā maʻi hanu e like me ka hānō.
- Inā he haʻahaʻa kou koko.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
He mea nui loa ia no kou palekana ponoʻī e haʻi i kāu kauka me ka hūnā ʻole i kēia ʻike, no ka mea, pono ʻoe e makaʻala loa i ka wā e hoʻohana ai i kēia lāʻau lapaʻau me kēia ʻano kūlana olakino.
Pehea e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He mea kēia i kau ʻia ma kahi ʻoki e ke kauka i ka wā o ke ʻoki ʻana ma kahi haukapila a i ʻole ke keʻena lapaʻau . No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana o kahi lāʻau a i ʻole ka lawe ʻana i ka nui loa.
Inā manaʻo koke ʻoe ua loaʻa iā ʻoe kekahi mau hōʻailona ʻē ma muli o kēia lāʻau lapaʻau, e hoʻomaopopo koke i ke kauka a i ʻole ke kahu maʻi. Inā manaʻo ʻoe he overdose o kekahi lāʻau lapaʻau, ma ko mākou ʻāina, pono ʻoe e kelepona pololei i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . Eia kekahi, inā ʻoe ma ka haukapila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hele koke i ka Emergency Treatment Unit (ETU) .
Hiki paha ke loaʻa nā pilikia me nā lāʻau lapaʻau ʻē aʻe? (Nā Hana Pilikino Lāʻau Lapaʻau)
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Bupivacaine. No laila, pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, ʻaʻole wale nā mea i kuhikuhi ʻia e kāu kauka, akā, ʻo nā lāʻau lapaʻau ma luna o ke kauka, nā huaora, a me nā huahana lāʻau lapaʻau, ma mua o kou ʻoki ʻana.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻē aʻe | Lidocaine, Tetracaine |
| Kekahi mau lāʻau antibiotic | ʻO Dapsone, Nitrofurantoin, Sulfonamides |
| Lāʻau lapaʻau hopu | Phenobarbital, Phenytoin |
| Nā lāʻau hoʻopau ʻeha | ʻAsetaminopena (Paracetamol) |
| Nā lāʻau lapaʻau no ka maʻi puʻuwai | Nitroglycerin, Nitroprusside |
| Nā lāʻau lapaʻau ʻē aʻe | Chloroquine, Quinine, Metoclopramide, Sulfasalazine |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e makaʻala loa i ka wā e hoʻomaka ana kēia lāʻau lapaʻau, ʻo ia hoʻi, ʻoiai ua mae ka wahi i hana ʻia ai ke ʻoki kino. E noʻonoʻo ua hana ʻia ʻoe i ke ʻoki kino ma kou ʻōpū a ua hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe. No ka mea ua mae kēlā wahi, ʻaʻole ʻoe e manaʻo i kekahi mea e pā ana, e kaomi ana, a ʻeha paha ma laila. No laila, ʻo kou kuleana ke mālama i kēlā wahi i ʻole e ʻeha a hōʻeha paha.
He aha nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka a i ʻole ETU | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā loli i ka helu o ka puʻuwai | ʻEha ka umauma, ka poniuniu, ka puʻuwai wikiwiki a ʻano ʻole paha, ka maule. |
| Nā pilikia o ka ʻōnaehana nerve | Nā ʻūlū , nā haʻalulu. |
| Nā hōʻailona o ka Methemoglobinemia | ʻIli keʻokeʻo, kala hina a polū paha, ʻeha poʻo, puʻuwai wikiwiki, paʻakikī ka hanu ʻana, luhi nui. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā hiʻohiʻona ʻē aʻe | ʻEha ke poʻo, kuni, hoʻomaha ʻole, loli ka ʻono o ka waha, loli ka ʻike. |
Leka Lawe-Home
- ʻO ka implant Bupivacaine kahi lāʻau lapaʻau kūikawā i kau ʻia ma kahi kokoke i ka ʻeha i ka wā o ke ʻoki ʻana a kaohi i ka ʻeha no kekahi mau lā.
- ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hoʻohana ʻia ia e ke kauka ma ka haukapila.
- He mea nui e haʻi aku i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ma mua o ke ʻoki ʻana.
- Inā ʻike ʻoe i nā hōʻailona e like me nā maʻi alerika koʻikoʻi, ka paʻakikī o ka hanu ʻana, nā hopu ʻana , a i ʻole ka puʻuwai puʻuwai kūpono ʻole, e ʻimi koke i ke kōkua lapaʻau.
- Ke mae kekahi ʻāpana o kou kino i nā hopena o ka lāʻau lapaʻau, e mālama pono e pale i kēlā wahi mai ka ʻeha.
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