E kamaʻilio kākou e pili ana i ka Bupivacaine Injection e hoʻomaha ai i ka ʻeha? (Bupivacaine Injection)

Ua loaʻa anei iā ʻoe kahi ʻoki liʻiliʻi, kahi unuhi niho, a i ʻole kahi ʻoki ma kou kino e pono ai ke humuhumu? E hoʻomanaʻo i ka inikini a ke kauka i hāʻawi ai iā ʻoe e hoʻomāno i ka wahi? ʻAʻole mākou e ʻeha i kēlā manawa, ʻeā? ʻĀ, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia e hoʻōki i ka ʻeha ma kahi ʻāpana o ke kino. ʻO Bupivacaine kona inoa.

I ka ʻōlelo maʻalahi, he aha ka Bupivacaine?

ʻO Bupivacaine kahi ʻano lāʻau lapaʻau i kapa ʻia he anesthetic kūloko. I ka ʻōlelo maʻalahi, hoʻopau ia i kahi wahi kikoʻī o kou kino no kekahi manawa. Hoʻōki kēia i nā hōʻailona ʻeha mai nā aʻalolo ma ia wahi mai ka hele ʻana i ka lolo no kekahi manawa. ʻO ia ke kumu ʻaʻole ʻoe e ʻeha. E noʻonoʻo i kā mākou ʻōnaehana nerve e like me kahi pūnaewele o nā uwea kelepona. Ke hōʻeha ʻia mākou i kekahi wahi, hele kahi leka ma kēlā uwea i ka lolo e ʻōlelo ana, "ʻEha ia ma ʻaneʻi." ʻO ka hana a ka inikini Bupivacaine, ʻo ia ke hele i kahi o kēlā leka a hoʻokaʻawale i kēlā pilina no kekahi manawa. A laila, ʻaʻole hiki ka leka i ka lolo, no laila ʻaʻole mākou e ʻeha. Hoʻohana pinepine ʻia ia i:

• E hoʻomāʻū i ka ʻāpana ma mua o ke ʻoki kino liʻiliʻi.
• E unuhi i nā niho a mālama paha i nā niho.
• E humuhumu i kahi ʻeha.
• E like me ka epidural i hāʻawi ʻia i kahi makuahine e kokoke ana e hānau i kahi keiki e hōʻemi i ka ʻeha.
• I kekahi manawa hoʻohana ʻia ia e kāohi i ka ʻeha ma hope o ke ʻoki ʻana.

Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau

ʻAe, i kēia manawa ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, e nīnau ke kauka iā ʻoe e pili ana i kou kūlana olakino. He mea nui loa kēia. No ka mea, ʻo kou palekana ka mea mua. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi aku i ke kauka me ka hūnā ʻole.

• Nā Allergies : E haʻi mai iā mākou inā he mau allergies kou , ʻaʻole wale i ka Bupivacaine , akā i kekahi lāʻau lapaʻau ʻē aʻe (ʻoi aku hoʻi nā anesthetics ʻē aʻe), meaʻai, kala, a mea hoʻomalu paha.
• Maʻi puʻuwai : Inā loaʻa iā ʻoe kekahi maʻi puʻuwai.
• Maʻi o ke akepaʻa a i ʻole nā ​​​​pūpū : Inā he pilikia me ka hana o kēia mau ʻōkana.
• Ke koko haʻahaʻa: Inā he koko haʻahaʻa kou.
• Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi e pili ana i ka hanu ʻana.
• Ka hemahema o G6PD: He hemahema enzyme hoʻoilina kēia e hoʻopilikia ai i ko kākou mau hunaola koko ʻulaʻula. Inā ʻike ʻoe he maʻi kou, e haʻi pono i kāu kauka.
• Hāpai a hānai waiū paha: He mea nui e hoʻomaopopo i kāu kauka inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha .

Ma ka ʻike pololei ʻana i kēia mau mea, hiki i kāu kauka ke hoʻoholo palekana inā e hāʻawi iā ʻoe i kēia lāʻau lapaʻau, e hoʻohana i kahi ʻano ʻē aʻe, a i ʻole e hoʻololi i ka dosage.

Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kūʻai ma kahi hale kūʻai lāʻau lapaʻau a lawe i ka home. ʻO Bupivacaine kahi lāʻau lapaʻau i hāʻawi wale ʻia ma ke ʻano he inikini ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka kūpono a i ʻole nā ​​limahana lapaʻau i aʻo ʻia . ʻO kēia no ka mea pono e nānā ʻia kou puʻuwai, ke koko, a me ka hanu ʻana i ka wā e hāʻawi ʻia ai kēia lāʻau.

Ke hāʻawi nei ʻoe i kēia i nā keiki?

Hiki i nā keiki ma luna o 12 mau makahiki ke hoʻohana i kēia lāʻau lapaʻau i kekahi mau hihia kūikawā. Akā, pono e hana ʻia me ke akahele nui a ma lalo o ka nānā kūikawā ʻana a ke kauka.

He aha kāu e hana ai inā piʻi ka nui o ka lāʻau?

Hāʻawi ʻia kēia ma ka haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. E ʻike pono nā limahana lapaʻau i ka nui kūpono nou. Eia nō naʻe, inā he kānalua ua lawe nui ʻoe i ka lāʻau lapaʻau, e hana koke nā limahana lapaʻau i nā hana e pono ai. No laila, ʻaʻole pono ʻoe e hopohopo. Inā loaʻa iā ʻoe kekahi pilikia ma waho o ka haukapila, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. Inā kānalua ʻoe i ka lāʻau make, e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui .

He aha nā hopena ʻaoʻao? Pono anei au e makaʻu?

E like me nā lāʻau lapaʻau āpau, he liʻiliʻi ka manawa e loaʻa ai iā Bupivacaine nā hopena ʻaoʻao. Eia naʻe, ʻaʻole maʻamau kēia mau mea. Eia kekahi, ʻoiai ʻoe ma lalo o ka nānā ʻana o ke kauka i ka wā e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe, hiki ke mālama koke ʻia nā pilikia. Eia naʻe, he mea nui iā ʻoe e makaʻala i kēia mau mea. E hoʻokaʻawale kākou i kēia mau hopena ʻaoʻao i ʻelua mau ʻano. He koʻikoʻi kekahi a pono e hōʻike koke ʻia. ʻO kekahi, ʻaʻole koʻikoʻi a nalowale ma hope o kekahi manawa.

Nā hopena ʻaoʻao o Bupivacaine Nā hōʻailona e pono e hōʻike koke ʻia i ke kauka a i ʻole ke kahu maʻi Nā hōʻailona i maʻa mau ʻaʻole koʻikoʻi, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou

Nā hopena alerika	ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu.
Nā loli o ka puʻuwai	Manaʻo e like me ka wikiwiki o kou puʻuwai a i ʻole ke kuʻi ʻano ʻole, ka poniuniu, ka ʻeha o ka umauma.
Ke koko haʻahaʻa	Pōniuniu nui, maka polū, hiki ʻole ke kū.
Nā hopena ma ka ʻōnaehana nerve (CNS depression)	Hanu lohi, hiamoe nui, ʻike emi, huikau.
Nā hopu ʻana	Nā haʻalulu o ke kino, nalowale o ka ʻike.
ʻO ka Methemoglobinemia	He maʻi laha ʻole kēia. ʻIli polū a lehelehe paha, paʻakikī ka hanu ʻana, luhi loa, ʻeha poʻo, nausea, luaʻi, a me ka puʻuwai wikiwiki.
Ka luaʻi a me ka luaʻi ʻana (Nausea, Vomiting)	ʻŌpū ʻeha a luaʻi paha.
Hiamoe	Manaʻo hiamoe iki ma muli o ka hopena o ka lāʻau lapaʻau.
Hopohopo a hopohopo paha	Ke manaʻo nei i kahi makaʻu ʻē a me ka hopohopo.

Nā mea e makaʻala ai ma hope o ka lawe ʻana i ka lāʻau lapaʻau

ʻO kēia ka mea nui loa e makaʻala ai ʻoe. Ma hope o ka inikini Bupivacaine, e mae wale ka wahi no kekahi mau hola.

ʻO ka mea nui loa, ʻo ia ka pale ʻana i ka wahi mai ka pōʻino ʻoiai e mae ana. No ka mea, ʻaʻole ʻoe e ʻike i ka ʻeha, ʻoi aku ka nui o ka ʻoki ʻia, ka palapū, a i ʻole ke kuni ʻia o ka wahi.

Eia kekahi laʻana, e noʻonoʻo ua hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe e unuhi i kahi niho. Inā e ʻā ana kou papālina a me kou lehelehe ma kēlā ʻaoʻao, he mea hiki loa iā ʻoe ke nahu i kēlā wahi, inu i ke kī wela a puhi i kou waha. No laila, e makaʻala loa i kāu mea e ʻai ai a inu a pau loa ka ʻā. Eia kekahi, inā he wahi ʻā ma kou lima a wāwae paha, pono ʻoe e pale i kēlā wahi mai ka pā ʻia ʻana e kekahi mea ʻoi a wela paha. No ka mea, ʻaʻole ʻoe e manaʻo iā ia ʻoiai inā ʻeha.

Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?

ʻAe, ʻoiaʻiʻo nō. Hiki iā Bupivacaine ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. No laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā huahana lāʻau lapaʻau, a me nā lāʻau hoʻomaha ʻeha . He mea nui loa ia e haʻi i kāu kauka inā ʻoe e lawe nei i kekahi o kēia mau lāʻau lapaʻau:

• ʻO ka Acetaminophen (e like me ka paracetamol)
• ʻO kekahi mau ʻano antibiotics (e.g. dapsone, sulfonamides)
• Nā lāʻau antiepileptic (e.g. phenobarbital, phenytoin)
• Nā lāʻau lapaʻau ʻē aʻe (e like me ka lidocaine)
• ʻO kekahi mau lāʻau lapaʻau no nā maʻi puʻuwai (e like me ka nitroglycerin)

ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai. Eia kekahi, e haʻi iā ia inā ʻoe e puhipaka a inu waiʻona paha.

Leka Lawe-Home

• He lāʻau lapaʻau palekana ʻo Bupivacaine e hōʻoluʻolu manawa i ka ʻeha a hoʻopau i kahi ʻāpana kikoʻī o ke kino.
• Hāʻawi wale ʻia kēia lāʻau lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana a ke kauka. ʻAʻole kēia he lāʻau lapaʻau e lawe ʻia i ka home.
• E hōʻoia e haʻi i kāu kauka e pili ana i nā kūlana olakino āpau, nā maʻi allergies, a me nā lāʻau lapaʻau āu e lawe nei.
• Na ʻoe ke kuleana e pale i ka wahi i mae wale ai ka lāʻau lapaʻau mai ka pōʻino (nā ʻoki, nā palapū, nā kuni) a hiki i ka pau ʻana o ka mae wale.
• He mea kākaʻikahi loa nā hopena ʻaoʻao koʻikoʻi. Eia nō naʻe, inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (paʻakikī ka hanu ʻana, ʻeha ka umauma, nā hopu ʻana), e hoʻomaopopo koke i nā limahana lapaʻau.

ʻO ka Bupivacaine Injection, anesthetic, painkiller, local anesthetic, ʻoki kino, nā hopena ʻaoʻao, bupivacaine sinhala