Ua hoʻolālā ʻia ʻoe e hana i kahi ʻoki? A i ʻole ua hana ʻia paha ʻoe i hoʻokahi i hala koke nei? ʻO ka makaʻu nui no nā poʻe he nui i ka wā e pili ana i ke ʻoki ʻana, ʻo ia ka ʻeha e kū mai ana ma hope o ke ʻoki ʻana. Aia kekahi mau manawa e paʻakikī ai kēia ʻeha ke hana i nā hana maʻamau a i ʻole ka hele wāwae. No laila, ma kēia ʻatikala, ke kamaʻilio nei mākou e pili ana i kahi hopena lāʻau lapaʻau kūikawā e hāʻawi iā ʻoe i kahi kaohi maikaʻi aʻe ma luna o kēia ʻeha, ma ke ʻano ʻokoʻa iki.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau lapaʻau?
He hui pū kēia o nā lāʻau lapaʻau ʻelua. ʻO ia hoʻi
ʻo Bupivacaine lāua ʻo
Meloxicam . E nānā kākou i ka mea e hana ʻia me kēia mau mea ʻelua.
- Bupivacaine : Ua like kēia me ka lāʻau hoʻomālielie āu e loaʻa ai ma mua o ka unuhi ʻana i ka niho. Akā no ka mea ua hoʻokomo ʻia ma kahi e hana ʻia ai ke ʻoki ʻana, hoʻomālielie loa ia i ka wahi. Hoʻōki kēia i ka ʻeha mai ka hele ʻana i ka lolo, a ʻike ʻoe i ka ʻeha liʻiliʻi. Kāhea mākou i kēia he " anesthesia kūloko ."
- Meloxicam: No kēia ka hui o nā lāʻau ʻeha i kapa ʻia ʻo NSAID (Nonsteroidal Anti-inflammatory Drug). Hana ia ma ka hōʻemi ʻana i ka pehu a me ka mumū i hoʻokumu ʻia e ke ʻoki kino. Ke hoʻemi ʻia ka mumū, hoʻomalu nui ʻia ka ʻeha.
I ka ʻōlelo maʻalahi, hoʻomāʻū kēia hui ʻana o ʻelua mau lāʻau lapaʻau i ka ʻāpana a puni ka ʻeha ʻoki a hoʻomaha i ka ʻeha, me ka hoʻēmi ʻana i ka pehu ʻana i loko o ka ʻeha a me ka hoʻomalu hou ʻana i ka ʻeha. ʻAʻole kēia he pila a i ʻole he inikini i loko o kahi aa.
He wai kēia a kāu kauka ʻoki e hoʻokomo ai i loko o ka ʻeha ʻoki ma ka hopena o ke ʻoki ʻana. No laila hiki i kona hopena ke mau no kekahi mau lā.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau:
ʻAe, he mea nui loa kēia. Ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, he mea nui e ʻike ke kauka i nā kikoʻī piha o kou kūlana olakino. No ka mea, pono e makaʻala loa ka poʻe me kekahi mau kūlana olakino i ka hāʻawi ʻana i kēia lāʻau. Inā loaʻa iā ʻoe kekahi o kēia mau mea, pono ʻoe e haʻi aku i ke kauka.
| Maʻi a i ʻole ke kūlana | No ke aha ʻoe e mālama ai? (i ka pōkole) |
|---|
| Asthma | Hiki i nā NSAID ke hoʻonui i ka hānō i kekahi poʻe. |
| Nā pilikia koko | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke kahe koko. |
| Inā loaʻa iā ʻoe ka maʻi puʻuwai, ka hōʻeha puʻuwai, ka hahau ʻana, a i ʻole ua hana ʻia ke ʻoki bypass (CABG) | Hiki i nā NSAID ke hoʻonui i ka pilikia o ka maʻi puʻuwai. |
| Ke koko kiʻekiʻe | Hiki ke piʻi hou aʻe ke koko. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ka hoʻopau ʻia ʻana o ka lāʻau lapaʻau mai ke kino ma o kēia mau ʻōkana, hiki ke hoʻopilikia ʻia kā lākou hana. |
| Nā ʻōpū ʻōpū a i ʻole ke kahe koko | Hiki i nā NSAID ke hoʻihoʻi hou a hoʻonui paha i kēia mau kūlana. |
| Nā hana inu ʻona a puhipaka paha | Hoʻonui i ka pilikia o ke kahe ʻana o ke koko o ka ʻōpū. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | I ka wā hāpai (ʻoi aku hoʻi ma hope o 20 mau pule), hiki ke loaʻa nā hopena maikaʻi ʻole i ka pēpē. |
| Inā he maʻi ʻoe i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | ʻAʻole paipai ʻia kēia, ʻoiai inā he maʻi ʻoe i ka aspirin a i ʻole nā NSAID ʻē aʻe. |
Pehea e hoʻohana ai i kēia lāʻau lapaʻau a he aha ka mea e hana ai inā overdose wau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He
lāʻau lapaʻau kēia e hoʻohana wale ʻia e ke kauka lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau . No laila, ʻaʻohe pono e hopohopo e pili ana i ka hala ʻana o kahi lāʻau a pehea e hoʻohana ai. Eia nō naʻe, inā ʻike ʻoe i kekahi mau hōʻailona ʻē ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, he hōʻailona paha ia o ka hoʻomanawanui ʻole i ka lāʻau a i ʻole ka overdose. Inā he kānalua kāu e pili ana i ia mea, pono ʻoe e kelepona koke
i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i
ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
ʻO ka mea nui loa, he lāʻau lapaʻau kēia i hāʻawi wale ʻia iā ʻoe. Inā paha e kamaʻilio ʻoe me nā poʻe ʻē aʻe e pili ana i ia mea, mai haʻi aku i kekahi e hoʻohana ia mea no ka mea he "lāʻau lapaʻau maikaʻi" ia.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, e hoʻonui ana i kou pilikia o nā hopena ʻaoʻao. He mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora a me nā lāʻau lapaʻau lāʻau. E makaʻala loa inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau:
Nā lāʻau lapaʻau ʻaʻole pono e lawe ʻia, no laila e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei no ka mea hiki iā lākou ke hana i nā pilina.
| Nā ʻano lāʻau lapaʻau e hiki ai ke hoʻoulu i nā hakakā |
|---|
| ʻO Cidofovir | ʻO Ketorolac (kekahi NSAID ikaika ʻē aʻe) |
| - Nā lāʻau hoʻokahe koko - ʻAspirin a me nā NSAID ʻē aʻe (e.g. Ibuprofen, Naproxen) - Nā lāʻau koko kiʻekiʻe - Kekahi mau lāʻau maʻi diabetes - Steroids (e.g. Prednisone) | - Kekahi mau lāʻau lapaʻau no ke kaumaha - Kekahi mau lāʻau lapaʻau no ka maʻi epilepsy - Kekahi mau lāʻau lapaʻau no ke kanesa - Diuretics - Kekahi mau mea hoʻohui (e.g. kālika, kinika) |
Nā mea e pono ai ʻoe e makaʻala i ka wā e loaʻa ai kēia lāʻau lapaʻau i loko o kou kino
Ma hope o ka hoʻokomo ʻia ʻana o kēia lāʻau lapaʻau i loko o kou kino, aia kekahi mau mea e pono ai ʻoe e makaʻala.
E makaʻala i nā pōpilikia ma muli o ka mae ʻana
ʻOiai ua mae ka ʻāpana ʻoki, ʻaʻole ʻoe e ʻike i kekahi ʻeha ma laila. No laila, pono ʻoe e makaʻala ʻaʻole e kuʻi a palahē paha i ka ʻāpana. ʻOiai inā ʻaʻole ʻoe e ʻike i kekahi ʻeha, hiki i kēia mau mea ke hoʻopilikia i ka ho'ōla ʻana o ka ʻeha.
E hōʻalo i ka lawe ʻana i nā lāʻau ʻeha ʻē aʻe (NSAIDs)
He mea nui loa kēia. Loaʻa i kēia lāʻau lapaʻau kahi NSAID i kapa ʻia ʻo Meloxicam. No laila,
ʻaʻole pono ʻoe e lawe i nā NSAID ʻē aʻe e like me Ibuprofen, Naproxen, Diclofenac mai ka hale kūʻai lāʻau me ka ʻole o ke noi ʻana i kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui nui ai i ka pilikia o nā hopena ʻino e like me ke kahe koko ʻana o ka ʻōpū a me ka hōʻino ʻana o nā puʻupaʻa.
E makaʻala i ke kahe ʻana o ke koko a me nā ʻeha o ka ʻōpū.
Hiki i nā NSAID ke hōʻino i ka uhi pale o ka ʻōpū. No laila, inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka ʻōpū, nā ʻōpala ʻeleʻele, ka luaʻi e like me ke kofe lepo, a i ʻole ka luaʻi koko, he hōʻailona paha ia o ke kahe ʻana o ke koko o ka ʻōpū. Inā hana ʻia kēia
, e ʻike koke i ke kauka .
Ka pilikia o ka hōʻeha puʻuwai a me ka hahau
ʻO ka hoʻohana lōʻihi ʻana i nā NSAID hiki ke hoʻonui iki i ka pilikia o nā ʻūpā koko, nā hōʻeha puʻuwai, a me nā hahau. Inā loaʻa iā ʻoe ka maʻi puʻuwai, he mea nui e kamaʻilio me kāu kauka e pili ana i kēia. Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha ma kekahi ʻaoʻao o kou kino, e ʻimi koke i ke kōkua lapaʻau.
Hiki ke loaʻa nā hopena ʻili koʻikoʻi
He mea kākaʻikahi loa, hiki i kekahi poʻe ke loaʻa i kahi hopena maʻi koʻikoʻi i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe ke kuni, ʻeha kino, ʻulaʻula, pehu, a ʻili paha, he maʻi koʻikoʻi paha ia. No laila e ʻike koke i ke kauka.
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.
ʻO nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka ʻaʻole ia he mea koʻikoʻi (akā e haʻi i
kāu kauka inā hoʻomau lākou).
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Ke kahe ʻana o ke koko | ʻŌpū ʻeleʻele, luaʻi koko a i ʻole ka lepo kope, mimi ʻulaʻula a ʻeleʻele paha. |
| Maʻi hohola | Paʻa ma ka umauma, poʻohiwi, lima, a i ʻole ka ʻauwae, paʻakikī ke hanu. |
| Hahau | Ka maneʻo koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka paʻakikī i ka hele wāwae. |
| ʻEha o ka puʻupaʻa a i ʻole ke akepaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā wāwae, ka melemele ʻana o nā maka a i ʻole ka ʻili, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. |
| Methemoglobinemia (kākaʻikahi) | Nā lehelehe a ʻili polū, luhi loa, paʻakikī ka hanu ʻana, puʻuwai wikiwiki. |
| Ka paʻa ʻana o ka ʻōpū | Hiki ke hoʻoponopono ʻia i loko o kekahi mau lā. |
| ʻEha poʻo | Hiki ke ʻike ʻia a nalo paha i nā ʻāpana liʻiliʻi. |
| Ka luaʻi ʻana | He manawa pōkole pinepine. |
Leka Lawe-Home
- He mau wai kūikawā ʻo Bupivacaine lāua ʻo Meloxicam i hoʻokomo ʻia i loko o ka ʻeha ʻoki e ke kauka ʻoki e kāohi i ka ʻeha ma hope o ke ʻoki ʻana.
- Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau iā ʻoe, e haʻi pono i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Ua mae ka ʻāpana ʻoki, no laila e makaʻala ʻaʻole e hōʻeha.
- ʻOiai e lawe ana i kēia lāʻau lapaʻau, e pale i ka lawe ʻana i nā lāʻau ʻeha NSAID ʻē aʻe e like me Ibuprofen a me Diclofenac me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hōʻailona koʻikoʻi, e like me nā ʻōpala ʻeleʻele, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana , a i ʻole ka ʻulaʻula nui o ka ʻili.
Bupivacaine, Meloxicam, ʻoki kino, ʻeha, nā mea hoʻomaha ʻeha, ʻoki kino, nā hopena ʻaoʻao
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