Ua pono anei ʻoe e hana i kahi ʻoki liʻiliʻi a nui paha? A i ʻole ke hoʻolālā nei ʻoe e hana i hoʻokahi i ka wā e hiki mai ana? Inā pēlā, he mea maʻamau ke makaʻu iki i ka ʻeha e hiki mai ana ma hope o ke ʻoki ʻana. Akā, mai hopohopo, ua holomua loa ka lāʻau lapaʻau o kēia wā. Hoʻohana nā kauka i nā ʻano hana like ʻole e kāohi i kēia ʻeha. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi hopena lāʻau lapaʻau kūikawā i hoʻopili ʻia i ka ʻeha ʻoki ponoʻī a hoʻohana ʻia e pale i ka ʻeha no kekahi mau hola.
He aha kēia lāʻau lapaʻau? (Bupivacaine; Meloxicam)
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻelua mau lāʻau lapaʻau. Kūʻai ʻia aku ia ma lalo o ka inoa "ZYNRELEF". Loaʻa iā ia ʻelua mau lāʻau lapaʻau, ʻo Bupivacaine lāua ʻo Meloxicam .
E noʻonoʻo e like me ke kui a ke kauka e hāʻawi ai iā ʻoe ma mua o ka unuhi ʻana i ka niho. Hoʻomāno kēlā i ka wahi, ʻeā? ʻĀ, ʻo ka Bupivacaine i loko o kēia ka mea e hoʻomāno no kekahi manawa i nā aʻalolo kahi i hana ʻia ai kāu ʻoki kino. A laila e pau kēlā mau aʻalolo i ka hoʻouna ʻana i nā hōʻailona ʻeha i ka lolo, a ʻike ʻoe i ka emi ʻana o ka ʻeha.
ʻO ka lua o ka lāʻau lapaʻau ʻo Meloxicam . He lāʻau hoʻopau ʻeha kēia a he lāʻau lapaʻau e hōʻemi ana i ka pehu. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo `(NSAID - Non-Steroidal Anti-Inflammatory Drug)`. Hoʻomalu kēia lāʻau i ka pehu a me ka ʻulaʻula o ka ʻeha ma hope o ke ʻoki ʻana. No laila, ʻo ka hui pū ʻana o kēia mau lāʻau ʻelua e hāʻawi iā ʻoe i ka hōʻoluʻolu nui mai ka ʻeha o ke ʻoki ʻana no kahi o 72 mau hola.
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He hopena kūikawā ia a ke kauka e hoʻokomo ai i loko o ka ʻeha i ka wā o ke ʻoki ʻana ma kahi haukapila a i ʻole ke keʻena lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Ke kūlana olakino a i ʻole ka maʻamau | Wehewehena |
|---|---|
| Nā maʻi hanu | Inā loaʻa iā ʻoe nā maʻi māmā e like me ka hānō. |
| Nā pilikia koko | Inā he maʻi kahe koko kou. |
| ʻO ke ʻoki puʻuwai | Inā ua hana ʻia ʻoe i kēia manawa koke nei (i loko o 2 mau pule) i ke ʻoki puʻuwai bypass (Coronary Artery Bypass Graft - CABG). |
| Maʻi puʻuwai a me ke koko | Nā kūlana e like me ka maʻi puʻuwai, ke koko kiʻekiʻe a haʻahaʻa paha. |
| Nā pilikia o ka ʻōpū a me ka naʻau | Inā ua loaʻa iā ʻoe nā ʻōpū ʻōpū a i ʻole ke kahe koko ma mua. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Inā he pilikia olakino kou e pili ana i ka hana o ka puʻupaʻa a i ʻole ke akepaʻa. |
| Nā ʻano a me nā kūlana ʻē aʻe | Inā inu ʻoe i ka waiʻona i kēlā me kēia lā, puhi paka, a i ʻole he hemahema G6PD. |
| Nā maʻi ʻaleka | Inā he mau maʻi ʻaleka kou i Bupivacaine, Meloxicam, Aspirin a i ʻole nā NSAID ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Hāpai keiki | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
A he aha inā he overdose o kēia lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau e ke kauka ma ka haukapila, ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua loaʻa iā ʻoe kahi overdose, pono ʻoe e kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui , a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Nā pilina me nā lāʻau ʻē aʻe
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka wā e lawe ʻia ai me kekahi mau lāʻau lapaʻau ʻē aʻe, no laila he mea nui loa 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 mea hoʻohui .
ʻAʻole pono e hoʻohana pū ʻia ʻo ZYNRELEF me kēia mau lāʻau lapaʻau:
- ʻO Cidofovir
- ʻO Ketorolac (kekahi lāʻau hoʻopau ʻeha ikaika)
Eia kekahi, hiki ke loaʻa nā pilikia me nā lāʻau lapaʻau e hiki mai ana:
- ʻO nā lāʻau ʻeha ʻē aʻe (e.g. Aspirin, Ibuprofen, Naproxen)
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin)
- ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe a me nā maʻi puʻuwai
- ʻElua mau ʻano antibiotic
- Nā lāʻau lapaʻau
- Nā lāʻau lapaʻau no ke kaumaha (SSRIs, SNRIs)
- Nā ʻano lāʻau lapaʻau i hāʻawi ʻia no ka maʻi
- Nā lāʻau lapaʻau kūikawā ʻē aʻe e like me Lithium, Methotrexate
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei ma mua o ke ʻoki ʻana.
Nā mea e makaʻala ai ma hope o ka lawe ʻana i kēia lāʻau lapaʻau
1. E makaʻala i ka wahi mae: ʻOiai he mae ka wahi i hana ʻia ai ke ʻoki ʻana, ʻaʻole ʻoe e ʻeha. No laila, pono ʻoe e makaʻala i ʻole e palaki, hōʻeha, a puhi paha i ka wahi.
2. E hoʻomaopopo i nā kauka ʻē aʻe: Inā pono ʻoe e hana i kahi ʻoki kino ʻē aʻe a i ʻole ka lāʻau lapaʻau i loko o 4 mau lā o ka lawe ʻana i kēia lāʻau, e haʻi i ke kauka ua loaʻa iā ʻoe kēia lāʻau.
3. E makaʻala i ke kahe ʻana o ke koko o ka ʻōpū: ʻO Meloxicam (he NSAID) i loko o kēia lāʻau lapaʻau hiki ke hana i nā ʻōpū ʻōpū a i ʻole ke kahe ʻana o ke koko. ʻO ka puhi paka, ka inu ʻana i ka waiʻona, ka ʻelemakule ʻana, a me ka loaʻa ʻole o ke olakino maikaʻi ʻole e hoʻonui i kēia pilikia. Inā loaʻa koke iā ʻoe ka ʻeha o ka ʻōpū, ka luaʻi e like me ke kofe lepo, a i ʻole nā ʻeleʻele, nā ʻōpala tarry , e ʻimi koke i ke kōkua lapaʻau.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka a i ʻole ETU | |
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Ke kahe ʻana o ke koko | Nā ʻōpala ʻeleʻele, ka luaʻi e like me ke ʻano o ka lepo kofe, ka mimi ʻulaʻula/ʻeleʻele ʻeleʻele, nā kiko ʻulaʻula/poni ma ka ʻili. |
| Maʻi hohola | ʻEha/paʻa ka umauma, poʻohiwi, lima, a i ʻole ka ʻauwae, ka nausea, ka paʻakikī o ka hanu ʻana. |
| Hahau | Ka mae/nāwaliwali koke ma ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka huikau, ka paʻakikī i ka hele wāwae. |
| Ka hōʻino ʻana o nā puʻupaʻa a i ʻole ke akepaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae/lima/wāwae, ka melemele ʻana o nā maka/ʻili, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. |
| ʻO ka Methemoglobinemia | ʻEha poʻo, luhi nui, pōkole o ka hanu, puʻuwai wikiwiki, ʻili polū a lehelehe paha (he ʻano kēia e hoʻopilikia ai i ka hiki ke lawe i ka oxygen o ke koko). |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻakikī e hele i ka lua. |
| ʻEha poʻo | ʻEha poʻo. |
| Ka luaʻi ʻana | Ka luaʻi ʻana me ka nausea. |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo 'ZYNRELEF' i hoʻopili pololei ʻia i ka ʻeha 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 āpau āu e lawe nei.
- Ma muli o ka mae ʻana o ka ʻāpana ʻoki ma hope o ka hāʻawi ʻia ʻana o ka lāʻau lapaʻau, ʻo kou kuleana ia e mālama pono ʻaʻole e hōʻeha i ka ʻāpana.
- Inā ʻike ʻoe i kekahi mau hōʻailona o kahi hopena koʻikoʻi e like me ke kahe ʻana o ke koko o ka ʻōpū, ka hōʻeha puʻuwai, ka maʻi lolo, a i ʻole ka hopena maʻi koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau me ka hoʻokaʻulua ʻole a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
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