Ua hoʻolālā ʻia ʻoe e hana i ke ʻoki kino? A i ʻole ke hoʻomākaukau nei kekahi o kou ʻohana no ke ʻoki kino? ʻO ke kumu nui o ka makaʻu i ke ʻoki kino, ʻo ia ka ʻeha e hiki mai ana ma hope o ke ʻoki kino. Akā, mai hopohopo, ua holomua loa ka ʻepekema lapaʻau o kēia wā. Aia nā ala maikaʻi loa a palekana hoʻi e kāohi ai i kēia ʻeha. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia e kāohi i ia ʻeha.
He aha maoli ka Bupivacaine?
I ka ʻōlelo maʻalahi, ʻo Bupivacaine kahi lāʻau lapaʻau i hāʻawi ʻia e hoʻōki a hōʻemi paha i ka ʻeha ma hope o ke ʻoki kino a i ʻole ke kaʻina hana lapaʻau. No kahi papa o nā lāʻau i kapa ʻia ʻo ' local anesthetics'.
E noʻonoʻo he mau kaula liʻiliʻi o nā aʻalolo i loko o kou kino e lawe ana i nā 'hōʻailona ʻeha' mai kahi āu e manaʻo ai i ka ʻeha a i ka lolo. ʻO ka hana a kēia lāʻau lapaʻau, hele wale ia i kahi kūpono, ʻo ia hoʻi, i kahi i hana ʻia ai ke ʻoki ʻana, a 'hoʻomāʻū' no kekahi manawa i nā aʻalolo e lawe ana i kēlā mau hōʻailona ʻeha. Ua like ia me ke 'pani ʻana' i kahi uea uila no kekahi manawa. A laila, ʻaʻole hele ka ʻeha i ka lolo, no laila ʻaʻole ʻoe e manaʻo i ka ʻeha. ʻAʻole kēia e hoʻomāʻū i ke kino holoʻokoʻa, me he mea lā e hiamoe ana, hoʻomāʻū wale ia i kahi o ka ʻeha.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau palekana loa ʻo Bupivacaine, he mea nui e ʻike pono kāu kauka i kou kūlana olakino. ʻO kēia no ka mea pono e mālama pono ʻia i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā poʻe me kekahi mau kūlana olakino. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana olakino i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka.
| Maʻi a i ʻole ke kūlana | No ke aha he mea nui e hoʻomaopopo i ke kauka? |
|---|---|
| Nā hemahema enzyme e like me ka hemahema G6PD | He ʻano koko hoʻoilina kēia e hiki ai ke hana i nā hopena maikaʻi ʻole i kekahi mau lāʻau lapaʻau. |
| Maʻi puʻuwai | No ka mea hiki ke hoʻopilikia i ka hana o ka puʻuwai. |
| Maʻi puʻupaʻa | No ka mea, pili nā puʻupaʻa i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino. |
| Maʻi akepaʻa | No ka mea, he mea nui ke akepaʻa no ka wāwahi ʻana i nā lāʻau lapaʻau i loko o ke kino. |
| Ke koko haʻahaʻa | Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa hou i kou koko. |
| Maʻi puʻupaʻa | No ka mea hiki iā ia ke hoʻopilikia i ka hana o ka ʻōnaehana hanu. |
| Nā maʻi ʻaleka i ka Bupivacaine a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | He mea nui loa kēia no ka pale ʻana i ka hopena allergies. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | E noʻonoʻo inā paha he hopena i ka pēpē i loko o ka ʻōpū. |
| Inā he makuahine hānai ʻoe | E noʻonoʻo inā hele ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma. |
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia ia ma ke ʻano he inikini, ma kahi wale nō o ka ʻeha. Hāʻawi ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e kāu kauka a i ʻole kahi hui lapaʻau i aʻo ʻia. No laila, ʻaʻohe ou mea e hopohopo ai.
ʻO ka mea nui loa, ʻo kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi, ʻoiai inā he mau hōʻailona like ko lākou me kāu.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua loaʻa iā ʻoe kahi overdose, mai hopohopo a e hoʻomaopopo koke i ka hui lapaʻau. A i ʻole, pono ʻoe e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā lāʻau ʻē aʻe e hiki ke launa pū me Bupivacaine
Hiki i kekahi mau lāʻau lapaʻau āu e lawe nei ke launa pū me Bupivacaine. ʻO ke ʻano kēia, ke lawe pū ʻia nā lāʻau lapaʻau ʻelua, hiki ke loli ka pono o kekahi a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao.
No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe ai, inā paha i kuhikuhi ʻia e ke kauka, nā mea kūʻai ma waho o ke kauka, nā huaora, nā lāʻau lapaʻau kuʻuna, nā lāʻau lapaʻau Ayurvedic, a i ʻole nā mea ʻē aʻe āu e hoʻohana ai . E haʻi pū i kāu kauka inā puhipaka ʻoe a inu waiʻona paha.
ʻO kekahi mau lāʻau lapaʻau e hiki ke launa pū me Bupivacaine:
- ʻAsetaminopena (paracetamol)
- ʻO kekahi mau ʻano antibiotic
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ka hopu ʻana (e.g. phenobarbital, phenytoin)
- Nā lāʻau lapaʻau e like me Nitroglycerin no nā maʻi puʻuwai
- ʻO nā ʻano anesthetics kūloko ʻē aʻe e like me Lidocaine, Tetracaine
- He nui nā lāʻau lapaʻau ʻē aʻe...
ʻAʻole i piha kēia papa inoa. No laila he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea e makaʻala ai ma hope o ka lawe ʻana i ka lāʻau lapaʻau
E nānā pono ana kāu hui lapaʻau i kou kūlana i kou wā e loaʻa ai kēia lāʻau lapaʻau, akā aia kekahi mea nui e pono ʻoe e makaʻala.
ʻO ia hoʻi, ʻaʻole ʻoe e ʻeha ma ia wahi no ka mea ua mae ka wahi i hāʻawi ʻia ai ka lāʻau lapaʻau. E noʻonoʻo ua hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe no kahi ʻoki kuli. I kēlā manawa, ua mae kou kuli no laila ʻaʻole ʻoe i ʻeha. No laila, inā ua pā ʻia kēlā wahi, ʻeha, a wela paha, ʻaʻole ʻoe e maopopo. No laila, pono ʻoe e makaʻala loa a hiki i ka pau ʻana o ka mae. E hōʻoia ʻaʻohe pilikia ma ia wahi.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Bupivacaine ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, a he akahai kekahi. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau hōʻailona a haʻi koke i kāu kauka a kahu maʻi paha inā ʻike ʻoe i kekahi mea koʻikoʻi.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu hui lapaʻau | |
|---|---|
| Ka hopena ʻaoʻao | Wehewehena |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Nā loli i ka helu o ka puʻuwai | Manaʻo e like me ka wikiwiki o ka puʻuwai a i ʻole ke kuʻi ʻano ʻē, ka poniuniu, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana. |
| Nā hopu ʻana | Nā haʻalulu o ke kino, nalowale o ka ʻike. |
| Nā loli i ke koko | Ke koko kiʻekiʻe a haʻahaʻa paha (dizziness, blurred vision, pohō). |
| Nā hōʻailona o ka Methemoglobinemia | He kūlana laha ʻole kēia kahi i hōʻino ʻia ai ka hiki o ke koko ke lawe i ka oxygen. ʻO nā hōʻailona e komo pū me ka ʻeha poʻo, ka luhi nui, ka pōkole o ka hanu, ka nausea, ka puʻuwai wikiwiki, a me ka ʻili polū a i ʻole nā lehelehe. |
| Ka emi ʻana o ka hana o ka ʻōnaehana nerve waena (CNS depression) | Ka hanu lohi a papau paha, ka hiamoe nui, ka paʻakikī e makaʻala, ka huikau. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ka hui lapaʻau inā hoʻomau lākou | |
| Ka luaʻi | Manaʻo e luaʻi ana. |
| Ka luaʻi ʻana | - |
| Hiamoe | - |
| Hopohopo a hopohopo paha | - |
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē aʻe āu e manaʻo nei he kumu paha kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He lāʻau hoʻomaʻamaʻa kūloko ʻo Bupivacaine i hoʻohana ʻia e kāohi i ka ʻeha ma hope o ke ʻoki ʻana.
- Ua hāʻawi ʻia kēia lāʻau lapaʻau e kahi hui lapaʻau ma ka haukapila, no laila ʻaʻohe ou mea e hopohopo ai.
- He mea nui loa e haʻi i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu a me nā lāʻau lapaʻau āpau āu e lawe nei.
- No ka mea e mae ka ʻili ma hope o ka hāʻawi ʻana i ka lāʻau lapaʻau, e makaʻala loa ʻaʻole e hōʻeha i ka ʻili a pau ka mae ʻana.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, a i ʻole ka pehu ʻana o ka maka, e hoʻomaopopo koke i ka hui lapaʻau.
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