Inā e hana koke ʻia ana ʻoe i ke ʻoki kino, ʻo kekahi o kou mau makaʻu nui loa, ʻo ia ka ʻeha e hiki mai ana ma hope. "Auē, e ke kauka, e ʻeha nui anei ma hope?" Ke nīnau nei mākou a pau, ʻeā? Ua kūpono kēlā makaʻu. Akā, ʻo ka mea pōmaikaʻi, i kēia lā, mahalo i ka holomua o ka ʻepekema lapaʻau, he nui nā ala maikaʻi e kāohi ai i ka ʻeha e kū mai ana ma hope o ke ʻoki kino. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai e kāohi i kēia ʻeha. Ua kapa ʻia ʻo Bupivacaine.
He aha kēia Bupivacaine?
I ka ʻōlelo maʻalahi, ʻo Bupivacaine kahi lāʻau hoʻomāno i hāʻawi ʻia e hoʻomāno i ka wahi a puni kahi ʻeha ʻoki i ka wā a ma hope paha o ke ʻoki ʻana. Ua like ia me ka lāʻau hoʻomāno āu e hāʻawi ai i kou ʻāʻī ma mua o ka unuhi ʻana i ka niho, akā he ʻano kūikawā a ikaika hoʻi i hoʻohana ʻia no nā ʻeha ʻoki.
Hoʻokomo pololei ʻia kēia i loko o kahi i hana ʻia ai ke ʻoki ʻana, ʻo ia hoʻi, i loko o nā ʻiʻo e hoʻopuni ana i ka ʻeha. Hoʻopau kēia i nā aʻalolo ma ia wahi no kekahi manawa a hoʻōki i nā hōʻailona ʻeha mai ka hele ʻana i ka lolo. ʻO ke ʻano kēia e emi iki kou ʻeha no kekahi mau hola ma hope o ke ʻoki ʻana. ʻO ke ʻano kēia e ʻoi aku kou mālie i kou wā e hoʻōla ai.
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 hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, pono kāu kauka e ʻike i kāu mōʻaukala olakino piha. ʻO kēia no ka mea pono kekahi mau kūlana olakino i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea. Mai hoʻowahāwahā iā ia, no ka mea, ʻo kou palekana ka mea nui loa.
| Maʻi a i ʻole ke kūlana | No ke aha ʻoe e hōʻike ai? |
|---|---|
| ʻAleʻaleʻa i ka Bupivacaine a i ʻole nā lāʻau lapaʻau ʻē aʻe (e like me Lidocaine) | I mea e pale aku ai i ke kumu ʻana o kahi hopena alerika koʻikoʻi. |
| Maʻi puʻuwai | Pono ka poʻe me ka maʻi puʻuwai i ka nānā kūikawā no ka mea ʻokoʻa paha nā hopena o kēia lāʻau lapaʻau. |
| Maʻi akepaʻa a i ʻole ka puʻupaʻa | No ka mea hiki iā ia ke hoʻopilikia i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino. |
| Ke koko haʻahaʻa | No ka mea hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa hou aʻe i ke koko. |
| Nā maʻi o ka māmā (e.g. hānō, COPD) | E makaʻala i ka pilikia o nā pilikia hanu. |
| Ka hemahema o ka G6PD | He kūlana pili koko kakaikahi kēia e pono ai ka mālama kūikawā. |
| Ke hāpai nei, ke ho'āʻo nei e hāpai, a i ʻole ka hānai waiū | E noʻonoʻo i nā hopena kūpono e hiki ke loaʻa i ke keiki a hana i ka hoʻoholo kūpono loa. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi wale ʻia nā inikini Bupivacaine ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka i aʻo ʻia a i ʻole nā limahana kahu maʻi.
Hoʻokomo pinepine ʻia ia i loko o ka ʻiʻo a puni ka ʻeha ʻoki i ka wā a ma hope paha o ke ʻoki ʻana, no laila ʻaʻole pono ʻoe e hopohopo e pili ana i ka nalo ʻana o kahi lāʻau.
Inā loaʻa kahi pilikia koke o ka overdose o kēia lāʻau lapaʻau, e hana ʻia ia ma ka haukapila a e hana koke nā limahana lapaʻau. I kēlā hihia, hiki iā lākou ke kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo a loaʻa i nā ʻōlelo aʻoaʻo e pono ai. Eia kekahi, e hoʻokomo koke ʻia ka mea maʻi i ka Emergency Treatment Unit (ETU) a e hāʻawi ʻia ka lāʻau lapaʻau e pono ai.
Nā lāʻau ʻē aʻe e hiki ke launa pū me Bupivacaine
Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, he mea nui e haʻi aku i kāu kauka e pili ana iā lākou. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Bupivacaine a hana i nā hopena makemake ʻole ʻia. E haʻi aku 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 mea hoʻomaha ʻeha, nā huaora, a me nā lāʻau lapaʻau āu e kūʻai ai mai kahi hale kūʻai lāʻau.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Bupivacaine ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. He koʻikoʻi kekahi a pono e hōʻike koke ʻia. He mea maʻamau kekahi a nalowale ma hope o kekahi manawa. E nānā kākou i ke ʻano o ia mau mea.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao e pono ai ʻoe e hōʻike koke i kāu kauka a kahu maʻi paha: | |
| Nā hopena alerika koʻikoʻi | 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 kou puʻuwai a i ʻole ke kuʻi ʻano ʻole, ka poniuniu, ka ʻeha o ka umauma. |
| Ka kaumaha o ka ʻōnaehana nerve waena (kaumaha CNS) | Ka hanu lohi a papau paha, ka hiamoe nui, a me ka huikau. |
| Nā hopu ʻana | Ke haʻalulu nei ke kino, ke ʻoniʻoni nei. |
| ʻO ka Methemoglobinemia | Paʻakikī ka hanu ʻana, polū/hina ke kala o ka waha, nā kui lima, a i ʻole ka ʻili, luhi loa, ʻeha poʻo. (He maʻi laha ʻole kēia akā koʻikoʻi). |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Pōʻino, ʻeha poʻo | He manawa pōkole paha, akā e hoʻomaopopo mai iaʻu inā hoʻomau. |
| Ka luaʻi ʻana, ka nausea | Hiki i kēia ke hana pinepine ma hope o ke ʻoki ʻana. |
| Ka loli ʻana o ka ʻono i loko o ka waha | Ke manaʻo nei i kahi ʻono metala i loko o ka waha. |
| Ke kani nei i nā pepeiao | Ke lohe ʻana i ke kani ʻana i loko o nā pepeiao. |
E mālama i ka wahi mae!
He mea nui loa kēia. ʻOiai ua mae ka wahi i hana ʻia ai kāu ʻoki ʻana e ka inikini Bupivacaine, ʻaʻole ʻoe e ʻike i kekahi ʻeha ma ia wahi. No laila, he kiʻekiʻe ka manawa e hōʻeha ai a ulia paha ma ia wahi. No ka laʻana, ʻaʻole paha ʻoe e ʻike i kekahi ʻeha inā paʻi ʻia, ʻoki ʻia, a puhi ʻia paha ʻoe ma kekahi wahi ma ia wahi. No laila, pono ʻoe e makaʻala loa me kēlā wahi a hiki i ka pau ʻana o ka mae. E makaʻala no kēlā.
Leka Lawe-Home
- He inikini hoʻomānoino ʻo Bupivacaine i hāʻawi wale ʻia ma ka haukapila e hōʻemi i ka ʻeha ma hope o ke ʻoki ʻana.
- E hōʻoia e haʻi i kāu kauka e pili ana i kou mau maʻi āpau (ʻoiai ka maʻi puʻuwai, ke akepaʻa, a me nā maʻi puʻupaʻa) a me nā lāʻau lapaʻau āpau āu e lawe nei.
- E pale i ka wahi i mae wale mai nā hopena o ka lāʻau lapaʻau mai ka pōʻino. E akahele loa no ka mea ʻaʻole ʻoe e ʻeha.
- E hoʻomaopopo koke i nā limahana lapaʻau inā ʻike ʻoe i 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.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau a i ʻole kou kūlana, mai makaʻu e kamaʻilio me kāu kauka a kahu maʻi paha.
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