I kekahi manawa, hiki i ka ʻeha a mākou e ʻike nei ke koʻikoʻi loa a hiki ʻole i nā lāʻau hoʻomaha ʻeha maʻamau ke kāohi iā ia. E noʻonoʻo wale i ka paʻakikī o ke ola ʻana me ka ʻeha lōʻihi a paʻakikī hoʻi ma hope o kekahi mau ʻoki kino, ma nā kūlana e like me ke kanesa, a i ʻole no nā kumu ʻē aʻe. I ia mau hihia, i ka wā i hāʻule ai nā lāʻau lapaʻau ʻē aʻe a i ʻole ʻaʻole hiki i ke kino ke ʻae iā ia, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau kūikawā a ikaika a nā kauka e hoʻohana ai. ʻO ia ka inikini Clonidine.
I ka ʻōlelo maʻalahi, he aha ka clonidine?
He lāʻau lapaʻau kūikawā ʻo Clonidine i hoʻohana ʻia e kāohi i ka ʻeha nui. Hana ia ma ke kāohi ʻana i nā hōʻailona ʻeha i ko mākou lolo. ʻOi aku ka pololei, kāohi ia i ka hana o ka ʻōnaehana nerve e ʻike ana i ka ʻeha, e hōʻemi ana i ka manaʻo o ka ʻeha.
ʻO ka mea nui loa, ʻaʻole kēia he lāʻau lapaʻau e hiki ke kūʻai ʻia ma kahi hale kūʻai lāʻau maʻamau a hoʻohana ʻia ma ka home. Hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā pono ʻana a nā kauka loea.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he inikini i hāʻawi pinepine ʻia ma ka lima. Hāʻawi pinepine ʻia ʻo Clonidine i loko o ka hakahaka a puni ka iwi kuamoʻo (infusion into the spine). Ua kapa ʻia kēia ʻano hana he epidural infusion. No kēia, ua kau ʻia kahi ʻōmole lahilahi (catheter) ma ka ʻāpana iwi kuamoʻo, a ua hoʻokomo mālie ʻia ka lāʻau lapaʻau i loko o ke kino ma o ia mea. Hana ʻia kēia kaʻina holoʻokoʻa ma kahi haukapila, ʻoiai ʻoe e nānā mau ʻia ana.
Pono e akahele loa i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. No laila, inā ua kuhikuhi ʻia kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio pono me ke kauka e pili ana i ia mea a e hōʻoia ua maopopo iā ʻoe nā mea āpau.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua loaʻa iā ʻoe ka nui o kēia lāʻau lapaʻau, he mea nui e hoʻomaopopo 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 mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i ka mālama ʻana me ka clonidine, he mea nui e haʻi i kāu kauka i kēia ʻike, no ka mea, he mea nui loa ia no ka holomua o ka mālama ʻana a me kou palekana.
| Ke kūlana e hōʻike ʻia | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi puʻuwai a maʻi aʻa koko paha | Hiki i ka Clonidine ke hoʻohaʻahaʻa i ke koko a me ka puʻuwai o ka naʻau, no laila inā loaʻa iā ʻoe ka maʻi puʻuwai, pono e ʻike kāu kauka i kēia. |
| Maʻi puʻupaʻa | ʻO nā puʻupaʻa ke ala o ke kino e hoʻopau ai i ka lāʻau lapaʻau. Inā ʻaʻole hana pono kou mau puʻupaʻa, pono paha e hoʻoponopono i kāu dosage. |
| Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai a i ʻole ka hahau ʻana | Ma muli o ke kūpaʻa o ka puʻuwai a me ka ʻōnaehana kahe koko he mea nui i ia mau kūlana, he mea nui e hoʻomaopopo e pili ana i kēia. |
| Nā maʻi ʻaleka i ka clonidine a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā waiʻona | Inā ua loaʻa iā ʻoe kahi maʻi allergy i kekahi mea ma mua, hiki i ke kamaʻilio ʻana e pili ana i ia mea ke kōkua i ka pale ʻana i kahi hopena maʻi allergy koʻikoʻi. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kahi pēpē i hānau ʻole ʻia a i ʻole kahi pēpē hānai, no laila e kamaʻilio pono me kāu kauka. |
| Ka maʻi ma kahi i hoʻokomo ʻia | Inā he maʻi ʻili ma ka ʻaoʻao hope, ʻaʻole hiki ke hoʻokomo ʻia ke catheter ma laila. |
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka clonidine a hoʻoulu i nā hopena i makemake ʻole ʻia.
ʻO ka mea nui loa, ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau nā antidepressants no ka papa o MAOIs (Monoamine Oxidase Inhibitors) (e.g. Carbex, Eldepryl, Marplan).
Eia kekahi, hiki i nā lāʻau lapaʻau aʻe ke launa pū me ka clonidine:
- Nā lāʻau lapaʻau ʻano Barbiturate i hoʻohana ʻia no ka hiamoe a i ʻole ka maʻi epilepsy.
- ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, ka maʻi puʻuwai, a i ʻole ka puʻuwai naʻau kūpono ʻole.
- Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo ʻē aʻe.
- ʻO nā lāʻau ʻeha ikaika ʻē aʻe i kauoha ʻia e ke kauka.
Inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe, e haʻi pono i kāu kauka e pili ana i ia mea.
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
E nānā mau ʻia ʻoe e nā limahana lapaʻau i kou wā e loaʻa ai kēia lāʻau lapaʻau, akā he mea nui iā ʻoe e makaʻala i kēia mau mea.
- Ka hiamoe a me ka poniuniu: Hiki paha iā ʻoe ke hiamoe, poniuniu, a i ʻole ke poʻo māmā . E pale i ka hoʻokele a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Mai ala koke: Mai ala koke mai kahi noho a i ʻole kahi moe. ʻOi loa aku inā ʻelemakule ʻoe, e ala mālie. Hoʻemi kēia i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
- E pale i ka waiʻona: Hiki i ka inu ʻana i ka waiʻona ke hoʻohiamoe a poniuniu iā ʻoe. No laila, e pale loa i ka waiʻona i ka wā o ka mālama ʻana.
- Waha maloʻo: He mea maʻamau ka waha maloʻo. Hiki ke mālama ʻia kēia ma ka nau ʻana i ka gum kō ʻole, ka nau ʻana i ka gum, a i ʻole ka inu ʻana i ka wai. Inā hoʻomau kēia ʻano a lilo paha i mea koʻikoʻi, e hoʻomaopopo i kāu mea mālama ola.
- Kahi Catheter: Inā loaʻa iā ʻoe ka ʻeha, ka ʻulaʻula, a i ʻole ka pehu ʻana ma kahi i hoʻokomo ʻia ai kāu catheter epidural i kou kua, e haʻi koke i kāu kauka a kahu maʻi paha.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka clonidine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Puʻuwai lohi | Pōniuniu, maule, māmā ke poʻo, paʻakikī ka hanu ʻana, manaʻo luhi ʻē. |
| Ka loli ʻana o ke kūlana noʻonoʻo | Kaumaha a hopohopo paha. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻakikī e hele i ka lua. |
| Pōʻino | Manaʻo puni. |
| Hiamoe | Hiamoe mau. |
| Waha maloʻo | Manaʻo e like me ka paʻa ʻana o ka lawai i loko o ka waha. |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Clonidine i hāʻawi wale ʻia ma ka haukapila no ka ʻeha nui hiki ʻole ke hoʻomalu ʻia me nā mea ʻeha pain maʻamau.
- Hāʻawi ʻia kēia ma o ka hoʻokomo ʻana o ka spinal , ma lalo o ka mākaʻikaʻi a ke kauka.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hōʻalo i nā hana e pono ai ka makaʻala, no ka mea, hiki ke hiamoe a me ka poniuniu i ka wā o ka mālama ʻana.
- Inā loaʻa iā ʻoe nā hopena ʻino e like me nā hopena alerika a i ʻole ka emi ʻana o ka puʻuwai, e ʻimi koke i ke kōkua lapaʻau.
- Inā he mau hopohopo kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e kūkākūkā me kāu kauka.
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