Ke manaʻo nei ʻoe i kekahi manawa ua paʻa a huki kou mau ʻiʻo? A i ʻole he ʻano mae a ʻūlū paha kou ma nā ʻāpana o kou kino ma hope o ka hahau ʻana, no ka laʻana? I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hāʻawi ʻia ma ke ʻano he lāʻau lapaʻau no kahi maʻi koʻikoʻi e hiki ke hana ma hope o kekahi mau ʻoki kino. ʻO Dantrolene ka inoa o kēia lāʻau lapaʻau. Ua ʻike pū kekahi poʻe iā ia ma ka inoa inoa `(Dantrium)`.
No laila, he aha ʻo Dantrolene? He aha kāna hana?
I ka ʻōlelo maʻalahi, ʻo Dantrolene kahi lāʻau lapaʻau e kōkua i ka hōʻemi ʻana i ka ʻoʻoleʻa o nā ʻiʻo a me nā spasms. No ka laʻana, i ka wā e loaʻa ai i kekahi poʻe ka `(Multiple Sclerosis)` (kahi maʻi o ka ʻōnaehana nerve), `(Cerebral Palsy)` (cerebral paralysis), kahi `(Stroke)`, a i ʻole kahi ulia i ka `(Spine)`, lilo ko lākou mau ʻiʻo i ʻoʻoleʻa a ʻaʻole hiki iā lākou ke neʻe pono. I kēlā mau manawa, hāʻawi kēia lāʻau i ka hōʻoluʻolu nui.
ʻAʻole wale kēlā, akā aia kekahi mea kūikawā loa. I kekahi manawa, i ka wā e hana ai i nā ʻoki kino, i ka wā e hāʻawi ʻia ai ka anesthesia, loaʻa koke kahi kūlana weliweli i ke ola kahi e piʻi nui ai ka mahana o ke kino. ʻO ia ka mea a mākou e kapa nei he malignant hyperthermia . Hoʻohana ʻia kēia lāʻau lapaʻau, ʻo Dantrolene, e pale a mālama i kēlā kūlana weliweli.
Ma waho aʻe o kēia, hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe. No laila, inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka i kēia mau mea, ʻeā? No ka mea, ma muli o kēia ʻike e hoʻoholo ai ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a pehea ka nui e hāʻawi iā ʻoe.
- Inā he maʻi puʻuwai kou.
- Inā he maʻi kou i ke akepaʻa .
- Inā he mau pilikia kou i ka māmā a i ʻole ka hanu ʻana (e like me ka hānō).
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i Dantrolene, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, kekahi mau kala, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Inā ʻoe e ʻōlelo pololei i kēia mau mea me ka hūnā ʻole ʻana iā lākou, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau me ka palekana.
Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?
Pono ʻoe e lawe i kēia lāʻau lapaʻau me ke aniani wai. Pono ʻoe e lawe e like me ke kuhikuhi ʻana ma ka lepili lāʻau, i ka manawa kūpono, a me ka nui kūpono . ʻAʻole ia he manaʻo maikaʻi e lawe i nā lāʻau lapaʻau ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe, a i ʻole e lawe pinepine iā ia.
Mea nui:No kāu hoʻohana ponoʻī wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi poʻe no kekahi kumu, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
Inā hāʻawi ʻoe i kēia lāʻau lapaʻau i nā keiki:
Hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki i kekahi manawa. Akā aia nā kumu kūikawā no kēia, a aia kekahi mau mea e makaʻala nui ai . No laila, pono e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ma hope o ke kamaʻilio ʻana me ke kauka pediatric a me ka hahai ʻana i kāna ʻōlelo aʻo.
He aha inā ua inu nui ʻoe? (Overdosage):
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, a inā ua lawe hewa kekahi i ka nui, e kāhea koke i ke kikowaena hoʻomalu lāʻau make a i ʻole ka lumi pilikia kokoke loa o ka haukapila. Mai hopohopo, e hoʻolohe i kā lākou ʻōlelo.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea nui loa kēia. Ke hui pū ʻia ʻo Dantrolene me kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei, hiki ke loli nā hopena o kēlā mau lāʻau lapaʻau a i ʻole hiki ke loaʻa nā hopena ʻaoʻao i makemake ʻole ʻia.
Pono ʻoe e pale i ka lawe ʻana iā Dantrolene me kēia mau lāʻau lapaʻau:
- ʻO kekahi mau lāʻau lapaʻau narcotic no ke kuni
Eia kekahi, hiki i kēia mau mea ke launa pū me Dantrolene. No laila e haʻi aku i kāu kauka e pili ana i kēia mau mea:
- ʻAila
- Nā ʻano antihistamines no nā maʻi allergies, coughs, a me ke anu
- ʻO kekahi mau lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
- ʻO kekahi mau lāʻau lapaʻau no ke koko, ka maʻi puʻuwai, a me ka puʻuwai naʻau kūpono ʻole
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ke kaumaha (e.g. Amitriptyline, Fluoxetine, Sertraline)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hopu ʻana (e.g., Phenobarbital, Primidone)
- Nā hormones wahine (e laʻa me nā pila hoʻomalu hānau, nā ʻāpana, nā apo, a i ʻole nā inikini e loaʻa ana nā estrogens a i ʻole progestins)
- Nā lāʻau hoʻomaha maʻamau ( e.g., Halothane, Isoflurane, Methoxyflurane, Propofol)
- Nā lāʻau hoʻomaha kūloko ( e.g. Lidocaine, Pramoxine, Tetracaine)
- Nā mea hoʻomaha ʻiʻo i hāʻawi ʻia i ka wā o ke ʻoki ʻana
- Nā lāʻau lapaʻau Narcotic no ka ʻeha
- Nā Phenothiazines(e laʻa me `(Chlorpromazine)`, `(Mesoridazine)`, `(Prochlorperazine)`, `(Thioridazine)`)
ʻAʻole paha i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā mea kanu, a me nā mea hoʻohui meaʻai. E hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kāu mau lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, e nānā pono kāu kauka i kou kūlana. A pono hoʻi ʻoe e makaʻala iki e pili ana i kēia mau mea.
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a me ka poniuniu. No laila, ʻoi aku ka maikaʻi o ka pale ʻana i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i nā hana ʻē aʻe e pono ai ka noʻonoʻo a hiki i kou ʻike ʻana i ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Ke ala koke ʻana/noho ʻana i lalo: Ke kū koke ʻoe mai ke kūlana kū ʻana, a i ʻole ke kū koke ʻoe mai ke kūlana noho ʻana, e manaʻo paha ʻoe ua puni kou poʻo a i ʻole e hāʻule ana ʻoe. E akahele loa inā he ʻelemakule ʻoe. E hoʻololi pinepine i nā kūlana.
- ʻAila: Hiki i ka ʻaila ke hoʻopilikia i nā hopena o kēia lāʻau lapaʻau, no laila e pale i ka inu ʻana i ka waiʻona.
- Nā lāʻau lapaʻau ʻē aʻe e hoʻohiamoe ai ʻoe: Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe e hoʻohiamoe ai ʻoe (e like me nā lāʻau allergy, kekahi mau lāʻau hoʻomaha ʻeha), ʻo ka lawe ʻana iā lākou me kēia lāʻau lapaʻau e hoʻohiamoe ai paha ʻoe. No laila e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. E haʻi aku kāu kauka iā ʻoe i ka nui e lawe ai. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe. Inā pilikia ʻoe i ka hanu ʻana a hiamoe loa paha, e kelepona koke i kahi lumi pilikia.
- ʻIke i ka lā: E noʻonoʻo i ka wā e hele ai ʻoe i waho i ka lā, e hoʻāla koke kekahi mau lāʻau i kou ʻili, ʻeā? Hiki i kēia lāʻau ke hoʻoulu i kahi ʻike iki i ka lā ('photosensitivity`). No laila e pale i ka lā i ka hiki. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole e uhi pono i kou kino, e hoʻohana i ka sunscreen. Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning/booths.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Dantrolene ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā he mea nui e makaʻala iā lākou.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e haʻi koke i kāu kauka a i ʻole kekahi loea mālama ola kino ʻē aʻe.
- Nā hopena maʻi ʻaleka: ʻŌhūhū ʻili, maneʻo a hives paha, pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo.
- Nā pilikia hanu.
- Nā hopu ʻana o ka maʻi ʻepileptika .
- Nā hōʻailona a me nā ʻōuli o ka hōʻeha ʻana o ke akepaʻa:
- Ke huli nei ka mimi i melemele ʻeleʻele a ʻeleʻele paha.
- Maʻi ke kino, kuni.
- Lilo nā ʻōpala i keʻokeʻo māmā (ʻeleʻele).
- ʻAʻohe ʻono o ka meaʻai.
- Ka luaʻi.
- ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.
- Manaʻo nāwaliwali a luhi paha.
- Melemele o nā maka a i ʻole ka ʻili (e like me ka jaundice).
- Pilikia i ka moni ʻana .
- Manaʻo nāwaliwali a luhi paha (hiki ke hana kēia me ka ʻole o ka pilikia o ke akepaʻa, akā e haʻi i kāu kauka ).
Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻomau lākou:
ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao. Eia nō naʻe, inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka.
- Ka paʻa ʻana o ka ʻōpū
- Ka maʻi pākī
- Pōʻino
- Ka luaʻi, ka luaʻi
- Pilikia i ka ʻōlelo ʻana
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻike ʻole ʻia, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kēia lāʻau.
- E mālama iā ia mai ka hiki ʻana aku o nā keiki.
- E mālama ma ka mahana o ka lumi, ma lalo o 40 kekelē Celsius (104 kekelē Fahrenheit).
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei pono iā lākou.
ʻO ka mea nui loa āu e pono ai e hoʻomanaʻo / Leka Lawe-Home
ʻAe, ua kamaʻilio nui kākou e pili ana iā Dantrolene, ʻeā? Eia kekahi mau mea e hoʻomanaʻo ai i ka pōkole:
- Hoʻohana ʻia kēia lāʻau lapaʻau ma ke ʻōlelo aʻo a ke kauka wale nō.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E makaʻala i ka hiamoe, ka poniuniu, a me ka ʻike i ka lā i ka wā e lawe ana i ka lāʻau. Mai inu i ka waiʻona.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e ʻike koke i ke kauka.
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i nā poʻe ʻē aʻe.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka a mea kūʻai lāʻau paha.
E hoʻomanaʻo he ʻike laulā wale nō kēia ʻatikala. ʻAʻole pono e lawe ʻia ma ke ʻano he ʻōlelo aʻoaʻo lapaʻau. E hahai mau i ka ʻōlelo aʻoaʻo a kāu kauka.
Ke makemake nei iā ʻoe i ke olakino maikaʻi!
ʻO Dantrolene, Nā ʻūmiʻi ʻiʻo, Ka ʻūmiʻi ʻana o nā ʻiʻo, Malignant Hyperthermia, Nā hopena ʻaoʻao, Lāʻau lapaʻau, Ola kino
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