Inā ʻoe a i ʻole kekahi āu i ʻike ai e hana ʻoki kino ana, e makaʻu iki paha ʻoe a hoihoi paha e pili ana i ka "analgesia." He hana palekana loa ia, i hana ʻia ma lalo o ka nānā ʻana a kahi loea. Hoʻohana ʻia nā ʻano lāʻau like ʻole e hāʻawi i ka anesthesia (analgesia). I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau kūikawā i hanu ʻia i loko o ke kino a kōkua i ka hōʻoluʻolu i ka ʻeha a mālama iā ʻoe i ke olakino a palekana.
He aha ka Desflurane?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Desflurane i hele mai i loko o ke ʻano wai, akā i ka wā e hoʻohana ʻia ai, hoʻololi ʻia ia i kinoea (mahana) e kahi mea kūikawā a ʻae ʻia e hanu ʻia. Hoʻohana nui ʻia ia ma ke ʻano he anesthetic. ʻO ia hoʻi, hāʻawi ʻia ia e hoʻomāʻona iā ʻoe a ʻaʻole e ʻeha i ka wā o ke ʻoki ʻana a i ʻole kahi hoʻāʻo lapaʻau. Hiki iā ʻoe ke ʻike i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Suprane.
ʻAʻole kēia he lāʻau lapaʻau wale nō i hāʻawi ʻia i ka ʻauwae. Hāʻawi ʻia ia e kahi mea hoʻomoe ma kahi ʻano i kāohi ʻia, e like me ka lumi hana o ka haukapila.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia no kou palekana. E nīnau aku ke kauka anesthesiologist iā ʻoe e pili ana i kēia mau mea ma mua o kou hana ʻoki kino ʻana. I kēlā manawa, he mea nui e haʻi ʻoe i ka ʻoiaʻiʻo me ka hūnā ʻole i kekahi mea .
| Loaʻa iā ʻoe kēia mau kūlana? | No ke aha he mea nui kēlā? |
|---|---|
| He moʻolelo ʻohana o ke kuni nui i ka wā o ka anesthesia (Malignant Hyperthermia) | He hopena koʻikoʻi loa kēia i ka anesthesia, akā he mea hoʻoweliweli paha i ke ola. Inā ua loaʻa i kekahi o kou ʻohana kēia, he mea nui e haʻi iā lākou. |
| He puʻupuʻu lolo a i ʻole ke kaomi ma ke poʻo | Ma muli o ka hiki i kēia ʻano anesthetics ke hoʻololi i ke kaomi o ka lolo, pono ke kauka e makaʻala i kēia. |
| Maʻi puʻuwai | Ma muli o ka hiki i kēia mau lāʻau lapaʻau ke hoʻopilikia i ka hana o ka puʻuwai, he mea nui e ʻike kāu kauka e pili ana i kou kūlana puʻuwai. |
| Maʻi akepaʻa | Ma muli o ke kuleana koʻikoʻi o ke akepaʻa i ka hoʻopau ʻana i nā lāʻau lapaʻau mai ke kino, he mea nui e makaʻala i nā maʻi akepaʻa. |
| Nā maʻi neuromuscular (e.g. Duchenne Muscular Dystrophy) | Hiki i ka poʻe me kēia mau kūlana ke pane ʻokoʻa i nā anesthetics. |
| Nā maʻi ʻaleka i kahi lāʻau lapaʻau, meaʻai, a i ʻole kala | Inā he maʻi ʻoe i ka Desflurane a i ʻole kekahi lāʻau hoʻomāmā ʻē aʻe, he mea nui e hoʻomaopopo mai iā mākou. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Pono e mālama pono ʻia i ka wā e hoʻohana ai i kekahi lāʻau lapaʻau i ka wā hāpai. |
| Inā hānai ʻia ka pēpē me ka waiū | Pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka hele ʻana o ka lāʻau lapaʻau i kāu pēpē ma o ka waiū umauma. |
Pehea e hoʻohana ai i kēia lāʻau lapaʻau a he aha ka mea e hana ma hope?
ʻAʻole kēia he lāʻau lapaʻau āu e lawe ai i ka home a hoʻohana iā ʻoe iho. Hāʻawi ʻia ia iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau e kahi anesthesiologist a me nā limahana i aʻo ʻia . Hanu ʻoe i kēia kinoea, maʻamau ma o kahi pale maka ma kou maka. Ma hope o kekahi manawa, e hiamoe ʻoe a ʻaʻole ʻoe e manaʻo i kekahi mea a hiki i ka pau ʻana o ke ʻoki ʻana.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
ʻAe, i kekahi mau hihia, hāʻawi ʻia kēia lāʻau lapaʻau i nā pēpē hānau hou. Akā, ua lawe ʻia nā hana palekana kūikawā. Inā e hana ʻia ke ʻoki kino i kāu keiki, e kūkākūkā i kēia me kāu pediatrician a me ka anesthesiologist.
ʻO ka mea nui loa, ʻo ia ke nānā mau ʻia nei kou puʻuwai, ke koko, a me ka hanu ʻana e nā mīkini i ka wā o ke ʻoki kino, no laila ʻaʻohe kumu e makaʻu ai.
Nā lāʻau ʻē aʻe e launa pū me Desflurane
Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke launa pū me kēia lāʻau anesthetic. No laila, pono ʻoe e haʻi i kāu anesthesiologist e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻoiai nā huaora .
ʻO nā ʻano lāʻau lapaʻau nui e pono e noʻonoʻo ʻia:
- Nā lāʻau lapaʻau no nā maʻi noʻonoʻo e like me ke kaumaha a me ka hopohopo.
- Nā lāʻau hiamoe.
- ʻO kekahi mau lāʻau ʻeha ikaika, ʻoiai nā lāʻau narcotic.
- Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana (nā mea pale neuromuscular).
Eia kekahi, inā ʻoe e hoʻohana i ka waiʻona, nā cigarette, a i ʻole nā lāʻau lapaʻau ʻē aʻe, e haʻi pono i kāu kauka e pili ana i ia mea.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki iā Desflurane ke hana i kekahi mau hopena ʻaoʻao. He manawa pōkole ka hapa nui o kēia mau mea. Eia nō naʻe, aia kekahi mau mea e makaʻala ai. ʻAʻole i manaʻo ʻia kēia ʻike e hoʻoweliweli iā ʻoe, akā e hoʻonaʻauao iā ʻoe.
| Ka hopena ʻaoʻao/hōʻailona | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hōʻailona e hōʻike koke i kāu kauka a kahu maʻi paha | |
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, a i ʻole ke alelo. Pono e hōʻike koke ʻia kēia mau mea. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, pōkole ka hanu, a pēlā aku. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | ʻO ka mimi ʻeleʻele, ka melemele o nā maka a i ʻole ka ʻili (jaundice), ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, a me ke kuni. |
| Nā loli i ka helu o ka puʻuwai | Manaʻo e like me ka wikiwiki o kou puʻuwai a i ʻole ke kuʻi kūpono ʻole. |
| Pōʻino a vertigo paha | Manaʻo o ka nāwaliwali, ka poniuniu, a me ka māʻule ʻana. |
| ʻO nā hōʻailona i maʻa mau ʻaʻole koʻikoʻi, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| Kuke | ʻO ka ʻūhū manawa pōkole e hiki mai ana ma hope o ka anesthesia. |
| Hiamoe | He mea maʻamau ke hiamoe no hoʻokahi a ʻelua paha lā ma hope o ka anesthesia. |
| Ka luaʻi a me ka luaʻi | He hopena ʻaoʻao maʻamau kēia. Na nā kauka e hāʻawi i ka lāʻau lapaʻau e pono ai no ia. |
Mea nui: Inā loaʻa iā ʻoe kekahi o nā hopena koʻikoʻi ma luna ma hope o ka hoʻi ʻana mai ka haukapila mai, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa. Inā kānalua, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- He lāʻau lapaʻau hanu ʻia ka desflurane i hoʻohana ʻia no ka hoʻopau ʻana i ka ʻeha i ka wā o ke ʻoki ʻana.
- Hāʻawi wale ʻia kēia ma kahi haukapila, ma lalo o ka nānā ʻana a kahi anesthesiologist.
- Ma mua o ke ʻoki ʻana, 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 hope o ka hoʻomaʻamaʻa ʻana, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, no ka mea, hiki ke hiamoe a me ka poniuniu. E pale loa i ka waiʻona.
- Ma hope o ka hoʻokuʻu ʻia ʻana mai ka haukapila, inā kū mai nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, nā maʻi alerika koʻikoʻi, a i ʻole ka melemele ʻana o ka ʻili, e ʻimi koke i ke kōkua lapaʻau a i ʻole e hele i ka ETU kokoke loa.
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