Ua pono anei ʻoe e hana i kahi ʻoki kino? A i ʻole ua pono anei ʻoe e hana i kahi hana lapaʻau nui? He mea maʻamau ka manaʻo hopohopo iki i kēlā mau manawa. No laila, aia nā lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai e hōʻoluʻolu iā ʻoe, e hoʻohiamoe iki iā ʻoe, a kōkua iā ʻoe e hele ma ke kaʻina hana me ka maʻalahi. I kēia lā e kamaʻilio mākou e pili ana i hoʻokahi ʻano inikini, ʻo Dexmedetomidine, kahi i hoʻohana wale ʻia ma nā haukapila.
I ka ʻōlelo maʻalahi, he aha ka Dexmedetomidine?
ʻO Dexmedetomidine (DEX-mede-tom-deen) kahi lāʻau lapaʻau e hōʻoluʻolu i kou ʻōnaehana nerve a hoʻohiamoe iā ʻoe. Hoʻohana pinepine ʻia ia e hoʻomaha iā ʻoe ma mua a i ka wā o ke kaʻina hana lapaʻau. Hāʻawi ʻia ia ma ke ʻano he injection i loko o kahi aa. ʻAʻole ia he lāʻau lapaʻau hiki iā ʻoe ke kūʻai ma kahi hale kūʻai lāʻau a lawe i ka home. Hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana a ke kauka. I kekahi manawa hiki iā ʻoe ke ʻike i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Precedex.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻoholo ʻana e kuhikuhi i kēia lāʻau lapaʻau, makemake kāu kauka e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou e pili ana i kekahi o kēia mau kūlana, ʻoi aku hoʻi:
| Kou kūlana olakino | No ke aha he mea nui ka hoʻolaha? |
|---|---|
| Maʻi diabetes (Diabetes Mellitus) | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā pae kō koko. |
| Maʻi puʻuwai | No ka mea, he mea hiki ke hoʻohaʻahaʻa i ka helu o ka puʻuwai a me ke koko. |
| Ke koko kiʻekiʻe | No ka mea, hiki ke loli koke ke koko. |
| Maʻi akepaʻa | No ka mea, e lohi paha ke kaʻina hana o ka wehe ʻana i ka lāʻau mai ke akepaʻa. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka dexmedetomidine a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Ke hāpai nei a ke kali nei paha i kahi pēpē | E noʻonoʻo i ka hopena hiki ke loaʻa ma ka fetus. |
| Ka hānai ʻana i ka waiū umauma | E noʻonoʻo inā hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. |
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me ke kauka e pili ana i nā mea āpau e noʻonoʻo ana ʻoe, ʻaʻohe mea liʻiliʻi. Mai hūnā i kekahi mea.
Pehea e hoʻohana ai i ka lāʻau lapaʻau a me nā manaʻo kūikawā
Hāʻawi ʻia kēia lāʻau lapaʻau ma o kahi ʻōmole i hoʻokomo ʻia i loko o kahi aʻa (laina intravenous). Hana ʻia ia e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia ma kahi haukapila.
- No nā keiki: Pono ka mālama kūikawā inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki. ʻOkoʻa ka nui o ka lāʻau a me ka nānā ʻana mai nā mea no nā pākeke.
- Nā kānaka ma luna o 65: Hiki i ka poʻe ʻelemakule ke ʻike ikaika i nā hopena o kēia lāʻau lapaʻau, no laila hāʻawi pinepine ʻia lākou i kahi mahele haʻahaʻa.
- He aha inā hoʻonui ʻia ka nui o ka lāʻau? (Overdose): ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa e hala ai kahi lāʻau. Eia nō naʻe, inā manaʻo ʻoe ua loaʻa iā ʻoe ka nui o ka lāʻau lapaʻau, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau. A i ʻole, hiki iā lākou ke hoʻomaopopo i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole ka Emergency Treatment Unit (ETU) o ka haukapila.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana ʻana o Dexmedetomidine. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e nā kauka ʻē aʻe, i kūʻai ʻia ma ka hale kūʻai lāʻau, nā lāʻau lapaʻau kuʻuna, nā huaora, nā huahana lāʻau). Hiki i kēia lāʻau lapaʻau ke launa pū me kēia mau mea:
| ʻAno o ka mea/lāʻau lapaʻau e hiki ai ke hoʻopilikia | Nā Laʻana |
|---|---|
| ʻAila | ʻO kēlā me kēia ʻano waiʻona. |
| Nā lāʻau hoʻomaha a me nā lāʻau hiamoe | ʻO nā lāʻau lapaʻau benzodiazepines e like me Alprazolam, Diazepam, Lorazepam, Propofol. |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha | ʻAmitriptyline, Trazodone. |
| Nā lāʻau hoʻopau ʻeha a me nā lāʻau lapaʻau ʻūlū | ʻO Tramadol, Morphine, a pēlā aku (Nā Opioids) . |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi epilepsy | ʻO Phenobarbital, Primidone. |
| ʻO kekahi mau lāʻau lapaʻau allergy (Antihistamine) | Nā ʻano e hoʻoulu ai i ka hiamoe. |
Nā hopena ʻaoʻao hiki ke loaʻa i ka wā e lawe ai i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Dexmedetomidine ke hana i nā hopena ʻaoʻao. E nānā pono ana ke kime lapaʻau iā ʻoe i kou wā ma ka haukapila. Akā inā manaʻo ʻoe i kekahi ʻeha, mai makaʻu e haʻi koke iā lākou.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka a i ʻole ke kahu maʻi | |
|---|---|
| Ka hopena ʻaoʻao | Nā ʻano |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Puʻuwai lohi | Pōniuniu, māʻule, paʻakikī ka hanu ʻana, luhi loa. |
| kuni | Ke kuni mau, ka hanu wikiwiki a i ʻole ka puʻuwai wikiwiki, ka luhi. |
| Nā mea i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| Hoʻomaha ʻole | Hopohopo, huhū. |
| Waha maloʻo | Manaʻo me he mea lā ua maloʻo ka lawai i loko o ka waha. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana iā lākou.
Nā mea e makaʻala ai ma hope o ka lawe ʻana i ka lāʻau lapaʻau
Ma muli o nā hopena o kēia lāʻau lapaʻau, hiki ke hoʻopilikia ʻia ke kaulike o kou kino, ka wikiwiki o ka pane ʻana, a me ka hiki ke hoʻoholo. No laila,
- E pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i ka wā e haʻi aku ai kāu kauka iā ʻoe ua palekana ke hana hou pēlā.
- I ke ala ʻana mai ka noho ʻana a i ʻole ka hiamoe ʻana, e ala mālie . Inā ala koke ʻoe, hiki iā ʻoe ke poniuniu a hāʻule.
- E hōʻalo loa i ka waiʻona no kekahi mau lā ma hope o ka lawe ʻana i kēia lāʻau. Hiki i ka waiʻona ke hoʻonui i nā hopena ʻaoʻao.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Dexmedetomidine i hāʻawi wale ʻia ma ka haukapila e hōʻoluʻolu iā ʻoe a hoʻohiamoe iā ʻoe ma mua o ke kaʻina hana lapaʻau.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e haʻi pono i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka mākaʻikaʻi koʻikoʻi a ke kauka. E nānā mau ʻia kou kūlana.
- E hoʻomaopopo koke i nā limahana lapaʻau inā loaʻa iā ʻoe kekahi mau hopena ʻino e like me ka paʻakikī o ka hanu ʻana, ka poniuniu nui, a i ʻole nā hōʻailona maʻi āpau.
- ʻOiai ʻaʻole kēia he lāʻau lapaʻau e lawe ʻia i ka home, ʻaʻole pono ʻoe e hopohopo e pili ana i ka mālama ʻana.











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