Ua hoʻomaka koke anei ʻoe e manaʻo i kou umauma e kuʻi ana me ke kāohi ʻole ʻia? A i ʻole ke kuʻi hewa nei kou puʻuwai a manaʻo e like me ke kuʻi ʻole ʻia? Ke hele ʻoe i ka haukapila i kahi pilikia e like me kēia, hoʻohana nā kauka i kahi lāʻau lapaʻau kūikawā e kaohi koke i kou helu puʻuwai. ʻO kekahi o ia mau lāʻau lapaʻau ʻo Diltiazem. Hāʻawi pinepine ʻia kēia ma ke ʻano he injection i loko o kahi aa. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia Diltiazem Injection.
He aha ke ʻano lāʻau lapaʻau ʻo Diltiazem?
I ka ʻōlelo maʻalahi, ʻo Diltiazem kahi lāʻau lapaʻau e mālama ai i ka puʻuwai wikiwiki a kūpono ʻole paha, kahi ʻano i ʻike ʻia i ka lāʻau lapaʻau ʻo arrhythmia .
No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo nā mea pale kahawai calcium . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ia mea. He mea nui ka calcium no ko mākou mau ʻiʻo puʻuwai e ʻūlū, ʻo ia hoʻi, e kuʻi. Hana ʻo Diltiazem ma ka kaohi iki ʻana i ke komo ʻana o ka calcium i loko o nā ʻiʻo puʻuwai a me nā kīʻaha koko.
E noʻonoʻo, ʻo ka wikiwiki o ka puʻuwai ʻo ia hoʻi ke hana wikiwiki nei kēia kaʻina hana calcium. Ke hāʻawi ʻia kēia lāʻau lapaʻau, ua lohi kēlā wikiwiki, ua kuʻi wikiwiki iki ka puʻuwai, a hoʻomaka pū kekahi e hana mau. Ma muli o kēia, ua emi ka ukana ma ka puʻuwai, a ua loaʻa i ka puʻuwai ka nui o ka hōʻoluʻolu. I kekahi manawa e hoʻohana paha ke kauka i kēia lāʻau lapaʻau no nā kumu ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau
He mea nui loa kēia. Ma mua o kou hoʻoholo ʻana e hāʻawi i kēia lāʻau lapaʻau iā ʻoe iho, he mea nui e haʻi i kāu kauka a i ʻole ka hui lapaʻau i kēia ʻike.
ʻOiai ka ʻāpana ʻike liʻiliʻi loa āu e hāʻawi mai ai, he mea nui loa ia no kou palekana. No laila, mai hūnā i kekahi mea.
- Nā kūlana olakino ʻē aʻe āu i loaʻa ai: He mea nui loa ia e haʻi aku inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai ma mua, nā kūlana puʻuwai ʻē aʻe, nā maʻi ʻē aʻe o ka puʻuwai, a i ʻole ke koko haʻahaʻa .
- Nā maʻi ʻaleka: E haʻi i kāu kauka inā he maʻi ʻaleka kou iā Diltiazem a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu.
- Hāpai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole he kānalua paha e pili ana i ia mea, e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau.
- Inā he makuahine hānai waiū ʻoe: Inā he makuahine hānai waiū ʻoe, pono ʻoe e haʻi aku i kāu kauka.
Pehea e komo ai kēia lāʻau i loko o ke kino?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home mai ka hale kūʻai lāʻau. He inikini intravenous kēia.ʻO ke ʻano kēia, hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana a ke kauka a i ʻole nā limahana kahu maʻi i aʻo ʻia. E nānā pono lākou i kou kūlana a hāʻawi i kēia lāʻau lapaʻau.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
ʻOiai ua hāʻawi ʻia kēia ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila, ua haʻahaʻa loa ka manawa e hala ai kahi lāʻau. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kēia, e hoʻomaopopo koke i nā limahana lapaʻau. I kekahi pilikia, he mea nui e hele i ka Emergency Treatment Unit (ETU) . Eia kekahi, inā manaʻo ʻoe ua make ʻoe ma muli o kahi lāʻau lapaʻau, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
No kāu hoʻohana wale nō kēia lāʻau lapaʻau. Kapu loa ke kaʻana like a hoʻohana paha me kekahi ma waho o ka haukapila.
He aha nā pilina ʻē aʻe e hiki ke hana me ka lāʻau lapaʻau?
Hiki i kekahi mau lāʻau lapaʻau, nā lāʻau lapaʻau lāʻau, a i ʻole nā meaʻai ke launa pū me Diltiazem a hoʻoulu i nā hopena ʻino, no laila he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
| Nā pilikia kūpono (nā pilina) me Diltiazem | |
|---|---|
| Mai lawe pū me Diltiazem: | |
| ʻO Cisapride | Pimozide |
| ʻO Hawthorn (lāʻau lapaʻau) | Ranolazine |
| Laiki hū ʻulaʻula | |
| Pono ʻoe e makaʻala loa i ka wā e lawe ai iā Diltiazem me: | |
| ʻO Carbamazepine | ʻO Cimetidine |
| ʻO Cyclosporine | ʻO Digoxin |
| Nā lāʻau hoʻomaʻamaʻa kūloko/laulā | Nā lāʻau lapaʻau no ke koko kiʻekiʻe a i ʻole nā maʻi puʻuwai ʻē aʻe |
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā mea kanu, a me nā mea hoʻohui āu e lawe nei. E hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
He aha nā hopena ʻaoʻao i manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki iā Diltiazem ke hana i kekahi mau hopena ʻaoʻao. He mea maʻamau kekahi, aʻo kekahi hiki ke koʻikoʻi.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| E hoʻomaopopo koke i ka hui lapaʻau inā ʻike ʻia kēia mau hōʻailona: | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae a i ʻole nā lima, piʻi koke ke kaumaha, luhi nui. |
| Puʻuwai lohi | Pōniuniu, māʻule, paʻakikī ka hanu ʻana, nāwaliwali kūikawā. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka melemele o ka ʻili a i ʻole nā maka. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā hopena ʻili koʻikoʻi | ʻUlaʻula, pehu, a ʻili paha o ka ʻili, me loko o ka waha. |
| ʻOiai ʻaʻole maʻamau ka maʻi, e haʻi i kāu kauka inā hoʻomau lākou a hoʻopilikia paha: | |
| Ka paʻa ʻana o ka ʻōpū | |
| ʻO ka ʻulaʻula o ka maka | |
| ʻEha poʻo | |
Hiki ke loaʻa nā hopena ʻē aʻe i helu ʻole ʻia ma kēia papa inoa, no laila mai makaʻu e nīnau i kāu kauka inā ʻike ʻoe i kekahi mea ʻē.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Diltiazem i hoʻokomo ʻia i loko o kahi aa koko ma ka haukapila e kaohi i ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka e pili ana i kou mau maʻi āpau, nā maʻi allergies, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a inā ʻoe e hāpai/hānai waiū.
- He lāʻau lapaʻau kēia i hāʻawi wale ʻia ma lalo o ka mākaʻikaʻi lapaʻau, ʻaʻole ia he lāʻau lapaʻau no ka hoʻohana ʻana ma ka home.
- Inā loaʻa nā hopena ʻaoʻao koʻikoʻi (paʻakikī ka hanu ʻana, ka poniuniu nui, ka pehu ʻana o ka ʻili), e hoʻomaopopo koke i nā limahana lapaʻau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e nīnau i ke kauka a i ʻole ke kahu maʻi e mālama nei iā ʻoe.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ka Diltiazem Injection?
ʻOiai he mea pale i ke kahawai calcium kēia e kaohi ana i ke koko kiʻekiʻe, hāʻawi ʻia kēia inikini ma ke ʻano intravenous (IV) i loko o kahi haukapila (ʻoihana pilikia) e hoʻopakele i ka mea maʻi mai ka 'nalowale koke o ke mele ma nā keʻena o luna o ka puʻuwai (Atrial Fibrillation/Flutter)', i ka wā e hoʻomaka ai ka puʻuwai e kuʻi wikiwiki loa (ʻoi aku ma mua o 150 mau kuʻi i kēlā me kēia minuke), a ua hoʻemi ʻia ka nui o ka make i loko o nā minuke.
💬 Pehea e hoʻolohi ai kēia inikini (Diltiazem) i ka helu o ka puʻuwai ke hāʻawi ʻia ma ke ʻano intravenous?
Hoʻouna ka puʻuwai i nā hōʻailona uila mai kahi i kapa ʻia ʻo 'AV Node / SA Node'. I mea e iho ai kēia mau hōʻailona, pono e komo ʻo 'Calcium' mai laila mai. Ke komo kēia lāʻau i loko o ke koko, ua pani loa ʻia (pale ʻia) nā 'puka calcium' i loko o ke kikowaena hoʻoili uila o ka puʻuwai (AV Node). A laila, ʻo ka wikiwiki o ka uila e iho pololei ana a hāʻule koke ka helu o ka puʻuwai i nā pae maʻamau.
💬 Inā paha e lohi ka helu o ka puʻuwai, he aha ka pilikia weliweli loa i ka wā e hāʻawi ai i kēia inikini?
ʻO ka pōʻino nui loa me kēia, ʻo ia ka hoʻohaʻahaʻa ʻana i ke koko! I kekahi mau maʻi, i ka manawa koke e hāʻawi ʻia ai kēia inikini intravenous (IV), hāʻule koke ke koko o ka mea maʻi i ka ʻole (Severe Hypotension) a nalowale lākou i ka ʻike, a i ʻole e mālie ka puʻuwai ma mua o ka mea i manaʻo ʻia a kū loa ka puʻuwai (Heart block / Bradycardia), he mea pōʻino paha! (No laila, pono e nānā mau ʻia ka EKG a me ke koko).
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