Kōkua no kou puʻuwai: E aʻo kākou e pili ana i ka lāʻau pale Dobutamine.

I kekahi manawa, pono ko kākou mau puʻuwai i ke kōkua iki, ʻeā? ʻOi loa aku i ka wā e nāwaliwali iki ai ka puʻuwai a paʻakikī ke hana pono. I ia mau hihia, hoʻohana ʻia kahi lāʻau lapaʻau kūikawā i kapa ʻia ʻo Dobutamine e nā kauka. E ʻike anei kākou i kekahi mau kikoʻī hou aku e pili ana i kēia lāʻau lapaʻau? Manaʻolana wau e hāʻawi kēia iā ʻoe i kahi ʻike maikaʻi aʻe o kēia lāʻau lapaʻau.

He aha ke ʻano lāʻau lapaʻau ʻo Dobutamine?

I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Dobutamine e hoʻoikaika i ka ʻiʻo o ka puʻuwai . Ma ke ʻano lapaʻau, no ka hui o nā lāʻau lapaʻau i kapa ʻia ʻo `(Inotrope)`. Ua like ko mākou puʻuwai me ka pamu e hoʻouna ana i ke koko i ke kino holoʻokoʻa. I kekahi manawa, ma muli o nā kumu like ʻole, emi iho ka hiki ke pamu o kēia puʻuwai, ʻo ia hoʻi, ka ikaika o ka ʻiʻo o ka puʻuwai e ʻūlū. ʻO ia ka manawa e hiki mai ai kēia lāʻau lapaʻau i kapa ʻia ʻo Dobutamine i ke kōkua.

Hoʻohana nui ʻia kēia no ka mālama ʻana i nā kūlana e like me ka hāʻule ʻana o ka puʻuwai congestive. ʻO ia hoʻi, i ka wā e nāwaliwali loa ai ka puʻuwai a hiki ʻole ke pamu i ke koko lawa i ke kino holoʻokoʻa. E noʻonoʻo e like me ka motika wai. Inā nāwaliwali ka motika, ʻaʻole e kahe pono ka wai, pēlā kāna hana. Hana kēia lāʻau lapaʻau ma ka hoʻonui iki ʻana i ka mana "motika" o ka puʻuwai.

Ma waho aʻe o kēia kumu nui, hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā kumu lapaʻau ʻē aʻe. No laila, inā hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, he manaʻo maikaʻi e nīnau i kāu kauka no ke aha ia a pehea e hana ai. Hiki iā ʻoe ke loaʻa kēia lāʻau lapaʻau ma lalo o ka inoa inoa `(Dobutrex)`.

He aha nā mea nui e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?

He nīnau koʻikoʻi loa kēia. Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka Dobutamine, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. He mea nui loa e pane pololei ʻoe iā lākou. He mea nui kēia ʻike e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau no kou kūlana, pehea e hāʻawi ʻia ai, a me ka nui e hāʻawi ai. Pono ʻoe e haʻi i kāu kauka e pili ana i kēia mau mea:

• Inā loaʻa iā ʻoe kahi maʻi puʻuwai mua , ʻo ia hoʻi kekahi ʻano maʻi puʻuwai.
• He ʻano ʻē ka puʻuwai, ʻo ia hoʻi, ʻaʻole ia e kuʻi like, a i ʻole inā ua hana mua ʻia (mōʻaukala o ka puʻuwai ʻano ʻē). I kekahi manawa, kuʻi mālie ka puʻuwai, i kekahi manawa wikiwiki, a i kekahi manawa me ka ʻole o ka mele.
• Inā he mau pilikia puʻupaʻa kou (maʻi puʻupaʻa).
• Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai i hala koke aku nei.
• Inā he maʻi ʻoe i ka lāʻau Dobutamine, kahi kemika i kapa ʻia ʻo sulfites (hiki ke loaʻa i kekahi mau lāʻau lapaʻau a me nā meaʻai), kekahi lāʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu meaʻai, a i ʻole nā ​​mea mālama.(he hopena maʻamau ʻole a i ʻole he maʻi ʻaleka i ka dobutamine, sulfites, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā ​​mea hoʻomalu). Hiki iā ia ke lilo i kekahi mea mai kahi ʻulaʻula liʻiliʻi a i kahi hopena nui.
• Inā paha ʻoe e hoʻāʻo nei e hāpai a hāpai paha.
• Inā he makuahine ʻoe e hānai waiū ana .

ʻO ka haʻi ʻana i kāu kauka e pili ana i kēia mau mea me ka hūnā ʻole ʻana iā lākou e kōkua nui iā ʻoe e loaʻa ka lāʻau lapaʻau me ka palekana.

Pehea e hāʻawi ʻia ai ka injection Dobutamine?

ʻAʻole hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma ke ʻano he pila a i ʻole e lawe i ka home a hoʻokomo. ʻO Dobutamine kahi lāʻau lapaʻau i hāʻawi ʻia ma ke ʻano he inikini i loko o kahi aʻa. ʻO ia hoʻi, e like me ka saline, hāʻawi pololei ʻia i loko o kou kahe koko ma o kahi cannula. Kāhea nā kauka i kēia he infusion.

ʻO ka maʻamau, hāʻawi ʻia kēia e kekahi loea mālama ola ma kahi haukapila a i ʻole ke keʻena lapaʻau kūikawā. ʻO ke ʻano kēia, e hāʻawi ke kauka a i ʻole ke kahu maʻi i aʻo ʻia iā ʻoe i kēia lāʻau lapaʻau a nānā pono iā ʻoe i loko o ia manawa.

Ke hāʻawi nei ʻoe i kēia i nā keiki liʻiliʻi?

Pono ʻoe e kamaʻilio me kāu kauka keiki e pili ana i ka hoʻohana ʻana i kēia lāʻau Dobutamine no nā keiki ʻōpio, ʻo ia hoʻi, nā keiki. No ka mea, i kekahi mau hihia i koho ʻia, ʻo ia hoʻi, ma muli o ke kūlana o ke keiki, hiki ke hāʻawi ʻia kēia lāʻau i nā keiki, akā aia nā hana palekana kūikawā a me nā hoʻoholo dosage e pili ana iā ia. ʻAʻole hiki ke hāʻawi ʻia e like me ka hāʻawi ʻia ʻana i nā pākeke. No laila, he mea nui e kamaʻilio me ke kauka a hahai i kāna mau kuhikuhi.

He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau? (Overdosage)

ʻOiai ʻo ka maʻamau o kēia ka hāʻawi ʻia ʻana ma kahi haukapila, haʻahaʻa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hāʻawi nui ʻia kēia lāʻau lapaʻau iā ʻoe, a inā ʻike ʻoe ua hana ʻia kēia, he pilikia ia. Inā hana ʻia kēia , pono ʻoe e hoʻokaʻaʻike koke aku i ke kikowaena hoʻomalu lāʻau make kokoke loa a i ʻole ka lumi pilikia o ka haukapila.

He aha inā e hala wau i kahi manawa hoʻonohonoho lāʻau lapaʻau?

ʻO Dobutamine kahi lāʻau lapaʻau i hāʻawi pinepine ʻia e like me ka mea e pono ai ʻoiai ʻoe ma ka haukapila. He mea nui loa ia e mālama i nā manawa a pau no nā lāʻau lapaʻau a me nā manawa a kāu kauka i hoʻonohonoho ai no ʻoe e lawe i kēia lāʻau lapaʻau. ʻAʻole ia he manaʻo maikaʻi e haʻalele i kahi lāʻau. Inā ʻaʻole hiki iā ʻoe ke mālama i kahi manawa no kekahi kumu, e kelepona koke i kāu kauka a i ʻole ke kauka olakino.

Aia kekahi mau lāʻau ʻē aʻe e launa pū me kēia lāʻau? (Nā Hana Pilikino Lāʻau)

ʻAe, ʻoiaʻiʻo nō. Aia kekahi mau lāʻau lapaʻau e hiki ke launa pū me Dobutamine, ʻo ia hoʻi, hiki iā lākou ke hoʻopilikia. Inā pēlā, e loli paha ke ʻano o ka hana ʻana o Dobutamine, a i ʻole e loli paha ke ʻano o ka hana ʻana o nā lāʻau lapaʻau ʻē aʻe, a i ʻole e piʻi aʻe paha ka pilikia o nā hopena ʻaoʻao.

No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā mea kanu, nā huaora, nā lāʻau lapaʻau i kauoha ʻole ʻia, a me nā mea hoʻohui meaʻai. Pono nō hoʻi ʻoe e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Me he mea lā he mau mea liʻiliʻi kēia, akā hiki iā lākou ke hana i nā pilikia nui ke hui pū ʻia me nā lāʻau lapaʻau.

ʻO kekahi mau lāʻau lapaʻau e hiki ke launa pū me Dobutamine:

• Nā mea pale Beta: He ʻano lāʻau lapaʻau kēia i hāʻawi pinepine ʻia no ke koko kiʻekiʻe a me kekahi mau maʻi puʻuwai.
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi o Parkinson: No ka laʻana, nā lāʻau lapaʻau e like me ka entacapone a me ka tolcapone.
• Nitroprusside: He lāʻau lapaʻau kēia i hoʻohana ʻia e kāohi i ke koko kiʻekiʻe.

ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā pilina āpau e hiki ai, no laila ʻoi aku ka palekana a maikaʻi hoʻi e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau a me nā mea āpau āu e lawe ai.

Nā mea e pono ai ke akahele i ka wā e lawe ai i ka Dobutamine

Ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, e nānā pono a kokoke nā kauka a me nā kahu maʻi i kou kūlana. ʻO ia hoʻi, e nānā mau ʻia kou puʻuwai (me nā mea e like me ka ECG), ke koko, a me ka hanu ʻana. ʻO kēia ke hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau a ʻaʻohe pilikia.

No laila, inā manaʻo ʻoe i kekahi mea ʻē, ʻokoʻa, a ʻoluʻolu ʻole paha, e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka poniuniu, mai makaʻu e haʻi koke aku i ke kauka a i ʻole ke kahu maʻi. ʻOiai inā he mea liʻiliʻi wale nō ia.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i ka dobutamine ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole kēia manaʻo e loaʻa i nā mea a pau e lawe ana i kēia lāʻau lapaʻau. Loaʻa paha i kekahi poʻe, a ʻaʻole loa paha i kekahi. ʻO ka mea nui loa, ʻo ia ka makaʻala i nā mea ʻē.

Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka

Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e haʻi i kāu kauka a kauka paha i ka hikiwawe loa, no ka mea, he mea koʻikoʻi paha ia.

• Nā hopena alerika:Nā ʻōhū ʻili, nā ʻōhū e like me ka eczema, ka maneʻo hiki ʻole ke hoʻomanawanui, a i kekahi manawa ka pehu ʻana o ka maka, nā lehelehe, a me ke alelo. Inā loaʻa kekahi mea e like me kēia, he maʻi allergy paha ia.
• ʻEha, ʻulaʻula, a huhū paha ma kahi i hoʻokomo ʻia ai: Inā lilo kahi i hoʻokomo ʻia ai ke cannula i ʻeha, ʻulaʻula, a huhū paha.
• Nā hōʻailona a me nā ʻōuli o kahi loli weliweli i ka puʻuwai a i ʻole ka ʻōʻō o ka puʻuwai:
• Ke manaʻo nei i ka ʻeha ma ka umauma.
• Ke poʻo hina nei a me he mea lā e hāʻule ana ʻoe.
• Kuʻi koke ka puʻuwai me ka wikiwiki loa, a i ʻole kuʻi kūpono ʻole a me ke ʻano ʻole.
• Palpitations - Ke kuʻi nei kou puʻuwai me he mea lā e lele ana i waho o kou umauma.
• Ke hele mai nei e like me ka nahe, hiki paha iā ia ke huki iā ʻoe i lalo.
• Paʻakikī ka hanu ʻana, me he mea lā e pau ana kou hanu.
• Nā hōʻailona a me nā ʻōuli o ke koko haʻahaʻa:
• Pōʻaiʻī.
• Ke hele mai nei e like me ka nahe, hiki paha iā ia ke huki iā ʻoe i lalo.
• Manaʻo luhi loa, ola ʻole, a nāwaliwali hoʻi.

Nā hopena ʻaoʻao ʻaʻole pono ʻoe e haʻi i kāu kauka , akā pono e hōʻike ʻia inā hoʻomau lākou

ʻAʻole koʻikoʻi kēia mau mea a hiki ke emi iho i loko o kekahi mau lā. Akā inā hoʻopilikia lākou iā ʻoe a hoʻomau paha no nā lā he nui, he manaʻo maikaʻi e haʻi aku i kāu kauka e pili ana iā lākou.

• ʻEha poʻo
• Nausea: ʻO ke ʻano kēia o ka manaʻo o ka maʻi ʻana, ka manaʻo o ka maʻi ʻana.

ʻAʻole kēia papa inoa i nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻokoʻa a ʻokoʻa paha, e kamaʻilio me kāu kauka e pili ana i ia mea. E haʻi i kāu kauka. Loaʻa i kekahi mau ʻāina nā keʻena kūikawā e hōʻike i kēlā mau hopena ʻaoʻao (no ka laʻana, ka FDA ma ʻAmelika Hui Pū ʻIa), akā ma Sri Lanka, he mea nui e hoʻomaopopo i kāu kauka.

Pehea e mālama ai i kēia lāʻau lapaʻau?

ʻAʻole pono ʻoe e hopohopo no kēia. No ka mea, ʻaʻole hiki iā ʻoe ke lawe i ka home i ka Dobutamine. Ma muli o ka hāʻawi ʻia ʻana ma kahi haukapila a i ʻole ke keʻena lapaʻau, mālama pono ka ʻoihana lapaʻau pili i kēia lāʻau lapaʻau ma lalo o ka kaohi mahana kūpono, me ka palekana. No laila, ʻaʻole pono ʻoe e mālama iā ia ma ka home.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

ʻAe, mai nā mea a mākou i kamaʻilio ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kekahi manaʻo e pili ana iā Dobutamine.

• He lāʻau koʻikoʻi loa ka Dobutamine e kōkua ai i ka hana o ka puʻuwai, ʻoiai hoʻi i nā hihia o ka hāʻule ʻana o ka puʻuwai congestive.
• Hāʻawi ʻia kēia ma ke ʻano he inikini i loko o kahi aa koko ma kahi haukapila, ma lalo o ka mākaʻikaʻi pono ʻana a ke kauka.
• Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, nā hopena ʻaoʻao, a i ʻole kekahi mea ʻē aʻe, mai makaʻu a kānalua paha e nīnau i kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe. Eia lākou e kōkua iā ʻoe. Ua mākaukau lākou e pane i kāu mau nīnau a pau.

ʻO ka mea hope loa, nou wale nō kēia lāʻau lapaʻau. Ua kuhikuhi kāu kauka iā ia nou ma muli o kou kūlana. No laila, mai hāʻawi aku i kekahi, no ka mea, hiki ke hoʻoweliweli ka hana ʻana pēlā.

Ke makemake nei iā ʻoe e ho'ōla koke!

ʻO Dobutamine, maʻi puʻuwai, lāʻau lapaʻau puʻuwai, lāʻau pale, ʻiʻo puʻuwai, nā hopena ʻaoʻao, hāʻule puʻuwai