E noʻonoʻo ua komo kekahi i ka haukapila me ka emi koke o ke koko a i ʻole kahi maʻi e like me ka hāʻule ʻana o ka puʻuwai. I kēlā mau hihia koʻikoʻi, ʻo kahi lāʻau lapaʻau kūikawā a ikaika hoʻi a nā kauka e hoʻohana ai e hoʻopakele i ke ola o ka mea maʻi ua kapa ʻia ʻo dopamine. ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kūʻai maʻamau mai kahi hale kūʻai lāʻau a hoʻohana ma ka home. Hāʻawi ʻia ia ma kahi haukapila, ma kahi e like me kahi keʻena mālama koʻikoʻi (ICU), ma lalo o ka nānā piha ʻana o nā kauka a me nā kahu maʻi. No laila, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau koʻikoʻi i kēia lā.
He aha ka dopamine? He aha kāna hana i ke kino?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ka dopamine me ʻelua mau hana nui.
1. Vasoconstrictor: Hoʻoulu kēia lāʻau lapaʻau i nā kīʻaha koko i loko o ko mākou kino e ʻūmi iki. E like me ke kaomi iki ʻana i kahi paipu wai, kahe wikiwiki ka wai, ke ʻūmi nā kīʻaha koko, piʻi ke koko. He mea nui loa kēia i ka wā e haʻahaʻa loa ai ke koko a pilikia ke ola.
2. Hoʻoikaika i ka hana o ka puʻuwai (Inotrope): Eia kekahi, hoʻopilikia kēia lāʻau i nā ʻiʻo o ka puʻuwai, e hoʻonui ana i ka wikiwiki a me ka ikaika o ka hana pamu o ka puʻuwai. I nā kūlana e like me ka hāʻule ʻana o ka puʻuwai, lilo ka puʻuwai i nāwaliwali a ʻaʻole hiki ke pamu i ke koko lawa i ke kino. I kēlā manawa, hiki i kēia lāʻau ke kōkua i ka puʻuwai.
Ma muli o kēia mau hana ʻelua, hoʻohana pinepine ʻia ka dopamine e hoʻopaʻa i ke kūlana o ka mea maʻi i nā hihia o ke koko haʻahaʻa koʻikoʻi a me ka hāʻule ʻana o ka puʻuwai .
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
He mea nui loa kēia. ʻAʻole he pila ka Dopamine hiki iā ʻoe ke lawe a hoʻokomo paha ma ka home.
- Hāʻawi wale ʻia kēia ma kahi haukapila a i ʻole kahi hoʻonohonoho lapaʻau .
- Hana ʻia ka lāʻau lapaʻau i wai a hāʻawi pololei ʻia i loko o kahi aa koko ma o kahi cannula .
- ʻAʻole kēia he lāʻau lapaʻau wale nō i hoʻokomo ʻia. Hoʻopili pinepine ʻia ia i kahi mīkini i kapa ʻia he pamu hoʻokomo a hoʻokomo mālie ʻia i loko o ke kino ma kahi wikiwiki kikoʻī loa.
- E hoʻomau ke kauka a kahu maʻi paha i ka nānā ʻana i kou puʻuwai, ke koko, a me nā hōʻailona koʻikoʻi ʻē aʻe i ka manawa āu e loaʻa ai i kēia lāʻau lapaʻau.
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā manaʻo ʻoe i kekahi mea e like me kēia, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau. Inā pono, e hoʻokaʻaʻike lākou i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo. E hoʻokomo pololei ʻia ʻoe i ka Emergency Treatment Unit (ETU) o ka haukapila no ka mālama ʻana.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻAe, inā pono, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki. Akā hana ʻia me ke akahele nui, me ka hoʻoponopono ʻana i ka nui i ke kaumaha a me ke kūlana o ke keiki.
Nā mea e haʻi aku i kāu kauka ma mua o ka lawe ʻana i ka dopamine
ʻOiai inā hoʻoholo ʻoe e hāʻawi i kēia lāʻau lapaʻau i ka wā pilikia, inā ua ʻike ʻoe a i ʻole he kahu kou, he mea nui loa ia no kou palekana e haʻi i ke kauka i kēia ʻike.
- Nā maʻi ʻaleka: E hōʻoia e haʻi i kāu kauka inā he maʻi ʻaleka kou i ka dopamine, sulfites, kulina, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu i hoʻohana ʻia i nā lāʻau lapaʻau.
- Nā pilikia o ka puʻuwai: Inā loaʻa iā ʻoe kahi puʻuwai puʻuwai kūpono ʻole.
- Nā pilikia kaʻapuni: ʻO kahi kūlana e hōʻemi ai i ke kahe koko i nā manamana lima a me nā manamana wāwae, e like me ka maʻi ʻo Raynaud.
- Nā maʻi ʻē aʻe: Inā he puʻupuʻu kou i loko o ka ʻōpū adrenal i kapa ʻia ʻo pheochromocytoma.
- Ka maloʻo ʻana: Inā ua nalowale ka wai mai kou kino ma muli o ka maʻi pākī a i ʻole nā kumu ʻē aʻe.
- Hāpai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana Lāʻau Lapaʻau)
Hiki i ka Dopamine ke launa pū me nā lāʻau lapaʻau he nui. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e kāu kauka, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau kuʻuna, nā huaora, nā huahana lāʻau). Aia ma lalo iho kekahi mau lāʻau lapaʻau e launa pū me ka dopamine.
| Māhele lāʻau lapaʻau | Hopena a me nā laʻana |
|---|---|
| ʻO kekahi mau lāʻau lapaʻau no ke koko a me nā maʻi puʻuwai | Hiki i kēia mau mea ke hoʻopilikia i ka hana o ka dopamine. |
| Nā lāʻau lapaʻau no ke kaumaha a me ka hopohopo | Hiki i nā lāʻau lapaʻau MAOI ma ke ʻano kūikawā (e like me Parnate, Nardil) ke pane maikaʻi ʻole me ka dopamine. |
| Nā lāʻau lapaʻau | Pono e mālama pono i ka wā e hāʻawi ai i ka dopamine me kēia mau lāʻau lapaʻau e hoʻoneʻe i ka wai mai ke kino. |
| Nā ʻAlkaloid Ergot | Hiki ke loaʻa nā pilikia me nā lāʻau migraine e like me ka ergotamine. |
| Nā lāʻau hoʻomaha laulā | ʻO nā lāʻau lapaʻau e like me ka isoflurane, i hoʻohana ʻia e hoʻoulu ai i ka hiamoe i ka wā o ke ʻoki ʻana. |
| Nā lāʻau lapaʻau ʻē aʻe | Nā lāʻau lapaʻau e like me Phenytoin (kahi lāʻau lapaʻau i hāʻawi ʻia no nā kū ʻana) a me Oxytocin (kahi lāʻau lapaʻau i hāʻawi ʻia no nā ʻūmiʻi ʻōpū). |
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka dopamine ke hana i nā hopena ʻaoʻao. No ka mea e noho ana ʻoe i ka haukapila i ka wā e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe, mai makaʻu e haʻi koke aku i ke kauka a i ʻole ke kahu maʻi e mālama ana iā ʻoe inā manaʻo ʻoe i kekahi mea ʻē.
| Nā hopena ʻaoʻao hiki ke loaʻa o Dopamine | |
|---|---|
| 🚨 Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka a kahu maʻi paha. | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo a i ʻole ka maka, paʻakikī ke hanu. |
| Nā pilikia o ka puʻuwai | ʻEha ka umauma, ka poniuniu, ka manaʻo e like me ka wikiwiki o kou puʻuwai a i ʻole ke kuʻi ʻano ʻole (palpitations), me he mea lā e nalowale ana ʻoe i ka manaʻo. |
| Nā pilikia ma ka wahi cannula | ʻEha, ʻulaʻula, mumū, a pehu paha ma kahi i hoʻokomo ʻia ai ka lāʻau lapaʻau. |
| 🙂 Inā hoʻomau kēia mau hōʻailona a hoʻopilikia paha, e haʻi i kāu kauka. | |
| ʻEha poʻo | Hiki ke loaʻa kahi ʻeha poʻo maʻamau. |
| Ka luaʻi a me ka luaʻi | Hiki ke ʻeha ka ʻōpū, ka nausea, a i ʻole ka luaʻi ʻana. |
| Hopohopo | Hiki paha iā ʻoe ke hoʻomaha a me ka hopohopo. |
Leka Lawe-Home
- He lāʻau ikaika loa ka Dopamine i hoʻohana ʻia i nā pilikia e hoʻonui i ke koko a hoʻihoʻi i ka hana o ka puʻuwai. Hāʻawi wale ʻia ia ma ka haukapila.
- He mea nui e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi allergies, nā pilikia olakino ʻē aʻe, a i ʻole nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka poniuniu nui, a i ʻole nā hōʻailona maʻi ʻaleka i ka wā e lawe ana i ka lāʻau lapaʻau, e hoʻomaopopo koke i ke limahana lapaʻau.
- He hōʻuluʻulu manaʻo wale nō kēia ʻatikala. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka.
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