I kekahi manawa, ma hope o ke ʻoki kino nui a i ʻole ma muli o nā hopena o nā lāʻau lapaʻau ʻē aʻe, hiki i ko mākou hanu ʻana ke lohi iki. A i ʻole he mau maʻi māmā mau kekahi poʻe (e like me COPD). Ke paʻakikī ka hanu ʻana i kēia mau hihia, aia nā lāʻau lapaʻau kūikawā e hiki ke kōkua i ka hoʻihoʻi ʻana. I kēia lā, e kamaʻilio mākou e pili ana i kahi inikini kūikawā i hāʻawi wale ʻia ma ka haukapila. ʻO ia ʻo Doxapram.
I ka ʻōlelo maʻalahi, he aha ka Doxapram?
He lāʻau lapaʻau ʻo Doxapram e hoʻoulu ai i ka hanu ʻana . ʻO ia hoʻi, pili pololei kēia lāʻau lapaʻau i ke kikowaena e kaohi ana i ka hanu ʻana i loko o ko kākou lolo. E noʻonoʻo i ke kaʻina hana hanu ʻana i loko o ko kākou kino e like me kahi ʻōnaehana hana ponoʻī. Aia ka papa hoʻomalu o kēia ʻōnaehana i loko o ka lolo. Ma muli o kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā anesthetics) a i ʻole ma muli o kekahi mau kūlana olakino, lohi iki ka hana o kēia papa hoʻomalu. ʻO ia ka manawa e lohi ai a pāpaʻu paha ka hanu ʻana.
Ke hāʻawi ʻoe i ka inikini doxapram, hana ia me he mea lā e hele ana i kēia kikowaena o ka lolo a hāʻawi i kahi hōʻailona liʻiliʻi e "ala iki a hana." Hāʻawi kēia i nā māmā i ka hoʻoulu ʻana e pono ai lākou e hanu pono a kūpaʻa.
ʻO kēia ka mea i hoʻohana pinepine ʻia:
- Ke lohi a pāpaʻu paha ka hanu ʻana ma muli o nā lāʻau lapaʻau ʻē aʻe.
- No ke kōkua ʻana i ka hanu ʻana i ka wā e hoʻonui ʻia ai ka maʻi hanu mau loa (COPD).
ʻO ka mea nui, he lāʻau lapaʻau kēia i hāʻawi pinepine ʻia no kahi manawa pōkole wale nō, ma lalo o ka nānā ʻana a ke kauka, ma ka haukapila. ʻAʻole kēia he lāʻau lapaʻau āu e lawe ai i ka home a hoʻohana pinepine.
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 hāʻawi iā ʻoe i kēia lāʻau lapaʻau, he mea nui e ʻike kāu hui lapaʻau i kāu mōʻaukala olakino piha. ʻO kēia no ka mea pono e makaʻala loa ka poʻe me kekahi mau kūlana olakino i ka hāʻawi ʻana i kēia lāʻau. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi i kāu kauka.
| Kou kūlana olakino | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Ulia poʻo a ʻeha paha | No ka mea, hiki ke hoʻopilikia ʻia ke kaomi ma luna o ka lolo. |
| Maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai | Hiki ke hoʻopilikia ʻia ka helu o ka puʻuwai a me ke koko. |
| Ke koko kiʻekiʻe | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ke koko. |
| Nā pae thyroid kiʻekiʻe | No ka mea hiki ke hoʻonui i ka hoʻoulu ʻana o ke kino. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Hiki ke hoʻopilikia ʻia ke kaʻina hana o ka wehe ʻana i ka lāʻau mai ke kino. |
| ʻO kahi kūlana i kapa ʻia ʻo Pheochromocytoma | He maʻi ʻaʻai kēia o ke kelepa adrenal e hiki ke hoʻopilikia nui i ke koko. |
| ʻEpilepsy a i ʻole nā hopu ʻana (Seizures) | Hiki ke piʻi aʻe ka pilikia o ka hopu ʻana i nā maʻi ke hoʻoulu ʻia ka lolo. |
| Hahau | Hiki ke hoʻoweliweli ke koko kiʻekiʻe. |
| ʻO ka hāpai ʻana, ka hoʻāʻo ʻana e hāpai, a i ʻole ka hānai waiū | Pono ke kauka e makaʻala i nā hopena hiki ke loaʻa ma ka fetus a i ʻole ke keiki. |
| Nā maʻi ʻaleka i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai a mea ʻē aʻe paha | E makaʻala hoʻi i ka hiki ke loaʻa kahi hopena maʻi i ka doxapram. |
Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau?
He inikini kēia i hoʻokomo ʻia i loko o kahi aa koko. Hāʻawi ʻia ia e kāu hui lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau. ʻO ke ʻano kēia e hāʻawi aku ke kauka a kahu maʻi paha iā ʻoe. Hana ʻia kēia lāʻau lapaʻau ʻoiai ʻoe e nānā mau ʻia ana.
Inā ʻoe e hāʻawi i kēia lāʻau lapaʻau i nā keiki, ʻoi aku hoʻi i nā keiki ma luna o 12 mau makahiki, a i ʻole i nā manawa kūikawā, pono ʻoe e makaʻala loa. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio me kāu kauka e pili ana i ia mea.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Ma muli o ka hāʻawi ʻia ʻana o kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā he kānalua ua hana ʻia kēia, e hoʻomaopopo koke ʻia ka hui lapaʻau. Inā makemake ʻoe i kekahi ʻike e pili ana i kēia, ma Sri Lanka, pono ʻoe e hoʻokaʻaʻike aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo a i ʻole ka Emergency Treatment Unit (ETU) o ka haukapila kahi e mālama ʻia nei ʻoe.
Hiki iā ia ke launa pū me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, ʻoiaʻiʻo nō. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Doxapram a hoʻoulu i nā hopena ʻaoʻao weliweli. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe nei.
ʻO ka mea nui, ʻaʻole i hāʻawi ʻia ʻo Doxapram me nā lāʻau lapaʻau e hiki mai ana:
- MAOI (e like me Marplan, Nardil, a me Parnate) - He ʻano lāʻau lapaʻau kēia i hāʻawi ʻia no ke kaumaha.
Eia kekahi, hiki ke loaʻa nā hopena ʻaoʻao me nā lāʻau lapaʻau e hiki mai ana:
- ʻAminophylline
- ʻO ka Theophylline
- ʻO kekahi mau lāʻau i hoʻohana ʻia no ka anesthesia (e like me halothane, isoflurane)
- Nā mea hoʻomaha ʻiʻo no ke ʻoki kino
ʻAʻole i piha kēia papa inoa, no laila he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā mea āu e lawe nei.
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 Doxapram ke loaʻa nā hopena ʻaoʻao. ʻOiai ʻoe ma lalo o ka nānā ʻana o ke kauka ma ka haukapila, ke nānā mau nei lākou i kēia mau mea. Akā he mea maikaʻi hoʻi e makaʻala i kēia.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu hui lapaʻau | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, maule, ʻeha ka umauma, paʻakikī ke hanu. |
| Hoʻonui ʻia ke koko | Nā hōʻailona e like me ke poʻo ʻeha nui a me nā loli o ka ʻike. |
| Nā hopu ʻana | Ka haʻalulu kino i kāohi ʻole ʻia. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Kuke | ʻŪhū me ka ʻono o ka ʻāʻī. |
| Pōʻino | He ʻano mae iki. |
| ʻUlaʻula o ka maka, mehana | He kūlana i hoʻokumu ʻia e ka hoʻonui ʻia ʻana o nā kīʻaha koko. |
| ʻEha poʻo | ʻEha poʻo haʻahaʻa a kaulike. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
| Ka hou ʻana | Ka hou ʻana me ka ʻole o ka loli o ka mahana o ke kino. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e kamaʻilio me kāu kauka a i ʻole nā limahana kahu maʻi.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Doxapram e hoʻoulu ai i ka hanu ʻana a hāʻawi ʻia ma ke ʻano intravenous ma ka haukapila wale nō.
- Hoʻohana nui ʻia kēia i ka wā e lohi ai ka hanu ʻana ma muli o nā lāʻau lapaʻau ʻē aʻe a i ʻole nā kūlana e like me COPD.
- He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā kūlana olakino a pau āu e loaʻa nei a me nā lāʻau lapaʻau a pau āu e lawe nei.
- E mālama mau ʻia ʻoe e ke kauka i ka wā e lawe ana i kēia lāʻau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e ʻoluʻolu e hoʻomaopopo koke i kāu kauka.
- 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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