Ua hana ʻia anei ʻoe i kahi ʻoki kino? A i ʻole ua hana ʻia kekahi hoaaloha? Ke hana ʻia kēlā, ʻo ka makaʻu nui loa no nā poʻe he nui ka nausea a me ka luaʻi ʻana ma hope o ke ʻoki kino. He mea ʻoluʻolu ʻole maoli nō ia. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi inikini kūikawā i hāʻawi ʻia e kāohi, ʻo ia hoʻi, e pale aku, i kēlā ʻano maʻi. ʻO Droperidol ka inoa o kēia lāʻau lapaʻau.
I ka ʻōlelo maʻalahi, he aha ka Droperidol?
He lāʻau lapaʻau ʻo Droperidol i hāʻawi ʻia iā ʻoe e pale aku i ka nausea a me ka luaʻi ʻana e hiki mai ana ma hope o ke ʻoki kino a i ʻole nā kaʻina hana lapaʻau ʻē aʻe. Hāʻawi ʻia ia ma ke ʻano he inikini. ʻO ke kikoʻī, pale ia i ka hana o kekahi mau kemika i loko o ko mākou lolo e hoʻoulu ai i ka nausea a me ka luaʻi. Ua kapa ʻia kēia mau ʻano lāʻau lapaʻau he antiemetics. ʻO kahi inoa inoa maʻamau no kēia ʻo Inapsine.
ʻO ka mea nui loa, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kūʻai ma kahi hale kūʻai lāʻau. Hāʻawi wale ʻia ia ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila a i ʻole ke keʻena lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, he mea nui e ʻike pono kāu kauka i kou kūlana olakino ma mua o ka hāʻawi ʻana iā ʻoe i kēia inikini Droperidol. ʻO kēia no ka mea pono e makaʻala loa ka poʻe me kekahi mau kūlana olakino i ka hāʻawi ʻana i kēia lāʻau. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka.
- Inu ʻana: Inā he mea inu mau ʻoe, e haʻi mai iā mākou e pili ana i ia mea.
- Maʻi puʻuwai: Inā loaʻa iā ʻoe kahi maʻi puʻuwai, no ka laʻana, ka hāʻule ʻana o ka puʻuwai, nā puʻuwai puʻuwai kūpono ʻole, a i ʻole ka lohi o ka puʻuwai.
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi puʻupaʻa.
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i ka Droperidol a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai: Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai.
- Ka hānai waiū ʻana: Inā he makuahine ʻoe e hānai waiū ana i kāu keiki.
He mea nui loa ka hāʻawi ʻana i kēia ʻike i ka hui lapaʻau no kou palekana.
Pehea e hoʻohana ai i kēia lāʻau lapaʻau a me nā mea e hana ai i ka wā pilikia
ʻAʻole hiki iā ʻoe ke lawe i ka home i kēia lāʻau lapaʻau. He inikini ʻo Droperidol i hāʻawi wale ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha. Hoʻokomo pololei ʻia ia i loko o kahi aa koko a i ʻole i loko o kahi ʻiʻo.
Ke hāʻawi nei ʻoe i kēia i nā keiki liʻiliʻi?
ʻAe, i kekahi mau hihia kūikawā, hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ma luna o 2 mau makahiki. Akā hana ʻia ia ma lalo o ka mālama kūikawā loa a ma ka manaʻo o ke kauka wale nō.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau (overdose)?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau ma kekahi ʻano, he mea nui loa ia e hoʻomaopopo koke a hele paha i ka Emergency Treatment Unit (ETU) o ka haukapila . Eia kekahi, aia kahi ma ko mākou ʻāina i loea no ia mau mea. ʻO ia ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo . Hiki iā ʻoe ke kelepona iā lākou a loaʻa ka ʻōlelo aʻoaʻo.
Nā lāʻau ʻē aʻe e launa pū me Droperidol (Nā Hana Lāʻau)
He ʻāpana koʻikoʻi loa kēia. He lāʻau lapaʻau ʻo Droperidol e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui. Pono ʻoe e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Aia ma lalo iho kekahi o nā lāʻau lapaʻau e launa pū me Droperidol. ʻAʻole kēia he papa inoa piha, akā ʻo ia nā mea nui e makaʻala ai.
| Māhele lāʻau lapaʻau | Nā laʻana a me nā wehewehena |
|---|---|
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Droperidol. | |
| Nā lāʻau lapaʻau e hoʻopilikia ai i ka helu o ka puʻuwai | Nā lāʻau lapaʻau e like me Dronedarone, Cisapride, Pimozide, Thioridazine. |
| Kekahi mau lāʻau antibiotic | ʻO nā mea hoʻohana e like me "Erythromycin", "Clarithromycin", "Moxifloxacin" a i ʻole "Clarithromycin". |
| ʻO kekahi mau antifungals | ʻO kahi lāʻau lapaʻau e like me Ketoconazole, Fluconazole. |
| Nā lāʻau lapaʻau ʻē aʻe e pale aku i ka nausea | E like me Dolasetron, Palonosetron. |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha | ʻO nā lāʻau lapaʻau tricyclic e like me Amitriptyline, Nortriptyline. |
| Hiki ke loaʻa nā hopena me kēia lāʻau lapaʻau. | |
| Nā lāʻau hoʻopau ʻeha (Opioids) | nā lāʻau ʻeha ʻeha ikaika e like me Morphine a me Tramadol. |
| Nā lāʻau lapaʻau | Nā lāʻau lapaʻau e hōʻemi ai i ka nui o ka wai a me ka paʻakai i loko o ke kino. |
| Nā Barbiturates | ʻO kekahi mau lāʻau lapaʻau no ka hiamoe a me ka maʻi epilepsy. |
Nā mea e manaʻo ai a me nā hopena ʻaoʻao ma hope o ka lawe ʻana i ka lāʻau lapaʻau
Ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, e nānā pono ʻia kou kūlana e ka hui lapaʻau.
Hiki paha iā ʻoe ke hiamoe a poniuniu paha . He mea maʻamau kēia. No laila, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i ka pau ʻana o nā hopena o kēia lāʻau lapaʻau. ʻOiai inā he ʻelemakule ʻoe, mai ala koke mai kahi noho. E kali i kekahi mau minuke ma mua o ke ala ʻana. E hōʻemi kēia i ka pilikia o ka poniuniu a me ka hāʻule ʻana. Eia kekahi, e pale i ka inu ʻana i ka waiʻona a pau loa .
Nā hopena ʻaoʻao
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao 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 | Manaʻo e like me ka wikiwiki o ka puʻuwai a i ʻole ke kuʻi ʻano ʻē, ka poniuniu, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana. |
| Ke koko haʻahaʻa | Pōʻino, poʻo māmā, ʻike pōwehiwehi. |
| ʻO ka maʻi ʻino Neuroleptic (NMS) | He maʻi laha ʻole kēia akā he koʻikoʻi. ʻO nā hōʻailona e komo pū me ke kuni nui, ka ʻoʻoleʻa o nā ʻiʻo, ka hou nui, ka puʻuwai wikiwiki, a me ka huikau. |
| Nā Hōʻailona Extrapyramidal (EPS) | ʻAʻole hiki ke kāohi i ka neʻe ʻana o ke kino, ka ʻoʻoleʻa o nā ʻiʻo a i ʻole ka haʻalulu, ka hoʻomaha ʻole, a me kahi ʻano hele wāwae ʻē. |
| Ka kaumaha o ka ʻōnaehana nerve waena (kaumaha CNS) | Hanu lohi a papau paha, paʻakikī ka hanu ʻana, hiamoe nui, huikau. |
| Nā mea e hōʻike aku ai i ka hui lapaʻau inā hoʻomau a lilo paha i mea hoʻopilikia | |
| Hopohopo, hopohopo | Ka makaʻu a me ka hopohopo ʻole me ke kumu ʻole. |
| Hiamoe | He mea ia i manaʻo ʻia ma ke ʻano laulā, akā inā nui loa, e ʻōlelo pēlā. |
| Nā manaʻo hoʻokalakupua | Ke ʻike ʻana a i ʻole ka lohe ʻana i nā mea i ʻike ʻole ʻia. |
Leka Lawe-Home
- He inikini ikaika ʻo Droperidol i hāʻawi ʻia e pale aku i ka nausea a me ka luaʻi ʻana e kū mai ana ma hope o ke ʻoki ʻana a me nā kaʻina hana lapaʻau ʻē aʻe.
- Hāʻawi wale ʻia kēia lāʻau lapaʻau ma lalo o ka mākaʻikaʻi lapaʻau ma kahi haukapila a keʻena lapaʻau paha.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu (ʻoiai ka maʻi puʻuwai, ke akepaʻa, a me nā maʻi puʻupaʻa) a me nā lāʻau lapaʻau āpau āu e lawe nei.
- E hōʻalo i nā hana e pono ai ka makaʻala no ka mea hiki ke hiamoe a me ka poniuniu ma hope o ka lawe ʻana i ka lāʻau. E hōʻalo loa i ka waiʻona.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me nā loli o ka helu o ka puʻuwai, ke kuni nui, a i ʻole ka ʻoʻoleʻa o nā ʻiʻo, e hoʻomaopopo koke i ka hui lapaʻau.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kamaʻilio me kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka hana o ka inikini Droperidol / Inapsine ma ka haukapila?
ʻAʻole like kēia me Domperidone, ka mea i lawe ʻia no ka luaʻi maʻamau! ʻO kēia ka lāʻau lapaʻau ikaika loa (Typical Antipsychotic / Antiemetic) ma ka honua e hoʻōki koke i ka luaʻi a me ka nausea a hōʻoluʻolu i ka mea maʻi! Hāʻawi kūikawā ʻia kēia ma hope o kahi 'ʻoki nui (ʻoki kino / Anesthesia)' e ālai/pani a hoʻopaʻa i ka nausea koʻikoʻi ʻaʻole hiki i ka mea maʻi ke hoʻomanawanui a hiki i kahi e puka mai ai nā ʻōpū/naʻau.
💬 Pehea e hiki ai i kēia inikini ikaika (Droperidol) i ko kākou lolo a hoʻōki i ka luaʻi nui?
ʻO nā lāʻau hoʻomaha (Anesthesia/Opioids) i hāʻawi ʻia i ka wā o ke ʻoki kino e hoʻokuʻu i ka nui o nā kemika i kapa ʻia ʻo 'Serotonin/Dopamine' i loko o ka lolo, kahi e hele ai i ke kikowaena luaʻi (CTZ) a hoʻoulu i ka luaʻi me he mea lā ua kaomi ʻia kahi pihi. I ka wā e komo ai kēia inikini i loko o ke koko, ua ālai loa ʻia nā 'Dopamine Receptors' i loko o ka lolo (Dopamine blockade). ʻOiai ʻaʻohe ala e hoʻouna ʻia ai ka leka, ʻaʻole e luaʻi ka mea maʻi a hiamoe pū ka mea maʻi (Sedation).
💬 He aha nā ʻŌlelo Aʻo Pahu ʻEleʻele e pono ai i ka poʻe e hoʻokomo i kēia antiemetic (Droperidol) ke makaʻala?
ʻO ka pōʻino nui loa, ʻo ia ka nalowale ʻana o ke ola ma mua o ka hoʻōki ʻana i ka luaʻi ʻana! Hiki i kēia ke 'hoʻololi nui i ke ʻano uila o ka puʻuwai, e hoʻoulu ai i ka puʻuwai e kuʻi maʻamau ʻole, e hana ana i ka hōʻeha puʻuwai weliweli a me ka hopu ʻana o ka puʻuwai (QT Prolongation / Torsades de pointes / Cardiac Arrest)'. No laila, ʻo ka poʻe i loaʻa i kēia inikini, pono e hoʻā mau ʻia kahi mīkini ECG/EKG no 2-3 mau hola! ʻO ka mea ʻē aʻe, hiki i kēia ke hoʻolilo i ka mea maʻi i epileptic (EPS).
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