E noʻonoʻo ʻoe i ka wā e ʻai ana i kahi mea e like me ka chickpeas me kāu hoaaloha, ua paʻakikī koke ʻo ia i ka hanu ʻana, ua ʻulaʻula kona kino holoʻokoʻa, a ua pehu kona mau lehelehe. A i ʻole ua loaʻa iā ia kahi hōʻeha hānō nui a ua hanu ʻo ia. I loko o ia pilikia e hoʻoweliweli ana i ke ola, ʻo kahi lāʻau lapaʻau koʻikoʻi a nā kauka e hoʻohana ai ua kapa ʻia ʻo epinephrine. Ua kapa pū kekahi poʻe iā ia he adrenaline. E kamaʻilio kākou e pili ana i kēia i kēia lā me ka maʻalahi a me ka maopopo.
He aha ka Epinephrine?
I ka ʻōlelo maʻalahi, ʻo ka epinephrine kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā hopena alerine koʻikoʻi, e like me ka anaphylaxis, a i ʻole nā hōʻeha hānō koke a koʻikoʻi. Hoʻohana ʻia kekahi manawa e mālama i nā kūlana e like me ke koko haʻahaʻa a me ka puʻuwai lohi.
Hoʻomalu koke kēia lāʻau i nā hōʻailona o nā maʻi ʻaleka, e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka maka a me nā lehelehe. Hoʻonui pū ia i ka puʻuwai a hoʻopaʻa i nā kīʻaha koko, kahi e lawe mai ai i ke koko i kahi pae paʻa. He lāʻau lapaʻau ola maoli kēia.
He aha nā mea e pono ai ke kauka e ʻike ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
Ma mua o kou loaʻa ʻana o kēia lāʻau pale, pono kāu hui mālama ola e ʻike e pili ana i kou olakino. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Maʻi diabetes (Diabetes Mellitus)
- Ke kūlana Glaucoma
- ʻO kēlā me kēia ʻano maʻi puʻuwai
- Ke koko kiʻekiʻe
- Maʻi puʻupaʻa
- ka maʻi o Parkinson
- ʻO kahi kūlana i kapa ʻia ʻo Pheochromocytoma
- Maʻi thyroid
- Inā he mau maʻi ʻaleka kou i ka epinephrine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai
- Inā he makuahine ʻoe e hānai waiū ana i kahi keiki
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa kēia. ʻAʻole ʻo Epinephrine kahi lāʻau lapaʻau hiki iā ʻoe ke hoʻohana ma ka home. Hāʻawi wale ʻia e kāu hui mālama ma kahi haukapila a i ʻole ke keʻena lapaʻau. E hoʻokomo lākou iā ia i loko o kahi aʻa, ma lalo o ka ʻili, a i ʻole i loko o kahi ʻiʻo.
Ke hāʻawi nei ʻoe i kēia lāʻau lapaʻau i nā keiki?
ʻAe, i kekahi mau pilikia i koho ʻia, hāʻawi ʻia kēia lāʻau pale i nā keiki. Akā ʻo ke kauka wale nō ke hoʻoholo e pili ana i ia mea, me nā hana palekana kūikawā e pili ana me ia. No laila 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 ka haukapila, ua haʻahaʻa loa ka manawa e hiki ai kēia. Akā inā hana ʻia kekahi mea e like me kēia a i ʻole he kānalua kou no ia mea, e kiʻi koke i ke kōkua lapaʻau.ʻO ka mea wale nō e pono e hana ʻia, ʻo ia ke hoʻomaopopo i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo a i ʻole e komo i ka Emergency Treatment Unit (ETU) .
E hoʻomanaʻo, nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi, koe wale nō me kekahi i kuhikuhi ʻia e ke kauka.
He aha nā lāʻau ʻē aʻe e hiki ke launa pū me ka epinephrine?
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka epinephrine, 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, a me nā mea hoʻohui).
Hiki i ka papa ma lalo nei ke wehewehe hou aku i kēia.
| Māhele lāʻau lapaʻau | Wehewehena / Nā Laʻana |
|---|---|
| Nā lāʻau hoʻomaʻamaʻa laulā | Kekahi ʻano kinoea i hoʻohana ʻia e hoʻoulu ai i ka anesthesia no ke ʻoki kino (e.g., desflurane, isoflurane). ʻAʻole hāʻawi ʻia ka Epinephrine me kēia mau mea. |
| Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine) | Nui nā ʻano antihistamines. |
| Nā lāʻau lapaʻau no ke koko a me ka maʻi puʻuwai | Nā ʻano e like me nā beta-blockers a me nā ACE inhibitors. |
| Lāʻau lapaʻau no ke kaumaha, ka hopohopo | ʻO nā hui e like me nā antidepressants tricyclic a me nā MAOI. |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO Digoxin, Diuretics, Levothyroxine, Oxytocin, Theophylline, Steroids (e like me prednisone) |
ʻAʻole paha i piha kēia papa inoa, no laila no kou palekana, e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka epinephrine ke hana i kekahi mau hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, a he maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu hui lapaʻau | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, a me ka puʻu. |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha a ʻūmiʻi paha ka umauma, ʻeha ma nā poʻohiwi, nā lima, ka ʻāwae, ka luaʻi, ka paʻakikī o ka hanu ʻana, ka hou nui. |
| Nā loli o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, maule, ʻeha ka umauma, paʻakikī ke hanu. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a me nā wāwae. |
| ʻEha ma kahi i hoʻokomo ʻia | ʻEha, ʻulaʻula, a pehu paha ma kahi i inikini ʻia. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia noʻonoʻo | Hopohopo, hoʻomaha ʻole. |
| Nā hiʻohiʻona liʻiliʻi ʻē aʻe | Pōniuniu , ʻeha poʻo, palpitations, nāwaliwali o nā ʻiʻo, nausea, keʻokeʻo, ka hou, ka haʻalulu, ka luaʻi. |
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi loa ka Epinephrine, e hoʻohana ʻia ana i nā kūlana hoʻoweliweli i ke ola e like me nā maʻi allergies koʻikoʻi (anaphylaxis) a me nā hoʻouka hānō.
- Hāʻawi wale ʻia kēia lāʻau pale e kahi hui lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole ia he lāʻau lapaʻau e hoʻohana ʻia a mālama ʻia paha ma ka home.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āpau āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka ʻeha o ka umauma a i ʻole ka paʻakikī nui o ka hanu ʻana, e hoʻomaopopo koke i ka hui lapaʻau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka.
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