ʻO ka inikini Epoprostenol: He lāʻau lapaʻau kūikawā no ke koko kiʻekiʻe o ka puʻuwai

Ua haʻi aku anei kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e hoʻomaka e lawe i kahi lāʻau i kapa ʻia ʻo Epoprostenol? He mea weliweli iki paha ka inoa. Akā, he lāʻau koʻikoʻi loa kēia i hoʻohana ʻia e mālama i kahi maʻi i kapa ʻia ʻo 'Primary Pulmonary Hypertension', ʻo ia hoʻi ke koko kiʻekiʻe i loko o nā kīʻaha koko o nā māmā. ʻAʻole like kēia me ka pila maʻamau, akā he inikini e hoʻomau ʻia ana i ke kino. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau, pehea e hoʻohana ai, a me nā mea e makaʻala ai ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.

He aha ke ʻano lāʻau lapaʻau ʻo Epoprostenol?

I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Epoprostenol e kōkua ana i ka hoʻonui ʻana i nā kīʻaha koko i loko o ko kākou mau māmā a hoʻohaʻahaʻa i ke koko. Hoʻemi kēia i ka hana a ka puʻuwai e pamu i ke koko, kahi e kōkua ai i ka kaohi ʻana i nā hōʻailona e like me ka pōkole o ka hanu a me ka luhi.

ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau ma o kahi ʻōmole liʻiliʻi i hoʻopili ʻia i kahi aʻa koko, me ka hoʻohana ʻana i kahi mīkini liʻiliʻi e holo ana i 24 mau hola o ka lā, i kapa ʻia ʻo 'portable infusion pump.' Hoʻomaka pinepine ʻia kēia lāʻau lapaʻau ma ka haukapila a laila aʻo ʻia e hoʻomau ma ka home. No laila, he lāʻau lapaʻau ʻokoʻa iki kēia.

Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau

Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui e hāʻawi ʻoe i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi pono i kēia mau mea.

• Inā loaʻa iā ʻoe ka maʻi puʻuwai .
• Inā he haʻahaʻa kou koko .
• Inā he maʻi ʻaleka kou i ka Epoprostenol a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
• Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
• Inā he makuahine hānai waiū ʻoe.

Ma muli o kēia ʻike, e hoʻomohala ke kauka i ka hoʻolālā lapaʻau e kūpono loa iā ʻoe.

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Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?

ʻOiai he lāʻau lapaʻau home kēia, pono ʻoe e hoʻomaopopo pono iā ia. E aʻo aku ke kime lapaʻau iā ʻoe pehea e hoʻomākaukau ai i kēia lāʻau lapaʻau, pehea e hoʻopili ai i ka pamu, a pehea e hoʻohana ai. He mea nui loa ka hahai pololei ʻana i kēlā mau kuhikuhi.

ʻO kekahi o nā mea nui loa:

• Ke hoʻolei ʻana i nā nila a me nā syringe: Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Pono e waiho ʻia i loko o kahi pahu ʻoi kūikawā i hoʻolako ʻia no ka hoʻolei ʻana. Inā ʻaʻohe āu, e noi i kāu hui mālama ola no hoʻokahi.
• Inā hāʻawi ʻia i nā keiki: Pono ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. E kamaʻilio me kāu kauka e pili ana i kēia.
• Ka nui o ka lāʻau:Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
• Inā ʻoe e poina i kahi lāʻau: ʻO kēia ka mea nui e pono ai ʻoe e hoʻomanaʻo i ka wā o kēia lāʻau lapaʻau.

Mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu, i kēlā me kēia manawa, me ka ʻole o ke kūkākūkā ʻana me kāu hui lapaʻau. ʻO ka hoʻōki ʻana no kekahi mau kekona a mau minuke paha e hiki ke hoʻonui i kou kūlana.

Nā pilina me nā lāʻau lapaʻau ʻē aʻe

Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me Epoprostenol. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau). E hōʻoia e haʻi i kāu kauka inā ʻoe e lawe nei i kekahi o kēia mau lāʻau lapaʻau.

• Nā lāʻau lapaʻau
• Lāʻau lapaʻau koko
• Lāʻau lapaʻau no ka ʻeha o ka umauma
• Nā lāʻau hoʻokahe koko (e.g. Warfarin)

Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana

No ka mea he lōʻihi kēia lāʻau lapaʻau, pono ʻoe e makaʻala i nā manawa a pau.

• E makaʻala i nā maʻi: ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma o kahi paipu i kau ʻia i loko o kahi aʻa, i kapa ʻia he catheter intravenous , aia kahi manawa liʻiliʻi o ka maʻi e ulu ana ma laila. I kekahi manawa hiki ke like nā hōʻailona o kēia mau maʻi (ke kuni, ke anu, a me ka haʻalulu) me nā hopena ʻaoʻao o ka lāʻau lapaʻau. No laila , e nānā i kahi i hoʻokomo ʻia ai ka paipu no ka ʻulaʻula, ka pehu, a i ʻole ka ʻeha . Inā ʻike ʻoe i kekahi mau loli, e haʻi koke i kāu kauka.
• Inā e ʻoi aku ka ʻino o kou mau hōʻailona: I kekahi manawa, e ʻoi aku ka ʻino o kou mau hōʻailona (e like me ka paʻakikī o ka hanu ʻana) ma hope o ka lawe ʻana i kēia lāʻau lapaʻau. Inā hana ʻia kēia, e hoʻomaopopo i kāu kauka. E hoʻoponopono ʻo ia i kāu mahele lāʻau a hāʻawi iā ʻoe i ka lāʻau lapaʻau āu e pono ai.

Nā hopena ʻaoʻao o ka lāʻau lapaʻau

E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o lākou, aʻo kekahi e emi mau ana i ka hala ʻana o ka manawa.

Pehea e mālama ai i ka lāʻau lapaʻau?

He mea nui hoʻi e mālama pono i kēia lāʻau.

• Nā ʻōmole i wehe ʻole ʻia: E mālama ma ka mahana o ka lumi (15-25 Celsius) kahi mamao aku mai ka mālamalama.
• Wai hoʻohuihui: Ma hope o ke kāwili ʻana i ka lāʻau lapaʻau me ka mea hoʻoheheʻe, hiki ke mālama ʻia i loko o ka pahu hau (ma waena o 2-8 Celsius) a hiki i 48 mau hola.
• I ka hoʻohana ʻana: Ke wehe ʻia mai loko mai o ka pahu hau, hiki ke hoʻohana ʻia kēia wai no 8 mau hola wale nō ma ka mahana o ka lumi.
• ʻEke anu: E hāʻawi ʻia ʻoe i kahi ʻeke anu kūikawā a me nā ʻeke gel e hoʻomaʻalili iā ʻoe i kou wā e loaʻa ana i kēia lāʻau. E hoʻomanaʻo, pono ʻoe e hoʻololi i kēia mau ʻeke gel i kēlā me kēia 12 hola.

Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.