ʻO nā kīʻaha koko i loko o kou esophagus, ka ʻōmole e lawe ana i ka meaʻai mai kou puʻu a i kou ʻōpū, hiki i kekahi manawa ke hoʻonui ʻia, pehu, a nakinaki ʻia. Ua ʻike ʻia kēia ʻano ma ke ʻano lapaʻau ʻo 'Esophageal Varices'. Hoʻomohala pinepine kēia i nā poʻe me ka maʻi akepaʻa. He palupalu loa kēia mau aa koko pehu, no laila hiki iā lākou ke pohā maʻalahi a kahe nui ke koko. He pilikia weliweli kēia i ke ola. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi inikini kūikawā e hiki ke hoʻōki i kēia ʻano kahe koko a pale iā ia mai ka hana hou ʻana.
He aha ka Ethanolamine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Ethanolamine. Hoʻokomo pololei ʻia ia i loko o nā aʻa varicose ma ke ʻano he injection. Kāhea nā kauka i kēia lāʻau lapaʻau ʻo 'Sclerotherapy'. E noʻonoʻo e like me ke kau ʻana i kahi plaster ma luna o kahi wahi e kahe ana ke koko a hoʻopaʻa iā ia.
Ke hoʻokomo ʻia kēia inikini i loko o kahi aʻa, hōʻino ia i ka paia o loko o ke aʻa, e hoʻoulu ai i ka mumū. A laila hana ʻia kahi ʻūpā koko ma ia wahi, a paʻakikī mālie ka ʻiʻo ʻeha, kokoke e pani loa i ke aʻa. Hoʻōki kēia i ke kahe ʻana o ke koko ma o ke aʻa a kāohi i ke kahe ʻana o ke koko. He lāʻau lapaʻau kēia e hiki ke hana wale ʻia ma kahi haukapila e ke kauka akamai loa.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hana ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, he mea nui e haʻi i kāu kauka i kekahi ʻike. Mai hūnā i nā kikoʻī liʻiliʻi loa, no ka mea, he mea nui loa ia no kou palekana.
| Ke kūlana āu e pono ai e hōʻike | No ke aha he mea nui kēlā? |
|---|---|
| Nā maʻi ʻaleka i loaʻa iā ʻoe | E hōʻoia e haʻi i kāu kauka inā he maʻi ʻoe i kekahi o nā mea hoʻohui ethanolamine, oleic acid, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole kala. E kōkua kēia i ka pale ʻana i kahi hopena maʻi koʻikoʻi (anaphylaxis). |
| Maʻi puʻuwai | Inā loaʻa iā ʻoe ka maʻi puʻuwai, pono ʻoe e makaʻala loa i ka wā e lawe ai i kēia lāʻau lapaʻau, no ka mea, he hopena paha ia i kou puʻuwai ma hope o ka mālama ʻana. |
| Maʻi ʻAke | ʻO ka maʻi akepaʻa ke kumu nui o nā varices esophageal. He mea nui i kāu kauka ke makaʻala i ke kūlana o kou akepaʻa i mea e hoʻolālā ai i kāu lāʻau. |
| Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē | ʻAʻole i hoʻokumu piha ʻia ka palekana o kēia lāʻau lapaʻau i ka wā hāpai, no laila he mea nui e kamaʻilio me kāu kauka e pili ana i kēia. |
| Inā hānai waiū ka makuahine i kāna keiki | ʻAʻole maopopo inā komo kēia lāʻau i loko o ka waiū umauma. No laila, no kou palekana a me kāu pēpē, e hoʻomaopopo i kāu kauka. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kiʻi ma kahi hale kūʻai lāʻau lapaʻau a lawe i ka home. He lāʻau lapaʻau kēia hiki ke hāʻawi wale ʻia e kahi loea lapaʻau, ma ka haukapila a i ʻole ke keʻena lapaʻau.
Hana pinepine ʻia kēia lāʻau lapaʻau i ka wā o ka endoscopy . ʻO ke ʻano kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma kou waha, a hoʻoili ʻia i lalo o kou esophagus, a ua hoʻokomo pololei ʻia nā aa varicose i loko o lākou i ka wā e nānā ʻia ana ma kahi monitor.
Mea nui: Inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ʻōpio, pono e hana ʻia ma lalo o ke aʻo ʻana a ke kauka pediatric a me ka mālama kūikawā.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau? (Overdosage)
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila, ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe a kānalua paha ua hana ʻia kekahi mea, e hoʻomaopopo koke i nā limahana lapaʻau. I ka wā o kahi pilikia, pono ʻoe e hele pololei i ka Emergency Treatment Unit (ETU) . Eia kekahi, inā makemake ʻoe i ka ʻōlelo aʻoaʻo e pili ana i kekahi lāʻau lapaʻau a i ʻole ka lawe ʻana i nā kemika, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo .
Nā hopena ʻaoʻao hiki ke loaʻa ma hope o ka mālama ʻana
E like me nā lāʻau lapaʻau āpau, hiki ke loaʻa kekahi mau hopena ʻaoʻao. ʻOiai ʻaʻole loaʻa i nā kānaka a pau. Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e haʻi koke i kāu kauka a kahu maʻi paha.
| Ka hopena ʻaoʻao/hōʻailona | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo a hives paha, pehu o ka maka, lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, manaʻo ua pio ka hanu. |
| ʻEha umauma | ʻEha ma hope o ka iwi waena o ka umauma (sternum). He hōʻailona paha kēia o ka maʻi puʻuwai. |
| ʻEha ʻeha o ka esophagus a i ʻole ka paʻakikī i ka moni ʻana | ʻEha ma ka ʻāʻī a i ʻole ka umauma i ka wā e moni ai. |
| kuni | Hiki i ka piʻi ʻana o ka mahana o ke kino ke hōʻailona o ka maʻi. |
| Nā loli i ka mimi ʻana | Ka emi ʻana o ka mimi a i ʻole ka paʻakikī o ka mimi ʻana. He hōʻailona paha kēia ua pilikia nā puʻupaʻa. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻike ʻole ʻia, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He inikini kūikawā ka Ethanolamine i hāʻawi ʻia i loko o ka haukapila e hoʻōki i ke kahe koko i hoʻokumu ʻia e nā varices esophageal.
- Ma mua o ka hana ʻana i kēia lāʻau lapaʻau, e hāʻawi i kāu kauka i kahi wehewehe piha no kou mau kūlana olakino āpau (ʻoi aku hoʻi nā maʻi puʻuwai a me ke akepaʻa) a me nā maʻi allergies.
- ʻAʻole kēia he lāʻau lapaʻau e lawe ʻia i ka home a hāʻawi pinepine ʻia e ke kauka loea me ka hui pū ʻana me kahi endoscopy.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ke kuni, a i ʻole nā hōʻailona maʻi ʻaleka koʻikoʻi ma hope o ka lāʻau lapaʻau.
- E hahai pono i nā kuhikuhi a kāu kauka. Inā haʻi ʻo ia iā ʻoe e hoʻi mai no ka mālama ʻana, mai hōʻole i kēlā mau manawa i hoʻonohonoho ʻia.
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