Ua hoʻonohonoho ʻia ʻoe e hana i kahi ʻoki liʻiliʻi a i ʻole kahi hana lapaʻau? I loko o ia mau manawa, hoʻohana nā kauka i nā lāʻau lapaʻau e hōʻemi ai i kou ʻeha a e hiamoe ʻoe no kekahi manawa. ʻO kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia i ia mau hihia ʻo Etomidate. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.
He aha ka Etomidate?
I ka ʻōlelo maʻalahi, ʻo Etomidate kahi lāʻau lapaʻau e hoʻolilo iā ʻoe i nalowale ka ʻike no ka manawa pōkole, a i ʻole e hoʻokomo iā ʻoe i loko o ka hiamoe hohonu. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia mau mea he anesthetics laulā.
ʻO ka hana nui o kēia lāʻau lapaʻau, ʻo ia ke ālai i nā hōʻailona ʻeha e hele ana i kou lolo. E noʻonoʻo, inā ua ʻike kou lolo i ka ʻeha i ka wā o ke ʻoki ʻana, ʻaʻole hiki iā ʻoe ke hoʻomanawanui iki. Hoʻōki kēia lāʻau lapaʻau i kēlā mau hōʻailona ʻeha mai ka hele ʻana i kou lolo. No laila, ʻaʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha i ka wā o ke ʻoki ʻana a i ʻole ka hoʻokolokolo ʻana. E manaʻo ʻoe me he mea lā ua hiamoe loa ʻoe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. No kou palekana, he mea nui e haʻi i kāu kauka i kēia ʻike ma mua o kona hāʻawi ʻana iā ʻoe i ka Etomidate. Mai hūnā i kekahi mea.
- Nā maʻi ʻē aʻe āu i loaʻa ai:
- Inā he koko kiʻekiʻe kou.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Nā maʻi ʻaleka āu e loaʻa nei:
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka Etomidate ma mua.
- E haʻi mai hoʻi iā mākou inā he maʻi ʻaleka kou i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea hoʻomalu.
- Nā hanana kūikawā ʻē aʻe:
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine ʻoe e hānai waiū ana i kahi keiki.
He mea nui loa ia no kou palekana a me ka holomua o kāu lāʻau lapaʻau e hāʻawi pololei ʻoe i kēia ʻike i kāu kauka.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe ma ka home. ʻO Etomidate kahi lāʻau lapaʻau i hāʻawi ʻia ma ke ʻano inikini i loko o kahi aʻa koko ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a i ʻole kahi hui lapaʻau i aʻo ʻia. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hoʻohana ʻana. Na ke hui lapaʻau e mālama iā ia.
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ma luna o 10 mau makahiki ma lalo o kekahi mau kūlana kūikawā, akā hana ʻia me ke akahele nui a me nā hana palekana kūikawā.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, pono ʻoe e hoʻomaopopo koke i ka hui lapaʻau. A i ʻole, pono ʻoe e hoʻomaopopo koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Eia kekahi, ma Sri Lanka, hiki iā mākou ke kelepona i ke National Poison Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i ka Etomidate ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā huahana lāʻau lapaʻau, a i ʻole ka waiʻona, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
E wehewehe hou aku kākou i kēia me ka papa ma lalo nei.
| Mea hiki ke hoʻopilikia | Wehewehena |
|---|---|
| ʻO ka wort o St. John | He huahana lāʻau lapaʻau kēia i hoʻohana ʻia no nā kūlana e like me ke kaumaha. Pono e pale ʻia me Etomidate. |
| ʻAila | ʻO ka hui pū ʻana o ka waiʻona a me Etomidate hiki ke hana i nā kūlana koʻikoʻi e like me ka hiamoe nui a me ka paʻakikī o ka hanu ʻana. |
| Nā lāʻau hoʻomaha a me nā lāʻau hiamoe | ʻO Benzodiazepines (e like me alprazolam, diazepam), nā mea hoʻomaha ʻiʻo, a me nā lāʻau anesthetic ʻē aʻe e like me propofol. |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha | (MAOIs) a me nā lāʻau lapaʻau e like me ka amitriptyline. |
| Nā lāʻau hoʻopau ʻeha a me nā lāʻau lapaʻau ʻūlū | Nā lāʻau ʻeha ikaika e loaʻa ana nā opioids. |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi epilepsy | Eia kekahi laʻana, phenobarbital. |
ʻAʻole i piha kēia papa inoa. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā huaora āpau, nā huahana lāʻau lapaʻau, a me nā lāʻau lapaʻau ʻole āu e lawe nei. He mea nui hoʻi e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Nā mea e noʻonoʻo ai i ka wā a ma hope o ka hāʻawi ʻana i ka lāʻau lapaʻau
ʻOiai e hāʻawi ʻia ana kēia lāʻau lapaʻau iā ʻoe, e nānā mau ana ke kime lapaʻau i kou helu puʻuwai, ke koko, a me ka hanu ʻana, no laila mai hopohopo no ia mea.
Eia nō naʻe, hiki paha iā ʻoe ke manaʻo i kekahi mau mea no kekahi manawa ma hope o ka pau ʻana o nā hopena o ka lāʻau lapaʻau.
- Nā hopena i ka noʻonoʻo a me ka hana ʻana: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou kaulike, ka hiki ke hoʻoholo wikiwiki, a me ka nānā ʻana.
- Hōʻalo i nā hana pilikia: Hōʻalo i nā hana pilikia e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i kou manaʻo ua hoʻōla loa ʻia.
- E ala mālie: Ma hope o ka pau ʻana o nā hopena o ka lāʻau lapaʻau, mai ala koke, mai ala aʻe mai kahi moe. Inā hana ʻoe pēlā, e manaʻo paha ʻoe ua poniuniu a hāʻule. No laila e noho mālie, a laila e ala mālie.
- ʻAʻohe waiʻona: ʻO ka inu ʻana i ka waiʻona ma hope o ka lawe ʻana i ka lāʻau lapaʻau e hiki ke hoʻonui i kēia mau hopena ʻaoʻao.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Etomidate ke hana i nā hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o lākou i kāu kauka, aʻo nā mea ʻē aʻe ʻaʻole koʻikoʻi.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu. Hiki i kēia mau mea ke lilo i mea weliweli loa. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Hiamoe | He mea maʻamau ke hiamoe no kekahi manawa ma hope o ka lāʻau lapaʻau. |
| Nā ʻūmiʻi ʻiʻo | Hiki i kekahi poʻe ke ʻike i ka ʻūmiʻi iki ʻana o nā ʻiʻo. |
| Ka luaʻi a me ka luaʻi | Hiki ke loaʻa ka luaʻi a i ʻole ka luaʻi ma hope o ka hopena o ka lāʻau lapaʻau. |
| ʻEha kahi i hoʻokomo ʻia ai ka lāʻau lapaʻau | Hiki ke loaʻa ka ʻeha iki, ka ʻulaʻula, a i ʻole ka pehu ʻana ma ke aʻa koko kahi i hoʻokomo ʻia ai ka lāʻau lapaʻau. |
Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, mai makaʻu e nīnau i kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He lāʻau hoʻomāmā ʻo Etomidate i hāʻawi ʻia e hoʻomāmā iā ʻoe no kekahi manawa pōkole i ka wā o ke ʻoki kino a i ʻole nā hoʻokolohua lapaʻau.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e haʻi pono i kāu kauka e pili ana i kou mau maʻi āpau, nā maʻi allergies, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- He lāʻau lapaʻau kēia i hāʻawi wale ʻia ma ka haukapila e kahi hui lapaʻau i aʻo ʻia.
- Ma hope o ka lāʻau lapaʻau, e hōʻalo i nā hana weliweli e like me ka hoʻokele kaʻa a hiki i kou manaʻo ua hoʻōla loa ʻia.
- Inā ʻike ʻoe i kekahi mau hōʻailona o ka maʻi allergies e like me ka ʻulaʻula o ka ʻili, ka maneʻo, a i ʻole ka pehu ʻana o ka maka, e ʻimi koke i ke kōkua lapaʻau.
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