Ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Flecainide no kou puʻuwai wikiwiki a kūpono ʻole. He mea weliweli iki paha kēia. Nui paha kāu mau nīnau e like me, 'He aha kēia lāʻau lapaʻau? He aha kāna hana?' Mai hopohopo. E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maʻalahi a me ka maopopo.
He aha ka Flecainide?
I ka ʻōlelo maʻalahi, ʻo Flecainide kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi i ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia he arrhythmia.
E noʻonoʻo i ko kākou puʻuwai e like me kahi ʻōnaehana uila liʻiliʻi. Ke hana pono kāna mau hōʻailona uila, e kuʻi ka puʻuwai i kahi mele maʻamau. Akā i kekahi manawa e hele iki kēia mau hōʻailona uila i waho o ka manaʻo a hoʻomaka e holo wikiwiki loa. ʻO ia ka manawa e kuʻi ai ka puʻuwai i ka ʻano ʻole, i kekahi manawa wikiwiki loa. He mea maʻamau kēia i kahi kūlana i kapa ʻia ʻo AFib (atrial fibrillation) .
Hana kēia lāʻau lapaʻau, i kapa ʻia ʻo flecainide, ma ke kāohi ʻana i kekahi o kēlā mau hōʻailona uila e holo wikiwiki ana, e hoʻolohi ana iā lākou, a e hoʻihoʻi i ka helu o ka puʻuwai i kahi mele maʻamau. Ua kapa ʻia kēia mau mea he antiarrhythmics.
Nā mea e haʻi aku i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa e hāʻawi i kāu kauka i kahi wehewehe piha o kou mōʻaukala olakino, ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā he mau ʻano ʻē aʻe i ka pae o ka potassium i loko o ke koko.
- Inā he mau maʻi puʻuwai ʻē aʻe kāu, ka helu o ka puʻuwai, a i ʻole nā pilikia rhythm.
- Inā he maʻi kou i ka puʻupaʻa a i ʻole ke akepaʻa.
- Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai i hala koke nei.
- Inā loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau Flecainide a i ʻole nā mea hoʻomaʻemaʻe kūloko ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
ʻO ke kūkākūkā ʻana i kāu mōʻaukala olakino piha me kāu kauka e kōkua nui iā ia e mālama iā ʻoe me ka palekana.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
Pono e lawe ʻia kēia lāʻau lapaʻau me ke aniani wai. E lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, i ka manawa kūpono. Hiki iā ʻoe ke lawe me ka ʻai a me ka ʻole o ka meaʻai, ʻaʻohe mea nui. E lawe wale i ka nui i kuhikuhi ʻia.
ʻO kēia ka mea nui loa: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena ʻaoʻao koʻikoʻi e pili ana i ka puʻuwai. Inā manaʻo kāu kauka e pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e haʻi aku ʻo ia iā ʻoe i ke ala kūpono e hana ai. ʻO ka maʻamau, hoʻemi mālie ʻia ka nui o ka lāʻau a laila hoʻōki.
Ka nui o ka lāʻau
Inā manaʻo ʻoe ua lawe hewa ʻoe i nā pila he nui, 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.
He aha inā e hala wau i kahi lāʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i ka mea aʻe i ka manawa maʻamau. Mai lawe pālua i ka lāʻau.
Nā lāʻau lapaʻau ʻē aʻe ʻaʻole pono e hoʻohana pū ʻia me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Flecainide nona ka hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe. 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. ʻO ka papa ma lalo nei he mau laʻana wale nō.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me ka flecainide | |
| Kekahi mau lāʻau antibiotic | ʻO Clarithromycin, Erythromycin, Levofloxacin, Moxifloxacin |
| ʻO kekahi mau antidepressants | ʻAmitriptyline, ʻImipramine, ʻAmoxapine |
| Nā lāʻau lapaʻau ʻē aʻe e kāohi ai i ka puʻuwai | Disopyramide, Propafenone, Quinidine, Ranolazine, Sertindole |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO Cisapride, Ritonavir, Pimozide, Thioridazine, Haloperidol |
| Nā lāʻau ʻē aʻe e hiki ke launa pū me ka flecainide | |
| Nā lāʻau lapaʻau no ke koko kiʻekiʻe a i ʻole angina | Eia kekahi laʻana: Nā mea pale Beta |
| Nā lāʻau lapaʻau ʻē aʻe | ʻAmiodarone, Digoxin, Cimetidine, Ziprasidone, Dofetilide |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
E hoʻomau i ka launa pū me kāu kauka e ʻike i kou ʻano. E hōʻoia e hele i nā keʻena lapaʻau. E nānā pinepine i kou koko a me ka helu o ka pulse. E nīnau i kāu kauka i ke ʻano o kou koko maʻamau a me ka helu o ka pulse a me ka manawa e pono ai ʻoe e kāhea aku i kāu kauka.
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a me ka poniuniu. No laila , e pale i ka hana ʻana 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 kou ʻike ʻana pehea e pili ai kēia iā ʻoe.
- Ke hoʻololi nei i nā kūlana: Mai kū koke a noho paha i luna. ʻOi loa aku inā ʻelemakule ʻoe, e hoʻololi pinepine i nā kūlana. E hōʻemi kēia i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
- ʻAila: Hiki i ka inu ʻana i ka ʻaila ke hoʻonui i ka poniuniu āu e manaʻo ai. No laila, e pale loa i ka ʻaila i ka wā e lawe ana i kēia lāʻau.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Flecainide ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, aʻo kekahi he mea maʻamau.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| 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. |
| Nā hōʻailona o ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima, piʻi koke ke kaumaha, luhi kūikawā. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, maule, ʻeha ka umauma, paʻakikī ke hanu. |
| Nā hōʻailona o ka hōʻeha o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka melemele o nā maka a i ʻole ka ʻili. |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| ʻIke pōwehiwehi | ʻIke pono ʻole i nā mea. |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻakikī e hele i ka lua. |
| Pōʻino, ʻeha poʻo, luhi | E emi pinepine ana kēia i ka hala ʻana o ka manawa. |
| Nā haʻalulu | Manaʻo e like me ke kuʻi ʻana o kou mau lima a i ʻole kou kino. |
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Flecainide e kaohi ai i nā puʻuwai puʻuwai kūpono ʻole.He mea nui e hahai pono i nā ʻōlelo a ke kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, me nā huaora a me nā lāʻau lapaʻau lāʻau, no ka mea hiki i kēia lāʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe.
- Mai ho'ōki koke i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. Hiki i kēia ke hana i nā pilikia koʻikoʻi.
- Inā loaʻa iā ʻoe nā hopena ʻino e like me ka poniuniu, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka melemele ʻana o ka ʻili, e ʻimi koke i ke kōkua lapaʻau.
- Inā lawe nui ʻoe i ka lāʻau lapaʻau, e hele i ka National Poison Information Center a i ʻole ka ETU (Emergency Treatment Unit) kokoke loa.
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