Loaʻa iā ʻoe nā pilikia hanu lōʻihi, a i ʻole ka mea a kāu kauka e kapa nei he COPD (Chronic Obstructive Pulmonary Disease)? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau e lawe ai ma o kahi 'Nebulizer' e hoʻomaha i kou mau māmā. Ma kēia ʻatikala, ke kamaʻilio nei mākou e pili ana i kekahi o ia mau lāʻau, ʻo Formoterol. ʻO ka hoʻohana pono ʻana i kēia lāʻau lapaʻau he mea nui loa ia no kou olakino.
I ka ʻōlelo maʻalahi, he aha ka Formoterol?
He lāʻau lapaʻau ʻo Formoterol i hoʻohana nui ʻia e mālama i nā maʻi māmā lōʻihi e like me COPD (Maʻi Pulmonary Obstructive Chronic) . Hana ia ma ka wehe ʻana i nā ala ea i loko o kou mau māmā a e maʻalahi ai ka hanu ʻana.
E noʻonoʻo e like me ka hoʻoponopono mau ʻana i kahi kaʻa. Me ka hoʻohana mau ʻana i kēlā me kēia lā, kōkua kēia lāʻau lapaʻau i ka mālama ʻana i kou ʻōnaehana hanu i ke kūlana maikaʻi. ʻO ia ke kumu a mākou e kapa ai he lāʻau lapaʻau 'controller' .
Akā, hoʻokahi mea e hoʻomanaʻo ai, ʻaʻole kēia he lāʻau lapaʻau e hoʻohana ʻia i ka wā pilikia, ke manaʻo koke ʻoe ua pōkole kou hanu. Ua kuhikuhi paha kāu kauka i kahi 'mea hoʻopakele' ʻokoʻa e hoʻohana ai i ia mau hihia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ke kuhikuhi ʻana iā Formoterol, he mea nui i kāu kauka ke ʻike i kou mōʻaukala olakino piha. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana olakino ma lalo nei, e hōʻoia e haʻi i kāu kauka .
- Maʻi diabetes (ke kō koko kiʻekiʻe)
- ʻO kēlā me kēia ʻano maʻi puʻuwai
- Ke koko kiʻekiʻe
- Puʻuwai puʻuwai kūpono ʻole
- ʻO ka `Pheochromocytoma` (he puʻupuʻu kūikawā kēia e kū mai ana i loko o ka kelepa adrenal)
- Nā hopu ʻana
- Maʻi thyroid
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka formoterol 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 hānai ʻoe
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Hoʻohana ʻia kēia lāʻau lapaʻau ma ka hanu ʻana ma o kahi mīkini i kapa ʻia ʻo "Nebulizer." Hoʻololi kēia mīkini i ka lāʻau lapaʻau wai i loko o kahi noe liʻiliʻi loa (aerosol) a hiki iā ʻoe ke hanu iā ia i loko o kou mau māmā ma o kou waha a i ʻole ma o kou waha a me kou ihu.
- Mai hoʻohui i kēia lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe i loko o kahi nebulizer.
- E hoʻohana i ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe e like me ke kuhikuhi ʻana ma ka ʻaoʻao hoʻokomo. Mai hoʻohana pinepine iā ia ma mua o ke kauoha a kāu kauka.
- ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki ʻōpio, no laila e kamaʻilio me kāu kauka e pili ana i ia mea no kāu keiki.
He aha inā lawe nui wau ma ke kuhihewa?
Inā manaʻo ʻoe ua lawe hewa ʻoe i ka overdose o kēia lāʻau lapaʻau, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. He mea nui loa kēia.
E hoʻomanaʻo, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō . Mai kaʻana like me kekahi.
He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau no kekahi kumu.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Formoterol e hiki ke launa pū me kekahi mau 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.
| ʻAno lāʻau/mea e hiki ai ke hoʻopilikia | ʻIke hou aku |
|---|---|
| MAOIs (kahi ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha) | ʻAʻole pono e lawe pū ʻia kēia me nā lāʻau lapaʻau e like me Carbex, Eldepryl, Marplan, Nardil, a me Parnate. |
| Nā lāʻau lapaʻau no nā pilikia hanu ʻē aʻe | Nā inhalers a i ʻole nā lāʻau lapaʻau ʻē aʻe. |
| Lāʻau lapaʻau koko | Hiki ke loli ka pono o kekahi mau lāʻau lapaʻau koko (e like me nā beta-blockers). |
| Nā lāʻau lapaʻau no ka maʻi noʻonoʻo | Nā lāʻau lapaʻau no nā kūlana e like me ke kaumaha a me ka hopohopo. |
| Nā lāʻau lapaʻau | Hiki ke hoʻopilikia ʻia ka pae potassium i loko o ke kino. |
| Kekahi mau lāʻau antibiotic | E like me Clarithromycin, Erythromycin, Levofloxacin. |
| E like me ka Prednisone a i ʻole Cortisone. | |
| Kafeina a me nā mea hoʻonāukiuki ʻē aʻe | Kofe, tī, a me kekahi mau lāʻau hoʻēmi kaumaha. |
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe nei. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e hoʻomanaʻo ai i ka wā e hoʻohana ai i ka lāʻau lapaʻau
- E ʻike pinepine i kāu kauka: E nānā i kou kūlana olakino a e ʻike pinepine i kāu kauka. Inā ʻaʻole e hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona, e hoʻomaopopo iā lākou.
- E hoʻohana i kahi inhaler hoʻopakele inā loaʻa kahi pilikia: E like me kā mākou i ʻōlelo ai ma mua, mai hoʻohana i kēia lāʻau lapaʻau inā pilikia koke ʻoe i ka hanu ʻana. E hoʻohana i ka inhaler hoʻopakele i hāʻawi ʻia iā ʻoe no kēlā. Inā pono ʻoe e hoʻohana pinepine i ka inhaler hoʻopakele, ʻo ia hoʻi, ʻaʻole i kaohi ʻia kou kūlana. E kelepona koke i kāu kauka.
- Inā loaʻa iā ʻoe ka pōkole o ka hanu ma hope o ka lawe ʻana i kēia lāʻau lapaʻau: Hiki i kekahi poʻe ke loaʻa ka paʻakikī o ka hanu ʻana ma hope o ka lawe ʻana i kēia lāʻau lapaʻau. Inā hana kēia, e hoʻōki koke i ka hoʻohana ʻana i ka lāʻau lapaʻau, e hoʻohana i kāu 'rescue inhaler', a kāhea i kāu kauka.
- E nīnau ma mua o ka lawe ʻana i ka lāʻau lapaʻau no nā maʻi ʻē aʻe: Ma mua o ka lawe ʻana i ka lāʻau lapaʻau mai ka hale kūʻai lāʻau no nā mea e like me ke kuni a me ke anu, e nīnau i kāu kauka. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Formoterol.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Hiki ke hoʻokaʻawale ʻia i ʻelua mau ʻāpana nui.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma, paʻakikī ke hanu. |
| Hoʻonui ʻia ke koko | Hiki ke hōʻoia ʻia kēia ma ka hoʻokolokolo ʻana a ke kauka. |
| ʻEha ʻiʻo a ʻōʻō paha | ʻEha a ʻūmiʻi paha nā ʻiʻo. |
| Hoʻonui ʻia ka paʻakikī o ka hanu ʻana ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau | ʻO ka hanu ʻana a i ʻole ka pilikia o ka hanu ʻana i ʻoi aku ka ʻino ma hope o ka hoʻohana ʻana. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Kuke | ʻEha poʻo |
| Ihu wai a i ʻole ka ihu paʻa | ʻeha ka ʻāʻī |
| Nā haʻalulu | Ka paʻakikī e hiamoe ana |
Pehea e mālama ai i ka lāʻau lapaʻau?
- Hoʻomaʻalili (ʻano hana maikaʻi loa): E mālama i nā ʻōmole i wehe ʻole ʻia i loko o ka pahu hau i loko o kā lākou ʻeke pepa kini. Mai uhaʻi i ka ʻōmole a hiki i ka wā e hoʻohana ai. Ke haki, e hoʻohana koke.
- Ka mālama ʻana ma ka mahana o ka lumi: Hiki ke mālama ʻia kēia lāʻau lapaʻau ma ka mahana o ka lumi a hiki i 3 mahina. E mālama iā ia i loko o ka ʻeke pepa kini. E mālama iā ia mai ka wela nui a me ke anu. E hoʻolei ma hope o 3 mahina a i ʻole ke hiki mai ka lā palena pau (ʻo ka mea mua).
- Ke hoʻolei ʻana i nā lāʻau lapaʻau i pau ka lā a i ʻole makemake ʻole ʻia: E noi i kāu kauka no ka ʻōlelo aʻo no ka hoʻolei palekana ʻana i nā lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- He lāʻau 'mea hoʻomalu' ʻo Formoterol i hoʻohana ʻia i kēlā me kēia lā e kāohi i ka maʻi, ʻaʻole ia he lāʻau 'hoʻopakele' i hoʻohana ʻia i nā pilikia.
- Inā loaʻa koke iā ʻoe ka hanu pōkole, e hoʻohana mau i kāu inhaler hoʻopakele.
- E haʻi i kāu kauka e pili ana i nā kūlana olakino āpau āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe ai.
- Inā ʻike ʻoe i ka paʻakikī o ka hanu ʻana ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau a kāhea aku i kāu kauka.
- E mālama pono i ka lāʻau lapaʻau, e hoʻolei aku ma hope o kona pau ʻana, a mai kaʻana like i kēia lāʻau lapaʻau me nā poʻe ʻē aʻe.
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