Loaʻa iā ʻoe kekahi pilikia hanu lōʻihi, ʻo ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he `(COPD - Chronic Obstructive Pulmonary Disease)`? A laila ua kuhikuhi ke kauka iā ʻoe i kahi lāʻau lapaʻau hiki iā ʻoe ke lawe ma o kahi `Nebulizer`. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia mau lāʻau lapaʻau, ʻo `Glycopyrrolate`. ʻOiai he inoa paʻakikī iki kona, he maʻalahi loa kāna hana. E nānā kākou i ke ʻano o kēia lāʻau lapaʻau, pehea e hoʻohana ʻia ai, a me nā mea āu e pono ai e makaʻala.
He aha ka Glycopyrrolate?
I ka ʻōlelo maʻalahi, ʻo Glycopyrrolate kahi lāʻau lapaʻau e hoʻonui ai i nā ala ea i loko o kou mau māmā, e maʻalahi ai ka hanu ʻana. Ua like kēia me ka hoʻonui ʻana i kahi alanui paʻa e hoʻomāmā ai i ke kaʻa.
ʻO ka mea nui, he 'lāʻau hoʻomalu' kēia. ʻO ke ʻano kēia, hoʻohana ʻia ia e kāohi i kou kūlana no ka wā lōʻihi, ʻaʻole e mālama i kahi ʻōhū koke. Aia nā ʻano lāʻau like ʻole āu e hoʻohana ai i ka wā pilikia. Na kāu kauka e wehewehe i kēia mau mea iā ʻoe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ke kuhikuhi ʻana iā Glycopyrrolate iā ʻoe, he mea nui e ʻike kāu kauka i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Paʻakikī ka mimi ʻana: Inā loaʻa iā ʻoe nā pilikia o ka ʻōpū mimi, paʻakikī ka mimi ʻana, a i ʻole nā pilikia prostate.
- Ke kūlana Glaucoma: Inā loaʻa iā ʻoe ka glaucoma, kahi maʻi e hoʻonui ai i ke kaomi i loko o nā maka.
- Maʻi puʻuwai: Maʻi puʻuwai, ʻoiai inā he puʻuwai kūpono ʻole.
- Maʻi puʻupaʻa: Inā he pilikia me ka hana o nā puʻupaʻa.
- Nā maʻi ʻaleka: Inā ua loaʻa iā ʻoe kahi maʻi ʻaleka i ka Glycopyrrolate a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai keiki: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha.
Ma muli o kēia ʻike, e hoʻoholo ke kauka i ke kūpono a me ka palekana o kēia lāʻau lapaʻau nāu.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Lawe ʻia kēia lāʻau lapaʻau me kahi mea i kapa ʻia he `Nebulizer`. Hoʻohana ʻia kēia e hoʻololi i kahi lāʻau lapaʻau wai i loko o kahi noe liʻiliʻi loa (aerosol) hiki iā ʻoe ke hanu. A laila hanu ʻoe i kēia noe i loko o kou mau māmā, ma o kou waha a i ʻole ma o kou waha a me kou ihu.
- E hahai i nā ʻōlelo aʻoaʻo lapaʻau: E hoʻohana wale i kēia e like me ke kuhikuhi a kāu kauka, a no ka helu o nā manawa i kauoha ʻia.Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia.
- E aʻo pehea e hoʻohana ai: E heluhelu pono i nā kuhikuhi i hele mai me ka lāʻau lapaʻau. E hahai pololei i nā ʻanuʻu. He mea huikau iki paha ia i ka wā mua, akā ma hope o kekahi manawa, e lilo ia i mea maʻalahi loa. Inā he mea āu e maopopo ʻole ai, e noi i kāu kauka e wehewehe iā ʻoe.
- E mālama i ka nebulizer maʻemaʻe: E hoʻomaʻemaʻe i nā ʻāpana o ka nebulizer ma hope o kēlā me kēia hoʻohana e like me ke kuhikuhi ʻana ma ka manual kuhikuhi. A i ʻole, hiki i nā germs ke komo a hoʻoulu i nā maʻi ʻē aʻe.
He mea nui: ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki. No laila, mai hāʻawi aku i nā keiki me ke kūkākūkā ʻole me ke kauka.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka 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 i ka lāʻau lapaʻau pālua e hoʻopiha no kahi lāʻau lapaʻau i poina.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā kānalua ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Emergency Treatment Unit (ETU) kokoke loa a kāhea aku i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo .
E makaʻala i nā hopena ʻaoʻao a me nā pilina
E like me nā lāʻau lapaʻau āpau, hiki i ka Glycopyrrolate ke loaʻa kekahi mau hopena ʻaoʻao a me nā pilina me nā lāʻau lapaʻau ʻē aʻe. He mea nui e makaʻala i kēia.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Pono ʻoe e haʻi i kāu kauka inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe i ka wā e lawe ana i kēia lāʻau. Hiki i ka Glycopyrrolate ke launa pū me nā lāʻau lapaʻau ma lalo nei:
| ʻAno/māhele lāʻau lapaʻau | Nā laʻana a me nā wehewehena |
|---|---|
| Nā lāʻau lapaʻau hanu ʻē aʻe | ʻO nā mea hoʻonui alaea ʻē aʻe e like me Ipratropium, Tiotropium, Aclidinium, Umeclidinium. |
| Nā lāʻau lapaʻau allergy (Antihistamine) | ʻO kekahi mau lāʻau lapaʻau i lawe ʻia no ke kuni, ke anu, a me nā maʻi ʻaleka ʻē aʻe. |
| Lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi | Nā lāʻau lapaʻau e like me Oxybutynin a me tolterodine. |
| Lāʻau lapaʻau no ka ʻeha o ka ʻōpū | ʻO kekahi mau lāʻau lapaʻau no ka ʻeha o ka ʻōpū, e like me ka dicyclomine a me ka hyoscyamine. |
| Lāʻau lapaʻau no ka maʻi o Parkinson | ʻO kekahi mau lāʻau lapaʻau e like me ka benztropine a me ka trihexyphenidyl. |
ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau lāʻau).
Nā hopena ʻaoʻao e makaʻala ai
| Nā mea āu e haʻi koke aku ai i kāu kauka | |
|---|---|
| Nā hopena alerike koʻikoʻi (nā hopena alerike / Angioedema) | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā maka, nā lehelehe, ke alelo, nā lima a i ʻole nā wāwae, paʻakikī i ka hanu ʻana a i ʻole ke ale ʻana. |
| Nā pilikia maka | ʻEha koke nā maka, ʻike pōwehiwehi, ʻike ʻana i nā halo a puni nā kukui, a me ka nalowale ʻana o ka ʻike. |
| Paʻakikī ke mimi | Paʻakikī i ka mimi ʻana a i ʻole ka mimi ʻole ʻana. |
| Ka ʻino o ka hanu ʻana | Inā ʻike ʻoe i ka paʻakikī o ka hanu ʻana a i ʻole ka wheezing ma hope o ka lawe ʻana i ka lāʻau lapaʻau. |
| Nā mea i maʻa mau ʻole i ka weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Waha maloʻo | Hiki paha iā ʻoe ke loaʻa ka waha maloʻo i ka wā e lawe ana i ka lāʻau lapaʻau. Hiki i ka inu ʻana i ka wai hou aku ke kōkua. |
| Ka paʻa ʻana o ka ʻōpū | E hoʻohui i nā meaʻai fibrous (nā huaʻai, nā mea kanu) i kāu papaʻai. |
| Kuke | Hiki i kekahi poʻe ke loaʻa i ka ʻū iki. |
| ʻEha poʻo | Hiki ke loaʻa kahi ʻeha poʻo iki. |
Leka Lawe-Home
- He lāʻau hoʻomalu ʻo Glycopyrrolate e kōkua i ka kaohi ʻana i kou kūlana hanu i ka wā lōʻihi. ʻAʻole pono e hoʻohana ʻia i ka wā pilikia.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau , e haʻi pono i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Pono e hoʻohana ʻia ka lāʻau lapaʻau e like me ke kuhikuhi a ke kauka. Mai hoʻonui a hōʻole paha i ka nui o ka lāʻau.
- Inā loaʻa iā ʻoe nā maʻi ʻaleka koʻikoʻi, ʻeha maka, a paʻakikī paha ka mimi ʻana , e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
- E mālama pono i ka lāʻau lapaʻau ma ka mahana o ka lumi, mai hiki i nā keiki ke loaʻa.
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