Ua manaʻo paha ʻoe i kou puʻuwai e kuʻi wikiwiki loa ana, a i ʻole ua lilo koke kou ʻano i mea ʻē? Hiki ke hopohopo maoli ke manaʻo ʻoe e like me kekahi mea e hana nei i loko o kou umauma. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi inikini kūikawā i hāʻawi wale ʻia ma kahi haukapila e kāohi i kēia ʻano puʻuwai wikiwiki a ʻē paha. Ua kapa ʻia ʻo Ibutilide.
He aha maoli ka Ibutilide?
I ka ʻōlelo maʻalahi, hana mau ko kākou puʻuwai, ma ke ʻano mele, ma muli o kahi ʻōnaehana palupalu o nā hōʻailona uila i loko. E noʻonoʻo iā ia e like me kahi hui mele. Lohe ʻia ke mele nani ke pāʻani pū nā mea a pau, me ka lokahi. A ua like ka puʻuwai.
Eia nō naʻe, i kekahi manawa lilo kēia ʻōnaehana hōʻailona uila i mea hana nui loa, e hoʻoulu ai i ka puʻuwai e kuʻi wikiwiki a i ʻole ke ʻano ʻole. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano ʻo 'arrhythmia' .
No laila, ʻo ka hana a kēia lāʻau i kapa ʻia ʻo Ibutilide, ʻo ia ke kāohi i kekahi o kēlā mau hōʻailona uila ikaika loa a hoʻihoʻi i ke ʻano o ka puʻuwai i kahi kūlana maʻamau a olakino. No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo 'antiarrhythmics.' ʻO ia hoʻi, he ʻano lāʻau lapaʻau ia e hoʻoponopono ai i ke ʻano o ka puʻuwai.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. Ma mua o ka hoʻoholo ʻana e hāʻawi iā ʻoe i kēia lāʻau lapaʻau, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. He mea nui loa ia no kou palekana e hāʻawi ʻoe i ka ʻoiaʻiʻo me ka hūnā ʻole i kekahi mea.
| Inā loaʻa iā ʻoe kēia mau kūlana ... | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi akepaʻa | Kōkua ke akepaʻa i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino. Inā he pilikia me ke akepaʻa, hiki iā ia ke hoʻopilikia i ka pono o ka lāʻau lapaʻau. |
| Nā pae haʻahaʻa o ka potassium a i ʻole ka magnesium i loko o ke koko | He mea nui kēia mau minelala no ka hana uila o ka puʻuwai. Inā haʻahaʻa lākou, hiki i ka Ibutilide ke hoʻoulu i nā pilikia hou o ka puʻuwai. |
| Nā maʻi puʻuwai ʻē aʻe (e like me ka puʻuwai ʻole) | Pono e akahele nui i ka hāʻawi ʻana i kēia lāʻau i kekahi mea i loaʻa mua nā pilikia puʻuwai ʻē aʻe. |
| ʻAleʻaleʻa i ka Ibutilide a i ʻole kekahi lāʻau lapaʻau a meaʻai paha | He mea nui kēia ʻike no ka pale ʻana i nā maʻi allergies koʻikoʻi. |
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai , a i ʻole e hānai waiū ana | Pono ʻoe e kamaʻilio me ke kauka e pili ana inā e hoʻopilikia kēia lāʻau i ke keiki a ʻaʻole paha. |
Pehea e hāʻawi ʻia ai kēia lāʻau i ke kino?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home a kūʻai mai paha mai kahi hale kūʻai lāʻau lapaʻau. Hoʻohana wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā pololei ʻana a nā limahana lapaʻau.
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he infusion intravenous (kahi hopena saline) i loko o kahi aʻa. ʻO ke ʻano kēia, ua hoʻohui mālie ʻia ka lāʻau lapaʻau i kou kahe koko ma o kahi cannula. Nānā ʻia kou helu puʻuwai me kahi mīkini ECG i ka manawa a pau e hāʻawi ʻia ai.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kēia ma kekahi ʻano, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau. I ka hihia o ka overdose o kekahi lāʻau lapaʻau ʻē aʻe, e kelepona koke 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.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui nō hoʻi kēia. He lāʻau lapaʻau ʻo Ibutilide hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, no kou palekana, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me ka hūnā ʻole i kekahi mea.
ʻO kēia kekahi:
- Nā lāʻau lapaʻau i kuhikuhi ʻia e nā kauka ʻē aʻe
- Nā lāʻau lapaʻau āu e kūʻai ai mai ka hale kūʻai lāʻau lapaʻau
- Nā huaora, nā minelala, a i ʻole nā mea hoʻohui ʻē aʻe
- Nā lāʻau lapaʻau kuʻuna a Ayurvedic paha
- Inā ʻoe e puhipaka a inu waiʻona paha, e haʻi mai iā mākou e pili ana i ia mea.
Ua papa inoa ka papa ma lalo nei i kekahi o nā lāʻau lapaʻau nui e launa pū me Ibutilide. ʻAʻole piha kēia papa inoa, akā e hāʻawi ia iā ʻoe i kekahi manaʻo.
| Māhele lāʻau lapaʻau | No ke aha ʻoe e mālama ai? |
|---|---|
| Nā lāʻau lapaʻau ʻē aʻe e kaohi ai i ka puʻuwai | Hiki i nā hopena i hui pū ʻia o ʻelua mau lāʻau lapaʻau ke hoʻoulu i nā loli weliweli i ka helu o ka puʻuwai. |
| Kekahi mau lāʻau antibiotic (e.g. Erythromycin, Clarithromycin) | Hiki i kēia mau mea ke hoʻonui i ka pilikia o nā hopena ʻaoʻao mai Ibutilide. |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo (e like me Phenothiazines, Tricyclic antidepressants) | Aia kahi pilikia no ka mea hoʻopilikia kēia mau lāʻau lapaʻau i nā kaʻina hana uila o ka puʻuwai. |
| Nā lāʻau lapaʻau no ka malaria (e like me Chloroquine) | Hiki i kēia mau mea ke hoʻopilikia i ka ʻōʻō o ka puʻuwai. |
Nā hopena ʻaoʻao paha o ka lawe ʻana i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Ibutilide ke hana i nā hopena ʻaoʻao. Akā, mai hopohopo, aia ʻoe ma lalo o ka nānā ʻana o ke kauka ma ka haukapila, no laila hiki ke mālama koke ʻia nā mea āpau.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i nā limahana lapaʻau | |
|---|---|
| Ka hopena ʻaoʻao | Wehewehena |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli i ka puʻuwai puʻuwai | Puʻuwai wikiwiki a kūpono ʻole paha, poniuniu, maule, ʻeha ka umauma, paʻakikī ke hanu. |
| Nā mea i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| ʻEha poʻo | ʻEha poʻo iki a kaulike. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
| ʻEha kahi i hāʻawi ʻia ai ka inikini | ʻUlaʻula, ʻeha iki, a pehu paha ma kahi i hoʻokomo ʻia ai ke cannula. |
ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, mai kānalua e haʻi i kāu kauka a kahu maʻi paha.
Leka Lawe-Home
- He inikini kūikawā ʻo Ibutilide i hāʻawi wale ʻia ma ka haukapila e kāohi i ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole (arrhythmia).
- Hana kēia ma ka kaohi ʻana i nā hōʻailona uila ikaika i loko o ka puʻuwai a hoʻihoʻi i ka mele.
- Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me kou mau kūlana olakino āpau .
- E nānā pono ʻia ʻoe me kahi mīkini ECG i ka wā e hāʻawi ʻia ai ka lāʻau lapaʻau, no laila ua palekana ʻoe.
- Inā ʻike ʻoe i ka poniuniu, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole nā hōʻailona maʻi ʻaleka i ka wā e lawe ana i ka lāʻau lapaʻau, e hoʻomaopopo koke i ke limahana lapaʻau.
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