Loaʻa iā ʻoe ke koko kiʻekiʻe i loko o nā māmā, a i ʻole ka mea a nā kauka e kapa nei he 'Pulmonary Arterial Hypertension (PAH)'? Inā pēlā, ke ʻike nei paha ʻoe i ka pōkole o ka hanu, ka luhi ʻoiai ke hele wāwae nei, a me ka ʻeha o ka umauma. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kikoʻī i kapa ʻia ʻo 'Iloprost' i hoʻohana ʻia e mālama i kēia ʻano. E kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ʻo Iloprost?
He lāʻau lapaʻau ʻo ʻIloprost i hoʻohana ʻia no ka mālama ʻana i ke koko kiʻekiʻe o ke aʻa pulmonary (PAH). I kēia manawa, e nānā kākou i kāna hana i ke kino.
E noʻonoʻo ʻoe ua paʻa iki a ua haiki nā kīʻaha koko e lawe ana i ke koko i kou mau māmā. A laila, he mea paʻakikī loa i ka puʻuwai ke pamu i ke koko ma o kēia mau kīʻaha koko i haiki a hoʻouna aku i nā māmā. Ma muli o kēia, ua nui ka ʻeha o ka puʻuwai, a piʻi pū ke koko i loko o nā māmā. ʻO ia ka mea a mākou e kapa nei he 'Pulmonary Arterial Hypertension'.
No laila, ʻo ka hana a kēia lāʻau lapaʻau ʻIloprost` , ʻo ia ka hoʻomaha ʻana i kēlā mau kīʻaha koko i ʻūlū ʻia a haiki. He aha ka mea e hana ʻia a laila? Hiki i ka puʻuwai ke pamu koko me ka maʻalahi me ka ʻole o ka hana nui ʻana. Hoʻemi ʻia ke kaomi i loko o nā māmā. ʻO ka hopena, hiki iā ʻoe ke hanu maʻalahi a loaʻa ka ikaika e hana ikaika iki ma mua o ka wā ma mua.
ʻO ka mea nui loa, ʻo ia ka hoʻohana ʻana i kēia lāʻau lapaʻau ma ke ʻōlelo a ke kauka wale nō. ʻO ka hoʻohana ʻana i kahi lāʻau lapaʻau i kuhikuhi ʻia no kekahi kanaka ʻē aʻe hiki ke loaʻa nā hopena koʻikoʻi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
He mea nui i kāu kauka ke ʻike i kou kūlana olakino piha ma mua o ka hoʻoholo ʻana e kuhikuhi i kēia lāʻau. No laila, inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e hōʻoia e haʻi i kāu kauka e pili ana iā lākou.
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi puʻupaʻa.
- Maʻi akepaʻa: Inā he nāwaliwali a maʻi paha i ka hana o ke akepaʻa.
- Ke koko haʻahaʻa: Inā haʻahaʻa pinepine kou koko.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i ka ʻIloprost a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala a i ʻole nā mea mālama.
- Hāpai: Inā hāpai ʻoe, a i ʻole e hoʻolālā ana e loaʻa koke kahi pēpē.
- Inā he makuahine hānai waiū ʻoe: Inā ʻoe e hānai waiū ana i kāu pēpē.
He mea nui loa kēia ʻike no kou palekana, no ka mea, ma muli o kēia ʻike e hoʻoholo ai ke kauka i ka lāʻau lapaʻau kūpono loa nāu.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He lāʻau lapaʻau kēia e pono e hoʻohana ʻia ma ke ʻano kūikawā iki. ʻAʻole ia he mea āu e ale ai e like me ka pila.
He lāʻau lapaʻau ʻo 'Iloprost' i loaʻa ma ke ʻano wai. Pono e hanu ʻia i loko o nā māmā . Hana ʻia kēia me ka hoʻohana ʻana i kahi mea hana kūikawā i kapa ʻia he nebulizer . Hoʻohana pinepine ʻia kēia lāʻau lapaʻau me kahi mea hana kūikawā i kapa ʻia ʻo 'I-neb AAD nebulizer' .
Hoʻololi ka nebulizer i ka lāʻau lapaʻau wai i loko o ka noe liʻiliʻi (aerosol/mist). A laila hiki iā ʻoe ke hanu hohonu i ka noe ma kou waha a i loko o kou mau māmā.
He mau mea e hoʻomanaʻo ai:
- ʻO ka hāmeʻa kūpono: E hoʻohana wale i ka nebulizer i ʻōlelo ʻia e kāu kauka.
- Mai hoʻohuihui i nā lāʻau lapaʻau: Mai hoʻohuihui i nā lāʻau lapaʻau ʻē aʻe me 'Iloprost' i loko o ke keʻena lāʻau lapaʻau o ka nebulizer.
- E hahai i nā kuhikuhi: E lawe i ka lāʻau lapaʻau i nā manawa a pau a i ka manawa a kāu kauka e ʻōlelo ai. Mai hoʻohana ma mua o ka nui i kauoha ʻia.
- Nā kuhikuhi no ka hoʻohana ʻana: E heluhelu pono i nā KUHI NO KA HOʻOHANA ʻANA e hele mai me kēia lāʻau lapaʻau. Inā he mau nīnau kāu, e nīnau i kāu kauka.
He aha inā hāʻawi ʻia i nā keiki?
Pono paha nā keiki i ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau. No laila, e kamaʻilio pono me kāu kauka e pili ana i ke ʻano o ka hāʻawi ʻana i kēia lāʻau i kāu keiki.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, 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.
He aha inā e hala wau i kahi manawa hoʻonohonoho 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 maʻamau. Mai lawe i ka lāʻau lapaʻau pālua e hoʻopiha no kahi lāʻau lapaʻau i poina.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me ka ʻIloprost. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā huahana lāʻau lapaʻau, a me nā lāʻau lapaʻau kūʻai ʻole ʻia). He ʻoiaʻiʻo kēia inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau:
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko a hoʻomāmā paha i ke koko: Nā lāʻau lapaʻau e like me 'Warfarin', 'Aspirin', 'Clopidogrel', 'Apixaban', 'Rivaroxaban'.
- Lāʻau lapaʻau koko kiʻekiʻe: Nā ʻano lāʻau lapaʻau ʻē aʻe e hoʻohaʻahaʻa i ke koko.
- Nā lāʻau lapaʻau no ka maʻi puʻuwai.
- Nā lāʻau lapaʻau ʻē aʻe e like me 'Cilostazol', 'Dipyridamole', 'Pentoxifylline'.
E haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe, no ka mea, hiki i kēia mau mea ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia lāʻau.
Nā mea e makaʻala ai i ka wā e hoʻohana ai i ka lāʻau lapaʻau
- Nā hoʻāʻo lapaʻau: E hele pinepine i ke keʻena lapaʻau i nā lā a kāu kauka e ʻōlelo ai iā ʻoe e nānā i kou kūlana. Inā ʻaʻole hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona, e haʻi i kāu kauka .
- Pōniuniu a me ka hiamoe: Hiki paha iā ʻoe ke hiamoe iki a pōniuniu i ka wā e lawe ai i kēia lāʻau. No laila, e pale 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 i ka hopena o kēia lāʻau iā ʻoe.
- Ke hoʻololi nei i nā kūlana: Mai ala koke mai kahi noho a i ʻole e ala koke mai kahi moe. ʻO ka hana ʻana pēlā e hiki ai ke poniuniu a hāʻule paha ʻoe. E makaʻala loa i kēia, ʻoiai inā ʻelemakule ʻoe.
- ʻAila: E pale i ka inu ʻana i ka ʻaila. Hiki i ka ʻaila ke hoʻololi i nā hopena o kēia lāʻau.
- Ke kahe ʻana o ke koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i ka pilikia o ke kahe ʻana o ke koko. Inā loaʻa iā ʻoe kekahi ʻeha a i ʻole ke kahe ʻana o ke koko, e haʻi i kāu kauka.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka ʻIloprost ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, a he mea maʻamau kekahi. He mea nui e ʻike pono i kēia mau mea.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| 🚨 Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke kahe koko ʻano ʻē | He ʻōpala ʻeleʻele, kala, luaʻi e like me ke ʻano o ka lepo kofe, mimi ʻulaʻula a ʻeleʻele paha, nā kiko liʻiliʻi ʻulaʻula/poni ma ka ʻili, a me nā palapū i wehewehe ʻole ʻia. |
| Ke ʻū ʻana i ke koko | Ke ʻū ʻana i ke koko me ka huʻa. |
| Nā palpitations o ka puʻuwai | Manaʻo e like me ka wikiwiki o kou puʻuwai, ka leo nui, a i ʻole ke kuʻi kūpono ʻole. |
| Ke koko haʻahaʻa | Pōniuniu, māʻule, maka polū. |
| Paʻakikī 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 hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou a hoʻopilikia paha | |
| Nā pilikia like ʻole | ʻEha kua, kuʻi, ʻulaʻula, ʻeha poʻo, ʻehaʻeha a ʻeha paha o nā ʻiʻo, luaʻi, ʻeha alelo, hiamoe ʻole, a me ka paʻa ʻana o nā ʻiʻo o ka ʻāwae a me ka paʻakikī i ka wehe ʻana i ka waha. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau e pili ana i kēlā.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama ʻia mai ka hiki ʻana aku o nā keiki: E mālama ʻia mai ka hiki ʻana aku o nā keiki a me nā holoholona.
- Mahana: E mālama ma ka mahana o ka lumi maʻamau (ma waena o 20-25 Celsius).
- Ma hope o ka pau ʻana: E hoʻolei aku i nā lāʻau lapaʻau i hala i ko lākou lā palena pau. Mai hoʻohana.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Iloprost no ke koko kiʻekiʻe o ke aʻa pulmonary (PAH) i hanu ʻia ma o kahi nebulizer.
- 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.
- E lawe mau i ka lāʻau lapaʻau i ka nui i kauoha ʻia e kāu kauka, i ka manawa i kauoha ʻia, a me ka nebulizer wale nō i ʻōlelo ʻia.
- E makaʻala i ka hana ʻana i nā hana e pono ai ka nānā ʻana, e like me ka hoʻokele kaʻa ʻana, no ka mea, hiki ke poniuniu a me ka māʻule ʻana.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke kahe ʻana o ke koko, nā maʻi alerika, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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