Ua ʻike ʻoe e pono ana kāu keiki liʻiliʻi i ka mālama kūikawā no ka mea ua hānau mua ʻia ʻo ia. I kekahi manawa, hiki i kahi kīʻaha koko liʻiliʻi i loko o ka puʻuwai o ia mau pēpē ke waiho hāmama ma hope o ka hānau ʻana, kahi mea i pono e pani ʻia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi inikini lāʻau kūikawā i hāʻawi ʻia e mālama i kēia. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo i ka manawa e like me kēia. Akā i ka wā e hoʻomaopopo pono ʻia ai ʻoe e pili ana i kēia, e manaʻo ʻoe i kahi manaʻo nui o ka hōʻoluʻolu.
He aha ka Indomethacin?
I ka ʻōlelo maʻalahi, ʻo ka indomethacin kahi lāʻau lapaʻau no kahi hui o nā lāʻau i kapa ʻia ʻo nā lāʻau anti-inflammatory non-steroidal . Ma nā ʻōlelo lapaʻau, kapa mākou i kēia hui ʻo NSAID (Nonsteroidal Anti-inflammatory Drug) .
ʻO ke kumu nui o kēia lāʻau pale, ʻo ia ke mālama ʻana i kahi kūlana kūikawā e kū mai ana i loko o ka puʻuwai o nā pēpē hānau mua ʻia. Kāhea mākou i kēia kūlana ʻo Patent Ductus Arteriosus (PDA) . E noʻonoʻo, i ka wā e noho ana kahi pēpē i loko o ka ʻōpū, pani koke ʻia kahi kīʻaha koko kūikawā i loko o ka puʻuwai i loko o nā hola mua ma hope o ka hānau ʻana. Akā i kekahi mau pēpē hānau mua ʻia, e noho hāmama ana kēia kīʻaha koko. No laila, ʻo ka hana a kēia lāʻau pale indomethacin, ʻo ia ke kōkua i kēlā kīʻaha koko e pani.
Nā mea nui e haʻi aku i ke kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau i kāu pēpē
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau no kāu pēpē, e nānā nui ke kime lapaʻau e pili ana i ke olakino o kāu pēpē. Eia nō naʻe, inā loaʻa i kāu pēpē kekahi o kēia mau kūlana, e hōʻoia e hoʻomaopopo i ke kauka.
- Nā pilikia koko: Inā he pilikia ko ka pēpē i ke koko a i ʻole ua pilikia paha i ke kahe ʻana o ke koko me ka maʻalahi.
- Maʻi puʻuwai: Inā he maʻi puʻuwai ʻē aʻe ma waho aʻe o ke kūlana PDA.
- Ka maʻi: Inā he maʻi i loko o ke kino.
- Maʻi puʻupaʻa: Inā he pilikia me ka hana o nā puʻupaʻa.
- Maʻi akepaʻa: Inā he hemahema i ka hana o ke akepaʻa.
- Nā pilikia o ka ʻōnaehana hoʻoheheʻe: Inā he pilikia e pili ana i nā ʻōpū.
- Nā maʻi ʻaleka ma mua: Inā ua loaʻa iā ʻoe kahi maʻi ʻaleka ma mua i ka indomethacin, aspirin a i ʻole kekahi NSAID ʻē aʻe, a i ʻole kekahi lāʻau lapaʻau a meaʻai paha.
Eia kekahi, he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā pilikia olakino āu i loaʻa ai i ka wā hāpai.
Pehea ʻoe e hāʻawi ai i kēia lāʻau lapaʻau i kahi pēpē?
Hāʻawi ʻia kēia lāʻau lapaʻau ma o ka hoʻokomo mālie ʻana i loko o kahi aa koko ma o kahi cannula. Hana ʻia kēia lāʻau lapaʻau ma kahi haukapila wale nō, ma lalo o ka nānā pono ʻana o nā kauka a me nā kahu maʻi.ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau i ka pēpē i ʻekolu mau mahele, i hoʻokaʻawale ʻia he 12 a 24 mau hola.
He lāʻau lapaʻau kēia i hāʻawi ʻia i nā pēpē hānau hou, ʻoi aku hoʻi nā pēpē hānau mua ʻia, no nā kumu lapaʻau kikoʻī wale nō. ʻAʻole ia he lāʻau lapaʻau home.
He aha ka hopena inā hāʻawi ʻoe i ka nui o ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka nānā pono ʻana o ke kauka ma ka haukapila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka overdose. Akahele loa ka hui lapaʻau e pili ana i ia mea. Inā he kānalua no ia mea, hana koke nā kauka i nā hana e pono ai. Inā pono, hiki iā lākou ke kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo loea. Ua mākaukau hoʻi lākou e kuhikuhi i ka pēpē i ka Emergency Treatment Unit (ETU) o ka haukapila inā loaʻa kekahi pilikia.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i ka Indomethacin ke launa pū me kekahi mau lāʻau ʻē aʻe a kāu pēpē e lawe nei, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e hāʻawi nei i kāu pēpē.
| ʻAno lāʻau lapaʻau | He wehewehe maʻalahi |
|---|---|
| ʻAspirin a me nā lāʻau like | Nā lāʻau lapaʻau e like me ka aspirin. |
| Kekahi mau lāʻau antibiotic | ʻOi loa aku nā antibiotic aminoglycoside. |
| ʻO Digoxin | He lāʻau lapaʻau no ka maʻi puʻuwai. |
| Nā lāʻau lapaʻau | Kōkua nā lāʻau lapaʻau i kapa ʻia ʻo "nā pila wai" i ke kino e hoʻopau i ka wai. |
| Nā lāʻau anticoagulant | Nā lāʻau lapaʻau e like me Warfarin. |
| Nā ʻano NSAID ʻē aʻe | Nā lāʻau hoʻomaha ʻeha e like me ka ibuprofen a i ʻole naproxen. |
| Nā steroid | Nā lāʻau lapaʻau e like me Prednisone a i ʻole Cortisone. |
ʻAʻole piha kēia papa inoa, no laila e haʻi pono i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a i ʻole nā lāʻau lapaʻau kuʻuna āu e hāʻawi nei i kāu pēpē.
Nā hopena ʻaoʻao e pono ai mākou e makaʻala
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao. ʻOiai aia kāu pēpē i loko o ka Neonatal Intensive Care Unit (NICU) ma ka haukapila, e nānā mau ana ke kime lapaʻau i kēia mau hōʻailona. Akā ma ke ʻano he makua, he mea nui iā ʻoe e makaʻala i kēia mau mea.
| ʻAno o ka hopena ʻaoʻao | Nā hiʻohiʻona e makaʻala ai |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka a i ʻole ke kahu maʻi | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo; pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo. |
| Ke kahe ʻana o ke koko | ʻEleʻele, ʻeleʻele ka lepo; ka luaʻi ʻana i ka lepo kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻano ʻē mai ka ihu a me nā ʻāʻī. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi a i ʻole ka paʻakikī o ka mimi ʻana. |
| ʻEha o ke akepaʻa | Melemele o nā maka a i ʻole ka ʻili; mimi melemele/ʻeleʻele; ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. |
| Maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana; puʻuwai wikiwiki a ʻano ʻē; piʻi koke ke kaumaha; pehu ʻana o nā kuʻekuʻe wāwae a me nā wāwae. |
| Nā hopena ʻili koʻikoʻi | ʻIke ʻia nā kiko ʻulaʻula a poni paha ma ka ʻili, a laila e pehu a hemo paha. |
| Hahau | Ka nāwaliwali koke, ka maneʻo o ka maka, ka lima, a i ʻole ka wāwae. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe, ka luaʻi ʻana, ka ʻeha o ka ʻōpū. |
| Ka paʻakikī o ka inu ʻana i ka waiū | Hōʻole ka pēpē e inu i ka waiū a i ʻole pilikia i ka inu ʻana i ka waiū. |
| ʻEha ma kahi i hoʻokomo ʻia | ʻUlaʻula a pehu paha kahi i hoʻokomo ʻia ai ka cannula. |
ʻOiai inā ʻaʻole i ʻōlelo ʻia ma kēia papa inoa, inā ʻike ʻoe i kekahi mea ʻē a ʻokoʻa paha i ke ʻano a i ʻole ke ʻano o kāu pēpē, mai kānalua e hoʻomaopopo koke i ke kauka a kahu maʻi paha.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Indomethacin i hoʻohana ʻia e mālama i kahi kūlana kūikawā i kapa ʻia ʻo PDA, kahi e kū nei i loko o ka puʻuwai o nā pēpē i hānau mua ʻia.
- Hoʻokō ʻia kēia lāʻau lapaʻau ma kahi haukapila wale nō, ma lalo o ka mākaʻikaʻi piha ʻana a nā kauka a me nā kahu maʻi.
- He mea nui e hoʻomaopopo i ke kauka e pili ana i nā maʻi olakino ʻē aʻe o ke pēpē a me nā lāʻau lapaʻau ʻē aʻe e lawe ʻia ana.
- Ke nānā pono nei ke kime lapaʻau i ka pēpē i ka wā o ka mālama ʻana.
- Ma ke ʻano he makua, inā he kānalua a hopohopo paha kāu e pili ana i kāu pēpē, mai makaʻu e kamaʻilio koke me ka hui lapaʻau. He mea nui loa kāu mau nānā ʻana iā lākou.
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