Ua kauoha anei kāu kauka iā ʻoe e hana i kahi CT scan, MRI, a i ʻole X-ray? Ke hana ʻoe, i kekahi manawa e hāʻawi ʻia paha ʻoe i kahi lāʻau lapaʻau kūikawā i loko o kahi aa. ʻO Iohexol kahi lāʻau lapaʻau i hoʻohana ʻia i ia mau hihia. E makaʻu iki paha ʻoe ke lohe ʻoe i kēia inoa. Akā, ʻaʻohe kumu e makaʻu ai. Ma kēia ʻatikala, e kamaʻilio maʻalahi mākou e pili ana i ke kumu o ka hoʻohana ʻia ʻana o kēia lāʻau lapaʻau a me nā mea āu e pono ai e ʻike ma mua o ka lawe ʻana.
He aha ʻo Iohexol? E hoʻomaopopo maʻalahi kākou.
He wai kūikawā ʻo Iohexol i hoʻohana ʻia i ka lāʻau lapaʻau. Kāhea mākou i kēia mau mea 'contrast agents'. I ka ʻōlelo maʻalahi, ua like ia me ka "dye" e ʻike maopopo ai i loko o ko mākou kino. Akā, ʻaʻole ia he dye hiki iā ʻoe ke hoʻohana ma nā lole!
E noʻonoʻo e makemake ana ke kauka e nānā pono i kou mau kīʻaha koko, lolo, puʻupaʻa, a i ʻole nā kikoʻī ʻē aʻe. ʻO ka maʻamau, ke lawe ʻia kahi scan, ʻaʻole ʻike maopopo ʻia kekahi mau kikoʻī liʻiliʻi. ʻO ia ka manawa e hoʻokomo ʻia ai kēia wai Iohexol i loko o ke kino ma o kahi aʻa. Ke komo kēia wai i loko o ke kino, hiki ke ʻike maopopo ʻia ke kino a i ʻole nā kīʻaha koko pili i ke kiʻi scan (no ka laʻana, ma CT, MRI, a i ʻole X-ray). Ua like ia me ke kala ʻana i ka ʻāpana koʻikoʻi o kahi kiʻi ʻeleʻele a keʻokeʻo. Kōkua nui kēia i ke kauka i ka ʻike ʻana i kahi maʻi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He ʻāpana koʻikoʻi loa kēia. Ma mua o ka loaʻa ʻana o ka lāʻau pale Iohexol, he mea nui e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. No ka mea, pono ka poʻe me kekahi mau kūlana olakino i ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau. E nānā i ka papa ma lalo nei, a e loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i kēia.
| Inā loaʻa iā ʻoe kēia mau kūlana ... | No ke aha he mea nui e ʻōlelo pēlā? |
|---|---|
| Nā maʻi ʻaleka | E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi allergies, ʻoi aku hoʻi i ka iodine , nā meaʻai kai (e like me ka ʻōpae, ka heʻe, ka pāpaʻi), nā mea hoʻohālikelike ʻē aʻe, a i ʻole nā lāʻau lapaʻau ʻē aʻe. |
| Maʻi puʻupaʻa | Hoʻopau ʻia kēia lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa. No laila, inā he nāwaliwali i loko o nā puʻupaʻa, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā puʻupaʻa. |
| Maʻi diabetes | Pono ka poʻe me ka maʻi diabetes, ʻoiai ka poʻe me nā pilikia puʻupaʻa, e makaʻala i ka hāʻawi ʻana i kēia lāʻau. Eia kekahi, e haʻi iā lākou inā ʻoe e lawe ana i kahi lāʻau e like me Metformin. |
| Maʻi puʻuwai | Loaʻa i ka poʻe me ka maʻi puʻuwai ka pilikia o ka loaʻa ʻana o nā pilikia mai kēia lāʻau lapaʻau. No laila, e hoʻomaopopo i kāu kauka e pili ana i kou kūlana puʻuwai. |
| Maʻi thyroid | No ka mea aia ka iodine i loko o ka Iohexol, hiki ke loaʻa iā ia kekahi hopena i ka hana thyroid. |
| Nā maʻi hanu e like me ka hānō | Loaʻa i nā poʻe maʻi asthma kahi pilikia kiʻekiʻe o ka loaʻa ʻana o nā allergies. |
| Nā kūlana olakino ʻē aʻe | E haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe, e like me ke kanesa, dehydration, pheochromocytoma, a i ʻole ka maʻi sickle cell. |
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana, e ʻoluʻolu e hoʻomaopopo i ka hui lapaʻau. |
Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia ʻo Iohexol ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana lapaʻau i aʻo ʻia. Hoʻokomo pinepine ʻia ia i loko o kahi aʻa koko ma kou lima.
No nā keiki liʻiliʻi, hāʻawi ʻia kēia lāʻau lapaʻau i ka wā e pono ai. Akā na ke kauka e hoʻoholo no ia mea. No laila, inā ua kuhikuhi ʻia kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio me ke kauka e pili ana i ia mea.
He aha kāu e hana ai inā loaʻa iā ʻoe ka nui o ka lāʻau lapaʻau?
Hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana a ke kauka, no laila ua haʻahaʻa loa ka hiki ke hana ʻia kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hoʻomaopopo koke i nā limahana lapaʻau. A i ʻole, pono ʻoe e hele koke i kahi Emergency Treatment Unit (ETU) . I kekahi pilikia, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
E hoʻomanaʻo, nou wale nō kēia lāʻau lapaʻau. Hāʻawi ʻia iā ʻoe e like me kou kūlana olakino a kūpono i kou kino. No laila, mai hoʻohālikelike a kaʻana like paha i ka ʻike e pili ana i kēia me nā poʻe ʻē aʻe.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau āu e lawe nei ke launa pū me Iohexol. 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 lāʻau lapaʻau lāʻau, a me nā mea hoʻohui .
Eia kekahi o nā ʻano lāʻau lapaʻau nui e hiki ke launa pū:
- ʻO Metformin: He lāʻau lapaʻau maʻamau no ka maʻi diabetes.
- Nā lāʻau hoʻopau ʻeha: ʻAspirin a me nā NSAID (e.g. Ibuprofen, Diclofenac).
- Nā mea pale Beta: Nā lāʻau lapaʻau no ke koko kiʻekiʻe a me nā maʻi puʻuwai (e like me Bisoprolol).
- Diuretics: Nā lāʻau lapaʻau e hoʻoneʻe i ka wai mai ke kino.
- Nā lāʻau lapaʻau ʻē aʻe: Nā lāʻau lapaʻau e like me Cisplatin, Cyclosporine, Pamidronate, Zoledronic acid, a me nā lāʻau lapaʻau i hāʻawi ʻia no kekahi mau maʻi.
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka maopopo me kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Iohexol ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole ʻike ka hapa nui o ka poʻe i kēia mau mea. ʻOiai inā loaʻa iā lākou, he hapa liʻiliʻi ka hapa nui o lākou. ʻO ka mea nui loa, ʻo ia ka makaʻala a hana koke inā loaʻa kahi hopena ʻaoʻao koʻikoʻi.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i nā limahana lapaʻau | |
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha e like me ke kūpaʻa ma ka umauma, poʻohiwi, lima, a i ʻole ka ʻauwae, ka nausea, ka paʻakikī o ka hanu ʻana, ke anu, a me ka nāwaliwali. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| ʻEha/pehu ma kahi i inikini ʻia | Pehu ʻeha, mehana, ʻulaʻula, a i ʻole nā pehu/ʻeha ma kahi i inikini ʻia. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka luaʻi | Hiki paha iā ʻoe ke manaʻo i ka luaʻi i ka wā e lawe ana i ka lāʻau lapaʻau a i ʻole no kekahi manawa ma hope o ka lawe ʻana. |
| ʻEha poʻo | Hiki ke loaʻa kahi ʻeha poʻo iki. |
| Hoʻololi i ka ʻono | E ʻike paha ʻoe i kahi ʻono metala i loko o kou waha. E nalo ana kēia ma hope o kekahi manawa. |
| ʻIke pōwehiwehi | Hiki ke pohihihi ka ʻike no kekahi manawa. |
E nānā pono ana nā limahana lapaʻau iā ʻoe i ka wā e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe. No laila, ʻaʻohe mea e hopohopo ai. E hoʻomaopopo iā lākou i ka wā e loaʻa ai iā ʻoe kekahi ʻano ʻeha.
Leka Lawe-Home
- He wai kūikawā ʻo Iohexol e kōkua ana e ʻike maopopo i loko o ke kino i ka wā o nā scan e like me CT a me MRI.
- Ma mua o ke scan, e hōʻoia e haʻi i ke kauka e pili ana i kou mau kūlana olakino āpau (ʻoiai nā maʻi allergies, maʻi puʻupaʻa, maʻi diabetes) a me nā lāʻau lapaʻau āpau āu e lawe ai.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona maʻi ʻaleka koʻikoʻi (paʻakikī ka hanu ʻana, pehu ʻana), ʻeha ka umauma, a me nā mea ʻē aʻe, e hoʻomaopopo koke i ke limahana lapaʻau.
- Hāʻawi ʻia kēia lāʻau lapaʻau ma ka haukapila, ma lalo o ka nānā ʻana a ke kauka. No laila ua palekana ʻoe.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka.
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