Ua haʻi ʻia anei ʻoe e kāu kauka e pono ʻoe e hana i kahi X-ray ʻōpū a i ʻole CT scan? I kēlā hihia, ua hāʻawi ʻia paha ʻoe i kahi wai kūikawā e inu ma mua o ka hoʻāʻo ʻana. ʻO kekahi o ia wai ʻo Iohexol, a mākou e kamaʻilio nei i kēia lā. ʻOiai ʻaʻole ʻike ka poʻe he nui i ka inoa o kēia, he mea nui loa ia e ʻike i ke ʻano o ia mea, ka mea e hoʻohana ʻia ai, a me nā mea e pono ai mākou e makaʻala i ka wā e hoʻohana ai.
He aha ka Iohexol?
I ka ʻōlelo maʻalahi, he "wai hoʻoluʻu" kūikawā ʻo Iohexol. Akā, ʻaʻole ia he kala. Kāhea nā kauka iā ia he 'contrast agent' . Ke inu ʻoe i kēia wai, ke lawe ʻoe i kahi X-ray a i ʻole kahi CT scan (Computed Tomography scan), ʻike maopopo ʻia nā ʻōpū i loko o kou ʻōpū, e like me ka ʻōnaehana hoʻoheheʻe, e like me ka ʻōpū a me nā naʻau. Ua like ia me kahi lāʻau keʻokeʻo i kaha ʻia ma ka papa ʻeleʻele. Ma muli o kēia, hiki i ke kauka ke ʻike maʻalahi inā he pilikia, puʻupuʻu, a i ʻole ka lesion i loko o kēlā mau ʻōpū. He inoa kaulana nō hoʻi ʻo Omnipaque no kēia lāʻau lapaʻau.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o kou hana ʻana i kēia hoʻāʻo, he mea nui e kūkākūkā i kekahi mau mea me kāu hui lapaʻau. ʻOi aku hoʻi, e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā loaʻa iā ʻoe kahi maʻi hanu e like me ka hānō.
- Inā he mau maʻi ʻaleka kou i ka Iohexol, ka iodine , nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole kekahi mau mea hoʻomalu.
- Inā hāpai ʻoe, a i ʻole ke manaʻolana nei e hāpai koke.
- Inā he makuahine hānai ʻoe.
He mea nui loa e kūkākūkā i kēia mau mea me kāu kauka, no ka mea, a laila hiki iā ia ke hoʻolālā i ka hoʻokolohua ma ke ala kūpono a palekana loa nāu.
Pehea e hoʻohana ai au i kēia? A he aha kaʻu e hana ai i kahi pilikia?
ʻAʻole hiki ke lawe ʻia kēia lāʻau lapaʻau i ka home. Hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau , ma lalo o ka nānā ʻana a kekahi loea mālama ola. E hāʻawi ʻia ʻoe e inu ma mua koke o ka hoʻāʻo ʻana.
Pono e mālama pono i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki ʻōpio. No laila, inā e hāʻawi ana i kēia i kahi keiki, he mea nui e kamaʻilio me ke kauka pediatric e pili ana i ia mea a lawe i nā hana palekana e pono ai.
He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdosage)
Hāʻawi ʻia kēia ma kahi haukapila, no laila haʻahaʻa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau,E kelepona koke aku i ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā lāʻau ʻē aʻe e launa pū me Iohexol (Nā Hana Lāʻau)
Hiki i kekahi mau lāʻau lapaʻau āu e lawe nei ke launa pū me Iohexol. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā mea kanu, a me nā huaora. Mai poina e haʻi i kāu kauka inā puhipaka ʻoe a inu waiʻona paha.
He mea nui loa ia e hoʻomaopopo i nā lāʻau lapaʻau e hiki mai ana:
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi puʻuwai a me ke koko kiʻekiʻe - no ka laʻana, nā beta-blockers e like me metoprolol a me propranolol.
- ʻO kekahi mau lāʻau i hāʻawi ʻia no nā kūlana e like me ke kaumaha a me ka hopohopo.
- Nā lāʻau lapaʻau i loko o ka papa o nā lāʻau i kapa ʻia ʻo MAOI (e.g. Carbex, Eldepryl, Marplan).
- ʻO Metformin no ka maʻi diabetes.
- Nā Phenothiazines (e.g. chlorpromazine, prochlorperazine, thioridazine).
- ʻO ka lāʻau lapaʻau iodine radioactive no ka thyroid gland.
ʻAʻole i hoʻokomo ʻia nā lāʻau lapaʻau āpau i loko o kēia papa inoa, no laila no kou palekana, ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
He aha nā mea e makaʻala ai ma hope o ka lawe ʻana i kēia lāʻau?
E nānā pono kāu hui lapaʻau iā ʻoe ma hope o ka lawe ʻana i kēia lāʻau lapaʻau. Eia nō naʻe, i kekahi manawa, hiki ke loaʻa nā hopena ʻili koʻikoʻi i nā pule ma hope o ka lawe ʻana i ka lāʻau lapaʻau . He mea nui loa kēia e hoʻomanaʻo.
Inā loaʻa iā ʻoe ke kuni a me nā hōʻailona e like me ke anu, akā loaʻa pū kekahi ʻulaʻula, e ʻike koke i ke kauka. Hiki i kēia mau ʻulaʻula ke lilo i ʻulaʻula a poni paha, a laila pehu a hoʻomaka e ʻili. A i ʻole, inā loaʻa iā ʻoe nā ʻulaʻula, e like me ka pehu ʻana o ka maka, nā lehelehe, a i ʻole nā kikowaena lymph pehu ma ka ʻāʻī a i ʻole nā armpits, mai hoʻowahāwahā iā lākou.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki iā Iohexol ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. E nānā kākou iā lākou.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| ⚠️ Nā mea e hōʻike koke aku ai i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe a i ʻole ke alelo. |
| Nā hopena ʻili koʻikoʻi | ʻUlaʻula ʻili me ke kuni a me nā kīʻaha lymph pehu; ʻulaʻula, pehu, ʻili ʻili (a hiki i loko o ka waha). |
| 🩺 Nā mea e haʻi aku i ke kauka inā hoʻomau a hoʻopilikia paha | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe, ka nausea, ka luaʻi ʻana, ka ʻeha o ka ʻōpū. |
| ʻĒ aʻe | ʻEha poʻo. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e ʻoluʻolu e hoʻomaopopo i kāu kauka.
Leka Lawe-Home
- He wai kūikawā ʻo Iohexol (mea hoʻohālikelike) e kōkua ai e hoʻomaopopo pono i nā hoʻokolohua X-ray a i ʻole CT scan.
- Ma mua o ka hoʻohana ʻana i kēia, e haʻi pono i kāu kauka e pili ana i kāu mau maʻi allergies (ʻoi aku hoʻi i ka iodine), nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a inā ʻoe e hāpai ana/hānai waiū.
- Hiki ke loaʻa nā hopena ʻili koʻikoʻi (nā ʻōhū e like me ke kuni, nā pehu, ka ʻili ʻili) i nā pule he nui ma hope o ka lawe ʻana i ka lāʻau. Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
- Hāʻawi wale ʻia kēia lāʻau lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau. Inā he mau nīnau kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka.
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