Loaʻa iā ʻoe kekahi pilikia hanu lōʻihi, ʻo ia hoʻi, kahi maʻi e like me COPD (Chronic Obstructive Pulmonary Disease)? I kēlā mau hihia, ua haʻi aku paha kāu kauka iā ʻoe e lawe i ka lāʻau lapaʻau ma o kahi nebulizer. ʻO kekahi o nā lāʻau lapaʻau nui i hāʻawi ʻia ma kēia ʻano a hoʻomaʻalahi i ka hanu ʻana ʻo Ipratropium. Hiki iā ʻoe ke loaʻa pinepine i kēia ma lalo o ka inoa inoa ʻo Atrovent. No laila i kēia lā, e kamaʻilio maʻalahi kākou e pili ana i kēia lāʻau lapaʻau, pehea e hoʻohana ai, a me nā mea e makaʻala ai.
He aha ke ʻano lāʻau lapaʻau ʻo Ipratropium?
I ka ʻōlelo maʻalahi, ʻo Ipratropium kahi lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo i loko o nā ala ea i loko o kou mau māmā, e hoʻonui ana iā lākou, e maʻalahi ai ka hanu ʻana i loko a i waho. Hoʻohana nui ʻia ia e mālama i nā kūlana hanu lōʻihi e like me COPD .
Akā he mea nui loa kēia: ʻAʻole ʻo Ipratropium kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka puka koke ʻana o ka hānō. Ua hāʻawi paha kāu kauka iā ʻoe i kahi inhaler "reliever" hana wikiwiki no kēlā. Hoʻohana ʻia kēia lāʻau lapaʻau e mālama i kāu mau hōʻailona a pale iā lākou mai ka hoʻi hou ʻana.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana e hoʻohana i kēia lāʻau lapaʻau, he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā maʻi ʻē aʻe a me nā maʻi allergies āu e loaʻa ai, no ka mea, pono mākou e makaʻala loa i ka wā e hoʻohana ai i kēia lāʻau lapaʻau me kekahi mau kūlana.
| Ke kūlana āu e pono ai e hōʻike | No ke aha he mea nui kēlā? |
|---|---|
| Glaucoma (hoʻonui ʻia ke kaomi i loko o nā maka) | Inā komo kēia lāʻau i loko o kou mau maka, e ʻoi aku ka ʻino o kou maʻi glaucoma. No laila, pono ʻoe e ʻaʻahu pono i ka pale maka nebulizer a e hōʻoia ʻaʻole e komo ka mahu o ka lāʻau i loko o kou mau maka. |
| Ka paʻakikī o ka mimi ʻana a i ʻole nā pilikia prostate | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke hoʻopaʻa i ka mimi, no laila he mea nui e haʻi i kāu kauka inā loaʻa iā ʻoe kēlā pilikia. |
| Maʻi puʻuwai a i ʻole ka puʻuwai kūpono ʻole | ʻOiai he mea kakaikahi, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka helu o ka puʻuwai. No laila, inā he moʻolelo kou o ka maʻi puʻuwai, e ʻoluʻolu e hoʻomaopopo mai iā mākou. |
| Nā ʻano maʻi like ʻole (Allergies) | Pono ʻoe e haʻi mai iā mākou inā he mau maʻi allergies kou, ʻoiai hoʻi i nā mea e like me Ipratropium, Atropine, protein soy, a i ʻole nā pīnati. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | I kēia mau hihia, he mea nui loa e kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau a hoʻomaopopo i kona mau pono a me nā pilikia. |
Pehea e hoʻohana pono ai i kēia lāʻau me kahi nebulizer?
He mīkini ka nebulizer e hoʻololi i ka lāʻau lapaʻau wai i noe liʻiliʻi. Ke hanu ʻoe i kēia noe ma kou waha a i ʻole ma kou waha a me kou ihu (ma o kahi pale maka), hele pololei ka lāʻau i loko o kou mau māmā.
Nā ʻanuʻu maʻalahi e hahai ai:
1. ʻO ka mea mua, e holoi pono i kou mau lima me ke kopa.
2. E hoʻokomo i ka nui o ka lāʻau lapaʻau wai Ipratropium i kuhikuhi ʻia e ke kauka i loko o ke kīʻaha liʻiliʻi (kīʻaha nebulizer) i loko o ka nebulizer.
3. E hoʻohui pono i nā ʻāpana ʻē aʻe o ka nebulizer (mask a mouthpiece a me ka tube).
4. Inā he pale maka ia, e kau ma kou maka i uhi pono ʻia kou ihu a me kou waha. Inā he waha ia, e paʻa pono me kou mau lehelehe.
5. I kēia manawa e hoʻā i ka nebulizer a hanu maʻamau. E hoʻomau i ka hanu ʻana ma kēia ʻano a pau ka mahu o ka lāʻau lapaʻau (ma kahi o 10-15 mau minuke).
6. A pau, e wehe i ka nebulizer a hoʻomaʻemaʻe e like me nā kuhikuhi a ka mea hana.
ʻO ka mea nui loa, ʻo ia ka hoʻohana wale ʻana i ka nui a me ke alapine (pinepine) i kuhikuhi ʻia e kāu kauka. Mai hoʻololi i ka nui o ka lāʻau i kou makemake a i ʻole e hoʻohana pinepine aku ma mua o ke kuhikuhi ʻia.
He aha kāu e hana ai inā e hala ʻoe i kahi lāʻau a i ʻole overdose?
Inā hoʻonui ʻia ka dosage
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Halemai Pilikia (ETU) kokoke loa . A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo.Hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke ʻAi Poisons Lahui no ka ʻōlelo aʻoaʻo.
Inā ʻoe e haʻalele i kahi ʻai
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 i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
Hiki i ka Ipratropium ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. No laila e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui. E makaʻala loa i nā lāʻau lapaʻau aʻe:
- ʻAtropine
- ʻO kekahi mau antihistamines no ke anu a me nā maʻi allergies
- Nā lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi (e like me oxybutynin, tolterodine)
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo
- ʻO kekahi mau lāʻau lapaʻau no ka ʻeha o ka ʻōpū (e like me dicyclomine)
- Nā lāʻau lapaʻau e lawe ai no ka luaʻi ʻana i ka wā e hele ana (e like me scopolamine)
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi o Parkinson
ʻAʻole i piha kēia papa inoa. No laila , mai hoʻohuihui i kekahi mau lāʻau lapaʻau i loko o ka nebulizer a hoʻomaka paha i kahi mea hou me ka ʻole o ke noi ʻana aku i kāu kauka.
Nā hopena ʻaoʻao e hiki mai ana i ka wā e lawe ana i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Ipratropium ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo kekahi he mea maʻamau.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu. E ʻike koke i ke kauka. |
| ʻEha koke ka maka a i ʻole nā loli o ka ʻike | Nā mea e like me ka ʻike maka pōwehiwehi, ka ʻike ʻana i nā apo a puni nā kukui, a i ʻole ka nalowale ʻana o ka ʻike. E ʻike koke i ke kauka. |
| Paʻakikī ke mimi | Inā ʻaʻole ʻoe e mimi nui ana a inā paʻakikī paha, e hoʻomaopopo i kāu kauka. |
| Hoʻonui ʻia ka paʻakikī o ka hanu ʻana ma hope o ka lawe ʻana i ka lāʻau lapaʻau | He mea laha ʻole kēia (paradoxical bronchospasm). Inā hana ʻia kēia, mai hoʻohana hou i ka lāʻau lapaʻau a e ʻike koke i ke kauka. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Waha maloʻo | Hiki iā ʻoe ke hoʻomaha ma ka inu ʻana i kahi wai a me ka nau ʻana i ka gum kō ʻole. |
| Kuke | Hoʻomaha pinepine kēia i loko o kekahi mau lā. Inā hoʻomau ia, e haʻi i kāu kauka . |
| ʻEha poʻo | Hoʻomaha. Inā pono, hiki iā ʻoe ke kamaʻilio me ke kauka a loaʻa i kekahi mau lāʻau ʻeha. |
| Ka paʻa ʻana o ka ʻōpū | E inu i ka wai nui a ʻai i nā meaʻai fibrous (nā huaʻai, nā mea kanu). |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Ipratropium i hoʻohana ʻia no ka mālama ʻana i nā maʻi hanu lōʻihi e like me COPD, ʻaʻole ia he lāʻau lapaʻau i hoʻohana ʻia no nā pilikia.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hoʻomaopopo pono e haʻi i kāu kauka e pili ana i kou mau maʻi āpau a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hoʻohana i ka nebulizer e like me ke kauoha a kāu kauka. Mai hoʻonui i ka nui.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kahi hopena koʻikoʻi, e like me ka ʻeha o ka maka, nā loli i ka ʻike, nā maʻi alerika koʻikoʻi, a i ʻole ka paʻakikī o ka hanu ʻana ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai ʻae i kekahi e hoʻohana no kekahi kumu.











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