Ua lohe paha ʻoe i kekahi kauka e haʻi ana i kahi mea maʻi ma kahi keʻena mālama koʻikoʻi (ICU) a i ʻole ke keʻena pilikia (ETU) e "hāʻawi ana lākou i kahi lāʻau lapaʻau kūikawā e hoʻoikaika i ka puʻuwai"? I kekahi manawa, ʻoiai ke pau koke ka hana a ka puʻuwai, hoʻohana ʻia nā lāʻau lapaʻau kūikawā e hoʻoikaika hou iā ia. He lāʻau lapaʻau koʻikoʻi loa ʻo Isoproterenol i hoʻohana ʻia i ia mau pilikia. He mea nui e makaʻala iā ia, no ka mea, ʻaʻole kēia he lāʻau lapaʻau āu e kūʻai pinepine ai mai kahi hale kūʻai lāʻau a hoʻohana ma ka home. E kamaʻilio wale kākou e pili ana i kēia lā.
He aha ka Isoproterenol?
I ka ʻōlelo maʻalahi, ʻo Isoproterenol kahi lāʻau lapaʻau e hoʻonui ai i ka helu o ka puʻuwai a me ka hiki ke hoʻoulu i ka puʻuwai ma ka hāʻawi ʻana i ka ikaika, a i ʻole ke kaomi ʻana, i ka ʻiʻo puʻuwai. I ka lāʻau lapaʻau, kapa mākou i kēia papa o nā lāʻau lapaʻau ʻo 'inotropes'.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no:
- Ka Holo ʻole o ka Puʻuwai: No ka hoʻomaikaʻi ʻana i ka hana o ka puʻuwai ke hiki ʻole iā ia ke pamu i ke koko kūpono i ke kino.
- Nā pilikia o ka puʻuwai: No ka hoʻihoʻi ʻana i ka helu puʻuwai maʻamau ke lohi loa ka helu o ka puʻuwai (Bradycardia) a i ʻole nā pilikia puʻuwai ʻē aʻe.
ʻO ka mea nui loa, he lāʻau lapaʻau kēia i hāʻawi wale ʻia ma ka haukapila, ma lalo o ka mākaʻikaʻi pololei a nā kauka a me nā kahu maʻi.
Nā mea nui e haʻi aku i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, makemake kāu kauka e ʻike i kou mōʻaukala olakino piha. No ka mea, pono kekahi mau kūlana olakino i ka akahele i ka wā e hoʻohana ai i kēia lāʻau lapaʻau. No laila, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Loaʻa iā ʻoe kēia mau kūlana? | No ke aha he mea nui e haʻi aku i ke kauka? |
|---|---|
| Maʻi diabetes | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā pae kō koko. |
| Nā maʻi puʻuwai ʻē aʻe | Pono ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā poʻe me nā maʻi puʻuwai mua. |
| Maʻi thyroid | Hiki i kēia lāʻau lapaʻau ke hoʻonui i nā hopena ʻaoʻao i nā poʻe me ka kelepa thyroid overactive. |
| Nā maʻi ʻaleka | He mea nui loa e hōʻike i nā maʻi ʻaleka i ka Isoproterenol a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā wai hoʻoluʻu. |
| Hāpai a i ʻole e hoʻāʻo ana e hāpai | Pono ʻoe e kūkākūkā i nā hopena hiki ke loaʻa ma ka fetus me kāu kauka. |
| Ka hānai ʻana i ka waiū umauma | E kamaʻilio me kāu kauka e pili ana i ka hele ʻana o ka lāʻau lapaʻau i kāu pēpē ma o ka waiū umauma. |
Pehea e hoʻohana ai i kēia lāʻau lapaʻau, a pehea inā he overdose?
E like me kaʻu i ʻōlelo ai ma mua, he lāʻau lapaʻau kēia i hāʻawi ʻia ma ke ʻano he injection i loko o kahi aʻa a i ʻole he infusion, e like me ka saline solution. Hana wale ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau e kahi loea lapaʻau i aʻo ʻia. Inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ʻōpio, pono ia i ka nānā kūikawā ʻana e kahi pediatrician.
Ma muli o ka hāʻawi ʻia ʻana o kēia ma kahi haukapila, ua haʻahaʻa loa ka hiki ke "overdose". Inā hana ʻia kēia, e lawe nā limahana lapaʻau i nā hana e pono ai. Eia nō naʻe, inā makemake ʻoe i kekahi ʻōlelo aʻoaʻo e pili ana i kekahi lāʻau make, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . I kekahi pilikia, he mea nui loa ke hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki i ka Isoproterenol ke launa pū me kekahi mau lāʻau lapaʻau. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau lapaʻau no nā kūlana ʻē aʻe, nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā lāʻau lapaʻau Ayurvedic). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Mai hāʻawi pū i kēia lāʻau. | |
| Nā alkaloids Ergot | Nā lāʻau migraine e like me dihydroergotamine a me ergotamine |
| Nā MAOI | Nā lāʻau lapaʻau no nā maʻi noʻonoʻo e like me Marplan, Nardil, Parnate |
| Hiki ke hana i nā pilina me kēia mau lāʻau. | |
| ʻEpinephrine | He lāʻau lapaʻau i hoʻohana ʻia no nā maʻi allergies ulia pōpilikia |
| Nā lāʻau hoʻomaʻamaʻa laulā | Nā lāʻau lapaʻau i hoʻohana ʻia i ke ʻoki kino, e like me ka halothane a me ka isoflurane |
He aha nā hopena ʻaoʻao e hiki mai ana?
ʻOiai e hāʻawi ʻia ana kēia lāʻau lapaʻau iā ʻoe, e nānā pono ʻia kou puʻuwai a me ke koko e nā limahana lapaʻau. Eia nō naʻe, he mea nui e hoʻomaopopo koke iā lākou inā loaʻa iā ʻoe kekahi o nā hopena ʻaoʻao:
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e hōʻike koke aku ai i ke kauka a i ʻole ke kahu maʻi | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā loli weliweli i ka helu o ka puʻuwai | ʻEha ka umauma, ka poniuniu, ka puʻuwai wikiwiki a ʻano ʻole paha, nā palpitations, nāwaliwali, pilikia ka hanu ʻana. |
| Nā mea i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| Pōʻino | Manaʻo māmā. |
| ʻEha poʻo | ʻEha poʻo maʻamau. |
| ʻO ka ʻulaʻula o ka maka | Ua wela ka maka a lilo i ʻulaʻula. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
E ʻoluʻolu e hoʻomaopopo ʻaʻole paha i loaʻa i kēia papa inoa nā hopena ʻaoʻao āpau. Inā he mau nīnau kāu e pili ana i kēia, e nīnau i kāu kauka.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Isoproterenol i hāʻawi ʻia ma kahi haukapila ke nāwaliwali ka puʻuwai a i ʻole he pilikia me ka puʻuwai.
- Hoʻoikaika kēia i ka ʻiʻo o ka puʻuwai a hoʻonui i kona hiki ke pamu.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Hāʻawi ʻia kēia ma lalo o ka mākaʻikaʻi lapaʻau koʻikoʻi, a ke nānā mau ʻia nei kou kūlana.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka poniuniu nui, a i ʻole ka paʻakikī o ka hanu ʻana i ka wā e lawe ana i ka lāʻau lapaʻau, e hoʻomaopopo koke i ke limahana lapaʻau.
- ʻAʻole kēia he lāʻau lapaʻau no ka hoʻohana ʻana ma ka home.
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