E noʻonoʻo i ka wā e huki ʻia ai kou niho, a i ʻole kahi ʻeha liʻiliʻi e pono ai ke humuhumu ʻia, hāʻawi mua ke kauka iā ʻoe i kahi inikini liʻiliʻi e hoʻomāmā i ka wahi, ʻeā? ʻO kēia ke hōʻoluʻolu i ka ʻeha āu e manaʻo ai i kēlā manawa. ʻO kekahi o nā lāʻau lapaʻau i hoʻohana pinepine ʻia i ia mau hihia ʻo Lidocaine; Epinephrine. ʻAʻole kēia he mea hoʻopau ʻeha wale nō, akā he lāʻau lapaʻau e hoʻomāmā i kahi wahi
kikoʻī . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku a maʻalahi i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Lidocaine; Epinephrine?
He hui pū ʻana kēia o ʻelua mau lāʻau lapaʻau. 1.
Lidocaine: ʻO kēia ka lāʻau hoʻomāʻū nui. I ka lāʻau lapaʻau, kapa mākou i kēia he "Anesthetics Kūloko". ʻO ia hoʻi, hoʻomāʻū wale ia i kahi wahi liʻiliʻi o ke kino. Hoʻōki kēia i nā hōʻailona ʻeha mai kēlā wahi a i ka lolo no kekahi manawa. Ua like ia me ke kāohi ʻana i kahi mea e lawe ana i kahi leka. 2.
Epinephrine (Adrenaline): ʻO ka lāʻau Epinephrine i hoʻohui ʻia i kēia e hana i kahi mea nui loa. Hoʻopilikia ia i nā kīʻaha koko ma ia wahi e ʻūlū iki. Ke hana ʻia kēia, aia ʻelua mau pono nui:
- ʻOi aku ka lōʻihi o ka maneʻo : Noho ʻo Lidocaine ma ia wahi no ka manawa lōʻihi ma muli o ka emi ʻana o ke kahe koko . No laila, hiki i ka maneʻo ke mau no kekahi mau hola.
- Hoʻēmi i ke kahe ʻana o ke koko : Hoʻomalu nui ka Epinephrine i ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana a i ʻole ka unuhi ʻana i ka niho.
Hoʻohana nui ʻia kēia lāʻau lapaʻau i nā mālama niho, nā ʻoki kino liʻiliʻi, a me nā ʻaʻahu ʻeha.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka loaʻa ʻana o kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. Eia nō naʻe, pono ʻoe e haʻi iā lākou i kēia ʻike. He mea nui loa ia no kou palekana. Mai hūnā i kekahi mea, ʻoiai ka mea liʻiliʻi loa.
- Nā maʻi ʻaleka : Inā he maʻi ʻaleka kou iā Lidocaine, Epinephrine, a i ʻole kekahi mea hoʻomaʻemaʻe ʻē aʻe, pono ʻoe e haʻi mua i kāu kauka. Eia kekahi, e haʻi i kāu kauka inā he maʻi ʻaleka kou i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Nā kūlana olakino ʻē aʻe āu i loaʻa ai: Inā loaʻa iā ʻoe kēia mau kūlana olakino, he mea nui e hoʻomaopopo i kāu kauka.
- Maʻi puʻuwai
- Ke koko kiʻekiʻe a haʻahaʻa paha
- Maʻi akepaʻa
- Maʻi puʻupaʻa
- Maʻi puʻupaʻa
- ʻO ke kūlana genetic i kapa ʻia ʻo ka hemahema G6PD
- Hāpai a me ka hānai waiū: E hōʻoia e haʻi i kāu kauka inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā e hāʻawi iā ʻoe i kēia lāʻau lapaʻau, e hoʻohana i kahi ʻano ʻē aʻe, a i ʻole e hoʻololi i ka dosage.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. No laila, ʻaʻohe mea e hopohopo ai. He lāʻau pale kēia i hāʻawi
wale ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau, e ke kauka a i ʻole he loea olakino kūpono . Hoʻokomo pinepine ʻia "ma lalo o ka ʻili" ma kahi e pono ai ke hoʻomāʻū ʻia. ʻOiai nā keiki, ma luna o 1 makahiki, hāʻawi ʻia kēia lāʻau lapaʻau i kekahi mau hihia i koho ʻia. Akā hana ʻia me ke akahele loa a ma lalo o ka nānā kūikawā.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, e hele koke i ka haukapila
ETU (Emergency Treatment Unit). A i ʻole hiki iā ʻoe ke kelepona
i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
Inā ʻoe e lawe ana i ka lāʻau lapaʻau no kekahi maʻi ʻē aʻe, he mea nui loa ia e haʻi i kāu kauka e pili ana i kāu mau lāʻau lapaʻau āpau (me nā huaora a me nā lāʻau lapaʻau lāʻau). Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Lidocaine a me Epinephrine a hoʻoulu i nā pilikia makemake ʻole ʻia. Hōʻike hou aku ka papa ma lalo nei i kēia.
Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia Nā lāʻau lapaʻau ʻē aʻe e launa pū paha (ʻaʻole i piha kēia papa inoa) | ʻAno lāʻau lapaʻau | Wehewehena |
|---|
| ʻO Dofetilide | He lāʻau lapaʻau e hoʻopilikia ai i ka ʻōhumu o ka puʻuwai. |
| ʻO Saquinavir | He lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ka maʻi HIV. |
| ʻAsetaminopena | Nā lāʻau hoʻomaha ʻeha e like me ka paracetamol. |
| Kekahi mau lāʻau antibiotic | Eia kekahi laʻana: dapsone, nitrofurantoin, sulfonamides. |
| ʻO kekahi mau lāʻau hopu | Eia kekahi laʻana: phenobarbital, phenytoin, valproic acid. |
| Nā lāʻau anesthetic kūloko ʻē aʻe | ʻE like me: bupivacaine, pramoxine. |
| ʻO ka nitroglycerin | He lāʻau lapaʻau i hoʻohana ʻia no ka maʻi puʻuwai. |
ʻO ka mea nui loa: E hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau, nā huaora, nā huahana lāʻau lapaʻau, a me nā mea hoʻohui āu e lawe ai. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai ma hope o ka loaʻa ʻana o ka lāʻau pale
ʻO kēia ka mea nui loa e makaʻala ai ʻoe. Inā e hana ana ka lāʻau lapaʻau, ʻo ia hoʻi, inā he ʻano ʻūlū,
ʻaʻole e ʻeha kēlā wahi. E noʻonoʻo ua unuhi ʻia kou niho a ke ʻūlū nei kēlā ʻaoʻao. Hiki iā ʻoe ke ʻai ma kēlā ʻaoʻao a nahu i kou lehelehe a i ʻole kou papālina. Akā, ma muli o ke ʻano ʻūlū, ʻaʻole ʻoe e ʻike. No laila, hiki ke lilo i ʻeha nui.
No laila, ʻo kou kuleana ke mālama i ka wahi mae me ka ʻole o ka hōʻeha ʻana. E hahai pono i nā kuhikuhi a ke kauka. E mālama i ka wahi a pau loa ka mae.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Eia naʻe, ʻaʻole i loaʻa i nā kānaka a pau. He koʻikoʻi kekahi mau hopena ʻaoʻao a pono ʻoe e ʻimi koke i ke kōkua lapaʻau. He mea maʻamau kekahi a e nalo ma hope o kekahi manawa.
ʻO nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka ʻaʻole ia he mea koʻikoʻi (akā e haʻi i
kāu kauka inā hoʻomau lākou).
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma, paʻakikī ke hanu. |
| Nā loli o ke koko | Hoʻonui a emi paha ke koko. Inā emi iho, hiki ke ʻike ʻia nā hōʻailona e like me ka poniuniu a me ka ʻike maka pōwehiwehi. |
| Nā hōʻailona o ka Methemoglobinemia | ʻEha ke poʻo, nāwaliwali kūikawā, paʻakikī i ka hanu ʻana, nausea, luaʻi, puʻuwai wikiwiki, ʻili polū a lehelehe paha (kahi kūlana e hoʻopilikia ai i ka hiki o ke koko ke lawe i ka oxygen). |
| Nā hopena ma ka ʻōnaehana nerve waena (CNS depression) | Hanu lohi , paʻakikī ka hanu ʻana, hiamoe nui, huikau, paʻakikī ke wehe i nā maka. |
| Nā hopu ʻana | Malia paha he palupalu. |
| Nā hopena noʻonoʻo | Hopohopo, hopohopo. |
| Hiamoe | Manaʻo hiamoe iki. |
| Ka luaʻi a me ka luaʻi ʻana (Nausea, Vomiting) | ʻŌpū ʻeha, manaʻo e luaʻi. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e kamaʻilio me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- Lidocaine; ʻO ka Epinephrine kahi inikini i hāʻawi ʻia e hoʻomāʻū i kahi ʻāpana o ke kino no kekahi manawa a hōʻoluʻolu i ka ʻeha. Hāʻawi wale ʻia e ke kauka ma ka haukapila a i ʻole ke keʻena lapaʻau.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi allergies āu e loaʻa ai, nā pilikia olakino ʻē aʻe (ʻoi aku ka puʻuwai, ke akepaʻa, a me nā maʻi puʻupaʻa), a me nā lāʻau lapaʻau āpau āu e lawe nei.
- Ma hope o ka lāʻau pale ʻana, ʻo kou kuleana ia e pale i ka wahi mai ka ʻeha a hiki i ka pau loa ʻana o ke ʻano ʻūlū.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (ʻoi aku ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, ka poniuniu nui, ka ʻili polū).
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka.
Lidocaine, Epinephrine, Nā lāʻau hoʻopau ʻeha, Nā lāʻau hoʻopau ʻeha, Nā lāʻau pale, Nā hopena ʻaoʻao, Unuhi niho, Anesthesia
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