Ua pono anei ʻoe e hana i kahi ʻoki liʻiliʻi, kahi hana e pili ana i ka ʻō ʻana o ke kui, a i ʻole ka huki koko? He mea maʻamau ke makaʻu iki i ka ʻeha. I nā manawa e like me kēia, e noi paha kāu kauka iā ʻoe e hoʻopili i kahi ʻāpana e kōkua i ka hōʻemi ʻana i ka ʻeha. ʻOiai ke ʻano like me ka plaster, he lāʻau lapaʻau maoli nō ia. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻāpana kūikawā i hoʻohana ʻia no nā manawa e like me kēia, a hoʻomānoʻo ia i ka ʻili, a loaʻa iā ia ʻelua mau lāʻau lapaʻau i kapa ʻia ʻo Lidocaine a me Tetracaine.
He aha kēia Lidocaine; Tetracaine Patch?
I ka ʻōlelo maʻalahi, he hui pū ʻana ia o ʻelua mau lāʻau lapaʻau e hoʻomāʻū i kou ʻili a me nā ʻiʻo a puni no kekahi manawa pōkole, e ālai ana i ka manaʻo o ka ʻeha. ʻO kēia mau lāʻau lapaʻau ʻelua ʻo Lidocaine lāua ʻo Tetracaine . No loko lākou o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo local anesthetics. ʻO ia hoʻi, hiki iā lākou ke hoʻomāʻū i kahi wahi liʻiliʻi o ke kino.
E noʻonoʻo e pono ʻoe e hoʻokomo i kahi lāʻau liʻiliʻi i loko o ka ʻili o kou lima. I kēlā manawa, ke hoʻopili ʻia kēia ʻāpana i kēlā wahi, lilo kēlā wahi i mea ʻeha. A laila, ke hoʻokomo ʻia ke kui, ʻaʻole ʻoe e ʻike i ka ʻeha. ʻO kekahi hiʻohiʻona kūikawā o kēia, ʻo ia kekahi mau ʻano ʻāpana he ʻōnaehana e hoʻopuka ana i kahi wela liʻiliʻi. Ma muli o kēia wela, ua komo koke ka lāʻau i loko o ka ʻili, a ua wikiwiki ka ʻeha.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia patch
ʻOiai paha he mea maʻalahi kēia, ʻoiai he lāʻau lapaʻau nō hoʻi kēia, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou kūlana olakino. ʻOi loa aku inā loaʻa iā ʻoe nā kūlana ma lalo nei, e hōʻoia e haʻi i kāu kauka.
| Kūlana olakino a pilikia paha | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi akepaʻa | Ma muli o ke koʻikoʻi o ke akepaʻa i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino, ʻokoʻa paha ke ʻano o ka hopena o kēia lāʻau i ka poʻe me nā maʻi akepaʻa. |
| Ka hemahema o ka Pseudocholinesterase | He maʻi hoʻoilina laha ʻole kēia. He paʻakikī i ka poʻe me kēia maʻi ke wāwahi i kēia ʻano anesthetics i loko o ko lākou kino, kahi e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao. |
| Ka maʻi ʻili a i ʻole ka pilikia | Inā he mau ʻeha, nā ʻōpala, a i ʻole ka eczema ma kahi e kau ʻia ai ka pāpili, e loli paha ka nui o ka lāʻau lapaʻau i omo ʻia e ke kino. |
| Nā maʻi ʻaleka | Inā he maʻi ʻaleka kou i nā mea e like me Lidocaine, Tetracaine, nā anesthetics ʻē aʻe, PABA, parabens, a i ʻole kekahi lāʻau lapaʻau a meaʻai paha, pono ʻoe e hōʻike. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai | Pono ʻoe e makaʻala i ka hoʻohana ʻana i kekahi lāʻau lapaʻau i ka wā hāpai, no laila e kamaʻilio me kāu kauka e pili ana i kēia. |
| Ka hānai ʻana i ka pēpē me ka waiū umauma | E kūkākūkā me kāu kauka e hōʻoia inā hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. |
Pehea maoli kaʻu e hoʻohana ai i kēia patch?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia, akā he mea nui loa e hahai pololei i nā kuhikuhi.
1. E hoʻomanawanui: Mai wehe i ka ʻāpana mai loko mai o kāna pūʻolo a hiki i kou mākaukau e hoʻopili.
2. E hoʻopili iā ia ma kahi kūpono: E hoʻopili wale iā ia ma kahi o ka ʻili a ke kauka i ʻōlelo ai iā ʻoe. Mai hoʻopili iā ia ma nā wahi i ʻoki ʻia, palapū, ʻulaʻula, a i ʻole ka eczema .
3. E hoʻopili pono: E lawe i ka ʻāpana mai loko mai o ka ʻeke, e paʻa ma nā kihi ʻaoʻao pipili wale nō, a e hoʻopili i ka ʻili.
4. E makaʻala i ka manawa: Mai waiho i ka ʻāpana ma kou ʻili no ka lōʻihi ma mua o ka ʻōlelo a kāu kauka iā ʻoe. ʻO ka maʻamau, ʻaʻole ʻoe e waiho iā ia no ka ʻoi aku ma mua o 20-30 mau minuke.
5. E akahele me ka wai: Mai pīpī i ka wai ma luna o ka ʻāpana ma hope o ke kau ʻana. Mai ʻauʻau a holoi paha.
6. Wehe a hoʻolei aku me ka palekana: Ke hiki mai ka manawa, e wehe pono i ka ʻāpana ma ka paʻa ʻana ma kekahi kihi. A laila, e pelu i ka ʻāpana i hoʻohana ʻia me ka ʻaoʻao pipili i loko, e waiho i loko o ka pūʻolo i hoʻokomo ʻia ai, a e hoʻolei i loko o ka ʻōpala, kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku . He mea nui loa kēia.
7. E holoi i kou mau lima: E holoi pono i kou mau lima me ke kopa ma mua o ke kau ʻana i ka pāpili a ma hope o ka wehe ʻana.
He aha inā ʻoe e hoʻohana ia mea ma ke kuhihewa a i ʻole ma ke keu? E hoʻomanaʻo wale inā ʻoe e mālama ia mea no ka lōʻihi loa, a inā ʻoe e hoʻohana ma mua o hoʻokahi, hiki ke lilo i mea weliweli. Inā loaʻa iā ʻoe kahi kānalua iki ua hana ʻia kekahi mea e like me kēia, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Ke hoʻohana nei ʻoe i kēia no nā keiki?
ʻAe, i kekahi mau hihia kūikawā, no ka laʻana, ma mua o ka hoʻokomo ʻeha ʻana, hiki i ke kauka ke ʻōlelo aku i kēia no nā keiki ma luna o 3 mau makahiki. Akā hana ʻia me ke akahele nui. No laila, inā ʻoe e hoʻohana i kēia ma kahi keiki, pono ʻoe e hahai pono i nā ʻōlelo aʻoaʻo a ke kauka pediatric .
Nā mea kūikawā e noʻonoʻo ai i ka wā e hoʻohana ai
- E makaʻala ma hope o ka mae ʻana: Hiki ke mae ka wahi no kekahi mau hola ma hope o ka wehe ʻia ʻana o ka ʻāpana. No ka mea, ʻaʻole paha ʻoe e ʻeha, mai ʻānai i ka wahi, e hamo ikaika, a i ʻole e hōʻike iā ia i kekahi mea wela a anu paha. Hiki iā ʻoe ke hōʻeha iā ʻoe iho me ka manaʻo ʻole.
- E pale i kou mau maka: Mai hoʻokuʻu i kēia lāʻau lapaʻau e pili me kou mau maka ma kekahi ʻano. Hiki ke hōʻino loa i kou mau maka. Inā komo hewa ʻoe i loko o kou mau maka, e holoi koke iā lākou me ka wai a i ʻole ka wai saline a pani iā lākou a hiki i kou loaʻa hou ʻana o ka ʻike.
- Mai ʻoki i ka ʻāpana: Mai ʻoki i ka ʻāpana a wehe paha i ka uhi ma luna. ʻO ka hana ʻana pēlā e wela ai ka ʻāpana a puhi i ka ʻili.
- Ma mua o kahi scan MRI: Inā e hana ʻia ʻoe i kahi scan Magnetic Resonance Imaging (MRI), e haʻi i ka loea MRI inā loaʻa iā ʻoe kēia ʻāpana. Pono e wehe ʻia ma mua o ka MRI.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā hopena ʻili koʻikoʻi | ʻO ka pehu a me ka ʻeha nui ma kahi i hoʻopili ʻia ai ka pāpili. |
| Nā hopena ma ka ʻōnaehana nerve | Huikau, hoʻomaha ʻole, hoʻonāukiuki nui, poniuniu, hiamoe, ʻeha poʻo, hopu ʻana, haʻalulu. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Paʻakikī ka hanu ʻana, loli ka ʻike, kuni, anuanu, puʻuwai kūpono ʻole, nausea, luaʻi. |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Nā loli ʻili liʻiliʻi | ʻUlaʻula a keʻokeʻo paha o ka ʻili, pehu iki, a ʻeha paha kahi i kau ʻia ai ka pāpili. |
Aia kekahi mau lāʻau ʻē aʻe e hiki ke launa pū me kēia lāʻau?
ʻAe, ʻoiaʻiʻo nō. Hiki i ka lāʻau lapaʻau i loko o kēia ʻāpana ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. No laila, he mea nui loa ia e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā mea hoʻohui, a inā ʻoe e puhipaka a inu waiʻona paha . E hōʻoia e haʻi aku i kāu kauka inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau:
- ʻAsetaminopena (Paracetamol)
- ʻO kekahi mau lāʻau antibiotic (e like me dapsone, nitrofurantoin)
- Nā lāʻau anticonvulsant (e like me phenobarbital, phenytoin)
- Nā lāʻau lapaʻau no ka puʻuwai (e like me ka nitroglycerin)
- Nā lāʻau anesthetic kūloko ʻē aʻe
ʻAʻole i piha kēia papa inoa, no laila no kou palekana, e kūkākūkā i nā mea āpau me kāu kauka.
Leka Lawe-Home
- Pono e hoʻohana ʻia kēia ʻāpana e like me ke kuhikuhi a kāu kauka. Mai hoʻohana e like me kou makemake.
- ʻOi aku ma mua o ka manawa i hoʻonohonoho ʻia (e.g. 30 mau minuke)Mai waiho iā ia ma kou ʻili no ka lōʻihi loa.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Ma hope o ka wehe ʻana i ka pāpili , e makaʻala ʻaʻole e hōʻeha i ka ʻili mae.
- E hoʻolei aku i ka pāpili i hoʻohana ʻia me ka palekana, mai ka hiki ʻana aku o nā keiki a me nā holoholona . ʻO ka ale ʻana i kahi pāpili hou a i hoʻohana ʻia paha e kahi keiki hiki ke make.
- Inā loaʻa iā ʻoe kahi hopena koʻikoʻi a manaʻo paha ʻoe i kahi overdose, e hele koke i ka Emergency Department (ETU) o ka haukapila.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 Lidocaine a me Tetracaine (Lidocaine; Tetracaine / Synera Patch) He aha ka patch?
ʻAʻole kēia he maʻi ʻili! He ʻāpana anesthetic kūloko ikaika loa kēia. Hoʻohana ʻia ia e hoʻopau loa i ka ʻili a hoʻopau i ka ʻili no kekahi manawa. Hoʻohana pinepine ʻia ia e hoʻopau i ka 100% o ka ʻeha i loaʻa i ka mea maʻi i ka wā o nā kaʻina hana ʻili, e like me nā IVs, injections, a i ʻole nā kaʻina hana dermatological.
💬 Pehea e hiki ai i kēia ʻāpana ke hoʻopau loa i ka ʻeha o ke kui ʻana o ka nila?
Ua like ia me ke kau ʻana i kahi pahu hau ma luna o kahi ʻili wela! I mea e hoʻouna ai nā aʻalolo i loko o ko kākou ʻili i ka leka ua 'ʻeha' i ka lolo, pono lākou e wehe i kā lākou 'Sodium Channels' a hoʻouna i ka uila (Action potentials). Ke hoʻopili ʻia kēia ʻāpana i ka ʻili, hele kēlā mau lāʻau ʻelua (Lidocaine/Tetracaine) ma o ka ʻili a 'pākiʻi/pani loa' i nā kahawai sodium āpau i loko o nā aʻalolo. No ka mea, ʻaʻohe ala e hiki ai i ka leka ke hele, ʻaʻole ʻeha ka lolo.
💬 No ke aha ʻoe e ʻōlelo ai e hoʻopaʻa i kēia ʻāpana hoʻomaʻalili (Lidocaine Patch) ma luna/ʻaʻole e hoʻopili iā ia i nā ʻeha nui?
ʻO ia ka pōʻino weliweli loa (a make) o kēia (Systemic Toxicity)! Mai hoʻopili i kēia i ka ʻili 'ʻeha/ʻili ʻia'! Inā ʻoe e hana pēlā, e piʻi aʻe ka nui o ka lāʻau lapaʻau i komo pololei i loko o ke koko ma o ka ʻili, a hiki i ka mea maʻi (ʻoi aku hoʻi nā keiki ʻōpio) ke loaʻa i nā hopu/kū (Seizures) a me ka hopu ʻana o ka puʻuwai/ka hanu ʻana a me ka make. Eia kekahi, hiki ke mālama ʻia kēia no ka palena kiʻekiʻe o '20-30 mau minuke'!
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