Ua loaʻa anei iā ʻoe kahi ʻoki ʻili liʻiliʻi, ka mālama ʻana i ka laser, a i ʻole kekahi hana lapaʻau ʻeha ʻē aʻe? Ua ʻike paha ʻoe i ke kauka e hoʻopili ana i kahi kirīmi hoʻomānoino i ka wahi. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kirīmi kūikawā i hoʻohana ʻia e pale i ka ʻeha no kekahi manawa.
He aha maoli kēia kirīmi?
Loaʻa iā ia ʻelua ʻano lāʻau i kapa ʻia ʻo Lidocaine lāua ʻo Tetracaine. I ka ʻōlelo maʻalahi, he anesthetic kūloko ia. ʻO ke ʻano kēia, ke hoʻopili ʻia kēia kirīmi i ka ʻili, hoʻomānoʻo wale ia i kahi i hoʻopili ʻia ai no kekahi manawa.
E noʻonoʻo he mau "uea" liʻiliʻi e lawe ana i nā leka ʻeha mai ko mākou ʻili a i ka lolo, ʻo ia hoʻi, nā aʻalolo . ʻO ka hana a kēia kirīmi, ʻo ia ke ālai i ka leka ʻeha mai ka hele ʻana i ka lolo ma o kēlā mau "uea." Ua like ia me ke kinai ʻana i kahi kuapo ma laila. A laila, ke hana ke kauka i ka lāʻau lapaʻau e pono ai, ʻaʻole ʻoe e ʻike i kekahi ʻeha.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
He mea nui loa e ʻike pono kāu kauka i kou kūlana olakino ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻoluʻolu e haʻi i kāu kauka.
- Inā he maʻi koko kou e like me ka hemahema o G6PD .
- Inā he maʻi puʻuwai kou .
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā loaʻa iā ʻoe kahi hemahema enzyme i kapa ʻia ʻo ka pseudocholinesterase deficiency .
- Inā he mau maʻi ʻili kou, ka ʻili koʻikoʻi, a i ʻole nā ʻeha .
- Inā ua loaʻa iā ʻoe kahi maʻi allergy ma mua i ka lidocaine, tetracaine, a i ʻole kekahi mea hoʻomaʻemaʻe ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai ʻoe.
He mea nui loa no kou palekana e haʻi aku i ke kauka i kēia mau mea me ka hūnā ʻole ʻana iā lākou.
Pehea ʻoe e hoʻohana ai i kēia kirīmi?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe pū me ʻoe i ka home. No ka hoʻohana waho wale nō . ʻO ka maʻamau, e hoʻopili ke kauka a kahu maʻi paha i kēia kirīmi i kou ʻili ma mua o kou mālama ʻana ma kahi haukapila a i ʻole ke keʻena lapaʻau.
E haʻi lākou iā ʻoe i ka lōʻihi o ke waiho ʻana i ka kirīmi ma kou ʻili. I kekahi manawa he 20-30 mau minuke a i ʻole hoʻokahi hola paha. I loko o ia manawa, e mae loa ka ʻāpana. Inā he mau nīnau kāu e pili ana i kēia, mai makaʻu e nīnau i kāu kauka.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Hoʻohana pinepine ʻia kēia e nā limahana lapaʻau, no laila he kakaikahi nā hewa. Eia nō naʻe, inā hoʻohana nui ʻoe i kēia lāʻau lapaʻau a i ʻole komo i loko o kou waha, 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 .
ʻO ka mea nui loa, he lāʻau lapaʻau kēia i kuhikuhi ʻia nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi a i ʻole e ʻae i kekahi e hoʻohana.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Inā ʻoe e lawe ana i ka lāʻau lapaʻau no kekahi maʻi ʻē aʻe, hiki ke launa pū me kēia kirīmi. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau lāʻau). He mea nui loa ia e haʻi i kāu kauka inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau:
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| ʻO kekahi mau mea hoʻomaha ʻeha | ʻAsetaminopena |
| Kekahi mau lāʻau antibiotic | ʻO Dapsone, nitrofurantoin, sulfasalazine |
| Nā lāʻau lapaʻau hopu | ʻO Phenobarbital, phenytoin, waikawa valproic |
| Lāʻau lapaʻau no ka malaria | Kolorokuina, Primakuina, Kuina |
| Nā lāʻau anesthetic kūloko ʻē aʻe | ʻO nā lāʻau ʻeha ʻē aʻe, e like me pramoxine |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO Nitroglycerin, Metoclopramide, Cyclophosphamide |
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea e makaʻala ai i ka wā e hoʻohana ai
- Mai hoʻokuʻu iā ia e komo i loko o kou mau maka! He mea ʻino loa kēia kirīmi i kou mau maka. Inā komo hewa ʻoe i loko o kou mau maka, e wehe koke i kou mau maka a holoi pono iā lākou me ka wai maʻemaʻe. A laila e pale i kou mau maka a hiki i kou loaʻa hou ʻana o ka ʻike.
- Inā loaʻa iā ʻoe kekahi huhū a i ʻole ke kuni ʻana i ka wā e kau ai i ka kirīmi, e haʻi koke aku i kāu kauka a kahu maʻi paha.
- ʻO ka mea nui loa: Mai ʻohi, ʻānai, a hamo ikaika paha i ka wahi i ka wā e mae ana. Eia kekahi, mai hoʻokuʻu iā ia i ka wela nui a i ʻole ke anu. Hiki i kēia ke hōʻino i ka ʻili ʻoiai inā ʻaʻole ʻoe e ʻike i ka ʻeha. E mālama i ka wahi a pau ka mae ʻana a hoʻi mai ka manaʻo maʻamau.
He aha nā hopena ʻaoʻao i manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole i loaʻa i nā mea āpau.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hōʻailona e pono e hōʻike koke aku i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ka Methemoglobinemia | (He maʻi koʻikoʻi kēia e hoʻopilikia ai i ka hiki o ke koko ke lawe i ka oxygen) - ʻEha poʻo koke, luhi loa, paʻakikī ka hanu ʻana, nausea, luaʻi, puʻuwai wikiwiki, ʻili polū/hina a i ʻole nā lehelehe. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, nāwaliwali, ʻeha ka umauma, paʻakikī ke hanu. |
| ʻO nā hōʻailona i maʻa mau ʻaʻole koʻikoʻi, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| ʻOle ke kala ʻili | ʻEleʻele a ʻulaʻula paha kahi i kau ʻia ai ka kirīmi. |
| Ka mumū iki | ʻO kahi ʻā iki a ʻoluʻolu ʻole paha ma kahi i kau ʻia ai ka kirīmi. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e haʻi i kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- ʻO Lidocaine; He ʻaila hoʻomaʻemaʻe ʻo Tetracaine i hoʻohana ʻia e hoʻomāmā i ka ʻili ma mua o ke kaʻina hana lapaʻau.
- ʻAʻole kēia he lāʻau lapaʻau i hāʻawi pinepine ʻia ma ka home. Hoʻopili ʻia ia e nā limahana lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Ke mae kou ʻili, ʻo kou kuleana ia e mālama i ka wahi i ʻole e ʻeha.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, nā lehelehe polū, a i ʻole ka wikiwiki o ka puʻuwai, e ʻimi koke i ke kōkua lapaʻau.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo