Ua huki ʻia anei kou niho a ua hoʻokomo ke kauka niho i kahi hopena i loko o kou ʻāʻī a hoʻomāʻū wale i kēlā wahi? A i ʻole, i kou hele ʻana e humuhumu i kahi ʻeha liʻiliʻi, hoʻomāʻū wale lākou i ka wahi a puni ka ʻeha? ʻO ia ka mea a mākou e kapa wale nei ʻo 'Local Anesthesia'. ʻAʻole ia e hoʻomāʻū loa iā ʻoe, hoʻomāʻū wale ia i ka wahi āu e ʻeha nei. No laila, i kēia lā e kamaʻilio maopopo mākou e pili ana i kēia, e like me kāu e wehewehe ai i kahi hoaaloha.
I ka ʻōlelo maʻalahi, he aha ka Anesthesia Local?
ʻO ka anesthesia kūloko kahi ʻano lāʻau lapaʻau a nā kauka e hoʻohana ai e hoʻomāno i kahi ʻāpana liʻiliʻi o kou kino ma mua o ke ʻoki liʻiliʻi a i ʻole kahi hoʻāʻo lapaʻau. No ka laʻana, hoʻohana ʻia lākou e hoʻomāno i kahi ʻāpana liʻiliʻi o ka ʻili ma kou lima, e like me kahi ʻāpana o kou ʻāʻī.
ʻAʻole e like me ke 'General Anesthesia' (anesthesia piha) i hāʻawi ʻia i ka wā o kahi hana nui, ʻaʻole ʻoe e nalowale i ka ʻike i kēia manawa. E ala loa ʻoe. Akā e pau kou ʻeha. I kekahi manawa, me kēia lāʻau hoʻomāʻū, hiki i ke kauka ke hāʻawi iā ʻoe i kahi mea hoʻomaha iki (sedation) e hoʻomaha iā ʻoe a hoʻemi i kou makaʻu. Aia ia i ka mea e hana ʻia nei a me kou kūlana.
Pehea e hana ai kēia lāʻau lapaʻau?
He mea maʻalahi loa ia. E ʻōlelo kākou ua ʻoki ʻoe i kou manamana lima. A laila hele kēlā ʻeha ma o nā aʻalolo i loko o kou manamana lima a i kou lolo ma ke ʻano he hōʻailona ʻeha . Ke hoʻomaopopo ka lolo i kēlā hōʻailona, manaʻo ʻoe, "Auē, ʻeha kēlā."
Hoʻopale ka Anesthesia kūloko i nā hōʻailona ʻeha mai nā aʻalolo ma ia wahi a i ka lolo. Ua like ia me ke kāohi ʻana i kahi ʻelele. A laila, ʻaʻole hiki i ka leka ʻeha i ka lolo, no laila ʻaʻole ʻoe e ʻike i ka ʻeha. Akā hiki iā ʻoe ke manaʻo i ke kaomi, me he mea lā e kaomi ana kekahi ma ia wahi.
ʻO ka mea nui loa, ʻaʻole kēia e hoʻopilikia i kou ʻōnaehana nerve waena a lilo ʻoe i ka ʻike. Hiki iā ʻoe ke lohe a ʻike i nā mea a pau e hana nei a puni ʻoe.
Nā ʻano o ka Anesthesia kūloko a me ka manawa e hoʻohana ai
Loaʻa kēia mau lāʻau ʻeha i nā ʻano like ʻole. A hoʻohana ʻia lākou i nā kūlana like ʻole. E nānā kākou i ko lākou ʻano.
| Pehea e hoʻohana ai | Nā laʻana a me nā hihia hoʻohana |
|---|---|
| Nā Kirīmi/ʻAila/Gels | No ka hoʻomānoʻo ʻana i ka ʻili. I kekahi manawa, ma mua o ka hāʻawi ʻana i kahi inikini, e hamo i ka wahi e hoʻomānoʻo ai. |
| Nā inikini | ʻO ke ʻano hana maʻamau. No nā mea e like me ka unuhi ʻana i ka niho, ka humuhumu ʻana i kahi ʻeha, a i ʻole ka lawe ʻana i kahi ʻāpana ʻili liʻiliʻi no ka hoʻāʻo ʻana (biopsy). |
| Nā pīpī | No ka hoʻomānoʻonoʻo ʻana i ke kua o ka puʻu, no ka laʻana ma mua o ka endoscopy. |
| Nā kulu maka | Ma mua o nā ʻoki maka liʻiliʻi e like me ke ʻoki cataract. |
| Nā ʻāpana ʻili | E hoʻomaha i kekahi ʻeha e pili ana i nā aʻalolo i ka wā lōʻihi. |
Nā lāʻau lapaʻau i hoʻohana pinepine ʻia
ʻO kekahi o nā lāʻau anesthetic kūloko i hoʻohana ʻia e nā kauka:
- Benzocaine
- ʻO Bupivacaine
- Lidocaine
- ʻO Ropivacaine
I kekahi manawa, i mea e lōʻihi ai kēia mau lāʻau a hoʻonui i ka palekana, hoʻohui nā kauka i nā lāʻau ʻē aʻe, e like me ka epinephrine .
Pono ʻoe e hoʻomākaukau? Hiki iā ʻoe ke ʻai a inu?
ʻO ka maʻamau, no kahi mea liʻiliʻi, kahi i hāʻawi wale ʻia ai ka anesthesia kūloko, ʻaʻole pono ʻoe e hoʻomākaukau i kekahi mea kūikawā . Hiki iā ʻoe ke ʻai a inu e like me ka mea maʻamau.
Eia nō naʻe, e hoʻomanaʻo inā pili kāu ʻoki ʻana i ka ʻōnaehana hoʻoheheʻe, a inā paha he pilikia e pono ai ʻoe e kau ʻia ma lalo o ka anesthesia laulā, e noi paha kāu kauka iā ʻoe e hoʻokē ʻai . No laila e hahai mau i nā ʻōlelo a kāu kauka.
E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi allergies āu i loaʻa ai a i ʻole inā he pilikia kāu me kekahi mau anesthetics i ka wā ma mua.Inā loaʻa iā ʻoe ka makaʻu i nā nila (trypanophobia), he mea maikaʻi ke haʻi aku i kēlā, i hiki iā lākou ke hana i nā hana e hōʻoluʻolu ai iā ʻoe.
Pehea ka lōʻihi o ka nalo ʻana o ke ʻano ʻūlū? Aia kekahi mau hopena ʻaoʻao?
ʻO ka lōʻihi o nā hopena o ka anesthesia kūloko e pili ana i kekahi mau kumu.
- Ma hea i hoʻokomo ʻia ai ka lāʻau lapaʻau
- Ka nui o ka lāʻau i hāʻawi ʻia
- ʻAno lāʻau lapaʻau i hoʻohana ʻia
- Inā paha i hoʻohui ʻia nā lāʻau ʻē aʻe, e like me ka epinephrine
Hiki i ka mae ʻana o ka niho ke mau ma waena o 30 mau minuke a i 12 mau hola a ʻoi aku paha. Hiki i ka mae ʻana o ka niho ke mau no 5-7 mau hola. E haʻi aku kāu kauka iā ʻoe e pili ana i kēia ma mua.
Nā hopena ʻaoʻao liʻiliʻi
He mea kākaʻikahi loa kēia a ʻaʻole maʻamau ka maʻamau.
- He palapū liʻiliʻi a ʻeha paha ma kahi i hāʻawi ʻia ai ka inikini.
- Vertigo (manaʻo e like me ʻoe e milo ana).
- ʻEha poʻo.
- ʻIke pōwehiwehi iki.
- Manaʻo e like me ka wili ʻana o nā ʻiʻo.
- ʻUʻumi, nā kui a me nā nila, e lōʻihi ana ma mua o ka mea i manaʻo ʻia.
Inā ʻoi aku ka lōʻihi o kēia ma mua o ka mea i manaʻo ʻia, e kamaʻilio me kāu kauka.
Nā pilikia koʻikoʻi akā kakaikahi loa
He haʻahaʻa loa ka manawa kūpono o kēia mau mea, akā he mea nui e ʻike iā lākou.
1. Ka hopena maʻi ʻaleka: Loaʻa paha i kekahi poʻe kahi hopena maʻi i kēia lāʻau. Inā hana ʻia kēia, e ʻike koke ʻia ma hope o ka hāʻawi ʻia ʻana o ka lāʻau, no laila hiki i ka hui lapaʻau ke mālama koke iā ia.
2. ʻO ka ʻona ʻōnaehana anesthetic kūloko (LAST): He ʻano laha ʻole kēia. Hana ʻia ia ke komo nui ka anesthetic kūloko i loko o ke koko. Hiki ke ʻike ʻia nā hōʻailona i loko o 1-5 mau minuke o ka hoʻokomo ʻana.
- Manaʻo hopohopo
- Ka huikau
- Pōʻino
- He ʻono metala i loko o ka waha
- Paʻakikī i ka ʻōlelo ʻana
- Nā loli o ka lohe ʻana
Inā ʻike ʻoe a i ʻole kekahi āu i ʻike ai i kekahi o kēia mau hōʻailona ma hope o ka anesthesia kūloko, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa . ʻOiai he maʻi hiki ke mālama ʻia kēia, inā ʻaʻole mālama koke ʻia, hiki iā ia ke alakaʻi i nā maʻi koʻikoʻi e like me ka hopu ʻana a me ka hāʻule ʻana o ka puʻuwai.
Nā mea e makaʻala ai ma hope o ka lāʻau lapaʻau
Pono ʻoe e akahele iki a hiki i ka pau ʻana o ke kani ʻana.
- Ke kalaiwa ʻana: He palekana ka hoʻokele ʻana ma hope o kahi hana liʻiliʻi, e like me ka unuhi ʻana i ka niho. Eia nō naʻe, inā ua loaʻa iā ʻoe kahi ʻoki kino i hoʻopilikia i kou lima, wāwae, a maka paha, a inā ua hāʻawi ʻia ʻoe i ka hoʻomaha, ʻoi aku ka palekana o ka loaʻa ʻana o kekahi e kalaiwa iā ʻoe .
- Meaʻai a me ka mea inu:Ke huki ʻia kou niho a ʻeha kou ʻāʻī, e pale i ka ʻai ʻana ma kēlā ʻaoʻao. Hiki iā ʻoe ke nahu i kou papālina a hōʻeha i kou ʻāʻī.
- Hāpai: Manaʻo ʻia he palekana ka anesthesia kūloko i ka wā hāpai. Eia nō naʻe, he mea nui e kamaʻilio me kāu kauka a loaʻa ka ʻae ma mua o ka hana ʻana i kekahi mea.
He mea pono loa ka Anesthesia kūloko i ka lāʻau lapaʻau. Ma muli o kēia, loaʻa iā mākou ka manawa kūpono e hana i nā ʻoki liʻiliʻi a me nā hoʻokolohua me ka ʻole o ka ʻeha a me ka ho'ōla koke ʻana. No laila, mai makaʻu i kēia. Inā he mau nīnau a hopohopo paha kāu, e kamaʻilio me kāu kauka e pili ana iā lākou. Aia lākou ma laila e kōkua iā ʻoe.
Leka Lawe-Home
- ʻO ka anesthesia kūloko kahi hoʻomānoʻino manawa pōkole o kahi wahi liʻiliʻi o ke kino. ʻAʻole ʻoe e nalowale ka ʻike.
- Hoʻohana ʻia kēia no nā kaʻina hana lapaʻau liʻiliʻi he nui e like me ka unuhi ʻana i nā niho, ka humuhumu ʻana i nā ʻeha, a me nā ʻoki ʻili liʻiliʻi.
- E hoʻomaopopo mau i kāu kauka e pili ana i kekahi mau maʻi allergies a i ʻole nā pilikia anesthesia mua i loaʻa iā ʻoe.
- He mea kākaʻikahi loa nā hopena ʻaoʻao a he mea liʻiliʻi wale nō. Eia nō naʻe, inā loaʻa nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana a i ʻole ka huikau, e ʻimi koke i ka mālama ulia pōpilikia (ETU).
- E makaʻala i ka wā e ʻai ai a me ka hoʻokele ʻana, ʻoiai ma hope o ka mālama ʻana i nā niho, a hiki i ka pau ʻana o ke ʻano ʻūlū.
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