Ua ʻike mākou a pau e lawe ana ke koko i ka oxygen ma o ko mākou kino. Akā e noʻonoʻo, pehea inā no kekahi kumu ʻaʻole hiki i kēia koko ke lawe i ka oxygen? E like paha kou kino me he mea lā e ʻūlū ana, ʻeā? I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia i loko o ia kūlana koʻikoʻi a hoʻoweliweli i ke ola. ʻO Methylene Blue kona inoa.
He aha ka Methylene Blue? He aha kāna hana?
I ka ʻōlelo maʻalahi, ʻo Methylene Blue kahi lāʻau i hoʻohana ʻia e mālama i kahi maʻi i kapa ʻia ʻo methemoglobinemia .
"I kēia manawa he aha ka methemoglobinemia?" e noʻonoʻo paha ʻoe. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka loli ʻana o ka protein lawe oxygen i loko o ko kākou koko, i kapa ʻia ʻo hemoglobin, a ʻaʻole hiki ke hoʻopaʻa pono i ka oxygen. A laila ua hoʻopau loa ʻia ka lako oxygen i nā ʻiʻo a me nā ʻōpū o ke kino. Hiki ke hana ʻia kēia ma muli o ka ʻai ʻana i nā kemika like ʻole, kekahi mau lāʻau lapaʻau, a i ʻole nā kumu genetic. He kūlana weliweli loa kēia. ʻO ia ka manawa e hāʻawi ʻia ai kahi inikini methylene blue e kōkua i ka hoʻi ʻana o ka oxygen i ke koko.
ʻO ka mea nui loa, ʻaʻole kēia e like me ka lāʻau lapaʻau maʻamau. Hoʻohana wale ʻia ia ma ka haukapila, ma lalo o ka nānā pono ʻana a nā kauka.
Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau i kekahi manawa no nā kumu lapaʻau ʻē aʻe. Inā he mau nīnau kāu e pili ana i kēia, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau pale iā ʻoe, e nīnau aku ke kime lapaʻau iā ʻoe i kekahi mau nīnau. He mea nui no kou palekana ke hāʻawi iā lākou i ka ʻike pololei. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Nā maʻi ʻaleka i ka methylene blue a i ʻole nā lāʻau lapaʻau ʻē aʻe: Inā ua loaʻa iā ʻoe kahi maʻi ʻaleka i nā lāʻau lapaʻau e like me ka methylene blue, phenothiazines, thiazide diuretics, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole kala.
- Ka hemahema o G6PD: Inā loaʻa iā ʻoe kahi maʻi genetic i kapa ʻia ʻo ka hemahema o ka glucose-6-phosphate dehydrogenase (G6PD) . He hemahema enzyme kēia e pili ana i nā hunaola koko. Hiki ke hoʻoweliweli ka hāʻawi ʻana i ka methylene blue i nā poʻe me kēia maʻi.
- Ka lāʻau ʻona Cyanide: Inā ʻoe kekahi e mālama ʻia ana no ka lāʻau ʻona cyanide.
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi puʻupaʻa.
- Hāpai a ho'āʻo paha e hāpai: Inā hāpai ʻoe a i ʻole e manaʻolana ana e hāpai, pono ʻoe e haʻi i kāu kauka.
- Inā hānai waiū:E hoʻomaopopo pū i ke kauka inā he makuahine hānai ʻoe.
Pehea e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He inikini ia i loko o kahi aa koko . Hāʻawi ʻia ia e kekahi loea mālama ola kino, e like me ke kauka a i ʻole kahi kahu maʻi i aʻo ʻia, ma kahi haukapila a i ʻole ke keʻena lapaʻau.
Ke hāʻawi nei ʻoe i kēia i nā keiki?
ʻAe, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki inā pono. Eia nō naʻe, pono ia i ka mālama kūikawā. Hiki iā ʻoe ke kamaʻilio me kāu kauka keiki e pili ana i kēia no nā kikoʻī.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila, no laila haʻahaʻa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, pono ʻoe e hoʻomaopopo koke i ka hui lapaʻau o ka haukapila. Ma ke ʻano laulā, inā loaʻa kahi lāʻau make, pono ʻoe e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka Emergency Treatment Unit (ETU) o kahi haukapila.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
He ʻāpana koʻikoʻi loa kēia. He lāʻau lapaʻau ka Methylene blue hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e nā kauka ʻē aʻe, i kūʻai ʻia ma ka hale kūʻai lāʻau, nā lāʻau lapaʻau kuʻuna, nā huaora, nā mea hoʻohui - nā mea āpau).
ʻAʻole pono e hāʻawi ʻia ka methylene blue i kekahi e lawe ana i nā lāʻau lapaʻau penei:
| ʻAno lāʻau lapaʻau | Nā Laʻana |
|---|---|
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha a i ʻole ka hopohopo | ʻO Bupropion, Clomipramine, Doxepin, Duloxetine, Fluoxetine, Mirtazapine, Trazodone |
| Nā lāʻau lapaʻau i loko o ka hui MAOI (monoamine oxidase inhibitors) | Nā lāʻau lapaʻau e like me Marplan, Nardil, Parnate, Rasagiline, Selegiline |
| ʻO kekahi mau lāʻau lapaʻau a me nā mea hoʻohui ʻē aʻe | ʻO Milnacipran, Tryptophan, St. John's wort (he mea hoʻohui lāʻau lapaʻau) |
ʻAʻole i piha kēia papa inoa, no laila he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai. Eia kekahi, e haʻi iā ia inā ʻoe e puhipaka ana, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka methylene blue ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, ʻaʻole koʻikoʻi kekahi. E nānā pono ana kāu hui lapaʻau iā ʻoe i ka wā e hāʻawi ʻia ai ka lāʻau lapaʻau iā ʻoe. Akā he mea maikaʻi ke makaʻala i kēia mau hōʻailona.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
| ʻEha umauma | He ʻeha e like me ke ʻūmi ʻia ʻana o ka puʻuwai, me he mea lā e ʻūmi ʻia ana. |
| Ka huikau | He mea paʻakikī ke noʻonoʻo i kahi, i ka manawa hea, a ʻo wai ʻoe. |
| Pōʻino | He manaʻo o ka nalowale ʻana o ke kaohi i kou kino, me he mea lā e milo ana ke ao nei a puni ʻoe. |
| ʻEha poʻo nui | He ʻeha poʻo koke a hiki ʻole ke hoʻomanawanui. |
| Hoʻonui ʻia ka hou ʻana | Ka hou nui ʻana no ke kumu ʻole. |
| ʻEha ʻōpū | ʻEha nui a mau ka ʻōpū. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Mimi polū/ʻōmaʻomaʻo a me ka ʻōpala | He mea kēia e manaʻo ʻia. Hana ʻia kēia ma muli o ke kala o ka lāʻau lapaʻau. ʻAʻohe mea e hopohopo ai. |
| ʻIli polū | I kekahi manawa hiki i ka ʻili ke lilo i polū. |
| Ka luaʻi a me ka luaʻi | Hiki ke loaʻa ka luaʻi a i ʻole ka luaʻi ʻana i ka wā a ma hope paha o ka hāʻawi ʻana i ka lāʻau lapaʻau. |
Leka Lawe-Home
- He lāʻau hoʻōla ola ka Methylene Blue i hāʻawi ʻia e mālama i kahi maʻi koʻikoʻi i kapa ʻia ʻo methemoglobinemia , ʻo ia hoʻi ka wā hiki ʻole i ke koko ke lawe i ka oxygen.
- Hāʻawi wale ʻia kēia ma ke ʻano he inikini i loko o kahi aa koko ma ka haukapila, ma lalo o ka nānā ʻana a ke kauka. ʻAʻole ia he lāʻau lapaʻau e lawe i ka home.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā antidepressants, a me nā kūlana olakino āu e loaʻa nei, e like me ka hemahema o G6PD .
- He mea maʻamau no ka lāʻau lapaʻau ke hoʻoulu i ka mimi polū/ʻōmaʻomaʻo a me ka ʻōpala. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka huikau, a i ʻole ka ʻeha poʻo nui, e hoʻomaopopo koke i kāu hui lapaʻau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau a i ʻole kou kūlana, mai kānalua e nīnau i kāu kauka .
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo