Ua lohe paha ʻoe i ka inoa ʻo 'Methylene Blue'? ʻAʻole paha. He lāʻau lapaʻau kakaikahi ia, akā he mea nui loa. He wai polū maoli nō ia. Ua like ia me ka waihoʻoluʻu āu e kau ai ma luna o ka lole, akā hiki iā ia ke ho'ōla i kekahi mau maʻi koʻikoʻi. ʻAe, e nānā kākou i ka moʻolelo e pili ana i kēia lāʻau lapaʻau polū ʻē?
He aha maoli ka Methylene Blue?
I ka ʻōlelo maʻalahi, ʻo ka methylene blue kahi lāʻau lapaʻau a nā kauka e hoʻohana ai e mālama i kahi maʻi koko laha ʻole i kapa ʻia ʻo
methemoglobinemia . ʻOiai he mea paʻa ia, i ka wā e hoʻohana ʻia ai he lāʻau lapaʻau, hoʻoheheʻe ʻia i loko o ka wai a hāʻawi ʻia ma ke ʻano he
injection ma ke ʻano he wai polū. He mea hoihoi loa hoʻi ka mōʻaukala o kēia lāʻau lapaʻau. Ua ʻike mua ʻia e kahi kemika Kelemania i ke kenekulia 19. Ua hoʻohana mua ʻia ia ma ke ʻano he dye i ka ʻoihana lole. Ma hope mai, ua hoʻohana ʻia hoʻi ia ma ke ʻano he pigment i nā hoʻokolohua hoʻokolohua. Ma kahi o 125 mau makahiki i hala aku nei, ua hoʻomaka kekahi kauka Kelemania e hoʻohana iā ia ma ke ʻano he lāʻau lapaʻau no ka malaria. Mai ia manawa, ua hoʻomaikaʻi nui ʻia kona mau pono. I kēia manawa, ua ʻae wale ʻia e ka US FDA ma ke ʻano he lāʻau lapaʻau no ka methemoglobinemia. Eia naʻe, hoʻohana pinepine nā kauka iā ia no nā kūlana olakino ʻē aʻe.
He aha ke ʻano maʻi e hoʻohana ʻia ai kēia lāʻau lapaʻau?
E like me kā mākou i ʻōlelo ai ma mua, ʻo ka hoʻohana nui ʻana o kēia lāʻau lapaʻau ka mālama ʻana i kahi maʻi i kapa ʻia ʻo methemoglobinemia.
No laila he aha ka methemoglobinemia?
He maʻi kēia e pili ana i ko kākou koko. I ka ʻōlelo maʻalahi, ke hiki mai kēia maʻi, ʻaʻole hiki i nā hunaola koko ʻulaʻula i loko o ko kākou koko ke lawe pono i ka oxygen i nā ʻiʻo o ke kino.
Ke loaʻa ʻole i ke kino ka lawa o ka oxygen , hoʻomaka nā ʻāpana o ke kino e like me nā lehelehe, ka ʻili, ke alelo, a me nā kui e polū. Ua kapa ʻia kēia he cyanosis . Ke hana ʻia kēia i nā pēpē ʻōpio, i kekahi manawa ua kapa ʻia ʻo 'blue baby syndrome'.
Hoʻoilina kekahi poʻe i kēia maʻi ma o nā genes, ʻo ia hoʻi, mai ko lākou mau mākua mai. Akā no ka poʻe he nui, ulu ia ma muli o ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau, nā lāʻau lapaʻau, a i ʻole ka ʻai ʻana i kekahi
mau kemika . He maʻi koʻikoʻi ka Methemoglobinemia
hiki ke hoʻoweliweli i ke ola . ʻO ka Methylene blue kekahi o nā lāʻau lapaʻau maikaʻi loa no kēia.
Pehea e hana ai kēia lāʻau lapaʻau?
Hana ka Methylene blue ma ka hoʻololi kemika ʻana i nā molekala methemoglobin, ka mea hiki ʻole ke lawe i ka oxygen, i nā molekala hemoglobin e hiki ke lawe i ka oxygen. Ua like ia me ka hoʻouka ʻana i kahi pila. Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he IV ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha. He 5 a 30 mau minuke ka lōʻihi. ʻO ka maʻamau, hoʻokahi mahele e hōʻemi i nā hōʻailona. Eia nō naʻe, inā mau nā hōʻailona ma hope o hoʻokahi hola, hiki i ke kauka ke hoʻoholo e hāʻawi i kahi mahele ʻē aʻe.
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, e nānā hou kāu kauka i kāu mōʻaukala olakino piha, no ka mea, hiki i kēia lāʻau lapaʻau ke lilo i mea weliweli no ka poʻe me kekahi mau kūlana olakino.
Nā mea āu e haʻi aku ai i kāu kauka
| Ka hemahema o ka G6PD | He maʻi hoʻoilina kēia e hoʻopilikia ana i nā hunaola koko ʻulaʻula. Inā hāʻawi ʻia kekahi me kēia maʻi i ka methylene blue, hiki i nā hunaola koko ʻulaʻula ke haki koke (hemolysis) a maʻi loa. ʻO kēia ka mea nui loa. |
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | E hōʻoia e haʻi i kāu kauka inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. |
| Nā kūlana olakino ʻē aʻe | E ʻoluʻolu e hoʻomaopopo mai iā mākou inā he maʻi kou no nā puʻupaʻa a i ʻole ke akepaʻa. |
| Nā maʻi ʻaleka | E haʻi mai iā mākou inā he mau maʻi ʻaleka kou i ka methylene blue a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā wai hoʻoluʻu. |
| Ka lāʻau ʻona cyanide | Inā kānalua ʻoe i ka lāʻau make cyanide, pono ʻoe e haʻi i kāu kauka . |
He aha nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao.
- Nā hopena ʻaoʻao liʻiliʻi (ʻaʻohe mea e hopohopo ai):
- ʻO ka mimi a me ka ʻōpala uliuli-ʻōmaʻomaʻo (he mea maʻamau kēia, i hoʻokumu ʻia e ke kala o ka lāʻau lapaʻau)
- Ka luaʻi a me ka luaʻi
- Ka loli iki o ke kala o ka ʻili
- ʻEha ma ka lima kahi i hāʻawi ʻia ai ka IV
- Nā hopena ʻino koʻikoʻi e pono e hōʻike koke ʻia i ke kauka :
- ʻEha umauma
- Pōʻino
- ʻEha poʻo (ʻeha poʻo)
- Ka huikau
- Hoʻonui ʻia ka hou ʻana
- ʻeha ka ʻōpū
Nā pilina lāʻau lapaʻau
He ʻāpana koʻikoʻi loa kēia. Hiki i kekahi mau lāʻau lapaʻau ke loaʻa nā hopena weliweli loa ke lawe ʻia me ka methylene blue.
ʻO ke ʻano kūikawā, ʻo kekahi mau lāʻau lapaʻau no ke kaumaha a i ʻole ka hopohopo (e.g., SSRIs) hiki ke hoʻoulu i kahi maʻi make i kapa ʻia ʻo 'Serotonin Syndrome' inā e lawe pū ʻia me ka methylene blue.
ʻO ke ʻano kēia, piʻi nui ka kemika serotonin i loko o ko kākou lolo, e hana ana i nā hōʻailona koʻikoʻi e like me ka haʻalulu, ke kuni nui, ka nalowale o ka ʻike, a me ka make. No laila,
he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a me nā mea hoʻohui āu e lawe nei. Nā pono ʻē aʻe a me nā hiʻohiʻona i hoʻokumu ʻia i ka noiʻi
ʻOiai ua ʻāpono wale ʻia e ka FDA no ka methemoglobinemia, hoʻohana nā kauka no nā kūlana ʻē aʻe i nā hihia kūikawā. Ua kapa ʻia kēia he hoʻohana 'off-label'.
- Ma ke ʻano he lāʻau lapaʻau: Ma ke ʻano he lāʻau lapaʻau no ka lāʻau make e nā kemika e like me ka nitrite, i hoʻohana ʻia ma kekahi mau hale hana. Inā kānalua ʻoe i kekahi mea e like me kēia, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Inā pono, e kāhea lākou i ke National Poison Information Centre ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo.
- Pūʻiwa: E mālama i ke pūʻiwa i kekahi mau maʻi maʻi koʻikoʻi ma ka ʻāpana mālama koʻikoʻi (ICU).
- Ka ʻike ʻana i ke kanesa: I ka wā o ke ʻoki ʻana i ke kanesa, hoʻohana ʻia ia ma ke ʻano he kala e hōʻike i nā hunaola kanesa a me nā kiko lymph i ka polū.
- Ka hoʻomaikaʻi ʻana i ka hoʻomanaʻo: Ke hana ʻia nei ka noiʻi e ʻike inā hiki ke lilo i mea pono no nā maʻi e like me Alzheimer's e kū mai ana me ka ʻelemakule.
- Ma ke ʻano he mea hoʻomaʻemaʻe:Ua hōʻike kekahi mau noiʻi e hiki i ka hui ʻana o ka methylene blue a me ka mālamalama ke pepehi i nā germs e like me ka coronavirus.
He mea nui: Aia nō ka hapa nui o kēia mau mea i ke kahua noiʻi. No laila, mai hoʻāʻo wale iā lākou no ka mea ua ʻike ʻoe iā lākou ma ka pūnaewele. E hahai mau i nā ʻōlelo a kāu kauka.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Methylene Blue i hāʻawi ʻia e mālama i kahi maʻi koko kakaikahi akā koʻikoʻi i kapa ʻia ʻo methemoglobinemia.
- ʻAʻole pono e hoʻohana wale ʻia kēia lāʻau lapaʻau. Hāʻawi mau ʻia ia ma ke ʻano intravenous ma ka haukapila ma lalo o ka nānā ʻana a ke kauka a kahu maʻi paha.
- Inā loaʻa iā ʻoe kahi maʻi hoʻoilina i kapa ʻia ʻo ka hemahema o G6PD , pono ʻoe e haʻi i kāu kauka. He mea nui loa ia no ka palekana o ke ola.
- E hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (ʻoi aku hoʻi nā mea no nā maʻi noʻonoʻo) e pale aku i ka maʻi serotonin weliweli.
- He mea maʻamau ka lilo ʻana o kou mimi i polū-ʻōmaʻomaʻo ma hope o ka lawe ʻana i ka lāʻau lapaʻau. Mai hopohopo no ia mea. Akā inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma a i ʻole ka huikau, e ʻike koke i ke kauka.
- ʻO nā pono ʻē aʻe o kēia lāʻau lapaʻau eia nō i ke kahua noiʻi, no laila e hahai mau i ka ʻōlelo aʻo a kāu kauka.
Methylene Blue, Methemoglobinemia, cyanosis, hemahema G6PD, Serotonin Syndrome, Nā hopena ʻaoʻao o ka lāʻau lapaʻau
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