ʻO ka hānau ʻana i kahi keiki kekahi o nā ʻike nani a kūikawā loa i ke ola o ka makuahine. Akā i kekahi manawa, ma hope o ka hānau ʻana, hiki i ka makuahine ke kū i nā pilikia olakino i manaʻo ʻole ʻia. ʻO ka mea nui a weliweli hoʻi o kēia, ʻo ia ke kahe koko nui ma hope o ka hānau ʻana. He lāʻau lapaʻau koʻikoʻi loa ʻo Methylergonovine a nā kauka e hoʻohana ai e kāohi i kēia maʻi. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia lāʻau.
I ka ʻōlelo maʻalahi, he aha ka Methylergonovine?
He lāʻau lapaʻau ʻo Methylergonovine no ka hui o nā lāʻau lapaʻau i kapa ʻia ʻo 'Ergot Alkaloid'. Loaʻa pinepine ia ma ka mākeke ma ko mākou ʻāina ma lalo o ka inoa ʻo `(Methergine)`. E noʻonoʻo, inā ʻaʻole e ʻūlū pono ka ʻōpū o ka makuahine ma hope o ka hānau ʻana, hoʻomaka nā kīʻaha koko ma laila e kahe nui ke koko. He kūlana weliweli loa kēia.
ʻO kēia ka manawa e hoʻohana ai nā kauka i kēia inikini Methylergonovine. Ke hāʻawi ʻia kēia inikini, ʻūlū paʻa nā ʻiʻo o ka ʻōpū. E like me ke kaomi ʻana i kahi paipu wai e hoʻōki ai i ke kahe o ka wai, ke ʻūlū ka ʻōpū, ua kāohi ʻia ke kahe o ke koko. No laila, ʻo ka hana nui o kēia, ʻo ia ke hoʻōki a pale paha i ke kahe nui ʻana o ke koko ma hope o ka hānau ʻana.
ʻO ka mea nui loa, ʻaʻole kēia he lāʻau lapaʻau no ka hoʻohana maʻamau. Hāʻawi wale ʻia ia ma ka haukapila, ma lalo o ka nānā ʻana a ke kauka.
Nā mea e pono ai ke kauka e haʻi iā ʻoe ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau:
He mea nui loa kēia. Hiki ke lilo i mea weliweli ke hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi mau kūlana olakino i loko o kou kino. No laila, ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau iā ʻoe, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kūlana olakino a pilikia paha | No ke aha ʻoe e hoʻomaopopo ai i ke kauka? (Maʻalahi) |
|---|---|
| Ke koko kiʻekiʻe | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ke koko. ʻO ia ke kumu he mea nui kēia e makaʻala. |
| Maʻi puʻuwai | No ka mea hiki ke hoʻopilikia i ka hana o ka puʻuwai. |
| Maʻi ʻAke a i ʻole ka Puʻupaʻa | Ma muli o ke koʻikoʻi o kēia mau ʻōkana i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino, hiki i nā maʻi i loko o lākou ke hoʻololi i ka pono o ka lāʻau lapaʻau. |
| Nā pilikia kahe koko | Hiki ke ʻūmiʻi nā kīʻaha koko i loko o nā lālā, e hōʻeha ai a me ka mae ʻole. |
| He maʻi | Hiki ke loli ka hopena o kēia lāʻau lapaʻau i ke alo o kekahi mau maʻi. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | He mea weliweli inā he maʻi ʻoe i kēia lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau ʻē aʻe i loko o ka hui Ergot. |
| Inā ʻoe e hānai waiū ana i kēia manawa (Breast-feeding) | Hiki i kēia lāʻau lapaʻau ke komo i loko o ka waiū umauma. E kamaʻilio hou aku kākou e pili ana i kēlā. |
Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau?
Hoʻokomo pinepine ʻia kēia lāʻau lapaʻau i loko o kahi ʻiʻo a i ʻole, i kekahi mau hihia, i loko o kahi aa koko. Hana ʻia kēia e ke kauka a kahu maʻi paha ma ka haukapila. ʻAʻole loa ia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home.
Eia kekahi, ʻoiai ua lawelawe ʻia kēia e nā limahana lapaʻau ma ke ʻano i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana o kahi lāʻau a i ʻole ka overdose. Inā manaʻo ʻoe i kēlā pilikia, ʻo ia hoʻi, inā manaʻo ʻoe i kekahi mea ʻē ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e hoʻomaopopo koke i ke kauka a i ʻole ke kahu maʻi. I nā hihia kakaikahi loa, inā kānalua ʻia kahi overdose, e hoʻomaopopo koke nā kauka i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa, no ka mea e pono ai ka lāʻau lapaʻau.
Nā lāʻau lapaʻau ʻē aʻe ʻaʻole pono e hoʻohana pū ʻia me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau āu e lawe nei ke launa pū me kēia lāʻau lapaʻau Methylergonovine. Kāhea mākou i kēia "Nā Hana Lāʻau Lapaʻau". I kēlā hihia, hiki ke hoʻemi ʻia ka pono o kēia lāʻau lapaʻau a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao. No laila , he mea nui 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 kuʻuna).
Pono ʻoe e hōʻalo i ka hoʻohana ʻana iā Methylergonovine me nā lāʻau lapaʻau penei:
- ʻO kekahi mau lāʻau antiviral i hāʻawi ʻia no ka maʻi HIV a i ʻole Hepatitis.
- Nā lāʻau lapaʻau antifungal (e.g., 'ketoconazole', 'itraconazole').
- Kekahi mau lāʻau antibiotic (e.g. erythromycin, clarithromycin).
- He mau lāʻau lapaʻau nā Triptans i hoʻohana ʻia no ka mālama ʻana i ka migraines.
- Wai ʻāpala.
- Nā lāʻau lapaʻau ʻē aʻe i ka hui ergot like (e.g. ergotamine).
ʻAʻole i piha kēia papa inoa, no laila e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
E pili ana i ka hānai waiū
He mea nui loa kēia no kahi makuahine hou. Hiki i ka Methylergonovine ke komo i loko o ka waiū umauma. Hiki iā ia ke hōʻemi i ka hana ʻana o ka waiū umauma. No laila, ke aʻo aku nei nā kauka e pale ʻoe i ka hānai ʻana i kāu pēpē no 12 mau hola ma hope o ka lawe ʻana i ka mahele hope loa o kēia lāʻau . Mai hāʻawi i kāu pēpē i ka waiū i hoʻopuka ʻia i loko o kēia manawa. E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.
E makaʻala i nā hōʻailona.
E nānā ke kauka i kou kūlana ma hope o kou hoʻomaka ʻana e lawe i ka lāʻau lapaʻau. Eia nō naʻe, inā ʻike ʻoe i kekahi mea ʻē, e like me ke kahe koko ʻana ʻaʻole e pau a i ʻole kekahi mau hōʻailona hou, e hoʻomaopopo koke iā lākou.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. He mea maʻamau kekahi, akā he koʻikoʻi kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| ⚫ Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| ⚫ ʻEha a ʻūmiʻi paha ka umauma | ʻEha ma ka umauma, ka ʻāʻī, ke kua, a i ʻole nā lima. He hōʻailona paha kēia o ka hāʻule puʻuwai. |
| ⚫ Ke koko kiʻekiʻe | ʻEha nui ke poʻo, ka poniuniu, nā loli o ka ʻike. |
| ⚫ Hahau | Paʻakikī i ka ʻōlelo ʻana, huikau, mae/nāwaliwali koke o ka maka, ka lima, a i ʻole ka wāwae. |
| ⚫ ʻEha/manoʻo ma nā lālā | ʻEha, mae, a polū paha i nā lima a i ʻole nā wāwae. |
| ⚫ Nā ʻūlū | Ka haʻalulu o ke kino, ka nalowale o ka ʻike. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ⚪ ʻEha poʻo | ⚪ Ka luaʻi (manaʻo e like me ka luaʻi ʻana) |
| ⚪ Ka maʻi kahe (ʻeha ʻōpū) | ⚪ ʻEha Pelvic (ʻōpū lalo) |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa, no laila inā loaʻa iā ʻoe kekahi mea ʻē, mai makaʻu e hoʻomaopopo i nā limahana lapaʻau.
Leka Lawe-Home
- He mea nui loa ka Methylergonovine, he mea hoʻōla ola i hāʻawi ʻia e hoʻōki i ke kahe nui ʻana o ke koko ma hope o ka hānau keiki ʻana.
- Hāʻawi wale ʻia kēia ma ka haukapila, ma lalo o ka nānā ʻana a ke kauka. ʻAʻole ia he lāʻau lapaʻau e hiki ke lawe ʻia i ka home a hoʻohana ʻia.
- E hōʻoia e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe ke koko kiʻekiʻe, ka maʻi puʻuwai, a i ʻole nā maʻi olakino ʻē aʻe.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau lapaʻau no nā kūlana ʻē aʻe a me nā huaora).
- Inā ua loaʻa iā ʻoe kēia lāʻau pale, e pale i ka hānai ʻana i kāu pēpē no 12 mau hola ma hope o ka mahele hope loa.
- Inā loaʻa iā ʻoe kahi hopena koʻikoʻi e like me ka ʻeha o ka umauma, ka ʻeha poʻo nui, a i ʻole ka paʻakikī o ka ʻōlelo ʻana, e hoʻomaopopo koke i ke limahana lapaʻau.
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