Ke kuʻi wikiwiki nei kou puʻuwai ma mua o ka maʻamau i kekahi manawa? A i ʻole ke manaʻo nei ʻoe e kuʻi ana ma waho o ke kaohi? He lāʻau lapaʻau kūikawā ʻo Mexiletine i kuhikuhi ʻia e nā kauka e kāohi i kēlā mau maʻi puʻuwai, a ʻoi aku ka pololei, nā arrhythmias puʻuwai . Inā ua kuhikuhi ʻia kēia lāʻau lapaʻau nou, he mea nui loa ia e ʻike pono i ke ʻano o ia mea. No laila i kēia lā, e kamaʻilio pōkole kākou e pili ana i kēia lāʻau lapaʻau, kāna hana, nā hopena ʻaoʻao, a me nā mea e makaʻala ai i ka wā e hoʻohana ana.
He aha ke ʻano lāʻau lapaʻau ʻo Mexiletine?
I ka ʻōlelo maʻalahi, ʻo Mexiletine kahi lāʻau lapaʻau e pili ana i kahi papa o nā lāʻau lapaʻau e hoʻihoʻi i ke ʻano o ka puʻuwai, ʻo ia hoʻi, nā lāʻau antiarrhythmic . Hoʻopaʻa ko mākou puʻuwai me kahi ʻōnaehana palupalu loa o nā hōʻailona uila. I kekahi manawa lilo kēia mau hōʻailona uila i mea hana nui, wikiwiki loa, a hoʻopilikia i ke ʻano o ka puʻuwai.
Hana ʻo Mexiletine ma ke kāohi ʻana i kekahi o kēlā mau hōʻailona uila hana nui a hoʻolohi iā lākou. A laila hoʻopaʻa ʻia ka ʻano kūpono ʻole o ka puʻuwai a hoʻihoʻi ʻia i ka maʻamau. He hana koʻikoʻi loa kēia.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o ke kuhikuhi ʻana i kēia lāʻau lapaʻau iā ʻoe, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. Eia nō naʻe, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. E hoʻoholo kēia ʻike i ka nui o ka lāʻau e hāʻawi ʻia iā ʻoe, a pehea e nānā ʻia ai ʻoe.
Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e haʻi pono i kāu kauka e pili ana iā lākou:
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Nā maʻi puʻuwai ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi puʻuwai ʻē aʻe (no ka laʻana, inā loaʻa iā ʻoe kahi hōʻeha puʻuwai, inā he pilikia kou me nā valves puʻuwai) ma waho aʻe o kēia arrhythmia rhythm heart.
- ʻAleʻaleʻa iā Mexiletine a i ʻole nā mea ʻē aʻe: Inā ua loaʻa iā ʻoe kahi hopena maʻi i Mexiletine, kekahi lāʻau lapaʻau ʻē aʻe, kahi meaʻai, a i ʻole kekahi mau kala.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai: He mea nui loa kēia.
- Inā he makuahine hānai ʻoe: Hiki i kēia lāʻau lapaʻau ke hele i kāu pēpē ma o ka waiū umauma, no laila pono ʻoe e haʻi i kāu kauka e pili ana i kēia.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea nui loa e hahai pono i nā ʻōlelo a kāu kauka i ka wā e hoʻohana ai i kēia lāʻau.
- E lawe i kēia lāʻau lapaʻau me ke aniani wai.
- I mea e hōʻemi ai i ka ʻeha o ka ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻai a i ʻole ka antacid. E nīnau i kāu kauka e pili ana i kēia.
- E lawe i ka lāʻau i kuhikuhi ʻia i ka manawa a kāu kauka i kuhikuhi ai. Inā ʻōlelo ʻia ʻoe e lawe iā ia i ʻekolu manawa i ka lā, e hoʻāʻo e lawe iā ia i ka manawa like i kēlā me kēia 8 hola.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ke kūkākūkā ʻole ʻana me kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui paha i kou kūlana.
- Pono paha ke akahele kūikawā i ka wā e hoʻohana ai i kēia lāʻau lapaʻau i nā keiki, no laila e kamaʻilio pū me kāu kauka e pili ana i kēlā.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
He pilikia kēia. Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa me ka hoʻokaʻulua ʻole.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Ua hana kūikawā ʻia no kou kūlana. No laila, mai kaʻana like i kēia lāʻau lapaʻau me kekahi.
Nā lāʻau ʻē aʻe e hiki ke launa pū me Mexiletine
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana ʻana o Mexiletine. Hiki iā Mexiletine ke hoʻopilikia i ke ʻano o ka hana ʻana o nā lāʻau lapaʻau ʻē aʻe. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui).
| Nā mea e hiki ke launa pū me Mexiletine | |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia: | |
| ʻO Dofetilide (kekahi lāʻau lapaʻau hoʻomalu puʻuwai) | |
| Nā lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke launa pū: | |
| Kafeina | Loaʻa ke kī, ke kofe, a me kekahi mau mea inu ʻono |
| ʻO Cimetidine | He lāʻau lapaʻau no ka gastritis a me ka mumū o ka ʻōpū |
| Nā lāʻau lapaʻau no ke kaumaha a me ka hopohopo | (Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo) |
| Phenobarbital, Phenytoin | Nā lāʻau lapaʻau no nā hopu ʻana |
| ʻO Rifampin | He lāʻau antibiotic no ka maʻi puʻupuʻu |
| ʻO ka Theophylline | He lāʻau lapaʻau no ka hānō |
ʻAʻole i piha kēia papa inoa. No laila, inā ʻoe e puhipaka a inu waiʻona paha, e haʻi aku i kāu kauka e pili ana i kēlā.
Nā mea e hoʻomanaʻo ai i ka wā e hoʻohana ai i ka lāʻau lapaʻau
- Nānā mua: Hoʻomaka pinepine ʻia kēia lāʻau lapaʻau ma kahi haukapila a kikowaena olakino paha kahi e hiki ai ke nānā pono ʻia ʻoe e ʻike pehea e pane ai kou kino i ka lāʻau lapaʻau.
- Pōniuniu a me ka hiamoe: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iki iā ʻoe a pōniuniu. No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i kekahi mea e pono ai ka makaʻala a hiki i kou ʻike ʻana i ke ʻano o ka hopena o ka lāʻau lapaʻau iā ʻoe.
- Mai ala koke: Mai ala koke mai ka noho ʻana a i ʻole ka moe ʻana. ʻOi loa aku inā he ʻelemakule ʻoe. Inā hana ʻoe pēlā, hiki iā ʻoe ke poni a hāʻule. E ala mālie.
- ʻOna: Hiki i ka inu ʻana i ka ʻona ke hoʻolilo iā ʻoe i poniuniu a piʻi aʻe paha kou puʻuwai. No laila, e pale loa i ka ʻona i ka wā e lawe ana i kēia lāʻau.
Nānā kūikawā: nā maʻi ʻili koʻikoʻi
Hiki ke loaʻa nā hopena ʻili koʻikoʻi i kekahi mau pule a i ʻole nā mahina ma hope o kou hoʻomaka ʻana e hoʻohana i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe kahi ʻulaʻula a poni paha me nā hōʻailona e like me ke kuni a i ʻole ke anu, a laila pehu a ʻili ka ʻulaʻula,A i ʻole inā loaʻa iā ʻoe kahi ʻulaʻula me ka pehu ʻana o ka maka, nā lehelehe, a i ʻole nā kikowaena lymph ma ka ʻāʻī a i ʻole nā armpits, e kāhea koke i kāu kauka. Hiki i kēia ke lilo i maʻi koʻikoʻi.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Mexiletine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka |
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| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou |
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Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Mexiletine e kaohi ana i ka puʻuwai. No laila ma mua o ka hoʻomaka ʻana i kēia, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E lawe i ka lāʻau i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ke kauoha a kāu kauka. Mai ho'ōki i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E pale i nā hana weliweli no ka mea hiki ke poniuniu a me ka hiamoe i ka wā e lawe ana i ka lāʻau. E pale loa i ka waiʻona.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻulaʻula, ke kuni, a i ʻole nā kīʻaha lymph pehu i ka wā e hoʻohana ana i ka lāʻau lapaʻau, he hōʻailona paha ia o kahi maʻi koʻikoʻi. E haʻi koke aku i kāu kauka .
- Inā kānalua ʻoe i kahi overdose, e hele koke i ka Emergency Department (ETU) o ka haukapila.
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