Ke loaʻa nei kekahi o kou ʻohana a i ʻole kekahi āu i ʻike ai i ka maʻi hopu ? E hopohopo nui paha ʻoe a ʻaʻole ʻoe i ʻike i ka mea e hana ai i ia manawa, ʻeā? He mea maʻamau kēlā. Akā i kekahi manawa ua hāʻawi paha ke kauka iā ʻoe i kahi pīpī ihu e hoʻohana ai i ia ʻano pilikia e hoʻōki i ka hopu ʻana . ʻO kēlā pīpī, ʻo ia hoʻi ʻo Midazolam nasal spray, ʻo ia ka mea a mākou e kamaʻilio ai ma kēia ʻatikala i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Midazolam?
He lāʻau lapaʻau ʻo Midazolam i hāʻawi ʻia e hoʻōki i ka hopu ʻana a i ʻole ka maʻi ʻōpū . Loaʻa ia ma ke ʻano he pīpī ihu. ʻAʻole ia he lāʻau lapaʻau o kēlā me kēia lā. Ua like ia me ka lāʻau "hoʻopakele" i hoʻohana ʻia i ka wā pilikia.
No loko o kahi papa o nā lāʻau i kapa ʻia ʻo benzodiazepines kēia lāʻau lapaʻau. I ka ʻōlelo maʻalahi, hana kēia mau lāʻau lapaʻau ma ka hōʻoluʻolu ʻana i kāu ʻōnaehana nerve a me ka kaohi ʻana i kekahi o nā hana i loko o kou lolo . Ke loaʻa iā ʻoe kahi hopu ʻana, piʻi nui ka hana uila i loko o kou lolo. Kōkua kēia lāʻau lapaʻau e hōʻemi i kēlā hana nui a hoʻōki i ka hopu ʻana.
He mea nui loa: Inā ʻaʻole e pau ka ʻeha ma hope o ka hoʻohana ʻana i kēia pīpī, pono ʻoe e kāhea koke i kahi lawelawe ulia pōpilikia a lawe paha i ka mea maʻi i ka keʻena ulia pōpilikia kokoke loa o ka haukapila (ETU) . Mai manaʻo e lawa kēia e hoʻoponopono i nā mea āpau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Inā loaʻa iā ʻoe a i ʻole ke kanaka e hoʻohana ana i kēia lāʻau lapaʻau kekahi o kēia mau maʻi, pono ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau, no ka mea, ʻo ka hoʻohana ʻana i kēia lāʻau lapaʻau me kēia mau maʻi hiki ke lilo i mea weliweli.
| Maʻi a i ʻole nā kumu ʻē aʻe | Wehewehena |
|---|---|
| ʻO ka glaucoma | He kūlana e piʻi ai ke kaomi i loko o ka maka. |
| Maʻi puʻuwai | Inā he ʻano maʻi puʻuwai kou. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Inā he pilikia i ka hana o nā puʻupaʻa a i ʻole ke akepaʻa. |
| Nā maʻi hanu | Nā pilikia hanu e like me ka hānō a i ʻole COPD. |
| Nā pilikia olakino noʻonoʻo | ʻO kēlā me kēia maʻi noʻonoʻo e like me ke kaumaha. |
| ʻAneʻane hiamoe | He kūlana e pau ai ka hanu ʻana i ka wā hiamoe. |
| ʻAi ʻona lāʻau a waiʻona paha | Inā ua hoʻopilikia ʻia ʻoe e kēia mau mea a ua loaʻa paha iā ʻoe ka lāʻau lapaʻau. |
| Nā manaʻo e hoʻopau i kou ola | Inā ʻoe a i ʻole kekahi o kou ʻohana i loaʻa i kēlā mau manaʻo. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka midazolam a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Pono ʻoe e kamaʻilio me ke kauka e pili ana i kēia. |
| Inā hānai waiū ka makuahine i kāna keiki | E ʻimi i ka ʻōlelo aʻo lapaʻau e pili ana i kēia lāʻau lapaʻau i ka wā e hānai ai i ka waiū. |
Pehea maoli ʻoe e hoʻohana ai i kēia?
He pīpī ihu kēia. E hoʻohana wale i ka nui i kuhikuhi ʻia e kāu kauka.Mai hoʻohana ʻoi aku ma mua o ka nui i ʻōlelo ʻia.
Inā ʻaʻole ʻoe maopopo pehea e hoʻohana pono ai, e nīnau hou i kāu kauka e hōʻoia. I kekahi manawa e hōʻike pū ke kauka a kahu maʻi paha iā ʻoe pehea e hoʻohana ai. E hoʻomanaʻo pono i kēlā mau kuhikuhi.
ʻO ka maʻamau, ke kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, e loaʻa iā ʻoe kahi pepa kuhikuhi kūikawā (MedGuide) me nā kikoʻī e pili ana i ia mea. E heluhelu pono mau.
Hiki ke hāʻawi ʻia kēia i nā keiki liʻiliʻi?
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau i nā keiki ma luna o 12 mau makahiki i kekahi mau hihia kūikawā. Akā hana lākou me ke akahele nui. No laila, inā ʻoe e hāʻawi ana i kēia i kahi keiki, he mea nui e hahai pono i nā kuhikuhi a ke kauka.
He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i kēia lāʻau lapaʻau ma mua o kou manaʻo, mai hoʻokaʻulua. E hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau ikaika loa ʻo Midazolam. No laila, hiki iā ia ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe, nā meaʻai, a me nā mea ʻē aʻe. Hiki i kēia ke hana i nā hopena ʻaoʻao weliweli.
| Mai lawe pū me kēia mau mea me Midazolam. | |
|---|---|
| Wai ʻāpala | ʻO kekahi mau antifungals, e like me ka itraconazole |
| Nā lāʻau lapaʻau anticancer e like me Idelalisib lāua ʻo Lonafarnib | Sodium oxybate |
| E akahele loa, i ka wā e hoʻohana ai i kēia mau mea. | |
|---|---|
| ʻAila | Nā lāʻau opioid no ke kuni a i ʻole ka ʻeha (e like me Tramadol, Morphine) |
| Nā lāʻau hiamoe | Mea hoʻomaha ʻiʻo |
| Nā lāʻau lapaʻau Benzodiazepine ʻē aʻe (e like me Diazepam, Clonazepam) | ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me Amitriptyline) |
| Nā lāʻau lapaʻau ʻē aʻe (e like me Phenobarbital) | ʻO kekahi mau lāʻau lapaʻau allergy (Antihistamine) |
E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora a me nā huahana lāʻau , i hiki iā ia ke hāʻawi iā ʻoe i ka hoʻolālā lapaʻau palekana loa.
Nā mea kūikawā e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Ka pilikia o ka maʻi ʻona:
- Ka emi ʻana o ka hana o ka lolo (CNS Depressant):
- Nā mīkini hoʻokele a me ka hoʻohana ʻana:
- Ola kino:
- Hāpai keiki:
- E mālama ʻia mai nā keiki a me nā holoholona. Hiki ke make inā loaʻa i kahi keiki liʻiliʻi kēia a hoʻohana. No laila, mai ʻae iā lākou e ʻike.
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- E mālama iā ia i loko o ka pūʻolo blister i kona wā i hoʻouna ʻia mai ai a hiki i ka wā e hoʻohana ai.
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
- E hoʻolei aku i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i ʻole nā lāʻau lapaʻau i pau me ka palekana. E kūkākūkā me kāu kauka no ka ʻōlelo aʻo.
- He lāʻau lapaʻau ulia pōpilikia ka Midazolam ihu spray i hāʻawi ʻia e hoʻōki i ka hopu ʻana. ʻAʻole ia he lāʻau lapaʻau i kēlā me kēia lā.
- Inā ʻaʻole e pau ka ʻeha ma hope o ka hoʻohana ʻana i ka pīpī, e lawe koke i ka mea maʻi i ka Emergency Treatment Unit (ETU) o ka haukapila.
- E pale i ka inu ʻana i ka waiʻona a me ka lawe ʻana i nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i ka hiamoe i ka wā e hoʻohana ana i kēia lāʻau. Hiki ke hoʻoweliweli i ke ola.
- He mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā maʻi āu e loaʻa nei.
- E mālama mau i kēia lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki liʻiliʻi a me nā holoholona.
Aia kahi pilikia kiʻekiʻe o ka maʻi ʻona a me ka hoʻohana pono ʻole ʻana i kēia lāʻau lapaʻau. No laila, he mea nui loa ia e hoʻohana wale ia e like me ke kauoha a kāu kauka a i ka wā i kauoha ʻia ai. Mai kaʻana like i kēia me nā poʻe ʻē aʻe.
He mea hoʻohaʻahaʻa i ka ʻōnaehana nerve waena ʻo Midazolam (CNS depressant). ʻO ke ʻano kēia e hoʻolohi i kou lolo a me kou ʻōnaehana nerve. ʻO ka lawe ʻana me ia me kekahi mea hoʻohaʻahaʻa CNS ʻē aʻe, e like me ka waiʻona, nā lāʻau hiamoe, a i ʻole nā mea hoʻomaha ʻeha (opioids), hiki ke hoʻohiamoe nui iā ʻoe. Hiki iā ia ke hoʻolohi i kou hanu ʻana , e alakaʻi ana i ka ʻike ʻole, ka coma, a me ka make . No laila e pale i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou noʻonoʻo ʻana, ka hiki ke hoʻoholo, a me ke kaulike. No laila , e pale i nā hana weliweli e like me ka hoʻokele kaʻa ʻana, ka hana ʻana ma nā wahi kiʻekiʻe, a me ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
Hiki i kekahi poʻe ke loaʻa i ka hoʻonui ʻia o ke kaumaha a i ʻole nā manaʻo pepehi kanaka ma muli o kēia lāʻau lapaʻau. Inā ʻike ʻoe i kekahi mau loli i kāu ʻano a i ʻole nā manaʻo, e kamaʻilio koke me kāu kauka.
ʻO ka hoʻohana mau ʻana i kēia lāʻau lapaʻau i ka wā hāpai e hiki ke hoʻopilikia i ka pēpē i hānau ʻole ʻia. No laila, inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, he mea nui e kamaʻilio me kāu kauka e pili ana i kēia.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Midazolam ke hoʻoulu i kekahi mau hopena ʻaoʻao.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Inā loaʻa iā ʻoe kekahi o kēia mau mea, e hoʻomaopopo koke i kāu kauka. | |
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Nā pilikia hanu (kaumaha CNS) | Hanu lohi, hanu pōkole, poniuniu nui, nalowale ka ʻike, paʻakikī ke ala aʻe. |
| Nā loli noʻonoʻo | Nā manaʻo no ka pepehi kanaka, ka hoʻonui ʻia o ke kaumaha, nā loli koke o ke ʻano. |
| E haʻi i kāu kauka inā hoʻomau kēia mau mea a hoʻopilikia paha. | |
| Pōʻino | Manaʻo puni. |
| Hiamoe | Manaʻo hiamoe ma ke ʻano ʻē. |
| ʻEha poʻo | ʻEha poʻo maʻamau. |
| ʻO ka ʻeha ihu a i ʻole ka puʻu | ʻO ka ihu wai a i ʻole ka puʻu, ka paʻa ʻana, a i ʻole ka ihu wai. |
Pehea ʻoe e mālama pono ai i kēia lāʻau lapaʻau?
Ma muli o ka ikaika loa o kēia lāʻau lapaʻau, he mea nui loa ia e mālama pono iā ia.
Leka Lawe-Home
Midazolam, Nayzilam, ʻūpī ihu, hopu ʻana, kūpono, benzodiazepine, nā hopena ʻaoʻao, lāʻau lapaʻau
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka Midazolam Nasal Spray?
He lāʻau lapaʻau kūikawā kēia no ka pilikia i hāʻawi ʻia i ka poʻe e loaʻa ana i ka maʻi epilepsy a i ʻole nā hōʻailona. Ke pīpī ʻia kēia pīpī i loko o ka ihu, hele koke ia i ka lolo, hoʻomālielie i nā aʻalolo pīhoihoi, a hoʻōki i ka ʻeha.
💬 Pehea ʻoe e hoʻopili ai i kēia pīpī?
Ke loaʻa ka maʻi i ka ʻeha a haʻalulu, e hoʻohuli mua iā ia ma kona ʻaoʻao a hoʻomoe iā ia ma ka papahele. A laila, e hoʻokomo i ka ʻōmole liʻiliʻi mai ka ʻōmole pīpī i loko o kekahi puka ihu a pīpī hoʻokahi. ʻO ka hapa nui o ka manawa, hoʻokahi wale nō ʻaoʻao o ka ihu ua lawa.
💬 He aha kaʻu e hana ai inā ʻaʻole e pau ka ʻeha ma hope o ka lawe ʻana i kēia lāʻau?
Inā ʻaʻole e emi ka ʻeha ma hope o 5 mau minuke, e pīpī hou i kekahi ʻaoʻao o ka ihu, e like me ka ʻōlelo a nā kauka. Eia nō naʻe, inā ʻaʻole e hoʻi hou ka mea maʻi i ka ʻike i loko o 10 mau minuke, pono e lawe koke ʻia i ka haukapila.
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