Inā ʻoe a i ʻole kekahi o kou ʻohana e hana ana i kahi ʻoki liʻiliʻi, a i ʻole i kekahi manawa he hoʻokolohua lapaʻau paʻakikī, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo, ʻeā? ʻO kā mākou poʻe liʻiliʻi, ʻoi aku hoʻi, ke manaʻo nei i kēia ʻano. I nā manawa e like me kēia, hoʻohana ʻia kahi lāʻau lapaʻau kūikawā i kapa ʻia ʻo Midazolam e nā kauka e kōkua i ka hōʻoluʻolu iā ʻoe a i ʻole ke kanaka e makaʻu nei, e hoʻomaha i kou noʻonoʻo, a hoʻomākaukau iā ʻoe no ka mālama lapaʻau e pono ai. E kamaʻilio kākou e pili ana i kēia i kēia lā me nā kikoʻī hou aku, ʻeā?
He aha ka syrup Midazolam?
I ka ʻōlelo maʻalahi, ʻo Midazolam kahi lāʻau lapaʻau e hōʻoluʻolu i kāu ʻōnaehana nerve , e hōʻemi ana i ka makaʻu a me ka hopohopo pono ʻole, a e hoʻohiamoe iki iā ʻoe . No kahi papa lāʻau lapaʻau i kapa ʻia ʻo Benzodiazepines. Hoʻohana pinepine ʻia nā lāʻau lapaʻau ma kēia papa e hōʻemi i ka hopohopo a hōʻoluʻolu iā ʻoe.
Ua lohe paha ʻoe i kēia lāʻau lapaʻau ma lalo o nā inoa inoa ʻo Versed a i ʻole Versed Syrup. Eia kekahi o nā inoa inoa kaulana no ka Midazolam syrup.
ʻO ke kumu nui o ka hāʻawi ʻana i kēia lāʻau lapaʻau, ʻo ia ka hoʻēmi ʻana i kou makaʻu a hoʻomākaukau iā ʻoe no kahi hana lapaʻau, e like me ke ʻoki kino a i ʻole kahi hoʻāʻo. I kekahi manawa, ʻaʻole paha ʻoe e hoʻomanaʻo i ka mea i hana ʻia ma hope. He hiʻohiʻona nō hoʻi ia o kēia lāʻau lapaʻau.
I nā hihia hea e hoʻohana ʻia ai ʻo Midazolam?
E like me kaʻu i ʻōlelo ai ma mua, hoʻohana pinepine ʻia kēia syrup (Midazolam) e hōʻoluʻolu iā ʻoe a hoʻohiamoe iā ʻoe ma mua o ke ʻoki ʻana a i ʻole nā hoʻokolohua lapaʻau ʻē aʻe . E noʻonoʻo i kahi keiki liʻiliʻi e pono e unuhi ʻia kona niho, a i ʻole e loaʻa i kahi hoʻokolohua e like me (Endoscopy), a hiki i kēlā keiki ke makaʻu, ʻeā? He kōkua nui kēia syrup i nā manawa e like me kēia.
ʻO ka mea nui loa, ʻo ia ka hāʻawi wale ʻia ʻana o kēia syrup (Midazolam) ma kahi haukapila a i ʻole ke keʻena lapaʻau ma lalo o ka nānā ʻana a ke kauka. ʻAʻole ʻōlelo nā kauka e hoʻohana ma ka home.
Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kumu lapaʻau ʻē aʻe, no laila inā he mau nīnau hou aku kāu e pili ana i kēia, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana i ka syrup Midazolam iā ʻoe a i kāu keiki paha, aia kekahi mau mea āu e haʻi aku ai i kāu hui lapaʻau. Ke haʻi aku ʻoe i kēia mau mea iā lākou, hiki iā lākou ke hoʻoholo inā palekana iā ʻoe ke hāʻawi i kēia lāʻau lapaʻau a i ʻole.
Eia kēlā mau ʻoiaʻiʻo:
- Inā loaʻa iā ʻoe ka glaucoma ( kahi maʻi e hoʻonui ai ke kaomi i loko o nā maka).
- Inā he maʻi puʻuwai kou .
- Inā he mau maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe nā maʻi o ka māmā a i ʻole ka ʻōnaehana hanu , no ka laʻana , ka hānō .
- Mea i loaʻaInā loaʻa iā ʻoe kahi maʻi noʻonoʻo (e.g., kaumaha nui, schizophrenia, a me nā mea ʻē aʻe).
- Inā he moʻolelo kou o nā hopu ʻana a i ʻole nā hopu mua ʻana.
- Inā he maʻi hoʻohana ʻona kou .
- Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā manaʻo, nā hoʻolālā, a i ʻole nā hoʻāʻo pepehi kanaka .
- Inā ua loaʻa iā ʻoe kahi hopena maʻamau ʻole a maʻi paha i Midazolam, nā Benzodiazepines ʻē aʻe, nā cherries, nā meaʻai ʻē aʻe, nā dyes, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Inā pili kekahi o kēia mau mea iā ʻoe, he mea nui e haʻi i kāu kauka me ka hūnā ʻole. A laila hiki iā lākou ke hāʻawi iā ʻoe i ka lāʻau kūpono a palekana loa.
Pehea ʻoe e hāʻawi ai i ka syrup (Midazolam)?
ʻO kēia ka mea e hana pinepine ʻia. Hāʻawi ʻia ka syrup (Midazolam) iā ʻoe e nā limahana lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau. ʻO ia hoʻi, ʻaʻole ʻoe i ʻōlelo ʻia e kiʻi mai kahi hale kūʻai lāʻau lapaʻau a lawe i ka home.
Pono ke akahele nui i ka hāʻawi ʻana i kēia lāʻau lapaʻau, ʻoiai hoʻi i nā keiki. ʻOiai ua ʻōlelo ʻia no nā keiki i kekahi mau hihia i koho ʻia, aia nā hana palekana e pili ana iā ia. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio pono me kāu kauka e pili ana i ia mea a e ʻike i nā kikoʻī.
He aha kāu e hana ai inā lawe hewa ʻoe i kahi overdose?
Ma muli o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau ma kahi haukapila, haʻahaʻa ka manawa kūpono o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hāʻawi nui ʻia kēia lāʻau lapaʻau iā ʻoe, pono ʻoe e hoʻokaʻaʻike koke aku i kahi Poison Control Center a i ʻole Emergency Room.
E hoʻomanaʻo, nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi.
He aha nā lāʻau ʻē aʻe e hiki ke launa pū me Midazolam?
He mea nui loa kēia. Hiki i ka Midazolam ke launa pū a i ʻole ke kūʻē i kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei. Inā hana kēia, ikaika loa paha nā hopena o Midazolam a i ʻole hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi ʻē aʻe.
ʻAʻole pono e lawe pū ʻia ʻo Midazolam me nā lāʻau lapaʻau aʻe:
- (Boceprevir) (he lāʻau lapaʻau no ka maʻi hepatitis C)
- ʻO kekahi mau lāʻau antiviral i hoʻohana ʻia no ka maʻi HIV a i ʻole AIDS
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal, no ka laʻana ʻo Ketoconazole a me Itraconazole
- Wai ʻāpala
- (Idelalisib) (he lāʻau lapaʻau no ka maʻi kanesa)
- ʻO kekahi mau lāʻau opioid no ke kuni
- (Sodium Oxybate)
- (Telaprevir) (he lāʻau lapaʻau no ka maʻi hepatitis C)
Eia kekahi, aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Midazolam:
- ʻAila
- Nā antihistamines no nā maʻi ʻaleka, nā ʻū, a me ke anu
- ʻO nā mea pale i ke kahawai calcium, no ka laʻana ʻo Diltiazem lāua ʻo Verapamil (hoʻohana ʻia kēia mau mea no ke koko kiʻekiʻe a me nā maʻi puʻuwai)
- Kekahi mau lāʻau antibiotic, e.g. (Clarithromycin), (Erythromycin), (Rifampin)
- Nā lāʻau lapaʻau ʻē aʻe no ka hopohopo a i ʻole ka hiamoe
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, e.g. (Amitriptyline), (Fluoxetine), (Sertraline)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi epilepsy, e.g. (Carbamazepine), (Phenobarbital), (Primidone)
- (Cimetidine) (he lāʻau lapaʻau no ka gastritis)
- Nā mea hoʻomaʻamaʻa laulā i hoʻohana ʻia i ka wā o ke ʻoki ʻana, e.g. Lidocaine, Pramoxine, Tetracaine
- Nā mea hoʻomaha ʻiʻo i hoʻohana ʻia i ka wā o ke ʻoki ʻana
- Nā lāʻau ʻeha opioid
- Nā lāʻau lapaʻau i loko o ka hui i kapa ʻia ʻo (Phenothiazines), e.g. (Chlorpromazine), (Mesoridazine), (Prochlorperazine), (Thioridazine) (hāʻawi ʻia kēia mau mea no nā maʻi noʻonoʻo)
ʻAʻole piha kēia papa inoa. Aia paha kekahi mau mea ʻē aʻe e hiki ai ke hoʻoulu i nā hopena. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā lāʻau lapaʻau i kauoha ʻia a me nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā mea kanu, nā huaora, a me nā mea hoʻohui), a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki iā lākou ke nānā i nā pilina.
Nā mea e hoʻomanaʻo ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau
Ma hope o ka hāʻawi ʻia ʻana iā ʻoe i ka syrup Midazolam, e nānā mau kāu hui lapaʻau i kou olakino. Eia nō naʻe, he manaʻo maikaʻi e makaʻala i kēia mau mea:
- Hiki i kēia lāʻau lapaʻau ke hoʻopilikia iki i kou kaulike, ka manawa pane, a me ka hiki ke hoʻoholo . No laila, e pale i ka hoʻokele kaʻa a i ʻole 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 nā hopena o ka lāʻau lapaʻau ke hoʻoulu i ka poniuniu a me ka māʻule. No ka hōʻemi ʻana i kēia pilikia, e ala koke, inā ʻoe e noho ana a i ʻole e ala aʻe ana mai kahi moe.
- Inā inu ʻoe i ka waiʻona me kēia lāʻau lapaʻau, ʻoi aku ka kiʻekiʻe o ka pilikia o nā hopena ʻaoʻao. No laila e makaʻala hoʻi i kēlā.
- Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe e hoʻohiamoe ai iā ʻoe (e laʻa me nā lāʻau hoʻomaha ʻeha, nā lāʻau hiamoe), ʻo ka lawe ʻana iā Midazolam me nā lāʻau lapaʻau ʻē aʻe hiki ke hoʻohiamoe iā ʻoe. E haʻi aku i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. E haʻi lākou iā ʻoe i ka nui e lawe ai. Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia e kāu kauka. Inā pilikia ʻoe i ka hanu ʻana a i ʻole e hiamoe loa ʻoe, e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia.
- Inā ʻike ʻoe i kekahi mau loli i kou ʻano a i ʻole ke ʻano o kou ʻohana (e like me ke kaumaha hou a i ʻole ka ʻino ʻana, nā manaʻo e hōʻeha iā ʻoe iho, ka hopohopo, nā manaʻo ʻē aʻe a hoʻopilikia paha, ka nalowale o ka hoʻomanaʻo), e hoʻomaopopo koke i ka hui lapaʻau.
- ʻO ʻoeInā ʻoe e hoʻolālā ana e hāpai, a manaʻo paha ʻoe ua hāpai ʻoe, e kamaʻilio me kāu hui mālama ola e pili ana i ia mea. Hiki i kēia lāʻau lapaʻau ke hana i nā kīnā hānau koʻikoʻi. Inā ʻoe e hānai waiū ana, e kamaʻilio pū me kāu hui mālama ola e pili ana i ia mea. Pono paha e hoʻololi i kāu hoʻolālā lapaʻau.
He aha nā hopena ʻaoʻao e hiki mai ana o kēia?
E like me nā lāʻau lapaʻau āpau, hiki i ka Midazolam ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Aia kekahi mau hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka. Aia kekahi mau mea ʻē aʻe ʻaʻole koʻikoʻi a e nalo i loko o kekahi mau lā.
Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ka hui lapaʻau:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu.
- Kaumaha o ka ʻōnaehana nerve waena (CNS depression): Hanu lohi a papau paha, paʻakikī ka hanu ʻana, maule, poniuniu, huikau, paʻakikī ke ala.
- Nā haʻalulu a i ʻole ka haʻalulu ʻana.
Inā ʻike ʻoe i kekahi mea e like me kēia, ʻoi aku ka maikaʻi o ka haʻi koke aku i ke kauka.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike ʻia i ka hui lapaʻau inā hoʻomau a hoʻopilikia paha):
- Ka hoʻomaha ʻole, ka huhū, a i ʻole ka hoʻonāukiuki.
- Pōʻaiʻī.
- Hiamoe.
- Ka luaʻi.
- Ka luaʻi ʻana.
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao ʻē aʻe, e kamaʻilio me kāu kauka. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka Food and Drug Administration (FDA) ma 1-800-FDA-1088.
ʻO ka mea hope loa, kekahi mau mea nui
ʻAe, ua kamaʻilio nui kākou e pili ana i ka syrup (Midazolam), ʻeā? ʻO ka mea hope loa, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:
- He lāʻau lapaʻau ʻo Midazolam i hāʻawi ʻia e hōʻemi i ka hopohopo a hōʻoluʻolu iā ʻoe ma mua o ke ʻoki ʻana a i ʻole kahi hoʻokolohua lapaʻau.
- Hāʻawi wale ʻia kēia ma lalo o ka nānā ʻana a ke kauka ma kahi haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole ia no ka hoʻohana ʻana ma ka home.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, nā lāʻau lapaʻau āu e lawe ai, a me nā maʻi allergies.
- Ma hope o ka lawe ʻana i kēia lāʻau lapaʻau , e pale i ka hoʻokele kaʻa ʻana a i ʻole ka hana ʻana i kekahi mea e pono ai ka noʻonoʻo no kekahi manawa.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
Inā makemake ʻoe e ʻike hou aku e pili ana i kēia, mai makaʻu e nīnau i kāu kauka. E kōkua lākou iā ʻoe.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau hiamoe/hōʻoluʻolu hoʻomaha anei ʻo Midazolam?
He lāʻau hana wikiwiki loa kēia lāʻau lapaʻau ma ka papa benzodiazepine. He wai a he inikini paha ia e hāʻawi pinepine ʻia ana ma kahi haukapila (ma mua o ke ʻoki kino nui a i ʻole ke ʻoki ʻana o ke kāmela endoscopy/ʻōpū) e 'hōʻemi i ka makaʻu o ka mea maʻi, e hoʻomaha i ke kino, a holoi i ka hoʻomanaʻo no kekahi manawa (Amnesia/Sedation).'
💬 No ke aha i hāʻawi ʻia ai ka Midazolam Syrup i nā keiki liʻiliʻi ma mua o ke ʻoki kino?
Ke ʻike nā keiki ʻōpio i ka haukapila, nā kauka/nā lole keʻokeʻo, makaʻu pinepine lākou, uē a uē, a hōʻole e nānā ʻia. Hāʻawi ʻia kēia syrup e hoʻopau loa i ko lākou makaʻu pilikanaka a me ke olakino (hopohopo ma mua o ke ʻoki ʻana). Ke hāʻawi ʻia kēia, lilo ke keiki i mea hauʻoli loa, hiamoe/mālie i loko o 10-20 mau minuke. I kekahi manawa, ʻaʻole hoʻi e hoʻomanaʻo ke keiki i nā hana i hana ʻia ma hope.
💬 Hiki i kēia ke kumu i ka ʻū ʻana/make make inā hāʻawi ʻia i kahi keiki?
He palekana inā hāʻawi ʻia i ka nui kūpono. Akā ʻo ka mea weliweli loa e pili ana i kēia lāʻau lapaʻau, ʻo ia ka 'hoʻolohi nui ʻana i ka hanu ʻana' (Respiratory depression). No laila, ʻaʻole hiki ke kūʻai ʻia mai nā hale kūʻai lāʻau lapaʻau a ʻaʻole loa e hāʻawi ʻia ma ka home! Hāʻawi wale ʻia kēia ma kahi haukapila/keʻena lapaʻau ma lalo o ka nānā ʻana a kahi kahu maʻi/luna lapaʻau akamai me nā mīkini ana o ka puʻuwai a me ka oxygen (Monitors).
ʻO Midazolam, Midazolam, Syrup, Hopohopo, Hiamoe, Ma mua o ke ʻoki kino, Benzodiazepine, Akamai











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