E noʻonoʻo ʻoe ua hoʻonohonoho ʻia ʻoe e hana i kahi ʻoki kino nui. I kēlā manawa, e hoʻomaha nā mea hoʻomaʻamaʻa i kou mau ʻiʻo a hoʻomākaukau iā ʻoe i hiki ke hana maʻalahi ʻia ke ʻoki kino. I kēlā mau manawa, ʻo ia hoʻi, i ka wā o ke ʻoki kino a i ʻole ke hoʻopili ʻia ʻoe i kahi ventilator, aia kahi papa kūikawā o nā lāʻau lapaʻau i hāʻawi ʻia e hoʻomaha i kou mau ʻiʻo no kekahi manawa. ʻO ka mea a mākou e kamaʻilio nei i kēia lā ʻo Mivacurium.
He aha maoli ka Mivacurium?
I ka ʻōlelo maʻalahi, he mea hoʻomaha ʻiʻo iwi ʻo Mivacurium. Hāʻawi ʻia ia ma ke ʻano he inikini. Ke hana ʻia ʻoe i ke ʻoki kino, pono e hoʻomaha ʻia kou mau ʻiʻo i hiki i ke kauka lapaʻau ke hana i kā lākou hana me ka ʻole o nā pilikia. ʻO ia ka hana a ka inikini Mivacurium.
Eia kekahi, i kekahi mau kūlana hanu koʻikoʻi, pono e hoʻopili ʻia ka mea maʻi i kahi mīkini hanu (ventilator). Hoʻohana ʻia kēia lāʻau lapaʻau e hoʻomaha i nā ʻiʻo o ka mea maʻi i kēlā manawa. Loaʻa pinepine ia ma lalo o ka inoa inoa ʻo Mivacron.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau kēia i hāʻawi ʻia ma kahi haukapila, ma lalo o ka nānā ʻana a nā kauka loea, he mea nui loa ia e ʻike ka hui lapaʻau i kekahi mau kūlana i loko o kou kino. No ka mea, ʻo kēlā ʻike e hoʻoholo i ka nui o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe, a pehea e nānā ʻia ai ʻoe.
E hoʻomanaʻo, mai hūnā i kekahi mea mai kāu kauka. ʻOiai ka ʻāpana liʻiliʻi loa o ka ʻike āu e hāʻawi ai he mea nui loa ia no kou palekana.
Inā loaʻa iā ʻoe kekahi o nā kūlana ma ka papa ma lalo nei, e ʻoluʻolu e haʻi i kāu kauka.
| Ke kūlana āu e pono ai e hōʻike | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | ʻO kēia mau ʻōkana ke kuleana no ka wehe ʻana i nā lāʻau lapaʻau mai ke kino. Inā pilikia kā lākou hana, aia kahi pilikia o ka noho ʻana o ka lāʻau lapaʻau i loko o ke kino no ka manawa lōʻihi. |
| Maʻi puʻuwai | Hiki i ka Mivacurium ke hoʻohaʻahaʻa iki i ke koko, no laila hiki ke hoʻopilikia i ka poʻe me ka maʻi puʻuwai ma ke ʻano ʻokoʻa. |
| ʻO ka maʻi māmā a i ʻole ka hanu ʻana , e like me ka hānō | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka ʻōnaehana hanu i kekahi manawa, no laila he mea nui e ʻike i kēia ma mua. |
| ʻO nā maʻi neuromuscular e like me ka myasthenia gravis | Hiki i ka poʻe me kēia mau kūlana ke hypersensitive i nā mea hoʻomaha ʻiʻo, no laila hiki ke lawa kahi liʻiliʻi loa. |
| Ka maloʻo ʻana a i ʻole ke kaulike ʻole o ka calcium, potassium, a i ʻole ka magnesium i loko o ke koko | ʻO ke kaulike electrolyte i loko o ke kino e hoʻopilikia pololei i ka pono o kēia lāʻau lapaʻau. |
| Nā wahi nui o ka ʻili i puhi ʻia | Hiki i nā mea maʻi puhi ke pane ʻokoʻa i kēia ʻano lāʻau lapaʻau. |
| Ke hāpai nei, ke ho'āʻo nei e hāpai, a i ʻole ka hānai waiū | I kēlā kūlana, hopohopo nui ke kauka e pili ana i ka hopena hiki ke loaʻa i ka makuahine a me ke keiki. |
| Loaʻa kahi maʻi allergy i Mivacurium a i ʻole kekahi lāʻau lapaʻau a meaʻai paha | Inā ua loaʻa iā ʻoe kahi maʻi allergy ma mua, ʻo ka hōʻike ʻana iā ia hiki ke kōkua i ka pale ʻana i kahi hopena maʻi allergy koʻikoʻi (anaphylaxis). |
Pehea e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia ʻo Mivacurium ma ke ʻano intravenous ma kahi haukapila a i ʻole ke keʻena lapaʻau e kahi loea mālama ola kino i aʻo ʻia. E loiloi kāu anesthesiologist a i ʻole ke kauka o ka keʻena mālama koʻikoʻi i kou kūlana, e hoʻoholo i ka nui kūpono, a hāʻawi iā ʻoe i ka lāʻau lapaʻau. ʻOiai e hāʻawi ʻia ana kēia lāʻau lapaʻau iā ʻoe, e nānā pono ʻia kou puʻuwai, ke koko, a me ka hanu ʻana e ka hui lapaʻau.
Ke hoʻohana nei ʻoe i kēia no nā keiki?
ʻAe. ʻOiai no nā keiki ma luna o 2 mau makahiki, hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau i kekahi mau hihia. Eia nō naʻe, pono e mālama ʻia nā hana palekana kūikawā. Na ke kauka pediatric a me ka anesthesiologist e hoʻoholo i kēia.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
ʻOiai ke lawelawe ʻia nei kēia ma kahi haukapila, ma lalo o ka nānā ʻana o ke kauka, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā he kānalua ua hana ʻia kekahi mea e like me kēia, e hana koke ka hui lapaʻau i nā hana e pono ai. ʻO ka maʻamau, i ia hihia, e kāhea lākou i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo, a i ʻole e hoʻomaka koke lākou i ka lāʻau lapaʻau e pono ai ma ka Emergency Treatment Unit (ETU) .
Nā lāʻau ʻē aʻe e hiki ke launa pū me Mivacurium
Hiki i ka Mivacurium ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. No laila, pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā mea i kauoha ʻia e kāu kauka, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau lāʻau, nā huaora, a me nā mea hoʻohui.
Eia kekahi mau lāʻau lapaʻau e hiki ke launa pū me Mivacurium:
- Kekahi mau lāʻau antibiotic: No ka laʻana, nā lāʻau lapaʻau e like me amikacin, gentamicin, tobramycin, tetracyclines, a me clindamycin.
- Nā lāʻau hoʻomaha maʻamau: Nā kinoea hoʻomaha e like me enflurane, isoflurane, a me halothane.
- Nā lāʻau lapaʻau no ka maʻi epilepsy: nā lāʻau lapaʻau e like me ka carbamazepine a me ka phenytoin.
- Nā lāʻau lapaʻau no ka maʻi puʻuwai: Nā lāʻau lapaʻau e like me ka quinidine a me ka procainamide.
- Nā lāʻau lapaʻau no ka maʻi noʻonoʻo: Lithium, a me MAOI.
- Nā mea hoʻomaʻamaʻa kūloko: Nā lāʻau lapaʻau i hoʻohana ʻia e hoʻopau i ka wahi, e like me ka lidocaine a me ka tetracaine.
- Nā mea hoʻomaha ʻiʻo ʻē aʻe
- Nā Steroid: Nā lāʻau lapaʻau e like me prednisone a me cortisone.
- Nā lāʻau lapaʻau i loaʻa ka magnesium .
- Nā lāʻau hoʻomalu hānau
ʻAʻole i piha kēia papa inoa, no laila no kou palekana, ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Mivacurium ke hana i kekahi mau hopena ʻaoʻao. Ua ʻike ʻia a mālama ʻia ka hapa nui o kēia mau mea e ka hui lapaʻau i ka wā e lawelawe ʻia ai ka lāʻau.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i nā limahana lapaʻau | |
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana, ʻūlū ka umauma. (Hiki ke ʻike koke ʻia kēia no ka mea ke nānā ʻia nei ʻoe). |
| Nā hōʻailona o ke koko haʻahaʻa | Pōʻino, nāwaliwali, luhi loa. |
| Nā hōʻailona o ka ʻeha o nā ʻiʻo | Mimi ʻeleʻele, paʻakikī ke mimi, ʻeha nui nā ʻiʻo, ʻeha hope. |
| ʻO ka ʻulaʻula o ka maka | ʻUlaʻula koke ka maka a me ka wela. |
| Nā mea i maʻa mau ʻole i ka weliweli, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| ʻEha a nāwaliwali paha nā ʻiʻo | Ke ʻeha nei a i ʻole ka nāwaliwali o nā ʻiʻo ma hope o ka pau ʻana o nā hopena o ka lāʻau. |
| ʻEha ma kahi i hoʻokomo ʻia | ʻUlaʻula, ʻeha, a pehu paha ma ke aʻa koko kahi i hāʻawi ʻia ai ka inikini. |
Leka Lawe-Home
- He inikini ʻo Mivacurium i hāʻawi ʻia e hoʻomaha i nā ʻiʻo no kekahi manawa i ka wā o ke ʻoki ʻana a i nā poʻe maʻi e kau ana ma luna o nā mīkini hanu.
- Ma mua o ka loaʻa ʻana o kēia lāʻau pale, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kou mau kūlana olakino a pau, nā lāʻau lapaʻau āu e lawe nei, a me nā maʻi allergies.
- He lāʻau lapaʻau kēia i hāʻawi wale ʻia ma ka haukapila e kahi hui lapaʻau i aʻo ʻia, no laila ʻaʻole pono ʻoe e mālama a hoʻohana paha ma ka home.
- ʻAʻole pono ʻoe e hopohopo e pili ana i nā hopena ʻaoʻao hiki ke loaʻa no ka mea e nānā pono ʻia kou kūlana i kou wā e lawe ana i ka lāʻau lapaʻau. Akā he mea nui e makaʻala iā lākou.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka.
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