Ke manaʻo nei ʻoe i kekahi manawa e nāwaliwali mālie ana kou mau ʻiʻo, me he mea lā ua make ʻoe? ʻOi aku ka nui o nā hōʻailona e like me ke kuʻe ʻana o nā maka, ka paʻakikī o ka ʻōlelo ʻana, ka moni ʻana i ka meaʻai, a i ʻole ka nalowale ʻana o nā lālā? Hiki i kēia ke lilo i mau hōʻailona o ka nāwaliwali o nā ʻiʻo, a i ʻole ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo `(Myasthenia Gravis)`. No laila, inā loaʻa iā ʻoe kēia maʻi, ua kuhikuhi paha kāu kauka iā ʻoe i kahi pila i kapa ʻia ʻo `Neostigmine`. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, pehea e hana ai, nā mea e makaʻala ai i ka wā e hoʻohana ana, a me kona mau hopena ʻaoʻao.
He aha ka Neostigmine?
I ka ʻōlelo maʻalahi, ʻo Neostigmine kahi lāʻau lapaʻau e kōkua i ka hoʻomaikaʻi ʻana i ka ikaika o kou mau ʻiʻo. Kamaʻilio ko mākou mau aʻalolo a me nā ʻiʻo ma o kahi kemika. I ke ʻano o 'Myasthenia Gravis', ʻaʻole hana pono kēia kamaʻilio ʻana. Hana ʻo Neostigmine ma ka hana ʻana i ka kemika e lawe ana i ka leka e noho ma laila no ka manawa lōʻihi, e hoʻoikaika ana i ka pilina ma waena o nā aʻalolo a me nā ʻiʻo. Kōkua kēia i nā ʻiʻo e hoʻihoʻi i ka ikaika a e maʻalahi ka hana ʻana i nā hana o kēlā me kēia lā.
Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau i kekahi manawa no nā kūlana olakino 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.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe iā Neostigmine, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe a i ʻole nā maʻi allergies āu e loaʻa ai, no ka mea, hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau kūlana olakino.
| E haʻi i kāu kauka inā loaʻa iā ʻoe kēia mau maʻi. |
|---|
| - Asthma a i ʻole nā pilikia hanu ʻē aʻe |
| - Paʻakikī ke mimi |
| - Maʻi puʻuwai, ʻoiai ka puʻuwai puʻuwai kūpono ʻole a lohi paha |
| - Nā maʻi ʻōpū a i ʻole peritonitis |
| - Maʻi puʻupaʻa |
| - Nā hopu ʻana |
| - ʻŌpū paʻa a ʻeha paha |
| - Maʻi thyroid |
| - Ke kūlana Vagotonia |
| - Nā hopena maʻi ʻaleka i ka neostigmine, bromides a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu |
| - Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea maʻalahi loa kēia.
- E ale i kēia pila me ke aniani wai.
- E lawe wale i ka lāʻau i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia e kāu kauka. Mai hōʻalo i nā lāʻau.
- ʻOiai inā ʻoe e ʻoluʻolu ana, mai hoʻōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Pono paha nā keiki i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau lapaʻau, no laila e kamaʻilio me kahi pediatrician no ka ʻōlelo aʻo.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe hewa ʻoe ma mua o ka nui i kuhikuhi ʻia, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. E mālama i kēia me he pilikia lā.
ʻO ka mea nui loa, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me kekahi.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
Nā lāʻau ʻē aʻe e launa pū me ka lāʻau lapaʻau (Nā Hana like ʻana)
Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe i ka wā e lawe ana iā Neostigmine, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ia.
| Nā ʻano lāʻau lapaʻau e hiki ai ke hoʻopilikia |
|---|
| - Kekahi mau lāʻau antibiotic (e.g. kanamycin, neomycin, streptomycin) |
| - Nā antihistamines no nā maʻi ʻaleka, nā ʻū, nā anu, a me ka hiamoe |
| - Nā lāʻau lapaʻau no nā maʻi puʻuwai |
| - Nā mea hoʻomaha ʻiʻo |
| - Kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka anesthesia a i ʻole ka hōʻoluʻolu ʻeha i ka wā o ke ʻoki ʻana |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau kuʻuna), inā ʻoe e puhipaka, a inā ʻoe e inu waiʻona.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E ʻike pinepine i kāu kauka no nā hoʻokolohua. E haʻi i kāu kauka inā e ʻoi aku ka ʻino a i ʻole ka maikaʻi o kāu mau hōʻailona.
- He mea nui loa ka lawe mau ʻana i kahi kāleka ID lapaʻau a i ʻole ke kūpeʻe lima e hōʻike ana he Myasthenia Gravis kou a me nā lāʻau lapaʻau āu e lawe nei a me kā lākou mau dosages. Hiki iā ia ke hoʻopakele i kou ola i kahi pilikia.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Neostigmine ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, ʻaʻole koʻikoʻi loa kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| - ʻAleka (ʻulaʻula ʻili, maneʻo, pehu o ka maka, lehelehe, alelo) | - Paʻakikī ka hanu ʻana |
| - Nā loli i ka ʻike | - ʻEha umauma |
| - Nāwaliwali, paʻakikī ke hele wāwae | - Pōʻino, mae wale |
| - Puʻuwai puʻuwai kūpono ʻole a lohi loa paha | - Hoʻemi ʻia ke koko |
| - Hoʻopaʻa ʻana | - Nāwaliwali kino kūpono ʻole |
| Nā hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou a hoʻopilikia paha | |
| - Ka maʻi pākī | - Pono pinepine e mimi |
| - Ka nui o ka salivation i loko o ka waha | - Hoʻonui ʻia ka hou ʻana |
| - ʻŌwili ʻia nā ʻiʻo | - Ka luaʻi, ʻeha ʻōpū, palahēhē |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e mālama ai i ka lāʻau lapaʻau?
E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki . ʻOi aku ka maikaʻi o ka mālama ʻana iā ia ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius). E hoʻolei aku i nā lāʻau lapaʻau i pau ka lāʻau.
Leka Lawe-Home
- He lāʻau hoʻoikaika kino koʻikoʻi ʻo Neostigmine i hāʻawi ʻia no ke ʻano Myasthenia Gravis.
- E lawe i ka lāʻau i kuhikuhi ʻia e kāu kauka, i ka manawa kūpono, a mai hoʻōki i ka lawe ʻana i ka lāʻau me ka ʻole o ka ʻōlelo aʻoaʻo.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā kūlana olakino ʻē aʻe āu e loaʻa ai.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi (e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, nā hopu ʻana), e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
- Hiki iā ʻoe ke mālama maikaʻi i kou kūlana olakino ma o ka hana ʻana i nā hoʻokolohua lapaʻau maʻamau.
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