E noʻonoʻo i kahi mea kokoke iā ʻoe i loaʻa koke i ke koko kiʻekiʻe loa, a i ʻole kahi pilikia puʻuwai a ua hoʻokomo ʻia i ka haukapila. A laila ua lohe paha ʻoe e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e hāʻawi ai ma o kahi wai saline ma ke ʻano he lāʻau lapaʻau pilikia. He lāʻau lapaʻau koʻikoʻi loa ka Nitroprusside i hoʻohana ʻia i ia mau hihia. ʻAʻole kēia he lāʻau lapaʻau e hoʻohana ai ma ka home, akā he inikini kūikawā i hāʻawi ʻia ma lalo o ka nānā pono ʻana ma ka haukapila. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī hou aku a maʻalahi.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Nitroprusside i loko o kahi papa o nā lāʻau i kapa ʻia ʻo vasodilators . ʻO ka huaʻōlelo 'vasodilator' e like paha me ka mea nui, akā he maʻalahi loa kona manaʻo. ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ka hoʻonui ʻana i nā kīʻaha koko i loko o ko mākou kino a hoʻomaha iā lākou.
E noʻonoʻo i ka wā e paʻa iki ai kahi paipu wai, inā ʻoe e hoʻonui i ka paipu, e kahe maʻalahi ka wai me ke kaomi ʻole, ʻeā? Pēlā nō hoʻi ka mea e hana ʻia ma ʻaneʻi. Ke hoʻonui ʻia nā kīʻaha koko, ʻoi aku ka nui o kahi no ke kahe ʻana o ke koko. Ma muli o kēia, hāʻule koke ke koko kiʻekiʻe loa. Eia kekahi, ua emi nui ka hoʻoikaika ʻana o ka puʻuwai e hoʻokomo ai i ka pamu koko.
No kēia mau kumu, hoʻohana nui nā kauka i kēia lāʻau lapaʻau ma nā kūlana ʻelua:
- Kaohi i ke koko kiʻekiʻe koʻikoʻi/pilikia hypertensive .
- E hōʻemi i ke kaumaha ma ka puʻuwai i kekahi mau kūlana koʻikoʻi o ka hāʻule ʻana o ka puʻuwai .
Nā mea nui e haʻi aku i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau kēia i hāʻawi ʻia ma ka haukapila, he mea nui e ʻike ke kauka i kāu mōʻaukala olakino piha a ka mea maʻi paha. Pono ʻoe e hoʻomaopopo i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- ʻO nā maʻi ʻē aʻe āu e loaʻa nei, ʻoiai hoʻi:
- He maʻi maka
- He ʻeha poʻo ma mua
- Nā maʻi puʻuwai ʻē aʻe
- Maʻi puʻupaʻa
- Maʻi akepaʻa
- ʻO ka anemia, ʻoiai nā keena koko ʻulaʻula haʻahaʻa
- Inā he maʻi ʻaleka kou i ka nitroprusside a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā e hāʻawi iā ʻoe i kēia lāʻau lapaʻau a i ʻole pehea e hāʻawi ai.
Pehea e hoʻohana ai i kēia lāʻau lapaʻau, a he aha ka hopena inā overdose?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home.He lāʻau lapaʻau kēia i hāʻawi ʻia ma o ka hoʻokomo ʻana o ka saline i loko o ke aʻa. Hāʻawi wale ʻia ia ma kahi e like me ke keʻena mālama koʻikoʻi o kahi haukapila a i ʻole ke keʻena lapaʻau, e ke kauka a i ʻole nā limahana kahu maʻi i aʻo ʻia. E nānā mau lākou i nā mea e like me kou koko a me ka helu o ka puʻuwai.
Ke hāʻawi nei ʻoe i nā keiki?
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ʻōpio, ʻoiai nā keiki hānau hou, i kekahi mau hihia kūikawā. Akā na ke kauka pediatric ka hoʻoholo. No laila, inā hāʻawi ʻia i kahi keiki, aia nā hana palekana kūikawā e pili ana.
Overdose
Ma muli o ka mālama pono ʻia ʻana o kēia ma ka haukapila, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau. ʻO ka maʻamau, inā loaʻa kekahi lāʻau make, ʻōlelo mākou e kāhea i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . Eia nō naʻe, inā loaʻa kekahi mea ʻē aʻe ma kahi haukapila e like me kēia, ʻo ka mea nui loa e hoʻomaopopo pololei i ka Emergency Treatment Unit (ETU) a i ʻole nā limahana lapaʻau o ka mahele pili.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
ʻO ka mea nui loa: E hāʻawi i kāu kauka i kahi papa inoa maopopo o nā lāʻau lapaʻau āpau āu e lawe ai (i kauoha ʻia e nā kauka ʻē aʻe, nā mea kūʻai ma luna o ke kauka, nā mea kuʻuna, nā huaora, nā huahana lāʻau). E haʻi pū iā lākou inā ʻoe e puhipaka a inu waiʻona paha. Hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau.
ʻO ke ʻano kūikawā, hiki i ka Nitroprusside ke launa pū me nā lāʻau lapaʻau e hiki mai ana:
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hana moekolohe (e like me Sildenafil, Tadalafil)
- ʻO Riociguat (he lāʻau lapaʻau no ke koko kiʻekiʻe pulmonary)
- Nā lāʻau lapaʻau ʻē aʻe no ke koko, ka maʻi puʻuwai, a me ka puʻuwai naʻau ʻole
- Nā anesthetics laulā i hoʻohana ʻia i ka wā o ke ʻoki kino
He aha nā hopena ʻaoʻao e hiki ke ʻike ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i ka Nitroprusside ke hana i kekahi mau hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o kēia mau mea, aʻo kekahi ʻaʻole koʻikoʻi loa.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e hōʻike koke aku ai i ke kauka/limahana kahu maʻi | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe/alelo/maka. |
| Nā hōʻailona o ka hoʻonui ʻia o ka acidity i loko o ke koko (Acidosis) | Piʻi ka hanu ʻana, ka puʻuwai wikiwiki, ka ʻeha poʻo, ka huikau, ka luhi nui, ka nausea, ka luaʻi. |
| Nā hōʻailona o ke koko haʻahaʻa loa | ʻO ka pōniuniu nui, ka manaʻo e like me ka uliuli ʻana o kou mau maka, ka manaʻo e like me ʻoe e hāʻule ana, nāwaliwali loa. |
| Nā hōʻailona o ka methemoglobinemia | ʻIli keʻokeʻo, hina, a polū paha, ʻeha poʻo, puʻuwai wikiwiki, hanu pōkole, luhi. |
| ʻAʻohe mea e hopohopo ai, akā inā hoʻomau ia, nā mea e hōʻike ai | |
| ʻO ka ʻulaʻula o ka maka | Ua wela ka maka a lilo i ʻulaʻula. |
| ʻEha ma kahi i hoʻokomo ʻia | ʻEha, ʻulaʻula, a mumū paha kahi i hāʻawi ʻia ai ka inikini. |
ʻO kekahi mea e makaʻala ai i ka wā e hāʻawi ai i ka lāʻau lapaʻau ...
Ma muli o ka hoʻohaʻahaʻa ʻana o kēia lāʻau lapaʻau i ke koko, hiki iā ʻoe ke manaʻo i ka poniuniu . No laila, mai ala koke mai kahi noho a i ʻole e ala koke mai kahi moe. ʻO ka hana ʻana pēlā e hoʻonui ai i ka poniuniu a hāʻule ʻoe. E makaʻala loa i kēia, ʻoiai inā he ʻelemakule ʻoe.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Nitroprusside i hāʻawi ʻia ma o ka intravenous i loko o kahi haukapila e kaohi i ke koko kiʻekiʻe a me kekahi mau kūlana puʻuwai i nā pilikia.
- Hoʻonui kēia i nā kīʻaha koko a hōʻemi i ka ukana hana ma ka puʻuwai.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, nā lāʻau lapaʻau āpau āu e lawe ai, a me nā maʻi allergies āu e loaʻa ai.
- E makaʻala i ke kū ʻana a i ʻole ka noho ʻana i lalo, no ka mea, hiki ke poniuniu ke hāʻawi ʻia ka lāʻau.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻulaʻula o ka ʻili, ka paʻakikī o ka hanu ʻana, a i ʻole ka poniuniu nui, e hoʻomaopopo koke i ke limahana lapaʻau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e nīnau i ke kauka nāna ʻoe e mālama nei.
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