He manawa nani a me ka manaʻolana ka hāpai ʻana. Akā, ʻo nā ʻehaʻeha e hele pū ana me ia, nā ʻeha kua, a me nā poʻo ke poʻo, hiki ke lilo i mea hoʻonāukiuki iki. He mea maʻamau ia no kēia mau ʻehaʻeha hou e kū mai ma muli o nā loli hormonal a me kou ʻōpū e ulu ana. No laila, i nā manawa e like me kēia, e noʻonoʻo paha ʻoe, "Auē, makemake wau e hiki iaʻu ke lawe i kahi lāʻau ʻeha." Akā, ʻike ʻoe e pono mau ʻoe e nānā me kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau ke hāpai ʻoe . Pono anei ʻoe e nīnau e pili ana i nā lāʻau ʻeha ma luna o ke kauka? ʻO ka pane maʻalahi: ʻAe, pono ʻoe. ʻOiai ke ʻano he mea ʻino ʻole lākou i ka lā maʻamau, loli nā lula ke hāpai ʻoe i kahi pēpē.
ʻO Acetaminophen - ka paracetamol a mākou i ʻike ai
He lāʻau lapaʻau kēia a mākou e hoʻohana pinepine ai no nā mea e like me ke kuni, ka ʻeha poʻo, a me ka ʻeha hui. Ua ʻike ka nui o ka poʻe ma ko mākou ʻāina i kēia ma ka inoa ʻo Paracetamol . Hiki iā ʻoe ke kūʻai i kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau wale nō a i ʻole i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
ʻAʻohe pilikia o ka hapa nui o nā wahine hāpai i ka lawe ʻana i ka paracetamol inā ʻae kā lākou kauka. ʻO ka ʻoiaʻiʻo, ʻo ia ka lāʻau hoʻopau ʻeha i kuhikuhi pinepine ʻia no nā wahine hāpai e nā kauka.
Eia nō naʻe, inā he maʻi ʻoe i kēia lāʻau lapaʻau, he maʻi akepaʻa kou, a i ʻole ua ʻōlelo kāu kauka ʻaʻole kūpono ia, pono ʻoe e noho mamao loa mai ka paracetamol.
ʻOiai inā ʻōlelo ke kauka he mea maikaʻi ke lawe i ka paracetamol, ʻo ka mea nui e hoʻomanaʻo ai, ʻo ia ka hoʻohana ʻana ia mea inā pono loa, ma ka liʻiliʻi loa, a no ka manawa pōkole loa .
ʻAʻole i pili ʻia ʻo Paracetamol i ka hāʻule ʻana o ka manawa a i ʻole nā kīnā hānau koʻikoʻi, akā ua ʻike kekahi mau noiʻi i kahi pilikia liʻiliʻi.
- Manaʻo kekahi mau noiʻi e hiki i ka lawe ʻana i ka paracetamol i kēlā me kēia lā no ka manawa lōʻihi (28 mau lā a ʻoi aku paha) ke hoʻonui iki i ka pilikia o ka maʻi hyperactivity deficit attention (ADHD) a i ʻole nā lohi iki o ka ulu ʻana i loko o ke keiki i hānau ʻole ʻia.
- Ua hōʻike ʻia nā haʻawina ʻē aʻe ʻo ka lawe ʻana i ka paracetamol i kēlā me kēia lā i ka hapa lua o ka hāpai ʻana e hoʻonui i ka pilikia o ka pēpē e loaʻa i nā maʻi e like me ka wheezing a i ʻole ka hānō.
Eia nō naʻe, ʻaʻohe o kēia mau haʻawina i hōʻoia i ke kumu o kēia mau pilikia e ka paracetamol. Pono ka noiʻi hou aku e hoʻomaopopo piha i kēia pilina. Eia nō naʻe, he mea naʻauao ke pale aku i ka lawe ʻana i ka lāʻau lapaʻau me ke kumu ʻole.
Nā NSAID (nā lāʻau anti-inflammatory non-steroidal) - pono ʻoe e makaʻala loa me kēia mau mea!
Ua lawe paha ʻoe i ka nui o ka ibuprofen i kou ola. Akā i kou wā hāpai, e haʻi aku paha kāu kauka iā ʻoe e hoʻohana i kahi koho ʻē aʻe palekana no ke kuni, ka ʻeha poʻo, a me nā ʻehaʻeha o nā ʻiʻo. Ua kapa ʻia kēia mau mea he mau lāʻau anti-inflammatory non-steroidal (NSAID), a ʻaʻole lākou palekana loa no nā wahine hāpai. Hāʻule nā lāʻau lapaʻau e like me Ibuprofen, Naproxen, Aspirin, a me Diclofenac i loko o kēia māhele.
No ke aha he mea weliweli nā NSAID?
- Hāpai mua: Ua ʻike kekahi mau noiʻi e hiki i ka lawe ʻana i nā NSAID i ka wā hāpai mua ke hoʻonui iki i ka pilikia o ka hāʻule ʻana o ka ʻōpū . Hōʻike pū kekahi mau noiʻi i kahi pilikia liʻiliʻi o nā kīnā hānau i loko o ka puʻuwai o ka pēpē a i ʻole ka ʻōnaehana gastrointestinal. ʻOiai ʻaʻole i hōʻoia paʻa ʻia kēia loulou, paipai nā kauka e hele i kahi koho palekana e like me ka paracetamol ma mua o ka lawe ʻana i ka pilikia.
- I nā mahina 3 hope o ka hāpai ʻana: ʻAʻole ʻōlelo ʻia nā NSAID i kēia manawa. ʻO kēia no ka mea hiki iā lākou ke pani i kahi kīʻaha koko koʻikoʻi i loko o ka puʻuwai o kāu pēpē (ductus arteriosus) ma mua o ka hānau ʻana. Hiki i kēia ke alakaʻi i ke koko kiʻekiʻe i loko o nā māmā o ka pēpē.
ʻAʻole wale ia, ʻo ka lawe ʻana i nā NSAID hiki ke hoʻolilo iā ʻoe i mea paʻakikī ke komo i ka hānau ʻana a hōʻemi i ka nui o ka wai amniotic i loko o ka ʻōpū a puni kāu pēpē. No kēia mau kumu, inā ʻoe e lawe ana i kahi NSAID, pono e hana ʻia ma lalo o ka nānā pono ʻana o ke kauka .
| ʻAno lāʻau lapaʻau | Ka palekana i ka wā hāpai |
|---|---|
| ʻAsetaminopena/Paracetamol | He palekana ka lawe ʻana ma lalo o ke aʻo ʻana a ke kauka, akā inā pono wale nō, ma ka liʻiliʻi haʻahaʻa loa, no ka manawa pōkole loa. |
| Nā NSAID (e like me Ibuprofen, Diclofenac) | ʻAʻole i ʻōlelo ʻia. He mea weliweli loa ia, ʻoiai hoʻi i nā mahina 3 i hala. ʻAʻole loa e lawe ʻia me ka nānā ʻole ʻia e ke kauka. |
Nā mea hoʻomaha ʻeha ikaika ʻano opioid
He mau lāʻau ʻeha ikaika loa kēia i kuhikuhi ʻia e nā kauka. ʻO nā laʻana e komo pū me Codeine, Morphine, a me Oxycodone .
Manaʻo kekahi mau noiʻi e hiki i ka hoʻohana ʻana i kēia ʻano lāʻau lapaʻau i ka wā hāpai ke hoʻonui i ka pilikia o kekahi mau kīnā hānau, ʻoiai ka maʻi puʻuwai, i loko o ka pēpē. Hiki nō hoʻi iā ia ke hoʻonui i ka pilikia o ka hānau mua ʻana, ka hānau mua ʻana, a i ʻole ka hānau make ʻana.
Inā ʻoe e lawe ana i nā opioids no kahi maʻi ma mua o kou hāpai ʻana, ʻo ka hoʻōki koke ʻana iā lākou ke hāpai ʻoe hiki ke hoʻopilikia iā ʻoe a me kāu pēpē. No laila, e hoʻemi mālie pinepine kāu kauka i kāu mahele lāʻau e hōʻoia i ka palekana no ʻoe a me kāu pēpē.
He mea nui loa kēia: Inā lawe ka makuahine i nā lāʻau opioid i ka wā hāpai, hiki i ka pēpē ke lilo i mea hoʻopili iā lākou i loko o ka ʻōpū. ʻOiai ʻaʻole e loaʻa ana i ka pēpē ka lāʻau lapaʻau ma hope o ka hānau ʻana, e ʻike ka pēpē i nā 'hōʻailona haʻalele'. Kāhea mākou i kēia ʻo 'Neonatal Abstinence Syndrome' (NAS) . Hiki i kēia ke lilo i maʻi koʻikoʻi. Hiki iā ia ke hana i nā pilikia e like me ke kaumaha hānau haʻahaʻa a me nā pilikia hanu.
Leka Lawe-Home
- Mai hoʻohana i kekahi mau mea hoʻomaha ʻeha no kekahi ʻeha āu e ʻike ai i ka wā hāpai me ka ʻole o ke kūkākūkā ʻana me kāu kauka. ʻAʻole e loli kēia lula ʻoiai inā he lāʻau lapaʻau ia e kūʻai ʻia ma luna o ke kauka.
- Hoʻomaopopo pinepine nā kauka i ka acetaminophen (paracetamol) wale nō, akā inā pono, ʻoi aku ka maikaʻi o ka lawe ʻana iā ia ma ka liʻiliʻi loa a no ka manawa pōkole loa .
- Hiki i nā NSAID (e.g., Ibuprofen, Diclofenac) ke lilo i mea weliweli loa, ʻoiai hoʻi i nā mahina 3 hope o ka hāpai ʻana. ʻAʻole loa e lawe ʻia me ka ʻole o ka nānā ʻana a ke kauka.
- ʻO nā lāʻau ʻeha opioid , ʻoiai inā i kuhikuhi ʻia e ke kauka, hiki ke hana i nā pilikia koʻikoʻi no ka pēpē. Inā ʻoe e lawe nei iā lākou, a inā ʻoe e ʻeha nui ana, e kamaʻilio koke me kāu kauka e kūkākūkā i ke koho palekana loa.
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