Inā ʻoe a i ʻole kekahi o kou ʻohana e hana ʻoki kino ana, ua lohe paha ʻoe e pili ana i nā ʻano lāʻau like ʻole i hoʻohana ʻia e nā anesthesiologists. I waena o lākou, ʻo 'Pancuronium' kahi lāʻau koʻikoʻi loa i hoʻohana pinepine ʻia. Ke lohe ʻoe i kēia inoa, e hoihoi iki paha ʻoe, a makaʻu paha. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia lāʻau, kāna hana, a me nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ai.
I ka ʻōlelo maʻalahi, he aha ka Pancuronium?
He mea hoʻomaha ʻiʻo iwi ka Pancuronium. Hāʻawi ʻia ia ma ke komo ʻana i loko o kahi aʻa a i ʻole ma o ka hoʻokomo ʻana i ka saline. ʻAʻole ia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau ma lalo o ka nānā pono ʻana o kahi loea lapaʻau .
ʻElua mau hana nui o kēia:
1. I ka wā o ke ʻoki kino: E noʻonoʻo, inā paʻa nā ʻiʻo o ke kino i ka wā o ke ʻoki kino, he mea paʻakikī i ke kauka ʻoki kino ke hana pololei a palekana i ke ʻoki kino, ʻeā? ʻO ia ka manawa e hāʻawi ʻia ai kēia lāʻau lapaʻau a hoʻomaha loa nā ʻiʻo. ʻAe kēia i ke kauka ʻoki kino e hana maʻalahi i kāna hana.
2. Ke hoʻopili ʻia i kahi mīkini hanu/ventilator: Paʻakikī kekahi poʻe i ka hanu ʻana iā lākou iho ma muli o kahi maʻi. I kēlā manawa, hoʻopili mākou iā lākou i kahi mīkini i kapa ʻia ʻo 'ventilator'. I kēia manawa, inā paʻakikī nā ʻiʻo o ke kino o ka mea maʻi, hiki ke keakea ʻia ka hana o kēlā mīkini. Hoʻohana ʻia kēia lāʻau Pancuronium e wehe i kēlā mea keakea a kōkua i ka mīkini e hanu maʻalahi no ka mea maʻi.
ʻO ka mea nui loa, ʻo ia ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau e kekahi kauka anesthesiologist a i ʻole kekahi kauka kūpono ʻē aʻe, no laila ʻaʻole pono ʻoe e hopohopo nui e pili ana i kona palekana.
He aha nā mea e pono ai ʻoe e haʻi aku i ke kauka ma mua o ka hāʻawi ʻana iā ia i kēia lāʻau?
Ma mua o ka hoʻoholo ʻana e hāʻawi iā ʻoe i kēia lāʻau lapaʻau, e nīnau kāu kauka iā ʻoe e pili ana i kou mōʻaukala olakino piha. Akā he mea nui loa ia e hoʻomaopopo pū ʻoe i kāu kauka e pili ana i kēia mau mea. Hiki i ka Pancuronium ke pane me kēia mau kūlana.
| Nā kūlana āu e pono ai e makaʻala |
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Eia kekahi, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau lāʻau) , a inā ʻoe e puhipaka ana, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe, no ka mea, hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
ʻAe. Paipai nā kauka i kēia lāʻau lapaʻau no nā pēpē hānau hou a me nā keiki, inā pono. Akā, e mālama ʻia nā hana palekana kūikawā. Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio me kāu kauka keiki e pili ana i ia mea.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Pancuronium ke hana i nā hopena ʻaoʻao. Akā e hoʻomanaʻo, i kou wā ma ka haukapila, e nānā mau ana nā limahana lapaʻau iā ʻoe, no laila inā hana ʻia kekahi mea e like me kēia, hiki iā lākou ke hoʻokele koke.
| Nā ʻano hopena ʻaoʻao | |
|---|---|
| Nā mea e hōʻike koke aku ai i ke kauka a i ʻole nā limahana kahu maʻi | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo a i ʻole ka maka. |
| Nā pilikia hanu | Ka hanu ʻole. |
| Puʻuwai | Ka wikiwiki o ka puʻuwai. |
| Nā hōʻailona o ke koko haʻahaʻa | Pōniuniu , poʻo māmā, maule. |
| Nā hōʻailona o ka hōʻino ʻana o nā ʻiʻo | ʻO ka mimi ʻeleʻele, ka paʻakikī o ka mimi a i ʻole ka loli o ka nui o ka mimi, nāwaliwali ʻē, ʻeha ʻiʻo, ʻeha kua. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha a nāwaliwali paha nā ʻiʻo | Hiki i kekahi poʻe ke loaʻa i ka ʻeha a i ʻole ka nāwaliwali o nā ʻiʻo ma hope o ka pau ʻana o nā hopena o ka lāʻau lapaʻau. |
E aʻo kākou e pili ana i nā mea ʻē aʻe.
He aha ka mea e hana inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau (overdose)?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila ma lalo o ka nānā ʻana a ke kauka, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā he kānalua ua hana ʻia kēlā mea, e hana koke nā limahana lapaʻau i nā hana e pono ai. Inā makemake ʻoe e ʻike e pili ana i kēlā kūlana ma Sri Lanka, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . I kahi pilikia, ua kuhikuhi ʻia ka mea maʻi i ka Emergency Treatment Unit (ETU) .
He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau āu e lawe ai i kēlā me kēia lā ma ka home. He mea ia e hāʻawi ʻia e like me ka mea e pono ai ma ka haukapila. No laila, ʻaʻole pili ka manaʻo o ka 'nalowale' i kahi 'dose' i kēia.
Ma hea ʻoe e mālama ai i ka lāʻau lapaʻau?
Ua mālama ʻia kēia lāʻau lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole pono ʻoe e hopohopo no ia mea, no ka mea, ʻaʻole ʻoe e ʻae ʻia e lawe i ka home.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Pancuronium i hoʻohana ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana a i nā poʻe maʻi ma nā ventilators.
- Hāʻawi wale ʻia kēia ma ka haukapila, ma lalo o ka mākaʻikaʻi koʻikoʻi a nā kauka.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i kou mau maʻi āpau (ʻoiai nā maʻi o ka puʻuwai, nā puʻupaʻa, a me ke akepaʻa) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E makaʻala i nā hōʻailona maʻi ʻaleka, nā pilikia hanu, a me nā mea ʻē aʻe. Inā loaʻa iā ʻoe kekahi o kēia mau mea ma ka haukapila, e haʻi koke aku i nā limahana.
- He lāʻau lapaʻau pono loa kēia a palekana hoʻi ke hoʻohana pono ʻia e nā loea lapaʻau. No laila, mai hoʻokumu i ka makaʻu pono ʻole.
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