Ua pono anei ʻoe e hana i kahi ʻoki kino, ʻo ia hoʻi, ke ʻoki kino? A i ʻole ua pono anei ʻoe e hana i kahi hoʻokolokolo me ka hoʻohana ʻana i kahi kāmela i hoʻokomo ʻia i loko o ke kino, e like me ka endoscopy? I kēlā hihia, hoʻohana nā kauka i kahi lāʻau lapaʻau kūikawā e hoʻomoe iā ʻoe i ka hiamoe hohonu no kekahi manawa i ʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha, a ʻaʻole ʻoe e hoʻomanaʻo i ka hanana. Ma kā mākou ʻōlelo, ʻo kēia ka mea a mākou e kapa nei he "analgesia." Aia kekahi mau ʻano lāʻau lapaʻau i hoʻohana ʻia e hoʻoulu i nā anesthetics ma kēia ʻano. I waena o lākou, ʻo kekahi o nā injections i hoʻohana nui ʻia a koʻikoʻi ʻo Propofol. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i nā mea āu e pono ai e ʻike e pili ana i kēia injection Propofol.
I ka ʻōlelo maʻalahi, he aha ka Propofol?
He lāʻau hoʻomaha maʻamau ka Propofol. ʻO ke kikoʻī, he lāʻau ia e hoʻomoe ai iā ʻoe i kahi hiamoe ʻoluʻolu ma mua o ke ʻoki kino a i ʻole nā kaʻina hana lapaʻau ʻē aʻe. Hāʻawi ʻia ia ma ke ʻano he inikini.
Hana kēia lāʻau lapaʻau ma ke ʻano ʻē loa. Hoʻopaʻa ia i nā hōʻailona ʻeha e hele pololei ana i kou lolo. E noʻonoʻo, ke manaʻo ʻoe i ka ʻeha ma kekahi wahi o kou kino, hele kēlā leka ma nā aʻalolo i ka lolo a manaʻo ʻoe "Auē, ʻeha kēlā." Hoʻopaʻa ʻo Propofol i kēlā leka mai ka hiki ʻana i ka lolo. A laila, i ka wā o ke ʻoki ʻana, ʻaʻole ʻoe e manaʻo i kekahi ʻeha a ʻoluʻolu ʻole paha. A no ka mea ua hiamoe nui ʻoe, ʻaʻole ʻoe e hoʻomanaʻo i kekahi mea e hana ʻia.
Hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole. Eia kekahi laʻana, hiki iā ʻoe ke ʻike iā Diprivan a i ʻole Fresenius Propoven.
ʻO ka mea nui, ʻaʻole kēia e like me ka lāʻau ʻeha maʻamau. He lāʻau ikaika loa kēia, a hāʻawi wale ʻia e kahi hui o nā kauka i aʻo ʻia, me nā anesthesiologists, ma kahi ʻano i lako pono ʻia, e like me kahi keʻena mālama koʻikoʻi o ka haukapila.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau
Ma hope o ka hoʻoholo ʻana e hāʻawi iā ʻoe i ka inikini Propofol, e nīnau ke kauka anesthesiology iā ʻoe e pili ana i kou olakino. He mea nui loa ia no kou palekana e hāʻawi i ka ʻoiaʻiʻo me ka hūnā ʻole i kekahi mea i kēia manawa. No ka mea, pono e makaʻala loa ka poʻe me kekahi mau maʻi a i ʻole nā maʻi ʻaleka i ka hāʻawi ʻana i kēia lāʻau.
Inā pili ka ʻike ma lalo nei iā ʻoe, e ʻoluʻolu e haʻi i kāu hui lapaʻau e pili ana i ia mea.
| Kūlana/pilikia olakino | No ke aha ʻoe e hoʻomaopopo ai? (Wehewehe maʻalahi) |
|---|---|
| Nā maʻi ʻaleka | E hōʻoia e haʻi mai iā mākou inā he maʻi allergy kou i ka propofol ponoʻī, i nā hua manu, ka soy, nā pīnati, nā sulfites, a i ʻole kekahi lāʻau lapaʻau a meaʻai paha ʻē aʻe. |
| Maʻi puʻuwai | Inā loaʻa iā ʻoe kahi maʻi puʻuwai, pono e makaʻala nā kauka i kēia no ka mea hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou helu puʻuwai a i ʻole ke koko. |
| Kolesterol kiʻekiʻe | He emulsion momona ka Propofol. ʻO ia hoʻi, he wai ʻaila ia. No laila, pono e akahele i ka wā e hāʻawi ai iā ia i ka poʻe me ka cholesterol kiʻekiʻe a i ʻole nā pae momona koko kiʻekiʻe. |
| ʻO ka maʻi pancreatitis | E haʻi mai iā mākou inā ua loaʻa iā ʻoe a i ʻole ke loaʻa nei iā ʻoe ka pancreatitis, kahi mumū o ka pancreas. |
| Maʻi puʻupaʻa | Inā pilikia ka hana a nā puʻupaʻa, hiki ke hoʻopilikia ʻia ke kaʻina hana o ka wehe ʻana i ka lāʻau lapaʻau mai ke kino. |
| Nā hopu ʻana | Inā loaʻa iā ʻoe ka migraine, he mea nui loa ia e hoʻomaopopo i kāu mau kauka e pili ana i ia mea. |
| ʻEha poʻo | Inā ua loaʻa iā ʻoe kahi ʻeha poʻo i hala koke nei, hopohopo nā kauka e pili ana i nā hopena ma ka lolo. |
| Ka hāpai ʻana a i ʻole ka manaʻo ʻana i kahi pēpē | Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē, he mea nui e ʻōlelo pēlā. |
| Ka hānai ʻana i ka waiū umauma | Inā he makuahine hānai ʻoe, e ʻimi i ka ʻōlelo aʻo lapaʻau e pili ana i ka lōʻihi o kou kāohi ʻana i ka hānai ʻana ma hope o ke ʻoki ʻana. |
Pehea ʻoe e loaʻa ai kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home a hoʻohana. Hāʻawi wale ʻia ka Propofol ma kahi haukapila a i ʻole ke keʻena lapaʻau e kahi hui lapaʻau i aʻo ʻia.
Hāʻawi ʻia ia ma o kahi cannula (intravenous infusion) i loko o kahi aa. I ka ʻōlelo maʻalahi, hāʻawi ʻia kēia lāʻau lapaʻau i loko o kou kino e like me ka hāʻawi ʻia ʻana o ka saline i loko o kahi aa ma kou lima. Na ke kauka anesthesiology e hoʻoholo i ka nui o ka lāʻau lapaʻau e hāʻawi a me ka wikiwiki, ma muli o ka nui o ka hiamoe āu e pono ai a me ke ʻano o ke ʻoki ʻana.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻAe, i kekahi mau hihia kūikawā, hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki e like me 2 mahina. Akā hana ʻia me ke akahele nui a ma lalo o ka nānā kūikawā. Inā pono ʻoe e hāʻawi i kēia lāʻau lapaʻau i kahi keiki, e hoʻomaopopo kāu kauka iā ʻoe e pili ana i nā hana palekana e pili ana i kēia.
He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?
ʻAʻole kēia he mea hiki iā ʻoe ke kaohi. Ma ka haukapila, e nānā mau ana ke kime lapaʻau i kou helu puʻuwai, ke koko, a me ka hanu ʻana, no laila ua haʻahaʻa loa ka manawa kūpono o ka overdose . Inā kānalua ʻoe i kahi mea e like me kēia, ʻo ke kaʻina hana maʻamau ka hōʻike koke ʻana iā ia i ka Emergency Treatment Unit (ETU) o ka haukapila a i ʻole ke National Poisons Information Center ma ka Colombo National Hospital . Eia nō naʻe, ʻoiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila, na ke kime lapaʻau ke kuleana piha no ia mea.
Nā mea ʻē aʻe e launa pū me ka propofol
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai ke hoʻopilikia i ke ʻano o ka hana ʻana o ka propofol. Hiki i ka propofol ke hoʻololi i ke ʻano o ka hana ʻana o nā lāʻau lapaʻau ʻē aʻe. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā mea hoʻohui lāʻau lapaʻau, a me nā lāʻau lapaʻau lāʻau .
Hiki i ka Propofol ke launa pū me kēia mau mea:
- ʻAila
- Nā BenzodiazepinesNā lāʻau lapaʻau papa I (e like me nā lāʻau hiamoe a me nā lāʻau anti-anxiety e like me Diazepam lāua ʻo Lorazepam)
- ʻO kekahi mau antihistamines (nā lāʻau lapaʻau no ke anu, ka ʻū, a me nā maʻi allergies)
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me Amitriptyline)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi epilepsy (e.g. Phenobarbital)
- Nā lāʻau lapaʻau ʻē aʻe i hāʻawi ʻia e hoʻoulu i ka hiamoe ma mua o ke ʻoki ʻana
- Nā lāʻau lapaʻau e kōkua iā ʻoe e hiamoe
- Nā mea hoʻomaha ʻiʻo
- He mau lāʻau ʻeha ʻeha ikaika nā opioids a i ʻole nā lāʻau lapaʻau kuʻi.
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo (e like me Chlorpromazine)
- ʻO Valproate
He mea nui loa e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
He aha kāu e makaʻala ai ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau?
Ma hope o ka pau ʻana o ke ʻoki ʻana a me ka hoʻōki ʻana i ka propofol, e hoʻi mālie ʻoe i ka ʻike. Eia nō naʻe, hiki ke hala kekahi mau hola a i ʻole hoʻokahi lā no ka pau ʻana o nā hopena o ka lāʻau.
- Hiamoe: Hiki iā ʻoe ke hiamoe a palaualelo no kekahi manawa. He mea maʻamau kēia.
- Ka hoʻoholo ʻana a me ka hiki ke hana: Hiki ke hoʻopilikia ʻia kou hoʻonohonoho ʻana, ka manawa pane, a me ka hoʻoholo ʻana no kekahi manawa ma lalo o ka mana o kēia lāʻau lapaʻau.
- ʻO ka ʻōlelo aʻoaʻo koʻikoʻi loa: No laila, e pale loa i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, ka hana ʻana i nā hoʻoholo koʻikoʻi, a i ʻole ke kau inoa ʻana i nā palapala kānāwai no 24 mau hola ma hope o ke ʻoki ʻana.
- Pīni: Hiki iā ʻoe ke manaʻo i ka pīni a i ʻole ka nāwaliwali ke kū koke ʻoe mai kahi noho a moe paha. No laila e ala koke.
- ʻOna: ʻO ka inu ʻana i ka waiʻona i kēia manawa hiki ke hoʻonui i nā hopena ʻaoʻao i luna, no laila e pale loa iā ia.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka propofol ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E nānā pono ʻia ʻoe e ka hui lapaʻau i hiki iā lākou ke hana koke inā he pilikia.
| Ka hopena ʻaoʻao | Nā hōʻailona āu e ʻike nei |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Ka kaumaha o ka ʻōnaehana nerve waena (CNS Depression) | Ka hanu lohi loa a pāpaʻu paha, ka hanu pōkole, ka maule ʻana, ka hiamoe nui, ka paʻakikī ke makaʻala. |
| Nā Hoʻololi o ka Rhythm o ka Puʻuwai | Manaʻo e like me ka wikiwiki o ka puʻuwai a i ʻole ke kuʻi ʻano ʻē, ka poniuniu, ka maule ʻana, ka ʻeha o ka umauma. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Puʻuwai lohi | Pōniuniu, māʻule, paʻakikī ka hanu ʻana, manaʻo luhi ʻē. |
| ʻEha o ka puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele. |
| ʻEha ʻiʻo | Luhi kūikawā, ʻeha ʻiʻo, mimi ʻeleʻele, emi ʻana o ka mimi i hoʻopuka ʻia. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Hiamoe | He mea maʻamau ke hiamoe no kekahi mau hola ma hope o ka lawe ʻana i ka lāʻau. |
| ʻEha ma kahi i hoʻokomo ʻia | Hiki paha ke loaʻa ka ʻeha iki, ka ʻulaʻula, a i ʻole ka mumū ma kahi i hoʻokomo ʻia ai ka cannula. |
Hiki iaʻu ke lawe i kēia lāʻau lapaʻau i ka home?
ʻAʻole. Ua maopopo loa kēia. ʻO ka Propofol kahi lāʻau lapaʻau i hāʻawi wale ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana a ke kauka. ʻAʻole ʻoe e hāʻawi ʻia i kēia e mālama a hoʻohana paha ma ka home no kekahi kumu.
Leka Lawe-Home
- He lāʻau hoʻomāmā koʻikoʻi ka Propofol i hoʻohana ʻia e hōʻoluʻolu i ka ʻeha a me ke kaumaha a hoʻomoe iā ʻoe i ka wā o ke ʻoki kino a me nā kaʻina hana lapaʻau.
- Hāʻawi ʻia kēia ma kahi haukapila wale nō, e kahi hui lapaʻau i aʻo ʻia.
- He mea nui no kou palekana e haʻi aku i kāu kauka e pili ana i kou mau maʻi āpau, nā maʻi allergies, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hōʻalo i ka hoʻokele kaʻa a me ka hana ʻana i nā hana e pono ai ka noʻonoʻo nui no ka liʻiliʻi he 24 mau hola ma hope o ke ʻoki ʻana.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, ka poniuniu nui, a i ʻole nā hōʻailona maʻi ʻaleka koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
- Inā he mau hopohopo a nīnau paha kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio ākea me kāu kauka e pili ana.
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