He ʻulaʻula a piʻi iki paha ka hōʻailona hānau o kāu keiki liʻiliʻi ma ko lākou kino? I kekahi manawa, ma ke ʻano he makuahine, hiki iā ʻoe ke makaʻu a hopohopo nui ke ʻike ʻoe i kēia mau mea e ulu wikiwiki ana. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo 'Infantile Hemangioma '. Mai hopohopo, ʻaʻole kēia he maʻi kanesa . Akā i kekahi manawa, ma muli o ko lākou wahi (no ka laʻana, kokoke i ka maka) a no ka mea e ulu wikiwiki ana lākou, pono lākou e mālama ʻia. ʻO kekahi o nā lāʻau lapaʻau nui a nā kauka e ʻōlelo pinepine ai no kēia he syrup i kapa ʻia ʻo Propranolol . No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, pehea e hāʻawi ai, a me nā mea e makaʻala ai.
He aha ke ʻano lāʻau lapaʻau ʻo Propranolol?
I ka ʻōlelo maʻalahi, ʻo Propranolol kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kūlana a mākou i ʻōlelo ai ma mua, ʻo Infantile Hemangioma, he hōʻailona hānau e ulu wikiwiki ana i nā pēpē. No kahi papa o nā lāʻau i kapa ʻia ʻo beta-blockers.
E noʻonoʻo i kēlā kiko ʻulaʻula he hōʻiliʻili o nā kīʻaha koko liʻiliʻi. ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ke hōʻemi i ke kahe o ke koko i kahi o ka kiko ʻulaʻula. ʻO ka mea e hana ʻia, ʻo ia ka emi mālie ʻana o ka ʻulaʻula, ka nui, a me ka paʻakikī o ka kiko. Kūʻai pinepine ʻia kēia lāʻau lapaʻau ma Sri Lanka ma lalo o ka inoa inoa ʻo HEMANGEOL.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau no kāu pēpē, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha no ke olakino o kāu pēpē . ʻOiai inā loaʻa i kāu pēpē kekahi o nā kūlana i helu ʻia ma lalo nei, pono ʻoe e haʻi iā lākou e pili ana i ia mea.
| Kūlana olakino | No ke aha he mea nui kēlā? |
|---|---|
| ʻO ka Asthma a i ʻole nā pilikia hanu ʻē aʻe | Hiki i ka propranolol ke hoʻopaʻa i nā alaloa i kekahi manawa a hoʻonui i nā pilikia hanu. |
| ʻO ka maʻi diabetes a i ʻole ke kō koko haʻahaʻa | Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i nā pae kō koko a hiki ke pale aku i nā hōʻailona o ke kō koko haʻahaʻa (e like me ka hou ʻana a me ka haʻalulu). |
| Maʻi puʻuwai a i ʻole ka puʻuwai lohi | Hiki i ka Propranolol ke hoʻolohi i ka helu o kou puʻuwai, no laila hiki ke lilo i mea weliweli inā loaʻa iā ʻoe kahi pilikia puʻuwai. |
| Ke koko haʻahaʻa | Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa hou i ke koko. |
| Ka nalowale o ka makemake a i ʻole ka pilikia o ka inu/ʻai ʻana i ka waiū | He mea nui e ʻai pono ke pēpē, no ka mea, ʻo ka hāʻawi ʻana i ka lāʻau lapaʻau ma ka ʻōpū ʻole hiki ke hoʻohaʻahaʻa nui i ke kō koko. |
| Nā kūlana laha ʻole e like me ka maʻi PHACE a i ʻole Pheochromocytoma | He mau kūlana olakino kūikawā kēia, a pono e makaʻala loa ke kauka e pili ana i ka hoʻohana ʻana iā Propranolol. |
| Nā maʻi ʻaleka i ka propranolol a i ʻole nā lāʻau lapaʻau a meaʻai paha | Inā ua loaʻa i kāu pēpē kekahi mau maʻi allergies ma mua, he mea nui e hoʻomaopopo i ke kauka e pili ana i ia mea. |
Pehea pololei e hāʻawi ʻia ai ka lāʻau lapaʻau?
He mea nui loa ke ʻano o ka hāʻawi ʻana i kēia lāʻau. Hiki i kahi hewa liʻiliʻi ke hoʻopilikia i ka pēpē. No laila e hoʻomanaʻo pono i kēia mau ʻanuʻu.
1. E ana i ka nui kūpono: E hoʻohana wale i ka syringe waha a i ʻole ka kulu wai e hele mai me ka lāʻau lapaʻau e ana i ka nui pololei i kuhikuhi ʻia e kāu kauka. Mai hoʻohana i nā mea e like me nā teaspoon a i ʻole nā kīʻaha ana syrup plastik āu e loaʻa ai ma ka lumi kuke. ʻAʻole pololei lākou.
2. E hāʻawi me ka meaʻai: ʻO kēia ka mea nui loa. E hāʻawi mau i ka lāʻau lapaʻau i kāu pēpē i ka wā a ma hope paha o ka hānai ʻana i ka waiū.
3.E hāʻawi i ka manawa kūpono: E ho'āʻo e hāʻawi i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. ʻO ka maʻamau, ua ʻōlelo ʻia e hāʻawi ʻia i ʻelua manawa i ka lā (ma kahi o 9 mau hola kaʻawale).
4. Mai hoʻōki a hiki i ka wā e ʻōlelo aku ai ke kauka iā ʻoe: ʻOiai inā manaʻo ʻoe ua maikaʻi ke pēpē a ua emi ka ʻulaʻula, mai hoʻōki i ka hāʻawi ʻana i ka lāʻau lapaʻau a hiki i ka wā e ʻōlelo aku ai ke kauka iā ʻoe.
5. Inā luaʻi kāu pēpē: Inā luaʻi kāu pēpē, luaʻi, a ʻaʻole paha ʻoe maopopo inā ua lawe lākou i nā lāʻau lapaʻau a pau, mai hāʻawi hou i kahi lāʻau lapaʻau. E kali a hiki i ka manawa e hiki mai ai ka lāʻau aʻe.
E hoʻomanaʻo, mai hāʻawi i kēia lāʻau lapaʻau i kāu pēpē i ka wā ʻōpū ʻole. E hāʻawi mau iā ia me ka ʻai a ma hope paha o ka ʻai ʻana. Hiki i kēia ke kōkua i ka pale ʻana i ka emi ʻana o ke kō koko o kāu pēpē i ka haʻahaʻa loa (hypoglycemia).
He aha kāu e hana ai inā poina iā ʻoe ke hāʻawi i kahi mahele o ka lāʻau lapaʻau?
Poina iā kākou nā mea i kekahi manawa. Inā poina iā ʻoe ke hāʻawi i kahi mahele lāʻau, mai hopohopo.
- E hāʻawi mai iaʻu i ka manawa poina i ka wā e hoʻomanaʻo ai ʻoe.
- Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe (e laʻa, ʻaʻole i ʻelua hola ka mamao), e kāpae i ka mahele lāʻau i hala. E lawe wale i ka mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.
- Mai hāʻawi i ka pālua o ka lāʻau e hana ai no kahi lāʻau i hala.
Nā mea e makaʻala nui ai i ka wā e hāʻawi ai i ka lāʻau lapaʻau
- Nā nānā lapaʻau maʻamau: E hōʻoia e lawe i kāu pēpē i nā manawa i hoʻonohonoho ʻia e ke kauka. E nānā mau ke kauka i ke kaumaha o ka pēpē, ka helu o ka puʻuwai , a me ke koko .
- Ka nānā ʻana i ka meaʻai: He mea nui loa ia e inu a ʻai maikaʻi ka pēpē i kēia wā o ka lāʻau lapaʻau. Inā loaʻa i ka pēpē kahi maʻi e like me ke kuni a i ʻole ke anu a ʻaʻole ʻai a luaʻi paha, e hoʻōki i ka hāʻawi ʻana i ka lāʻau a hiki i ka wā e ʻai hou ai ka pēpē ma ke ʻano maʻamau. E kamaʻilio me kāu kauka e pili ana i kēia.
- Nā hōʻailona o ke kō koko haʻahaʻa: Hiki i ka Propranolol ke pale i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). No laila, e makaʻala inā he keʻokeʻo ke ʻano o kāu pēpē, ke hou nei, ke uē nei me ke ʻano ʻē, a i ʻole he loli ka nui o ka hanu ʻana.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Propranolol ke hana i kekahi mau hopena ʻaoʻao. ʻOiai he mea liʻiliʻi ka hapa nui o kēia mau mea, aia kekahi mau mea e pono ai mākou e makaʻala loa.
| Inā ʻike ʻoe i kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila. | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Paʻakikī ka hanu ʻana | Pōkole o ka hanu, wheezing. |
| Ka puʻuwai lohi a i ʻole ke koko haʻahaʻa | Lilo ka ʻili o ke pēpē i polū/poni, keʻokeʻo, he anu nā lima a me nā wāwae, a he nāwaliwali loa. |
| Ke kō koko haʻahaʻa (Hypoglycemia) | ʻIli keʻokeʻo, kala polū/poni, hou ka hou, hoʻomaha ʻole, puʻuwai wikiwiki, hōʻole e inu i ka waiū, haʻahaʻa ka mahana o ke kino. |
| Nā hōʻailona o ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima, piʻi koke ke kaumaha, luhi ʻē. |
| Nā hōʻailona e like me ka hahau ʻana | Ke haka pono ʻana i hoʻokahi wahi, ka haʻalulu a i ʻole ka ʻūlū ʻana o ka maka, nā lima, a i ʻole nā wāwae, a me nā hoʻomaha iki ʻana i ka hanu ʻana. |
| Inā hoʻomau kēia mau mea a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā loli hiamoe | Ka loli ʻana o ke ʻano hiamoe o ka pēpē. |
| Ka luaʻi ʻana a i ʻole ka maʻi pākī | ʻOiai ʻaʻole koʻikoʻi kēia mau mea, inā hoʻomau lākou, e hoʻomaopopo i kāu kauka. |
He aha inā hāʻawi wau i ka nui o ka lāʻau lapaʻau a pehea e mālama ai?
Ka nui o ka lāʻau
Inā loaʻa iā ʻoe kahi kānalua iki ua hāʻawi ʻoe i kāu pēpē i nā lāʻau lapaʻau ma mua o kou manaʻo, mai hoʻonele i kekahi manawa. E kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e lawe i kāu pēpē i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā pēpē a me nā holoholona.
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius). Mai hoʻokomo i loko o ka pahu hau.
- E hoʻolei i kekahi lāʻau lapaʻau i koe i 2 mau mahina ma hope o ka wehe ʻana i ka ʻōmole. Eia kekahi, mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
- Inā ʻoe e hoʻolei ana i ke koena o ka lāʻau lapaʻau i loko o ka ʻōpala, e kāwili iā ia me kahi mea e like me ke kope kope, ka lepo, a i ʻole ka ʻōpala pōpoki, e waiho i loko o kahi ʻeke i hoʻopaʻa pono ʻia, a laila e hoʻolei i loko o ka ʻōpala.
Leka Lawe-Home
- E hāʻawi mau i ka Propranolol syrup i kāu pēpē i ka wā a ma hope koke iho paha o ka hānai ʻana i ka waiū. Mai hāʻawi aku ma ka ʻōpū ʻole.
- Inā maʻi kāu pēpē a nalowale ka makemake e ʻai a i ʻole e luaʻi ana, e hoʻōki i ka hāʻawi ʻana i ka lāʻau a hiki i ka wā e ʻai maikaʻi hou ai kāu pēpē.
- E makaʻala mau i nā hōʻailona o ke kō koko haʻahaʻa (ʻili polū, hou ʻana, hoʻomaha loa) a me nā hopena ʻino ʻē aʻe.
- Mai hāʻawi i ʻelua mahele lāʻau i ka manawa hoʻokahi no ka mea ua poina iā ʻoe e lawe i kahi mahele.
- E hoʻohana wale i ka syringe kūikawā a i ʻole ka dropper e hele mai me ka lāʻau lapaʻau e ana.
- Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana i kēia lāʻau lapaʻau, e kamaʻilio koke me kāu kauka.
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