Ua hāʻawi ʻia paha iā ʻoe kahi lāʻau lapaʻau i kapa ʻia ʻo 'Heparin' e pale aku i ke kāpili ʻana o ke koko ma hope o ke ʻoki ʻana a i ʻole i nā hihia e like me ka maʻi puʻuwai. He lāʻau lapaʻau koʻikoʻi loa kēia. Akā i kekahi manawa pono ʻoe e hoʻopau koke i ka hopena o kēia lāʻau lapaʻau Heparin, ʻo ia hoʻi, e hoʻohuli i kāna hana. ʻO ia ke kumu e hoʻohana ai nā kauka i kēia inikini i kapa ʻia ʻo Protamine i kēlā mau hihia kūikawā. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia inikini Protamine, kāna hana, a me nā mea āu e pono ai e ʻike e pili ana iā ia.
I ka ʻōlelo maʻalahi, he aha ka Protamine?
He lāʻau lapaʻau ʻo Protamine e hana ana ma ke ʻano ʻē aʻe i ka lāʻau lapaʻau Heparin. I ka pololei, he lāʻau lapaʻau ia e hoʻopau i nā hopena o Heparin. He lāʻau lapaʻau ʻo Heparin e hoʻomāmā i ke koko a pale i ke kāpili ʻana o ke koko. Akā i kekahi manawa, inā ikaika loa kona hopena, a inā pono mākou e hoʻōki i ke kahe ʻana o ke koko ma hope o kekahi mea e like me ke ʻoki ʻana, pono mākou e hoʻōki koke i ka hana a Heparin.
E noʻonoʻo i kēia ʻano. I ka wā o ke ʻoki puʻuwai, hāʻawi ʻia ka heparin e pale i nā ʻūpā koko. Ma hope o ka pau ʻana o ke ʻoki ʻana, pono e hoʻihoʻi ʻia ka hiki o ke koko ke ʻūpā maʻamau. A i ʻole, ʻaʻole e pau ke kahe ʻana o ke koko. ʻO ia ka manawa e hāʻawi ʻia ai ka Protamine e hoʻopau i ka hopena o ka heparin.
I ka ʻōlelo maʻalahi, he injection kūikawā ʻo Protamine e kāohi ana i ka hana a Heparin, ʻo ia hoʻi, hana ia ma ke ʻano he 'antidote'.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka lāʻau pale Protamine, he mea nui loa ia e haʻi aku i kāu kauka a i ʻole ka hui lapaʻau i kekahi ʻike, no ka mea, e pili ana kou palekana i ia mea.
- ʻAleʻaleʻa i ka iʻa: ʻO kēia ka mea nui loa. Inā he maʻi ʻoe i ka iʻa, e like me ka ʻili ʻili, ka maneʻo, a i ʻole ka paʻakikī o ka hanu ʻana, pono ʻoe e haʻi aku i kāu kauka. ʻO kēia no ka mea ua hana ʻia ʻo Protamine mai kahi mea i loaʻa mai ka iʻa. No laila, pono ʻoe e makaʻala loa i ka hāʻawi ʻana i kēia lāʻau i kahi mea maʻi i ka iʻa.
- ʻO nā maʻi ʻaleka ʻē aʻe: E haʻi mai iā mākou inā he maʻi ʻaleka kou iā Protamine ponoʻī a i ʻole i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a manaʻo paha ua hāpai ʻoe, e haʻi i kāu kauka.
- Inā he makuahine hānai ʻoe: Inā he makuahine hānai ʻoe, pono ʻoe e haʻi i kēlā.
Ma ka hāʻawi ʻana i kēia ʻike, hiki i ka hui lapaʻau ke mālama iā ʻoe ma ke ala palekana loa.
Pehea e hāʻawi ʻia ai ka lāʻau pale Protamine?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi wale ʻia ka inikini Protamine ma kahi haukapila a i ʻole ke keʻena lapaʻau . ʻO ia hoʻi, ma kahi palekana me nā kauka a me nā kahu maʻi.
He inikini kēia lāʻau i hoʻokomo mālie ʻia i loko o ke kino ma o kahi cannula i hoʻokomo ʻia i loko o kahi aa. Ua kapa ʻia kēia he infusion lohi. Hana ke kauka a i ʻole ke kahu maʻi i aʻo ʻia i kēia hana.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻAe, inā pono, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi. Eia nō naʻe, pono ka mālama kūikawā. Hoʻoholo ʻia ka nui e hāʻawi ʻia e ke kauka pediatric ma muli o ke kaumaha, ka makahiki, a me ke kūlana o ke keiki.
He aha ka hopena inā hāʻawi ʻoe i ka nui o ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila, ua haʻahaʻa loa ka manawa e hala ai kahi lāʻau. Ke nānā mau nei ke kime lapaʻau i kou kūlana. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka overdose. Inā kū mai kekahi mau hōʻailona ʻē, ua mākaukau lākou e mālama koke iā ʻoe.
Nā hopena ʻaoʻao hiki ke loaʻa i ka wā o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka inikini Protamine ke hana i kekahi mau hopena ʻaoʻao. He mea nui e makaʻala i kēia mau mea. Hāʻawi ka papa ma lalo nei i kahi ʻike maopopo o kēia mau mea.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e pono ai ke hana |
|---|---|
| Nā hōʻailona koʻikoʻi e pono e hōʻike koke ʻia i ka hui lapaʻau | |
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, ʻānai nui, pehu o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu. E haʻi koke aku i ke kahu maʻi a kauka paha e mālama ana iā ʻoe inā ʻike ʻoe i kēia mau mea. |
| Paʻakikī ka hanu ʻana | E haʻi koke mai iā mākou inā pilikia ʻoe i ka hanu ʻana, ka hanu wikiwiki ʻana, a i ʻole ka paʻakikī o ka hanu ʻana. |
| ʻEha a ʻeha paha ka umauma | Inā manaʻo ʻoe ua ʻūmiʻi a ʻūmiʻi paha kou umauma, mai hoʻowahāwahā iā ia. |
| Pōʻino a nalowale paha ka ʻike | Inā ʻike ʻoe i ka poniuniu , ka māʻule ʻana, nā maka polū, a i ʻole ka māʻule ʻana, e hōʻike koke aku. |
| Nā hiʻohiʻona ʻē aʻe | Manaʻo wela (flushing), nausea, luaʻi, a i ʻole ke kahe koko a i ʻole ka ʻeha. |
| ʻO nā hōʻailona i maʻa mau ʻaʻole koʻikoʻi, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| Ke kahe koko iki | Ke kahe koko iki mai ka ʻāʻī a i ʻole ka ihu. |
| Luhi maʻamau ʻole | Manaʻo luhi ma mua o ka maʻamau. |
ʻO ka mea nui loa, ʻo ia kou mālama ʻia ʻana e nā kauka. No laila, inā ʻike ʻoe i kahi mea ʻē iki, mai makaʻu iā ia a mai kānalua e hoʻomaopopo i ka hui lapaʻau. ʻO ia ka mea maikaʻi loa hiki iā ʻoe ke hana ma kāu ʻaoʻao.
Inā makemake ʻoe i ka ʻike hou aku e pili ana i ka lāʻau make a i ʻole kahi hopena koʻikoʻi i kekahi lāʻau lapaʻau, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui ʻo Colombo . Eia nō naʻe, i ka wā e loaʻa ana iā ʻoe ka mālama ʻia ma ka haukapila, ʻo ka hana mua e hoʻomaopopo i ka hui lapaʻau e mālama ana iā ʻoe.
Leka Lawe-Home
- He inikini kūikawā ka Protamine i hoʻohana wale ʻia ma nā haukapila e hoʻohuli i nā hopena o ka heparin hoʻokahe koko.
- Hāʻawi mālie ʻia kēia ma o kahi aa koko, ma lalo o ka nānā ʻana a ke kauka a kahu maʻi paha.
- Ma mua o ka loaʻa ʻana o kēia lāʻau pale, he mea nui loa ia e haʻi i kāu kauka inā he mau maʻi ʻaleka kou, ʻoi aku hoʻi i ka iʻa .
- E nānā pono loa ke kime lapaʻau iā ʻoe i ka wā e loaʻa ai iā ʻoe ka lāʻau pale.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe e like me ka poniuniu, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻulaʻula o ka ʻili, mai hopohopo a e hoʻomaopopo koke i nā limahana lapaʻau.
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