He mea maʻamau ke hopohopo iki a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe e hana ʻoe i kahi ʻoki liʻiliʻi a i ʻole endoscopy. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau kūikawā a nā kauka e hoʻohana ai e hōʻoluʻolu iā ʻoe, e hoʻomoe iā ʻoe i kahi hiamoe māmā, a e hoʻopoina iā ʻoe i nā mea e hana nei. ʻO kēia lāʻau ʻo Remimazolam.
He aha ka Remimazolam?
I ka ʻōlelo maʻalahi, ʻo Remimazolam kahi lāʻau lapaʻau no ka papa o nā lāʻau i kapa ʻia ʻo Benzodiazepine . ʻO kāna hana nui ka hoʻomālielie iā ʻoe a hoʻomoe iā ʻoe i kahi hiamoe māmā ma mua o ke ʻoki kino a i ʻole kekahi hoʻokolohua lapaʻau. Hoʻōki pū ia iā ʻoe mai ka hoʻomanaʻo ʻana i ka hanana. Hiki iā ʻoe ke kū i ke kaʻina hana me ka makaʻu ʻole a me ka ʻoluʻolu ʻole.
E noʻonoʻo e like me ke kinai ʻana i kahi kuapo hoʻoluhi i loko o kou lolo no kekahi manawa. Akā, hana ʻia kēia ma lalo o ka nānā pono ʻana o ke kauka, ma ka haukapila wale nō.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
He lāʻau ikaika loa ʻo Remimazolam. No laila, ma mua o ka hāʻawi ʻana iā ʻoe, pono i kāu kauka ke loaʻa kahi kiʻi piha o kou olakino. Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e hōʻoia e haʻi i kāu kauka e pili ana iā lākou.
| Kou kūlana | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi akepaʻa | Hoʻopau ʻia ʻo Remimazolam mai ke kino ma o ke akepaʻa. Inā loaʻa iā ʻoe ka maʻi akepaʻa, e lōʻihi paha ka hopena o ka lāʻau. |
| Maʻi puʻuwai a maʻi hanu paha | Hiki i kēia lāʻau lapaʻau ke hoʻolohi iki i ka hanu ʻana, hiki ke lilo i mea weliweli no kekahi mea i loaʻa mua nā pilikia hanu. |
| Nā maʻi ʻaleka iā Remimazolam, nā Benzodiazepines ʻē aʻe a i ʻole Dextran 40 | Inā ua loaʻa iā ʻoe kahi hopena alerika i kēia ʻano lāʻau lapaʻau ma mua, aia kahi pilikia o kahi hopena alerika koʻikoʻi hou. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai | ʻO ka lawe ʻana i kēia lāʻau lapaʻau i ka wā hāpai e hoʻopilikia paha i ka pēpē i hānau ʻole ʻia. No laila, he mea nui e hoʻomaopopo i ke kauka e pili ana i kēia. |
| Ka hānai ʻana i ka waiū umauma | Hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. No laila, inā ʻoe e hānai waiū ana, pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i ia mea. |
Pehea e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. ʻO Remimazolam kahi lāʻau lapaʻau i hāʻawi ʻia ma ke ʻano he inikini intravenous (IV) . Hāʻawi ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e kahi loea lapaʻau i aʻo ʻia, e like me ke kauka a i ʻole anesthesiologist. E nānā ʻia kou helu puʻuwai, ke koko, a me ka hanu ʻana me nā lako kūikawā ma o ke kaʻina hana.
He aha inā hāʻawi ʻia i nā keiki?
Pono ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, no laila pono ʻoe e kamaʻilio me kāu pediatrician e pili ana i ia mea a hahai i kāna mau kuhikuhi.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana a ke kauka, ʻaʻole hiki ke overdose pinepine ʻia. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kēia, pono ʻoe e hoʻomaopopo koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Hiki iā ʻoe ke hoʻokaʻaʻike aku i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻike e pili ana i ia mau lāʻau make.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki iā Remimazolam ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Inā hana kēia, hiki iā ʻoe ke loaʻa i ka hiamoe nui, ka paʻakikī o ka hanu ʻana, a i ʻole nā maʻi koʻikoʻi ʻē aʻe.
No laila, he mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau ma luna o ke kauka, nā lāʻau lapaʻau kuʻuna, nā huaora, a inā ʻoe e puhipaka a inu waiʻona paha.
Hōʻike ka papa ma lalo nei i kekahi o nā lāʻau lapaʻau nui e hiki ke launa pū me Remimazolam.
| ʻAno lāʻau/mea | Ka wehewehe a me nā laʻana |
|---|---|
| ʻAila | ʻO ka lawe ʻana i kēia lāʻau lapaʻau me ka waiʻona e hiki ai ke hoʻohiamoe nui a me nā pilikia hanu. |
| Nā lāʻau lapaʻau no ke anu a me nā maʻi ʻaleka (Antihistamine) | Nā lāʻau lapaʻau e like me Piriton. Hoʻoulu kēia i ka hiamoe, no laila e hoʻonui ʻia ka hopena ke lawe pū ʻia me Remimazolam. |
| Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka hiamoe | Eia kekahi laʻana: Amitriptyline, Fluoxetine, Sertraline, Diazepam. Hoʻomalu pū kēia mau mea i ka hana o ka lolo, no laila hiki ke pāpālua a pākolu paha ka hopena. |
| Lāʻau lapaʻau no ka maʻi epilepsy (fits) | Laʻana: Phenobarbital, Primidone. |
| Nā lāʻau lapaʻau Narcotic no ka ʻeha | Nā lāʻau lapaʻau e like me Morphine a me Tramadol. |
| Nā lāʻau hoʻomaʻamaʻa laulā | Nā lāʻau lapaʻau e like me Halothane a me Propofol i hoʻohana ʻia i ka wā o ke ʻoki kino. |
Nā mea e makaʻala ai ma hope o ka lawe ʻana i ka lāʻau lapaʻau
- Hiamoe a me ka poniuniu: Hiki iā ʻoe ke hiamoe a poniuniu ma hope o ka lawe ʻana i kēia lāʻau. No laila , mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka noʻonoʻo pono a hiki i ka pau ʻana o nā hopena o kēia lāʻau.
- Mai ala koke: ʻOiai inā ʻelemakule ʻoe, mai noho a kū koke paha. ʻO ka hana ʻana pēlā e hiki ai ke poniuniu a hāʻule paha ʻoe.
- ʻAʻohe waiʻona:ʻO ka inu ʻana i ka waiʻona i ka wā ma lalo o ka mana o ka lāʻau lapaʻau hiki ke loaʻa nā hopena weliweli. No laila, e pale loa i ka waiʻona.
- ʻŌlelo aʻoaʻo lapaʻau: E hahai pono i nā kuhikuhi a ke kauka e like me ka mea i hāʻawi ʻia ma hope o ke ʻoki ʻana. He mea nui loa hoʻi e lawe mai i kekahi e lawe iā ʻoe i ka home.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki iā Remimazolam ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau. Aia ma lalo kekahi o nā hopena ʻaoʻao hiki ke loaʻa.
| Hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka a i ʻole nā limahana o ka haukapila | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia hanu | Ka emi ʻana o ka hanu ʻana, ka pōkole o ka hanu, a pēlā aku. |
| Nā loli i ka helu o ka puʻuwai | Ka puʻuwai wikiwiki a lohi loa paha. |
| Ke koko haʻahaʻa | Pōniuniu, maka polū, nāwaliwali, luhi loa. |
| Nā hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou a hoʻopilikia paha | |
| kuni | Hoʻonui ʻia ka mahana o ke kino. |
| ʻEha poʻo | ʻEha poʻo maʻamau. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, mai kānalua e haʻi aku i kāu kauka a kahu maʻi paha.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Remimazolam i hāʻawi ʻia e hōʻoluʻolu iā ʻoe ma ka haukapila ma mua o ke ʻoki ʻana a i ʻole kahi hoʻokolohua lapaʻau.
- He mea nui e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āpau āu e lawe nei.
- ʻAʻole kēia he lāʻau lapaʻau e lawe ʻia i ka home, a pono e lawelawe ʻia e ke kauka lapaʻau i aʻo ʻia.
- Hiki paha iā ʻoe ke hiamoe ma hope o ka lawe ʻana i ka lāʻau lapaʻau, no laila e pale i ka hoʻokele kaʻa ʻana a i ʻole ka hana ʻana i nā hana weliweli. E lawe mai i kekahi i ka haukapila e lawe iā ʻoe i ka home.
- Inā pilikia ʻoe i ka hanu ʻana a i ʻole nā hōʻailona maʻi ʻaleka koʻikoʻi, e hoʻomaopopo koke i nā limahana lapaʻau.
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