Ke noʻonoʻo ʻoe e hele i ke kauka niho, hopohopo kekahi poʻe, ʻeā? ʻO kēlā noho, kēlā walaʻau, kēlā mau mea kani... ʻOiai ke noʻonoʻo ʻana i ia mea e makaʻu ai ʻoe. Ma muli o kēia makaʻu, nui ka poʻe e kali a hiki i ka ʻino ʻana o ko lākou mau pilikia niho. Akā, e manaʻoʻiʻo anei ʻoe iaʻu inā haʻi aku wau iā ʻoe aia kekahi ala e mālama maʻalahi ai i kou mau niho, me ka ʻole o ka makaʻu, ka hopohopo, a me ka ʻeha? ʻO ia ka mea a mākou e kapa nei ʻo 'Sedation Dentistry'. E kamaʻilio kākou e pili ana i kēia i kēia lā me ka maʻalahi.
He aha maoli ka Sedation Dentistry?
I ka ʻōlelo maʻalahi, pili kēia i ke kau ʻana iā ʻoe i kahi kūlana hoʻomaha a mālie i ka wā o ke kaʻina hana niho. He pae hoʻomaha iki kēia, ʻo ia hoʻi, ʻaʻole ʻoe i ʻike ʻole loa . Ua ʻike ʻoe, akā aia ʻoe i kahi kūlana hoʻomaha loa a hoʻomaha. Ua kapa pū kekahi poʻe i kēia ʻo 'twilight sleep', no ka mea, hana ia i kahi kūlana kahi ʻaʻole ʻoe i ʻike ʻole, ʻaʻole ʻoe e ʻeha, a ʻaʻole hoʻi e hoʻomanaʻo i ka lāʻau ma hope. I ka pololei, manaʻo ka hapa nui o ka poʻe me he mea lā aia lākou i loko o ka moeʻuhane.
No wai kēia ʻano hana i kūpono loa?
ʻO ka ʻoiaʻiʻo, hiki i kekahi o kēlā me kēia makahiki, ʻoiai nā keiki liʻiliʻi, ke pōmaikaʻi mai kēia ʻano hana. Inā loaʻa iā ʻoe kahi pilikia like, hiki iā ʻoe ke kamaʻilio me kāu kauka niho e pili ana i kēia ʻano hana.
| Pilikia / Makaʻu | Wehewehena |
|---|---|
| Hopohopo niho | Ka makaʻu nui a me ka hopohopo i ka manaʻo e hele i ke kauka. |
| ʻO ka pane ʻeha | Manaʻo e like me ʻoe e luaʻi ana ke kau ʻoe i kahi mea kani a i ʻole ka lima o ke kauka i loko o kou waha. |
| Makaʻu i nā nila (Aichmophobia) | Makaʻu nui i ka inikini hoʻomānoino. |
| ʻOi aku ka maʻalahi o ka niho | ʻEha loa ke kuʻi kekahi mea i kou mau niho. |
| Manaʻo paʻa (Claustrophobia) | Manaʻo ua pio ka hanu a me ka pilikia o ka hanu ʻana i ka wā e noho ana ma ka noho o ke kauka. |
| ʻAʻole hana pono ka lāʻau hoʻomāʻū | ʻAʻole pane pono kou kino i ka anesthesia kūloko i hāʻawi pinepine ʻia. |
| Nā kānaka me nā pono kūikawā | No nā keiki a i ʻole nā mākua me nā pono kūikawā o ke kino, ka noʻonoʻo a i ʻole ka ʻano. |
He aha kēia mau ʻano hoʻomālielie?
E koho kāu kauka i ke ʻano hana e kūpono loa iā ʻoe ma muli o kāu mau pono, ka pae o ka makaʻu, ka manawa e mālama ai, a me kou mōʻaukala olakino. ʻEkolu mau ʻano hana nui.
1. Nitrous Oxide (Nitrous Oxide) a i ʻole 'kinoea ʻakaʻaka'
Ua kapa ʻia hoʻi kēia he 'kinoea ʻakaʻaka'. Hāʻawi ʻia ʻoe i kahi pale maka liʻiliʻi ma luna o kou ihu a ua hana ʻia e hanu i kēia kinoea. I loko o 3-5 mau minuke, e hoʻomaka ʻoe e manaʻo i ka māmā loa a me ka hoʻomaha. Hiki i ke kauka ke kāohi i ka nui o ke kinoea i hāʻawi ʻia iā ʻoe ma o ka lāʻau lapaʻau.
ʻO ka pōmaikaʻi nui o kēia, ke hanu ʻoe i kahi oxygen ma hope o ka pau ʻana o ka lāʻau lapaʻau, ua aneane pau loa kēia kinoea mai kou kino aku. No laila hiki iā ʻoe ke hoʻokele i ka home ma kāu iho.
2. Hoʻomaha ʻIke Waha
Ma kēia ʻano hana, hāʻawi ʻia ʻoe i kahi pila hoʻomaha ma kahi o hoʻokahi hola ma mua o ka mālama ʻana. ʻO ka mea i hoʻohana pinepine ʻia he lāʻau lapaʻau mai ka papa "Diazepam", e like me "Triazolam". No nā keiki ʻōpio, hiki ke hāʻawi ʻia kahi lāʻau lapaʻau wai e like me "Midazolam".
Ke lawe ʻoe i kēia mau lāʻau, e hiamoe loa ʻoe, a hiki paha iā ʻoe ke hiamoe. Akā inā makemake ke kauka e kamaʻilio me ʻoe, hiki iā ia ke hoʻāla iā ʻoe me kahi pā māmā.
He mea nui loa: ʻOiai ʻo kēia ʻano hana e hoʻopilikia i kou hoʻomanaʻo a me kou neʻe ʻana no kekahi manawa, ʻaʻole hiki iā ʻoe ke hoʻi wale i ka home ma hope o ka mālama ʻana no kekahi kumu. Pono ʻoe e hele pū me ʻoe me kahi hoaaloha a ʻohana paha.
3. Hoʻomaha ʻana ma o ka intravenous (IV)
ʻO kēia ke ʻano hoʻomaha hohonu loa i hāʻawi ʻia ma ke keʻena niho. Ma kēia, hāʻawi pololei ʻia kahi mea hoʻomaha i loko o kou aʻa ma o kahi IV ( saline ). I ka wā o ka mālama ʻana, nānā mau ke kauka a me kāna hui i kou helu puʻuwai, ke koko, a me nā pae oxygen .
Hiamoe ka poʻe he nui i kēia ʻano hana a ʻaʻole hoʻomanaʻo i kekahi mea e pili ana i ka lāʻau lapaʻau ke ala lākou. ʻOi aku ka maikaʻi o kēia ʻano hana no ka poʻe makaʻu loa a i ʻole no nā lāʻau lapaʻau e lōʻihi ana ka manawa.
Ke kumu nei anei ia i ka nalowale piha ʻana o ka ʻike (General Anesthesia)?
ʻAe, i kekahi mau hihia kūikawā, hana ʻia kēlā. Akā he ʻokoʻa ia mai ka 'Sedation'. ʻO ke ʻano o ka 'General Anesthesia' ʻo ia hoʻi ʻoe ua nalowale loa kou ʻike i ka wā o ka mālama ʻana. Hana pinepine ʻia kēia no nā keiki ʻōpio, nā pākeke me nā pono kūikawā, a i ʻole ka poʻe i loaʻa ka makaʻu niho hiki ʻole ke hoʻomanawanui.
ʻAʻole hiki ke hana ʻia kēia ma kahi keʻena niho maʻamau. Pono ia i kahi haukapila a i ʻole kahi me nā pono kūikawā. A pono ia i kahi anesthesiologist i hoʻomaʻamaʻa kūikawā ʻia e hana i kēia.
He aha kaʻu e hana ai ma mua a ma hope o ka lāʻau lapaʻau?
Ma mua o ka mālama ʻana
Pono ʻoe e kamaʻilio mua me kāu kauka a haʻi iā lākou e pili ana i kou olakino a me nā lāʻau lapaʻau āu e lawe nei. ʻO ka maʻamau, ua ʻōlelo ʻia ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana i kekahi mea no 6 mau hola ma mua o ka mālama ʻana. Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, e like me Warfarin, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea.
Ma hope o ka mālama ʻana
Inā ʻaʻole ʻoe i hoʻohana i ke 'kinoea ʻakaʻaka' wale nō, inā ʻoe i hoʻohana i kekahi o nā ʻano ʻelua ʻē aʻe, pono ʻoe e loaʻa i kahi mea āu e hilinaʻi ai e lawe iā ʻoe i ka home.
Mea nui: Mai hoʻi wale i ka home, ma ke kaʻa kaʻa a i ʻole kahi lawelawe kaʻa like (e.g. Uber, PickMe), no kekahi kumu. E hoʻi i ka home me kahi kanaka āu i ʻike maikaʻi ai a hilinaʻi hoʻi. Pono ʻoe e hoʻi i ka home a hoʻomaha maikaʻi.
He aha nā pōmaikaʻi a me nā hopena ʻaoʻao?
E like me nā hana lapaʻau a pau, aia nā pono a me nā pōʻino liʻiliʻi.
| Nā Pōmaikaʻi | Nā hopena ʻaoʻao/Nā pilikia |
|---|---|
| Hoʻopau i ka makaʻu a me ka hopohopo. | Hiamoe ma hope o ka lāʻau lapaʻau. |
| Hiki ke hana maʻalahi ʻia ka mālama ʻana. | Waha maloʻo (Xerostomia). |
| Hiki i ke kauka ke hana wikiwiki. | Ka luaʻi a me ka luaʻi. |
| Kōkua ia i ka poʻe e pale aku i ka lāʻau lapaʻau ma muli o ka makaʻu. | ʻEha ke poʻo a me kahi palapū ma kahi i hoʻokomo ʻia ai ka IV. |
He kūpono kēia i ka wā hāpai?
ʻAʻole ʻōlelo pinepine ʻia kēia mau ʻano hana i ka wā hāpai no ka mea hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka ulu ʻana o ka pēpē. ʻOiai hiki ke hāʻawi ʻia ka nitrous oxide i kekahi manawa i ka trimester ʻelua, makemake ka hapa nui o nā kauka e hoʻohana i kēia lāʻau lapaʻau ma hope o ka hānau ʻana.
Āhea wau e ʻike hou ai i ke kauka?
Hiki i ka lāʻau lapaʻau ke hoʻomaka i ka hopena a hiki i 24 mau hola ma hope o ka mālama ʻana. Eia nō naʻe, inā loaʻa iā ʻoe ka nausea mau a i ʻole ka luaʻi ʻana, ke kuni ma luna o 101 degere Fahrenheit (38.33 degere Celsius), a i ʻole ka ʻeha i pau ʻole me nā lāʻau ʻeha , e kāhea koke i kāu kauka niho no ka ʻōlelo aʻo.
Leka Lawe-Home
- Mai hōʻalo i ka lāʻau lapaʻau no ka mea makaʻu ʻoe i ka hele ʻana i ke kauka niho. He ala palekana ka Sedation Dentistry e hiki ke kōkua iā ʻoe.
- E koho kāu kauka niho i ke ʻano hoʻomaha kūpono loa nāu ma muli o kou makaʻu, ke kūlana olakino, a me ka lāʻau e hana ʻia nei.
- Inā ua loaʻa iā ʻoe ka lāʻau hoʻomaha waha (nā pila) a i ʻole ka lāʻau hoʻomaha IV (ma ke ʻano intravenous), mai hoʻi wale i ka home. E hele pū me kekahi āu e hilinaʻi ai. E pale i ka hoʻokele kaʻa ʻana no hoʻokahi lā.
- E hahai pono i nā ʻōlelo a kāu kauka ma mua a ma hope o ka mālama ʻana. Inā loaʻa iā ʻoe kekahi mau pilikia a i ʻole nā hōʻailona ʻē, e kāhea koke aku i kāu kauka.
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