Ua pono anei ʻoe e hana i kahi ʻoki kino? A i ʻole ua pono anei kekahi o kou ʻohana? Ma mua o ke ʻoki kino, ua hoʻomoe ʻia ʻoe, ʻo ia hoʻi, ua hoʻomoe ʻia ʻoe i ʻole ʻoe e ʻeha. ʻO kahi ala e hana ai i kēia, ʻo ia ka hanu ʻana i kahi kinoea kūikawā. He kinoea lāʻau lapaʻau koʻikoʻi ʻo Sevoflurane i hoʻohana ʻia e hōʻoluʻolu i ka ʻeha i ka wā o ke ʻoki kino a me nā kaʻina hana lapaʻau ʻē aʻe. E kamaʻilio kākou e pili ana i ia mea ma ke ʻano maʻalahi i kēia lā.
I ka ʻōlelo maʻalahi, he aha ʻo Sevoflurane?
He kinoea ʻala ʻole ke kala ʻo Sevoflurane āu e hanu ai. ʻO kāna hana nui, ʻo ia ke kau iā ʻoe i loko o kahi kūlana o ka ʻike ʻole piha, ʻo ia hoʻi, ka hiamoe hohonu, i ka wā o ke ʻoki kino. Ua kapa ʻia kēia he anesthesia laulā . Ke noho ʻoe i kēia kūlana, ʻaʻole ʻoe e ʻeha, a ʻaʻole ʻoe e hoʻomanaʻo i kekahi mea e pili ana i ke ʻoki kino.
Hāʻawi ʻia kēia lāʻau lapaʻau i loko o kahi ʻano i kāohi ʻia, e like me ka lumi hana o ka haukapila, e kahi mea hoʻomaʻamaʻa anesthetic a me kāna hui, nona ka ʻike loea ma kēia kahua. No laila, hāʻawi ʻia me ka palekana loa, me ka nānā mau ʻana i kou kūlana.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau:
Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka anesthesia Sevoflurane, e nīnau ke kauka anesthesiologist iā ʻoe e pili ana i kou mōʻaukala olakino. I kēia manawa, he mea nui loa ia e haʻi mai iā mākou e pili ana i kou mau kūlana olakino āpau me ka hūnā ʻole i kekahi mea . E hōʻoia e haʻi mai iā mākou e pili ana i kēia mau mea.
- ʻAleʻaleʻa i nā anesthetics: Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kahi hopena aleʻaleʻa koʻikoʻi i nā anesthetics, ʻoiai ʻo Malignant Hyperthermia (kahi piʻi weliweli o ka mahana o ke kino i hoʻokumu ʻia e ka anesthesia).
- Maʻi puʻupaʻa a maʻi akepaʻa paha: Inā loaʻa iā ʻoe kekahi maʻi puʻupaʻa a maʻi akepaʻa paha.
- Nā maʻi neuromuscular: Inā loaʻa iā ʻoe nā maʻi e pili ana i nā aʻalolo a me nā ʻiʻo, e like me Duchenne muscular dystrophy.
- Nā hopu ʻana: Inā loaʻa iā ʻoe kahi ʻano e like me ka hopu ʻana a i ʻole ka hoʻopūʻiwa ʻana.
- Nā maʻi ʻaleka ʻē aʻe: E haʻi mai iā mākou e pili ana i kekahi mau maʻi ʻaleka āu e loaʻa ai i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole kala, ʻaʻole wale iā Sevoflurane.
- Hāpai a me ka hānai waiū: Pono ʻoe e hoʻomaopopo i kāu kauka inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha.
Ma muli o ka ʻike āu e hāʻawi mai ai, hiki i ke kauka ke koho i ke ʻano anesthesia palekana a kūpono hoʻi nāu.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, ʻoiaʻiʻo nō. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Sevoflurane a hoʻoulu i nā hopena makemake ʻole ʻia. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Hoʻokomo pū kēia me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā huahana lāʻau lapaʻau, a me nā huaora (nā mea hoʻohui meaʻai).
E makaʻala loa i nā mea e like me:
- ʻO ka waiʻona a me nā lāʻau lapaʻau kū ʻole i ke kānāwai.
- Nā lāʻau lapaʻau narcotic.
- Kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo (no ka laʻana, MAOIs ).
- ʻO ka wort ʻo St. John , kahi huahana lāʻau.
- ʻO nā mea pale neuromuscular nā lāʻau lapaʻau i hoʻohana ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana.
- ʻO nā lāʻau lapaʻau e like me Isoniazid (INH), i hāʻawi ʻia no ka maʻi puʻupuʻu.
Ke hāʻawi ʻoe i ke kauka i kahi papa inoa piha, e hana ʻo ia i nā hana e pono ai.
Nā hopena ʻaoʻao a me nā mea e pono ai mākou e makaʻala
ʻOiai he lāʻau palekana loa ʻo Sevoflurane, e like me nā lāʻau lapaʻau āpau, aia kahi hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi a koʻikoʻi paha. ʻAʻohe ou mea e hopohopo ai no ka mea e nānā mau ʻia ʻoe e ka hui lapaʻau ma ka lumi hana a ma ka lumi ma hope. Inā kū mai kekahi pilikia, e hāʻawi koke lākou i ka lāʻau lapaʻau e pono ai.
Aia ma lalo iho nā hopena ʻaoʻao a me nā mea e hana ai inā ʻike ʻoe iā lākou.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hōʻailona koʻikoʻi e pono e hōʻike koke ʻia i ka hui lapaʻau | |
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Ka hanu lohi, ka paʻakikī a i ʻole ka pōkole o ka hanu. |
| Nā loli i ka helu o ka puʻuwai | Ka puʻuwai wikiwiki a kūpono ʻole paha. |
| Nā hopena ma ke akepaʻa | Nā hōʻailona e like me ka melemele o nā maka a i ʻole ka ʻili (jaundice), ka mimi ʻeleʻele, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, a me ke kuni. |
| Hoʻonui ʻia ka mahana o ke kino | Hoʻonui nui ʻia ka mahana o ke kino me ke kumu ʻole. |
| Nā hopu ʻana | Ka nalowale koke ʻana o ka ʻike a i ʻole ka nalowale ʻana o ka ʻike. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka luaʻi a me ka luaʻi | He kūlana maʻamau kēia ma hope o ka anesthesia. Loaʻa nā lāʻau lapaʻau inā pono. |
| Haʻalulu a me ke anu | Hiki ke hana i kēia ke hoʻi ka mahana o ke kino i ka maʻamau. |
| Hiamoe | He mea maʻamau ke hiamoe no kekahi mau hola ma hope o ka anesthesia. |
| ʻUmi iki | Hiki ke hana ʻia e kahi ʻeha liʻiliʻi i ka puʻu i ka wā e hanu ana. |
| Hoʻomaha ʻole | ʻO nā keiki, ʻoi aku hoʻi, hiki ke ʻike ʻia he hoʻomaha ʻole ke ala aʻe mai ka anesthesia. |
He aha ka mea e hana ma hope o ka anesthesia?
Ma hope o ka pau ʻana o ke ʻoki ʻana, e hoʻi mālie ʻoe i ka ʻike ke hoʻōki ʻia ka Sevoflurane.
- Ka hiamoe a me ka poniuniu:He mea maʻamau iā ʻoe ke hiamoe a me ka puni iki no kekahi mau hola ma hope o ka anesthesia. No laila, e pale i nā hana weliweli e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe.
- E ala mālie: Ke ala aʻe ʻoe mai kahi moe a i ʻole mai kahi noho ʻana, e hana mālie. Inā ala koke ʻoe, hiki iā ʻoe ke poniuniu a hāʻule.
- ʻAʻohe waiʻona: E pale loa i ka waiʻona no kekahi mau lā ma hope o ka anesthesia. Hiki iā ia ke hoʻopilikia i nā hopena o ka lāʻau lapaʻau.
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma ka haukapila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana o kahi lāʻau a i ʻole ka lawe ʻana i ka overdose. Na ke kime lapaʻau e mālama i nā mea āpau. Inā he pilikia, e mākaukau lākou. ʻAʻole hoʻi lākou e ʻae iā ʻoe e lawe i kēia lāʻau lapaʻau i ka home.
Leka Lawe-Home
- He kinoea anesthetic maʻamau a palekana hoʻi ʻo Sevoflurane i hoʻohana ʻia e hōʻoluʻolu i ka ʻeha i ka wā o ke ʻoki ʻana.
- Ma mua o ka anesthesia, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau lapaʻau kuʻuna).
- He mea maʻamau ka hiamoe a me ka poniuniu ma hope o ka anesthesia. E hahai i nā ʻōlelo a kāu kauka.
- Inā ʻike ʻoe i kekahi mau hopena koʻikoʻi e like me ka melemele o ka ʻili, ka paʻakikī o ka hanu ʻana, a i ʻole ke kuni nui, e hoʻomaopopo koke i nā limahana o ka haukapila.
- Hana ʻia kēia mau mea a pau ma lalo o ka nānā pono ʻana a ke kauka, no laila mai makaʻu. Hopohopo mau lākou no kou palekana.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo