Inā ʻoe a i ʻole kekahi o kou ʻohana e hana ʻoki kino ana, e hoʻohana ke kauka anesthetist i nā lāʻau lapaʻau like ʻole e hoʻomoe iā ʻoe, e hoʻomaʻamaʻa iā ʻoe mai ka ʻeha, a e palekana ke ʻoki kino. ʻO kekahi o kēia he lāʻau lapaʻau kūikawā, a koʻikoʻi loa, i kapa ʻia ʻo Succinylcholine. Hana ia ma ka hoʻomaha ʻana i kou mau ʻiʻo no kekahi manawa. No laila, e kamaʻilio pōkole kākou e pili ana i kēia lāʻau lapaʻau, kāna hana, a me nā mea e pono ai ʻoe e ʻike ma mua o ka hoʻohana ʻana.
I ka ʻōlelo maʻalahi, he aha ka Succinylcholine?
He mea hoʻomaha ʻiʻo iwi ʻo Succinylcholine. E noʻonoʻo, ua like kēia me ka nalowale ʻana o kekahi o nā ʻiʻo i loko o ko mākou kino a mākou e hoʻomalu ai i ka noʻonoʻo, e like me nā mea i loko o ko mākou mau lālā, ka ʻāʻī, a me ka ʻōpū. Akā, he manawa pōkole kēia.
Hoʻohana nui ʻia kēia lāʻau lapaʻau ma nā kūlana ʻelua:
1. I ka wā o ke ʻoki kino: I ka wā o ke ʻoki kino, ʻoiai ke ʻoki ʻōpū, inā paʻakikī nā ʻiʻo o ke kino, he paʻakikī i ke kauka ke hana i ke ʻoki kino. Ma muli o ka hoʻomaha loa ʻana o nā ʻiʻo i ka wā e hāʻawi ʻia ai kēia lāʻau lapaʻau, hiki ke hana maʻalahi a palekana ke ʻoki kino. Eia kekahi, i kekahi manawa pono e kau i kahi paipu ma o ka ʻāʻī (intubation) e kōkua i ke kaʻina hana hanu. Hoʻohana ʻia kēia lāʻau lapaʻau i kēlā manawa.
2. Ke hoʻopili ʻia i kahi ventilator: Ke pilikia kekahi i ka hanu ʻana iā ia iho a ua hoʻopili ʻia i kahi ventilator, hiki i nā ʻiʻo o ke kino o kēlā kanaka ke hoʻopilikia i ka hana o ka mīkini. I ia mau hihia, hāʻawi ʻia kēia lāʻau lapaʻau e hoʻomaha i nā ʻiʻo a ʻae i ka ventilator e hana pono.
ʻO ka mea nui loa, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke hoʻohana ma ka home. Hoʻohana wale ʻia ia ma ka haukapila, ke keʻena mālama koʻikoʻi, a i ʻole ka lumi hana, ma lalo o ka nānā pono ʻana a nā kauka i aʻo ʻia a me nā limahana kahu maʻi.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
He ʻāpana koʻikoʻi loa kēia. No kou palekana, he mea nui e hoʻomaopopo i ke kauka anesthesiology e pili ana i kekahi mau kūlana i loko o kou kino ma mua o ke ʻoki ʻana. No ka mea, ma muli o kēlā ʻike, e hoʻoholo ʻia ai inā e hāʻawi iā ʻoe i kēia lāʻau lapaʻau a i ʻole, a i ʻole e hāʻawi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe.
Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e ʻoluʻolu e haʻi i kāu kauka e pili ana i ia mea.
| Kou kūlana olakino a kūlana paha | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Nā maʻi ʻaleka | Inā he maʻi allergy kou i ka succinylcholine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Moʻolelo lapaʻau ʻohana | Inā ua loaʻa i kekahi o kou ʻohana kahi pilikia e pili ana i ka anesthesia (e.g., Malignant Hyperthermia). |
| Nā maʻi e pili ana i nā ʻiʻo | Inā loaʻa iā ʻoe kahi maʻi e hoʻonāwaliwali ai i nā ʻiʻo e like me Myasthenia Gravis. |
| Nā pilikia maka | Nā kūlana me ka hoʻonui ʻia o ke kaomi o ka maka, e like me ka glaucoma. |
| Nā pae mineral i loko o ke koko | Inā kiʻekiʻe a haʻahaʻa paha nā pae o ka potassium, calcium, a i ʻole magnesium i loko o ke koko. |
| Nā ʻeha | Nā ʻeha poʻo koʻikoʻi, nā kuni nui, a i ʻole ka hōʻino nui ʻana o ka ʻili. |
| Hāpai keiki | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻAe, i kekahi mau hihia kūikawā, hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau i nā keiki, e hoʻomaka ana mai nā keiki hānau hou. Akā, e hahai ʻia nā hana palekana kūikawā. Hoʻoholo pū ʻia kēia hoʻoholo e ke kauka pediatric a me ka anesthesiologist o kāu keiki.
He aha inā hoʻonui ʻia ka nui o ka lāʻau ?
Hāʻawi ʻia kēia ma kahi haukapila, ma lalo o ka nānā ʻana o ke kauka, no laila he haʻahaʻa loa ka manawa e overdose ai ʻoe. E helu nā limahana lapaʻau i ka nui kūpono e pili ana i kou kaumaha a me kou kūlana a hāʻawi i ka lāʻau lapaʻau. Inā hana kēia, ua aʻo ʻia lākou e hāʻawi i ka lāʻau lapaʻau e pono ai. Inā makemake ʻoe i kekahi ʻike e pili ana i kēia, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no nā kikoʻī. Eia nō naʻe, i kekahi pilikia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hele i ka Emergency Treatment Unit (ETU) kokoke loa.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau no nā maʻi ʻē aʻe, nā huaora, nā lāʻau lapaʻau kuʻuna, nā mea hoʻohui). Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Succinylcholine, e hoʻololi ana i kona hopena a i ʻole ke kumu ʻana i nā maʻi weliweli.
Aia ma lalo kekahi mau lāʻau lapaʻau:
- Kekahi mau lāʻau antibiotic: no ka laʻana, amikacin, gentamicin, clindamycin.
- Nā lāʻau hoʻomaha ʻē aʻe: Nā lāʻau hoʻomaha kinoea e like me enflurane, isoflurane, halothane.
- Nā lāʻau lapaʻau no ka maʻi puʻuwai a me ke koko kiʻekiʻe.
- Nā lāʻau hoʻomalu hānau.
- Lithium: He lāʻau lapaʻau i hoʻohana ʻia no ka maʻi noʻonoʻo.
- MAOIs: He ʻano lāʻau lapaʻau i hāʻawi ʻia no ke kaumaha.
- Nā ʻano steroid: No ka laʻana, prednisone a i ʻole cortisone.
- Nā lāʻau lapaʻau i loaʻa ka magnesium.
- Quinine: He lāʻau lapaʻau i hoʻohana ʻia no ka maʻi malaria.
ʻAʻole kēia papa inoa piha. No laila, e ʻoiaʻiʻo me kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, a inā ʻoe e puhipaka a inu waiʻona paha .
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Succinylcholine ke hana i nā hopena ʻaoʻao. E nānā pono ʻia ʻoe, no laila inā he mau pilikia, e hana koke ke kime lapaʻau.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e haʻi koke aku ai i kāu kauka a i ʻole nā limahana kahu maʻi | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Inā ʻaʻole ʻoe ma luna o kahi ventilator, e manaʻo ana ua pōkole ka hanu. |
| Nā loli i ka helu o ka puʻuwai | Lohi a wikiwiki paha, puʻuwai kū ʻole. ʻEha umauma. |
| Nā hōʻailona o ka nui o ka potassium | Ka nāwaliwali nui o nā ʻiʻo, ka ʻeha o ka umauma. |
| Nā hōʻailona o ka hōʻino ʻana o nā ʻiʻo | Mimi ʻeleʻele, paʻakikī ke mimi, luhi loa, ʻeha nā ʻiʻo. |
| Nā hōʻailona o ke koko haʻahaʻa | Pōniuniu, maka polū, nāwaliwali loa. |
| Nā mea i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| ʻEha ʻiʻo | He mea maʻamau ke ʻeha o ke kino a me nā ʻiʻo no hoʻokahi a ʻelua paha lā ma hope o ka pau ʻana o nā hopena o ka lāʻau lapaʻau. |
| Nāwaliwali o nā ʻiʻo | Ka nāwaliwali o nā ʻiʻo no ka manawa pōkole. |
Leka Lawe-Home
- He mea hoʻomaha ʻiʻo ikaika ʻo Succinylcholine i hoʻohana wale ʻia ma nā haukapila, ʻoi aku hoʻi i nā keʻena ʻoki kino a me nā keʻena mālama koʻikoʻi.
- Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau iā ʻoe, he mea nui e haʻi aku i kāu kauka e pili ana i kou mōʻaukala olakino piha, nā maʻi allergies, ka mōʻaukala olakino ʻohana, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Ma muli o ka hāʻawi ʻia ʻana o kēia e nā kauka i aʻo ʻia, ʻaʻole pono ʻoe e hopohopo e pili ana i ka mālama ʻana a i ʻole ka hoʻokele ʻana.
- ʻOiai hiki ke loaʻa nā hopena ʻaoʻao, hiki ke mālama ʻia e ka hui lapaʻau no ka mea aia ʻoe ma lalo o ka nānā pono ʻana ma ka haukapila.
- Inā he mau hopohopo a nīnau paha kāu, mai makaʻu e nīnau i ke kauka anesthesiologist a i ʻole kāu kauka lapaʻau. ʻO kou palekana ko lākou mea nui loa.
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