He ʻili koʻikoʻi loa ko kākou ʻili, ʻeā? ʻO ka ʻeha a me ka maneʻo e hele mai me ka lā ʻana o ka lā, nā nahu pepeke, a i ʻole ka ʻōhū wale nō he mea hoʻonāukiuki loa ia. No laila, ʻo Tetracaine kahi lāʻau lapaʻau a nā kauka e ʻōlelo nei e hōʻemi i ka ʻeha ʻili a me ka maneʻo i nā manawa e like me kēia. Hiki ke hele mai ma ke ʻano he gel, solution, a i ʻole cream. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Tetracaine a me nā mea e pono ai kākou e makaʻala i ka wā e hoʻohana ai.
He aha ka Tetracaine?
I ka ʻōlelo maʻalahi, he lāʻau hoʻomāmā ʻo Tetracaine e hoʻomāmā ai i ka ʻili. E like me ke kauka e hoʻokomo ana i kahi lāʻau hoʻomāmā i loko o kou ʻāʻī ma mua o ka unuhi ʻana i ka niho, hoʻomāmā kēia kirīmi i ka wahi no kekahi manawa, e hoʻopau ana i ka ʻeha a me ka maneʻo.
Hoʻohana nui ʻia kēia no nā pilikia ʻili liʻiliʻi. Eia kekahi laʻana:
- No ka ʻeha o nā ʻā ʻana o ka lā liʻiliʻi.
- No ka maneʻo a me ka ʻeha i hoʻokumu ʻia e nā ʻulaʻula liʻiliʻi a me nā pehu ma ka ʻili.
- E hōʻemi i ka ʻoluʻolu ʻole i hoʻokumu ʻia e nā maʻi ʻili liʻiliʻi a i ʻole nā mea hoʻonāukiuki.
Hiki paha iā ʻoe ke ʻike i kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me Pontocaine lāua ʻo Viractin. Akā, ʻoiai ke ʻano o ka inoa, mai hoʻohana i kēia mau mea me ka ʻole o ke aʻo ʻana a kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, he mea nui loa ia e ʻike pono kāu kauka i kou kūlana olakino. No ka mea, i kekahi mau hihia, ʻaʻole kūpono kēia lāʻau lapaʻau iā ʻoe. E hōʻoia e haʻi iā lākou e pili ana i kēia mau mea:
- Inā he nui kou mau wahi kuni, nā ʻeha, nā ʻoki, a i ʻole nā hōʻino i kou ʻili .
- Loaʻa iā ʻoe kahi hemahema enzyme i kapa ʻia ʻo pseudocholinesterase deficiency . He huaʻōlelo paʻakikī kēia. I ka ʻōlelo maʻalahi, he ʻano kakaikahi ia e pili ana i kahi enzyme e kōkua ana i ka wāwahi ʻana i kekahi mau anesthetics. Inā ʻike ʻoe he hoʻokahi kāu, e hōʻoia e haʻi i kāu kauka.
- Inā he maʻi ʻili ma kahi āu e hoʻolālā ai e kau i ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe nā maʻi allergies i ka Tetracaine, kahi hui i kapa ʻia ʻo para-aminobenzoic acid (PABA) (loaʻa i loko o kekahi mau sunscreens), nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā dyes, a i ʻole nā mea mālama i nā lāʻau lapaʻau.
- Inā ʻoe e hāpai ana , e hoʻāʻo ana e hāpai , a e hānai waiū ana paha.
He mea nui loa ka kaʻana like ʻana i kēia ʻike me kāu kauka no kou palekana, no laila mai hūnā i kekahi mea.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He lāʻau lapaʻau kēia no ka hoʻohana waho wale nō. Mai hoʻokomo i loko o kou waha a ale paha no kekahi kumu. E hoʻohana pono e like me ka ʻōlelo a kāu kauka, a ma ka nui āna e ʻōlelo aku ai.
1. E holoi pono i kou mau lima me ke kopa ma mua a ma hope o ke kau ʻana i ka lāʻau.
2. E hoʻopili i ka lāʻau lapaʻau ma ke ʻano he ʻili lahilahi ma kahi o ka ʻeha a i ʻole ka maneʻo. ʻAʻohe pono e hamo pono iā ia.
3. He mea nui loa kēia: Mai hoʻokuʻu i kēia lāʻau lapaʻau i loko o kou mau maka, i loko o kou mau pepeiao, i loko o kou ihu, a i ʻole i loko o kou waha . Inā komo hewa ʻoe i loko o kou mau maka, e holoi koke i kou mau maka me ka wai maʻemaʻe no kekahi mau minuke.
4. Mai hoʻopili hou aku ma mua o ka mea a ke kauka i ʻōlelo ai. Mai hana me ka manaʻo, "Inā ʻoe e hoʻopili hou aku, e wikiwiki ka maikaʻi."
E hoʻohana no nā keiki liʻiliʻi
He mea nui e kūkākūkā me ke kauka keiki ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau i kāu keiki ʻōpio. He ʻili koʻikoʻi loa ka ʻili o nā keiki a pono paha ke mālama kūikawā.
He aha inā wau e lawe i ka overdose?
Inā manaʻo ʻoe ua lawe ʻoe i ka lāʻau lapaʻau ma mua o kou manaʻo, a inā ua moni kekahi iā ia, mai hoʻowahāwahā. E kāhea koke aku i ke Kikowaena ʻIke Lāʻau Make ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke loa ia i kāu lāʻau aʻe (e laʻa, i loko o ka hapalua hola), e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ka lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Tetracaine ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā he mea nui e makaʻala iā lākou.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo a hives paha, pehu o ka maka, lehelehe a i ʻole ke alelo. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana, pōkole ka hanu. |
| Nā hopena ma ka ʻōnaehana nerve | ʻEha poʻo nui , poniuniu, hiamoe, hopu/hoʻokuʻi. |
| Nā loli i ka helu o ka puʻuwai | Ka puʻuwai wikiwiki, lohi, a i ʻole ka puʻuwai kūpono ʻole (palpitations). |
| ʻĒ aʻe | Ka luaʻi, ka luaʻi. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā loli ʻili liʻiliʻi | Ke kuni, ʻulaʻula, a ʻā paha kahi i hoʻopili ʻia ai ka lāʻau lapaʻau. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻokoʻa a ʻano ʻē paha, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama pono iā ia mai ka hiki ʻana a me ka ʻike ʻana o nā keiki liʻiliʻi.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius). Mai mālama ma nā wahi wela loa a anu loa paha.
- Mai hoʻokomo i loko o ka pahu hau a i ʻole e hoʻopaʻahau.
- E hoʻolei i ka lāʻau lapaʻau i pau me ka hoʻohana ʻole ʻana.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Tetracaine e hoʻomāʻū ai i ka ʻili a hoʻomaha iki i ka ʻeha iki a me ka maneʻo.
- Pono e hoʻopili wale ʻia kēia ma waho o ka ʻili. Mai hoʻokuʻu iā ia e hoʻopā me nā maka, ka waha, a i ʻole nā membpa mucous ʻē aʻe.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu i loaʻa ai, ʻoiai hoʻi nā maʻi ate a me nā maʻi allergies, ma mua o ka lawe ʻana i ka lāʻau.
- Inā ʻike ʻoe i nā hōʻailona o kahi hopena maʻi koʻikoʻi (pehu ʻana o ka maka, paʻakikī ka hanu ʻana), poniuniu nui, nā kuʻi ʻana, a i ʻole nā loli o ka puʻuwai ma hope o ka hoʻopili ʻana i ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
- Inā manaʻo ʻoe ua nui ka lāʻau lapaʻau, e hele koke i ka National Poisons Information Center a i ʻole ka haukapila kokoke loa ʻo ETU .
- Inā he mau hopohopo ʻē aʻe kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea. ʻOi aku ka palekana ma mua o ka nānā ʻana i ka ʻike ma ka pūnaewele.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ʻo Tetracaine / Pontocaine?
ʻAʻole kēia he lāʻau hoʻopau ʻeha maʻamau! He lāʻau hoʻomaha kūloko ikaika loa kēia (hele mai ma ke ʻano he kirīmi, lotion, a kulu maka paha) i hoʻolālā ʻia e hoʻomāno/hoʻomāno no kekahi manawa i kahi ʻāpana o ka ʻili, ka puʻu, a i ʻole ka maka. Hoʻohana pinepine ʻia ia e hoʻopau loa i ka ʻeha nui ke hoʻokomo nā kauka i kahi catheter/tube nui i loko o ka puʻu a i ʻole i ka wā o nā kaʻina hana ʻili liʻiliʻi.
💬 Pehea e hoʻopau loa ai ke kau ʻana i kēia lāʻau lapaʻau (Tetracaine) i ka ʻeha o ke kui ʻana o kahi nila?
Ua like ia me ka wehe ʻana i ke kaula o kahi TV! I mea e hoʻouna ai nā aʻalolo i loko o ko kākou ʻili i ka leka ua 'ʻeha' i ka lolo, pono lākou e wehe i kā lākou 'Sodium Channels' a hoʻouna i ka uila (Action potentials). Ke hoʻopili ʻia kēia lāʻau lapaʻau, hele ia ma o ka ʻili a 'āpau/pani loa' i nā kahawai sodium āpau i loko o nā aʻalolo. No ka mea, ʻaʻohe ala e hiki ai i ka leka ke hele, ʻaʻole ʻike ka lolo o ka mea maʻi i ka ʻoki.
💬 No ke aha i ʻōlelo ʻia ai ʻaʻole pono e hoʻopili ʻia kēia lāʻau hoʻomāʻū i nā wahi nui a i ʻole nā ʻeha (Toxicity)?
ʻO ia ka pōʻino weliweli loa (a make) o kēia (Systemic Anesthetic Toxicity)! Mai hoʻopili i kēia i ka ʻili 'haʻihaʻi/ʻili ʻia' a i ʻole i kahi ʻāpana nui! ʻO ka hana ʻana pēlā e hoʻonui ai i ka nui o ka lāʻau lapaʻau i komo pololei i loko o ke koko ma o ka ʻili, e hoʻoulu ai i ka mea maʻi e loaʻa i nā hopu/kū (seizures) koʻikoʻi a make paha mai ka hopu ʻana o ka puʻuwai/asphyxiation (ʻoi aku hoʻi i nā keiki ʻōpio).
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