He aha ka Acetazolamide (Alaʻi Intravenous): Nā Hoʻohana, Ka Leka, Nā Hopena ʻAoʻao a me nā mea hou aku

ʻO ka Acetazolamide intravenous he lāʻau lapaʻau i kau ʻia e kōkua ana i ka hoʻēmi ʻana i ka wai i loko o kou kino ma ka pale ʻana i kahi enzyme kikoʻī i kapa ʻia ʻo carbonic anhydrase. Hoʻohana maʻamau kēia enzyme i kou mau puʻupaʻa e mālama i ke kaulike wai a me ka paʻakai, no laila ke ālai ʻia, hoʻokuʻu kou kino i ka wai hou aʻe ma ka mimi.

Hoʻohana maʻamau nā mea mālama ola i ke ʻano IV ke pono ʻoe i nā hopena wikiwiki ma mua o nā lāʻau lapaʻau waha, a i ʻole ke hiki ʻole iā ʻoe ke lawe i nā pila ma ka waha. Hana ka lāʻau lapaʻau i loko o kou kahe koko e kōkua i ka mālama ʻana i kekahi mau maʻi koʻikoʻi e koi ana i ka lāʻau lapaʻau koke.

No ke aha e hoʻohana ʻia ai ka Acetazolamide?

Hoʻomaʻamaʻa ka Acetazolamide IV i kekahi mau maʻi kahi e pono ai kou kino e hoʻēmi koke i ke kaomi wai a i ʻole e hoʻihoʻi i ke kaulike kemika. ʻO ke kumu maʻamau e kau ai nā kauka iā ia no ka glaucoma acute, kahi maʻi maka koʻikoʻi kahi e kūkulu koke ai ke kaomi a hiki ke hōʻino i kou ʻike.

Hiki i kāu kauka ke ʻōlelo aku i kēia lāʻau lapaʻau inā ʻoe e ʻike nei i ka pehu ʻana o ka lolo (cerebral edema) a i ʻole ka maʻi kiʻekiʻe ʻaʻole e pane ana i nā lāʻau lapaʻau ʻē aʻe. Eia nā kūlana nui e kōkua ai i ka mālama ʻana:

• Glaucoma pani kihi acute (piʻi koke ke kaomi maka)
• Pehu lolo mai ka ʻeha, ke ʻoki, a i ʻole nā kumu ʻē aʻe
• Maʻi kiʻekiʻe koʻikoʻi ke ʻaʻole pono nā lāʻau lapaʻau waha
• Nā ʻano ʻano hopu ʻana ʻaʻole e pane i nā lāʻau lapaʻau maʻamau
• Nā pilikia hāʻule ʻole o ka naʻau e koi ana i ka wehe wai wikiwiki

Pono kēlā me kēia o kēia mau kūlana i ka nānā ʻana i ka lāʻau lapaʻau, ʻo ia ke kumu e hāʻawi ʻia ai ka acetazolamide IV i nā hoʻonohonoho haukapila a i ʻole nā hoʻonohonoho lapaʻau. E nānā pono kāu hui mālama ola i ke ʻano o ka pane ʻana o kou kino e hōʻoia i ka hana palekana a me ka pono o ka lāʻau lapaʻau.

Pehea e hana ai ka Acetazolamide?

Ua manaʻo ʻia ʻo Acetazolamide he mea diuretic ikaika waena e hana ana ma ka pale ʻana i ka carbonic anhydrase, he enzyme a kou kino e hoʻohana ai e mālama i ke kaulike wai. Ke pale ʻia kēia enzyme, hoʻokuʻu kou mau puʻupaʻa i ka sodium, ka wai, a me ka bicarbonate ma o ka mimi, e kōkua ana i ka hoʻemi ʻana i ke kaomi wai ma kou kino.

Hoʻopilikia pū ka lāʻau lapaʻau i ke ʻano o ka hana ʻana o kou kino i ka carbon dioxide a me nā pae pH, ʻo ia ke kumu e hiki ai ke kōkua i nā maʻi e like me ka maʻi altitude a me kekahi mau ʻano o nā hopu. ʻAʻole like me kekahi mau diuretics ikaika, hana ʻo acetazolamide i ka lohi a pili i ka kemika o kou kino ma nā ʻano he nui.

Ke hāʻawi ʻia ma o ka IV, komo ka lāʻau lapaʻau i loko o kou kahe koko a hoʻomaka e hana i loko o 15-30 mau minuke. ʻO kēia hana wikiwiki e lilo ia i mea pono no nā kūlana pilikia e like me ka glaucoma acute, kahi e helu ai kēlā me kēia minuke i ka pale ʻana i kou ʻike.

Pehea wau e lawe ai iā Acetazolamide IV?

Hāʻawi mau ʻia ʻo Acetazolamide IV e nā poʻe loea mālama ola i kahi hoʻonohonoho lapaʻau, no laila ʻaʻole pono ʻoe e hopohopo e pili ana i ka lawelawe ʻana iā ʻoe iho. Hele mai ka lāʻau lapaʻau ma ke ʻano he pauka i hui pū ʻia me ka wai sterile a hāʻawi ʻia ma o ke aʻa i kou lima i loko o kekahi mau minuke.

E hāʻawi maʻamau kāu kahu hānai a kauka paha i ka injection i ka lohi e pale ai i nā hopena ʻaoʻao e like me ka dizziness a i ʻole ka nausea. Aia ka wikiwiki pololei i kou kūlana a me ke ʻano o ka pane ʻana o kou kino i ka lāʻau lapaʻau.

Ma mua o ka loaʻa ʻana o ka lāʻau lapaʻau, e hōʻike i kāu hui mālama ola inā ua ʻai ʻoe i kēia manawa, no ka mea, hiki i kēia ke hoʻopilikia i ka wikiwiki o ka hana ʻana o kou kino i ka lāʻau. ʻAʻole pono ʻoe e pale i ka meaʻai, akā ʻo ka loaʻa ʻana o kahi mea māmā i kou ʻōpū e kōkua paha i ka pale ʻana i ka nausea. E nānā pū kāu hui lapaʻau i kāu ʻai wai a me ka hoʻopuka ʻana e hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau.

Pehea ka lōʻihi e lawe ai au iā Acetazolamide?

ʻO ka lōʻihi o ka mālama ʻana me ka acetazolamide IV e hilinaʻi loa i kou kūlana kikoʻī a me ka wikiwiki o ka pane ʻana o kou kino. No ka glaucoma nui, pono paha ʻoe i hoʻokahi a ʻelua paha mau lāʻau i loko o 24-48 mau hola, aʻo ka pehu ʻana o ka lolo e koi paha i kekahi mau lā o ka mālama ʻana.

E nānā kāu kauka i kāu mau hōʻailona, nā hopena lab, a me ke kūlana holoʻokoʻa e hoʻoholo ai i ka manawa e palekana ai ke hooki i ka lāʻau IV. I nā hihia he nui, i ka wā e paʻa ai kou kūlana, hiki i kāu kauka ke hoʻololi iā ʻoe i ka acetazolamide waha a i ʻole nā lāʻau ʻē aʻe e hoʻomau i ka mālama ʻana ma ka home.

ʻAʻole i hana maʻalahi ka hoʻoholo e hooki i ka mālama ʻana. E noʻonoʻo kāu hui mālama ola i nā mea e like me ke kaomi o kou maka (no ka glaucoma), nā hopena kiʻi lolo (no ka pehu ʻana), a i ʻole nā hoʻokolohua pili ʻē aʻe e hōʻoia ai e hoʻomaikaʻi maoli ana kou kūlana ma mua o ka hoʻōki ʻana i ka lāʻau.

He aha nā hopena ʻaoʻao o Acetazolamide?

E like me nā lāʻau lapaʻau a pau, hiki i ka acetazolamide IV ke hana i nā hopena ʻaoʻao, ʻoiai ka hapa nui o nā kānaka e ʻae maikaʻi iā ia ke hāʻawi ʻia ma lalo o ka mālama olakino. ʻO nā hopena ʻaoʻao maʻamau e pili ana i nā hopena o ka lāʻau lapaʻau i ke kaulike wai a me ke kemika o kou kino.

Eia nā hopena ʻaoʻao e ʻike nui ai ʻoe:

• Hoʻonui i ka mimi (ʻo ia ke ʻano o ka hana ʻana o ka lāʻau)
• ʻO ka nausea māmā a i ʻole ka ʻōpū
• ʻO ka ʻūlū a i ʻole ka māmā ke kū i luna
• ʻO ka ʻūlū ʻana i kou mau manamana lima a i ʻole nā manamana wāwae
• Nā loli manawa i ka ʻono (ʻokoʻa paha ka ʻono o nā meaʻai)
• ʻO ke poʻo māmā

Hoʻomaikaʻi maʻamau kēia mau hopena ʻaoʻao maʻamau i ka wā e hoʻoponopono ai kou kino i ka lāʻau a pinepine e hoʻoponopono i ka pau ʻana o ka mālama ʻana. E kōkua kāu hui mālama ola iā ʻoe e mālama i kekahi hōʻoluʻolu a hiki ke hoʻoponopono i kāu mālama ʻana inā pono.

ʻAʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, akā pono ka lāʻau lapaʻau koke. Aia kēia mau mea i nā hopena maʻi maʻi koʻikoʻi, nā loli nui i ka puʻuwai o kou puʻuwai, a i ʻole nā hōʻailona o nā kaulike electrolyte koʻikoʻi e like me ka nāwaliwali o ka ʻiʻo a i ʻole ka huikau.

I nā manawa kakaʻikahi, hiki i kekahi poʻe ke loaʻa nā pilikia o ka puʻupaʻa, nā hopena ʻili koʻikoʻi, a i ʻole nā maʻi koko. E nānā pono kāu hui lapaʻau iā ʻoe no kēia mau pilikia, ʻoiai inā e loaʻa ana iā ʻoe nā lāʻau he nui a i ʻole nā mea pilikia e hoʻonui ai i kēia mau hopena.

ʻO wai ka mea pono ʻole e lawe i ka Acetazolamide?

ʻAʻole palekana ka Acetazolamide IV no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ke kau ʻana. Hiki i ka lāʻau lapaʻau ke hoʻonui i kekahi mau maʻi a i ʻole e launa pū me nā pilikia olakino ʻē aʻe āu e loaʻa ai.

ʻAʻole pono ʻoe e loaʻa i ka acetazolamide inā loaʻa iā ʻoe ka maʻi puʻupaʻa koʻikoʻi, nā pilikia o ke ake, a i ʻole ka pilikia electrolyte i kapa ʻia ʻo hyponatremia (nā pae sodium haʻahaʻa). Hiki i ka lāʻau lapaʻau ke hoʻonui i kēia mau maʻi a hiki ke pilikia.

Eia nā kūlana ʻē aʻe kahi i kūpono ʻole ai ka acetazolamide:

• Nā pilikia hanu koʻikoʻi a i ʻole ka maʻi māmā
• Nā pilikia o ka ʻāʻī adrenal (maʻi o Addison)
• Ka maloʻo nui a i ʻole ke koko haʻahaʻa
• ʻIke ʻia ka maʻi maʻi i nā lāʻau sulfa
• ʻAʻole i mālama maikaʻi ʻia ka maʻi puʻuwai koʻikoʻi
• Hāpai a i ʻole ka hānai ʻana i ka umauma (inā ʻaʻole ʻoi aku ka maikaʻi ma mua o nā pilikia)

E akahele nō hoʻi kāu kauka inā he ʻelemakule ʻoe, loaʻa iā ʻoe ka maʻi diabetes, a i ʻole e lawe i kekahi mau lāʻau lapaʻau e launa pū me ka acetazolamide. E kaupaona lākou i nā pōmaikaʻi kūpono e kūʻē i nā pilikia a hiki ke koho i nā lāʻau lapaʻau ʻē aʻe inā loaʻa nā koho palekana.

Nā inoa inoa Acetazolamide

Loaʻa ka Acetazolamide ma lalo o kekahi mau inoa inoa, ʻo Diamox ka mea i ʻike nui ʻia. Ke loaʻa iā ʻoe ke ʻano IV, hiki ke hōʻailona ʻia ʻo Diamox IV a i ʻole he acetazolamide injection, ma muli o ka mea hana i hoʻohana ʻia e kāu haukapila.

ʻO nā inoa inoa ʻē aʻe e komo pū ana me Acetazolamide Sodium a me nā ʻano generic like ʻole e hana like ana. He like ka mea hana ikaika me ka inoa inoa, no laila hiki iā ʻoe ke manaʻo i nā hopena a me nā pōmaikaʻi like mai kēlā me kēia ʻano a kāu mea mālama ola e hoʻohana ai.

E koho kāu hui lapaʻau i ka inoa inoa kikoʻī e pili ana i ka mea i loaʻa ma ko lākou hale a me ka mea a lākou i kamaʻāina loa ai. ʻO ka mea nui, ke loaʻa nei iā ʻoe ka lāʻau lapaʻau kūpono no kou maʻi, ʻaʻole ka inoa inoa kikoʻī ma ka hue.

Nā Koho ʻē aʻe o Acetazolamide

Nui nā lāʻau lapaʻau ʻē aʻe e hiki ke mālama i nā maʻi like, akā ʻo ke koho maikaʻi loa e pili ana i kāu kūlana kikoʻī a me ka mōʻaukala olakino. No ka glaucoma, nā koho ʻē aʻe e komo pū ana me nā ʻano kulu maka like ʻole, nā lāʻau lapaʻau waha, a i ʻole nā hana ʻoki.

Inā ʻoe e hana nei me ka pehu ʻana o ka lolo, hiki i kāu kauka ke noʻonoʻo i nā lāʻau lapaʻau e like me mannitol, hypertonic saline, a i ʻole corticosteroids. No ka maʻi kiʻekiʻe, nā koho ʻē aʻe e komo pū ana me nā lāʻau lapaʻau ʻē aʻe e like me dexamethasone a i ʻole ka iho ʻana i kahi kiʻekiʻe haʻahaʻa.

Eia kekahi mau koho ʻē aʻe e kūkākūkā ai kāu kauka:

• Mannitol (he diuretic ʻē aʻe e hana ʻokoʻa)
• Furosemide (he diuretic ikaika no ka hōʻiliʻili wai e pili ana i ka naʻau)
• Nā lāʻau lapaʻau glaucoma topical (nā kulu maka no ka mālama ʻana i ke kaomi maka)
• Dexamethasone (no ka pehu ʻana o ka lolo a me ka maʻi kiʻekiʻe)
• Nā koho ʻoki (no ka glaucoma koʻikoʻi a i ʻole ke kaomi lolo)

E kōkua kāu hui mālama ola iā ʻoe e hoʻomaopopo i nā koho ʻē aʻe e hana maikaʻi loa no kou kūlana. I kekahi manawa ʻoi aku ka maikaʻi o ka hui pū ʻana o nā lāʻau lapaʻau ma mua o ka hilinaʻi ʻana i hoʻokahi lāʻau lapaʻau.

ʻOi aku ka maikaʻi o Acetazolamide ma mua o Furosemide?

ʻO Acetazolamide a me furosemide he mau diuretics ʻelua, akā hana lākou ma nā ʻano like ʻole a ʻoi aku ka maikaʻi no nā kūlana like ʻole. ʻAʻole ʻoi aku kekahi ma mua o kekahi - pili ka koho i ke ʻano o ka maʻi āu e mālama nei a me kou kūlana olakino.

ʻO Furosemide kahi diuretic ikaika loa e hana wikiwiki a wehe i ka wai hou mai kou kino. ʻO ia ka koho maikaʻi loa no ka puʻuwai ʻole a i ʻole ke pono ʻoe e wehe koke i ka wai no nā pilikia hanu. Eia naʻe, hiki i kona ikaika ke hana i ka dehydration a i ʻole nā ​​hana ʻole o ka electrolyte.

ʻOi aku ka mālie o Acetazolamide a he mau hopena kūikawā i ke kaomi ʻana o ka maka a me ka kemika lolo ʻaʻole i hāʻawi ʻia e furosemide. No nā kūlana e like me ka glaucoma a i ʻole ka maʻi kiʻekiʻe, ʻo acetazolamide ka mea maʻamau i ke koho maikaʻi loa no ka mea e kamaʻilio pololei ana i ka pilikia.

E koho kāu kauka ma muli o kāu mau pono. Inā loaʻa iā ʻoe ka glaucoma nui, ʻo acetazolamide paha ke koho maikaʻi loa. Inā loaʻa iā ʻoe ka puʻuwai nui me ka wai i loko o kou mau māmā, ʻoi aku ka kūpono o furosemide.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Acetazolamide

He palekana anei ʻo Acetazolamide no ka poʻe me ka maʻi diabetes?

Hiki ke hoʻohana palekana ʻia ʻo Acetazolamide i ka poʻe me ka maʻi diabetes, akā pono ka nānā pono ʻana. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i kou pae kōpaʻa koko a hiki ke launa pū me nā lāʻau lapaʻau diabetes, no laila e nānā pono kāu hui mālama ola i kou pae glucose i ka wā o ka mālama ʻana.

Hiki i ka lāʻau lapaʻau ke hoʻonui iki i kou kōpaʻa koko, ʻo ia hoʻi, pono paha e hoʻoponopono i kāu mau lāʻau lapaʻau diabetes. E hana pū kāu kauka me ʻoe e mālama i kāu maʻi diabetes a me ke kūlana e mālama ʻia nei me acetazolamide.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Acetazolamide?

Mai ka mea e hāʻawi ʻia ai ka acetazolamide IV e nā poʻe loea olakino ma kahi olakino, he mea kakaikahi loa ka nui o ka lāʻau i hana ʻia me ka ulia. Inā hopohopo ʻoe e pili ana i ka loaʻa ʻana o ka lāʻau nui loa, e ʻōlelo koke a e haʻi i kāu hui mālama olakino e pili ana i kou hopohopo.

ʻO nā hōʻailona o ka nui o ka acetazolamide e komo pū ana me ka ʻūlū nui, ka huikau, ka hanu wikiwiki, a i ʻole ka manaʻo ʻana ʻaʻole maikaʻi loa. Mālama pono kāu hui olakino iā ʻoe i ka wā o ka mālama ʻana a hiki ke hoʻoponopono koke i nā pilikia inā loaʻa.

He aha kaʻu e hana ai inā e poina iaʻu kahi lāʻau o Acetazolamide?

ʻAʻole pono ʻoe e hopohopo e pili ana i ka poina ʻana i kahi lāʻau o acetazolamide IV no ka mea e mālama ana nā poʻe loea olakino i kāu papa lāʻau. Mālama kāu mau kahu hānai a me nā kauka i ka wā e pono ai ʻoe e loaʻa i kēlā me kēia lāʻau.

Inā he lohi i kāu papa hana lapaʻau, e hoʻoponopono kāu hui mālama olakino i ka manawa kūpono. E noʻonoʻo lākou i nā mea e like me ke koʻikoʻi o kou maʻi a me ke ʻano o kou pane ʻana i ka lapaʻau i ka wā e hoʻoholo ai i ka papa hana maikaʻi loa no kāu mau lāʻau i koe.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Acetazolamide?

ʻO ka hoʻoholo e hooki i ka lapaʻau acetazolamide IV e hana mau ʻia e kāu hui mālama olakino e pili ana i ke ʻano o ka hoʻomaikaʻi ʻana o kou maʻi. E nānā lākou i nā mea hōʻailona kikoʻī e like me ke kaomi o kou maka, ke kiʻi ʻana o ka lolo, a i ʻole nā ​​hoʻokolohua kūpono ʻē aʻe e hoʻoholo ai i ka wā e palekana ai ke hooki i ka lāʻau.

No ka hapa nui o nā maʻi, e hooki ʻoe i ka loaʻa ʻana o ka lāʻau IV ke hoʻomalu ʻia kāu mau hōʻailona nui. A laila, hiki i kāu kauka ke hoʻololi iā ʻoe i nā lāʻau lapaʻau waha a i ʻole nā ​​lapaʻau ʻē aʻe e hoʻomau i ka mālama ʻana i kou maʻi ma ka home.

Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o Acetazolamide IV?

ʻAʻole pono ʻoe e kalaiwa a i ʻole e hana i nā mīkini no kekahi mau hola ma hope o ka loaʻa ʻana o ka acetazolamide IV, no ka mea, hiki i ka lāʻau ke hoʻoulu i ka ʻūlū a pili i kou hoʻonohonoho. ʻO ka hapa nui o nā kānaka e loaʻa ana i kēia lāʻau lapaʻau aia i loko o kahi haukapila a i ʻole kahi hoʻonohonoho lapaʻau kahi i pono ʻole ai ke kalaiwa.

Ma mua o kou hoʻokuʻu ʻia ʻana, e loiloi kāu hui mālama ola inā paʻa ʻoe ma kou mau wāwae a e noʻonoʻo maopopo ana. E hōʻike lākou iā ʻoe i ka wā e palekana ai e hoʻomau i nā hana maʻamau e like me ke kalaiwa ʻana, ʻo ia ka mea maʻamau i loko o 24 mau hola no ka hapa nui o nā kānaka.