He aha ka Bupivacaine a me ka Epinephrine Injection: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka bupivacaine a me ka epinephrine injection he lāʻau lapaʻau anesthetic kūloko e ālai ana i nā hōʻailona ʻeha ma nā wahi kikoʻī o kou kino i ka wā o nā kaʻina hana lapaʻau. Kōkua kēia lāʻau lapaʻau hui e hoʻopōpō i nā wahi i manaʻo ʻia me ka mālama ʻana i ka hōʻoluʻolu ʻeha e lōʻihi ana ma mua o nā anesthetics kūloko ʻē aʻe.

E noʻonoʻo e like me kahi

Hana ka mea bupivacaine e like me ka pale e kāohi ana i nā pūnaewele nerve mai ka hoʻouna ʻana i nā leka ʻeha. I kēia manawa, hoʻoulu ka epinephrine i nā kīʻaha koko ma ia wahi e ʻuʻuku ai, e mālama ana i ka lāʻau i ka wahi i manaʻo ʻia no ka lōʻihi a hoʻēmi i ke kahe koko i ka wā o nā kaʻina hana.

Hoʻokumu kēia hui ʻana i kahi hopena numbing ʻoi aku ka maikaʻi a me ka lōʻihi ma mua o ka hoʻohana ʻana i ka bupivacaine wale nō. Kōkua maoli ka epinephrine i ka bupivacaine e "noho ma kahi" i ka wahi injection, e hāʻawi ana iā ʻoe i ka hōʻoluʻolu ʻeha i hiki ke mau mai 2 a 8 mau hola ma muli o ka wahi a me ka nui.

Pehea wau e hoʻomākaukau ai no ka Bupivacaine a me ka Epinephrine Injection?

Na kāu mea mālama ola e mālama i ke kaʻina hana injection, akā hiki iā ʻoe ke hoʻomākaukau ma ke kūkākūkā ʻana i kāu mōʻaukala olakino a me nā hopohopo ma mua. ʻAʻole like me nā lāʻau lapaʻau waha, ʻaʻole pono ʻoe e hopohopo e pili ana i ka lawe ʻana i kēia me ka meaʻai a i ʻole ka wai no ka mea e lawelawe pololei ʻia e ka injection.

Ma mua o kāu kaʻina hana, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka epinephrine, no laila pono i kāu hui mālama ola ke kiʻi piha i ka mea i loko o kāu ʻōnaehana.

Pono ʻoe e haʻi i kāu kauka inā he maʻi puʻuwai kou, ke koko kiʻekiʻe, a i ʻole nā pilikia thyroid. Hiki i ka mea epinephrine ke hoʻopilikia i kou puʻuwai a me ke koko, no laila pono i kāu hui lapaʻau e ʻike e pili ana i kēia mau kūlana e hōʻoia i kou palekana i ka wā o ke kaʻina hana.

Pehea ka lōʻihi e manaʻo ai au e mau nā hopena?

ʻO ka maʻamau, mau nā hopena numbing ma waena o 2 a 8 mau hola, ma muli o kahi i hāʻawi ʻia ai ka injection a me ka nui o ka lāʻau i hoʻohana ʻia. ʻO ka hapa nui o nā kānaka e ʻike i ka numbness kiʻekiʻe i loko o 15 a 30 mau minuke ma hope o ka injection, me nā hopena e pau mālie ana i nā hola he nui.

No nā hana niho, e ʻike paha ʻoe i ka ʻūlū e mau ana no 3 a 5 mau hola. No nā injections epidural i ka wā hānau keiki, hiki ke mālama ʻia a hoʻoponopono ʻia nā hopena i ka wā o ka hana e like me ka mea e pono ai. Pono paha nā hana ʻoki i nā mea hou inā lōʻihi ka hana ma mua o ka mea i manaʻo ʻia.

Hiki ke loli ka lōʻihi ma muli o kou pane pilikino i ka lāʻau lapaʻau, kou makahiki, a me kahi kikoʻī o ka injection. Hoʻoponopono maoli kekahi mau wahi o ke kino i ka lāʻau lapaʻau ʻoi aku ka wikiwiki ma mua o nā mea ʻē aʻe, ʻo ia ke kumu e hoʻopilikino ai kāu kauka i ka mahele a me ka manawa i kāu mau pono kikoʻī.

He aha nā hopena ʻaoʻao o Bupivacaine a me Epinephrine?

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i kēia lāʻau lapaʻau, akā e ʻike paha ʻoe i kekahi mau hopena ʻaoʻao manawa i ka wā e hana ai kou kino i ka lāʻau lapaʻau. ʻO nā hopena maʻamau e pili ana i ka wahi injection a me ka pane o ke kino i ka epinephrine.

Eia nā hopena ʻaoʻao āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau:

• ʻŪlū manawa a i ʻole ke kani ʻana e laha ana ma waho o ka wahi i manaʻo ʻia
• ʻO ka ʻūlū māmā a i ʻole ka māmā
• Hoʻonui iki i ka helu o ka puʻuwai
• Nawaliwali manawa i nā ʻiʻo kokoke i ka wahi injection
• ʻO ka nausea māmā a i ʻole ka ʻoluʻolu o ka ʻōpū
• ʻO ke poʻo e ulu ana i kekahi mau hola ma hope o ka injection
• ʻIke pōʻino manawa inā i hoʻokomo ʻia kokoke i nā wahi maka

Hoʻoponopono maʻamau kēia mau hopena maʻamau i loko o kekahi mau hola i ka wā e pau ai ka lāʻau lapaʻau. Hoʻoponopono maoli kou kino a hoʻopau i ka lāʻau lapaʻau, e hoʻihoʻi ana i kou mau manaʻo i ka maʻamau.

He kakaikahi nā hopena ʻaoʻao koʻikoʻi akā pono e mālama koke ʻia i ka lāʻau lapaʻau. Hiki i kēia ke komo i nā hopena maʻi maʻi koʻikoʻi, nā loli nui i ka puʻuwai, a i ʻole nā ​​hōʻailona o ka lāʻau lapaʻau e like me ka huikau a i ʻole nā ​​hopu.

Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka pilikia o ka hanu ʻana, ka wili nui ʻana, a i ʻole nā hōʻailona o ka hopena maʻi e like me nā hives a i ʻole ka pehu ʻana, e ʻimi koke i ka lāʻau lapaʻau pilikia. ʻAʻole maʻamau kēia mau hopena akā pono ka lāʻau lapaʻau wikiwiki.

ʻO wai ka mea pono ʻole e loaʻa iā Bupivacaine a me Epinephrine?

ʻO kekahi mau maʻi olakino a me nā kūlana e kūpono ʻole ai kēia lāʻau lapaʻau a i ʻole e koi ai i nā hana kūikawā. E nānā pono kāu kauka i kāu mōʻaukala olakino e hoʻoholo ai inā palekana kēia injection iā ʻoe.

Pono ʻoe e haʻi i kāu mea mālama ola inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• ʻIke ʻia ka maʻi i ka bupivacaine, epinephrine, a i ʻole nā anesthetics kūloko like
• Maʻi puʻuwai koʻikoʻi a i ʻole nā puʻuwai puʻuwai ʻole
• Ke koko kiʻekiʻe ʻole
• ʻO ka thyroid hana nui (hyperthyroidism)
• Nā ʻano glaucoma
• Nā pilikia hāpai e hoʻoweliweli ai ka epinephrine
• Hoʻouka puʻuwai a i ʻole ka hahau ʻana

Pono ka mālama kūikawā inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau e like me nā mea pale MAO, kekahi mau antidepressants, a i ʻole nā beta-blockers. Hiki i kēia mau mea ke launa pū me ka epinephrine a hiki ke hoʻopilikia i nā hopena weliweli.

Hiki i kāu kauka ke koho i nā lāʻau lapaʻau ʻē aʻe a i ʻole e hoʻoponopono i ka dosage e pili ana i kāu kūlana kikoʻī. ʻO ka pahuhopu ka hāʻawi mau ʻana i ka hōʻoluʻolu ʻeha palekana a maikaʻi i ka wā e hōʻemi ana i nā pilikia i kou olakino.

Nā inoa inoa inoa o Bupivacaine a me Epinephrine

Loaʻa kēia hui lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole, ʻoiai he nui nā hale mālama ola e hoʻohana i nā mana generic. ʻO nā inoa inoa maʻamau e pili ana iā Marcaine me Epinephrine, Sensorcaine me Epinephrine, a me Vivacaine.

Hana like ka mana generic e like me nā koho inoa inoa a hoʻokō i nā kūlana palekana a me ka pono like. E koho kāu mea mālama ola i ka mana kūpono loa e pili ana i kāu mau pono kikoʻī a me nā mea i loaʻa ma kā lākou hale.

Nā koho ʻē aʻe i ka Bupivacaine a me Epinephrine

He nui nā koho ʻē aʻe no ka lāʻau ʻeha kūloko inā ʻaʻole kūpono kēia lāʻau lapaʻau iā ʻoe. Hiki i kāu kauka ke ʻōlelo aku i ka lidocaine me ka epinephrine, e hana wikiwiki ana akā ʻaʻole e lōʻihi, a i ʻole articaine no kekahi mau hana niho.

No nā maʻi i hiki ʻole ke loaʻa i ka epinephrine, ʻo ka bupivacaine maʻemaʻe me ka ʻole o ka epinephrine he koho, ʻoiai ʻaʻole e lōʻihi. ʻO nā koho ʻē aʻe e pili ana i ka chloroprocaine no nā hana pōkole a i ʻole mepivacaine no nā maʻi me kekahi mau maʻi puʻuwai.

E koho kāu mea mālama ola i ke koho maikaʻi loa e pili ana i kāu mōʻaukala olakino, ke ʻano o ke kaʻina hana, a me ka lōʻihi o kou pono e hoʻomaha ai i ka ʻeha.

Ua ʻoi aku ka maikaʻi o ka Bupivacaine a me ka Epinephrine ma mua o Lidocaine?

He mau lāʻau ʻeha kūloko maikaʻi loa nā lāʻau ʻelua, akā he mau ikaika like ʻole ko lākou e kūpono ai lākou no nā kūlana like ʻole. Hāʻawi ka Bupivacaine me ka epinephrine i ka ʻūlū lōʻihi, maʻamau 4 a 8 mau hola, ʻoiai ʻo ka lidocaine me ka epinephrine e mau ana no 2 a 4 mau hola.

Hana wikiwiki ka Lidocaine, e hāʻawi ana i ka ʻūlū i loko o 2 a 5 mau minuke, ʻoiai e hiki ke lawe i ka 10 a 15 mau minuke no ka bupivacaine e hiki ai i ka hopena piha. No nā kaʻina hana lōʻihi a i ʻole ke pono ka hoʻomaha ʻeha lōʻihi, makemake pinepine ʻia ka bupivacaine.

Aia ke koho i kāu mau pono kikoʻī. No ka hana niho wikiwiki, kūpono paha ka lidocaine. No nā kaʻina hana nui a i ʻole ke pono ʻoe i nā hola o ka hoʻomaha ʻeha ma hope, ʻo ka bupivacaine me ka epinephrine ke koho maikaʻi loa.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Bupivacaine a me ka Epinephrine

He palekana anei ka Bupivacaine a me ka Epinephrine no nā wahine hāpai?

Hoʻohana pinepine ʻia kēia lāʻau lapaʻau i ka wā o ka hānau ʻana no ka anesthesia epidural a ua manaʻo ʻia he palekana ke lawelawe ʻia e nā mea mālama ola i ʻike ʻia. Hoʻohālikelike ʻia nā mea i hoʻohana ʻia no ka hoʻomaha ʻeha hana e hāʻawi i ka hōʻoluʻolu me ka hōʻemi ʻana i kekahi pilikia iā ʻoe a i ʻole kāu pēpē.

Eia naʻe, e nānā pono kāu hui obstetric iā ʻoe a me kāu pēpē i ka wā a ma hope o ka lawelawe ʻana. E hoʻoponopono lākou i ka mahele a me ka manawa e pili ana i ka holomua o kāu hana a me ke ʻano o kāu pane ʻana a me kāu pēpē.

He aha kaʻu e hana ai inā loaʻa iaʻu nā hopena ʻaoʻao koʻikoʻi?

E ʻimi koke i ka lāʻau lapaʻau inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka pilikia o ka hanu ʻana, ka ʻūlū nui, ka puʻuwai wikiwiki a i ʻole ka maʻamau ʻole, a i ʻole nā ​​hōʻailona o ka hopena maʻi e like me nā hives a i ʻole ka pehu ʻana o ka maka. Pono kēia mau hōʻailona i ka mālama ulia pōpilikia.

No nā hopena ʻaoʻao liʻiliʻi e like me ka nausea māmā a i ʻole ke poʻo, e hoʻokaʻaʻike i kāu mea mālama ola no ke alakaʻi. Hiki iā lākou ke aʻo inā he maʻamau kēia mau hopena a i ʻole pono ʻoe i ka loiloi hou.

E manaʻo anei au i ka hāʻawi ʻia ʻana o ka injection?

E manaʻo paha ʻoe i ka hoʻokomo ʻana i ka nila mua, e like me kekahi injection, akā e ʻeha koke ka wahi ke hoʻomaka ka lāʻau lapaʻau e hana. Nui nā mea mālama ola e hoʻohana i nā ʻenehana e hōʻemi i ka hōʻoluʻolu ʻole, e like me ka hoʻohana ʻana i kahi nila maikaʻi loa a i ʻole ka hoʻopili ʻana i kahi mea hoʻopōpō topical mua.

ʻO ka hōʻoluʻolu pōkole o ka injection maʻamau ka liʻiliʻi ma mua o ka ʻeha o ke kaʻina hana e pale nei. ʻIke ka hapa nui o nā kānaka i ka ʻeha manawā o ka nila e hiki ke mālama ʻia i ka hoʻohālikelike ʻana i ke kōkua e hāʻawi ai.

Hiki iaʻu ke hoʻokele ma hope o ka loaʻa ʻana o kēia injection?

Aia kēia i kahi āu i loaʻa ai ka injection a me ke ʻano o kou manaʻo ma hope. Inā loaʻa iā ʻoe kahi kaʻina hana niho a ʻo kou waha wale nō ka ʻeha, hiki iā ʻoe ke hoʻokele maʻamau ke manaʻo ʻoe he makaʻala a paʻa.

Eia naʻe, inā loaʻa iā ʻoe kahi epidural a i ʻole ka poloka nerve e pili ana i kou mau wāwae, a i ʻole ke manaʻo nei ʻoe i ka ʻūlū a i ʻole ka māmā, pono ʻoe e loaʻa i kekahi e hoʻokele iā ʻoe i ka home. E hāʻawi kāu mea mālama ola iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kāu kūlana.

Pehea ka lōʻihi e kali ai au ma mua o ka ʻai ʻana ma hope o ka injection niho?

E kali a pau loa ka ʻehaʻeha ma mua o ka ʻai ʻana, maʻa mau ma hope o 2 a 4 hola ma hope o kāu hana niho. ʻO ka ʻai ʻana i ka wā e ʻehaʻeha ana kou waha e hoʻonui i ka pilikia o ka nahu ʻana i kou alelo, papalina, a i ʻole lehelehe.

Hiki iā ʻoe ke inu i nā wai anuanu me ka mālama, akā e pale i nā mea inu wela a hiki i ka hoʻi ʻana mai o ka manaʻo. E hāʻawi kāu kauka niho i nā ʻōlelo kikoʻī e pili ana i kāu hana a me ka lōʻihi o ka manawa e manaʻo ʻia ai ka ʻehaʻeha.