He aha ʻo Carbetocin: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO Carbetocin he lāʻau lapaʻau hormone synthetic e kōkua ana i kou ʻōpū e ʻaelike i ka wā a ma hope o ka hānau ʻana. Hāʻawi ʻia ma o ka laina IV (intravenous) pololei i loko o kou kahe koko, maʻamau i ka wā o ka hānau ʻana a i ʻole ka ʻāpana cesarean.

Hana kēia lāʻau lapaʻau e like me ka oxytocin, he hormone a kou kino e hana maoli ai, akā e mau ana i loko o kou ʻōnaehana. Hoʻohana kāu hui mālama ola kino i ka carbetocin e kōkua i ka pale ʻana i ke kahe koko nui ma hope o kou hānau ʻana, ʻo ia kekahi o nā hana palekana nui loa i ka wā o ka hānau ʻana.

No ke aha e hoʻohana ʻia ai ʻo Carbetocin?

Hoʻohana nui ʻia ʻo Carbetocin e pale i ka hemorrhage postpartum, ʻo ia hoʻi ke kahe koko nui ma hope o ka hānau ʻana. E hāʻawi maʻamau kāu kauka iā ʻoe i kēia lāʻau lapaʻau ma hope koke o ka hānau ʻana o kāu pēpē a i ʻole i ka wā o ka ʻāpana cesarean e kōkua i kou ʻōpū e ʻaelike pono.

Ke ʻaelike pono kou ʻōpū ma hope o ka hānau ʻana, kōkua ia i ka hoʻopaʻa ʻana i nā kīʻaha koko kahi i pili ai ka placenta. He mea nui kēia hana maoli no ka hoʻōki ʻana i ke kahe koko a me ke kōkua ʻana i kou kino e ola palekana mai ka hānau ʻana.

Hoʻohana ʻia ka lāʻau lapaʻau i ka wā e loaʻa ana iā ʻoe kahi ʻāpana cesarean i hoʻolālā ʻia ma lalo o ka anesthesia spinal a i ʻole epidural. I kēia mau hihia, kōkua ʻo carbetocin e hōʻoia i ka ʻaelike maikaʻi ʻana o kou ʻōpū ʻoiai ʻaʻole hiki iā ʻoe ke ʻike i nā ʻaelike maoli ma muli o ka anesthesia.

Pehea e hana ai ʻo Carbetocin?

Hana ʻo Carbetocin ma ka hoʻopaʻa ʻana i nā mea hoʻokipa kikoʻī i loko o kou ʻiʻo uterine, e hana ana i nā ʻaelike ikaika a mau. E noʻonoʻo iā ia e like me ka hāʻawi ʻana i kou ʻōpū i ka hōʻailona e pono ai e ʻomi paʻa a noho ʻaelike ma hope o ka hānau ʻana.

Manaʻo ʻia kēia lāʻau lapaʻau he mea ikaika a maikaʻi. ʻAʻole like me kekahi mau lāʻau lapaʻau i hoʻohana ʻia no nā kumu like, hāʻawi ʻo carbetocin i nā ʻaelike lōʻihi, ʻo ia hoʻi ka mea e pono ai ʻoe i hoʻokahi wale nō ma mua o nā mea he nui i kāu hoʻōla.

Kōkua nā ʻōpū i kou ʻōpū e hoʻi i kona nui ma mua o ka hāpai ʻana me ka wikiwiki a me ka maikaʻi a hoʻopaʻa i nā kīʻaha koko. Hoʻomaka maʻamau kēia hana i loko o kekahi mau minuke ma hope o ka loaʻa ʻana o ka lāʻau a hiki ke mau no kekahi mau hola.

Pehea wau e lawe ai i ka Carbetocin?

ʻAʻole ʻoe e

E nānā kāu hui mālama ola iā ʻoe no kekahi mau hola ma hope o ka loaʻa ʻana o ka carbetocin e hōʻoia i ka hana pono ʻana o kou ʻōpū a ʻaʻole ʻoe e ʻike i ke kahe nui ʻana. He ʻāpana kēia o ka mālama postpartum maʻamau, inā ua hānau ʻia ʻoe ma ka ʻōpū a i ʻole ka ʻāpana cesarean.

He aha nā hopena ʻaoʻao o Carbetocin?

ʻO ka hapa nui o nā wahine e ʻae maikaʻi i ka carbetocin, akā e like me nā lāʻau lapaʻau ʻē aʻe, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka mea maikaʻi, ʻaʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, a e nānā pono kāu hui lapaʻau iā ʻoe i ka wā a ma hope o ka injection.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike:

• Nausea a i ʻole ka manaʻo maʻi, e hana pinepine ana i ka wā hana
• Flushing a i ʻole ka manaʻo mahana, ʻoi loa i kou maka a me kou umauma
• ʻEha poʻo, hiki ke ʻano mai ka maʻalahi a i ka waena
• Dizziness a i ʻole ka manaʻo māmā
• ʻO ka ʻono metala i kou waha
• ʻEha ʻōpū mai nā ʻōpū uterine ikaika

Hoʻoponopono maʻamau kēia mau hōʻailona iā lākou iho i loko o kekahi mau hola i ka pau ʻana o nā hopena o ka lāʻau. Hiki i kāu hui mālama ola ke hāʻawi i nā hana hōʻoluʻolu e kōkua iā ʻoe e ʻoluʻolu i kēia manawa.

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e komo pū ana i nā loli i ke koko, ka puʻuwai ʻole, a i ʻole nā ​​hopena maʻi. ʻOiai he kakaikahi kēia, ua aʻo ʻia kāu hui lapaʻau e ʻike a mālama iā lākou me ka wikiwiki inā loaʻa.

ʻIke kekahi mau wahine i nā ʻōpū uterine ikaika ma mua o ka mea i manaʻo ʻia, hiki ke hōʻoluʻolu akā ʻaʻole pilikia. E nānā kāu poʻe mālama ola i ka ikaika a me ke alapine o kāu mau ʻōpū e hōʻoia i ka palekana.

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

ʻAʻole kūpono ka Carbetocin no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ka hoʻoholo ʻana e hoʻohana. ʻAʻole pono ʻoe e loaʻa i ka carbetocin inā he maʻi ʻoe iā ia a i ʻole oxytocin, he lāʻau lapaʻau like.

Pono nā wāhine me kekahi mau maʻi puʻuwai i ka noʻonoʻo kūikawā ma mua o ka loaʻa ʻana o ka carbetocin. Inā loaʻa iā ʻoe ka maʻi puʻuwai koʻikoʻi, nā puʻuwai puʻuwai ʻole, a i ʻole ke koko kiʻekiʻe nui, hiki i kāu kauka ke koho i nā lāʻau lapaʻau ʻē aʻe e pale ai i ke kahe koko ma hope o ka hānau ʻana.

ʻAʻole pono ʻoe e loaʻa i ka carbetocin inā loaʻa iā ʻoe kekahi mau pilikia hāpai e hoʻoweliweli ai i nā ʻōpū ikaika. Hiki i kēia ke komo i ka placenta previa, kahi e uhi ai ka placenta i ka cervix, a i ʻole inā he hopohopo e pili ana i ka haki ʻana o ka ʻōpū.

Pono paha nā wāhine me ka maʻi kīkī a i ʻole ka maʻi ate i nā hoʻoponopono ʻana i ka lāʻau a i ʻole nā lāʻau lapaʻau ʻē aʻe. E noʻonoʻo kāu hui lapaʻau i kou kūlana olakino holoʻokoʻa a me nā lāʻau lapaʻau āu e lawe nei ma mua o ka lawelawe ʻana i ka carbetocin.

Inā he moʻolelo kou o nā hopena maʻi maʻi koʻikoʻi i nā lāʻau lapaʻau, e hōʻoia e haʻi i kāu hui mālama ola ma mua o ka hānau ʻana. Loaʻa iā lākou nā koho ʻē aʻe e kōkua ai i ka pale ʻana i ke kahe koko nui me ka palekana.

Nā inoa inoa Carbetocin

Loaʻa ka Carbetocin ma lalo o nā inoa inoa like ʻole, ʻo Duratocin kekahi o nā mea i hoʻohana pinepine ʻia. Hiki i kāu haukapila ke mālama i nā hōʻailona like ʻole, akā loaʻa iā lākou nā mea hana like a hana i ke ala like.

ʻAʻole pili ka inoa inoa a kāu haukapila e hoʻohana ai i ka pono a i ʻole ka palekana o ka lāʻau. Pono nā huahana carbetocin a pau e hoʻokō i nā kūlana maikaʻi a me ka palekana i hoʻonohonoho ʻia e nā luna hoʻoponopono.

Inā makemake ʻoe e pili ana i ka hōʻailona kikoʻī āu i loaʻa ai, hiki iā ʻoe ke nīnau i kāu hui mālama ola. Hoʻopaʻa ʻia kēia ʻike i kāu moʻolelo lapaʻau a hiki ke kōkua no nā hāpai ʻana e hiki mai ana a i ʻole ka mālama olakino.

Nā koho ʻē aʻe o Carbetocin

Inā ʻaʻole kūpono ka carbetocin iā ʻoe, he nui nā koho ʻē aʻe i kāu kauka e pale ai i ka hemorrhage postpartum. ʻO ka Oxytocin ka mea maʻamau a hana like me ka carbetocin, ʻoiai e koi ana i nā lāʻau he nui.

ʻO ka Methylergonovine (Methergine) kekahi koho ʻē aʻe e hana ai i nā ʻōpū uterine ikaika. Eia naʻe, ʻaʻole kūpono ia no nā wahine me ke koko kiʻekiʻe a i ʻole kekahi mau maʻi puʻuwai, no laila e noʻonoʻo pono kāu kauka i kāu mōʻaukala olakino.

ʻO Misoprostol kahi lāʻau lapaʻau hiki ke hāʻawi ʻia ma ke ʻano he papa a i hoʻokomo ʻia i loko o ka ʻōpū. He mea pono loa ia i nā wahi i loaʻa ʻole ai nā lāʻau IV, ʻoiai hiki iā ia ke hoʻoulu i nā hopena ʻaoʻao gastrointestinal e like me ka nausea a me ka maʻi maʻi.

I kekahi mau hihia, hiki i kāu kauka ke hoʻohana i ka hui pū ʻana o kēia mau lāʻau lapaʻau no nā hopena maikaʻi loa. Aia ke koho i kāu mau kūlana pilikino, ka mōʻaukala olakino, a me nā kikoʻī kikoʻī o kāu hāʻawi ʻana.

Ua ʻoi aku ka maikaʻi o Carbetocin ma mua o Oxytocin?

He mau lāʻau lapaʻau maikaʻi ʻo Carbetocin a me oxytocin no ka pale ʻana i ka hemorrhage postpartum, akā he mau ʻokoʻa nui ko lākou. Pono ʻo Carbetocin i hoʻokahi wale nō mahele no ka mea e mau ana i loko o kāu ʻōnaehana, ʻoiai pono paha ʻo oxytocin i nā mahele he nui a i ʻole ka hoʻokomo mau ʻana.

Hōʻike nā haʻawina e ʻoi aku ka maikaʻi o ka carbetocin i ka pale ʻana i ka pono o nā lāʻau lapaʻau hou e kāohi i ke kahe ʻana. Hiki i kēia ke manaʻo i ka liʻiliʻi o nā hana a me ka ʻike hoʻōla ʻoluʻolu no ʻoe.

Hiki i ka hopena lōʻihi o ka carbetocin ke lilo i mea pono loa i ka wā o nā ʻāpana cesarean, kahi e pono ai nā ʻōpū uterine mau no ka hoʻōla kūpono. Eia naʻe, ua manaʻo ʻia nā lāʻau lapaʻau ʻelua he palekana a maikaʻi hoʻi ke hoʻohana pono ʻia.

E koho kāu kauka i ke koho maikaʻi loa e pili ana i kāu kūlana kikoʻī, me kāu ʻano hāʻawi, ka mōʻaukala olakino, a me nā protocol o ka haukapila. He moʻolelo palekana maikaʻi nā lāʻau lapaʻau ʻelua a ua hilinaʻi ʻia e nā mea mālama ola ma ka honua holoʻokoʻa.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Carbetocin

He palekana anei ʻo Carbetocin no ka hānai ʻana i ka umauma?

ʻAe, ua manaʻo ʻia ʻo carbetocin he palekana inā ʻoe e manaʻo e hānai i kāu pēpē i ka waiū. He liʻiliʻi wale nō o ka lāʻau lapaʻau e hele i loko o ka waiū umauma, a ʻaʻole ʻino kēia mau pae i kāu keiki hānau hou.

ʻO ka ʻoiaʻiʻo, hiki i nā ʻōpū uterine i hana ʻia e carbetocin ke kōkua i ke kākoʻo ʻana i ka hānai ʻana i ka waiū ma ka hōʻoia ʻana e ʻōpū pono kou ʻōpū. Kōkua kēia i ka hōʻemi ʻana i ke kahe ʻana a kākoʻo i ke kaʻina hana hoʻōla maoli o kou kino, hiki ke hōʻoluʻolu i ka hānai ʻana i ka waiū.

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

No ka mea, hāʻawi ʻia ʻo carbetocin i loko o kahi haukapila, e nānā pono kāu hui lapaʻau iā ʻoe no nā hōʻailona e pili ana. Inā loaʻa iā ʻoe ka nausea koʻikoʻi, nā loli nui i ke koko, a i ʻole nā ​​hopena maʻi, e haʻi koke i kāu kahu hānai a i ʻole ke kauka.

He kakaikahi nā hopena ʻaoʻao koʻikoʻi, akā ua mākaukau kāu hui mālama ola e mālama iā lākou me ka wikiwiki inā loaʻa. Loaʻa iā lākou nā lāʻau lapaʻau a me nā lāʻau lapaʻau e kūʻē i nā hopena koʻikoʻi a hōʻoia i kou palekana.

Hiki iaʻu ke noi iā Carbetocin ma kahi o nā lāʻau lapaʻau ʻē aʻe?

Hiki iā ʻoe ke kūkākūkā i kāu mau makemake me kāu hui mālama ola, akā pili ka koho ʻana i ka lāʻau lapaʻau i nā mea lapaʻau he nui. E noʻonoʻo kāu kauka i kāu mōʻaukala olakino, ke ʻano o ka hānau ʻana āu e loaʻa nei, a me nā mea i loaʻa ma kāu haukapila.

He mea kōkua ke loaʻa kēia mau kamaʻilio i ka wā o kāu mau kipa prenatal i hiki i kāu hui mālama ola ke hoʻolālā e like me ia. Hiki iā lākou ke wehewehe i nā koho i loaʻa ma kāu haukapila hānau a kōkua iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai.

E pili anei ʻo Carbetocin i koʻu manawa hoʻōla?

ʻAʻole pinepine ʻo Carbetocin e hoʻolōʻihi i kou manawa hoʻōla a hiki ke kōkua iā ʻoe e ola wikiwiki ma ka pale ʻana i ke kahe nui. Ke hana pono kou ʻōpū, kōkua ia i kou kino e hoʻōla maikaʻi ma hope o ka hānau ʻana.

ʻO nā hopena ʻaoʻao o ka lāʻau lapaʻau, e like me ka nausea a i ʻole ke poʻo, e pau maʻamau i loko o kekahi mau hola a ʻaʻole e hoʻopilikia nui i kou ola hou ʻana. ʻO ka hapa nui o nā wāhine e ʻike i ka ʻoluʻolu manawa pōkole e pono ai ka pale ʻana i nā pilikia koko koʻikoʻi.

Hoʻohana ʻia ʻo Carbetocin i nā hānau āpau?

ʻAʻole hoʻohana mau ʻia ʻo Carbetocin i nā hānau āpau, akā hoʻohana pinepine ʻia i nā ʻāpana cesarean a me nā hānau vaginal pilikia nui. E hoʻoholo kāu kauka ma muli o kou mau mea pilikia pilikino no ka hemorrhage postpartum.

ʻO nā mea e hiki ai ke hoʻohana ʻia ʻo carbetocin e komo pū ana me ka loaʻa ʻana o kahi pēpē nui, nā hāpai he nui, kahi hana lōʻihi, a i ʻole kekahi mau maʻi olakino. E loiloi kāu hui mālama ola i kēia mau mea a koho i ke ʻano pale kūpono loa no kou kūlana.