He aha ka Crotalidae Immune F(ab')2 (Equine): Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO Crotalidae Immune F(ab')2 (Equine) he lāʻau lapaʻau kūikawā i hoʻohana ʻia e mālama i nā nahu ʻana mai nā nahesa ʻawaʻawa ma ʻAmelika ʻĀkau. Hana kēia lāʻau lapaʻau e hoʻopau i nā mea ʻawaʻawa weliweli a nā nahesa lua e like me nā rattlesnakes, copperheads, a me nā cottonmouths e hoʻokomo ai ke nahu lākou. Inā ua nahu ʻia ʻoe a i ʻole kekahi āu e ʻike nei e kahi nahesa ʻawaʻawa, hiki i kēia lāʻau lapaʻau ke lilo i mea ʻokoʻa ma waena o ka hoʻōla a me nā pilikia koʻikoʻi.

He aha ka Crotalidae Immune F(ab')2 (Equine)?

ʻO Crotalidae Immune F(ab')2 he lāʻau lapaʻau i hana ʻia mai nā antibodies i lawe ʻia mai nā lio i hōʻike ʻia i nā mea ʻawaʻawa nahesa. Hoʻomohala nā lio i ka pale ʻana i ka manawa, a unuhi nā ʻepekema a hoʻomaʻemaʻe i kēia mau antibodies pale e hana i ka lāʻau lapaʻau. E noʻonoʻo e like me ka hōʻaiʻē ʻana i ka ʻōnaehana pale o ka lio e kōkua i ka hakakā ʻana i ka mea ʻawaʻawa nahesa i kou kino.

Hoʻopili pono kēia lāʻau lapaʻau i ka ʻohana Crotalidae o nā nahesa, e komo pū ana me nā nahesa lua ʻawaʻawa a pau i loaʻa ma ʻAmelika ʻĀkau. ʻO ka ʻāpana

Hoʻohana nā kauka i kēia lāʻau lapaʻau i ka wā e hōʻike ai kekahi i nā hōʻailona o ka ʻona nui, e like me ka pehu nui, nā pilikia o ke kahe ʻana o ke koko, a i ʻole nā ​​hōʻailona ʻōnaehana e like me ka pilikia o ka hanu ʻana a i ʻole nā ​​hoʻololi ʻana i ka puʻuwai. ʻAʻole pono i kēlā me kēia nahu nahesa i ka lāʻau lapaʻau, akā i ka wā e pono ai, he mea koʻikoʻi maoli nō ia.

Pehea e hana ai ʻo Crotalidae Immune F(ab')2?

Hana kēia lāʻau lapaʻau ma ka hoʻopaʻa pololei ʻana a me ka hoʻopau ʻana i nā mea ʻona i loko o ka lāʻau nahesa. Ke hālāwai nā antibodies i ka lāʻau lapaʻau i loko o kou kahe koko, pili lākou iā lākou e like me ke kī e komo ana i loko o ka laka, e hoʻolilo ana i nā mea ʻona i mea ʻole.

Hana ʻia ke kaʻina hana i ka wikiwiki ma hope o ke komo ʻana o ka lāʻau lapaʻau i loko o kou ʻōnaehana ma o ka IV. Holo nā antibodies ma kou koko, e ʻimi ana i nā mea lāʻau a me ka hoʻopau ʻana iā lākou ma mua o ka hiki iā lākou ke hana i ka pōʻino hou i kou mau ʻiʻo, nā kīʻaha koko, a i ʻole nā ​​ʻōkana.

Manaʻo ʻia he hana waena a ikaika i ka lāʻau lapaʻau pilikia. ʻOiai ʻaʻole ia ka lāʻau lapaʻau ikaika loa i loaʻa, ua lawa ka mana e kūʻē i nā hopena ʻona e hoʻoweliweli ana i ke ola a ua mālama ʻia no nā hihia ʻona koʻikoʻi kahi e ʻoi aku ai nā pōmaikaʻi ma mua o nā pilikia.

Pehea wau e lawe ai iā Crotalidae Immune F(ab')2?

ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau iā ʻoe iho - pono e hāʻawi ʻia e nā limahana lapaʻau i hoʻomaʻamaʻa ʻia i loko o kahi haukapila a i ʻole kahi pilikia. Hāʻawi ʻia ka lāʻau lapaʻau ma o ka laina intravenous (IV) pololei i loko o kou kahe koko.

Ma mua o ka loaʻa ʻana o ka lāʻau lapaʻau, e loiloi nā limahana lapaʻau i kou kūlana a hāʻawi paha iā ʻoe i nā lāʻau lapaʻau e pale ai i nā hopena maʻi. Hoʻomaka maʻamau ka infusion i ka lohi e nānā i nā hopena koke, a laila hiki ke hoʻonui ʻia ka helu inā ʻoe e ʻae maikaʻi.

ʻAʻohe kapu meaʻai e pili ana i kēia lāʻau lapaʻau, akā, e noho ana paha ʻoe i kahi kūlana lapaʻau pilikia kahi e kaupalena ʻia ai ka ʻai a me ka inu. E mālama ka hui lapaʻau i nā mea a pau o kāu mālama ʻana, me ka manawa a me ka mea hiki iā ʻoe ke ʻai i ka wā o ka mālama ʻana.

Pehea ka lōʻihi e lawe ai au i ka Crotalidae Immune F(ab')2?

Aia ka lōʻihi o ka mālama ʻana i ka paʻakikī o kou envenomation a me ke ʻano o kou pane ʻana i nā lāʻau mua. Loaʻa ka hapa nui o nā kānaka i ka antivenom i nā hola he nui i ka wā o kā lākou mālama mua.

Pono paha kekahi poʻe maʻi i nā lāʻau hou inā e ʻino aʻe nā hōʻailona a i ʻole ʻaʻole e hoʻomaikaʻi pono ma hope o ka mālama mua ʻana. E nānā mau ana kāu hui lapaʻau i kou kūlana - me nā hoʻokolohua koko, nā hōʻailona koʻikoʻi, a me nā hōʻailona - e hoʻoholo inā pono ka antivenom hou.

Hiki ke lawe i nā lā a i ʻole nā pule ka hoʻōla ʻana mai ka envenomation nahesa, akā, hana maʻamau ka mālama ʻana i ka antivenom ikaika i loko o nā hola 24-48 ma hope o ka nahu ʻana. E hana kāu mau kauka i nā hoʻoholo a pau e pili ana i ka lōʻihi o ka mālama ʻana ma muli o kou kūlana.

He aha nā hopena ʻaoʻao o Crotalidae Immune F(ab')2?

E like me nā lāʻau lapaʻau a pau, hiki i kēia antivenom ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole maʻamau nā hopena koʻikoʻi. No ka mea, ua hana ʻia mai nā antibodies lio, hiki i kāu ʻōnaehana pale ke hana i kēia mau protein haole.

Hiki i ka hoʻomaopopo ʻana i nā hopena hiki ke kōkua iā ʻoe e mākaukau hou aʻe, akā e hoʻomanaʻo e nānā pono nā poʻe loea lapaʻau iā ʻoe i ka wā o ka mālama ʻana:

• Nā hopena maʻalahi e like me ka ʻili ʻulaʻula, ka ʻū, a i ʻole nā hives ma kahi o ka injection
• Nausea a i ʻole ka ʻōpū maʻalahi
• Poʻo a i ʻole ke kuni maʻalahi
• ʻEha ʻiʻo a i ʻole ka ʻoluʻolu maʻamau

Hiki i nā hopena koʻikoʻi akā ʻaʻole maʻamau ke komo i ka pilikia o ka hanu ʻana, ka pehu nui, ka paʻa o ka umauma, a i ʻole ka emi nui ʻana o ke koko. ʻO kēia nā ʻano hopena a kāu hui lapaʻau e nānā pono nei a hiki ke mālama koke inā loaʻa.

Hiki i kekahi poʻe ke ʻike i nā hopena lohi i nā lā a i ʻole nā pule ma hope o ka mālama ʻana, me ka ʻeha hui, ke kuni, a i ʻole nā ʻōpū lymph pehu. ʻO kēia mau hōʻailona, ​​ʻoiai ʻoluʻolu ʻole, hiki ke mālama ʻia a hoʻoponopono me ka mālama kūpono.

ʻO wai ka mea ʻaʻole pono e lawe iā Crotalidae Immune F(ab')2?

He kakaikahi loa nā kumu maoli e pale aku i kēia antivenom ke pono maoli, no ka mea, hiki i ka envenomation nahesa ke hoʻoweliweli i ke ola. Eia naʻe, pono paha kekahi poʻe i nā hana mālama hou a i ʻole ka nānā ʻana i ka wā o ka mālama ʻana.

ʻO ka poʻe me nā maʻi maʻi koʻikoʻi i nā lio a i ʻole nā huahana lio e kū i nā pilikia kiʻekiʻe o nā hopena maʻi. Inā he maʻi lio ʻike ʻia, e hana kāu hui lapaʻau i nā hana mālama hou, e like me ka mālama mua ʻana iā ʻoe me nā antihistamines a me nā steroids, a me ka nānā pono ʻana iā ʻoe.

ʻO ka poʻe me ka hānō koʻikoʻi a i ʻole nā ​​maʻi hanu ʻē aʻe e pono paha i ka nānā pono ʻana, no ka mea, hiki i kekahi mau hopena maʻi ke hoʻopilikia i ka hanu ʻana. Eia naʻe, ʻaʻole kēia manaʻo ʻaʻole hiki iā ʻoe ke loaʻa ka antivenom - ʻo ia hoʻi e makaʻala loa kāu hui lapaʻau e pili ana i kou kūlana hanu.

Hiki i nā wahine hāpai ke loaʻa kēia antivenom ke pono, no ka mea, ʻoi aku ka nui o nā pilikia o ka envenomation nahesa i mālama ʻole ʻia ma mua o nā pilikia i ka makuahine a me ka pēpē. E noʻonoʻo pono kāu mau kauka i kēia mau mea i kāu kūlana.

Nā inoa inoa Crotalidae Immune F(ab')2

ʻO ka brand i hoʻohana pinepine ʻia o kēia antivenom ma ʻAmelika Hui Pū ʻIa ʻo CroFab (Crotalidae Polyvalent Immune Fab). Aia kekahi mana hou i kapa ʻia ʻo ANAVIP (Crotalidae Immune F(ab')2 Equine), ʻo ia ke ʻano a mākou e kūkākūkā nei.

Hoʻohana nā lāʻau lapaʻau ʻelua i ke kumu hoʻokahi - ka mālama ʻana i ka envenomation viper lua - akā he mau ʻano hana like ʻole a me nā papa hana dosage. E koho kāu hui lapaʻau i ke koho kūpono loa e pili ana i ka loaʻa, kou kūlana kikoʻī, a me nā protocols o ka haukapila.

Nā koho ʻē aʻe o Crotalidae Immune F(ab')2

Ma ʻAmelika ʻĀkau, he palena nā koho ʻē aʻe i kēia antivenom kikoʻī no ka mālama ʻana i nā nahu viper lua. ʻO ka koho nui ʻo CroFab, e hoʻohana ana i kahi ʻano ʻokoʻa o ka antibody fragment (Fab ma kahi o F(ab')2) akā e lawelawe ana i ke kumu nui like.

Loaʻa paha i kekahi mau haukapila nā antivenoms like ʻole e pili ana i ko lākou wahi a me nā ʻano nahesa maʻamau i ko lākou wahi. Eia naʻe, no nā nahu viper lua ʻAmelika ʻĀkau, ʻo nā antivenoms Crotalidae ke kūlana a me ka mālama maikaʻi loa.

Ma waho aʻe o ka antivenom, he mea nui nā ana mālama kākoʻo e like me ka mālama ʻeha, ka mālama ʻeha, a me ka nānā ʻana i nā pilikia i ka mālama ʻana, akā ʻaʻole hiki iā lākou ke pani i ka pono o ka antivenom i nā hihia envenomation koʻikoʻi.

ʻOi aku ka maikaʻi o Crotalidae Immune F(ab')2 ma mua o CroFab?

He kūpono loa nā antivenoms ʻelua no ka mālama ʻana i ka envenomation viper lua, akā he mau ʻokoʻa ko lākou e hiki ai i kekahi ke kūpono ma mua o kekahi i kekahi mau kūlana.

Hiki i ka ANAVIP (F(ab')2) ke koi i nā mea liʻiliʻi no ka mea e noho ana i loko o kāu ʻōnaehana no ka lōʻihi ma mua o CroFab. Hiki i kēia ke manaʻo i nā huakaʻi liʻiliʻi i ka haukapila no nā lāʻau lapaʻau hou, kahi e ʻike ai kekahi poʻe maʻi he mea kūpono i ka wā o ko lākou ola hou ʻana.

Ua hoʻohana ʻia ʻo CroFab no ka lōʻihi a loaʻa iā ia ka ʻike lapaʻau nui aʻe ma hope ona, kahi e makemake ai kekahi mau kauka. Eia naʻe, he moʻolelo palekana a me ka pono maikaʻi loa. E koho kāu hui lapaʻau e pili ana i ka mea i loaʻa, kou kūlana kikoʻī, a me kā lākou ʻike lapaʻau.

ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o ka lāʻau antivenom kūpono i ka wā e pono ai, me ka nānā ʻole i ka inoa kikoʻī i hoʻohana ʻia. Hiki i nā lāʻau ʻelua ke hoʻopakele i ke ola ke hāʻawi pono ʻia.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Crotalidae Immune F(ab')2

Q1. He palekana anei ka Crotalidae Immune F(ab')2 no ka poʻe me ka maʻi puʻuwai?

ʻAe, hiki ke hāʻawi palekana ʻia kēia antivenom i ka poʻe me nā maʻi puʻuwai ke pono ka mālama ʻana i ka envenomation na ka nahesa. E nānā pono kāu hui lapaʻau i kou puʻuwai a me ke koko i ka wā o ka mālama ʻana.

ʻO nā pilikia o ka envenomation na ka nahesa i mālama ʻole ʻia - me nā hopena i kāu ʻōnaehana cardiovascular mai ka lāʻau make ponoʻī - ʻoi aku ka nui ma mua o nā pilikia o ka mālama ʻana i ka antivenom. E hoʻoponopono kāu mau kauka i ka nānā ʻana a me ka mālama kākoʻo e pili ana i kou maʻi puʻuwai.

Q2. He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Crotalidae Immune F(ab')2?

ʻAʻole hiki iā ʻoe ke loaʻa i ka nui o kēia lāʻau lapaʻau no ka mea, hāʻawi ʻia e nā poʻe lapaʻau i hoʻomaʻamaʻa ʻia i nā wahi haukapila i mālama ʻia. Hoʻohālikelike ʻia ka dosing me ke akahele e pili ana i kou kaumaha, nā hōʻailona, ​​a me ka pane ʻana i ka mālama ʻana.

Inā hopohopo ʻoe e pili ana i kāu mālama ʻana a i ʻole e ʻike ana i nā hōʻailona maʻamau, e kamaʻilio koke me kāu hui lapaʻau. Hiki iā lākou ke loiloi inā pili kāu mau hōʻailona i ka antivenom, ka nahu na ka nahesa, a i ʻole nā ​​mea ʻē aʻe.

Q3. He aha kaʻu e hana ai inā e poina iaʻu kahi mahele o Crotalidae Immune F(ab')2?

ʻAʻole pili kēia nīnau i ka mālama ʻana i ka antivenom no ka mea ʻaʻole ʻoe ke kuleana no ka lawe ʻana i nā mahele iā ʻoe iho. Mālama kāu hui lapaʻau i nā mea a pau o ka dosing a me ka manawa e pili ana i kou kūlana a me ka pane ʻana i ka mālama ʻana.

Inā hopohopo ʻoe e pili ana i kāu hoʻolālā mālama a i ʻole he mau nīnau e pili ana i ka mālama ʻana, e kūkākūkā pololei me kāu mau mea mālama ola. Hiki iā lākou ke wehewehe i ka mea e manaʻo ai a i ka wā e pono ai ka mālama hou.

Nīnau 4. I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Crotalidae Immune F(ab')2?

Na kāu mau kauka e hoʻoholo i ka manawa e pau ai ka lapaʻau antivenom ma muli o kāu mau hōʻailona, nā hoʻokolohua koko, a me ka holomua o ka hoʻōla holoʻokoʻa. ʻAʻole pono ka hapa nui o nā kānaka i ka lāʻau antivenom e hoʻomau ana i ka wā i kūleʻa ai ka lāʻau mua i ka pale ʻana i ka lāʻau make.

Eia naʻe, hiki i ka hoʻōla ʻana mai ka nahu ʻana i ka nahesa ke lawe i nā pule, a pono paha ʻoe i nā lāʻau lapaʻau kākoʻo ʻē aʻe i kēia manawa. E alakaʻi kāu hui lapaʻau iā ʻoe ma ke kaʻina hana hoʻōla holoʻokoʻa a e haʻi iā ʻoe i ka mea e manaʻo ai.

Nīnau 5. Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o Crotalidae Immune F(ab')2?

ʻAʻole pono ʻoe e kalaiwa ma hope koke o ka loaʻa ʻana o ka lāʻau antivenom. ʻO ka nahu ʻana i ka nahesa, ka antivenom, a me nā lāʻau lapaʻau ʻē aʻe āu i loaʻa ai, hiki ke hoʻopilikia i kou hiki ke kalaiwa palekana.

E aʻo aku kāu hui lapaʻau iā ʻoe i ka wā e palekana ai e hoʻomau i nā hana maʻamau e like me ke kalaiwa. Aia kēia hoʻoholo i ka holomua o kou hoʻōla ʻana, nā hōʻailona e hoʻomau nei, a me nā lāʻau lapaʻau āu e lawe nei no ka ʻeha a i ʻole nā hopena ʻē aʻe o ka envenomation.