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

ʻO ka edrophonium injection he lāʻau lapaʻau e ālai ana i ka wāwahi ʻana o ka acetylcholine, he mea hoʻouna kemika i loko o kāu ʻōnaehana nerve. Hoʻokumu kēia i kahi hoʻomaikaʻi pōkole akā ʻike ʻia i ka ikaika a me ka hana o ka ʻiʻo. Hoʻohana nui nā mea mālama ola i kēia lāʻau injectable ma ke ʻano he mea hana diagnostic e kōkua i ka ʻike ʻana i kekahi mau maʻi ʻiʻo a me nā maʻi nerve, ʻo ia hoʻi ka myasthenia gravis.

He aha ka Edrophonium?

ʻO Edrophonium kahi lāʻau lapaʻau pōkole e pili ana i kahi papa o nā lāʻau i kapa ʻia ʻo cholinesterase inhibitors. Hana ia ma ka pale ʻana i ka wāwahi ʻana o ka acetylcholine, he mea nui ia no ke kamaʻilio ʻana ma waena o kou mau aʻalolo a me nā ʻiʻo. Ke piʻi ka pae acetylcholine no ka manawa pōkole, hiki i kou mau ʻiʻo ke ʻaelike ʻoi aku ka maikaʻi.

Hele mai ka lāʻau lapaʻau ma ke ʻano he hopena maopopo, ʻaʻohe kala e hāʻawi ʻia e nā mea mālama ola ma o ka injection i loko o kou vein. ʻAʻole like me nā lāʻau lapaʻau ʻē aʻe, hana wikiwiki ka edrophonium akā mau wale nō no kekahi mau minuke. ʻO kēia manawa kūʻokoʻa e hoʻohana nui ai no ka hoʻāʻo diagnostic ma mua o ka mālama ʻana.

E hālāwai maʻamau ʻoe me ka edrophonium i loko o kahi haukapila a i ʻole ke keʻena lapaʻau, kahi e hiki ai i nā poʻe loea lapaʻau ke nānā pono i kāu pane. ʻIke ʻia ka lāʻau lapaʻau e kona inoa inoa Tensilon, ʻoiai ʻo ka mana generic i hoʻohana pinepine ʻia i kēia lā.

No ke aha e hoʻohana ʻia ai ka Edrophonium?

Hoʻohana nui ʻia ʻo Edrophonium ma ke ʻano he mea hana diagnostic e kōkua i nā kauka e ʻike i ka myasthenia gravis, kahi maʻi e hoʻouka ai kāu ʻōnaehana pale i nā pilina ma waena o nā aʻalolo a me nā ʻiʻo. I ka wā o ka hoʻāʻo, e hoʻokomo kāu kauka i ka edrophonium a nānā i ka hoʻomaikaʻi ʻana i ka nāwaliwali o ka ʻiʻo a i ʻole ka hāʻule ʻana o nā lihilihi.

Hoʻohana ʻia ka lāʻau lapaʻau no ka hoʻokaʻawale ʻana ma waena o ka pilikia myasthenic a me ka pilikia cholinergic i nā maʻi i hōʻoia mua ʻia me ka myasthenia gravis. He mea e hiki mai ana ka pilikia myasthenic ke ʻino kou kūlana a pono ʻoe i ka lāʻau lapaʻau hou, aʻo ka pilikia cholinergic e hana ʻia ke loaʻa iā ʻoe ka lāʻau lapaʻau nui loa.

I kekahi manawa, hoʻohana nā kauka i ka edrophonium e hoʻohuli i nā hopena o kekahi mau mea hoʻomaha ʻiʻo i hoʻohana ʻia i ka wā o ke ʻoki. Kōkua kēia i ka hōʻoia ʻana e hoʻihoʻi kou mau ʻiʻo i ka hana maʻamau ma hope o nā kaʻina hana lapaʻau. Eia naʻe, ʻaʻole maʻamau kēia hoʻohana ʻana ma mua o kāna mau noi diagnostic.

I nā hihia kakaʻikahi, hiki i nā mea mālama ola ke hoʻohana i ka edrophonium e hoʻāʻo no nā maʻi neuromuscular ʻē aʻe a i ʻole e loiloi i ka pono o nā lāʻau lapaʻau myasthenia gravis ʻē aʻe. Pono kēia mau hoʻohana kūikawā i ka mālama ʻana i ka lāʻau lapaʻau a me ka loea.

Pehea e hana ai ʻo Edrophonium?

Hana ʻo Edrophonium ma ka pale ʻana i kahi enzyme i kapa ʻia ʻo acetylcholinesterase, ka mea e wāwahi maʻamau i ka acetylcholine i kou kino. Ke ālai ʻia kēia enzyme, hōʻiliʻili ʻo acetylcholine ma ka hui ma waena o kou mau aʻalolo a me nā ʻiʻo, e hana ana i nā hōʻailona ikaika no ka ʻiʻo ʻana.

E noʻonoʻo i ka acetylcholine ma ke ʻano he kī e wehe ai i ka neʻe ʻana o ka ʻiʻo. I nā kūlana e like me ka myasthenia gravis, ʻaʻole lawa nā laka hana no kēia mau kī. ʻAʻole hana ʻo Edrophonium i nā laka hou, akā mālama ia i nā kī a puni no ka lōʻihi i loaʻa iā lākou nā manawa hou e hana ai.

Ua manaʻo ʻia ka lāʻau lapaʻau he ikaika iki akā pōkole loa. Hoʻomaka kāna mau hopena i loko o 30 a 60 kekona o ka injection a mau wale nō 5 a 10 mau minuke. ʻO kēia manawa pōkole e kūpono ia no nā kumu hoʻāʻo akā ʻaʻole kūpono no ka mālama lōʻihi.

ʻO ka hoʻomaka wikiwiki a me ka pōkole pōkole hoʻi, ʻo ia hoʻi, e lilo nā hopena ʻaoʻao āu e ʻike ai i ka manawa. ʻO kēia ʻano e palekana ai ka edrophonium no ka hoʻohana diagnostic i hoʻohālikelike ʻia i nā lāʻau lapaʻau lōʻihi i ka papa like.

Pehea wau e lawe ai i ka Edrophonium?

ʻAʻole ʻoe e lawe iā edrophonium iā ʻoe iho - hāʻawi mau ʻia e nā poʻe loea mālama ola i kahi wahi lapaʻau. He ʻano injection ka lāʻau e hele pololei ana i loko o kou vein ma o kahi laina IV a i ʻole i loko o kou ʻiʻo i kekahi manawa. Na kāu kauka e hoʻoholo i ke ana pololei e pili ana i kou kaumaha, makahiki, a me ka hoʻokolohua kikoʻī e hana ʻia nei.

Ma mua o ka loaʻa ʻana o ka edrophonium, ʻaʻole pono ʻoe e pale i ka meaʻai a i ʻole ka inu ʻana ke ʻole e kuhikuhi pololei kāu kauka iā ʻoe e hana pēlā. Eia naʻe, pono ʻoe e hōʻike i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui.

He mau kekona wale nō ka injection, akā e nānā pono ʻia ʻoe no kekahi mau minuke ma hope. E nānā kāu hui mālama ola i nā loli i kou ikaika ʻiʻo, ka hanu ʻana, a me ke kūlana holoʻokoʻa i kēia manawa.

E loaʻa ana iā ʻoe ka edrophonium i ka wā e moe ana a i ʻole e noho ana me ka ʻoluʻolu. Kōkua kēia kūlana i ka hōʻoia ʻana i kou palekana a hiki i nā mea mālama ola ke nānā maikaʻi i nā loli i kāu hana ʻiʻo.

Pehea ka lōʻihi e lawe ai au i ka Edrophonium?

ʻAʻole ʻo Edrophonium kahi lāʻau lapaʻau āu e lawe ai no ka manawa lōʻihi. Hoʻolālā ʻia no ka hoʻāʻo diagnostic hoʻokahi, a pau kona hopena i loko o 5 a 10 mau minuke. ʻAʻole loaʻa iā ʻoe kahi palapala e lawe ai i ka home a i ʻole kahi papa hana lapaʻau e hahai ai.

Inā he nui nā hoʻokolohua āu e hana nei, hiki i kāu kauka ke hāʻawi iā ʻoe i ka edrophonium i nā manawa like ʻole, akā ʻo kēlā me kēia hoʻohana ʻana he hoʻokahi, hōʻike manawa pōkole. ʻAʻole e kūkulu ka lāʻau lapaʻau i loko o kāu ʻōnaehana a i ʻole e koi i ka hoʻonui ʻana a i ʻole ka emi ʻana o ka dosing.

No nā maʻi me ka myasthenia gravis e pono ai ka mālama ʻana, kuhikuhi pinepine nā kauka i nā lāʻau lapaʻau lōʻihi e like me ka pyridostigmine ma mua o ka hana hou ʻana i nā injections edrophonium. ʻO ke kuleana o Edrophonium ka mea nui i ka diagnostic ma mua o ka therapeutic.

He aha nā hopena ʻaoʻao o Edrophonium?

Ua ʻae maikaʻi ka hapa nui o nā kānaka i ka edrophonium, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka nūhou maikaʻi, e pōkole nā hopena ʻaoʻao āu e ʻike ai ma muli o ka pōkole o ka hana ʻana o ka lāʻau.

Eia nā hopena ʻaoʻao maʻamau āu e ʻike ai, me ka noʻonoʻo ʻana e pau ana kēia mau mea i loko o kekahi mau minuke:

• Nausea a i ʻole ka ʻoluʻolu o ka ʻōpū
• Hoʻonui ʻia ka hana ʻana o ka saliva
• Hoʻopuka hou i ka hou ma mua o ka maʻamau
• Ka ʻiʻo twitching a i ʻole fasciculations
• ʻO ka ʻōpū o ka ʻōpū
• Pāpaʻa
• Hoʻonui ʻia ka mimi
• Ke manaʻo nei i ka ʻūlū a i ʻole ka māmā

Hana ʻia kēia mau hōʻailona no ka mea e hoʻonui ai ka edrophonium i ka acetylcholine i loko o kou kino, ʻaʻole wale nō ma nā pilina nerve-muscle e hoʻāʻo ʻia nei. ʻIke ka hapa nui o nā kānaka i kēia mau hopena no ka mea e hala koke lākou.

Aia kekahi mau hopena ʻaoʻao koʻikoʻi akā kakaʻikahi e koi ai i ka lāʻau lapaʻau koke. E nānā ana kāu hui mālama ola i kēia mau mea, akā he mea kōkua ke ʻike i ke ʻano o lākou:

• He paʻakikī nui ka hanu ʻana a i ʻole ka pilikia o ka hanu
• Ka puʻuwai ʻole a i ʻole ka ʻeha o ka umauma
• ʻO ka nāwaliwali o ka ʻiʻo nui (paradoxical response)
• Nā hopu
• Ka nalowale o ka ʻike
• Nā hopena maʻi maʻi koʻikoʻi me ka pehu a i ʻole ka ʻōpala

ʻAʻole maʻamau kēia mau hopena koʻikoʻi, a e noho ana ʻoe i kahi hoʻonohonoho lāʻau lapaʻau kahi e loaʻa ai ka lāʻau lapaʻau koke inā pono. Ua aʻo ʻia kāu poʻe mālama ola e ʻike a mālama i kēia mau kūlana me ka wikiwiki.

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

ʻAʻole pono kekahi poʻe e loaʻa i ka edrophonium ma muli o ka piʻi ʻana o ka pilikia o nā pilikia koʻikoʻi. E nānā kāu kauka i kāu mōʻaukala olakino ma mua o ka hoʻoholo ʻana inā palekana kēia lāʻau lapaʻau iā ʻoe.

ʻAʻole pono ʻoe e loaʻa i ka edrophonium inā loaʻa iā ʻoe kekahi mau maʻi puʻuwai, no ka mea, hiki i ka lāʻau lapaʻau ke hoʻopilikia i kāu puʻuwai a me ka helu. Eia nā kūlana nui e hana ai i ka edrophonium kūpono ʻole:

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• Nā maʻi puʻuwai koʻikoʻi (arrhythmias)
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• He maʻi puʻuwai i hala koke a i ʻole he maʻi puʻuwai paʻa ʻole
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• He hānō koʻikoʻi a i ʻole he maʻi pulmonary obstructive maʻi (COPD)
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• He paʻa ʻana o ka ʻōpū a i ʻole ka mimi
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• He maʻi ʻaʻai i ka edrophonium a i ʻole nā lāʻau lapaʻau like
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• He maʻi kīkī koʻikoʻi
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• He maʻi ʻōpū peptic maʻi
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E akahele nō hoʻi kāu kauka i ka hoʻohana ʻana i ka edrophonium inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, akā pono paha ia no nā kumu diagnostic i kekahi manawa. Hiki i ka lāʻau lapaʻau ke hele i ka placenta a hiki ke hoʻopilikia i kāu pēpē.

Inā he mōʻaukala kou o nā hopu ʻana, e loiloi pono kāu hui mālama ola i nā pilikia a me nā pōmaikaʻi. ʻOiai hiki i ka edrophonium ke hoʻoulu i nā hopu ʻana i nā hihia kakaʻikahi, he mea nui paha ka ʻike diagnostic e hāʻawi ai no kāu mālama.

ʻAʻole e hoʻokaʻawale wale ka makahiki iā ʻoe mai ka loaʻa ʻana o ka edrophonium, akā ʻoi aku paha ka maʻalahi o nā mākua i kona hopena. E hoʻoponopono kāu kauka i ka mahele a nānā pono iā ʻoe i ka wā o ka hoʻokolohua.

Nā inoa inoa o Edrophonium

Ua kūʻai mua ʻia ʻo Edrophonium ma lalo o ka inoa inoa Tensilon e Valeant Pharmaceuticals. Eia naʻe, ʻaʻole i loaʻa hou ka mana inoa inoa ma nā ʻāina he nui, me ʻAmelika Hui Pū ʻIa.

I kēia lā, e ʻike pinepine ʻoe i ka edrophonium ma ke ʻano he lāʻau lapaʻau maʻamau. Hana like nā mana maʻamau e like me ka huahana inoa inoa a hoʻokō i nā kūlana palekana a me ka pono like. E kuhikuhi wale kāu mea mālama ola iā ia ma ke ʻano he

ʻOiai ʻo ka edrophonium ka maʻamau gula no kekahi mau hoʻokolohua diagnostic, aia nā ala ʻē aʻe e noʻonoʻo ai kāu kauka. Aia ke koho i ke ʻano o ke kūlana e noiʻi ʻia nei a me kou kūlana olakino.

No ka ʻike ʻana i ka myasthenia gravis, hiki i kāu kauka ke hoʻohana i nā ʻano hana ʻē aʻe ma kahi o ka hoʻokolohua edrophonium a i ʻole ma waho. Hiki i nā hoʻokolohua koko ke ʻike i nā antibodies kikoʻī e pili ana me ka myasthenia gravis, e hāʻawi ana i ka ʻike diagnostic me ka ʻole o ka pono o ka injection.

Hiki i nā haʻawina conduction nerve a me ka electromyography (EMG) ke kōkua i ka ʻike ʻana i nā maʻi neuromuscular. Ana kēia mau hoʻokolohua i ka hana uila i loko o kou mau aʻalolo a me nā ʻiʻo, e hāʻawi ana i ka ʻike kikoʻī e pili ana i ka hana maikaʻi ʻana o kāu ʻōnaehana nerve.

No nā maʻi i hiki ʻole ke loaʻa i ka edrophonium, hiki i nā kauka ke hoʻohana i nā hoʻokolohua pūʻolo hau no kekahi mau hōʻailona e like me ka hāʻule ʻana o nā lihilihi. Hiki i ka hoʻopili ʻana i ka hau ke hoʻomaikaʻi i ka hana ʻana o ka ʻiʻo i ka myasthenia gravis, e hāʻawi ana i nā hōʻailona diagnostic me ka ʻole o ka lāʻau lapaʻau.

I kekahi mau hihia, hiki i kāu kauka ke kauoha i kahi hoʻokolohua o ka pyridostigmine waha, kahi lāʻau lōʻihi i ka papa like me ka edrophonium. Inā hoʻomaikaʻi nui kou mau hōʻailona me kēia lapaʻau, hiki iā ia ke kākoʻo i ka ʻike ʻana i ka myasthenia gravis.

ʻOi aku ka maikaʻi o ka Edrophonium ma mua o Pyridostigmine?

Hoʻohana ʻo Edrophonium a me pyridostigmine i nā kumu like ʻole, no laila ʻaʻole like ka hoʻohālikelike ʻana iā lākou me ka hoʻohālikelike ʻana i nā ʻāpala i nā ʻāpala. ʻO Edrophonium ka mea maikaʻi loa ma ke ʻano he mea hana diagnostic ma muli o kāna hoʻomaka wikiwiki a me ka pōkole, ʻoiai ʻoi aku ka maikaʻi o ka pyridostigmine no ka mālama ʻana.

No ka hoʻāʻo diagnostic, ʻoi aku ka maikaʻi o ka hana wikiwiki a edrophonium ma mua o ka pyridostigmine. Hiki iā ʻoe ke ʻike i nā hopena i loko o hoʻokahi minuke, a inā ʻoe e ʻike i nā hopena ʻaoʻao, e hoʻoponopono koke lākou. He 30 a 60 mau minuke ka hana ʻana o ka Pyridostigmine a mau no kekahi mau hola, e lilo ana ia i mea kūpono ʻole no nā kumu hoʻāʻo.

Akā, no ka mālama ʻana i ka myasthenia gravis no ka wā lōʻihi, ʻoi aku ka maikaʻi o ka pyridostigmine ma mua o ka edrophonium. Hiki iā ʻoe ke lawe i ka pyridostigmine ma ka waha i nā manawa he nui i ka lā e mālama ai i ka mana o nā hōʻailona, ​​ʻoiai ʻo ka edrophonium e koi i ka komo ʻana i ka IV a me ka nānā ʻana i ka haukapila.

Ua like ka ikaika o kēia mau lāʻau lapaʻau, akā ʻo ko lākou lōʻihi o ka hana e kūpono ai lākou no nā kūlana like ʻole. E noʻonoʻo i ka edrophonium ma ke ʻano he kiʻi diagnostic wikiwiki, ʻoiai ʻo ka pyridostigmine e hāʻawi i ka pōmaikaʻi therapeutic mau.

E koho kāu kauka i ka lāʻau lapaʻau kūpono e pili ana inā pono ʻoe i ka hōʻailona a i ʻole ka mālama mau. Nui nā maʻi e loaʻa mua i ka edrophonium no ka hoʻāʻo ʻana a laila, inā ua ʻike ʻia me ka myasthenia gravis, e hoʻololi i ka pyridostigmine no ka mālama ʻana i kēlā me kēia lā.

Nā Nīnau i Nīnau pinepine ʻia e pili ana iā Edrophonium

He palekana anei ka Edrophonium no ka maʻi puʻuwai?

Hiki i ka Edrophonium ke hoʻopilikia i kou puʻuwai a me ka puʻuwai, no laila pono e noʻonoʻo pono inā loaʻa iā ʻoe ka maʻi puʻuwai. E loiloi kāu kauka i kou kūlana puʻuwai kikoʻī a hiki ke hoʻoholo i nā pōmaikaʻi diagnostic e ʻoi aku i nā pilikia, ʻoiai he pōkole nā ​​hopena o ka lāʻau lapaʻau.

Inā loaʻa iā ʻoe ka maʻi puʻuwai maʻalahi a paʻa, hiki nō iā ʻoe ke loaʻa i ka edrophonium me ka nānā pono ʻana. Eia naʻe, inā loaʻa iā ʻoe nā pilikia puʻuwai koʻikoʻi, ka puʻuwai i loaʻa i kēia manawa, a i ʻole ka maʻi puʻuwai paʻa ʻole, e koho kāu kauka i nā ʻano diagnostic ʻē aʻe.

E nānā mau kāu hui mālama ola i kou puʻuwai i ka wā o ka hoʻokolokolo inā he hopohopo kou puʻuwai. E loaʻa nō hoʻi iā lākou nā lāʻau lapaʻau e kūʻē i nā hopena o ka edrophonium inā pono, ʻoiai he kakaikahi nā pilikia puʻuwai koʻikoʻi.

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

He pilikia olakino ka nui loa o ka edrophonium, akā e loaʻa mau ana iā ʻoe kēia lāʻau lapaʻau ma kahi mālama olakino kahi e loaʻa ai ka lāʻau lapaʻau koke. E ʻike koke kāu hui olakino i nā hōʻailona o ka nui loa a e pane kūpono.

ʻO nā hōʻailona o ka nui loa o ka edrophonium e komo pū ana me ka nāwaliwali nui o nā ʻiʻo, ka pilikia o ka hanu ʻana, ka hana nui ʻana o ka wai kohu, ka nausea nui a me ka luaʻi ʻana, a me nā loli weliweli i ka puʻuwai. Hiki ke ulu wikiwiki kēia mau hōʻailona akā hiki ke mālama ʻia me ka mālama olakino kūpono.

Loaʻa i nā mea mālama olakino kahi lāʻau lapaʻau i kapa ʻia ʻo atropine e hiki ke kūʻē i nā hopena o ka edrophonium. Hana kēia lāʻau lapaʻau ma ka pale ʻana i ka hana acetylcholine nui e hoʻoulu ai i nā hōʻailona o ka nui loa. Ua aʻo ʻia kāu hui olakino e helu i ka mahele kūpono a e hāʻawi koke inā pono.

ʻO ka lono maikaʻi, he mea maʻamau ka nui loa o ka edrophonium no ka mea e helu pono ana nā mea mālama olakino i nā mahele a he pōkole ka hana ʻana o ka lāʻau lapaʻau. ʻOiai inā loaʻa iā ʻoe ka nui loa, e hoʻomaka ana nā hopena e pau maoli i loko o kekahi mau minuke.

He aha kaʻu e hana ai inā ʻaʻole hana ka hoʻokolohua edrophonium?

ʻAʻole pono ka hoʻokolohua edrophonium maikaʻi ʻole e manaʻo ʻaʻole ou myasthenia gravis a i ʻole nā ​​maʻi neuromuscular ʻē aʻe. I kekahi manawa pono e hana hou ʻia ka hoʻokolohua, a i ʻole pono paha kāu kauka e hoʻohana i nā ala diagnostic like ʻole e loaʻa ai ka pane maopopo.

Hiki i kekahi mau mea ke hoʻopilikia i nā hopena hoʻokolohua, me ka manawa o kāu mau hōʻailona, ​​nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me nā ʻiʻo kikoʻī e hoʻāʻo ʻia nei. Hiki i kāu kauka ke ʻōlelo e hana hou i ka hoʻokolohua i kahi manawa ʻē aʻe a i ʻole ke ʻoi aku ka maikaʻi o kāu mau hōʻailona.

Inā ʻaʻole maopopo ka hoʻokolohua edrophonium, e kauoha paha kāu kauka i nā hoʻokolohua ʻē aʻe e like me ka hana koko e nānā ai i nā antibodies myasthenia gravis, nā haʻawina conduction nerve, a i ʻole nā ​​kiʻi kiʻi. Hiki i kēia mau hoʻokolohua ke hāʻawi i ka ʻike hou e kōkua i ka hana ʻana i kahi maʻi.

I kekahi manawa, hiki i kāu kauka ke ʻōlelo aku i kahi hoʻokolohua lapaʻau me nā lāʻau lōʻihi e like me ka pyridostigmine. Inā hoʻomaikaʻi nui kou mau hōʻailona me ka lapaʻau ʻana, hiki i kēia ke kākoʻo i kahi hōʻailona inā he maikaʻi ʻole ka hoʻokolohua edrophonium.

I ka manawa hea e hiki ai iaʻu ke hoʻomau i nā hana maʻamau ma hope o ka Edrophonium?

Hiki iā ʻoe ke hoʻomau i nā hana maʻamau ma hope koke o ka loaʻa ʻana o ka edrophonium, no ka mea, pau kona hopena i loko o 5 a 10 mau minuke. Eia naʻe, hiki i kāu kauka ke ʻōlelo aku e kali iki a hiki i kou manaʻo ʻana ua hoʻi hou ʻoe i ka maʻamau ma mua o ka haʻalele ʻana i ke keʻena lapaʻau.

Inā loaʻa iā ʻoe kekahi hopena ʻaoʻao i ka wā o ka hoʻokolohua, e kali a hiki i ka pau ʻana o kēia mau mea ma mua o ka hoʻokele ʻana a i ʻole ka hana ʻana i nā mīkini. ʻO ka hapa nui o nā kānaka e maikaʻi ana i loko o 15 a 20 mau minuke o ka loaʻa ʻana o ka injection, akā e hoʻolohe i kou kino a mai wikiwiki inā ʻaʻole ʻoe e manaʻo maikaʻi.

ʻAʻohe palena meaʻai a i ʻole nā palena hana ma hope o kahi hoʻokolohua edrophonium. Hiki iā ʻoe ke ʻai, inu, a lawe i kāu mau lāʻau maʻamau e like me ka maʻamau ke ʻole kāu kauka e hāʻawi iā ʻoe i nā ʻōlelo kikoʻī.

Inā loaʻa iā ʻoe nā hoʻokolohua a i ʻole nā kaʻina hana i ka lā hoʻokahi, e hōʻike i kāu hui mālama ola ua loaʻa iā ʻoe ka edrophonium. ʻOiai ʻaʻole paha e keakea i nā hoʻokolohua ʻē aʻe, ʻoi aku ka maikaʻi e mālama i kāu hui lapaʻau i ka ʻike piha e pili ana i nā lāʻau lapaʻau āu i loaʻa ai.

Hiki iaʻu ke lawe i kaʻu mau lāʻau maʻamau ma hope o Edrophonium?

ʻAe, hiki iā ʻoe ke lawe i kāu mau lāʻau maʻamau ma hope o ka loaʻa ʻana o ka edrophonium. ʻAʻole pili ka lāʻau lapaʻau me ka hapa nui o nā lāʻau maʻamau, a ʻo kona pōkole pōkole ʻo ia ʻaʻole ia e noho i loko o kou ʻōnaehana no ka manawa lōʻihi e hana ai i nā pilina e hiki mai ana.

Inā ʻoe e lawe nei i nā lāʻau lapaʻau no ka myasthenia gravis, hiki i kāu kauka ke hāʻawi iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa. I kekahi manawa, e noi lākou iā ʻoe e paʻa i kēia mau lāʻau ma mua o ka hoʻokolohua e loaʻa ai nā hopena pololei, a laila e hoʻomau iā lākou ma hope.

E hōʻike mau i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui i kūʻai ʻia ma waho o ka pāʻālua. ʻOiai he kakaikahi nā pilina me ka edrophonium, pono i kāu hui lapaʻau i ka ʻike piha e hōʻoia i kou palekana.

Inā he mau nīnau kāu e pili ana i nā lāʻau lapaʻau kikoʻī, e nīnau i kāu mea mālama ola ma mua o ka haʻalele ʻana i ka hale lapaʻau. Hiki iā lākou ke hāʻawi iā ʻoe i ka ʻōlelo aʻo pilikino e pili ana i kāu mōʻaukala olakino piha a me nā lāʻau lapaʻau o kēia manawa.