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

He lāʻau lapaʻau hoʻomaha ʻo Fospropofol i hāʻawi ʻia ma o ka IV e kōkua iā ʻoe e hoʻomaha i ka wā o nā kaʻina hana lapaʻau. He ʻano kūikawā ia o ka propofol e hana mālie i loko o kou kino, e palekana ai i kekahi mau kūlana kahi e pono ai ʻoe e mālie akā ʻaʻole naʻe e ʻike ʻole.

No kēia lāʻau lapaʻau i kahi papa o nā lāʻau i kapa ʻia he sedative-hypnotics. E noʻonoʻo iā ia he mea lapaʻau e kōkua ana e hoʻopili i ka āpau ma waena o ka ala piha ʻana a me ka noho ʻana ma lalo o ka anesthesia maʻamau.

No ke aha e hoʻohana ʻia ai ʻo Fospropofol?

Hoʻohana nui ʻia ʻo Fospropofol no ka mālama ʻana i ka anesthesia i ka wā o nā kaʻina hana lapaʻau. ʻO ia hoʻi, kōkua ia iā ʻoe e hōʻoluʻolu a hoʻomaha i ka wā e hana ai kāu kauka i nā kaʻina hana i hiki ke hoʻoulu i ka hopohopo a i ʻole ka hōʻoluʻolu ʻole.

Hiki i kāu hui mālama ola ke koho i ka fospropofol no nā kaʻina hana e like me nā colonoscopies, endoscopies, a i ʻole nā ​​ʻoki liʻiliʻi. He mea kōkua nui ia ke pono ʻoe e hoʻomaha akā hiki nō ke pane i nā ʻōlelo aʻo inā pono.

He mea waiwai nui ka lāʻau lapaʻau i nā wahi outpatient kahi e hele ai ʻoe i ka home i ka lā hoʻokahi. Hiki iā ia ke hoʻomaha pono i ka wā e mālama ana i ka mana maikaʻi aʻe ma luna o kou hanu ʻana a me ka hana o ka naʻau i hoʻohālikelike ʻia me kekahi mau mea hoʻomaha ʻē aʻe.

Pehea e hana ai ʻo Fospropofol?

Hana ʻo Fospropofol ma ka hoʻopilikia ʻana i nā neurotransmitters o kou lolo, e hoʻonui ana i nā hopena o kahi kemika i kapa ʻia ʻo GABA. Hoʻokumu kēia i kahi hopena hoʻomaha e hōʻemi ana i ka hopohopo a kōkua iā ʻoe e hiamoe.

ʻO ka mea e kū hoʻokahi ai ʻo fospropofol ʻo ia he

Ua manaʻo ʻia ka lāʻau lapaʻau he ikaika waena. ʻOi aku ka ikaika ma mua o nā mea hoʻomaha maʻalahi e like me nā lāʻau hopohopo waha, akā ʻoi aku ka mālie ma mua o ka propofol i hoʻohana ʻia no ka anesthesia maʻamau. He mea kūpono kēia no nā kaʻina hana kahi e pono ai ʻoe i ka hoʻomaha nui me ka ʻole o ka ʻike ʻole.

Pehea wau e lawe ai iā Fospropofol?

ʻAʻole ʻoe e lawe iā fospropofol iā ʻoe iho - ua lawelawe mau ʻia e nā poʻe lapaʻau i aʻo ʻia i loko o kahi keʻena lapaʻau. Hāʻawi ʻia ka lāʻau lapaʻau me ka lohi ma o kahi laina IV i kou lima a i ʻole ka lima.

Ma mua o kāu kaʻina hana, pono ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola. E hāʻawi kāu hui lapaʻau iā ʻoe i nā ʻōlelo kikoʻī, akā ma ke ʻano maʻamau, pono ʻoe e hoʻokē ʻai no 8-12 mau hola ma mua e pale ai i nā pilikia.

I ka wā o ka lawelawe ʻana, e nānā mau ʻia ʻoe me nā mea hana e nānā i kou puʻuwai, ke koko, a me nā pae oxygen. E noho pū kekahi kahu hānai a i ʻole anesthesiologist me ʻoe i ke kaʻina holoʻokoʻa e hōʻoia i kou palekana.

Aia ka dosage ma kāu kaumaha, makahiki, olakino holoʻokoʻa, a me ke ʻano o ke kaʻina hana āu e hana nei. Hoʻohālikelike kāu hui lapaʻau i kēia me ka mālama pono e hāʻawi iā ʻoe i ka nui kūpono no ka sedation maikaʻi.

Pehea ka lōʻihi e lawe ai au iā Fospropofol?

Hoʻohana ʻia ʻo Fospropofol i ka wā o kāu kaʻina hana lapaʻau, no laila ʻaʻohe papa hana lapaʻau e hana nei. Hāʻawi ʻia ka lāʻau lapaʻau ma ke ʻano he hoʻokahi dose a i ʻole nā ​​doses i ka wā o kāu kaʻina hana.

Hoʻomaka maʻamau nā hopena i loko o 5-10 mau minuke o ka lawelawe ʻana a hiki ke mau no 30-60 mau minuke, ma muli o ka dose. E nānā kāu hui lapaʻau iā ʻoe a hiki i ka pau ʻana o nā hopena.

Ma hope o kāu kaʻina hana, e hoʻolilo ʻoe i ka manawa ma kahi wahi hoʻōla kahi e nānā ai nā limahana iā ʻoe i ka wā e haʻalele ai ka lāʻau lapaʻau i kāu ʻōnaehana. ʻO ka hapa nui o nā kānaka e manaʻo maʻamau i loko o kekahi mau hola, akā ʻaʻole pono ʻoe e hoʻokele a hana i nā hoʻoholo koʻikoʻi no ke koena o ka lā.

He aha nā hopena ʻaoʻao o Fospropofol?

E like me nā lāʻau lapaʻau a pau, hiki i ka fospropofol ke hana i nā hopena ʻaoʻao, akā ʻo ka hapa nui o nā kānaka e ʻae maikaʻi iā ia ke hāʻawi ʻia e nā poʻe lapaʻau i ʻike ʻia. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a emi ka hopohopo e pili ana i kāu kaʻina hana.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia:

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• Ka manaʻo ʻana i ka wili a i ʻole ka māmā ma hope o ke kaʻina hana
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• ʻO ka nausea māmā a i ʻole ka ʻōpū
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• ʻO ka hiamoe e hoʻomau ana no kekahi mau hola
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• He wela iki a i ʻole ke ʻano o ka wela ma kahi i waiho ʻia ai ka IV
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• Nā loli manawa i ke koko i ke kaʻina hana
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He maʻalahi kēia mau hopena maʻamau a hoʻoponopono iā lākou iho i ka wā e haʻalele ai ka lāʻau lapaʻau i kāu ʻōnaehana. Ua mākaukau kāu hui lapaʻau e mālama iā lākou inā loaʻa.

He kakaikahi nā hopena ʻaoʻao koʻikoʻi, akā hiki ke komo i nā pilikia hanu, nā loli nui o ke koko, a i ʻole nā hopena maʻi. Hoʻomau kāu hui lapaʻau i ka nānā ʻana i kēia mau pilikia a loaʻa nā lāʻau lapaʻau koke inā pono.

Hiki i kekahi poʻe ke ʻike i ka mea i kapa ʻia ʻo

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, e loiloi kāu kauka i nā pōmaikaʻi a me nā pilikia me ka akahele. ʻAʻole paha ka lāʻau lapaʻau ke koho maikaʻi loa i kēia mau manawa ke ʻole he mea pono loa.

Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka fospropofol, no laila he mea nui e haʻi aku i kāu hui lapaʻau i nā mea a pau āu e lawe nei, me nā mea hoʻohui a me nā lāʻau lapaʻau i kūʻai ʻia me ka ʻole o ka palapala kauka.

Nā inoa inoa o Fospropofol

Loaʻa ka Fospropofol ma lalo o ka inoa inoa Lusedra ma ʻAmelika Hui Pū ʻIa. ʻO kēia ka hoʻomākaukau kalepa i hoʻohana pinepine ʻia o ka lāʻau lapaʻau.

Hiki i kāu keʻena lapaʻau ke kuhikuhi iā ia ma kekahi inoa - fospropofol a i ʻole Lusedra - akā he lāʻau lapaʻau like lākou. Hoʻohana pinepine ʻia ka inoa inoa i nā hoʻonohonoho lapaʻau no ka maopopo a me ke kūlike.

ʻAʻole like me kekahi mau lāʻau lapaʻau i loaʻa nā inoa inoa he nui, he palena nā ʻano inoa inoa o ka fospropofol no ka mea he lāʻau lapaʻau kūikawā i hoʻohana ʻia i nā hoʻonohonoho lapaʻau.

Nā koho ʻē aʻe o Fospropofol

Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke hāʻawi i ka sedation like no nā kaʻina hana lapaʻau, a e koho kāu hui lapaʻau i ke koho maikaʻi loa e pili ana i kāu mau pono kikoʻī a me nā kūlana olakino.

ʻO Propofol ke koho pololei loa, no ka mea, ua hoʻololi ʻia ka fospropofol i propofol i loko o kou kino. Eia naʻe, hoʻohana pinepine ʻia ka propofol no ka sedation hohonu a i ʻole ka anesthesia maʻamau.

ʻO nā koho ʻē aʻe e pili ana i ka midazolam (hui pinepine ʻia me ka fentanyl), e hāʻawi ana i ka sedation maikaʻi me nā hopena anti-anxiety. Hoʻohana pinepine ʻia kēia hui ʻana no nā kaʻina hana like a makemake ʻia paha i kekahi mau kūlana.

ʻO Dexmedetomidine kekahi koho e hāʻawi ana i ka sedation me ka ʻae ʻana iā ʻoe e ala maʻalahi. He mea pono loa ia no nā maʻi e pono e hui pū i nā ʻāpana o kā lākou kaʻina hana.

E noʻonoʻo kāu anesthesiologist i nā mea e like me kāu mōʻaukala olakino, ke ʻano o ke kaʻina hana, a me kāu mau makemake pilikino i ke koho ʻana i ka sedative maikaʻi loa no kou kūlana.

Ua ʻoi aku ka maikaʻi o Fospropofol ma mua o Propofol?

He mau pōmaikaʻi ko Fospropofol a me propofol, a ʻaʻole kekahi i

Mai ka mea e hāʻawi ʻia ana ka fospropofol ma nā wahi lapaʻau wale nō, e nānā ʻia ʻoe e nā poʻe loea mālama ola e hiki ke pane koke i nā hopena ʻaoʻao. He maʻalahi a he manawa pōkole ka hapa nui o nā hopena ʻaoʻao.

Inā ʻoe e ʻike i ka nausea, ka wili, a i ʻole ka hiamoe mau ma hope o kāu kaʻina hana, e haʻi koke i kāu kahu hānai hoʻōla. He mea maʻamau kēia a maʻalahi ke mālama ʻia me ka mālama kākoʻo.

No nā hōʻailona e pili ana i ka pilikia e ulu ana ma hope o kou hoʻokuʻu ʻia ʻana, e hoʻokaʻaʻike i kāu mea mālama ola a i ʻole ke keʻena kahi āu i hana ai i kāu kaʻina hana. Hiki iā lākou ke hāʻawi i ke alakaʻi a hoʻoholo inā pono ʻoe e ʻike ʻia.

E Hoʻomanaʻo Ana Au i kaʻu Kaʻina Hana Ma hope o ka Fospropofol?

ʻAʻole nui ka hoʻomanaʻo ʻana o ka hapa nui o nā kānaka i kā lākou kaʻina hana ma hope o ka loaʻa ʻana o ka fospropofol, kahi i manaʻo pinepine ʻia he pōmaikaʻi. Kōkua kēia hopena amnesia i ka pale ʻana i ka hopohopo e pili ana i nā kaʻina hana e hiki mai ana.

Hiki iā ʻoe ke ʻike iki i ka wā o ke kaʻina hana, akā ʻaʻole ʻoe e hana i nā hoʻomanaʻo mau o kekahi ʻoluʻolu a i ʻole ka hopohopo. He ʻokoʻa kēia mai ka anesthesia maʻamau, kahi āu e ʻike ʻole ai.

Hiki i kekahi poʻe ke loaʻa nā hoʻomanaʻo pōkole a ʻāpana, akā ʻaʻole lākou e hoʻopilikia. E wehewehe kāu hui lapaʻau i ka mea e manaʻo ai e pili ana i kāu kaʻina hana a me ka nui.

Pehea ka lōʻihi o koʻu manaʻo hiamoe ma hope o ka Fospropofol?

ʻO ka hiamoe mai ka fospropofol e mau ana ma kahi o 2-4 mau hola ma hope o kāu kaʻina hana, ʻoiai hiki ke ʻokoʻa kēia ma muli o kāu pane pilikino a me ka nui āu i loaʻa ai. ʻO ka hapa nui o nā kānaka e ʻoi aku ka maikaʻi i loko o ka hola mua o ka hoʻōla.

Pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home, no ka mea, hiki i ka lāʻau lapaʻau ke hoʻopilikia i kou manawa pane a me ka hoʻokolokolo ʻana ma hope o kou manaʻo ʻana ua makaʻala. E hoʻolālā e maʻalahi no ke koena o ka lā.

Manaʻo kekahi poʻe e maʻamau loa i loko o kekahi mau hola, ʻoiai ʻo nā mea ʻē aʻe e ʻike i ka hiamoe māmā a i ʻole ka

Hiki iā ʻoe ke hoʻomaka me nā ʻōpū wai liʻiliʻi ke ala piha ʻoe a makaʻala, maʻamau 30-60 mau minuke ma hope o kāu hana. E haʻi aku kāu kahu hānai hoʻōla iā ʻoe i ka wā e palekana ai ke hoʻomaka e inu i nā wai.

E hoʻomaka me nā wai maʻemaʻe e like me ka wai a i ʻole ka wai ʻāpala, a laila e hoʻi mālie i kāu ʻai maʻamau ke ʻoluʻolu ʻoe. E pale i ka waiʻona no ka liʻiliʻi o 24 mau hola, no ka mea, hiki iā ia ke launa pū me nā lāʻau lapaʻau i koe i loko o kāu ʻōnaehana.

Inā ʻoe e ʻike i ka nausea, e kali iki ma mua o ka hoʻāʻo ʻana e ʻai a inu paha. Hiki i kāu hui lapaʻau ke hāʻawi i nā lāʻau anti-nausea inā pono e kōkua iā ʻoe e ʻoluʻolu.