He aha ka Indomethacin (Intravenous): Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Indomethacin intravenous he lāʻau anti-inflammatory ikaika i hāʻawi pololei ʻia i loko o kou kahe koko ma o ka laina IV. Hoʻohana nui ʻia kēia ʻano indomethacin i nā pēpē hānau hou e kōkua i ka pani ʻana i kahi maʻi puʻuwai kikoʻī i kapa ʻia ʻo patent ductus arteriosus, kahi e noho hāmama ai kahi moku koko e pani ma hope o ka hānau ʻana.

ʻAʻole like me ke ʻano waha āu e lawe ai no ka ʻeha arthritis, mālama ʻia ka IV indomethacin no nā kūlana olakino kikoʻī loa i nā hoʻonohonoho haukapila. Hana wikiwiki a maikaʻi hoʻi no ka mea e pale loa ia i kāu ʻōnaehana digestive.

No ke aha e hoʻohana ʻia ai ka Indomethacin IV?

Hoʻokahi hoʻohana mua o Indomethacin IV i ʻokoʻa loa mai kāna mea waha. Hoʻolālā ʻia ia e mālama i ka patent ductus arteriosus (PDA) i nā pēpē hānau mua.

Hiki mai ka PDA ke pani ʻole kahi moku koko i kapa ʻia ʻo ka ductus arteriosus ma hope o ka hānau ʻana e like me ka mea e pono ai. He mea nui kēia moku i ka wā hāpai akā pono e pani ke hoʻomaka kāu pēpē e hanu iā lākou iho. Ke noho hāmama, hiki iā ia ke hoʻopilikia i ka hanu a hoʻokau i ke koʻikoʻi hou i ka puʻuwai o kāu pēpē.

Kōkua ka lāʻau lapaʻau i ka hoʻomaka ʻana i ke kaʻina pani maoli e pono ai e hana maʻalahi. Hiki i kēia lapaʻau i manaʻo ʻia ke pale pinepine i ka pono o ke ʻoki ʻana, he mea nui loa ia no nā pēpē hānau mua.

Pehea ka hana ʻana o ka Indomethacin IV?

ʻO ka Indomethacin IV kahi lāʻau ikaika e hana ana ma ka ālai ʻana i kekahi mau kemika i loko o kou kino i kapa ʻia ʻo prostaglandins. ʻO kēia mau kemika e mālama maʻamau i ka ductus arteriosus e hāmama i ka wā hāpai, akā pono lākou e hooki i ka hana ma hope o ka hānau ʻana.

E noʻonoʻo i nā prostaglandins ma ke ʻano he mau ʻelele liʻiliʻi e haʻi i ka moku koko e noho hāmama. Hoʻopau ka Indomethacin i kēia mau memo, e ʻae ana i ka moku e pani maoli. Hana maʻamau kēia kaʻina hana i loko o nā hola a i ʻole nā ​​lā ma hope o ka mālama ʻana.

He mea pono loa ka lāʻau lapaʻau i nā lā mua o ke ola i ka wā e pane mau ana ka ductus arteriosus i kēia mau hōʻailona kemika. Ma hope o 72 mau hola o ke ola ʻana, ʻaʻole e pane hou ka moku i ka lāʻau lapaʻau wale nō.

Pehea e hāʻawi ʻia ai ka Indomethacin IV?

Hāʻawi mau ʻia ka Indomethacin IV e nā poʻe lapaʻau i aʻo ʻia ma kahi haukapila a i ʻole ma ka neonatal intensive care unit. ʻAʻole pono ʻoe e hopohopo e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau iā ʻoe iho.

Hāʻawi ʻia ka lāʻau lapaʻau me ka lohi ma o ka laina IV ma luna o 20 a 30 mau minuke. E nānā pono ka hui lapaʻau o kāu pēpē i kā lākou helu puʻuwai, ke koko, a me nā pae oxygen i ka wā a ma hope o kēlā me kēia mahele.

Loaʻa i ka hapa nui o nā pēpē ʻekolu mau mahele i hāʻawi ʻia i nā manawa kikoʻī, maʻamau 12 a 24 mau hola kaawale. Aia ke kikoʻī i ka makahiki o kāu pēpē a me ke ʻano o kā lākou pane ʻana i ka mahele mua. E hoʻoponopono ka hui lapaʻau i ka papa manawa e pili ana i nā pono pilikino o kāu pēpē.

Pehea ka lōʻihi o ka lapaʻau Indomethacin IV?

He pōkole loa ke ala lapaʻau maʻamau, maʻamau no kekahi mau lā wale nō. Loaʻa i ka hapa nui o nā pēpē kahi pūʻulu o ʻekolu mau mahele i hohola ʻia ma luna o 2 a 3 mau lā.

E hoʻohana ka hui lapaʻau i ka ultrasound e nānā inā e pani ana ka ductus arteriosus ma hope o kēlā me kēia mahele. Inā pani pono ka moku ma hope o ka mahele mua a i ʻole ka lua, ʻaʻole pono e hoʻohui i ka lāʻau lapaʻau.

Inā ʻaʻole e pani ka pūʻulu ʻekolu-mahele i ka moku, hiki i kāu kauka ke noʻonoʻo i kahi papa lapaʻau ʻelua a i ʻole e kūkākūkā i nā koho ʻoki. Aia ka hoʻoholo i ke olakino holoʻokoʻa o kāu pēpē a me ka wikiwiki o ka pono e pani i ka moku.

He aha nā hopena ʻaoʻao o Indomethacin IV?

E like me nā lāʻau lapaʻau ikaika a pau, hiki i ka indomethacin IV ke hana i nā hopena ʻaoʻao, ʻoiai e ʻae maikaʻi ana ka nui o nā pēpē. E nānā pono ka hui lapaʻau i nā loli e pili ana.

Eia nā hopena ʻaoʻao e nānā pono ai kāu hui lapaʻau, e hoʻomaka ana me nā mea maʻamau:

• Ua emi ka mimi ʻana no ka mea e lohi ana nā puʻupaʻa no kekahi manawa
• Nā loli i ke koko, ʻoi aku ka kiʻekiʻe a i ʻole ka haʻahaʻa ma mua o ka maʻamau
• Nā loli no kekahi manawa i nā pae kemika o ke koko
• Hoʻonui ʻia ka pilikia o ke kahe ʻana o ke koko ma muli o nā hopena i ka hoʻopaʻa ʻana o ke koko
• Hoʻemi no kekahi manawa i ka helu o ka puʻuwai
• Nā hopena o ka ʻōnaehana digestive e like me ka hoʻemi ʻia ʻana o ka ʻai

ʻO nā hopena ʻoi aku ka koʻikoʻi akā ʻaʻole maʻamau, e komo pū ana me nā pilikia puʻupaʻa koʻikoʻi, ke kahe nui ʻana o ke koko, a i ʻole nā loli o ka puʻuwai. Loaʻa i kāu hui lapaʻau ka ʻike nui i ka mālama ʻana i kēia mau pilikia a e hoʻoponopono lākou i ka lāʻau inā e kū mai kekahi mau hōʻailona e hopohopo ai.

ʻO ka mea maikaʻi, ʻo ka hapa nui o nā hopena ʻaoʻao he mea no kekahi manawa a e pau ke pau ka lāʻau lapaʻau mai ke kino o kāu pēpē, maʻamau i loko o kekahi mau lā.

ʻO wai ka mea pono ʻole e loaʻa iā Indomethacin IV?

ʻAʻole kūpono ʻo Indomethacin IV no kēlā me kēia pēpē, ʻoiai nā mea i loaʻa i ka patent ductus arteriosus. E loiloi pono kāu hui lapaʻau inā palekana ia no kāu kūlana.

ʻO nā pēpē ʻaʻole pono e loaʻa i kēia lāʻau lapaʻau, e komo pū ana me nā mea i loaʻa i nā pilikia puʻupaʻa koʻikoʻi, ka hāʻule ʻana o ka puʻuwai, a i ʻole ke kahe ʻana o ke koko. ʻAʻole hoʻi i ʻōlelo ʻia ka lāʻau lapaʻau no nā pēpē me kekahi mau ʻano maʻi māmā koʻikoʻi.

ʻO ka makahiki kekahi mea nui. ʻOi aku ka maikaʻi o ka Indomethacin IV i nā lā mua o ke ola a lilo i mea liʻiliʻi i ka wā e ʻelemakule ai nā pēpē. Pono paha nā pēpē i hānau mua ʻia a i ʻole nā mea i loaʻa i nā pilikia olakino he nui i nā lāʻau lapaʻau ʻē aʻe.

Nā inoa inoa o Indomethacin IV

Loaʻa ʻo Indomethacin IV ma lalo o ka inoa inoa Indocin IV ma ʻAmelika Hui Pū ʻIa. ʻO kēia ka mea i hoʻohana nui ʻia i nā haukapila a me nā keʻena mālama koʻikoʻi neonatal.

Hiki i kekahi mau haukapila ke hoʻohana i nā mana generic o indomethacin IV, i loaʻa ka mea hana like a hana like me ka mana inoa inoa. E hoʻohana kāu hui lapaʻau i ka mea i loaʻa a kūpono no nā pono o kāu pēpē.

Nā koho ʻē aʻe o Indomethacin IV

Inā ʻaʻole kūpono a ʻaʻole hana ka indomethacin IV no kāu pēpē, aia nā koho ʻē aʻe. ʻO ka lāʻau lapaʻau ʻē aʻe nui ʻo ka ibuprofen IV, e hana like ana e pani i ka ductus arteriosus.

Ua hōʻike ʻia ka ibuprofen IV i ka pono like me ka indomethacin i nā haʻawina lapaʻau a hiki ke makemake ʻia i nā pēpē me kekahi mau pilikia kīkī. E kūkākūkā kāu hui lapaʻau i ke koho maikaʻi loa e pili ana i ke olakino kūikawā o kāu pēpē.

Inā ʻaʻole hana nā lāʻau lapaʻau, ʻo ka pani ʻana i ka ductus arteriosus he koho maikaʻi nō ia. Hoʻopaʻa mau kēia kaʻina hana, i kapa ʻia ʻo ligation, i ka moku a ua ʻōlelo pinepine ʻia ke hāʻule ka lāʻau lapaʻau a i ʻole ʻaʻole kūpono.

Ua ʻoi aku ka maikaʻi o ka Indomethacin IV ma mua o ka Ibuprofen IV?

He mau lāʻau lapaʻau maikaʻi nā indomethacin IV a me ka ibuprofen IV no ka patent ductus arteriosus, a hōʻike nā noiʻi e hana like lākou. ʻO ke koho ma waena o lākou e hilinaʻi pinepine ana i ke kūlana olakino kūikawā o kāu pēpē.

Ua hoʻohana ʻia ka Indomethacin IV no ka manawa lōʻihi a he nui nā noiʻi ma hope ona, e lilo ana ia i koho mua kuʻuna. Eia naʻe, ʻoi aku ka maʻalahi o ka ibuprofen IV i nā kīkī a hiki ke makemake ʻia no nā pēpē me nā pilikia kīkī.

E noʻonoʻo kāu hui lapaʻau i nā mea e like me ka makahiki o kāu pēpē, ka hana kīkī, a me ke olakino holoʻokoʻa i ke koho ʻana ma waena o kēia mau lāʻau lapaʻau. He moʻolelo maikaʻi loa nā mea ʻelua ke hoʻohana pono ʻia.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Indomethacin IV

He palekana anei ka Indomethacin IV no nā pēpē hānau mua?

ʻAe, ua hoʻolālā kūikawā ʻia ka indomethacin IV no nā pēpē hānau mua a ua hoʻohana palekana ʻia i nā keʻena mālama nui neonatal no nā makahiki he nui. ʻOi aku ka maikaʻi a me ka palekana o ka lāʻau lapaʻau ke hoʻohana ʻia i nā lā mua o ke ola.

E loiloi pono kāu hui lapaʻau i ka hana kīkī o kāu pēpē, ke olakino o ka puʻuwai, a me ke kūlana holoʻokoʻa ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. E nānā pū lākou i ka wā o ka lāʻau lapaʻau e hōʻoia i ka pane maikaʻi ʻana o kāu pēpē.

He aha kaʻu e hana ai inā loaʻa i kaʻu pēpē nā hopena ʻaoʻao mai Indomethacin IV?

ʻAʻole pono ʻoe e hana i kekahi mea iā ʻoe iho no ka mea e nānā pono ʻia kāu pēpē e nā poʻe lapaʻau i ka wā o ka mālama ʻana. E nānā nā limahana hānai a me nā kauka i nā hopena ʻaoʻao a pane koke inā loaʻa.

Inā ʻike ʻoe i nā loli i ka hana a kāu pēpē, ka hanu ʻana, a i ʻole ka hānai ʻana ma hope o ka mālama ʻana, mai kānalua e haʻi aku i kāu hui lapaʻau. Loaʻa iā lākou ka ʻike i ka mālama ʻana i nā hopena ʻaoʻao a e hoʻoponopono lākou i ka mālama ʻana e like me ka mea e pono ai.

He aha ka mea e hana ai inā ʻaʻole hana ʻo Indomethacin IV?

Inā ʻaʻole pani pono ka lāʻau lapaʻau i ka ductus arteriosus, loaʻa i kāu hui lapaʻau nā koho ʻē aʻe. Hiki iā lākou ke hoʻāʻo i kahi papa lāʻau lapaʻau ʻelua a i ʻole e ʻōlelo i ka pani ʻana i ka ʻoki.

ʻO ka ʻoki ʻana e pani i ka ductus arteriosus he hana i hoʻokumu maikaʻi ʻia me nā helu kūleʻa maikaʻi loa. E kūkākūkā kāu hui lapaʻau i nā hana maikaʻi loa e pili ana i ke kūlana kikoʻī o kāu pēpē a me ke olakino holoʻokoʻa.

Pehea wau e ʻike ai inā ua hana ka lapaʻau?

E hoʻohana kāu hui lapaʻau i nā kiʻi ultrasound e nānā inā e pani ana ka ductus arteriosus ma hope o kēlā me kēia mahele lāʻau. Hōʻike kēia hoʻāʻo ʻeha ʻole i ke kahe koko ma o ka moku a hiki ke hōʻoia inā e hana ana ka mālama ʻana.

Hiki nō hoʻi iā ʻoe ke ʻike i nā hoʻomaikaʻi ʻana i ka hanu ʻana o kāu pēpē, ka hānai ʻana, a i ʻole ka pae ikehu holoʻokoʻa no ka mea ʻaʻole pono ka puʻuwai e hana ikaika. E mālama kāu hui lapaʻau iā ʻoe i ka holomua o kāu pēpē i ka wā o ka mālama ʻana.

Aia nā hopena lōʻihi mai ka Indomethacin IV Treatment?

ʻAʻole loaʻa i ka hapa nui o nā pēpē e loaʻa ana iā indomethacin IV nā hopena lōʻihi mai ka lāʻau lapaʻau ponoʻī. Hoʻoponopono maʻamau ka puʻupaʻa a me nā hopena ʻaoʻao manawa i loko o nā lā o ka pau ʻana o ka mālama ʻana.

Ma ka pani kūpono ʻana o ka patent ductus arteriosus e pale maoli ana i nā pilikia o ka naʻau a me nā māmā e hiki ke ulu inā ʻaʻole i mālama ʻia ke kūlana. Pono e hoʻi i ka maʻamau ka hana o ka naʻau o kāu pēpē ke pani pono ke kīʻaha.