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ʻO ka Ketamine injection he lāʻau lapaʻau ikaika a me ka lāʻau ʻeha e hoʻohana ai nā kauka i nā halemai a me nā keʻena lapaʻau kūikawā. ʻIke paha ʻoe iā ia ma ke ʻano he anesthetic no ke ʻoki ʻana, akā ke lilo nei hoʻi ia i mea lapaʻau nui no ke kaumaha nui a me ka ʻeha mau ʻaʻole i pane i nā lāʻau lapaʻau ʻē aʻe.
Hana ʻokoʻa kēia lāʻau lapaʻau mai nā mea hōʻeha maʻamau a i ʻole nā antidepressants. Hoʻopilikia ia i nā ala kamaʻilio o kou lolo ma ke ʻano kūʻokoʻa, ʻo ia ke kumu e hiki ai ke maikaʻi loa no kekahi mau maʻi ke hana ʻole nā lāʻau lapaʻau ʻē aʻe.
ʻO ka Ketamine injection he lāʻau lapaʻau e pili ana i kahi papa o nā lāʻau i kapa ʻia he dissociative anesthetics. Ua hoʻomohala mua ʻia i nā makahiki 1960 ma ke ʻano he koho palekana i nā anesthetics ʻē aʻe i hoʻohana ʻia i ka wā o ke ʻoki ʻana.
He wai maopopo ka lāʻau lapaʻau e hoʻokomo ai nā mea mālama ola i loko o kou ʻiʻo a i ʻole ke aʻa. ʻAʻole like me nā lāʻau lapaʻau ʻē aʻe, hiki i ka ketamine ke hāʻawi i ka hōʻoluʻolu ʻeha a me ka anesthesia, ma muli o ka nui i hāʻawi ʻia. ʻO ia ka mea a nā kauka e kapa ai he
I kēia mau lā, ua loaʻa ka manaʻo o ka ketamine ma ke ʻano he lāʻau lapaʻau hou no ke kaumaha nui. Inā ua hoʻāʻo ʻoe i nā antidepressants he nui me ka holomua ʻole, hiki i kāu kauka ke noʻonoʻo i ka ketamine ma ke ʻano he koho. He mea kōkua nui ia no ke kaumaha kūʻē i ka lāʻau lapaʻau, kahi i hāʻawi ʻole ai nā lāʻau lapaʻau kuʻuna i ke kōkua.
Eia nā kūlana nui e mālama ai ka ketamine injection:
E loiloi pono kāu kauka inā kūpono ka ketamine no kāu kūlana kikoʻī. Aia ka hoʻoholo i kāu mōʻaukala olakino, nā lāʻau lapaʻau o kēia manawa, a me ka maikaʻi o kāu pane ʻana i nā lāʻau lapaʻau ʻē aʻe.
Hana ʻo Ketamine ma ka pale ʻana i nā mea hoʻokipa kikoʻī i kou lolo i kapa ʻia ʻo NMDA receptors. E noʻonoʻo i kēia mau mea hoʻokipa e like me nā puka e ʻae maʻamau i kekahi mau memo kemika e hele i kāu mau cell lolo.
Ke pale ʻo ketamine i kēia mau puka, hana ia i kahi cascade o nā loli i kou lolo. Hiki i kēia ke alakaʻi i nā pilina hou e hana ana ma waena o nā cell lolo, kahi a nā ʻepekema e manaʻo nei ʻo ia ke kumu e hiki ai ke maikaʻi loa no ke kaumaha. E like me ka hāʻawi ʻana i kou lolo i ka manawa e hoʻopili hou iā ia iho ma nā ala olakino.
No ka hōʻoluʻolu ʻeha, hoʻopau ʻo ketamine i nā hōʻailona ʻeha e hele ana mai kou kino i kou lolo. Manaʻo ʻia he lāʻau ikaika - ʻoi aku ka ikaika ma mua o nā mea hōʻeha maʻamau akā ʻaʻole ikaika e like me kekahi mau anesthetics i hoʻohana ʻia i nā ʻoki nui.
Hiki ke ʻike ʻia nā hopena i ka wikiwiki, pinepine i loko o nā minuke a i nā hola. ʻO kēia hana wikiwiki kekahi kumu i lilo ai ka ketamine i mea hana nui no ka mālama ʻana i ke kaumaha nui ʻaʻole i pane i nā lāʻau lapaʻau ʻē aʻe.
Hāʻawi mau ʻia ka pahu ketamine e nā poʻe loea mālama ola i nā wahi lapaʻau. ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma ka home - pono ia i ka nānā pono a me ka mālama olakino.
Hiki ke hāʻawi ʻia ka pahu i nā ʻano like ʻole e pili ana i kāu lapaʻau. No ka anesthesia, hoʻokomo pinepine ʻia i loko o ke aʻa ma o ka IV. No ka lapaʻau ʻana i ke kaumaha, hiki ke hāʻawi ʻia ma ke ʻano he pahu i loko o kou ʻiʻo a i ʻole ma o ka IV infusion e lawe ana ma kahi o 40 mau minuke.
Ma mua o kāu lapaʻau ketamine, e hāʻawi kāu hui mālama ola iā ʻoe i nā ʻōlelo kikoʻī. Pono ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua, e like me ka hoʻomākaukau ʻana no ke ʻoki. E hōʻoia i hiki i kekahi ke hoʻokele iā ʻoe i ka home ma hope, no ka mea, ʻaʻole pono ʻoe e hoʻohana i nā kaʻa a i ʻole nā mīkini no ka liʻiliʻi o 24 mau hola.
I ka wā o ka pahu, e nānā mau ʻia ʻoe. E nānā mau ʻia kou koko, ka puʻuwai, a me ka hanu. E noho pū ka hui lapaʻau me ʻoe i ke kaʻina hana e hōʻoia i kou palekana.
Aia ka lōʻihi o ka lapaʻau ketamine i ke kumu e loaʻa ai iā ʻoe. No ka anesthesia ʻoki, he hoʻokahi manawa ia i ka wā o kāu kaʻina hana.
No ka lapaʻau ʻana i ke kaumaha, ʻokoʻa loa ka manawa. Hiki iā ʻoe ke hoʻomaka me kahi pūʻulu o nā lapaʻau i nā pule he nui. Nui ka poʻe e loaʻa ana i nā pahu ketamine ʻelua i ka pule no nā pule mua, a laila ʻaʻole pinepine i ka wā e hoʻomaikaʻi ai nā hōʻailona.
E hana kāu kauka me ʻoe e ʻimi i ka papa manawa kūpono. Pono kekahi poʻe i ka mālama ʻana i kēlā me kēia pule a i ʻole mau mahina e mālama ai i kā lākou mau hōʻailona kaumaha ma lalo o ka mana. Pono paha kekahi poʻe i kahi papa pōkole o nā lapaʻau.
ʻO ke kī, e nānā pono kāu hui mālama ola i kou holomua. E hoʻoponopono lākou i ke alapine a me ka lōʻihi ma muli o ke ʻano o kou pane ʻana a me nā hopena ʻaoʻao āu e ʻike ai. Mai hooki a hoʻololi paha i kāu papa hana lapaʻau ketamine me ka ʻole e kūkākūkā mua me kāu kauka.
E like me nā lāʻau lapaʻau a pau, hiki i ka ketamine ke hana i nā hopena ʻaoʻao. ʻO ka nūhou maikaʻi, ʻo ka hapa nui o nā hopena ʻaoʻao he manawa pōkole a hiki ke mālama ʻia, ʻoiai ke hāʻawi ʻia ka lāʻau lapaʻau i loko o kahi hoʻonohonoho lapaʻau i mālama ʻia.
ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka manaʻo ʻaʻole pili i kou puni, ka wili, ka nausea, a me nā loli i ke koko. Hana pinepine kēia mau hopena i ka wā a i ʻole ma hope koke o ka injection a maʻa mau e mae i loko o kekahi mau hola.
Eia nā hopena ʻaoʻao maʻamau āu e ʻike ai:
Pono nā kānaka me kekahi mau maʻi puʻuwai e pale i ka ketamine no ka mea hiki iā ia ke hoʻonui i ke koko a me ka helu o ka puʻuwai. Inā he kiʻekiʻe ke koko ʻaʻole i mālama ʻia, ka puʻuwai i hala koke, a i ʻole kekahi mau pilikia o ka puʻuwai, ʻaʻole kūpono paha ka ketamine iā ʻoe.
Eia nā kumu nui e hiki ʻole ai i kekahi ke loaʻa ka ketamine:
Hiki nō hoʻi ke lilo ka makahiki i mea nui. Pono paha nā keiki ʻōpio loa a me nā mākua ʻelemakule i ka noʻonoʻo kūikawā a i ʻole nā lāʻau lapaʻau ʻē aʻe. E ana kāu kauka i nā pōmaikaʻi kūpono e kūʻē i nā pilikia no kāu kūlana kikoʻī.
Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, mai hopohopo - aia pinepine nā lāʻau lapaʻau ʻē aʻe. E hana pū kāu hui mālama ola me ʻoe e ʻimi i ke koho palekana a maikaʻi loa no kāu mau pono.
Loaʻa ka Ketamine ma lalo o kekahi mau inoa inoa. ʻO ka inoa inoa maʻamau ʻo Ketalar, i hoʻohana ʻia no ka anesthesia i ka wā o ke ʻoki a me nā kaʻina hana olakino.
No ka mālama ʻana i ke kaumaha, hiki iā ʻoe ke lohe e pili ana iā Spravato, he ʻano nasal spray o ka ketamine (ʻo esketamine). Eia naʻe, ʻokoʻa kēia mai ke ʻano injection a mākou e kūkākūkā nei ma ʻaneʻi.
I nā wahi olakino, hiki nō hoʻi iā ʻoe ke lohe i nā mea mālama ola e kuhikuhi ana i ka ketamine ma kona inoa generic ma mua o ka inoa inoa. He like ka lāʻau lapaʻau me ka nānā ʻole i ka inoa, akā hiki i nā mea hana like ʻole ke loaʻa nā ʻano like ʻole a i ʻole nā ʻano like ʻole.
E hōʻike aku kāu hui mālama ola iā ʻoe i ke ʻano kikoʻī a me ka inoa o ka ketamine a lākou e hoʻohana nei no kāu lapaʻau. Ke hilinaʻi pinepine nei ke koho i kāu mau pono olakino kikoʻī a me nā mea i loaʻa ma kāu hale lapaʻau.
Inā ʻaʻole kūpono ka ketamine iā ʻoe, aia kekahi mau lapaʻau ʻē aʻe i loaʻa. ʻO ke koho maikaʻi loa e hilinaʻi ana i ke ʻano o ka maʻi āu e mālama nei.
No ka anesthesia, nā koho ʻē aʻe e komo pū ana me propofol, midazolam, a i ʻole nā anesthetics inhaled like ʻole. Hana ʻokoʻa kēia mau lāʻau lapaʻau ma mua o ka ketamine akā hiki ke hāʻawi i nā hopena anesthetic like no ke ʻoki.
No ka lapaʻau ʻana i ke kaumaha, nā koho ʻē aʻe e komo pū ana me nā antidepressants kuʻuna e like me SSRIs, SNRIs, a i ʻole nā lāʻau lapaʻau hou aʻe. Loaʻa kekahi poʻe i ka pōmaikaʻi mai nā lapaʻau e like me ka transcranial magnetic stimulation (TMS) a i ʻole electroconvulsive therapy (ECT).
No ka ʻeha mau, nā koho ʻē aʻe e komo pū ana me nā ʻano ʻē aʻe o nā poloka nerve, nā lāʻau lapaʻau ʻeha like ʻole, a i ʻole nā ala ʻaʻole lāʻau e like me ka physical therapy a i ʻole ka ʻōlelo aʻo psychological.
E kūkākūkā kāu kauka i kēia mau koho ʻē aʻe me ʻoe inā ʻaʻole kūpono ka ketamine. I kekahi manawa, ʻoi aku ka maikaʻi o ka hui pū ʻana o nā lapaʻau ma mua o kekahi ala hoʻokahi.
Loaʻa i ka Ketamine nā pono kūʻokoʻa e ʻoi aku ka maikaʻi ma mua o nā anesthetics ʻē aʻe i kekahi mau kūlana. He mea waiwai nui ia no ka mea ʻaʻole ia e kāohi i kou hanu e like me nā anesthetics ʻē aʻe.
ʻO kēia ka mea e pono ai ka ketamine no nā kūlana pilikia a i ʻole ke mālama ʻana i nā maʻi i loaʻa nā pilikia hanu. He mea kōkua nō hoʻi ia no nā kaʻina hana pōkole a i ʻole ke pilikia loa nā anesthetics ʻē aʻe.
Eia naʻe, ʻaʻole pono ka ketamine i
No ke mālama ʻana i ke kaumaha, hāʻawi ʻo ketamine i kekahi mea ʻaʻole i hāʻawi ʻia e nā lāʻau lapaʻau antidepressant kuʻuna: ka hoʻomaha wikiwiki. ʻOiai e pono ana ka hapa nui o nā antidepressants i nā pule e hana, hiki i ka ketamine ke hāʻawi i ka hoʻomaha i loko o nā hola a i ʻole nā lā. He mea waiwai loa kēia no ka poʻe me ke kaumaha nui ʻaʻole i pane i nā lāʻau lapaʻau ʻē aʻe.
Aia ke koho ma waena o ketamine a me nā lāʻau lapaʻau ʻē aʻe i kāu mau pono kikoʻī, ka mōʻaukala olakino, a me ke kaʻina hana a i ʻole ke kūlana e mālama ʻia nei.
Hiki ke palekana ʻo Ketamine no ka poʻe me kekahi mau ʻano maʻi puʻuwai, akā pono ia i ka loiloi akahele. Hiki i ka lāʻau lapaʻau ke hoʻonui i kou puʻuwai a me ke koko, he mea pilikia paha inā loaʻa iā ʻoe kekahi mau maʻi puʻuwai.
Inā loaʻa iā ʻoe ka maʻi puʻuwai i mālama maikaʻi ʻia, hiki nō i kāu kauka ke hoʻohana i ka ketamine me ka nānā hou. E kaupaona lākou i nā pōmaikaʻi e kūʻē i nā pilikia no kāu kūlana kikoʻī. I kekahi mau hihia, hiki iā lākou ke koho i nā lāʻau lapaʻau ʻē aʻe i ʻoi aku ka palekana no kou puʻuwai.
E haʻi mau i kāu hui mālama ola e pili ana i nā pilikia puʻuwai āu e loaʻa ai, ʻoiai inā he mea liʻiliʻi lākou. Kōkua kēia ʻike iā lākou e hana i nā hoʻoholo lapaʻau palekana loa no ʻoe.
No ka mea, hāʻawi wale ʻia ʻo ketamine e nā poʻe loea mālama ola i nā wahi lapaʻau, he mea maʻamau loa ka overdose ulia pōpilikia. Eia naʻe, inā manaʻo ʻoe ua loaʻa iā ʻoe ka nui o ka ketamine, e haʻi koke i kāu hui lapaʻau.
ʻO nā hōʻailona o ka nui o ka ketamine e komo paha i ka huikau nui, ka pilikia o ka hanu ʻana, a i ʻole ka nalowale o ka ʻike. Ua aʻo ʻia kāu hui lapaʻau e ʻike a mālama i kēia mau kūlana me ka wikiwiki.
ʻO ka mālama ʻana i ka overdose ketamine e pili ana i ka mālama kākoʻo - ke kōkua ʻana i kou kino e hana i ka lāʻau lapaʻau i ka wā e nānā ana i kāu mau hōʻailona koʻikoʻi. Hoʻōla ka hapa nui o nā kānaka me ka mālama olakino kūpono.
Inā ua hala ʻoe i ka lapaʻau ketamine i hoʻonohonoho ʻia no ke kaumaha, e hoʻokaʻaʻike i kāu mea mālama ola i ka hiki wawe. E kōkua lākou iā ʻoe e hoʻonohonoho hou a e hoʻoholo inā pono e hana i nā hoʻoponopono i kāu hoʻolālā lapaʻau.
Mai hoʻāʻo e hoʻoponopono i nā lapaʻau i hala ma ka hoʻokokoke ʻana iā lākou. Ua hoʻolālā ʻia kāu papa lapaʻau e palekana a maikaʻi hoʻi.
ʻAʻole pilikia nui ka hala ʻana i hoʻokahi lapaʻau, akā he mea nui e pili kokoke i kāu papa i kauoha ʻia no nā hopena maikaʻi loa.
Pono e hana mau ʻia ka hoʻoholo e hooki i ka lapaʻau ketamine me kāu hui mālama ola. No ka anesthesia, ua hooki ʻia ka lāʻau lapaʻau i ka wā e pau ai kāu hana.
No ka lapaʻau kaumaha, ʻokoʻa ka manawa. Pono kekahi poʻe i nā lapaʻau mālama mau, aʻo nā mea ʻē aʻe e hiki ke hooki ma hope o ka hoʻomaikaʻi nui ʻana o kā lākou mau hōʻailona.
E nānā kāu kauka i kāu holomua a e kōkua i ka hoʻoholo ʻana i ka wā e palekana ai e hōʻemi a hooki paha i nā lapaʻau. Hiki iā lākou ke kōkua iā ʻoe e hoʻololi i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā lapaʻau e mālama i kāu hoʻomaikaʻi.
ʻAʻole, ʻaʻole pono ʻoe e kalaiwa no ka liʻiliʻi o 24 mau hola ma hope o ka loaʻa ʻana o ka injection ketamine. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i kāu hoʻonohonoho, ka hoʻokolokolo, a me ka manawa pane ʻoiai ma hope o kou manaʻo maʻamau.
E hoʻolālā e loaʻa i kekahi e kalaiwa iā ʻoe i kāu manawa a mai kāu manawa. He mea nui kēia no nā lapaʻau kaumaha, kahi e ala ai ʻoe akā e ʻike paha i nā hopena lōʻihi.
E hāʻawi kāu hui mālama ola iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka wā e palekana ai e hoʻomaka hou i ke kalaiwa a me nā hana ʻē aʻe. E hahai pono i kēia mau alakaʻi no kou palekana a me ka palekana o nā poʻe ʻē aʻe.