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October 10, 2025
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ʻO ka lidocaine a me ka epinephrine injection he hui anesthetic kūloko e hoʻopōpō i nā wahi kikoʻī o kou kino i ka wā o nā kaʻina hana lapaʻau. Aia i loko o kēia lāʻau lapaʻau ka lidocaine, e ālai ana i nā hōʻailona ʻeha, a me ka epinephrine, e kōkua ana i ka hopena numbing e lōʻihi a hoʻemi i ke koko ma kahi o ka injection.
Hoʻohana maʻamau nā mea mālama ola i kēia hui no ka hana niho, nā ʻoki liʻiliʻi, a me nā kaʻina hana lapaʻau like ʻole kahi e pono ai ʻoe e noho ala akā ʻaʻohe ʻeha. Hoʻohana ka mea epinephrine i ka lidocaine e hana ʻoi aku ka maikaʻi ma ka mālama ʻana iā ia i loko o ka wahi lapaʻau.
He anesthetic kūloko kēia lāʻau lapaʻau no nā kaʻina hana e pono ai ka numbing me ka ʻole e hiamoe. Hoʻokomo kāu kauka a i ʻole ka niho i loko o ka wahi e pono ai ka numbing.
ʻO nā hoʻohana maʻamau e pili ana i nā kaʻina hana niho e like me nā hoʻopiha, nā unuhi, a me nā aʻa aʻa. Hiki iā ʻoe ke loaʻa i kēia injection no nā ʻoki ʻili liʻiliʻi, nā biopsies, a i ʻole ke kiʻi ʻana i nā humuhumu no nā ʻoki.
Hoʻohana kekahi poʻe mālama ola iā ia no nā kaʻina hana nui e like me ka wehe ʻana i ka hemorrhoid a i ʻole kekahi mau lāʻau gynecological. Hana maikaʻi ka hui ʻana i ka wā e pono ai nā kauka e kāohi i ke koko i ka wā e hāʻawi ana i ka hōʻoluʻolu ʻeha.
Hana kēia lāʻau lapaʻau ma o kahi ʻōnaehana ʻelua ʻāpana e hāʻawi ana i ka hōʻoluʻolu ʻeha a me ka hoʻomaikaʻi ʻana i ka pono. Hoʻopaʻa ʻo Lidocaine i nā kahawai sodium i loko o kāu mau cell nerve, e pale ana iā lākou mai ka hoʻouna ʻana i nā hōʻailona ʻeha i kou lolo.
Hana ʻo Epinephrine ma ke ʻano he vasoconstrictor, ʻo ia hoʻi, e hoʻopili ana i nā kīʻaha koko i ka wahi injection. Mālama kēia i ka lidocaine mai ka laha ʻana i loko o kou kino a kōkua iā ia e noho i kahi āu e pono ai.
Hoʻemi pū ka epinephrine i ke kahe ʻana o ke koko ma ka hoʻopaʻa ʻana i nā kīʻaha koko, e hāʻawi ana i kāu mea mālama ola i ka ʻike maikaʻi aʻe i ka wā o nā kaʻina hana. ʻO kēia hui pū ʻana e hoʻoikaika a lōʻihi ka hopena o ka numbing ma mua o ka lidocaine wale nō.
Ua manaʻo ʻia he anesthetic kūloko ikaika. Hāʻawi ia i ka hōʻoluʻolu ʻeha hilinaʻi no ka hapa nui o nā kaʻina hana liʻiliʻi a i ka waena, ʻoiai ʻaʻole lawa ia no nā ʻoki nui e koi ana i ka anesthesia hohonu.
Na kāu mea mālama ola e mālama i ka hoʻomākaukau a me ka lawelawe ʻana o ka injection. ʻAʻole pono ʻoe e hana i nā hana kūikawā ma mua, ʻoiai pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei.
Hiki iā ʻoe ke ʻai a inu maʻamau ma mua o ka loaʻa ʻana o kēia injection ke ʻole e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī. Hana ka lāʻau lapaʻau ma kahi kūloko, no laila ʻaʻole ia e pili i kou ʻōpū a i ʻole ka ʻai ʻana.
E hōʻoia e haʻi i kāu mea mālama ola inā he allergies kāu, ʻoi aku hoʻi i nā anesthetics kūloko, sulfites, a i ʻole epinephrine. E haʻi pū inā he maʻi puʻuwai kou, ke koko kiʻekiʻe, a i ʻole nā pilikia thyroid, no ka mea, hiki i kēia mau mea ke hoʻopilikia i ka hana ʻana o ka epinephrine i loko o kou kino.
Inā hopohopo ʻoe e pili ana i nā nila a i ʻole nā kaʻina hana lapaʻau, e haʻi i kāu hui mālama ola. Hiki iā lākou ke kōkua iā ʻoe e ʻoluʻolu a hiki ke hōʻike i nā ʻenehana hoʻomaha i ka wā o ka injection.
Hoʻomaka ka hopena numbing i loko o kekahi mau minuke o ka injection a hiki ke mau ma kahi o hoʻokahi a ʻekolu hola. Aia ka lōʻihi pololei ma ke kahua injection, ka nui i hoʻohana ʻia, a me kāu pane pilikino i ka lāʻau lapaʻau.
E ʻike maʻamau ʻoe i ka wahi e lilo ana i ka numb i loko o ʻelua a ʻelima mau minuke ma hope o ka injection. Hana ka hopena kiʻekiʻe ma kahi o 15 a 30 mau minuke ma hope o ka injection, e hāʻawi ana i ka pae hohonu loa o ka numbness.
I ka pau ʻana o ka lāʻau, hoʻi mālie ka manaʻo i ka wahi i mālama ʻia. Hiki paha iā ʻoe ke ʻike mua i ka manaʻo ʻūlū ma mua o ka hoʻi ʻana mai o ka manaʻo maʻamau.
Kōkua ka mea epinephrine i ka hoʻolōʻihi ʻana i ka manawa ʻūlū i hoʻohālikelike ʻia me ka lidocaine wale nō. Me ka ʻole o ka epinephrine, mau ka lidocaine no 30 a 60 mau minuke, akā hiki i ka hui ke hāʻawi i ke kōkua no ʻekolu hola i kekahi mau hihia.
Hoʻomanawanui ka hapa nui o nā kānaka i kēia injection, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka mea maikaʻi, ʻaʻole maʻamau nā hopena koʻikoʻi ke hoʻohana pono ʻia ka lāʻau.
ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka ʻūlū manawa e laha ana ma waho o ka wahi lapaʻau, ka pehu māmā a i ʻole ka ʻeha ma ka wahi injection, a me ka ʻono metala iki i kou waha. He māmā kēia mau hopena a hoʻoponopono iā lākou iho.
Eia nā hopena ʻaoʻao pinepine e pono ai ʻoe e ʻike:
E mae ana kēia mau hōʻailona i ka wā e hana ai kou kino i ka lāʻau, maʻamau i loko o kekahi mau hola.
ʻAʻole maʻamau akā ʻoi aku ka nui o nā hopena ʻaoʻao e koi i ka lāʻau lapaʻau koke. ʻO kēia mau mea, ʻo ia nā hopena maʻi koʻikoʻi, ʻoiai he mea maʻamau, hiki ke hoʻoweliweli i ke ola inā loaʻa lākou.
E nānā i kēia mau hōʻailona hōʻailona e pono ai ka mālama olakino wikiwiki:
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻimi koke i ke kōkua olakino pilikia.
Pono kekahi poʻe e pale i kēia lāʻau lapaʻau ma muli o ka piʻi ʻana o ka pilikia o nā pilikia. E nānā kāu mea mālama ola i kāu mōʻaukala olakino e hoʻoholo ai inā palekana kēia injection iā ʻoe.
ʻAʻole pono ʻoe e loaʻa i kēia injection inā he maʻi ʻoe i ka lidocaine, epinephrine, a i ʻole sulfites. Pono paha ka poʻe me nā maʻi puʻuwai koʻikoʻi a i ʻole kekahi ʻano maʻi puʻuwai e pale i ka ʻāpana epinephrine.
Pono kekahi mau maʻi i ka mālama kūikawā i ka wā e noʻonoʻo ai i kēia lāʻau lapaʻau:
E kaupaona kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia no kēia mau maʻi a hiki ke koho i nā anesthetics ʻē aʻe inā pono.
Pono nō hoʻi ka hāpai ʻana a me ka hānai ʻana i ka umauma i ka noʻonoʻo pono. ʻOiai ua manaʻo ʻia ʻo lidocaine he palekana i ka wā hāpai, pono paha ka ʻāpana epinephrine i ka nānā kūikawā a i ʻole nā koho ʻē aʻe.
Loaʻa kēia hui ʻana ma lalo o nā inoa brand like ʻole, ʻoiai hoʻohana ka nui o nā keʻena mālama ola i nā mana generic. ʻO nā inoa brand maʻamau e pili ana iā Xylocaine me Epinephrine, Lignospan, a me Octocaine.
Hele mai ka lāʻau lapaʻau i nā ʻano like ʻole e pili ana i ka hoʻohana ʻana. Loaʻa i nā hoʻomākaukau niho ka 2% lidocaine me 1:100,000 epinephrine, ʻoiai e hoʻohana paha nā kaʻina hana lapaʻau i nā lakio like ʻole.
E koho kāu mea mālama ola i ka brand kūpono a me ka ʻike e pili ana i kāu kaʻina hana a me nā pono olakino. Hana nā mea hana i ka hana like me ka nānā ʻole i ka inoa brand.
He nui nā koho ʻē aʻe inā ʻaʻole hiki iā ʻoe ke hoʻohana i ka lidocaine a me ka epinephrine a i ʻole inā ʻōlelo kāu mea mālama ola i kahi ala ʻokoʻa. Aia ke koho i kāu maʻi olakino, ke ʻano o ke kaʻina hana, a me kāu pane pilikino i nā lāʻau lapaʻau.
Hāʻawi ka Lidocaine me ka ʻole o ka epinephrine i ka ʻeha kūpono no ka poʻe e pono e pale i ka ʻāpana epinephrine. He hana maikaʻi kēia koho no nā maʻi me nā maʻi puʻuwai a i ʻole ka hopohopo nui, ʻoiai ʻaʻole paha e lōʻihi ka hopena o ka ʻeha.
ʻO nā anesthetics kūloko ʻē aʻe e komo pū ana me ka articaine, mepivacaine, a me prilocaine. Loaʻa i kēlā me kēia mea nā waiwai like ʻole a ʻoi aku paha ka maikaʻi no nā kaʻina hana kikoʻī a i ʻole nā maʻi maʻi.
No ka poʻe me nā maʻi maʻi anesthetic kūloko, hiki i nā kauka ke hoʻohana i nā ʻaila ʻeha topical, nā poloka nerve me nā lāʻau lapaʻau like ʻole, a i kekahi mau hihia, ka anesthesia maʻamau no nā kaʻina hana nui.
Hāʻawi ka hui pū ʻana o ka lidocaine a me ka epinephrine i nā mea maikaʻi he nui ma luna o ka lidocaine maʻemaʻe, akā inā he
Aia kēia i ke kūlana o kou puʻuwai a me kona koʻikoʻi. Hiki i nā maʻi puʻuwai he nui ke loaʻa palekana i kēia injection, akā pono i kāu kauka e loiloi mua i kou kūlana.
Hiki i ka mea epinephrine ke hoʻonui i ka helu o ka puʻuwai a me ke koko no ka manawa pōkole, he mea e hopohopo ai no ka poʻe me kekahi mau maʻi puʻuwai. E hana pū ana kāu cardiologist a me ke kauka e hana ana i ke kaʻina hana e hoʻoholo i ke ala palekana loa.
Inā he maʻi puʻuwai maikaʻi kāu, manaʻo pinepine ʻia nā mea liʻiliʻi o kēia lāʻau lapaʻau he palekana no nā kaʻina hana pono. Eia naʻe, hiki i kāu hui mālama ola ke koho i ka lidocaine maʻemaʻe a i ʻole nā koho ʻē aʻe inā he nui loa ka pilikia o ka epinephrine.
E ʻimi koke i ka lāʻau lapaʻau inā ʻike ʻoe i nā hōʻailona o ka hopena maʻi ʻaʻai. E kelepona iā 911 a i ʻole e hele i ka lumi pilikia kokoke loa inā pilikia ʻoe i ka hanu ʻana, ka pehu ʻana o kou maka a i ʻole ka ʻāʻī, a i ʻole nā hopena ʻili ākea.
ʻO nā hopena maʻalahi e like me ka pehu ʻana a i ʻole ka ʻulaʻula ma ka wahi injection pono e hōʻike ʻia i kāu mea mālama ola, akā ʻaʻole pono lākou i ka mālama pilikia.
E hōʻike mau i nā mea mālama ola e hiki mai ana e pili ana i nā hopena maʻi ʻaʻai āu i loaʻa ai i nā anesthetics kūloko. Kōkua kēia ʻike iā lākou e koho i nā koho palekana no nā kaʻina hana e hiki mai ana.
I ka hapanui o nā hihia, hiki iā ʻoe ke kalaiwa ma hope o ka loaʻa ʻana o ka lidocaine a me ka epinephrine injection, akā pili kēia i ke kaʻina hana āu i loaʻa ai a me kou manaʻo ma hope.
ʻAʻole ia e hoʻopilikia i kou hiki ke kalaiwa, ʻoiai paha e hopohopo iki a i ʻole jittery mai ka epinephrine no ka manawa pōkole. Inā loaʻa iā ʻoe ka hana niho, ʻaʻole pono ka ʻehaʻeha i kou waha e hoʻopilikia i kou hiki ke kalaiwa.
Akā, inā ua loaʻa iā ʻoe ka sedation me ka injection a i ʻole ke manaʻo nei ʻoe i ka ʻūlū a i ʻole ka maikaʻi ʻole, e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home. E hahai mau i nā ʻōlelo aʻoaʻo kikoʻī a kāu mea mālama ola e pili ana i ka hoʻokele ma hope o kāu kaʻina hana.
E kali a pau loa ka ʻūlū ma mua o ka ʻai ʻana i kekahi mea, ʻoiai nā meaʻai wela a i ʻole nā mea inu. He ʻelua a ʻehā hola paha kēia ma hope o kāu kaʻina hana niho.
I ka wā e ʻūlū ana kou waha, ʻaʻole hiki iā ʻoe ke ʻike pono i ka mahana a i ʻole ka ʻeha, e hoʻonui ana i kou pilikia o ka nahu ʻana i kou alelo, papalina, a i ʻole nā lehelehe. Hiki nō hoʻi iā ʻoe ke puhi i kou waha me nā meaʻai wela me ka ʻike ʻole.
E hoʻomaka me nā meaʻai palupalu a maʻalili ke hoʻi mai ka manaʻo. E pale i nā mea paʻakikī, ʻāʻī, a i ʻole nā mea wela loa no ka lā mua inā ua loaʻa iā ʻoe ka hana niho nui.
ʻO ka hapa nui o nā hopena ʻaoʻao mai ka lidocaine a me ka epinephrine injection e hoʻoponopono i loko o kekahi mau hola i ka wā e hana ai kou kino i ka lāʻau. ʻO ka manaʻo jittery mai ka epinephrine e mae maʻamau i loko o hoʻokahi a ʻelua hola.
Inā e loaʻa ana iā ʻoe kahi hopena maʻi, hana maʻamau ia i loko o 30 mau minuke ma hope o ka injection. Ke hala ʻoe i kēia puka makani me ka ʻole o nā pilikia, ʻaʻole hiki ke loaʻa nā hopena koʻikoʻi.
E hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i nā hōʻailona mau a i ʻole e ʻino ana ma mua o 24 mau hola ma hope o kāu injection. ʻOiai ʻaʻole maʻamau kēia, ʻoi aku ka maikaʻi o ka nānā ʻana me kahi loea lapaʻau inā hopohopo ʻoe.
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