He aha ka Methylene Blue (Ala Intravenous): Nā Hoʻohana, Dosage, Nā ʻaoʻao ʻaoʻao a me nā mea hou aku

ʻO ka Methylene blue he waihoʻoluʻu uliuli synthetic e hoʻohana ai nā kauka ma ke ʻano he lāʻau intravenous e mālama ai i kekahi mau maʻi olakino. Ke hāʻawi ʻia ma o ka IV, hana kēia hopena uliuli ʻālohilohi ma ke ʻano he antidote ikaika a me ka mea hana diagnostic i nā halemai a me nā lumi pilikia.

Hiki paha iā ʻoe ke kahaha i ka ʻike ʻana i kēia lāʻau lapaʻau, e hoʻohuli maoli ana i kou mimi i ka uliuli-ʻōmaʻomaʻo, ua hoʻopakele i nā ola no hoʻokahi haneli. Hoʻohana maʻamau nā mea mālama ola iā ia e mālama i ka methemoglobinemia, kahi maʻi weliweli kahi e hiki ʻole ai i kou koko ke lawe pono i ka oxygen.

He aha ka Methylene Blue?

ʻO ka Methylene blue kahi lāʻau lapaʻau e pili ana i kahi papa o nā lāʻau i kapa ʻia he mau mea hoʻemi. He hui synthetic ia e ʻike ʻia ma ke ʻano he pauka crystalline uliuli ʻeleʻele, e lilo i hopena uliuli ʻālohilohi ke hui pū ʻia me ka wai no ka injection.

Hana kēia lāʻau lapaʻau ma ke kelepona e kōkua i ka hoʻihoʻi ʻana i ka hiki o kou kino ke hoʻohana pono i ka oxygen. Ua hoʻomohala mua ʻia ma ke ʻano he waihoʻoluʻu textile i nā makahiki 1800, ua ʻike nā kauka i kāna mau waiwai lapaʻau ma ka pōʻino i ka wā i ʻike ai lākou e hiki ke mālama i kekahi mau hihia ʻona.

Hoʻolālā ʻia ke ʻano intravenous no ka hoʻohana ʻana i ka haukapila, kahi e hiki ai i nā poʻe loea lapaʻau ke nānā pono iā ʻoe i ka wā o ka mālama ʻana. ʻAʻole ia he mea āu e lawe ai ma ka home, no ka mea, pono ia i ka dosing akahele a me ka mālama ʻana i ka lāʻau.

No ke aha e hoʻohana ʻia ai ka Methylene Blue?

Mālama ʻo Methylene blue i ka methemoglobinemia, kahi maʻi kahi e hiki ʻole ai i kāu mau keʻena koko ʻulaʻula ke lawe pono i ka oxygen i kou mau ʻiʻo. Hana ʻia kēia i ka wā e hoʻololi ʻia ai ka hao i loko o kāu hemoglobin, e hoʻemi ana i kou koko i ka hāʻawi ʻana i ka oxygen e ola ai i loko o kou kino.

E nānā kākou i nā kumu nui e hiki ai i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau. Pono kēlā me kēia kūlana i ka loiloi akahele a me ka nānā ʻana e kāu hui mālama ola.

• Methemoglobinemia i hana ʻia e kekahi mau lāʻau lapaʻau e like me nā lāʻau antibiotic a i ʻole nā mea e hōʻoluʻolu ai i ka ʻeha
• ʻO ka ʻona mai nā nitrites a i ʻole nitrates i loaʻa i kekahi mau meaʻai a i ʻole ka wai
• Hereditary methemoglobinemia, he maʻi genetic kakaʻikahi
• Hōʻike kemika mai nā mea hana ʻoihana a i ʻole nā huahana hale
• Methemoglobinemia i hoʻokumu ʻia e nā lāʻau lapaʻau mai nā anesthetics kūloko e like me benzocaine

I kekahi mau hihia kakaʻikahi, hoʻohana nā kauka i ka methylene blue ma ke ʻano he mea hana diagnostic i ka wā o kekahi mau hana ʻoki. E wehewehe maoli kāu hui lapaʻau i ke kumu e ʻōlelo nei lākou i kēia lapaʻau no kāu kūlana.

Pehea e hana ai ʻo Methylene Blue?

Hana ʻo Methylene blue ma ke kōkua ʻana i kāu mau keʻena koko ʻulaʻula e hoʻololi i ka hemoglobin i hoʻololi ʻia i kona ʻano maʻamau, lawe i ka oxygen. E noʻonoʻo iā ia he mea kōkua e hoʻihoʻi i kāu mau keʻena koko e hana i kā lākou hana nui o ka hāʻawi ʻana i ka oxygen i kou kino.

Ke loaʻa iā methemoglobinemia, paʻa ka hao i loko o kāu hemoglobin i kahi kūlana maʻamau. Hana ʻo Methylene blue e like me ke alahaka, e hāʻawi ana i nā electrons e kōkua i ka hoʻololi ʻana i kēia hemoglobin maʻamau i ka hemoglobin maʻamau.

Ua manaʻo ʻia kēia lāʻau lapaʻau he ikaika a hana wikiwiki. Hoʻomaka ka hapa nui o nā kānaka e ʻoi aku ka maikaʻi i loko o 30 mau minuke a i hoʻokahi hola ma hope o ka loaʻa ʻana o ka injection, ʻoiai e hiki ke lawe i kekahi mau hola no ka hoʻōla piha.

ʻO ke kala polū āu e ʻike ai i loko o kāu mimi he mea maʻamau a hōʻike i ka hana ʻana o ka lāʻau lapaʻau i kāu ʻōnaehana. He mea manawa kēia discoloration a e mae ana i ka wā e hana ai kou kino i ka lāʻau lapaʻau.

Pehea wau e lawe ai i ka Methylene Blue?

ʻAʻole ʻoe e lawe iā methylene blue iā ʻoe iho - hāʻawi mau ʻia e nā poʻe loea mālama ola i kahi haukapila a i ʻole kahi hoʻonohonoho lapaʻau. He injection ka lāʻau lapaʻau e hele pololei ana i loko o kou vein ma o ka laina IV.

E hoʻomākaukau ana kāu hui mālama ola i ka lāʻau lapaʻau ma ka hoʻoheheʻe ʻana i loko o kahi wai maʻemaʻe. E hāʻawi maʻamau lākou iā ia me ka lohi ma luna o kekahi mau minuke, me ka nānā mau ʻana i kou puʻuwai, ke koko, a me nā pae oxygen.

Ma mua o ka loaʻa ʻana o ka injection, ʻaʻole pono ʻoe e ʻai wikiwiki a pale paha i kekahi mau meaʻai. Eia naʻe, pono ʻoe e haʻi i kāu hui lapaʻau e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui.

Hiki ke ʻoluʻolu iki ka wahi injection i ka wā e komo ai ka lāʻau lapaʻau i loko o kou kahe koko. He mea maʻamau kēia, a e nānā kāu mea mālama ola e hōʻoia i ka hana pono ʻana o ka IV i ka wā o ka mālama ʻana.

Pehea ka lōʻihi e lawe ai au i ka Methylene Blue?

Hāʻawi ʻia ka methylene blue ma ke ʻano he hoʻokahi dose a i ʻole kekahi mau dose i loko o kahi manawa pōkole, maʻamau i loko o 24 mau hola. ʻAʻole like me nā lāʻau lapaʻau āu e lawe ai i kēlā me kēia lā no nā maʻi maʻi, ua hoʻolālā ʻia kēia lapaʻau e hoʻoponopono i kahi kūlana olakino koʻikoʻi.

E hoʻoholo kāu kauka inā pono ʻoe i nā dose hou e pili ana i kāu pae oxygen koko a me ka maikaʻi o kāu pane ʻana i ka lāʻau lapaʻau. ʻO ka hapa nui o nā kānaka e pono i hoʻokahi a ʻelua paha dose e hoʻihoʻi i ka hiki ke lawe i ka oxygen maʻamau.

Ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau, e hoʻomau kāu hui mālama ola i ka nānā ʻana iā ʻoe no kekahi mau hola e hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau. E nānā lākou i kāu pae oxygen koko a nānā i nā hōʻailona e pono ai ka lāʻau lapaʻau hou.

Hiki ke mau nā hopena o ka methylene blue no kekahi mau hola, a e hoʻopau mālie kou kino i ka lāʻau lapaʻau i ka lā a i ʻole ʻelua e hiki mai ana. Hiki ke noho uliuli-ʻōmaʻomaʻo kāu mimi no 24 mau hola ma hope o ka mālama ʻana.

He aha nā hopena ʻaoʻao o ka Methylene Blue?

E like me nā lāʻau lapaʻau a pau, hiki i ka methylene blue ke hana i nā hopena ʻaoʻao, ʻoiai e ʻae ka hapa nui o nā kānaka iā ia ke hāʻawi pono ʻia. ʻO ka hopena i ʻike nui ʻia ʻo ka waihoʻoluʻu uliuli-ʻōmaʻomaʻo o kāu mimi, he mea ʻole a he manawa pōkole.

Eia nā hopena ʻaoʻao maʻamau e ʻike ʻia e ʻoe. E hala maʻamau ana kēia mau mea iā lākou iho ke haʻalele ka lāʻau lapaʻau i kou kino.

• Hoʻololi ʻia ka waihoʻoluʻu polū-ʻōmaʻomaʻo o ka mimi (manaʻo ʻia kēia a ʻaʻole pilikia)
• ʻO ka luaʻi ʻana a i ʻole ka ʻōpū ʻoluʻolu
• ʻO ka wili a i ʻole ka māmā
• ʻEha ke poʻo
• He manaʻo wela iki ma kahi e hoʻokomo ʻia ai ka lāʻau
• He waihoʻoluʻu polū iki o ka ʻili ma kahi e hoʻokomo ʻia ai ka lāʻau

ʻAʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, akā pono e mālama koke ʻia. E nānā pono kāu hui mālama ola iā ʻoe no kēia mau mea hiki.

• He paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu
• ʻEha ka umauma a i ʻole ka puʻuwai wikiwiki
• Luaʻi nui a i ʻole ka luaʻi ʻana
• Huikau a i ʻole nā loli noʻonoʻo
• ʻO ka wili nui a i ʻole ka hāʻule
• Nā hopena maʻi e like me ka ʻōpala a i ʻole ka pehu

I nā manawa kakaʻikahi, hiki i ka methylene blue ke hana i kahi maʻi i kapa ʻia ʻo serotonin syndrome i ka poʻe e lawe ana i kekahi mau lāʻau antidepressant. E nānā pono kāu hui lapaʻau i kāu mau lāʻau ma mua o ka mālama ʻana e hōʻemi i kēia pilikia.

ʻO wai ka mea pono ʻole e lawe i ka Methylene Blue?

ʻAʻole palekana ka methylene blue no nā mea a pau, a e nānā pono kāu hui mālama ola i kāu moʻolelo olakino ma mua o ka hoʻoholo ʻana inā kūpono ia iā ʻoe. Pono paha ka poʻe me kekahi mau maʻi a i ʻole ka poʻe e lawe ana i nā lāʻau lapaʻau kūikawā i nā lāʻau lapaʻau ʻē aʻe.

Hiki i nā maʻi aʻe ke hoʻolilo i ka methylene blue i mea palekana ʻole iā ʻoe. E noʻonoʻo kāu kauka i kēia mau mea i ka wā e hoʻolālā ai i kāu mālama ʻana.

• G6PD deficiency (he maʻi genetic e pili ana i nā ʻulaʻula koko)
• Maʻi kīkī koʻikoʻi
• Maʻi ate koʻikoʻi
• ʻIke ʻia ka maʻi i ka methylene blue a i ʻole nā mea like
• Hāpai a i ʻole ka hānai ʻana i ka waiū (inā ʻaʻole ʻoi aku ka maikaʻi ma mua o nā pilikia)
• Nā maʻi puʻuwai koʻikoʻi

Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka methylene blue, ʻoi loa nā mea e pili ana i nā pae serotonin. Pono kāu hui mālama ola e ʻike e pili ana i kāu mau lāʻau lapaʻau a pau.

\n
• Nā mea pale MAO (kekahi mau antidepressants)
\n
• SSRIs a me SNRIs (nā antidepressants maʻamau)
\n
• Kekahi mau lāʻau lapaʻau ʻeha e like me tramadol
\n
• Kekahi mau lāʻau lapaʻau migraine
\n
• Kekahi mau lāʻau antibiotic a me antifungal
\n

E loiloi kāu hui lapaʻau i nā pilikia a me nā pōmaikaʻi me ka akahele, ʻoi loa inā loaʻa iā ʻoe kekahi o kēia mau maʻi a i ʻole e lawe i kēia mau lāʻau lapaʻau. I kekahi manawa, ʻoi aku ka nui o nā pōmaikaʻi e ola ai ma mua o nā pilikia hiki.

Nā inoa inoa o Methylene Blue

Loaʻa ka methylene blue ma lalo o nā inoa inoa like ʻole, ʻoiai ua kapa ʻia ʻo ia ʻo

I nā hihia ʻaʻole hiki ke hoʻohana ʻia ka methylene blue, hiki i nā kauka ke hoʻāʻo i ka waikawa ascorbic (vitamin C) i nā mea kiʻekiʻe, ʻoiai e hana ana kēia i ka lohi. ʻO ka hoʻololi ʻana i ke koko, kahi e pani ʻia ai kou koko me ke koko mai ka mea hāʻawi, he hopena hope loa ia no nā hihia koʻikoʻi.

Hiki i ka hyperbaric oxygen therapy, kahi e hanu ai ʻoe i ka oxygen maʻemaʻe i loko o kahi keʻena i hoʻopaʻa ʻia, ke kōkua i kekahi mau kūlana. Eia naʻe, ʻo ka methylene blue ka lāʻau lapaʻau maʻamau ke hiki ke hoʻohana palekana.

Ua ʻoi aku ka maikaʻi o ka Methylene Blue ma mua o nā lāʻau lapaʻau ʻē aʻe?

Ua manaʻo ʻia ʻo Methylene blue ka lāʻau lapaʻau maikaʻi loa a me ka wikiwiki loa no ka methemoglobinemia. Hana ʻoi aku ka wikiwiki a me ka hilinaʻi ma mua o nā lāʻau lapaʻau ʻē aʻe e like me ka vitamin C a i ʻole ke kākoʻo wale nō.

I ka hoʻohālikelike ʻana me nā lāʻau lapaʻau ʻē aʻe, hoʻomaka ka methylene blue e hana i loko o 30 mau minuke a hiki ke hoʻomaikaʻi nui i kāu pae oxygen. Hiki i nā lāʻau lapaʻau ʻē aʻe e like me ka vitamin C kiʻekiʻe ke lawe i nā hola a i ʻole nā lā e hōʻike i ka hoʻomaikaʻi nui.

ʻO nā mea nui o ka methylene blue ʻo kona wikiwiki, ka pono, a me ka ʻoiaʻiʻo e ʻae maikaʻi ka hapa nui o nā kānaka iā ia. Eia naʻe, ʻaʻole pono ia he

ʻO nā kānaka me ka maʻi puʻuwai koʻikoʻi a i ʻole nā pilikia o ka puʻuwai, pono paha i ka nānā kūikawā i ka wā e mālama ʻia ai. Hiki i ka lāʻau ke hoʻopilikia i ka helu o ka puʻuwai a me ke koko, no laila e nānā pono kāu hui mālama ola i kēia mau mea.

I nā kūlana pilikia kahi e hoʻoweliweli ai ka methemoglobinemia i ke ola, ʻoi aku ka maikaʻi o ka methylene blue ma mua o nā pilikia o ka puʻuwai. E hoʻoholo kāu hui lapaʻau i kēia hoʻoholo e pili ana i kou kūlana.

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

Inā ʻoe i loko o kahi haukapila, e mālama kāu hui mālama ola i nā pilikia o ka hoʻohana ʻana - ʻaʻole pono ʻoe e hopohopo no kēia. Hoʻohālikelike a nānā pono nā poʻe loea lapaʻau i nā mea e pale ai i ka overdose.

ʻO nā hōʻailona o ka nui o ka methylene blue e komo pū me ka nausea koʻikoʻi, ka ʻeha o ka umauma, ka pilikia o ka hanu ʻana, a i ʻole ka ʻeha nui. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hāʻawi kāu hui lapaʻau i ka mālama a me ka nānā ʻana.

ʻO ka mālama ʻana i ka overdose methylene blue e pili ana i ka mālama ʻana, me nā wai IV, oxygen, a me ka nānā pono ʻana i kāu mau hōʻailona koʻikoʻi. E haʻalele mālie ka lāʻau i kou kino i ka manawa.

He aha kaʻu e hana ai inā hala wau i kahi mahele o Methylene Blue?

No ka mea, hāʻawi ʻia ka methylene blue i loko o kahi haukapila e nā poʻe loea mālama ola, ʻaʻole pono ʻoe e hopohopo no ka hala ʻana i nā mahele. E hoʻoholo kāu hui lapaʻau i ka manawa a me ka nui o nā mahele āu e pono ai.

Inā pono nā mahele hou, e hoʻonohonoho kāu hui mālama ola iā lākou e pili ana i kāu pae oxygen koko a me ke ʻano o kou pane ʻana i ka mālama ʻana. E nānā mau lākou iā ʻoe e hoʻoholo inā pono ka lāʻau hou.

Hoʻokumu ʻia ka manawa o nā mahele methylene blue ma ke ʻano o kou maʻi, ʻaʻole ma kahi papa manawa maʻamau e like me nā lāʻau lapaʻau i kēlā me kēia lā. E hana kāu hui mālama ola i nā hoʻoholo a pau e pili ana i ka manawa a me ka nui o ka lāʻau āu e pono ai.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Methylene Blue?

ʻAʻole ʻoe e hoʻoholo i ka manawa e hooki ai i ka methylene blue - ua hoʻoholo ʻia kēia hoʻoholo e kāu hui mālama ola ma muli o nā pae oxygen o kou koko a me ka hoʻōla holoʻokoʻa. ʻO ka hapa nui o nā kānaka e pono wale i hoʻokahi a ʻelua paha mau lāʻau lapaʻau.

E hooki kāu kauka i ka lāʻau lapaʻau ke hoʻi nā pae oxygen o kou koko i ka maʻamau a paʻa. Hana maʻamau kēia i loko o kekahi mau hola a i ʻole i ka lā ma hope o ka hoʻomaka ʻana o ka mālama ʻana.

Ma hope o ka pau ʻana o ka mālama ʻana, e hoʻomau kāu hui mālama ola iā ʻoe e hōʻoia ʻaʻole e hoʻi ka methemoglobinemia. E kamaʻilio pū lākou i kekahi kumu kumu, e like me ka hooki ʻana i nā lāʻau lapaʻau i hoʻokumu ai i ke kūlana.

E Hoʻopilikia anei ka Methylene Blue i nā Hoʻokolohua Lapaʻau ʻē aʻe?

ʻAe, hiki i ka methylene blue ke hoʻopilikia i kekahi mau hoʻokolohua lapaʻau, ʻo ia hoʻi nā mea e ana i nā pae oxygen i loko o kou koko. E noʻonoʻo kāu hui mālama ola i kēia i ka wā e unuhi ai i nā hopena hoʻokolohua.

Hiki i ka lāʻau lapaʻau ke hoʻopilikia i nā helu helu pulse oximetry, e ana ana i nā pae oxygen ma kou manamana lima. E hoʻohana kāu hui lapaʻau i nā ʻano hana ʻē aʻe e nānā i nā pae oxygen i loko o kāu ʻōnaehana.

Hiki i nā hoʻokolohua koko ke hōʻike i ka ʻulaʻula uliuli no ka manawa pōkole ma hope o ka mālama ʻana. ʻAʻole pili kēia i ka hapa nui o nā hopena hoʻokolohua, akā e hoʻomaopopo kāu hui mālama ola ua loaʻa iā ʻoe ka methylene blue i ka wā e unuhi ai i nā ʻike maʻamau.