Propranolol (Infantile Hemangioma)

Anter

• Ma mua o kou hāʻawi ʻana i ka hopena waha propranolol,
• Hiki i ka Propranolol ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka i kāu keiki inā koʻikoʻi kekahi o kēia mau ʻōuli mai hele aku:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā loaʻa i ke keiki kekahi o nā ʻōuli, e kāhea koke i ke kauka o ke keiki a i ʻole e kiʻi i ka lāʻau olakino olakino.
• Inā loaʻa i kāu keiki kekahi o kēia mau ʻōuli, e hōʻoki i ka hāʻawi ʻana i ka propranolol a kāhea koke aku i ke kauka o ke keiki a i ʻole e kiʻi i nā lāʻau lapaʻau pilikia.
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Hoʻohana ʻia ka haʻina waha Propranolol e mālama ai i ka hemangioma pēpē nui (ulu ʻole (noncancerous) ulu a i ʻole nā ​​tumors e ʻike ʻia ma a i ʻole ma lalo o ka ʻili ma hope koke o ka hānau ʻana) i nā pēpē he 5 mau pule a 5 mau mahina. Aia ʻo Propranolol i kahi papa o nā lāʻau i kapa ʻia ʻo beta blockers. Hana ia ma ka hoʻopili ʻana i nā kīʻaha koko i hana ʻia a me ka pale ʻana i nā mea hou mai ka ulu ʻana.

Hele mai ʻo Propranolol ma ke ʻano he oral solution (wai) e lawe ma ka waha. Lawe pinepine ʻia ʻo Propranolol oral solution i ʻelua mau lā i kēlā me kēia lā (9 mau hola ke kaʻawale) i ka wā a ma hope koke paha o ka pāʻina ʻana. Hāʻawi i ka hopena propranolol ma kahi o ka manawa like (s) i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi ma ka lepili kuhikuhi, a nīnau i ke kauka a i ʻole ka lāʻau lapaʻau e wehewehe i kekahi ʻāpana āu i maopopo ʻole ai. E hāʻawi pololei i propranolol e like me ke kuhikuhi. Mai hāʻawi i kāu keiki i kahi mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ke kauka.

Mai hoʻoluliluli i ka ipu hoʻonā waha ma mua o ka hoʻohana.

Inā hiki ʻole i kāu keiki ke ʻai a luaʻi paha i ka mahele lāʻau, kāpae i ka lāʻau a hoʻomau i ka papa hana maʻamau maʻamau ke ʻai hou lākou.

E hāhai i nā kuhikuhi a ka mea hana e ana i ka mahele lāʻau e hoʻohana ana i ka syringe waha i hoʻolako ʻia me ka lāʻau. Hiki iā ʻoe ke hāʻawi i ka hopena i kāu keiki pololei mai ka syringe waha a i ʻole hiki iā ʻoe ke kāwili me kahi waiū liʻiliʻi a wai wai hua paha a hāʻawi iā ia i loko o ka ʻōmole o ka pēpē. E nīnau i ka kauka lāʻau a i ʻole kauka inā he nīnau kāu e pili ana i ka hoʻohana ʻana i ka syringe waha a hāʻawi i kēia lāʻau.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o kou hāʻawi ʻana i ka hopena waha propranolol,

• e haʻi i ke kauka a me ka kauka inā he maʻi kāu keiki i ka propranolol, nā lāʻau ʻē aʻe, a i ʻole nā ​​mea hoʻohui i propranolol oral solution. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
• e haʻi i ke kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau a kāu keiki e lawe nei a inā he makuahine hānai ʻoe a ke lawe nei a hoʻolālā paha ʻoe e lawe i nā lāʻau. E kuhikuhi pono i kekahi o kēia mau mea: nā corticosteroids e like me dexamethasone, methylprednisolone (Medrol), a i ʻole prednisone (Rayos); phenytoin (Dilantin, Phenytek); phenobarbital; aiʻole rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater). Nui paha nā lāʻau ʻē aʻe e launa pū paha me propranolol, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau a kāu keiki e lawe nei (a i ʻole ke lawe nei ʻoe inā hānai waiū), ʻo ia hoʻi nā mea i hōʻike ʻole ʻia ma kēia papa inoa. Pono paha ke kauka e hoʻololi i ka lāʻau a nānā pono i kāu keiki no nā hopena ʻaoʻao.
• e haʻi i ke kauka inā hānau mua ʻia kāu keiki a ʻoi aku kona kaikaina ma mua o kahi mau makahiki i hoʻoponopono ʻia o 5 mau pule, kaupaona ma lalo o 4.5 lbs (2 kg), loaʻa ke koko haʻahaʻa a i ʻole ka nui o ka pulse, a i ʻole ka luaʻi a ʻai ʻole paha. Eia kekahi, e haʻi i ke kauka inā loaʻa i kāu keiki ka hānō a i ʻole nā ​​pilikia hanu ʻē aʻe, pheochromocytoma (kahi tumo ma kahi gland liʻiliʻi kokoke i nā puʻupaʻa e hoʻonā i ke koko kiʻekiʻe), a i ʻole ka puʻuwai puʻuwai. E haʻi paha ke kauka iā ʻoe ʻaʻole e hāʻawi i ka haʻina waha prop propololol.

Inā ʻaʻole haʻi ke kauka iā ʻoe i kekahi mea ʻē aʻe, e hoʻomau ke keiki i ka papaʻai maʻamau.

Inā ʻike ʻoe i ka hāʻawi ʻana i kahi lāʻau, haʻalele i ka lāʻau a hoʻomau i ka papa hana maʻamau. Mai hāʻawi i kahi lāʻau pālua e pani no kahi mea i hala.

Hiki i ka Propranolol ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka i kāu keiki inā koʻikoʻi kekahi o kēia mau ʻōuli mai hele aku:

• pilikia pilikia hiamoe
• ka luaʻi
• pāhoehoe
• hoohaunaele
• anu lima a kapuaʻi paha

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā loaʻa i ke keiki kekahi o nā ʻōuli, e kāhea koke i ke kauka o ke keiki a i ʻole e kiʻi i ka lāʻau olakino olakino.

• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• ʻūhā
• pokole o ka hanu
• lohi, paʻipaʻi ʻole o ka puʻuwai
• nāwaliwali koke o ka lima a me ka wāwae

Inā loaʻa i kāu keiki kekahi o kēia mau ʻōuli, e hōʻoki i ka hāʻawi ʻana i ka propranolol a kāhea koke aku i ke kauka o ke keiki a i ʻole e kiʻi i nā lāʻau lapaʻau pilikia.

• ʻulaʻula, polū a ʻulaʻula ʻulaʻula
• ka houʻu ʻana
• ukiuki
• hoʻēmi ʻai
• mahana wela o ke kino
• hiamoe ʻole
• kū ka hanu no nā manawa pōkole
• ka hopu ʻana
• nalowale o ka ʻike

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela a mamao aku mai ka mālamalama, ka wela nui, a me ka makū (ʻaʻole i loko o ka lua. Mai paʻa hau. E hoʻolei i nā koina haʻi waha propranolol i koe 2 mau mahina ma hope o kou wehe mua ʻana i ka ʻōmole.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

• luliluli ʻole ʻana i kahi ʻāpana o ke kino
• puʻuwai wikiwiki
• ʻūhā
• ka hopu ʻana
• hoʻomaha ʻole
• paʻakikī e hiamoe a hiamoe paha

E mālama i nā wā a pau me ke kauka.

Mai ʻae i kekahi mea ʻē aʻe e lawe i kēia lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i ka lāʻau.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

• Hemangeol^®