Ke loaʻa iā ʻoe ke anu, nāwaliwali ʻoe a loaʻa iā ʻoe ke kuni, ua paʻa kou ihu a paʻakikī ke hanu, ʻeā? Kaumaha kou poʻo, a ʻeha nui kou kino a ʻaʻole hiki iā ʻoe ke hana i kekahi mea. I nā manawa e like me kēia, nui ka poʻe o mākou e kūʻai i ka lāʻau lapaʻau mai ka hale kūʻai lāʻau me ka manaʻolana e hōʻoluʻolu koke. He hui pū kēia o ʻekolu mau lāʻau lapaʻau e hele pinepine mai ana ma ke ʻano o ka pauka.
He aha maoli kēia hōʻiliʻili o nā lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻekolu mau lāʻau lapaʻau, e hana ana kēlā me kēia i kahi hana ʻokoʻa.
1. Acetaminophen: He mea hoʻopau kuni a me ka ʻeha kēia. ʻO ia ka mea like i loko o Panadol a kākou a pau i ʻike ai. Hāʻawi ia i ka hoʻomaha mai nā ʻeha kino, nā poʻo ʻeha, a me ke kuni.
2. Chlorpheniramine: No ka hui kēia o nā antihistamines. He lāʻau lapaʻau ia e kāohi ai i nā hōʻailona allergy. Kāohi ia i nā mea e like me ka ihu wai, nā maka waimaka, a me ka ʻūhā ʻana.
3. Phenylephrine: He lāʻau hoʻohemo i ka ʻūpā kēia. Hana ia ma ka hoʻēmi ʻana i nā kīʻaha koko pehu i loko o ka ihu, kahi e hōʻemi ai i ka ʻūpā o ka ihu a e maʻalahi ai ka hanu ʻana.
No laila, ke hui pū ʻia kēia mau mea ʻekolu, hiki ke hoʻomaha ʻia nā hōʻailona he nui o ke anu me hoʻokahi lāʻau lapaʻau.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻOiai hiki ke kūʻai ʻia kēia ma ke kūʻai aku ma kahi hale kūʻai lāʻau lapaʻau, ʻaʻole kūpono ia no nā mea āpau. No laila, inā loaʻa iā ʻoe kekahi o kēia mau maʻi olakino, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kēia lāʻau.
- Inā loaʻa iā ʻoe ka maʻi diabetes (Diabetes Mellitus)
- Inā he koko kiʻekiʻe kou
- Inā he maʻi puʻuwai kou
- Inā loaʻa iā ʻoe ka maʻi akepaʻa a i ʻole ka maʻi puʻupaʻa
- Inā loaʻa iā ʻoe ka maʻi maka glaucoma
- Inā loaʻa iā ʻoe ka maʻi thyroid
- Inā loaʻa iā ʻoe nā maʻi māmā e like me ka hānō a i ʻole COPD
- Inā he mau pilikia kou no ka prostate gland
- Inā loaʻa iā ʻoe nā ʻōpū ʻōpū a i ʻole nā pilikia ʻē aʻe o ka ʻōpū
- Inā he mea inu mau ʻoe
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai
- Inā he makuahine hānai ʻoe
- ʻO ka mea nui loa: Inā ua lawe ʻoe i kahi lāʻau lapaʻau no ka maʻi noʻonoʻo no ka papa MAOI (e like me Marplan, Nardil, a i ʻole Parnate) i loko o nā lā 14 i hala, mai lawe i kēia lāʻau lapaʻau no kekahi kumu.
- Inā loaʻa iā ʻoe kahi hopena maʻi i kēia mau lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
Mai hūnā i kēia mau mea mai kāu kauka, no ka mea, ʻo ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi mau kūlana olakino hiki ke lilo i mea weliweli.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO ka maʻamau, hele mai kēia ma ke ʻano o kahi umbrella i loko o kahi pūʻolo liʻiliʻi. Penei e hoʻohana ʻia ai.
- E heluhelu pono i ka lepili ma ka ʻeke.
- E wehe i ka ʻeke a kau pololei i ka pauka ma kou alelo.
- ʻAʻole pono ʻoe e inu i ka wai. E ʻae wale i ka pauka e heheʻe ma kou alelo.
- Mai hoʻohana ʻoi aku ma mua o ka nui a i ʻole ke alapine (frequency) i ʻōlelo ʻia ma ka lepili.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ma lalo o 12 mau makahiki , e ʻimi pono i ke kōkua lapaʻau. Eia kekahi, inā ʻoe ma luna o 65 , hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe a me ka poniuniu, no laila e kuhikuhi ʻia paha kahi mahele haʻahaʻa. E kamaʻilio pū me kāu kauka e pili ana i kēlā.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā loaʻa iā ʻoe kekahi kānalua iki ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai lawe māmā. E hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo. Mai kali a ʻike ʻia nā hōʻailona.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ana i ka lāʻau lapaʻau
- Nā Pōʻino o ka Acetaminophen: ʻO kēia ka mea nui loa. Loaʻa i kēia lāʻau lapaʻau ka acetaminophen. No laila, mai lawe i kekahi lāʻau lapaʻau ʻē aʻe i loaʻa ka acetaminophen (e like me Panadol, Paracetamol) i ka wā e lawe ana i kēia. ʻO ka lawe ʻana i ka nui o ka acetaminophen me ka ʻike ʻole hiki ke hōʻino nui i ke akepaʻa. E heluhelu pono i ka lepili e ʻike inā loaʻa i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei kēia mau mea. Inā kānalua, e nīnau i kāu kauka.
- Hiamoe: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu paha . No laila, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini kaumaha, a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. ʻO ka lawe ʻana i kēia lāʻau lapaʻau me ka waiʻona e hoʻonui paha i ka hiamoe.
- ʻOna: Mai inu ʻona loa i ka wā e lawe ana i kēia lāʻau lapaʻau. He mea ʻino loa ka hui pū ʻana o ka ʻona a me ka acetaminophen i ke akepaʻa.
- Nā hopena ʻili: I kekahi manawa, hiki i kekahi poʻe ke loaʻa i nā hopena ʻili koʻikoʻi i nā pule ma hope o ka hoʻohana ʻana i kēia lāʻau lapaʻau. E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kahi ʻulaʻula a poni paha ma kou kino, me ke kuni, nā ʻeha kino, a me nā pehu e hemo ana, a inā ʻike ʻoe i kahi ʻulaʻula me ka pehu ʻana o ka maka a i ʻole nā lehelehe.
- Waha maloʻo:He mea maʻamau ka ʻike ʻana i ka waha maloʻo me kēia lāʻau lapaʻau. Hiki ke hōʻoluʻolu ʻia kēia ma ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono kō ʻole, a i ʻole ka inu pinepine ʻana i kahi wai liʻiliʻi.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. E hāʻawi ka papa ma lalo nei iā ʻoe i kahi manaʻo maopopo o kēia.
| ʻAno o ka hopena ʻaoʻao | Nā hiʻohiʻona e makaʻala ai |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele/ʻeleʻele, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, a me ka luhi nui. |
| Nā hopena ʻili koʻikoʻi | ʻUlaʻula o ka ʻili, pehu, ʻili ʻana o ka ʻili (a hiki i loko o ka waha). |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Hoʻonui ʻia ke koko, nā hopu ʻana, ka paʻakikī o ka mimi ʻana, nā ʻōpala mae. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā hopena ʻaoʻao liʻiliʻi | Pōʻino, hiamoe, waha maloʻo, hiamoe ʻole, hoʻomaha ʻole, nāwaliwali laulā. |
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Inā ʻoe e lawe ana i kēia lāʻau lapaʻau, hiki ke launa pū me nā lāʻau lapaʻau aʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā mea no nā maʻi ʻē aʻe, nā huaora, a me nā lāʻau lapaʻau kuʻuna).
- Nā lāʻau MAOI: (e like me ka mea i ʻōlelo ʻia ma mua) ʻaʻole pono e lawe ʻia kēia mau mea.
- ʻAila
- Lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me ka amitriptyline, fluoxetine)
- ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana (e like me phenobarbital)
- Nā lāʻau lapaʻau e pale ai i nā ʻūpā koko (e like me warfarin)
- Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻoulu ai i ka hiamoe i ka wā o ke ʻoki ʻana
- ʻO nā antihistamines ʻē aʻe no ke anu a i ʻole nā mea maʻi ʻaleka
- ʻO nā Phenothiazines nā lāʻau i hoʻohana ʻia e mālama ai i kekahi mau maʻi noʻonoʻo.
Leka Lawe-Home
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e haʻi pono i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa ai (e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka maʻi ate) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai lawe pū i kēia lāʻau lapaʻau me kekahi lāʻau lapaʻau ʻē aʻe i loaʻa ka acetaminophen (e like me Panadol). ʻO ka overdose i manaʻo ʻole ʻia hiki ke hōʻeha nui i ke akepaʻa.
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe a me ka poniuniu. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou manaʻo maikaʻi loa. E pale i ka inu ʻana i ka waiʻona.
- Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau a inā loaʻa iā ʻoe kahi maʻi ʻili koʻikoʻi e like me ka hives a i ʻole nā pehu, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- He lāʻau lapaʻau kēia e hoʻohana wale ʻia i ka wā e pono ai, ke loaʻa wale nā hōʻailona, ʻaʻole ia he lāʻau lapaʻau e hoʻohana mau ʻia i kēlā me kēia lā.
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