I kekahi manawa, ke loaʻa iā ʻoe ka ʻeha nui i hiki ʻole ke kāohi ʻia me nā lāʻau ʻeha maʻamau, hiki i kāu kauka ke kuhikuhi i kahi lāʻau ʻeha kūikawā. ʻO kēia lāʻau wai, ʻo ia ka hui pū ʻana o nā lāʻau ʻelua i kapa ʻia ʻo Acetaminophen a me Codeine, ʻo ia kekahi o lākou. Kuhi pinepine ʻia ia inā ʻaʻole hiki iā ʻoe ke ʻae i nā lāʻau ʻeha ʻē aʻe a i ʻole inā ʻaʻole lākou e hōʻoluʻolu i ka ʻeha. No laila, i kēia lā e kamaʻilio mākou me nā kikoʻī liʻiliʻi a maʻalahi e pili ana i kēia lāʻau a me nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ai.
He aha ke ʻano lāʻau lapaʻau kēia?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o nā ʻano lāʻau lapaʻau nui ʻelua.
1. ʻAcetaminophen: He lāʻau hoʻopau ʻeha maʻamau i ʻike ʻia e ka hapa nui o kākou mai nā lāʻau lapaʻau e like me 'Panadol', hoʻemi i ke kuni a me ka ʻeha.
2. Codeine: He lāʻau hoʻopau ʻeha ikaika kēia no ka papa opioid. Hana pololei ia ma ka lolo, e ālai ana i ka hoʻoili ʻana o nā hōʻailona ʻeha.
Ke hui pū ʻia kēia mau mea ʻelua, hāʻawi lākou i ka kaohi maikaʻi ʻana i ka ʻeha waena a koʻikoʻi. ʻOiai hiki mai kēia lāʻau lapaʻau i loko o kahi hopena, he mea maʻalahi loa ia e hoʻohana no ka poʻe i pilikia i ka ale ʻana i nā pila.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa i kāu kauka ke kiʻi piha o kou olakino. No laila, ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka acetaminophen, codeine a i ʻole nā opioids ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala a i ʻole nā mea mālama.
- Inā he mea inu mau ʻoe.
- Inā he maʻi kou i ke akepaʻa a i ʻole nā puʻupaʻa .
- Inā loaʻa iā ʻoe ka maʻi māmā, ka hānō, a i ʻole nā pilikia hanu ʻē aʻe .
- Inā loaʻa iā ʻoe kahi maʻi e like me ka ʻeha poʻo, ka puʻupuʻu lolo, a i ʻole ka hopu ʻana.
- Inā he moʻolelo kou no ka hoʻohana ʻana i ka lāʻau lapaʻau .
- Hana haʻahaʻa o ke kelepa adrenal.
- Inā he mau pilikia kou ma ka ʻōpū a i ʻole ka naʻau.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine ʻoe e hānai waiū ana.
- Inā ua lawe ʻoe i kahi lāʻau antidepressant MAOI (Monoamine Oxidase Inhibitor) e like me Marplan, Nardil, a i ʻole Parnate i loko o nā lā 14 i hala.
Ma muli o kēia ʻike, e hoʻoholo kāu kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole pono e hoʻololi i ka dosage.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
Pono ʻoe e makaʻala loa i ka wā e hoʻohana ai i kēia lāʻau lapaʻau.
- E ana pololei:ʻOiai he wai kēia, pono ʻoe e ana i ka nui kikoʻī i kuhikuhi ʻia e kāu kauka. E hoʻohana i ka puna kūikawā a i ʻole ke kīʻaha i hele mai me ka lāʻau lapaʻau no kēia. Mai hoʻohana i nā tīpune a i ʻole nā punetēpē āu i loaʻa ai ma ka home , no ka mea, ʻaʻole pololei kā lākou ana.
- E lawe pū me ka meaʻai: Hiki i kekahi poʻe ke ʻeha ka ʻōpū i ka wā e lawe ai i kēia lāʻau. Inā hana kēia, e lawe i ka lāʻau me ka ʻai a ma hope paha o ka ʻai ʻana.
- E lawe wale i ka manawa i kauoha ʻia: Mai lawe ʻoi aku ma mua o ka mea i kauoha ʻia e ke kauka, a mai lawe i ka lāʻau lapaʻau ma mua o ka manawa i kauoha ʻia.
E akahele loa i ka hāʻawi ʻana i nā keiki.
ʻAʻole kūpono kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki ma lalo o 12 mau makahiki. Eia kekahi, mai hāʻawi i kēia lāʻau lapaʻau i kahi keiki ma lalo o 18 mau makahiki i hana ʻia i ke ʻoki ʻana e wehe i nā tonsils a i ʻole adenoids. ʻOi aku ka nui o ka pilikia o nā keiki i nā hopena ʻaoʻao mai kēia lāʻau lapaʻau.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā he kānalua kou ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻomāmā. E kelepona koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i kāu lāʻau lapaʻau i kekahi.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe a hiki ke hoʻoulu i nā hopena ʻaoʻao weliweli. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau lāʻau).
ʻOi aku hoʻi, mai lawe pū me kēia mau lāʻau lapaʻau:
- Linezolid
- Nā MAOI (e.g. Marplan, Nardil, Parnate)
- Polū Methylene
- ʻOzanimod
- Samidorphan
Eia kekahi, e ʻoluʻolu e hoʻomaopopo i kāu kauka inā ʻoe e lawe nei i kēia mau lāʻau lapaʻau, no ka mea, hiki iā lākou ke hoʻopilikia:
- ʻAila
- Nā antihistamines (nā lāʻau lapaʻau no ke anu, ke kuni, a me nā maʻi ʻaleka)
- Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka hiamoe
- Nā lāʻau anticonvulsant (e.g. carbamazepine, phenytoin)
- Nā lāʻau antifungal (e.g. ketoconazole)
- Kekahi mau lāʻau antibiotic (e.g. erythromycin)
- Nā mea hoʻomaha ʻiʻo
- ʻO kekahi lāʻau hoʻomaha ʻeha ʻē aʻe i loaʻa ka acetaminophen (paracetamol).
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
ʻO nā mea nui e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
He aha inā ʻaʻole e emi ka ʻeha?
Ke lawe ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, hiki i kou kino ke maʻa iā ia. Kāhea mākou i kēia 'hoʻomanawanui'. ʻO ke ʻano kēia, ʻaʻole lawa ka nui āu i lawe ai e hōʻoluʻolu i ka ʻeha. He mea maʻamau kēia. Inā hana kēia, inā ʻaʻole e emi a hoʻonui paha kou ʻeha, mai hoʻonui i ka nui iā ʻoe iho a kamaʻilio me kāu kauka.
ʻO ka ʻona a me ka hoʻomaʻamaʻa kino
Nui ka poʻe e makaʻu nei i ka lilo ʻana i mea hoʻopili i kēlā mau lāʻau hoʻomaha ʻeha ikaika. Eia nō naʻe, aia ʻelua mau mea i kapa ʻia ʻo ka hilinaʻi kino a me ka hoʻopili. Ke lawe ʻoe i ka lāʻau no ke kumu lapaʻau e like me ka ʻeha, maʻa kou kino iā ia i ka hala ʻana o ka manawa. ʻAʻole ia he mea hoʻopili. Mai hoʻōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hōʻailona haʻalele. Ke pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau, e hōʻemi mālie kāu kauka i ka nui a haʻi iā ʻoe pehea e hoʻōki ai.
E akahele me nā lāʻau Acetaminophen ʻē aʻe.
He mea nui loa kēia. Loaʻa i kēia lāʻau lapaʻau ka Acetaminophen. No laila, i ka wā e lawe ana i kēia, mai lawe i kekahi lāʻau lapaʻau ʻē aʻe i loaʻa ka Acetaminophen (paracetamol). Loaʻa paha i nā lāʻau lapaʻau anu a me nā mea hoʻomaha ʻeha ma luna o ke kūʻai aku kēia mau mea. E heluhelu pono i ka lepili. ʻO ka lawe ʻana i ka nui o ka Acetaminophen hiki ke hōʻeha nui i ke akepaʻa.
Hiamoe a me ka poniuniu
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu paha. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i kona hopena iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai ala koke mai kahi noho.
Ka paʻa ʻana a me ka waha maloʻo
ʻO kahi hopena maʻamau o kēia lāʻau lapaʻau ka paʻa ʻana o ka ʻōpū. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o 3 mau lā, e haʻi i kāu kauka. Eia kekahi, inā maloʻo kou waha, e inu i ka wai nui a nau i ka gum kō ʻole.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
| Māhele hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka kaumaha o ka ʻōnaehana nerve waena (kaumaha CNS) | Hanu lohi a papau paha, paʻakikī ka hanu ʻana, hiamoe nui, ʻike ʻole i ka ʻike, huikau. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka melemele o nā maka a i ʻole ka ʻili. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| ʻO ka pehu a i ʻole ka ʻili ʻana o ka ʻili | ʻUlaʻula, pehu, ʻili ʻili (a hiki i loko o ka waha). |
| He mea maʻamau kēia, akā e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. | |
| Nā hopena ʻaoʻao maʻamau | Paʻa ka ʻōpū, poniuniu, hiamoe, waha maloʻo, nausea a luaʻi paha, ʻeha ka ʻōpū, hiamoe ʻole. |
Leka Lawe-Home
- E lawe i ka nui e like me ke kauoha a kāu kauka, i ka manawa kūpono. Mai hoʻololi i ka nui ma kāu iho.
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi poʻe no kekahi kumu. He mea kū ʻole i ke kānāwai a he mea weliweli loa ia.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe a pau, nā huaora, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei.
- I ka wā e lawe ai i kēia lāʻau lapaʻau, mai lawe i nā lāʻau lapaʻau ʻē aʻe i loaʻa ka Acetaminophen (paracetamol).
- Mai hoʻōki koke i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E pale i ka hoʻokele kaʻa a me ka hana ʻana i nā hana e pono ai ka nānā ʻana, no ka mea, hiki ke hiamoe.
- E mālama i ka lāʻau lapaʻau ma kahi palekana, mai ka hiki ʻana aku o nā keiki a me nā holoholona.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka Acetaminophen a me Codeine (Acetaminophen; Codeine / Tylenol 3/4)?
He hui ikaika loa o 'ʻelua mau lāʻau i hui pū ʻia' e hāʻawi koke ana i ka hōʻoluʻolu mai ka ʻeha waena a koʻikoʻi (e laʻa ma hope o ka unuhi ʻana i ka niho/ma hope o ke ʻoki ʻana) ʻaʻole i hōʻoluʻolu ʻia e ka Panadol maʻamau (Acetaminophen/Paracetamol). ʻO ka 'Codeine' i loko o kēia he lāʻau ikaika (Opioid) mai ka hui Morphine! No laila, ʻaʻole hiki ke kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau koe wale nō me ke kauoha lapaʻau.
💬 Pehea e hiki ai iā ʻoe ke hōʻoluʻolu i ka ʻeha nui me ka hui pū ʻana o kēia mau lāʻau ʻelua (Acetaminophen + Codeine)?
Hoʻouka i ka ʻeha mai nā ʻaoʻao ʻelua! 1. Acetaminophen - Hoʻemi kēia i ka ʻeha a me nā kemika e hoʻoulu ai i ke kuni (COX / Prostaglandins) i loko o ka lolo a hoʻōki i nā ʻeha maʻamau. 2. Codeine - Ma hope o ka lawe ʻana i kēia, hoʻololi ke akepaʻa iā ia i loko o ka 'Morphine' ikaika. A laila hele pololei ia i ka lolo a laka i nā puka āpau e hoʻomalu ana i ka ʻeha (Mu-opioid receptors) ma laila, e hāʻawi ana i ka lolo i kahi 'hōʻoluʻolu/euphoria' wahaheʻe.
💬 He mea hoʻopili anei kēia lāʻau lapaʻau (Codeine)? He aha ka pilikia weliweli loa (ʻŌlelo Aʻo Pahu ʻEleʻele)?
ʻAe! He lāʻau hoʻopau ʻeha hoʻopilikia loa kēia! ʻO kekahi pōʻino make loa ʻo ia ka 'Respiratory depression'. Inā lawe ʻia kēia pila me ka waiʻona/nā lāʻau hiamoe, a i ʻole hāʻawi ʻia i nā keiki, hiki iā ia ke hōʻino i ka lolo, hoʻōki loa i ka hanu ʻana, a alakaʻi i ka make (ua pāpā loa ʻia ka Codeine no nā keiki ʻōpio). ʻO kekahi mea, ua kiʻekiʻe loa ka Acetaminophen (Paracetamol) a aia kahi 100% o ka hiki ke hāʻule ka ate!
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