Ke manaʻo mākou i nā ʻeha a me nā ʻeha ma kekahi wahi, ʻo ka mea mua a mākou e hana ai, ʻo ia ke holo no kahi ' lāʻau hoʻopau ʻeha ', ʻeā? Ke loaʻa iā mākou ka ʻeha poʻo, ka ʻeha niho, ka ʻeha ʻōpū i ka wā o ka menstruation, ke hāʻule mākou a hōʻeha i ko mākou mau lālā ... ke ʻimi nei mākou i ke kōkua mai nā lāʻau hoʻopau ʻeha no kēia mau mea a pau. He mea kēia i loko o ka pahu lāʻau lapaʻau o kēlā me kēia home. Akā, ʻike maoli anei mākou e pili ana i kēia mau lāʻau hoʻopau ʻeha, a i ʻole 'Analgesics'? Pehea lākou e hana ai i loko o ko mākou kino? Aia kekahi ʻano o lākou? He aha nā hopena ʻaoʻao o ka hoʻohana pinepine ʻana iā lākou? I kēia lā, e kamaʻilio mākou e pili ana i kēia mau mea a pau me ka maʻalahi, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.
I ka ʻōlelo maʻalahi, he aha kēia mau analgesics?
ʻO nā lāʻau hoʻomaha ʻeha, a i ʻole e like me kā mākou e kapa nei iā lākou , 'painkillers', he ʻano lāʻau lapaʻau ia e hōʻoluʻolu a hōʻemi paha i ka ʻeha i loko o ko mākou kino. Aia kekahi mea nui e pono ai mākou e hoʻomaopopo ma ʻaneʻi. ʻAʻole like kēia mau lāʻau hoʻomaha ʻeha me nā lāʻau anesthesia i hāʻawi ʻia i ka wā o ke ʻoki ʻana. Hoʻōki nā lāʻau anesthesia i ka hana aʻalolo no kekahi manawa ma kahi kikoʻī, e like me ka nalowale ʻana o ko mākou ʻike.
Akā, ʻaʻole hana kēlā nā lāʻau ʻeha. ʻAʻole lākou e hoʻopau i ko mākou mau aʻalolo, e hoʻōki iā mākou mai ka manaʻo ʻana i nā mea a puni mākou, a i ʻole e hoʻolilo iā mākou i ka nalowale o ka ʻike. Hoʻemi wale lākou i ka ʻeha i loko o ko mākou lolo a i ʻole e hoʻemi i ka mumū e hoʻoulu ai i ka ʻeha.
I nā kūlana hea mākou e hoʻohana ai i nā lāʻau lapaʻau ʻeha?
Ua hoʻohana mākou a pau i nā lāʻau ʻeha i kekahi manawa o ko mākou ola. E noʻonoʻo i kahi kūlana e like me kēia...
- Ma hope o ke ʻoki kino: Paipai nā kauka i kēia mau mea e kōkua i ka hoʻokele ʻana i ka ʻeha ma hope o kekahi ʻoki kino liʻiliʻi a nui paha.
- Inā loaʻa ka ʻeha: ʻEha nui i hoʻokumu ʻia e nā ulia pōpilikia, e like me ka iwi haki (haʻihaʻi) a i ʻole ka wāwae i pelu ʻia.
- ʻEha nui: No nā mea e like me ke poʻo ʻeha nui, ka ʻeha niho, a i ʻole ke kaumaha o nā ʻiʻo.
- ʻEha kino laulā: No nā mea e like me nā ʻeha o ka menstrual a me nā ʻeha kino ma hope o ka hoʻoikaika kino.
- ʻEha Mau Loa: E mālama i nā kūlana ʻeha lōʻihi e like me ka rumatika, ke kanesa, a me ka ʻeha hope.
Pehea e hana ai kēia mau mea hoʻomaha ʻeha? ʻElua ʻano nui!
Hiki ke hoʻokaʻawale ʻia nā lāʻau ʻeha i ʻelua mau ʻāpana nui, a hana kēlā me kēia i loko o ko mākou kino ma nā ʻano ʻelua like ʻole.
1. Nā lāʻau lapaʻau anti-inflammatory
Hana kēia ʻano lāʻau ʻeha ma ka hoʻēmi ʻana i ka pehu ʻana, a i ʻole ka mumū, ma kahi o ka ʻeha. Ke hana ʻia kekahi mea i ko mākou kino, e like me ka ʻeha a i ʻole ka maʻi, ʻo ka pane kūlohelohe o ke kino, ʻo ia ke kumu e lilo ai ka wahi i ʻulaʻula, pehu, wela, a ʻeha. Ma muli kēia o ka hoʻokuʻu ʻia ʻana o nā kemika i kapa ʻia ʻo prostaglandins. Hana kēia mau lāʻau lapaʻau ma ka hoʻōki ʻana i ka hana ʻana o kēlā mau kemika. Hoʻēmi kēia i ka pehu a me ka ʻeha.
Hoʻohana mākou i nā ʻano lāʻau lapaʻau maʻamau e pili ana i kēia māhele.
- ʻAcetaminophen: ʻO kēia ka paracetamol a kākou a pau i ʻike ai. Hoʻohana pinepine ʻia ia no ke kuni a me nā ʻehaʻeha maʻamau.
- ʻAspirin: He mea hōʻoluʻolu ʻeha kēia a he lāʻau lapaʻau e hōʻemi ai i ke kāpili ʻana o ke koko.
- Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs): He lōʻihi iki kēia inoa, akā ua ʻike mākou i kēia mau mea. No ka laʻana, ʻo nā lāʻau lapaʻau e like me Ibuprofen , Naproxen , a me Diclofenac no kēia hui. He kūpono loa kēia no nā mea e like me ka ʻeha ʻiʻo a me ka ʻeha hui.
- Nā mea kāohi COX: He papa kūikawā kēia o nā lāʻau lapaʻau e like me NSAID, akā emi ka hopena ma ka ʻōpū.
2. Nā lāʻau lapaʻau opioid
He hui kēia o nā lāʻau lapaʻau i ʻoi aku ka ikaika, a pono ʻoe e makaʻala loa iā lākou. Ua kapa ʻia lākou he narcotics . ʻAʻole hana kēia mau lāʻau lapaʻau ma kahi o ka ʻeha; hoʻopilikia pololei lākou i ko mākou lolo a me ka ʻōnaehana nerve.
I ka ʻōlelo maʻalahi, hoʻololi kēia mau lāʻau i ke ʻano o ka lolo e 'loaʻa' ai nā hōʻailona ʻeha. ʻOiai aia ka ʻeha i loko o ke kino, ua emi ia i loko o ka lolo. ʻO ia ke kumu e kuhikuhi ai nā kauka iā lākou no nā kūlana ʻeha koʻikoʻi loa, e like me ka ʻeha koʻikoʻi ma hope o ke ʻoki ʻana a i ʻole ka ʻeha maʻi kanesa.
He mea nui: ʻO nā lāʻau ʻeha opioid he mau lāʻau lapaʻau e pono ke lawe ʻia ma ke ʻōlelo aʻo a ke kauka, ma ka nui i kuhikuhi ʻia, a no ka manawa i kuhikuhi ʻia, no ka mea, he kiʻekiʻe loa ka pilikia o ka hilinaʻi/ʻona.
ʻO kekahi mau lāʻau lapaʻau ʻē aʻe no kēia hui:
- Codeine
- Tramadol
- Morphine
- ʻO Fentanyl
- ʻOkikodona
He aha nā ʻano e lawe ai i nā lāʻau lapaʻau?
Hiki i ko kākou kino ke lawe i nā lāʻau hoʻopau ʻeha ma nā ʻano like ʻole. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa ma muli o ke ʻano a me ke koʻikoʻi o kou ʻeha, a me kou pae ʻoluʻolu.
- Nā pila, nā papa a i ʻole nā kapsula i ale ʻia: ʻO kēia ke ʻano a mākou e ʻike pinepine ai a hoʻohana pinepine ai.
- Wai āu e ale ai: Hoʻohana ʻia kēia ʻano hana no nā keiki ʻōpio a me ka poʻe pilikia i ka ale ʻana i nā pila.
- Nā pāpili ma ka ʻili: Ke hoʻopili ʻia kekahi mau lāʻau ʻeha ikaika i ka ʻili ma ke ʻano he pāpili, e komo mālie ʻia ka lāʻau i loko o ke kino.
- Nā inikini: Hoʻohana ʻia kēia ʻano hana i nā pilikia a me ka wā e pono ai ka hoʻomaha koke ʻana i ka ʻeha.
- ʻŌpī ihu: Loaʻa kekahi mau mea ʻeha ʻeha ma kēia ʻano.
- Nā ʻiliʻili ma lalo o ke alelo: Hoʻopili koke ʻia kēia mau mea i loko o ke kahe koko.
He aha nā hopena a me nā pilikia o ka hoʻohana ʻana i nā painkillers?
"ʻO ka nui o nā mea āpau he mea ʻino ia," wahi a lākou. Pēlā nō hoʻi i nā lāʻau ʻeha. ʻO ka hoʻohana ʻana iā lākou, ʻoiai ma nā nui kiʻekiʻe a no ka manawa lōʻihi me ka ʻole o ke aʻo ʻana a ke kauka, hiki ke hana i nā hopena ʻaoʻao koʻikoʻi. E nānā kākou i kēia mau ʻano pilikia ʻelua ma ke kaʻawale.
| Māhele lāʻau lapaʻau | Nā hopena ʻaoʻao a me nā pilikia |
|---|---|
| Nā lāʻau ʻeha hoʻonāukiuki (NSAIDs, e like me Paracetamol) |
|
| Nā lāʻau ʻeha opioid (Opioids) |
ʻOi aku ka nui o nā mea e pili ana i nā pilikia o ka hoʻohui opioid
He mau lāʻau lapaʻau nā opioid e hiki ke hoʻōla i nā ola inā hoʻohana pono ʻia, akā hiki ke pepehi i nā ola inā hoʻohana hewa ʻia. Hoʻomaka mālie ka maʻi hoʻohana ʻona (SAD). Aia kekahi mau hōʻailona e hōʻike ana e loaʻa ana paha i kekahi kēia maʻi.
- Ke lawe nei i nā lāʻau lapaʻau i ʻoi aku ma mua o ke kauoha a ke kauka.
- Ke hoʻāʻo nei e hōʻemi i ka hoʻohana ʻana i nā lāʻau lapaʻau akā ʻaʻole hiki ke hana.
- Ke noʻonoʻo nei i ka lāʻau lapaʻau a hiki i kahi hiki ʻole ke hoʻokō i nā kuleana hana, kula, a i ʻole ka ʻohana.
- Ke hoʻomau nei i ka hoʻohana ʻana i kēia lāʻau lapaʻau ʻoiai ke ʻike nei e hoʻoulu ia i nā pilikia.
- Ke haʻalele nei mai nā hana kaiāulu a me nā hoaaloha.
- Ke hoʻohana nei i kēia mau mea ʻoiai i nā kūlana pilikia e like me ka hoʻokele kaʻa ʻana.
- Me ka hala ʻana o ka manawa, lilo ka nui o ka lāʻau i lawe ʻia i lawa ʻole ma mua o ka ʻike ʻia ʻana o ka hōʻoluʻolu o ka ʻeha (Tolerance).
- Hōʻike ʻia nā hōʻailona haʻalele ke hoʻopau ʻia ka lāʻau lapaʻau.
He mea nui loa: Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kekahi o kēia mau hōʻailona, he mea nui e ʻimi koke i ke kōkua lapaʻau. Eia kekahi, e mālama pono i nā lāʻau ʻeha a pau mai ka hiki ʻana aku o nā keiki liʻiliʻi.
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka wā e lawe ana i ka lāʻau ʻeha, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) kokoke loa.
| Nā Hōʻailona o ka Hae ʻUlaʻula | |
|---|---|
| Nā loli ʻili | Nā hōʻailona o ka maʻi ʻaleka e like me ka ʻulaʻula a me ka pehu ʻana ma nā wahi a pau o ke kino. |
| Nā loli i ka noho | ʻEleʻele, ʻeleʻele nā ʻōpala (he hōʻailona paha kēia o ke kahe ʻana o ka ʻōpū). |
| Nā loli i ka luaʻi ʻana | Ka luaʻi ʻana i ke koko a i ʻole nā ʻōpala e like me ke kofe . |
| Nā loli sensory | Nā loli i ka ʻike a i ʻole ka lohe ʻana. |
| ʻEha nui | Ka ʻeha ʻōpū nui a i ʻole ke poʻo. |
| Nā loli i ka mimi | Paʻakikī ke mimi, mimi noe a ʻeleʻele paha. |
| Melemele o ka ʻili a me nā maka | Melemele o ka ʻili a i ʻole nā keʻokeʻo o nā maka (jaundice) (he hōʻailona kēia o ka hōʻino ʻia o ke akepaʻa). |
| Kaumaha o ke kino | Piʻi koke a ʻano ʻē o ke kaumaha o ke kino. |
Inā manaʻo ʻoe ua lawe nui kekahi i nā lāʻau ʻeha, e lawe koke iā lākou i ka haukapila. Inā pono, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Lahui no nā Poisons ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- He mau lāʻau lapaʻau pono loa nā lāʻau hoʻopau ʻeha e hōʻoluʻolu i ka ʻeha. Akā, pono e hoʻohana pono ʻia a me ke kuleana.
- ʻOiai inā hiki iā ʻoe ke loaʻa nā lāʻau ʻeha ma luna o ke kūʻai aku mai kahi hale kūʻai lāʻau lapaʻau, mai lawe ʻoe ma mua o ka nui i ʻōlelo ʻia. Inā ʻoe e hoʻohana iā lākou no ka manawa lōʻihi, e kamaʻilio me ke kauka.
- Mai kaʻana like i nā lāʻau ʻeha, ʻoiai nā opioids, i kuhikuhi ʻia e ke kauka me kekahi kanaka ʻē aʻe. Hiki ke lilo i mea weliweli no kēlā kanaka.
- Inā loaʻa iā ʻoe nā maʻi olakino ʻē aʻe (e like me ka gastritis, ka maʻi puʻupaʻa, ka maʻi puʻuwai) a i ʻole ke lawe nei ʻoe i nā lāʻau lapaʻau ʻē aʻe, e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau ʻeha.
- Inā ʻike ʻoe i kekahi mau hōʻailona ʻē aʻe i ka wā e hoʻohana ai i kekahi lāʻau ʻeha, mai hoʻowahāwahā iā ia a e ʻimi koke i ke kōkua lapaʻau.
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