Ke ʻeha nei ʻoe i ka ʻeha lōʻihi a hiki ʻole ke hoʻomanawanui? I kekahi manawa, ʻaʻole lawa nā lāʻau hoʻomaha ʻeha maʻamau a mākou e lawe ai e kāohi i kēlā ʻeha nui. I kēlā mau hihia, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi lāʻau hoʻomaha ʻeha kūikawā a ikaika. I kēia lā e kamaʻilio mākou e pili ana i kekahi lāʻau lapaʻau, ʻo Buprenorphine, kahi i hoʻohana ʻia ma ke kau ʻana iā ia ma loko o ka papālina.
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Buprenorphine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Buprenorphine i hoʻohana ʻia no ka mālama ʻana i ka ʻeha nui a mau loa. Hoʻomaʻamaʻa pinepine nā kauka iā ia ke hana ʻole nā lāʻau ʻeha ʻē aʻe a i ʻole ke hiki ʻole i ke kino ke ʻae i ka lāʻau. No kahi papa o nā lāʻau i kapa ʻia ʻo opioids . Hana ia ma ke kāohi ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo, e hōʻemi ana i ka manaʻo o ka ʻeha.
ʻO ka mea nui loa, he lāʻau lapaʻau hana lōʻihi kēia. ʻO ia hoʻi, ʻaʻole ia e hoʻohana ʻia no ka ʻeha koke. Hāʻawi ʻia ia e kāohi i ka ʻeha mau loa e mau ana i ka lā a pau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā ia inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kūlana olakino | Wehewehena |
|---|---|
| Nā pilikia e pili ana i ka lolo | Nā kūlana e like me ka puʻupuʻu lolo a me ka ʻeha poʻo. |
| Nā pilikia waha | Maʻi niho a ʻāʻī paha, nā ʻeha waha. |
| ʻAke, ʻōpū, pancreas | Maʻi ʻaʻai, maʻi ʻōpū, maʻi pancreas. |
| Nā pilikia o ka ʻōnaehana hanu | Ka maʻi o ka māmā, ka hānō, a i ʻole nā pilikia hanu. |
| Maʻi puʻuwai | Maʻi puʻuwai, puʻuwai kūpono ʻole. |
| Nā kūlana ʻē aʻe | ʻAi ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona, ka hana haʻahaʻa o ke kelepa adrenal, nā hopu ʻana, nā pilikia ʻōpū. |
| Nā lāʻau lapaʻau ʻē aʻe e lawe ʻia ana | Inā ua lawe ʻoe i kahi lāʻau MAOI (e.g. Marplan, Nardil) i loko o nā lā 14 i hala. |
| Nā hanana kūikawā | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka buprenorphine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
ʻOiai he ʻili kēia i hoʻopili ʻia ma loko o ka papālina, pono e mālama pono ʻia ke ʻano o ka hoʻohana ʻia ʻana.
1. Hoʻomākaukau: Ma mua o ka lawe ʻana i ka lāʻau lapaʻau, e holoi i kou waha me ka wai a laila e wehe. A i ʻole, e hoʻomaʻū i ka ʻaoʻao o loko o kou papālina me kou alelo.
2. Ke wehe ʻana i ka ʻeke: E wehe i ka ʻeke me nā lima maloʻo . E wehe wale i ka ʻeke ma mua pono o ka lawe ʻana i ka lāʻau.
3. Ke kau ʻana i ka ʻili: E lawe i ka ʻili me ka piko o kou manamana lima maloʻo a kau iā ia ma loko o kou papālina me ka ʻaoʻao melemele e pili ana i ka papālina .
4. E kaomi no 5 kekona: E paʻa pēlā a kaomi mālie me kou manamana lima no kahi o 5 kekona.
5. E hoʻoheheʻe: A laila e wehe i kou manamana lima a hoʻoheheʻe i ka ʻili. ʻO ka maʻamau, he 30 mau minuke kēia.
6. Mea nui: Mai hoʻopā a hoʻoneʻe paha i ka ʻili me kou alelo a i ʻole nā manamana lima a hiki i ka wā e heheʻe ai. Eia kekahi, e pale i ka ʻai ʻana a i ʻole ka inu ʻana a hiki i ka wā e heheʻe ai ka ʻili. Mai ʻoki, nau, a ale paha i kēia ʻili.
E hoʻomau i ka hoʻohana ʻana i kēia lāʻau lapaʻau e like me ke kuhikuhi ʻana a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
Ka nui o ka lāʻau
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
Nā pilina me nā lāʻau ʻē aʻe
No ka mea he lāʻau ikaika ka buprenorphine, hiki iā ia ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. 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).
| Mai lawe pū me kēia mau lāʻau lapaʻau ʻo Buprenorphine! | |
|---|---|
| ʻO Cisapride | ʻO Dronedarone |
| Pimozide | ʻO Safinamide |
| Samidorphan | ʻO Thioridazine |
| E akahele loa i ka lawe ʻana iā Buprenorphine me kēia mau mea. | |
ʻO ka waiʻona, nā antihistamines, kekahi mau antibiotics , nā lāʻau HIV / Hepatitis, nā lāʻau hopohopo a hiamoe paha, nā lāʻau psychiatric, nā antifungals, nā lāʻau migraine , nā lāʻau hopu (e.g., Carbamazepine), nā anesthetics, nā ʻeha ʻeha opioid ʻē aʻe, nā mea hoʻomaha ʻiʻo, a me nā lāʻau lapaʻau ʻē aʻe he nui. | |
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
ʻEha a me ke ahonui
E haʻi i kāu kauka inā ʻaʻole e nalowale kou ʻeha, inā e ʻoi aku ka ʻino, a inā he ʻano ʻeha hou kou. Ma hope o ka lawe ʻana i kēia lāʻau lapaʻau no kekahi manawa, ʻaʻole paha lawa ka nui āu i lawe ai ma mua e kāohi i kou ʻeha. Ua kapa ʻia kēia he hoʻomanawanui . He mea maʻamau kēia a ʻaʻole ia he mea hoʻopilikia. ʻO ka hoʻopilikia kahi pilikia ʻano hana āu e hoʻohana ai i kahi lāʻau lapaʻau me ke kumu ʻole o ke olakino. E hoʻoponopono kāu kauka i kāu nui e like me ka mea e pono ai.
Ke hoʻōki nei i ka lāʻau lapaʻau
Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena ʻaoʻao koʻikoʻi ( nā hōʻailona haʻalele). Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻemi mālie kāu kauka i ka nui.
Ka hiamoe a me ka waiʻona
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a me ka poniuniu . No laila , mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ke makaʻala a hiki i kou ʻike ʻana i kona hopena iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai ala koke mai kahi noho ʻana, no ka mea, hiki i kēia ke hoʻopuehu a hāʻule. E pale loa i ka inu ʻana i ka waiʻona.
Ka paʻa ʻana o ka ʻōpū
ʻO ka paʻa ʻana o ka ʻōpū kahi hopena maʻamau o kēia lāʻau lapaʻau. Inā pilikia ʻoe i ka neʻe ʻana o ka ʻōpū no nā lā ʻekolu a ʻoi, e hoʻomaopopo i kāu kauka.
ʻO ka overdose Opioid a me Naloxone
He mea weliweli loa ka overdose o nā opioids. ʻO nā hōʻailona o ka overdose e pili ana i ka paʻakikī o ka hanu ʻana, ka hiamoe nui, a me ka paʻakikī e ala. ʻO Naloxone kahi lāʻau lapaʻau ulia pōpilikia i hāʻawi ʻia e hoʻohuli i kēia ʻano overdose. He mea nui i ka ʻohana o ke kanaka i lawe i kēia lāʻau lapaʻau e makaʻala i kēia. ʻOiai inā hāʻawi ʻia ʻo Naloxone, he hopena manawa pōkole wale nō ia. Pono e lawe koke ʻia ka mea maʻi i ka Emergency Treatment Unit (ETU).
Nā hopena ʻaoʻao e ʻike ai
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka! | |
|---|---|
| Nā maʻi ʻaleka | 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, huikau. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele. |
| Hoʻemi ʻia ka hana adrenal | Luli, luaʻi, nalowale o ka makemake e ʻai, luhi loa, poniuniu. |
| Pala niho | Ka loli ʻana o ka niho, ka hanu ʻino, ka ʻāʻī a i ʻole ka maʻi ʻaʻai o nā niho. |
| Nā hopena ʻaoʻao maʻamau e pono ai ʻoe e haʻi i kāu kauka inā hoʻopilikia lākou | |
| Ka paʻa ʻana o ka ʻōpū | Pōʻino |
| Hiamoe | Waha maloʻo |
| ʻEha poʻo | Ka luaʻi/ka luaʻi ʻana |
Leka Lawe-Home
- He lāʻau hoʻomaha opioid ikaika ʻo Buprenorphine i hoʻohana ʻia no ka ʻeha nui a mau loa. ʻAʻole ia e hoʻohana ʻia no ka ʻeha pilikia.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hoʻopili pololei i ka ʻili i loko o kou papālina. Mai nau, ale, a ʻoki paha.
- E pale i ka hoʻokele kaʻa a me nā hana ʻē aʻe e pono ai ka makaʻala i ka wā e lawe ana i kēia lāʻau lapaʻau no ka mea hiki ke hoʻoulu i ka hiamoe a me ka poniuniu. E pale loa i ka inu ʻana i ka waiʻona.
- E makaʻala i nā hopena ʻino koʻikoʻi (ka paʻakikī o ka hanu ʻana, ka hiamoe nui, nā loli o ka helu o ka puʻuwai). Inā loaʻa kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
- E mālama i kēia lāʻau lapaʻau ma kahi palekana, mai hiki aku i nā keiki a me nā holoholona. Mai kaʻana like me nā poʻe ʻē aʻe.
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