He ʻike hoʻololi ola a paʻakikī hoʻi ka hoʻohana ʻana i ka opioid. No ʻoukou e hoʻāʻo nei e hoʻōla mai kēia, a i ʻole e noʻonoʻo ana e kōkua i kahi mea e ola nei, ua manaʻo wau e kamaʻilio e pili ana i kahi ʻano lapaʻau i loaʻa i ka ʻepekema lapaʻau i kēia lā. He inikini hana lōʻihi kēia i kapa ʻia ʻo Buprenorphine. I kēia lā, e kamaʻilio mākou e pili ana i kāna hana, pehea e hoʻohana ai, a me nā mea e makaʻala ai.
I ka ʻōlelo maʻalahi, he aha kēia inikini Buprenorphine?
He lāʻau lapaʻau ʻo Buprenorphine i hoʻohana ʻia e mālama i ka maʻi hoʻohana opioid. ʻO ke kikoʻī, hana ia i loko o kou kino e hōʻemi i nā hōʻailona haʻalele, e like me ka ʻeha o ke kino a me ka hoʻomaha ʻole, e kū mai ana ke hoʻōki ʻoe i ka hoʻohana ʻana i nā lāʻau opioid. Kōkua pū ia i ka kaohi ʻana i nā makemake, ʻo ia hoʻi nā makemake e hoʻohana hou i nā lāʻau.
ʻO ka mea nui, ʻaʻole kēia he lāʻau pale wale nō, akā, he lāʻau lapaʻau. ʻOi aku ka maikaʻi ke hoʻohana ʻia me ke aʻo ʻana a me ka hoʻoponopono ʻana i ke ʻano . Ua like ia me ke koʻokoʻo e kōkua ai i kekahi e hele. Kōkua ke koʻokoʻo, akā pono ʻoe e hana ikaika e hele. He inoa kaulana ʻo Sublocade no kēia lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui e ʻike pono kāu kauka i kou kūlana olakino e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe a palekana hoʻi. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi i kāu kauka me ka hūnā ʻole i kekahi mea .
| Kūlana/maʻamau olakino | Wehewehena |
|---|---|
| Nā pilikia o ka lolo, ka puʻuwai, a me ka māmā | ʻO kahi puʻupuʻu lolo, ʻeha poʻo, maʻi puʻuwai, puʻuwai kūpono ʻole, maʻi māmā, hānō a i ʻole nā pilikia hanu ʻē aʻe. |
| Nā maʻi e pili ana i ka ʻōpū | Maʻi akepaʻa, maʻi ʻōpū palaki, maʻi pancreas, nā pilikia ʻōpū. |
| Nā kūlana olakino ʻē aʻe a me nā ʻano maʻamau | ʻAi ʻia i nā lāʻau ʻē aʻe, ka inu pinepine ʻana i ka waiʻona, ka hana haʻahaʻa o ke kelepa adrenal, nā hopu ʻana. |
| Nā lāʻau lapaʻau ʻē aʻe e lawe ʻia ana | Inā ua lawe ʻoe i kahi lāʻau MAOI e like me Marplan, Nardil, a i ʻole Parnate i loko o nā lā 14 i hala. |
| Nā maʻi ʻaleka a me nā mea ʻē aʻe | Inā he maʻi ʻoe i ka buprenorphine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole kala. Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. |
Pehea e hāʻawi ʻia ai kēia lāʻau pale?
He mea nui loa kēia. He inikini subcutaneous kēia Buprenorphine. ʻAʻole loa ʻoe e ʻae ʻia e lawe i ka home. Hāʻawi wale ʻia e ke kauka a kahu maʻi paha i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau.
- He aha inā e hala ʻoe i kahi lāʻau? Inā ʻaʻole hiki iā ʻoe ke hele mai no kāu lāʻau i hoʻonohonoho ʻia, mai ʻae iā ia e keakea. E kāhea koke i kāu kauka a i ʻole ke keʻena lapaʻau e hoʻonohonoho hou.
- He aha inā e hoʻonui ʻia ka nui o ka lāʻau? ʻOiai ua hāʻawi ʻia kēia e ke kauka, haʻahaʻa ka manawa kūpono o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa . Hiki iā ʻoe ke kelepona i ke National Poison Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo inā pono.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hana i nā hopena ʻino ke hui pū ʻia me Buprenorphine.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia | |
|---|---|
| Nā lāʻau lapaʻau e like me Cisapride, Dronedarone, Pimozide, Safinamide, Samidorphan, Thioridazine. | |
| E makaʻala! E hōʻoia e haʻi i kāu kauka inā ʻoe e lawe ana i kēia mau mea. | |
| ʻAila | ʻAila |
| Nā lāʻau lapaʻau no ka hiamoe a me ka hopohopo | ʻO kekahi mau lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe |
| Nā lāʻau lapaʻau no ke kaumaha | ʻO kekahi mau lāʻau lapaʻau no ke kaumaha a i ʻole nā maʻi psychotic |
| Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu | Nā antihistamines no ka maʻi allergy, ka ʻū a me ke anu |
| ʻO kekahi mau lāʻau antibiotic, antifungal, a me antiviral | Laʻana: Erythromycin, Ketoconazole |
| ʻO nā lāʻau ʻeha ʻē aʻe a i ʻole nā opioids no ke kuni | Nā lāʻau lapaʻau narcotic ʻē aʻe no ka ʻeha a i ʻole ke kuni |
ʻAʻole i piha kēia papa inoa, no laila e haʻi pono i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei.
Nā mea āu e pono ai e makaʻala nui i ka wā o ka mālama ʻana
- Mai lawe i nā opioid ʻē aʻe: Mai hoʻāʻo e hoʻohana i nā opioid hou aʻe (e like me ka heroin) e pale aku i nā hopena o kēia lāʻau lapaʻau. He mea weliweli loa kēia a hiki ke alakaʻi i ka make.
- Mai hoʻōki koke: E maʻa kou kino i kēia lāʻau lapaʻau. ʻO ka hoʻōki koke ʻana iā ia hiki ke hana i nā hopena ʻaoʻao koʻikoʻi. Inā pono ʻoe e hoʻōki i ka lāʻau lapaʻau, e hana pēlā ma lalo o ke aʻo a kāu kauka, ma ka hoʻēmi mālie ʻana i ka nui.
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu iā ʻoe. No laila e pale i ka hana ʻana i nā hana weliweli e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana pehea e pili ai iā ʻoe.
- E hōʻalo i ka waiʻona: ʻO ka inu ʻana i ka waiʻona hiki ke hoʻonui i nā hopena ʻaoʻao o ka lāʻau lapaʻau, ʻoiai ka hiamoe a me nā pilikia hanu.
- Paʻa ʻōpū: He hopena maʻamau kēia o kēia lāʻau lapaʻau. E inu i ka wai he nui a ʻai i nā meaʻai waiwai i ka fiber (nā huaʻai, nā mea kanu). Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o 3 mau lā, e kāhea i kāu kauka.
- E makaʻala iā Naloxone: ʻO Naloxone kahi lāʻau lapaʻau ulia pōpilikia e hoʻōla ola i hāʻawi ʻia i ka wā e loaʻa ai kahi overdose opioid. E nīnau i kāu kauka e pili ana i kēia a me nā hōʻailona o ka overdose (hiamoe nui, paʻakikī ka hanu ʻana, nalowale o ka ʻike).
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke 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 hanu (kaumaha o ka CNS) | Hanu lohi a papau paha, paʻakikī ka hanu ʻana, hiamoe nui, a me ka nalowale o ka ʻike. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele/ʻeleʻele, melemele o nā maka a i ʻole ka ʻili. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia maʻamau | Paʻa ka ʻōpū, poniuniu, hiamoe, waha maloʻo, ʻeha poʻo, nausea, luaʻi. |
| ʻO ka ʻoluʻolu ʻole ma kahi i hoʻokomo ʻia | ʻEha, ʻulaʻula, a pehu paha ma kahi i hāʻawi ʻia ai ka inikini. |
Leka Lawe-Home
- He lāʻau lapaʻau ka inikini Buprenorphine no ka maʻi opioid. Hāʻawi wale ʻia e ke kauka ma ka haukapila a i ʻole ke keʻena lapaʻau.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i kou kūlana olakino a pau a me nā lāʻau lapaʻau a pau āu e lawe nei.
- E hōʻalo loa i ka waiʻona a me nā opioid ʻē aʻe i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki ke hoʻoweliweli i ke ola.
- Mai hoʻōki koke i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka hiamoe nui, a i ʻole ka huikau, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- ʻAʻole ʻoe hoʻokahi i kēia huakaʻi. ʻO ke aʻo ʻana, me ka mālama ʻana i ke olakino, he kōkua nui ia i ka lanakila ʻana i kēia ʻona.
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