I kekahi manawa, hiki i ka ʻeha a mākou e ʻike nei ke koʻikoʻi loa a hiki ʻole i nā lāʻau hoʻomaha ʻeha maʻamau ke kāohi iā ia. Aia nā lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai e mālama i kēia ʻano ʻeha koʻikoʻi, inā paha ma hope o kahi ulia, ʻoki kino, a i ʻole nā kūlana olakino ʻē aʻe. He injection painkiller ikaika ʻo Buprenorphine i hoʻohana ʻia i ka wā ʻaʻole kōkua nā painkiller ʻē aʻe. He lāʻau lapaʻau kēia i hāʻawi wale ʻia ma ka haukapila a i ʻole ke keʻena lapaʻau. No laila e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku i kēia lā.
He aha ke ʻano lāʻau lapaʻau ʻo Buprenorphine?
I ka ʻōlelo maʻalahi, ʻo Buprenorphine kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi i ka ʻeha nui . E kuhikuhi pinepine kāu kauka i kēia lāʻau lapaʻau ke hiki ʻole iā ʻoe ke ʻae i nā lāʻau ʻeha ʻē aʻe a i ʻole ke hōʻoluʻolu ʻole lākou i kou ʻeha.
Hana ia ma ke ālai ʻana i nā hōʻailona ʻeha i loko o ko kākou lolo. ʻO ia hoʻi, hoʻemi ia i ka nui o ka ʻeha a kākou e manaʻo nei. No loko kēia lāʻau lapaʻau i kahi hui o nā lāʻau i kapa ʻia ʻo opioids . He mau lāʻau ʻeha ikaika kēia a pono e hoʻohana wale ʻia ma lalo o ka nānā ʻana a ke kauka. Mai hoʻohana i kēia lāʻau lapaʻau no kekahi mea ʻē aʻe ma mua o ka mea a kāu kauka i kauoha ai.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau ikaika kēia, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi iā lākou ma mua o kou loaʻa ʻana o kēia inikini.
| Kūlana | Wehewehena |
|---|---|
| Nā pilikia e pili ana i ka lolo | Nā kūlana e like me ka puʻupuʻu lolo a me kahi ʻeha poʻo nui. |
| Nā ʻona a me nā maʻamau | Inā he moʻolelo kou o ka hoʻohana lāʻau lapaʻau a i ʻole he mea inu pinepine ʻoe. |
| Nā maʻi o nā ʻōpū kūloko | Maʻi ʻaʻai, maʻi ʻōpū, maʻi pancreas. |
| Maʻi puʻuwai | ʻO kēlā me kēia maʻi puʻuwai, ka puʻuwai kūpono ʻole. |
| Nā pilikia o ka ʻōnaehana hanu | Maʻi akemāmā, hānō, a i ʻole nā pilikia hanu ʻē aʻe. |
| Nā kūlana olakino ʻē aʻe | Ka hana haʻahaʻa o ke kelepa adrenal, nā hopu ʻana, nā pilikia ʻōpū. |
| Ka hoʻohana ʻana i nā lāʻau lapaʻau ʻē aʻe | 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 | Inā he maʻi allergy kou i ka buprenorphine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Nā hanana kūikawā | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea e hoʻohana ai i ka lāʻau lapaʻau a he aha ka mea e hana ai i ka wā pilikia?
Hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma ke ʻano he inikini i loko o kahi aʻa koko a i ʻole i loko o kahi ʻiʻo . Hāʻawi mau ʻia kēia e nā limahana lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau.
Overdose
Inā manaʻo ʻoe ua hāʻawi nui ʻia kēia lāʻau lapaʻau iā ʻoe, a inā paha ʻoe e manaʻo ua hāʻawi nui ʻia iā ʻoe, e kelepona koke aku i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. He mea nui loa kēia, no ka mea, he lāʻau lapaʻau ikaika kēia.
Nā mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He mea weliweli ka hana ʻana pēlā a hiki ke hoʻopaʻi ʻia e ke kānāwai.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i ka Buprenorphine ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora, nā huahana lāʻau, a me nā mea hoʻomaha ʻeha).
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me ka buprenorphine | |
|---|---|
| ʻO Cisapride | ʻO Dronedarone |
| Pimozide | ʻO Safinamide |
| Samidorphan | ʻO Thioridazine |
Eia kekahi, hiki iā ia ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. Eia kekahi laʻana:
- ʻAila
- Nā antihistamines no ke kuni, ke anu, a me nā maʻi ʻaleka
- Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a me ka hiamoe ʻole
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole Hepatitis
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (e like me Ketoconazole)
- Nā lāʻau lapaʻau anticonvulsant (e.g. Carbamazepine)
- Nā lāʻau hoʻomaʻamaʻa laulā
- Nā mea hoʻomaha ʻiʻo
- Nā lāʻau ʻeha opioid ʻē aʻe a i ʻole nā lāʻau lapaʻau ʻūlū
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai. Mai poina e haʻi iā ia inā ʻoe e puhipaka ana, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Hōʻike ʻeha: E haʻi i kāu kauka inā ʻaʻole e nalowale kou ʻeha, inā e ʻoi aku ka ʻino, a inā he ʻano ʻeha hou kou.
- Hoʻomohala ka hoʻomanawanui:Ke lawe ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, ʻaʻole paha e lawa ka nui o ka lāʻau i hana ma mua. ʻO kēia ka mea a mākou e kapa nei he hoʻomanawanui . He mea maʻamau kēia, mai hopohopo. E hoʻoponopono kāu kauka i ka nui e like me ka mea e pono ai.
- Ke ahonui i ka lāʻau lapaʻau a me ka ʻona: Ke hoʻomau ʻoe i ka lawe ʻana i kēia lāʻau lapaʻau, e maʻa kou kino iā ia. No laila, inā ʻoe e hoʻōki koke i ka lawe ʻana, hiki iā ʻoe ke ʻike i nā hōʻailona haʻalele. ʻAʻole kēia manaʻo ua ʻona ʻoe iā ia. ʻO ka ʻona ke hoʻohana ʻoe i kahi lāʻau lapaʻau me ke kumu ʻole o ke olakino. No ka mea, ke ʻeha nei ʻoe, he kumu olakino ia. Inā makemake ke kauka e hoʻōki i ka lāʻau lapaʻau, e hoʻemi mālie ʻo ia i ka nui.
- E aʻo e pili ana iā Naloxone: He lāʻau lapaʻau ulia pōpilikia ʻo Naloxone no ka overdose opioid. E nīnau pū i kāu kauka e pili ana i kēia.
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i nā hana ʻē aʻe e pono ai ka noʻonoʻo a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. E pale i ke ala koke ʻana a i ʻole ka noho ʻana i lalo, ʻoiai inā he ʻelemakule ʻoe.
- ʻAila: E hōʻalo loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
- Paʻa ʻōpū: He hopena maʻamau kēia o kēia lāʻau lapaʻau. Inā ʻaʻole ʻoe i hele i ka lua no 3 mau lā, e haʻi i kāu kauka.
- Waha maloʻo: Inā manaʻo ʻoe ua maloʻo kou waha, hiki i ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai he nui ke kōkua.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi 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, nalowale ka ʻike. |
| 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, nausea, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele. |
| Ke koko haʻahaʻa | Pōʻino, ʻike maka pōʻeleʻele, maule. |
| Nā hopena ʻaoʻao ʻaʻohe mea e hopohopo ai (akā e haʻi i kāu kauka inā hoʻomau lākou) | |
| Nā hopena ʻaoʻao maʻamau | Paʻa ka ʻōpū, poniuniu, hiamoe, waha maloʻo, ʻeha poʻo, nausea, luaʻi. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He lāʻau hoʻopau ʻeha ikaika ka Buprenorphine i hāʻawi wale ʻia ma ka haukapila a i ʻole ke keʻena lapaʻau no ka ʻeha nui.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i nā kūlana olakino āpau āu e loaʻa nei a me nā lāʻau lapaʻau āpau āu e lawe nei.
- E pale i ka hoʻokele kaʻa ʻana 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.
- Inā kānalua ʻoe i kahi overdose, e hele koke i kahi lumi pilikia (ETU).
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
- Inā he mau nīnau kāu a i ʻole nā hōʻailona ʻē, e kamaʻilio koke me kāu kauka.
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