He ʻike paʻakikī a ʻeha hoʻi ka hoʻohana ʻana i ka opioid no ke kanaka. He mea paʻakikī nō hoʻi ka hoʻāʻo ʻana e hoʻopau iā ia. Akā, aia nā ʻano lapaʻau a me nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe ma kēia huakaʻi. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi lāʻau lapaʻau koʻikoʻi loa, he hui pū ʻana o nā lāʻau i kapa ʻia ʻo Buprenorphine a me Naloxone. E ʻike pinepine ʻoe i kēia ma lalo o nā inoa inoa e like me Suboxone a me Zubsolv.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia i hoʻohana ʻia e mālama i ka maʻi hoʻohana opioid. ʻElua mau mea nui e pono ai.
1. Buprenorphine: Hoʻohana ʻia kēia e kāohi i nā hōʻailona kino maikaʻi ʻole e kū mai ana ke hoʻōki ʻoe i ka hoʻohana ʻana i nā opioids, i kapa ʻia ʻo 'nā hōʻailona hoʻihoʻi.' Hoʻemi pū ia i ka makemake e hoʻohana hou i nā opioids.
2. Naloxone: ʻO kekahi ʻāpana o kēia. ʻO kēia ke pale aku i ka hoʻohana pono ʻole ʻana i kēia lāʻau lapaʻau (no ka laʻana, ke inikini ʻana). ʻO ia hoʻi, hōʻoia ia i ka palekana o ka lāʻau lapaʻau.
ʻO ka mea nui loa, ʻo ia ka hoʻokō ʻia ʻana o nā hopena maikaʻi loa ke hui pū ʻia kēia lāʻau lapaʻau me ke aʻo ʻana a me ka hoʻoponopono ʻana i ka hana, ma mua o ka hoʻohana wale ʻana.
Nā mea e haʻi aku i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Pono kāu kauka e hoʻomaopopo piha i kou olakino ma mua o ke kau ʻana i kēia lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka.
| ʻAno o nā kūlana | Wehewehena |
|---|---|
| Nā pilikia e pili ana i ke poʻo a me ka lolo | Nā kūlana e like me ka puʻupuʻu lolo, ka ʻeha poʻo, a i ʻole nā hōʻeha. |
| Nā pilikia o ka puʻuwai a me ka māmā | Maʻi puʻuwai, puʻuwai kūpono ʻole, maʻi māmā, hānō, a i ʻole nā pilikia hanu ʻē aʻe. |
| ʻŌpū a me ka ʻōnaehana hoʻoheheʻe | Maʻi akepaʻa, maʻi ʻōpū palaki, maʻi pancreas, pilikia ʻōpū a i ʻole nā pilikia ʻōpū. |
| Nā kūlana olakino ʻē aʻe | Hana haʻahaʻa o ke kelepa adrenal, maʻi niho a ʻāʻī paha, nā ʻeha waha. |
| ʻO ke ʻano o ka nohona a me nā lāʻau lapaʻau ʻē aʻe | Ka hoʻohana pinepine ʻana i ka waiʻona, ka hoʻohui ʻana i nā lāʻau ʻē aʻe, ka lawe ʻana i kahi ʻano lāʻau lapaʻau MAOI e like me Marplan, Nardil, a i ʻole Parnate i nā lā 14 i hala. |
| Nā hanana kūikawā | Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai, hānai waiū i kahi keiki, loaʻa kahi hopena maʻi i ka Buprenorphine, Naloxone a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
He aha ke ala maikaʻi loa e hoʻohana ai i ka lāʻau lapaʻau?
He mea nui loa ke ʻano o kāu hoʻohana ʻana i kēia lāʻau. E hoʻāʻo e lawe iā ia i ka manawa like i kēlā me kēia lā, e like me ka ʻōlelo a kāu kauka iā ʻoe.
- Pono e waiho ʻia kēia papa ma lalo o ke alelo a ʻae ʻia e hoʻoheheʻe . ʻAʻole pono ka wai.
- Mai nau, ʻoki, a ale paha i ka papa. Pono e hoʻoheheʻe loa ia ma lalo o ke alelo a komo i loko o ke kino.
- Inā pono ʻoe e lawe ma mua o ʻelua mau pila i ka manawa hoʻokahi a he paʻakikī ke mālama iā lākou a pau ma lalo o kou alelo i ka manawa hoʻokahi, hiki iā ʻoe ke kau i ʻelua mau pila ma lalo o kou alelo a hoʻokuʻu iā lākou e heheʻe.
- E hoʻomau i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō . Mai kaʻana like me kekahi no kekahi kumu . He mea weliweli a kū ʻole i ke kānāwai.
He aha inā poina iaʻu e lawe i kaʻu lāʻau lapaʻau?
Inā poina iā ʻoe e lawe i kāu lāʻau lapaʻau i ka manawa kūpono, e lawe i kēlā mahele lāʻau i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala ʻole a lawe i ka mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.Mai lawe i ʻelua mau lāʻau i ka manawa like.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau lapaʻau a hoʻoulu i nā kūlana weliweli. No laila, he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| Mai lawe pū i kēia lāʻau me kekahi lāʻau ʻē aʻe . | |
|---|---|
| ʻO Cisapride | ʻO Dronedarone |
| Pimozide | ʻO Safinamide |
| Samidorphan | ʻO Thioridazine |
| Nā lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke launa pū | |
| ʻAila | Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine) |
| ʻO kekahi mau lāʻau antibiotic, antifungal, antiviral | Nā lāʻau lapaʻau no ke kaumaha, ke kaumaha, a me ka hiamoe |
| ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana | Nā lāʻau lapaʻau ʻē aʻe e hoʻopilikia ai i ka helu o ka puʻuwai (QT interval) |
| Nā lāʻau hoʻomaʻamaʻa laulā | Nā lāʻau ʻeha opioid (narcotic) ʻē aʻe a i ʻole nā lāʻau lapaʻau ʻūlū |
ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā mea kanu, a me nā mea hoʻohui āu e lawe nei. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā Kipa Kauka: E kipa aku i kāu kauka i nā lā i hoʻonohonoho ʻia. E hele i kekahi mau lawelawe aʻoaʻo i hoʻonohonoho ʻia.
- Mai ho'ōki koke i ka lawe ʻana i kēia 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 koʻikoʻi. No ka mea ua maʻa kou kino i kēia lāʻau lapaʻau, inā ʻoe e hoʻōki, e hana pēlā e like me nā kuhikuhi a kāu kauka, e hoʻēmi mālie ana i ka nui.
- Hiamoe: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a puni ka poʻo. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a ʻike ʻoe pehea e pili ai iā ʻoe.
- ʻOna: E pale i ka inu ʻana i ka ʻona. Hiki i ka ʻona ke hoʻopilikia i ka pono o ka lāʻau lapaʻau a hoʻonui i nā hopena ʻaoʻao.
- Paʻa ʻōpū: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o 3 mau lā, e kāhea i kāu kauka.
- Waha maloʻo: ʻO ka waha maloʻo kekahi hopena ʻaoʻao. Hiki ke kāohi ʻia kēia ma ka nau ʻana i ka gum kō ʻole, ka inu ʻana i ka sopa, a me ka inu ʻana i ka wai he nui.
- Ola kino niho: E haʻi aku i kāu kauka niho e lawe ana ʻoe i kēia lāʻau lapaʻau. E mālama i kou mau niho i ka maʻemaʻe.
Nā hopena ʻaoʻao āu e ʻike ai
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| 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) | Ka hanu ʻanaKa hanu lohi a papau paha, ka paʻakikī o ka hanu ʻana, ka hiamoe nui, a me ka huikau. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau luna, nalowale ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele/ʻeleʻele, melemele o ka ʻili a i ʻole nā maka. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau (e haʻi i kāu kauka inā hoʻomau lākou) | |
| Ka paʻa ʻana o ka ʻōpū | Pōʻino |
| Hiamoe | Waha maloʻo |
| ʻEha poʻo | Ka luaʻi a me ka luaʻi ʻana (Nausea, Vomiting) |
Leka Lawe-Home
- He mea kōkua koʻikoʻi wale nō kēia lāʻau lapaʻau i ka huakaʻi i ka hoʻōla ʻana mai ka maʻi opioid. Pono e lawe pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ke aʻo ʻana, no nā hopena maikaʻi loa.
- E hoʻoheheʻe ma lalo o ke alelo e like me ke kuhikuhi a kāu kauka. Mai nau, ale, a wili paha.
- Mai hoʻōki koke i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka. Hiki iā ia ke hana i nā hopena koʻikoʻi.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. E pale loa i ka waiʻona.
- E mālama i kēia lāʻau lapaʻau ma kahi palekana, mai ka hiki ʻana aku o nā keiki a me nā holoholona . He mea kū ʻole i ke kānāwai ka hāʻawi ʻana a kūʻai aku paha iā ia a he mea weliweli hoʻi.
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