He kūlana paʻakikī a paʻakikī hoʻi ka hoʻohana ʻana i ka opioid no ke kanaka e hoʻoponopono ai. No ke kōkua ʻana i kahi mea e hoʻāʻo nei e hoʻōla mai kēia, hiki i ke kauka ke kuhikuhi i kahi lāʻau i kapa ʻia ʻo Buprenorphine. No laila, ke loaʻa iā ʻoe kēia lāʻau, nui paha nā pilikia āu e loaʻa ai. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia lāʻau, pehea e hoʻohana ʻia ai, a me nā mea nui e pono ai ʻoe e ʻike e pili ana i ia mea.
He aha maoli ka Buprenorphine?
I ka ʻōlelo maʻalahi, ʻo Buprenorphine kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi hoʻohana opioid. Kōkua ia i ka hōʻemi ʻana i nā hōʻailona haʻalele (e like me ka ʻeha o ke kino, ka hou ʻana, a me ka hoʻomaha ʻole) e kū mai ana ke hoʻōki koke ʻoe i ka hoʻohana ʻana i nā opioids. Kōkua pū ia i ka kaohi ʻana i ka makemake e hoʻohana hou i ka lāʻau.
E noʻonoʻo i ka hoʻohui opioid e like me ke kau ʻana i loko o kahi lua hohonu. Ua like ʻo Buprenorphine me ke kaula hiki iā ʻoe ke hoʻohana e huki iā ʻoe iho mai loko mai o kēlā lua. Hāʻawi ia iā ʻoe i ka ikaika a me ke kākoʻo nui. Akā pono ʻoe e paʻa i ke kaula a huki iā ʻoe iho i waho. ʻO ia ke kumu he mea nui loa ka hoʻohana ʻana i ka ʻōlelo aʻoaʻo a me ka hoʻoponopono ʻano me kēia lāʻau lapaʻau.
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, pono ʻoe e haʻi i ke kauka i kēia mau mea!
He mea nui loa kēia no kou palekana. Pono kāu kauka e ʻike i kou mōʻaukala olakino piha ma mua o ke kau ʻana i kēia lāʻau lapaʻau iā ʻoe. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea me ka hūnā ʻole i kekahi mea .
| Ke kūlana olakino a i ʻole ka maʻamau | Nā mea e pono ai ʻoe e hōʻike |
|---|---|
| Nā pilikia e pili ana i ke poʻo a me ka lolo | Nā kūlana e like me ka ʻeha poʻo, ka puʻupuʻu lolo, a i ʻole nā hōʻeha. |
| Puʻuwai a me nā māmā | Maʻi puʻuwai, puʻuwai kūpono ʻole, hānō a i ʻole nā pilikia hanu ʻē aʻe. |
| ʻAke a me nā ʻōpū ʻē aʻe | Maʻi ate, maʻi gallbladder, maʻi pancreatic, a i ʻole ka hana haʻahaʻa o ke kelepa adrenal. |
| Nā ʻano a me nā mea hoʻomaʻamaʻa | Inā he mea inu pinepine ʻoe a i ʻole he mea hoʻohui i nā lāʻau ʻē aʻe. |
| Nā pilikia waha a me ka ʻōpū | ʻEha waha, maʻi niho a ʻāʻī paha, a i ʻole kekahi pilikia me ka ʻōpū a i ʻole nā naʻau. |
| Ka hoʻohana ʻana i nā lāʻau lapaʻau ʻē aʻe | Inā ua lawe ʻoe i kahi antidepressant MAOI e like me Marplan, Nardil, a i ʻole Parnate i loko o nā lā 14 i hala. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka buprenorphine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Hāpai keiki | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
ʻAe, e nānā kākou pehea e hoʻohana pono ai i kēia lāʻau lapaʻau.
He mea nui loa ke ʻano o kāu hoʻohana ʻana i kēia lāʻau lapaʻau. He mea nui e lawe i ka nui kūpono i ka manawa kūpono, e like me ka ʻōlelo a ke kauka.
- ʻAʻole pono ʻoe i ka wai e ale i kēia pila. He pila kēia āu e waiho ai ma lalo o kou alelo a hoʻokuʻu iā ia e heheʻe .
- E kau i ka papa ma lalo o kou alelo a kali a hiki i ka wā e heheʻe loa ai. Mai nau, ʻoki, a ale paha i ka papa. ʻO ka hana ʻana pēlā e hōʻemi ai i ka hopena o ka lāʻau.
- Inā pono ʻoe e lawe i nā pila he nui i ka lā, inā hiki, e kau i nā pila a pau ma lalo o kou alelo i ka manawa hoʻokahi. Inā ʻaʻole hiki kēlā, e kau i ʻelua mau pila ma lalo o kou alelo a e hoʻoheheʻe iā lākou.
- E hoʻomau i ka hoʻohana ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
He aha ka mea e hana ai inā piʻi ka nui o ka lāʻau (overdose)?
Inā manaʻo ʻoe ua lawe ʻoe i kēia lāʻau lapaʻau ma mua o ka mea e pono ai, mai hoʻokaʻulua. E kelepona koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa iā ʻoe. He pilikia kēia.
Mea nui: No kāu hoʻohana ponoʻī wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi no kekahi kumu. He mea kū ʻole i ke kānāwai kēia a he mea weliweli loa paha ia no kekahi kanaka.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
He lāʻau lapaʻau ʻo Buprenorphine e hiki 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 āpau āu e lawe nei, me nā huaora a me nā lāʻau lapaʻau.
| Mai lawe pū me kēia lāʻau lapaʻau i ka Buprenorphine! | |
|---|---|
| ʻO Cisapride, Dronedarone, Pimozide, Safinamide, Samidorphan, Thioridazine | |
| Hiki ke loaʻa nā pilikia me kēia mau lāʻau lapaʻau - e hoʻomaopopo i kāu kauka | |
| ʻAila | Hiki ke lilo i mea koʻikoʻi ka hiamoe a me nā pilikia hanu. |
| Nā antihistamines (nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu) | Hoʻonui i ka hiamoe. |
| Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka hiamoe | ʻO ka lawe ʻana me nā lāʻau lapaʻau e like me benzodiazepines hiki ke lilo i mea weliweli loa. |
| Nā antifungals, antibiotics, kekahi mau lāʻau lapaʻau no ka maʻi HIV a i ʻole Hepatitis | Eia kekahi laʻana: Ketoconazole, Erythromycin. Hiki i kēia ke hoʻololi i nā hopena o Buprenorphine. |
| Nā lāʻau lapaʻau hopu | E like me: Carbamazepine, Phenytoin. |
| ʻO nā lāʻau ʻeha ʻē aʻe a i ʻole nā opioids no ke kuni | Hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi. |
E makaʻala loa i kēia mau mea i ka wā e lawe ana i ka buprenorphine.
Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau!
Hoʻomaʻamaʻa mālie kou kino i kēia lāʻau lapaʻau. Inā ʻoe e hoʻōki koke i ka lawe ʻana, hiki iā ʻoe ke loaʻa kahi hopena haʻalele koʻikoʻi, ʻo ia hoʻi kahi manaʻo ʻoluʻolu ʻole ke hoʻōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau. No laila, mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke kamaʻilio ʻana me kāu kauka. Inā pono ʻoe e hoʻōki, e hōʻemi mālie kāu kauka i ka nui a hōʻike iā ʻoe pehea e hoʻōki ai i ka lawe ʻana me ka palekana.
Ka hiamoe a me ka nānā ʻana
Hiki paha iā ʻoe ke hiamoe a poniuniu paha i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. E makaʻala i ke ala ʻana mai kahi noho a noho koke paha, ʻoiai inā he ʻelemakule ʻoe. E pale loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau, no ka mea, hiki i ka waiʻona ke hoʻonui i kēia hiamoe.
E makaʻala iā Naloxone
He lāʻau lapaʻau pilikia ʻo Naloxone i hiki ke hāʻawi ʻia e hoʻohuli i kahi overdose opioid. He mea nui iā ʻoe a me kou ʻohana e ʻike iā Naloxone ma mua o ka lawe ʻana i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka loaʻa ʻana a me pehea e hoʻohana ai.
Ka paʻa ʻana a me ka waha maloʻo
ʻO kahi hopena maʻamau o kēia lāʻau lapaʻau ka paʻa ʻana o ka ʻōpū. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o 3 mau lā, e kamaʻilio me kāu kauka. Hiki iā ʻoe ke loaʻa i ka waha maloʻo. Hiki i ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai he nui ke kōkua.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Buprenorphine ke hana i nā hopena ʻaoʻao. He mea weliweli kekahi, he mea maʻamau kekahi.
| Inā loaʻa kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka. | |
|---|---|
| Nā hopena alerika koʻikoʻi | ʻŌhūhū, maneʻo, pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka kaumaha o ka hanu (kaumaha o ka CNS) | Ka hanu lohi a papau paha, ka hiamoe nui, ka ʻike ʻole o ka naʻau, ka paʻakikī ke ala aʻe. |
| 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. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma. |
| Nā mea i maʻa mau ʻole i ka weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Paʻa ka ʻōpū, poniuniu, hiamoe, waha maloʻo, ʻeha poʻo, nausea, luaʻi. | |
Pehea e mālama ai a hoʻolei aku i ka lāʻau lapaʻau me ka palekana?
Ma muli o ka pilikia o ka hoʻohana pono ʻole ʻia ʻana o kēia lāʻau lapaʻau, he mea nui e mālama iā ia ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona . E pale iā ia mai ka ʻaihue ʻia.
He mea nui hoʻi e hoʻolei pono i nā lāʻau lapaʻau i pau ka manawa a i ʻole nā lāʻau lapaʻau i pono ʻole ʻia. Hiki i kēia mau mea ke make inā hāʻule lākou i nā lima hewa.
- ʻO ke ala maikaʻi loa,E hāʻawi i kēia i kahi papahana lawe-hoʻihoʻi lāʻau . E nīnau i kāu kauka e pili ana i kēia.
- Inā ʻaʻole hiki ke loaʻa ia ʻano papahana, ʻōlelo ke kumu e hiki ke hoʻolei ʻia ka lāʻau lapaʻau i loko o ka lua.
Leka Lawe-Home
- He mea hana koʻikoʻi ʻo Buprenorphine i ke kōkua ʻana i nā kānaka e lanakila ma luna o ka maʻi opioid. Eia naʻe, ʻaʻole ia e hana hoʻokahi a pono e hui pū ʻia me ke aʻo ʻana.
- E lawe mau i ka nui i kuhikuhi ʻia e like me ke kuhikuhi a kāu kauka, e waiho ana ma lalo o kou alelo a e hoʻoheheʻe. Mai nau a moni paha.
- E haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau.
- E mālama pono i ka lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā poʻe ʻē aʻe.
- E makaʻala i nā hopena ʻaoʻao koʻikoʻi a me nā hōʻailona o ka overdose. I kēlā hihia, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
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