Ua hakakā paha ʻoe me ka ʻeha nui a hiki ʻole ke hoʻomanawanui? Ua hoʻāʻo paha ʻoe i kekahi mau lāʻau hōʻeha maʻamau, akā ʻaʻole i emi ka ʻeha. I nā manawa e like me kēia, i ka wā ʻaʻole hana nā lāʻau hōʻeha ʻē aʻe a i ʻole ʻaʻole hiki iā ʻoe ke kū iā lākou, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā a kāu kauka e ʻōlelo ai. He pīpī ihu kēia.
I ka ʻōlelo maʻalahi, he aha ka Butorphanol?
ʻO Butorphanol (puana ʻia: 미-파-파-다) kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka ʻeha nui . I ka pololei, he lāʻau hoʻopau ʻeha ia no kahi papa o nā lāʻau i kapa ʻia ʻo opioids. Hana kēia lāʻau lapaʻau ma ke ālai ʻana i nā hōʻailona e hoʻoulu ai i ko mākou lolo e ʻeha. E noʻonoʻo iā ia he mea e ālai ana i ka leka ʻeha mai ka hiki ʻana i ka lolo. ʻO ia ke kumu e hoʻohana pinepine ʻia ai no ka ʻeha nui i kāohi ʻole ʻia e nā lāʻau lapaʻau ʻē aʻe.
ʻO ka mea nui loa, he lāʻau lapaʻau kēia e hoʻohana wale ʻia ma ke ʻōlelo a ke kauka. Mai hoʻohana i kahi lāʻau lapaʻau i kuhikuhi ʻia iā ʻoe a i ʻole kekahi mea ʻē aʻe ma kāu iho.
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 loaʻa i kāu kauka kahi kiʻi piha o kou kūlana olakino. ʻO kēia no ka mea ʻo ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi mau kūlana olakino hiki ke pilikia. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e hoʻomaopopo i kāu kauka e pili ana i ia mea.
| Kou kūlana | Ke kumu e haʻi aku ai i ke kauka |
|---|---|
| He puʻupuʻu lolo a i ʻole ka ʻeha poʻo | Ma lalo o ia mau kūlana, hiki ke loli ka hopena o ka lāʻau lapaʻau, a aia kahi pilikia o ka hoʻonui ʻia o ke kaomi ma ka lolo. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ke koʻikoʻi o kēia mau ʻōkana i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino, inā ua pilikia kā lākou hana, pono paha e hoʻololi ʻia ka nui o ka lāʻau lapaʻau. |
| ʻO ka hānō, ka maʻi māmā, a i ʻole nā pilikia hanu | Hiki i kēia lāʻau lapaʻau ke hoʻolohi iki i ka hanu ʻana, no laila hiki ke lilo i mea weliweli no ka poʻe i loaʻa mua nā pilikia hanu. |
| Ka hoʻohana pinepine ʻana i ka waiʻona a i ʻole ka lāʻau lapaʻau | ʻO ka hui pū ʻana o kēia lāʻau lapaʻau me ka waiʻona a me nā lāʻau lapaʻau hiki ke hana i nā kūlana koʻikoʻi e like me ka hiamoe nui, ka huikau, a me ka hopu ʻana i ka hanu. |
| Nā hopu ʻana | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ka hopu ʻana i ka epileptic i kekahi manawa. |
| Maʻi puʻuwai, ka ʻōpū adrenal, a i ʻole nā pilikia thyroid | He mea nui e hoʻomaopopo i ke kauka no ka mea hiki ke loli nā hopena o ka lāʻau lapaʻau me kēia mau kūlana olakino. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | No ka mea hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka pēpē, he mea nui loa e kamaʻilio me ke kauka e pili ana i kēia. |
| ʻAleʻaleʻa i kahi lāʻau lapaʻau, meaʻai, a mea paha | Inā he maʻi ʻoe i ka Butorphanol a i ʻole kekahi mea ʻē aʻe i loko, pono ʻoe e haʻi aku. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He pīpī ihu kēia. E hahai i nā kuhikuhi a kāu kauka e hāʻawi ai iā ʻoe e like me ka mea i hāʻawi ʻia. Inā ʻaʻole ʻoe maopopo pehea e hoʻohana ai i ka pīpī, e nīnau i kāu kauka a kahu maʻi paha no nā kuhikuhi.
- Inā ʻoe ma luna o 65 mau makahiki: Hiki i ka poʻe ʻelemakule ke manaʻo i nā hopena o kēia lāʻau lapaʻau i ʻoi aku ka ikaika. No laila e kuhikuhi paha kāu kauka i kahi mahele haʻahaʻa nou.
- No nā keiki: Pono ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. E kamaʻilio me kāu kauka e pili ana i kēia.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua hoʻohana ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hoʻōki koke i ka lawe ʻana.E hele i ka Emergency Treatment Unit (ETU) kokoke loa o ka haukapila. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo. He pilikia kēia, no laila mai hoʻokaʻulua.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i ka Butorphanol ke launa pū me nā lāʻau lapaʻau ʻē aʻe, me ka waiʻona. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā huahana lāʻau). E akahele loa i ka lawe ʻana i kēia lāʻau lapaʻau me kēia mau mea:
- ʻAila: ʻO ka lawe ʻana i kēia lāʻau lapaʻau me ka waiʻona hiki ke hana i nā kūlana weliweli e like me ka hiamoe nui a me ka paʻakikī o ka hanu ʻana.
- ʻO kekahi mau lāʻau lapaʻau i lawe ʻia no nā maʻi ʻaleka, nā ʻū, a me ke anu ('Antihistamine')
- He lāʻau lapaʻau e hōʻoluʻolu ai i ka noʻonoʻo a hoʻoulu ai paha i ka hiamoe.
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha.
- Lāʻau lapaʻau no ka maʻi ʻepilepsy.
- Nā lāʻau lapaʻau i hāʻawi ʻia no ka anesthesia a me ka hoʻomaha ʻana o nā ʻiʻo i ka wā o ke ʻoki ʻana.
- Nā lāʻau ʻeha opioid ʻē aʻe a i ʻole nā lāʻau lapaʻau ʻū.
- Nā lāʻau lapaʻau migraine, e like me ka Sumatriptan nasal spray.
ʻAʻole i piha kēia papa inoa, no laila he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
Nā mea e makaʻala ai i ka wā e hoʻohana ai i ka lāʻau lapaʻau
ʻEha, hoʻomanawanui, a me ka ʻona
Inā ʻaʻole e nalowale kou ʻeha ma hope o ka hoʻohana ʻana i kēia lāʻau lapaʻau, a inā e ʻoi aku ka ʻino, e haʻi i kāu kauka. I kekahi manawa, ke hoʻohana ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, hiki i kou kino ke maʻa iā ia. Ua kapa ʻia kēia ʻo 'Tolerance'. ʻO ke ʻano kēia, pono ʻoe i kahi mahele kiʻekiʻe iki aʻe e loaʻa ai ka hōʻoluʻolu ʻeha like me ma mua. He mea maʻamau kēia, a ʻaʻole ia he mea hoʻopili.
He ʻano ʻokoʻa loa ka ʻona. He ʻano hana hiki ʻole ke kāohi ʻia e pili ana i ka loaʻa ʻana a me ka hoʻohana ʻana i kahi lāʻau lapaʻau me ke kumu ʻole o ke olakino. Inā ʻoe e ʻeha ana, ʻo ia hoʻi he kumu olakino kou e lawe ai i kahi lāʻau ʻeha.
Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hōʻeha ai i kou kino. Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau, e hoʻēmi mālie kāu kauka i ka nui.
Ka ʻike o ka hiamoe a me Naloxone
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. 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 ka neʻe ʻana mai ke kū ʻana a i ka noho ʻana a i ʻole mai ka noho ʻana a i ke kū ʻana, ʻoiai inā he ʻelemakule ʻoe.
E haʻi i kāu kauka inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe e hoʻohiamoe ai iā ʻoe. ʻO ka lawe ʻana i ʻelua mau lāʻau lapaʻau like ʻole e hiki ai iā ʻoe ke hiamoe loa. Inā pilikia ʻoe i ka hanu ʻana, a inā manaʻo ʻoe he luhi a hiamoe paha, e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia.
He lāʻau lapaʻau ulia pōpilikia ʻo Naloxone no ka overdose opioid. E kamaʻilio pū me kāu kauka e pili ana i kēia, a e aʻo pehea e loaʻa ai a hoʻohana inā pono.
Nā pilikia maʻamau ʻē aʻe
- 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 kamaʻilio me kāu kauka.
- Waha maloʻo: Inā maloʻo kou waha, hiki iā ʻoe ke hoʻomaha ma ka nau ʻana i ka gum kō ʻole, ka omo ʻana i kahi candy kō ʻole, a i ʻole ka inu ʻana i ka wai.
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.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| 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 emi ʻana o ka hana o ka ʻōnaehana nerve waena (CNS depression) | Ka hanu lohi a papau paha, ka paʻakikī o ka hanu ʻana, ka maule ʻana, ka poniuniu, ka huikau, a me ka hiamoe hiki ʻole ke hoʻāla ʻia. |
| Ka hana emi ʻana o nā kelepa adrenal | Ka luaʻi, ka nele o ka makemake e ʻai, ka nāwaliwali a luhi paha, ka poniuniu. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- Pono e hoʻohana ʻia ka ʻōpala nasal Butorphanol no ka ʻeha nui wale nō , ma ke ʻōlelo a ke kauka.
- E hōʻoia e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā pilikia olakino ʻē aʻe āu e loaʻa nei, a me nā maʻi allergies.
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He mea kū ʻole i ke kānāwai a he mea weliweli loa ia.
- E pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa ʻana, no ka mea, hiki ke hiamoe a me ka poniuniu. E pale loa i ka inu ʻana i ka waiʻona.
- 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 ʻimi koke i ke kōkua lapaʻau pilikia .
- E mālama i ka lāʻau lapaʻau ma kahi palekana, mai ka hiki ʻana aku o nā keiki a me nā holoholona.
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