ʻO kekahi o nā pilikia nui a paʻakikī loa o ke ola ʻana me ke kanesa, ʻo ia ka ʻeha. Hiki ke hana ʻia kēia ʻeha e ke kanesa ponoʻī, a i ʻole he hopena ʻaoʻao paha ia o nā lāʻau lapaʻau kanesa. Eia naʻe, ʻo ka mea nui e haʻi aku iā ʻoe, ʻaʻole kēia ʻeha kahi mea āu e hoʻomanawanui ai me ka leo ʻole . Nui nā lāʻau lapaʻau a me nā ʻano hana e hiki ke kōkua iā ʻoe e hoʻokele iā ia, kōkua iā ʻoe e hiamoe maikaʻi, ʻai maikaʻi, a hana i kāu hana. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.
E haʻi koke aku i ke kauka i ka wā e hoʻomaka ai ka ʻeha!
ʻO kēia ka mea mua a koʻikoʻi loa āu e hana ai. Inā ʻoe e ʻeha ma kekahi wahi, mai hoʻāʻo e noʻonoʻo inā no ke kanesa a i ʻole ka lāʻau lapaʻau. ʻAʻohe mea pehea ka liʻiliʻi o ka ʻeha, e haʻi koke i kāu kauka . E hoʻomanaʻo, ʻoi aku ka maʻalahi o ka hoʻomalu ʻana i ka ʻeha ke akahai. Ke koʻikoʻi a pono ʻoe e lawe i ka lāʻau lapaʻau, hiki ke lōʻihi a ʻoi aku ka nui o ka lāʻau lapaʻau e hoʻomalu i ka ʻeha. No laila, mai hoʻāʻo e lilo i koa me ka ʻeha. E kiʻi koke i ke kōkua.
Nā lāʻau hoʻomaha ʻeha i hoʻohana pinepine ʻia
Hiki i kēia mau lāʻau lapaʻau ke lawa e kāohi i ka ʻeha iki a i ka ʻeha kaulike. ʻOiai hiki ke kūʻai ʻia kekahi o lākou ma ke kūʻai aku ma kahi hale kūʻai lāʻau lapaʻau, ma ke ʻano he maʻi kanesa, ʻaʻole loa ʻoe e lawe i kekahi lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka .
| ʻAno lāʻau lapaʻau | Nā mea e ʻike ai |
|---|---|
| ʻAsetaminopena | He ʻano lāʻau lapaʻau paracetamol kēia i hoʻohana pinepine ʻia. Palekana ia ke lawe ʻia i ka nui i kuhikuhi ʻia. Eia nō naʻe, ʻo ka lawe ʻana i nā nui kiʻekiʻe no ka manawa lōʻihi hiki ke hōʻino i ke akepaʻa. ʻO ka lawe ʻana me ka waiʻona he mea hōʻino loa ia i ke akepaʻa. Inā he maʻi akepaʻa kou, e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kēia lāʻau. |
| Nā NSAID (Non-Steroidal Anti-Inflammatory Drugs) | ʻO kēia ka (Aspirin) , (Ibuprofen) , a me (Naproxen).ʻO kēia mau mea me nā lāʻau lapaʻau e like me. Kōkua kēia i ka hōʻemi ʻana i ka ʻeha a me ka pehu. Eia nō naʻe, hiki iā lākou ke hana i nā hopena ʻaoʻao e like me ka mumū o ka ʻōpū, ka gastritis, a me nā ʻōpū ʻōpū. Hiki iā lākou ke hōʻino i nā puʻupaʻa a hoʻonui i ke koko. Hiki ke hoʻohana ʻia kēia mau mea inā he maʻi puʻupaʻa kou. |
E hoʻomanaʻo, inā ʻoe e lawe nei i nā lāʻau lapaʻau ʻē aʻe no ke kanesa, a inā he mau maʻi olakino ʻē aʻe kou e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka maʻi puʻupaʻa, he mea nui e haʻi aku i kāu kauka ma mua o ka lawe ʻana i kekahi mau lāʻau ʻeha.
Nā lāʻau lapaʻau no ka ʻeha iki - Opioids
Ke ʻeha iki a koʻikoʻi paha kou ʻeha, hiki i kāu kauka ke kuhikuhi i kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo opioids. I kekahi manawa hāʻawi wale ʻia kēia mau mea a i ʻole me ka hui pū ʻana me nā lāʻau ʻeha ʻē aʻe.
ʻElua ʻano nui o kēia mau mea:
- Nā Opioids nāwaliwali: No ka laʻana, nā lāʻau lapaʻau e like me `(Codeine)`.
- Nā Opioids Ikaika: ʻO kēia nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka ʻeha nui loa. ʻO nā laʻana e komo pū me nā lāʻau lapaʻau e like me `(Fentanyl)`, `(Hydromorphone)`, `(Methadone)`, `(Morphine)`, a me `(Oxycodone)`.
He aha nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau?
Hiki i kekahi poʻe ke loaʻa i kēia mau mea i ka wā e lawe ai i kēia lāʻau lapaʻau:
- Ka paʻa ʻana o ka ʻōpū
- Hiamoe
- ʻO ka ʻōpū ʻeha, ka nausea, a me ka luaʻi
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai hopohopo. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau iā ʻoe iho . E haʻi koke aku i kāu kauka. Hiki iā ia ke hoʻololi i ka nui o ka lāʻau a hāʻawi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe, e like me ka lāʻau anti-nausea, e hōʻemi i nā hopena ʻaoʻao.
Nā lāʻau lapaʻau ʻē aʻe e kōkua ai i ka ʻeha
I kekahi manawa, aia kekahi mau lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia me nā lāʻau lapaʻau e like me nā opioids e kāohi i ka ʻeha. Hoʻonui kēia i ka pono o ka lāʻau hoʻopau ʻeha nui a kōkua i ka hōʻemi ʻana i nā hopena ʻaoʻao.
- Lāʻau Lapaʻau ʻEha Aʻalolo: I kekahi manawa, ua like ka ʻeha o ke kanesa me ke ʻano hou ʻana, ka ʻūlū ʻana, a i ʻole ke kuni ʻana. Ua kapa ʻia kēia he ʻeha aʻalolo. Hoʻohana ʻia nā lāʻau anti-seizure a me kekahi mau antidepressants e mālama i kēia ʻano ʻeha.
- Nā Steroid: He mau lāʻau lapaʻau kēia e hōʻemi i ka mumū i loko o ke kino. He mea pono loa lākou no ka ʻeha e pili ana i ka iwi kuamoʻo, nā puʻupuʻu lolo, a i ʻole nā iwi.
He aha nā ʻano hana e hāʻawi ai i ka lāʻau lapaʻau i ke kino?
Hoʻohana ʻia nā lāʻau hoʻopau ʻeha i ke kino ma nā ʻano like ʻole. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa ma muli o kou kūlana.
| ʻAno hana | Wehewehena |
|---|---|
| Lāʻau lapaʻau waha | Loaʻa ia ma ke ʻano o nā papa, nā capsules, nā wai, nā papa sublingual, a i ʻole nā mea pīpī waha. |
| Nā suppositories | ʻO kēia nā lāʻau lapaʻau i hoʻokomo ʻia i loko o ke kino ma o ka rectum. |
| Nā inikini | Nā inikini ma lalo o ka ʻili a i ʻole i loko o ka iwi kuamoʻo. |
| Pāpili ʻili | Ke hoʻopili ʻia kēia mau ʻāpana i ka ʻili, e omo mālie lākou i ka lāʻau lapaʻau i loko o ke kino. |
| Lāʻau lapaʻau intravenous (IV) | Hāʻawi pololei ʻia ka lāʻau lapaʻau i loko o kahi aʻa. I kekahi manawa, hoʻohana ʻia kahi ʻano hana kahi āu e kaomi ai i kahi pihi e loaʻa ai ka nui kikoʻī o ka lāʻau lapaʻau (Patient-Controlled Analgesia - PCA) . |
Ke makaʻu nei ʻoe i ka lilo ʻana i mea hoʻopilikia i ka lāʻau lapaʻau?
Nui ka poʻe, ʻoiai ke hoʻohana nei i nā lāʻau ʻeha ikaika e like me `(Opioids),` e makaʻu nei i ka lilo ʻana i mea hoʻohui iā lākou. He makaʻu kūpono loa kēia. Akā, ʻo ka mea e pono ai mākou e hoʻomaopopo ma ʻaneʻi, ma mua o ka ʻeha ʻana me ka ʻeha hiki ʻole ke hoʻomanawanui, ʻo ka lawe ʻana i ka lāʻau lapaʻau kūpono a me ka kaohi ʻana i ka ʻeha ma lalo o ka nānā ʻana a ke kauka hiki ke hoʻomaikaʻi nui i kou ʻano ola.
No ka hoʻohana palekana ʻana i nā mea hoʻomaha ʻeha, e hoʻomanaʻo i kēia mau mea:
- Inā ua lilo ʻoe a i ʻole kekahi o kou ʻohana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i ia mea.
- E lawe i kāu lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka, a i ka manawa kūpono. Mai kali a ʻeha loa ka ʻeha ma mua o ka lawe ʻana i ka lāʻau lapaʻau. ʻO ke ala maikaʻi loa e kāohi ai i ka ʻeha, ʻo ia ka mālama ʻana iā ia ke hoʻomaka.
- Inā manaʻo ʻoe ʻaʻole i kāohi ʻia ka ʻeha e ka lāʻau lapaʻau, mai hoʻonui i ka nui o ka lāʻau iā ʻoe iho . E haʻi i kāu kauka. I ka hala ʻana o ka manawa, hiki i kou kino ke maʻa i ka lāʻau lapaʻau (ka hoʻomanawanui). A laila pono paha ʻoe e hoʻonui i ka nui a hoʻololi paha i kahi lāʻau lapaʻau ʻē aʻe. ʻO kāu kauka wale nō ke hoʻoholo i kēlā hoʻoholo.
- Ke mākaukau ʻoe e hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau, ʻaʻole e hoʻōki koke kāu kauka i ka lāʻau lapaʻau. E hoʻēmi mālie ʻo ia i ka nui o ka lāʻau. E hāʻawi kēia i kou kino i ka manawa e hoʻomaʻamaʻa ai.
Leka Lawe-Home
- ʻAʻole pono ʻoe e ʻeha me ka leo ʻole i ka ʻeha o ke kanesa. Inā paha e ʻeha iki ana ʻoe, e haʻi koke aku i kāu kauka.
- Aia nā ʻano lāʻau lapaʻau like ʻole e kāohi i ka ʻeha. Na kāu kauka e koho i ka mea kūpono loa iā ʻoe.
- ʻOiai inā he lāʻau ʻeha maʻamau ia i hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau lapaʻau, mai hoʻohana me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- E hahai pono i ka nui a me ka manawa o ka lawe ʻana i ka lāʻau. Mai hoʻololi i ka nui a i ʻole e hoʻōki i ka lāʻau lapaʻau ma kāu manaʻo ponoʻī.
- He mea maʻamau ka makaʻu i ka lilo ʻana i mea hoʻopilikia i ka lāʻau lapaʻau. E kamaʻilio ākea me kāu kauka e pili ana i kēlā makaʻu. ʻO ka mālama ʻana i kou ʻeha ma lalo o ka nānā pono ʻana o ke kauka hiki ke maʻalahi i kou ola.
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