I kekahi manawa, ʻeha loa a ʻoʻoleʻa ko kākou mau ʻiʻo a i ʻole nā aʻalolo, ʻeā? Aia kekahi mau manawa ʻaʻole hiki ke hoʻomalu ʻia kēia ʻeha me hoʻokahi a ʻelua paha mau lāʻau hoʻomaha ʻeha maʻamau. I kēlā mau manawa, inā ʻaʻole hana nā lāʻau hoʻomaha ʻeha ʻē aʻe iā ʻoe a i ʻole ʻaʻole hiki iā ʻoe ke ʻae iā lākou, hiki i ke kauka ke kuhikuhi i kēia lāʻau. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi hui lāʻau hoʻomaha ʻeha ikaika loa.
He aha kēia lāʻau lapaʻau? I ka pōkole...
He hui pū ʻana kēia o ʻekolu mau lāʻau lapaʻau. ʻO ia hoʻi, he pila i hana ʻia ma ka hui pū ʻana o nā lāʻau lapaʻau ʻekolu, ʻo Carisoprodol , Aspirin , a me Codeine . E nānā kākou i ka mea e hana ʻia me kēlā me kēia.
- Carisoprodol: He mea hoʻomaha ʻiʻo kēia. Hana ia ma ka hōʻoluʻolu ʻana i ka ʻōnaehana nerve hana nui i loko o kou kino a me ka hoʻomaha ʻana i nā ʻiʻo paʻa.
- ʻAspirin: He lāʻau hoʻopau ʻeha kēia no ka papa NSAID (Nonsteroidal Anti-inflammatory Drug). Hoʻemi ia i ka ʻeha a me ka pehu.
- Codeine: He lāʻau hoʻopau ʻeha ikaika kēia no ka papa opioid . Hoʻomalu ia i nā hōʻailona ʻeha i ka lolo.
I ka ʻōlelo maʻalahi, hana pū kēia mau lāʻau lapaʻau ʻekolu e kāohi i ka ʻeha o nā ʻiʻo, ka ʻoʻoleʻa, a me ka pehu. Hāʻawi pinepine ʻia kēia ma ke ʻano he lāʻau lapaʻau pōkole.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻOiai he hui ikaika kēia o nā lāʻau lapaʻau, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa ai. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau.
| E hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kēia mau kūlana. | |
|---|---|
| Nā maʻi koko | ʻŌpū lolo |
| Ka hoʻohana pinepine ʻana i ka waiʻona | Nā ʻeha poʻo |
| Maʻi puʻuwai | Maʻi puʻupaʻa |
| Maʻi akepaʻa | Ka maʻi o ka māmā a i ʻole ka hanu (e.g., asthma, COPD) |
| Nā hopu ʻana | ʻAi ʻona lāʻau |
| Nā pilikia o ka ʻōpū a i ʻole ka ʻōpū (e.g. ulcers) | Inā ua lawe ʻoe i kahi antidepressant MAOI (e like me Marplan, Nardil, Parnate) i nā lā 14 i hala |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Inā he makuahine hānai ʻoe |
| Inā loaʻa iā ʻoe kahi hopena maʻi i ka aspirin, codeine, carisoprodol a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
E ale i kēia papa me ke aniani wai. E hahai pono i ka nui e like me ke kauoha a kāu kauka . Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia. Inā ʻeha kou ʻōpū, e lawe pū me ka ʻai a i ʻole ke aniani waiū.
E akahele loa i ka hāʻawi ʻana i nā keiki!
ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau no nā keiki ma lalo o 12 mau makahiki . ʻAʻole hoʻi i ʻōlelo ʻia no nā keiki ma lalo o 18 mau makahiki i wehe ʻia nā tonsils a i ʻole adenoids.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e hele koke i ka haukapila kokoke loa ʻo Emergency Department (ETU) . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital . No kāu hoʻohana ponoʻī wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe .
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā huahana lāʻau lapaʻau, a me nā lāʻau lapaʻau ma luna o ke kauka, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau.
| Mai lawe pū me kēia mau lāʻau lapaʻau | |
|---|---|
| ʻAbrocitinib | ʻO Cidofovir |
| ʻO Ketorolac | Nā MAOI (e like me Marplan, Nardil, a me Parnate) |
| ʻO Probenecid | Samidorphan |
| E hoʻomaopopo i kāu kauka inā ʻoe e lawe ana i kēia lāʻau me kēia mau lāʻau | |
| ʻAila | Nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i ka hiamoe a me ka hiamoe (e like me Benzodiazepines) |
| Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin, Apixaban) | ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me Fluoxetine, Sertraline) |
| ʻO nā lāʻau ʻeha NSAID ʻē aʻe (e.g. Ibuprofen, Naproxen) | ʻO kekahi mau lāʻau lapaʻau no ka maʻi diabetes |
| ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi epilepsy (e.g. Carbamazepine, Valproic acid) | ʻO kekahi mau antibiotics a me nā antifungals |
| Nā lāʻau lapaʻau no ke koko kiʻekiʻe a me nā maʻi puʻuwai | Nā lāʻau lapaʻau steroid (e like me Prednisone) |
*E ʻoluʻolu e hoʻomaopopo ʻaʻole kēia he papa inoa piha. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.*
E makaʻala i kēia mau mea i ka wā e lawe ai i ka lāʻau lapaʻau.
- Kaohi 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. Ke hoʻomau nei ʻoe i ka lawe ʻana i kēia lāʻau lapaʻau, hiki i kou kino ke hoʻomohala i kahi hoʻomanawanui iā ia. ʻO ke ʻano kēia e pono paha ʻoe i kahi mahele kiʻekiʻe e kāohi i ka ʻeha āu i loaʻa ai ma mua. He mea maʻamau kēia. ʻAʻole kēia he mea hoʻomaʻamaʻa .
- Ke kū koke ʻana: Mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka. Hiki i ka hana ʻana pēlā ke hana i nā hopena ʻaoʻao koʻikoʻi. Inā pono ʻoe e hoʻōki, e hōʻemi mālie kāu kauka i ka nui.
- Hiamoe: ʻO kēia lāʻau lapaʻau, a me nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i ka hiamoe (e like me nā opioids ʻē aʻe a me nā benzodiazepines), hiki ke hoʻoulu i ka hiamoe nui a me ka paʻakikī o ka hanu ʻana. Inā pilikia ʻoe i ka hanu ʻana a i ʻole e hiamoe loa ʻoe, e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia .
- Paʻa ʻōpū: He mea maʻamau ka paʻa ʻōpū i ka wā e lawe ai i kēia lāʻau lapaʻau. Inā ʻaʻohe ou neʻe ʻana o ka ʻōpū no 3 mau lā, e haʻi i kāu kauka.
- ʻŌpū ʻōpū a me ke kahe ʻana o ke koko: Loaʻa i kēia lāʻau lapaʻau ka aspirin, hiki ke hoʻoulu i nā ʻōpū ʻōpū a me ke kahe ʻana o ke koko. Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū, ka luaʻi e like me ke kofe lepo, a i ʻole nā ʻōpala ʻeleʻele, e ʻike koke i ke kauka. Hoʻonui ka puhipaka a me ka hoʻohana ʻana i ka waiʻona i kēia pilikia.
- Nā hopena ʻili koʻikoʻi: I kekahi manawa, i kekahi mau pule ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, hiki iā ʻoe ke loaʻa nā pehu ʻulaʻula a poni paha a i ʻole ka ʻili ʻili, me ke kuni a me nā ʻeha kino. Inā ʻike ʻoe i kekahi o kēia mau mea, e haʻi koke i kāu kauka.
E pale i ka hoʻokele ʻana a i ʻole ka hoʻohana ʻana i nā mīkini i ka wā e lawe ana i kēia lāʻau lapaʻau, no ka mea e hoʻopilikia paha i kou noʻonoʻo a me kou hiki ke hoʻoholo.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
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 koʻikoʻi e pono e hōʻike koke ʻia i ke kauka |
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| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou |
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Leka Lawe-Home
- He hui ikaika kēia o nā lāʻau lapaʻau. Mai lawe ʻoe ma mua o ka nui i kauoha ʻia e kāu kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me ka hoʻohana ʻana 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 lāʻau lapaʻau kēia i hiki ke hoʻohana hewa ʻia.
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He mea kū ʻole i ke kānāwai a he mea weliweli loa ia.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka hiamoe nui, nā ʻeha ʻili koʻikoʻi, a i ʻole nā hōʻailona o ke kahe ʻana o ke koko.
- Mai hoʻōki koke i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
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