I kekahi manawa, ʻaʻole e hoʻomaha ʻia ka ʻeha a mākou e ʻike nei e hoʻokahi a ʻelua paha mau lāʻau hoʻomaha ʻeha maʻamau, ʻeā? Ke loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui, a ʻaʻole hana nā lāʻau hoʻomaha ʻeha ʻē aʻe iā ʻoe a ʻaʻole paha i kōkua, hiki i kāu kauka ke kuhikuhi i kahi lāʻau hoʻomaha ʻeha ikaika aʻe. ʻO Celecoxib lāua ʻo Tramadol ka hui pū ʻana o ʻelua mau lāʻau lapaʻau i hāʻawi ʻia i ia mau hihia. E kamaʻilio maʻalahi kākou e pili ana i kēia.
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Celecoxib lāua ʻo Tramadol?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻelua ʻano nui o nā lāʻau ʻeha. Aia paha ia ma lalo o ka inoa inoa ʻo SEGLENTIS.
1. Celecoxib: No ka papa lāʻau lapaʻau kēia i kapa ʻia ʻo NSAID (Nonsteroidal Anti-inflammatory Drug) . Hana ia ma ka hoʻēmi ʻana i ka mumū, ka mea e hoʻoulu ai i ka ʻeha a me ka pehu i loko o ko mākou kino.
2. Tramadol: He lāʻau hoʻopau ʻeha ikaika kēia no ka papa opioid . Hana ia ma ka hōʻemi ʻana i ka manaʻo o ka ʻeha ma o ka kaohi ʻana i nā hōʻailona ʻeha e hele pololei ana i ka lolo.
ʻO ka hui pū ʻana o kēia mau lāʻau lapaʻau ʻelua e kōkua pinepine i ka kaohi ʻana i ka ʻeha nui.
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 hoʻohana ʻana i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau maʻi. Hiki i kekahi o kēia mau mea ke hana i nā hopena ʻino me kēia lāʻau lapaʻau.
| Kou kūlana olakino a i ʻole kou ʻano maʻamau | No ke aha ʻoe e hoʻomaopopo ai i ke kauka e pili ana i ia mea? (Maʻalahi) |
|---|---|
| Nā maʻi koko | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko. |
| ʻO ka puʻupuʻu lolo a i ʻole ka ʻeha poʻo | Aia kahi pilikia o ka hoʻonui ʻia o ke kaomi i loko o ka lolo. |
| ʻO ke ʻoki ʻoki bypass hou (CABG) | Hiki ke piʻi aʻe ka pilikia o ka hōʻeha puʻuwai a me ka hahau. |
| ʻAi ʻia i nā lāʻau lapaʻau a i ʻole ka waiʻona | He opioid ʻo Tramadol, no laila aia ka pilikia kiʻekiʻe o ka maʻi ʻona. |
| Maʻi puʻuwai, koko kiʻekiʻe | Hiki ke piʻi aʻe ka pilikia o ka hōʻeha puʻuwai a me ka hahau. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | He paʻakikī paha ka wehe ʻana i ka lāʻau lapaʻau mai ke kino a hiki ke hoʻonui i nā hopena ʻaoʻao. |
| Ke kahe koko a i ʻole nā ʻōpū i loko o ka ʻōpū | Hiki i kēia lāʻau lapaʻau ke hoʻonui i kēia mau kūlana. |
| ʻO ka Asthma a i ʻole nā maʻi māmā ʻē aʻe (Asthma, COPD) | Hiki ke loaʻa nā pilikia hanu. |
| ʻO ka inu ʻana i ka waiʻona, ka puhipaka | Hoʻonui i ka pilikia o ke kahe ʻana o ke koko a me nā hopena ʻaoʻao ʻē aʻe. |
| Hāpai keiki, hoʻāʻo e hāpai, hānai waiū | Hiki i kēia lāʻau lapaʻau ke hōʻeha i ka pēpē i hānau ʻole ʻia. |
| Nā lāʻau lapaʻau ʻē aʻe (ʻoi aku hoʻi nā lāʻau hoʻokahe koko, nā lāʻau lapaʻau noʻonoʻo, nā steroids, MAOIs) | Hiki ke loaʻa nā pilina weliweli me nā lāʻau lapaʻau ʻē aʻe. |
| Nā maʻi ʻaleka i kekahi mea | No ka mea hiki i kēia lāʻau lapaʻau ke hoʻoulu i nā maʻi allergies. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
- E lawe i kēia lāʻau lapaʻau me ke aniani wai .
- E lawe e like me ke kauoha a kāu kauka, i ka manawa i kuhikuhi ʻia . ʻOi aku ka maikaʻi o ka lawe ʻana i ka manawa like i kēlā me kēia lā.
- Hiki iā ʻoe ke lawe me ka meaʻai a me ka ʻole. Eia nō naʻe, inā ʻeha kou ʻōpū a i ʻole ka ʻōpū puʻuwai, e lawe me ka ʻai.
- Mai lawe ʻoe ma mua o ka nui i kauoha ʻia e kāu kauka no kekahi kumu.
- Inā ʻoe ma luna o 65 mau makahiki, hiki iā ʻoe ke ʻike hou aku i nā hopena o kēia lāʻau lapaʻau. No laila, hiki ke kuhikuhi ʻia kahi mahele haʻahaʻa.
ʻO ka mea nui loa: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻokaʻulua. E kelepona koke i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He mea weliweli a kū ʻole i ke kānāwai.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi no kekahi kumu.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei.
| Mai lawe pū me ʻoe i kēia mau mea! | |
|---|---|
| ʻO Ketorolac (kekahi NSAID ikaika ʻē aʻe) | MAOIs (kahi papa lāʻau lapaʻau kahiko no ka maʻi noʻonoʻo) |
| Linezolid (he lāʻau antibiotic) | Polū Methylene |
| E akahele loa i ka lawe pū ʻana i kēia mau mea (ma ke ʻōlelo aʻoaʻo lapaʻau wale nō) | |
| ʻAila | Nā mea ʻeha opioid ʻē aʻe |
| ʻO nā NSAID ʻē aʻe e like me Aspirin, Ibuprofen, Naproxen | Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin, Apixaban) |
| Nā lāʻau lapaʻau no ke kaumaha a me ka hopohopo | Nā lāʻau hiamoe |
| Nā lāʻau lapaʻau no nā hopu ʻana | ʻO nā steroid e like me Prednisone |
| Nā lāʻau lapaʻau | Nā lāʻau antifungal a me kekahi mau antibiotics |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Ka hiamoe a me ka nānā ʻana
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a i ʻole e poniuniu . No laila , mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i kona hopena iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai ala koke mai kahi noho. Hiki i kēia ke hoʻopaniuniu iā ʻoe a hāʻule.
Ka inu ʻana i ka waiʻona
E pale i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau. ʻO ka hui pū ʻana o kēia lāʻau lapaʻau me ka waiʻona hiki ke hana i nā kūlana weliweli e like me ka pōkole o ka hanu, ka hiamoe nui, a me ka nalowale o ka ʻike.
Ka paʻa ʻana o ka ʻōpū
ʻO ka paʻa ʻana o ka ʻōpū kahi hopena maʻamau o Tramadol. Inā ʻaʻole ʻoe i neʻe i ka ʻōpū no 3 mau lā, e kamaʻilio me kāu kauka. ʻO ka inu ʻana i ka wai he nui a me ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka fiber (nā huaʻai, nā mea kanu) hiki ke kōkua.
Ke kahe ʻana o ke koko o ka ʻōpū
Hiki i ka Celecoxib (kahi NSAID) i loko o kēia lāʻau lapaʻau ke hoʻoulu i nā ʻōpū a me nā ʻōpū a i ʻole ke kahe koko. Hiki ke hana ʻia kēia me ka ʻole o ka ʻōlelo aʻo .ʻO ka puhipaka, ka inu ʻana i ka waiʻona, ka ʻelemakule, a me ke olakino maikaʻi ʻole e hoʻonui i kēia pilikia. Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, ka luaʻi e like me ke kofe lepo, a i ʻole nā ʻeleʻele, nā ʻōpala tarry , e ʻike koke i ke kauka.
Ke hoʻomaʻamaʻa ʻana i ka lāʻau lapaʻau a me ka hoʻōki ʻana i nā mea āpau i ka manawa hoʻokahi
Ke lawe ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, e maʻa kou kino iā ia (hoʻomanawanui). ʻO ke ʻano kēia e pono paha ʻoe i kahi mahele lāʻau kiʻekiʻe iki aʻe e loaʻa ai ka hōʻoluʻolu ʻeha like me ma mua. He mea maʻamau kēia.
ʻO ka mea nui loa, mai hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i ka hana ʻana pēlā ke hana i nā hōʻailona haʻalele koʻikoʻi. Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻemi mālie kāu kauka i ka nui.
Hiki ke loaʻa nā hopena ʻili koʻikoʻi
ʻOiai he mea kakaikahi, hiki i kekahi poʻe ke loaʻa i nā hopena ʻili koʻikoʻi i kēia lāʻau lapaʻau. Hiki ke hana kēia i nā pule ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau. Inā loaʻa iā ʻoe ke kuni, nā ʻeha kino, a me ka ʻulaʻula, nā pehu, a i ʻole ka ʻili ʻili, e ʻimi koke i ke kōkua lapaʻau.
He aha nā hopena ʻaoʻao i manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He mea weliweli kekahi, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka/lehelehe/alelo, paʻakikī ke hanu. |
| Paʻakikī ka hanu ʻana (CNS Depression) | Ka hanu lohi a pāpaʻu , ka hiamoe nui, ka ʻike ʻole. |
| Nā hōʻailona koko | He ʻōpala ʻeleʻele, kala, he luaʻi e like me ke ʻano o ka lepo kofe, ke koko i loko o ka mimi, a me nā kiko ʻulaʻula/poni ma ka ʻili. |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha ka umauma, ʻūmiʻi, ʻeha e pālahalaha ana i ka poʻohiwi/lima/ʻauwae. |
| Nā Hōʻailona o ka Stroke | Manuʻa, nāwaliwali, paʻakikī ke ʻōlelo ma kekahi ʻaoʻao o ka maka/lima/wāwae. |
| Ka hōʻino ʻana o ke akepaʻa/nā puʻupaʻa | ʻEha ma ka ʻōpū ʻākau o luna, melemele o nā maka/ʻili, emi ʻana o ka mimi i hoʻopuka ʻia, a me ka pehu ʻana o nā wāwae. |
| He mea maʻamau ia, akā inā hoʻopilikia, e haʻi i kāu kauka. | |
| Ka paʻa ʻana o ka ʻōpū | Ka luaʻi/ka luaʻi ʻana |
| Hiamoe/poʻo hina | Makemake nui |
| Waha maloʻo | ʻEha poʻo |
Leka Lawe-Home
- E lawe i kēia lāʻau lapaʻau e like me ke kauoha a ke kauka .
- 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 kaʻana like i kēia lāʻau lapaʻau me kekahi no kekahi kumu. E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona.
- Inā pilikia ʻoe i ka hanu ʻana, ʻeha nui o ka ʻōpū, ʻeleʻele nā ʻōpala, a i ʻole ka ʻili nui, e ʻimi koke i ke kōkua lapaʻau.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E hōʻalo loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau.











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