Ke noʻonoʻo kākou i ka cocaine, manaʻo kākou a pau i kahi lāʻau lapaʻau kū ʻole i ke kānāwai a weliweli hoʻi. Aia kekahi ʻoiaʻiʻo i kēlā moʻolelo. Akā, ua ʻike anei ʻoe i ka lāʻau lapaʻau, ma lalo o nā kūlana i kāohi ʻia, hoʻohana ʻia nō hoʻi ia ma ke ʻano he lāʻau lapaʻau? Hoʻohana maoli ʻia ia i nā hihia kikoʻī loa, ma ke ʻano he hopena topical a i ʻole ka pīpī e hoʻoulu ai i ka maneʻo. E kamaʻilio kākou e pili ana i kēia me ka pololei, maʻalahi, i kēia lā.
He aha kēia cocaine i hoʻohana ʻia no ke olakino?
I ka ʻōlelo maʻalahi, ʻo ka cocaine i hoʻohana ʻia i ka lāʻau lapaʻau he anesthetic kūloko . ʻO ia hoʻi, he lāʻau i hoʻohana ʻia e hoʻomānoʻo wale i kahi wahi kikoʻī o ke kino. ʻAʻole kēia e like me ka anesthetic i hoʻokomo ʻia i loko o ke kino. He wai a i ʻole ka pīpī i hoʻopili ʻia ma ka ʻili o nā wahi e like me ka waha, ka ʻāʻī, a i ʻole ka ihu.
ʻO ka hana nui o kēia, ʻo ia ke hoʻopau iki i nā aʻalolo ma ia wahi a hoʻōki i ka manaʻo o ka ʻeha. E noʻonoʻo e pono ʻoe e hana i kahi hana liʻiliʻi a i ʻole kahi hoʻāʻo i loko o ka ihu. A laila, inā ʻaʻole i mae kēlā wahi, e ʻeha loa ia. ʻO ia ka manawa e hoʻohana ai nā kauka i kēia hopena cocaine. ʻAʻole ia e mae wale i ka wahi, akā e hoʻopaʻa pū i nā kīʻaha koko ma ia wahi a hōʻemi i ke kahe ʻana o ke koko. ʻOi aku ka maʻalahi o kēia no nā kauka pepeiao, ihu, a me ka puʻu (ENT) e hana i kā lākou mau hoʻāʻo a me nā hana ʻoki liʻiliʻi.
ʻO ka mea nui loa, ʻaʻole kēia he lāʻau lapaʻau e hiki ke kūʻai ʻia ma ke kūʻai aku a hoʻohana ʻia paha ma ka home. Hoʻohana wale ʻia ia ma ka haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā piha ʻana a ke kauka.
Nā mea e pono ai kāu kauka e ʻike ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau
No ka mea he lāʻau lapaʻau ikaika kēia, pono i kāu kauka ke ʻike i kou mōʻaukala olakino piha ma mua o ke kau ʻana iā ʻoe. ʻAʻole paha kūpono kēia lāʻau lapaʻau no ka poʻe me kekahi mau maʻi. He mea nui loa ia e haʻi aku i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau maʻi:
- Maʻi puʻuwai: Inā loaʻa iā ʻoe kekahi maʻi puʻuwai, ke koko kiʻekiʻe, a i ʻole ka puʻuwai puʻuwai kūpono ʻole.
- ʻAi ʻona a waiʻona paha: Inā ua loaʻa iā ʻoe kahi ʻai ʻona a waiʻona paha a i ʻole ke hakakā nei ʻoe me ia, e haʻi aku iā ʻoe iho.
- Nā hopu ʻana: Inā ua loaʻa iā ʻoe nā hopu ma mua.
- Nā Allergies: Inā he mau allergies kou i ka cocaine a i ʻole nā mea hoʻomaʻamaʻa ʻē aʻe (e like me ka lidocaine), nā lāʻau lapaʻau ʻē aʻe, a i ʻole nā meaʻai.
- Nā maʻi ʻili: Inā he maʻi a ʻeha paha ma ka ʻili kahi e kau ʻia ai ka lāʻau lapaʻau.
- Hāpai a hānai waiū paha: He mea nui e hoʻomaopopo i kāu kauka inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha.
Pehea e hoʻohana ai i kēia lāʻau lapaʻau a me nā kūlana pilikia
E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hiki ke hāʻawi wale ʻia iā ʻoe e ke kauka a i ʻole kekahi loea olakino i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau . Hoʻopili pinepine ʻia ia ma ka ʻāpana i hoʻopilikia ʻia, ma ke kau ʻana i kahi pōpō pulupulu i loko a i ʻole he pīpī.
Ke hoʻohana nei ʻoe ia no nā keiki?
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio, pono ʻoe e kamaʻilio me ke kauka pediatric e pili ana i ia mea. ʻOiai hiki ke hoʻohana ʻia i nā keiki i kekahi mau hihia kūikawā, pono e hana ʻia me ke akahele nui a ma lalo o ka nānā pono ʻana.
He aha inā piʻi ka nui (overdose)?
ʻOiai ua hāʻawi ʻia kēia ma lalo o ka nānā ʻana o ke kauka, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea e like me kēia, he pilikia ia. Pono ʻoe e hoʻokaʻaʻike koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i kekahi mau lāʻau lapaʻau ke hoʻopili kekahi i kekahi ke lawe pū ʻia. Ua kapa ʻia kēia he pilina lāʻau. ʻO ka cocaine kekahi o ia mau lāʻau lapaʻau e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
- Nā lāʻau hoʻomalu hānau
- ʻO Disulfiram (kahi lāʻau i hoʻohana ʻia e hoʻōki i ka inu ʻona)
- ʻO Adrenaline a i ʻole epinephrine
- Nā lāʻau lapaʻau antidepressant ʻano MAOI (MAOIs - e.g. Carbex, Eldepryl, Marplan)
- Phenylephrine - (aia kekahi mau lāʻau lapaʻau anu)
- Nā lāʻau steroid - no ka laʻana, prednisone.
ʻAʻole piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui meaʻai), a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Nā hopena ʻaoʻao e hiki mai ana ma muli o kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao mai ka hoʻohana ʻana i nā lāʻau anesthetic kūloko cocaine. He koʻikoʻi kekahi o kēia mau mea, a he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao hiki ke hoʻohana ʻia i ka cocaine | |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka a i ʻole nā limahana lapaʻau | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, a me ke alelo |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana a i ʻole ka manaʻo pōkole o ka hanu |
| Puʻuwai | Puʻuwai kūpono ʻole, puʻuwai wikiwiki, ʻeha umauma (palpitations) |
| Kūlana noʻonoʻo | Ka huikau, ka hoʻomaha ʻole, ka hoʻonāukiuki nui |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā ʻūlū, ke kuni, ka nausea, ka luaʻi ʻana, ke kahe koko ʻokoʻa mai nā maka, nā ʻāʻī, a i ʻole ka ihu, ka luhi nui |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | Kekahi ʻano o ka ʻeha poʻo |
| ʻOno i ka waha | Ke manaʻo nei i kahi loli o ka ʻono i loko o ka waha |
| ʻAno noʻonoʻo | He manaʻo o kekahi hopohopo, makaʻu |
Leka Lawe-Home
- E hoʻomaopopo he lāʻau lapaʻau kū ʻole i ke kānāwai ka cocaine a he mea hoʻomaʻemaʻe kūloko hoʻi i hoʻohana ʻia ma lalo o nā kūlana i kāohi ʻia i ka lāʻau lapaʻau.
- Hoʻohana ʻia kēia no ka hoʻomāno ʻana i ka ʻāʻī, ka pepeiao, a me nā wahi ihu, ʻoiai hoʻi i ka wā o nā hoʻokolohua lapaʻau a i ʻole nā ʻoki kino liʻiliʻi.
- Hāʻawi wale ʻia kēia lāʻau lapaʻau e ke kauka a i ʻole ke kauka olakino i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole ia e hāʻawi ʻia iā ʻoe e lawe i ka home.
- E hōʻoia e hoʻomaopopo i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei (ʻoiai ka maʻi puʻuwai, nā hopu ʻana, ka hoʻohana ʻana i nā lāʻau lapaʻau) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me nā hopena alerika, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻū ʻana o ka umauma, e hoʻomaopopo koke i ke limahana lapaʻau.
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