I kekahi manawa loaʻa iā mākou ka ʻeha nui ʻaʻole hiki i nā lāʻau ʻeha maʻamau ke hōʻoluʻolu. E noʻonoʻo e pili ana i ia mea, ka ʻeha e hiki mai ana ma hope o kekahi mau ʻoki kino, a i ʻole ka ʻeha nui i hoʻokumu ʻia e kekahi mau maʻi. ʻO ia ka manawa e hāʻawi ai nā kauka iā ʻoe i kēia lāʻau ʻeha i kapa ʻia ʻo Codeine. No laila, he aha kēia lāʻau lapaʻau, pehea e hana ai, a he aha nā hana palekana āu e lawe ai i ka wā e hoʻohana ai? He kikoʻī iki kēia, akā he mea nui loa ia no kou olakino, no laila he mea pono ke heluhelu pono ʻia.
He aha ke Codeine?
I ka ʻōlelo maʻalahi, he lāʻau hoʻopau ʻeha ka Codeine. Kuhi ʻia ia i ka wā ʻaʻole hiki i nā lāʻau ʻeha ʻē aʻe ke kāohi i ka ʻeha, a inā ʻaʻole hiki iā ʻoe ke ʻae i nā lāʻau lapaʻau ʻē aʻe. Hana kēia lāʻau lapaʻau ma ke kāohi ʻana i nā hōʻailona ʻeha i loko o kou lolo. No ka papa lāʻau i kapa ʻia ʻo opioids ka Codeine. Hoʻohana pinepine ʻia ia e mālama i ka ʻeha nui.
I kekahi manawa hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā mea ʻē aʻe, no laila inā he mau nīnau kāu, e nīnau i kāu kauka a i ʻole ke kanaka ma ka hale kūʻai lāʻau lapaʻau.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe i ke codeine, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. Mai hūnā i kēia mau mea, no ka mea hiki iā lākou ke hoʻopilikia i kou olakino.
Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e haʻi i kāu kauka :
- Inā he puʻupuʻu lolo kou .
- Inā he kanaka ʻoe i hoʻohana ʻia i nā lāʻau lapaʻau (Drug abuse or addiction) , a i ʻole ua hana pēlā ma mua.
- Inā ua loaʻa iā ʻoe kahi ʻeha poʻo .
- Inā he maʻi puʻuwai kou .
- Inā he mea inu mau ʻoe i ka waiʻona .
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Hana haʻahaʻa o ke kelepa adrenal .
- Inā loaʻa iā ʻoe ka maʻi māmā, ka hānō, a i ʻole nā pilikia hanu .
- Inā loaʻa iā ʻoe nā ʻōʻili .
- Inā he mau pilikia kou ma ka ʻōpū a i ʻole ka ʻōpū .
- Inā ua lawe ʻoe i kahi lāʻau lapaʻau i kapa ʻia he MAOI (Monoamine Oxidase Inhibitor), no ka laʻana ʻo Marplan, Nardil, a i ʻole Parnate, i loko o nā lā 14 i hala. He mea nui loa kēia.
- Inā ua loaʻa iā ʻoe kahi hopena maʻamau ʻole a maʻi paha i ke codeine, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā mea mālama.
- ʻO ʻoeInā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Ma ka haʻi pololei ʻana aku iā ʻoe i kēia mau mea e hiki ai i ke kauka ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a pehea e hāʻawi ʻia ai.
Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?
E lawe ʻia kēia lāʻau lapaʻau ma ka waha, me ke aniani wai. Inā paʻakikī ke ʻai ʻana i ka lāʻau lapaʻau, e lawe pū me ka meaʻai a i ʻole ka waiū iki. E lawe pono e like me ke kuhikuhi ʻana ma ka lepili lāʻau lapaʻau. Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia.
Ke hāʻawi aku ka hale kūʻai lāʻau lapaʻau iā ʻoe i kēia lāʻau lapaʻau, e hāʻawi lākou iā ʻoe i kahi pepa ʻike kūikawā (MedGuide) . He mea nui e heluhelu pono iā ia i kēlā me kēia manawa e loaʻa ai iā ʻoe kahi hoʻopihapiha a hoʻopiha hou paha i kāu lāʻau lapaʻau. Loaʻa iā ia ka ʻike koʻikoʻi loa e pili ana i kēia lāʻau lapaʻau.
E kamaʻilio me kāu kauka e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki . ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau no nā keiki ma lalo o 12 mau makahiki. Eia kekahi, mai hāʻawi i kēia lāʻau lapaʻau i kahi keiki ma lalo o 18 mau makahiki ma hope o ke ʻoki ʻana e wehe i nā tonsils a/a i ʻole adenoids. He mea nui loa kēia, no ka mea hiki ke hana i nā hopena ʻaoʻao koʻikoʻi i nā keiki.
Overdose: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia. ʻAʻole kēia he pāʻani, hiki ke hoʻoweliweli i ke ola.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi. ʻOiai inā hana ia nou, hiki ke hoʻopilikia i kekahi.
He aha inā e hala wau i kahi lāʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua a ʻoi aku paha. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao.
Nā lāʻau lapaʻau e hiki ke launa pū me Codeine
He ʻāpana koʻikoʻi loa kēia. He lāʻau lapaʻau ʻo Codeine e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe. ʻO ke ʻano kēia, i ka wā e lawe ʻia ai me nā lāʻau lapaʻau ʻē aʻe, hiki ke loli nā hopena o Codeine a i ʻole e hana i nā hopena ʻino.
Mai lawe pū me kēia lāʻau lapaʻau i ka codeine!
Mai lawe pū me kēia mau lāʻau lapaʻau ʻo Codeine:
- Linezolid
- Nā lāʻau MAOI (MAOI e like me Marplan, Nardil, a me Parnate) - Ua ʻōlelo ʻia kēia ma mua.
- Polū Methylene
- ʻOzanimod
- Samidorphan
- ʻO Tedizolid
Hiki i ka Codeine ke launa pū me kēia lāʻau lapaʻau.
Hiki i ke Codeine ke launa pū me nā lāʻau lapaʻau aʻe. No laila, e hōʻoia e haʻi i kāu kauka inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau.
- ʻAi ʻona: ʻO ka lawe ʻana i ke codeine me ka waiʻona hiki ke hoʻonui i ka hiamoe, ka dizziness, a me nā pilikia hanu.
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine): Hoʻoulu kēia i ka hiamoe, hiki ke hoʻonui ʻia ke lawe ʻia me ke codeine.
- ʻAtropine
- ʻO kekahi mau lāʻau antibiotic , no ka laʻana erythromycin, clarithromycin, rifampin.
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole ka hepatitis.
- ʻO kekahi mau lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe.
- ʻO kekahi mau lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi, no ka laʻana oxybutynin, tolterodine.
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, no ka laʻana, amitriptyline, bupropion, fluoxetine, paroxetine, sertraline.
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi fungal, no ka laʻana, ketoconazole, itraconazole, a me posaconazole.
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no nā poʻo migraine, no ka laʻana, almotriptan, eletriptan, a me sumatriptan.
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi o Parkinson, no ka laʻana benztropine a me trihexyphenidyl.
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hopu ʻana, no ka laʻana carbamazepine, phenobarbital, a me phenytoin.
- ʻO kekahi mau lāʻau lapaʻau no ka ʻeha o ka ʻōpū, no ka laʻana dicyclomine a me hyoscyamine.
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi neʻe, e like me ka scopolamine.
- Diuretics ( nā lāʻau lapaʻau e hoʻoulu ai i ka nui o ka mimi e hoʻokuʻu ʻia).
- Hoʻohana ʻia nā anesthetics laulā i ka wā o ke ʻoki ʻana, no ka laʻana, halothane a me propofol.
- ʻIpratropium.
- Nā lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo no ke ʻoki ʻana.
- ʻO nā lāʻau ʻeha opioid ʻē aʻe.
- ʻO nā Phenothiazines, no ka laʻana chlorpromazine, thioridazine.
- Kuinidina.
ʻAʻole i piha kēia papa inoa.E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā mea kanu, nā lāʻau lapaʻau i kauoha ʻole ʻia, nā huaora, a me nā mea hoʻohui meaʻai āu e lawe ai. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi mau mea ke launa pū me kēia lāʻau.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
Aia kekahi mau mea e pono ai ʻoe e makaʻala i ka wā e lawe ai i ke codeine:
- Inā ʻaʻole e nalowale kou ʻeha, inā e ʻoi aku ka ʻino, a inā paha e loaʻa iā ʻoe kahi ʻano ʻeha hou, e haʻi i kāu kauka.
- I ka hala ʻana o ka manawa , hiki i kou kino ke hoʻomanawanui i ka lāʻau lapaʻau. ʻO ke ʻano kēia, ʻaʻole lawa ka nui āu i lawe ai ma mua e kāohi i kou ʻeha. He mea maʻamau kēia, ʻoiai inā ua lōʻihi kou lawe ʻana i kēia lāʻau lapaʻau. E hoʻoponopono kāu kauka i kāu nui e like me ia.
- Inā ʻoe e lawe i kekahi mau ʻano lāʻau ʻeha narcotic, i kapa ʻia ʻo opioids, i ka manawa like, hiki iā ʻoe ke ʻike i nā hopena ʻaoʻao hou aʻe. E haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe ai. E haʻi aku ʻo ia iā ʻoe i ka nui e lawe ai. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe. Inā pilikia ʻoe i ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. Hiki i ka hana ʻana pēlā ke hana i kahi hopena koʻikoʻi . ʻO kēia no ka mea ke maʻa nei kou kino i ka lāʻau lapaʻau. ʻAʻole kēia manaʻo he mea hoʻopilikia ʻoe, ʻeā? ʻO ka hoʻopilikia ʻana ke hoʻohana ʻoe i kahi lāʻau lapaʻau me ke kumu ʻole o ke olakino. Inā ʻeha ʻoe, he kumu olakino kou e lawe ai i nā mea hoʻomaha ʻeha. E haʻi aku kāu kauka iā ʻoe i ka nui o ka lāʻau lapaʻau āu e pono ai e lawe. Inā makemake kāu kauka e hoʻōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻemi mālie ʻo ia i ka nui e hōʻemi i nā hopena ʻaoʻao.
- E kamaʻilio me kāu kauka e pili ana i ka naloxone a pehea e loaʻa ai. ʻO Naloxone kahi lāʻau lapaʻau ulia pōpilikia i hāʻawi ʻia inā loaʻa kahi overdose o kahi opioid . ʻO ka lawe ʻana i ka nui o ka opioid a i ʻole ka lawe ʻana me nā mea ʻē aʻe e like me ka waiʻona hiki ke alakaʻi i kahi overdose. E makaʻala i nā hōʻailona o ka overdose, e like me ka pilikia o ka hanu ʻana, ka luhi nui a i ʻole ka hiamoe, a me ka pane ʻole. E haʻi i kou ʻohana a me nā mea mālama i kahi o kēia lāʻau a pehea e hoʻohana ai. Ma hope o ka hāʻawi ʻia ʻana o ka naloxone iā ʻoe, pono ʻoe e hele koke i ka haukapila. He lāʻau lapaʻau manawa pōkole wale nō ia. Pono paha ʻoe e hāʻawi i nā lāʻau hou aku.
- Hiki i nā keiki ke loaʻa i nā hopena ʻaoʻao kiʻekiʻe aʻe. Inā e hanu mālie ana kāu keiki, e walaʻau ana i ka wā e hanu ana, he huikau, a hiamoe paha,E hoʻōki koke i ka hāʻawi ʻana i kēia lāʻau lapaʻau a e ʻimi i ke kōkua lapaʻau pilikia.
- Hiki paha iā ʻoe ke hiamoe a poniuniu paha . No laila, a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe , mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka makaʻala noʻonoʻo. Mai kū koke a noho paha i luna, ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hōʻemi i ka pilikia o ka poniuniu a me ka hāʻule ʻana. Hiki i ka inu ʻana i ka waiʻona ke hoʻopilikia i ke ʻano o ka hana a kēia lāʻau lapaʻau. No laila, e pale i ka inu ʻana i ka waiʻona.
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻana o ka ʻōpū . Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o 3 mau lā, e kāhea i kāu kauka .
- Maloʻo paha kou waha . ʻO ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono paʻakikī ʻole kō, a me ka inu ʻana i ka wai he nui e kōkua i ka kaohi ʻana i kēia. Inā hoʻomau kēia pilikia a lilo paha i mea koʻikoʻi, e kamaʻilio me kāu kauka .
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ke codeine ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi koke aku i kāu kauka:
- Nā hopena maʻi ʻaleka - ka ʻulaʻula o ka ʻili, ka maneʻo, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu.
- Kaumaha o ka ʻōnaehana nerve waena (CNS depression) - hanu lohi a pāpaʻu paha, pōkole o ka hanu, nāwaliwali, poniuniu, huikau, pilikia e ala ai.
- Hana haʻahaʻa o ke kelepa adrenal - nausea, luaʻi, nalowale o ka makemake, nāwaliwali a luhi paha, poniuniu.
- Ke koko haʻahaʻa - ka poniuniu, ka manaʻo palupalu a i ʻole ke poʻo māmā, ka ʻike pōwehiwehi.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau, akā pono e hōʻike ʻia inā hoʻomau lākou
ʻAʻole pono kēia mau hopena ʻaoʻao i ka mālama lapaʻau. Eia nō naʻe, inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka :
- Ka paʻa ʻana o ka ʻōpū
- Pōʻino
- Hiamoe
- Waha maloʻo
- ʻEha poʻo
- Ka luaʻi
- Ka luaʻi ʻana
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. E noi i kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau e pili ana i nā hopena ʻaoʻao.
Pehea e mālama pono ai i kēia lāʻau lapaʻau?
He mea nui loa kēia. He lāʻau lapaʻau ʻo Codeine hiki ke lilo i mea weliweli inā ʻaʻole e hoʻohana pono ʻia.
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona. Hiki ke hoʻohana hewa ʻia kēia lāʻau lapaʻau. No laila, e mālama iā ia ma kahi palekana e pale aku ai mai ka ʻaihue ʻia. Mai hāʻawi aku i kekahi. No kāu hoʻohana ponoʻī wale nō kēia lāʻau lapaʻau. He mea weliweli loa ke kūʻai aku a hāʻawi aku paha i kēia lāʻau lapaʻau i kekahi kanaka ʻē aʻe a kūʻē i ke kānāwai.
- E mālama ma ka mahana o ka lumi (20 a 25 kekelē Celsius, 68 a 77 kekelē Fahrenheit). E pale mai ka mālamalama a me ka makū. E pani paʻa i ka ʻōmole/ʻeke lāʻau.
- E hoʻolei aku i nā lāʻau lapaʻau i koe ma hope o ka lā pau.
Hiki i kēia lāʻau lapaʻau ke lilo i mea ʻino a make paha inā lawe ʻia e kekahi pākeke, keiki, a holoholona paha. No laila, he mea nui loa ka hoʻolei pono ʻana i ka lāʻau lapaʻau ke ʻole e pono hou a i ʻole ua pau ka lāʻau. ʻElua ala e hana ai i kēia:
* E nīnau i ka hale kūʻai lāʻau lapaʻau a i ʻole ke keʻena hoʻokō kānāwai inā he papahana lawe hoʻihoʻi lāʻau lapaʻau .
* Inā ʻaʻole hiki kēia, e hoʻolei aku e like me ke kuhikuhi ʻana ma ka pepa ʻike kūikawā (MedGuide) āu e loaʻa ai.
Nā mea nui e hoʻomanaʻo ai (Leka Lawe-Home)
He lāʻau hoʻopau ʻeha ikaika ka Codeine, no laila e hoʻomanaʻo i kēia mau mea:
- E lawe wale i ka nui a kāu kauka e ʻōlelo ai. Mai lawe hou aku.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā maʻi āu e loaʻa ai.
- Mai lawe pū i kēia lāʻau me ka waiʻona.
- Hiki i ka lāʻau lapaʻau ke hoʻohiamoe iā ʻoe, no laila e makaʻala i ka wā e hoʻokele ana a hana paha me nā mīkini.
- E mālama iā ia ma kahi palekana, kahi i hiki ʻole ai i nā keiki a me nā holoholona.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau. E kūkākūkā me kāu kauka.
- Inā loaʻa ka overdose, e ʻimi koke i ka lāʻau lapaʻau ulia pōpilikia. E makaʻala iā Naloxone.
He hōʻuluʻulu manaʻo wale nō kēia pepa ʻike. ʻAʻole paha e loaʻa nā kikoʻī āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e nīnau i kāu kauka, kauka lāʻau, a i ʻole ka mea mālama ola kino. He mea nui kou olakino iā ʻoe e like me ia iā mākou!
Codeine , lāʻau hoʻopau ʻeha, opioid, lāʻau lapaʻau, nā hopena ʻaoʻao, olakino
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