E aʻo kākou e pili ana i ka Fentanyl Buccal Tablet no ka ʻeha nui.

I kekahi manawa, ua koʻikoʻi loa ka ʻeha a mākou e ʻike nei, ʻeā? Aia kekahi mau manawa ʻaʻole hiki ke hoʻomalu ʻia kēia ʻeha me nā lāʻau hoʻomaha ʻeha maʻamau, a i ʻole me nā lāʻau hoʻomaha ʻeha lōʻihi i kuhikuhi ʻia e ke kauka. I ia mau manawa, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lāʻau lapaʻau kūikawā e hiki ke hoʻohana ʻia e kāohi i ka ʻeha koʻikoʻi koke (breakthrough pain).

He aha kēia lāʻau lapaʻau? (Fentanyl Buccal Tablet) He aha ia?

I ka ʻōlelo maʻalahi, he lāʻau hoʻopau ʻeha ikaika ʻo Fentanyl no kahi papa o nā lāʻau i kapa ʻia ʻo opioids. Hana ia ma ke kāohi ʻana i nā hōʻailona ʻeha i loko o kou lolo. He ʻoiaʻiʻo kēia inā ke lawe nei ʻoe i kahi lāʻau hoʻopau ʻeha lōʻihi ʻē aʻe akā loaʻa iā ʻoe ka ʻeha breakthrough ʻaʻole i pane i kēlā lāʻau lapaʻau. He lāʻau hoʻopau ʻeha ia a nā kauka e ʻōlelo pinepine ai. ʻOi aku ia ma ke ʻano he "breakthrough" hoʻopau ʻeha ma mua o kāu lāʻau hoʻopau ʻeha maʻamau. Loaʻa iā ia kahi inoa inoa, ʻo Fentora. Akā hiki i kāu kauka ke kuhikuhi iā ia no nā kūlana ʻē aʻe. No laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.

Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau

Ma mua o kou hoʻomaka ʻana e lawe i kēia pila (Fentanyl), pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana, ʻoiai ʻo ka hoʻohana ʻana i kēia lāʻau lapaʻau me kēia mau mea hiki ke lilo i mea weliweli a i ʻole e hoʻopilikia i ka maikaʻi o kāna hana.

• Inā he puʻupuʻu lolo kou
• Inā ʻoe e hoʻohana ana i nā lāʻau lapaʻau a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe (ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka hoʻohui ʻana)
• Inā loaʻa iā ʻoe ka maʻi gallbladder
• Inā he ʻeha kou poʻo
• Inā he maʻi puʻuwai kou
• Inā he mea inu waiʻona mau ʻoe
• Inā he maʻi puʻupaʻa kou
• Inā loaʻa iā ʻoe ka maʻi akepaʻa
• Inā he haʻahaʻa kou koko
• Inā loaʻa iā ʻoe ka maʻi māmā a i ʻole ka maʻi hanu, e like me ka hānō
• Inā he maʻi noʻonoʻo kou
• Inā he pilikia kou i ka mimi ʻana
• Inā loaʻa iā ʻoe nā hopu ʻana
• Inā he mau pilikia kou ʻōpū a i ʻole ka ʻōpū
• Inā loaʻa iā ʻoe kahi maʻi aleri a i ʻole kahi hopena ʻē aʻe i ka fentanyl, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā ​​​​mea mālama
• Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai
• Inā he makuahine hānai ʻoe

He mea nui loa e hāʻawi i kēia ʻike i kāu kauka i hiki iā ia ke hoʻoholo pono inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.

Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

No ka waha kēia lāʻau lapaʻau. Pono ʻoe e hahai i ka lepili kauoha e like me ke kauoha a kāu kauka. Mai hoʻololi i ka nui o ka lāʻau ma kāu iho. Mai lawe i ka pila mai loko mai o ka ʻeke blister a hiki i kou mākaukau e hoʻohana. Ke pono ʻoe e lawe i kahi pila, e wehe pono i ka pepa kini ma ke kua o ka blister a lawe i waho i ka pila. Mai ho'āʻo e hoʻokuke i ka pila ma o ka blister e lawe i waho. ʻO ka hana ʻana pēlā e haki ai ka pila. A laila, e kau i ka pila ma waena o kou papālina a me ka ʻāʻī i loko o kou waha. E paʻa ma laila a hiki i ka wā e heheʻe ai. Inā aia kekahi ʻāpana o ka pila i koe ma hope o 30 mau minuke, e ale iā ia me ke aniani wai. Mai lawe pinepine i kēia lāʻau lapaʻau ma mua o ka mea a ke kauka i ʻōlelo ai iā ʻoe. Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa kuhikuhi kūikawā (MedGuide) . Hāʻawi ʻia kēia me kēlā me kēia kauoha a me ka hoʻopiha hou ʻana. Pono ʻoe e heluhelu pono i ka ʻike ma loko. E kamaʻilio me kāu hui mālama ola e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. ʻOiai hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki e like me 16 mau makahiki i kekahi mau hihia kūikawā, pili nā hana palekana kūikawā.

He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ke kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia. He mea nui loa kēia.

Nā mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me nā poʻe ʻē aʻe. He mea weliweli ia.

He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?

Hoʻohana wale ʻia kēia lāʻau lapaʻau ke pono no ka ʻeha. ʻO ia hoʻi, ʻaʻole ia he lāʻau lapaʻau e pono e lawe ʻia i ka manawa like i kēlā me kēia lā. No laila, ʻo ka haʻalele ʻana i kahi mahele lāʻau e like me ka mea maʻamau, ʻaʻole ia e pili i kēia lāʻau lapaʻau. Eia naʻe, mai hoʻohana ma waho o nā kuhikuhi i hāʻawi ʻia e kāu kauka.

He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau? (Nā Hana like ʻana)

I ka wā e hoʻohana ai i kēia lāʻau lapaʻau (Fentanyl), mai lawe pū me kēia mau lāʻau lapaʻau:

• (Mifepristone)

Eia kekahi, hiki i kēia pila (Fentanyl) ke launa pū me nā mea aʻe, ʻo ia hoʻi hiki iā lākou ke hoʻopili kekahi i kekahi. No laila, inā ʻoe e hoʻohana nei i kēia mau mea, pono ʻoe e haʻi i kāu kauka e pili ana iā lākou.

• ʻAila
• Nā antihistamines (nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu)
• Nā lāʻau lapaʻau antiviral no ka maʻi HIV a i ʻole AIDS
• (ʻAtropine)
• ʻO kekahi mau lāʻau antibiotic, e like me clarithromycin, erythromycin, a me rifampin
• 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, e.g. (oxybutynin), (tolterodine)
• ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, ka maʻi puʻuwai, a me ka puʻuwai naʻau kūpono ʻole
• ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, e.g. (amitriptyline), (fluoxetine), (sertraline)
• ʻO kekahi mau lāʻau lapaʻau no ka maʻi diabetes, e like me ka pioglitazone, troglitazone
• ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal, e like me ketoconazole, itraconazole
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no nā poʻo migraine (e.g., almotriptan, eletriptan, sumatriptan)
• ʻO kekahi mau lāʻau lapaʻau no ka nausea a i ʻole ka luaʻi ʻana (e.g., aprepitant, ondansetron)
• ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana, e like me phenobarbital, phenytoin
• ʻO kekahi mau lāʻau lapaʻau no nā pilikia ʻōpū, e like me dicyclomine, hyoscyamine
• Nā lāʻau lapaʻau no ka maʻi huakaʻi, e.g. (scopolamine)
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi o Parkinson, e like me benztropine
• (Cimetidine)
• Nā lāʻau diuretic (nā lāʻau e wehe ai i ka wai mai ke kino)
• Nā lāʻau hoʻomaha maʻamau (e.g. halothane, propofol)
• Wai ʻāpala
• (ʻIpratropium)
• (Linezolid)
• nā lāʻau anesthetics kūloko (e like me ka lidocaine)
• Nā lāʻau lapaʻau i loko o ka hui i kapa ʻia ʻo (MAOIs) (e.g. (Carbex), (Eldepryl))
• Nā mea hoʻomaha ʻiʻo i hoʻohana ʻia i ka wā o ke ʻoki ʻana
• (Methylene blue)
• Nā lāʻau lapaʻau narcotic ʻē aʻe no ka ʻeha a i ʻole ke kuni
• Nā Phenothiazines (e.g. chlorpromazine)
• (ʻO ka wort ʻo St. John) (He lau nahele kēia)
• Nā lāʻau steroid, e like me prednisone a i ʻole cortisone

ʻAʻole i piha kēia papa inoa. Aia paha he nui aku. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā mea kanu, nā huaora, nā mea hoʻohui meaʻai āu e lawe nei, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai . Hiki i kekahi o kēia mau mea ke launa pū me kāu lāʻau Fentanyl.

He aha kāu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?

Inā ʻaʻole e nalowale kou ʻeha, a inā e ʻoi aku ka ʻino, a inā paha e loaʻa iā ʻoe kahi ʻano ʻeha hou, pono ʻoe e haʻi koke i kāu hui lapaʻau.Ma hope o ka hoʻohana ʻana i kēia lāʻau lapaʻau no kekahi manawa, hiki iā ʻoe ke hoʻomohala i kahi hoʻomanawanui . ʻO ia hoʻi, pono paha ʻoe i kahi mahele kiʻekiʻe e loaʻa ai ka hōʻoluʻolu ʻeha like me ma mua. He mea maʻamau kēia hoʻomanawanui, ʻoiai ke lawe ʻana i kēia lāʻau lapaʻau no ka manawa lōʻihi. Eia naʻe, mai hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. Inā hana ʻoe, loaʻa paha iā ʻoe kahi hopena koʻikoʻi. ʻO kēia no ka mea ua maʻa kou kino i ka lāʻau lapaʻau. ʻAʻole kēia manaʻo ua hoʻopili ʻia ʻoe iā ia. ʻO ka hoʻopili ʻana he ʻano o ka lawe ʻana a me ka hoʻohana ʻana i kahi lāʻau lapaʻau no ke kumu ʻaʻole lapaʻau. Inā ʻeha ʻoe, he kumu lapaʻau ia e lawe ai i kahi mea hoʻopau ʻeha. E haʻi aku kāu hui mālama ola iā ʻoe i ka nui o ka lāʻau lapaʻau āu e pono ai e lawe. Inā makemake lākou e hoʻōki ʻoe i ka lawe ʻana i kēia lāʻau lapaʻau, e hoʻohaʻahaʻa mālie lākou i ka mahele i ka hala ʻana o ka manawa e hōʻemi i nā hopena ʻaoʻao. Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe e hoʻohiamoe iā ʻoe, e like me nā lāʻau ʻeha narcotic, benzodiazepines, a i ʻole nā ​​​​lāʻau lapaʻau hiamoe ʻē aʻe, me kēia (Fentanyl), loaʻa paha iā ʻoe nā hopena ʻaoʻao hou aʻe. No laila e hāʻawi i kāu kauka i kahi papa inoa o nā lāʻau lapaʻau āpau āu e lawe nei. E haʻi aku ʻo ia iā ʻoe i ka nui e lawe ai. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia. Inā pilikia ʻoe i ka hanu ʻana a i ʻole manaʻo ʻoe i ka luhi a hiamoe paha, e kāhea koke aku i nā lawelawe ulia pōpilikia.

E makaʻala iā Naloxone

E kamaʻilio me kāu hui mālama ola e pili ana iā Naloxone a pehea e loaʻa ai. ʻO Naloxone kahi lāʻau lapaʻau ulia pōpilikia no ka overdose opioid. Hiki ke loaʻa ka overdose inā lawe ʻoe i ka nui o ka lāʻau opioid a inā lawe ʻoe me nā mea ʻē aʻe, e like me ka waiʻona. He mea nui e ʻike i nā hōʻailona o ka overdose. No ka laʻana, pilikia ka hanu ʻana, luhi a hiamoe paha, a i ʻole ka pane ʻole i ka ʻōlelo a i ʻole ka hiki ʻole ke ala. E hoʻomaopopo i kou ʻohana, nā mea mālama, a me nā mea aloha i kahi o Naloxone a pehea e hoʻohana ai. E hōʻoia e kāhea i nā lawelawe ulia pōpilikia ma hope o ka hāʻawi ʻana iā Naloxone. He lāʻau lapaʻau manawa pōkole wale nō ʻo Naloxone. Pono paha nā lāʻau i hana hou ʻia. Hiki iā ʻoe ke hiamoe a poni paha i ka wā e lawe ai i kēia lāʻau. No laila, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka noʻonoʻo a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau iā ʻoe. Mai kū koke a noho paha i luna, ʻoiai inā he ʻelemakule ʻoe. ʻO ka hana ʻana pēlā e hōʻemi i ka manawa o ka poni a me ka hāʻule ʻana. Hiki i ka waiʻona ke hoʻopilikia i ke ʻano o ka hana a kēia lāʻau. No laila, e pale i ka inu ʻana i ka waiʻona. Hiki i kēia lāʻau ke hoʻoulu i ka paʻa ʻana.Hiki ke hana. Inā ʻaʻole ʻoe i loaʻa i kahi neʻe ʻōpū no ʻekolu lā, e kamaʻilio me kāu kauka. He waha maloʻo paha kou. ʻO ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono kō ʻole, a me ka inu ʻana i ka wai he nui e kōkua. Inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e ʻike i kāu kauka.

He aha nā hopena ʻaoʻao e hiki iā ʻoe ke loaʻa mai kēia lāʻau lapaʻau?

Aia kekahi mau hopena ʻaoʻao e pono ʻoe e haʻi aku i kāu hui mālama ola i ka wā e kū mai ai. Eia nā mea:

• 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 maka pōwehiwehi.
• ʻEha, huhū, a i ʻole nā ​​ʻeha ma ka waha ma kahi i hoʻopili ʻia ai ka pila.

Aia kekahi mau hopena ʻaoʻao ʻaʻole pono ke mālama ʻia e ke kauka, akā inā hoʻomau lākou a hoʻopilikia paha, pono 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 ʻike hou aku e pili ana i nā hopena ʻaoʻao. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka Food and Drug Administration (FDA) ma 1-800-FDA-1088.

Ma hea e mālama ʻia ai kēia lāʻau lapaʻau?

E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona . Hiki ke hoʻohana ʻino ʻia kēia lāʻau lapaʻau. No laila, e mālama iā ia ma kahi palekana e pale aku ai mai ka ʻaihue ʻia . Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He mea weliweli a kūʻē i ke kānāwai ke kūʻai aku a hāʻawi paha i kēia lāʻau lapaʻau i nā poʻe ʻē aʻe. E mālama i kēia lāʻau lapaʻau ma ka mahana o ka lumi, ma waena o 15 a me 30 degere Celsius (59 a me 86 degere Fahrenheit). E hoʻolei aku i nā lāʻau lapaʻau i hoʻohana ʻole ʻia i hala i kona lā palena pau.

He mea nui loa:Hiki i kēia lāʻau lapaʻau ke lilo i mea ʻino a make paha inā lawe ʻia e nā pākeke ʻē aʻe, nā keiki, a i ʻole nā ​​holoholona. No laila, he mea nui loa ka hoʻolei pono ʻana i kēia lāʻau lapaʻau ke ʻole ʻoe e pono hou a i ʻole i ka wā i pau ai ka lāʻau. ʻElua ala e hana ai i kēia:

• E lawe i kēia lāʻau lapaʻau i kahi papahana lawe-hoʻihoʻi lāʻau lapaʻau. E nīnau i kāu hale kūʻai lāʻau lapaʻau a i ʻole nā ​​mākaʻi e pili ana i ia ʻano papahana.
• Inā ʻaʻohe ala e hoʻihoʻi ai, e hoʻolei i lalo i ka lua.

Hoʻomaopopo: He hōʻuluʻulu manaʻo wale nō kēia ʻatikala. ʻAʻole paha i loko nā ʻike āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a mea mālama ola paha.

Leka Hoʻihoʻi Hope Loa

ʻAe, ua kamaʻilio nui mākou e pili ana i kēia lāʻau lapaʻau (Fentanyl Buccal Tablet), ʻeā? Eia kekahi mau mea e hoʻomanaʻo ai:

• He lāʻau hoʻopau ʻeha opioid ikaika kēia no ka ʻeha nui a koke (ʻeha holomua).
• E hahai pono i nā kuhikuhi a ke kauka. E hahai pono i ka nui o ka lāʻau a me ke ʻano o ka lawelawe ʻana.
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me kou mau maʻi a pau, no ka mea, hiki i kēia lāʻau lapaʻau ke launa pū me nā mea ʻē aʻe.
• E makaʻala i ka hiamoe a me ka poniuniu , no ka mea, hiki ke hana ʻia kēia. E makaʻala i ka wā e hoʻokele ana a hana paha i nā hana e pono ai ka nānā ʻana.
• Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau. E hoʻēmi mālie i ka nui e like me ka ʻōlelo a kāu kauka.
• E makaʻala i ka lāʻau lapaʻau ulia pōpilikia i kapa ʻia ʻo Naloxone. He lāʻau lapaʻau ia i hāʻawi ʻia no ka overdose opioid.
• E mālama i ka lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki. E hoʻolei pono i nā lāʻau lapaʻau i hoʻohana ʻole ʻia.
• Inā he mau nīnau a kānalua paha kāu, mai makaʻu e nīnau i kāu kauka.

Manaʻolana wau e ʻike ʻoe he kōkua kēia ʻike. E noho olakino! Fentanyl, Painkillers, Opioids, Breakthrough Pain, Side Effects, Drug Interactions, Naloxone