I kekahi manawa, ua koʻikoʻi loa ka ʻeha a mākou e manaʻo nei a hiki ʻole ke hoʻomanawanui. Ke hana ʻole nā lāʻau ʻeha maʻamau, hiki i nā kauka ke kuhikuhi i kahi lāʻau ikaika aʻe. He lāʻau lapaʻau kūikawā ʻo Hydromorphone i hoʻohana ʻia e kāohi i ka ʻeha koʻikoʻi a lōʻihi. He mea nui e makaʻala a hoʻohana palekana. No laila e kamaʻilio kākou e pili ana i kēia lā.
He aha ke ʻano lāʻau lapaʻau kēia? (He aha ka Hydromorphone?)
I ka ʻōlelo maʻalahi, he lāʻau hoʻopau ʻeha ikaika ʻo Hydromorphone no kahi papa o nā lāʻau i kapa ʻia ʻo opioids. Hana kēia lāʻau ma ke kāohi ʻana i ka hoʻoili ʻana o nā hōʻailona ʻeha i ko mākou lolo. Akā aia kekahi mea kūikawā e pili ana i kēia. He ʻano lāʻau "Extended-Release" a i ʻole "long-acting". ʻO ia hoʻi, ke lawe ʻoe i kēia pila, e hoʻokuʻu mālie ʻia nā mea lapaʻau i loko o ke kino i ka lā a pau.
He mea nui loa: Hoʻohana wale ʻia kēia no ka ʻeha lōʻihi a koʻikoʻi, e like me ka ʻeha ma ke kanesa. ʻAʻole hoʻohana ʻia no ka ʻeha koke, koke, e like me ke poʻo, ka ʻeha niho, a i ʻole ka ʻeha.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Loaʻa iā ʻoe kēia mau kūlana? | No ke aha ʻoe e hōʻike ai? |
|---|---|
| ʻO ka puʻupuʻu lolo, ka ʻeha poʻo | No ka mea, hiki i kēia lāʻau lapaʻau ke hoʻonui i ke kaomi i loko o ka lolo. |
| ʻAi ʻona lāʻau a waiʻona paha | ʻO kēia kekahi no ka mea he lāʻau lapaʻau kēia e pili ana i ka pilikia o ka hōʻailona. |
| Ka maʻi o ka māmā, ka hānō, a i ʻole nā pilikia hanu ʻē aʻe | No ka mea hiki i kēia ke hoʻolohi i ka hanu ʻana. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | No ka mea, hiki ke hoʻopilikia ʻia ke kaʻina hana o ka wehe ʻana i ka lāʻau mai ke kino. |
| Nā pilikia o ka ʻōpū a i ʻole ka ʻōpū, nā hopu ʻana | No ka mea, e ʻoi aku ka ʻino o kēia mau kūlana. |
| Inā ua lawe ʻoe i kahi lāʻau MAOI i nā lā 14 i hala | He mea weliweli kēia e hiki ke hana i nā hopena ʻino loa. |
| Ke hāpai nei, ke ho'āʻo nei e hāpai, a i ʻole ka hānai waiū | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka pēpē i loko o ka ʻōpū a i ʻole ma o ka waiū umauma. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
Ma muli o ka mana o kēia lāʻau lapaʻau, he mea nui loa e hoʻohana pono ia e like me ka ʻōlelo a ke kauka.
- E ale i ka papa holoʻokoʻa: E ale i ka papa holoʻokoʻa me ke aniani wai. Mai uhaʻi, wili, a nau paha i ka papa. ʻO ka hana ʻana pēlā e hoʻokuʻu i ka nui piha o ka lāʻau lapaʻau e pono e hoʻokuʻu ʻia i ka lā a pau i loko o kou kino i ka manawa hoʻokahi. He mea weliweli loa kēia a hiki ke alakaʻi i ka overdose.
- E lawe i ka lāʻau lapaʻau i ka manawa kūpono: E lawe i ka lāʻau lapaʻau i ka manawa kūpono, i nā manawa kūpono, e like me ke kauoha a kāu kauka. Mai lawe pinepine.
- Me ka meaʻai a me ka ʻole o ka meaʻai: Hiki ke lawe ʻia kēia ma mua a ma hope paha o ka ʻai ʻana. Inā ʻeha kou ʻōpū, e lawe pū me ka meaʻai.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hōʻailona i ka haʻalele ʻana. Inā ʻoe e hoʻōki, e hana pēlā ma lalo o ka nānā ʻana a kāu kauka, a e hoʻēmi mālie i ka nui.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, a inā ua lawe hewa kekahi iā ia, he pilikia ia. E kelepona koke i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo (helu kelepona 0112686143), a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nou wale nō kēia lāʻau lapaʻau. Ua kuhikuhi ke kauka iā ia e kūpono i kou ʻeha a me kou kino. Mai kaʻana like me kekahi.
Nā mea e makaʻala nui ai i ka wā e lawe ana i ka lāʻau lapaʻau
ʻEha a me ke ahonui
I ka hala ʻana o ka manawa, e ʻike paha ʻoe ʻaʻole lawa ka nui o ka lāʻau lapaʻau i kūpono iā ʻoe. Ua kapa ʻia kēia he hoʻomanawanui, a i ʻole ke kino e maʻa i ka lāʻau lapaʻau. He mea maʻamau kēia ke lawe ʻoe i kēia ʻano lāʻau lapaʻau no ka manawa lōʻihi. ʻAʻole ia he mea hoʻopili. Inā manaʻo ʻoe i kēia ʻano, e haʻi i kāu kauka. E hoʻoponopono ʻo ia i ka nui e like me ka mea e pono ai.
Ka Hoʻopilikia a me ka Hilinaʻi
Mai huikau i nā mea ʻelua. ʻO ke ʻano o ke kino e hoʻololi i ka lāʻau lapaʻau a me ka 'addiction' he ʻelua mau mea like ʻole. Inā ʻoe e lawe ana i ka lāʻau lapaʻau no ka mea ke ʻeha nei ʻoe, he kumu lapaʻau kēlā. ʻO ka addiction ka ʻimi ʻana iā ia me ke kumu lapaʻau ʻole, e like me ka ʻona ʻana.
ʻO ka waiʻona a me nā lāʻau ʻē aʻe
E pale i ka inu ʻana i ka waiʻona a pau i ka wā e lawe ana i ka hydromorphone. Hiki i ka hui pū ʻana o nā mea ʻelua ke hoʻolohi i kou hanu ʻana a hoʻoweliweli i ke ola. Eia kekahi, hiki i nā lāʻau hiamoe, kekahi mau antidepressants, a me nā antihistamines ke launa pū me ia. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora.
Hiamoe a me ka poniuniu
Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe a me ka poniuniu. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i kona hopena iā ʻoe. Mai kū koke a noho paha i lalo.
Ka paʻa ʻana o ka ʻōpū
ʻO ka paʻa ʻana o ka ʻōpū kahi hopena maʻamau no nā poʻe he nui e lawe ana i kēia lāʻau lapaʻau. No ka pale ʻana i kēia, e inu i ka wai he nui a ʻai i nā meaʻai waiwai i ka fiber (nā huaʻai, nā mea kanu). Inā pilikia ʻoe i ka hoʻokahe ʻana no nā lā ʻekolu a ʻoi, e kamaʻilio me kāu kauka.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
| E hoʻomaopopo koke i kāu kauka. | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka hanu lohi (kaumaha CNS) | He papau loa a pāpaʻu paha ka hanu ʻana, hiamoe nui, a nalowale ka ʻike. |
| Ke koko haʻahaʻa | Pōniuniu, maka polū, manaʻo nāwaliwali. |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao maʻamau | Paʻa ka ʻōpū, poniuniu, hiamoe, waha maloʻo, ʻeha poʻo, nausea, luaʻi. |
Pehea e mālama ai a hoʻolei aku i ka lāʻau lapaʻau me ka palekana?
ʻOiai he lāʻau lapaʻau ikaika loa kēia, mai waiho iā ia ma kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku. Hiki ke make inā lawe hewa kekahi. No laila, ʻoi aku ka maikaʻi o ka mālama ʻana i kēia lāʻau lapaʻau ma kahi palekana, i hoʻopaʻa ʻia, kahi hiki ʻole ke ʻaihue ʻia.
ʻOi aku ka maikaʻi o ka hoʻolei ʻana i nā lāʻau lapaʻau i pau ka manawa a i ʻole i hoʻohana ʻole ʻia ma kahi hale hoʻolei kūpono. Inā ʻaʻole hiki kēia, e nīnau i kāu kauka a i ʻole ka haukapila no ka ʻōlelo aʻo.
Leka Lawe-Home
- He lāʻau hoʻopau ʻeha ikaika ka Hydromorphone i ka lā a pau i hāʻawi wale ʻia no ka ʻeha nui a mau loa.
- Mai uhaʻi, wili, a nau paha i ka papa. E ale holoʻokoʻa.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai a me kou mau kūlana olakino āpau.
- E hōʻalo loa i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
- Inā ʻike ʻoe i nā hōʻailona weliweli e like me ka hiamoe nui a me ka paʻakikī o ka hanu ʻana, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- Mai kaʻana like i kēia lāʻau lapaʻau me nā poʻe ʻē aʻe, he mea kū ʻole i ke kānāwai a he mea weliweli loa ia. E mālama mau iā ia ma kahi palekana mai ka hiki ʻana aku o nā keiki.
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