Ua loaʻa anei iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui? Malia paha ma hope o kahi ʻoki kino nui a i ʻole kahi ulia koʻikoʻi, ʻaʻole hiki ke hoʻomalu ʻia ka ʻeha me nā lāʻau hōʻeha maʻamau. I nā manawa e like me kēia, aia kahi papa o nā lāʻau hōʻeha ikaika a nā kauka e hoʻohana ai. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau i kēlā papa i kapa ʻia ʻo Hydromorphone, i hāʻawi ʻia ma ke ʻano he injection. ʻOiai he ikaika loa ia, he mea nui loa ia iā ʻoe ke ʻike pono i ke ʻano o ia mea.
I ka ʻōlelo maʻalahi, he aha kēia hydromorphone?
He lāʻau hoʻopau ʻeha ikaika loa ʻo Hydromorphone i hoʻohana ʻia e kāohi i ka ʻeha nui . No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo opioids . Hoʻomaʻamaʻa pinepine ʻia e ke kauka ke lawa ʻole nā lāʻau hoʻopau ʻeha ʻē aʻe e kāohi i ka ʻeha, a i ʻole ke hiki ʻole i kou kino ke ʻae i ka lāʻau.
Hana kēia ma ke ʻano maʻalahi loa. Ke ʻeha ko mākou kino, hele kēlā mau hōʻailona ʻeha ma o nā aʻalolo a i ka lolo. ʻO ia ka manawa e "ʻeha ai" mākou. ʻO ka hana a kēia lāʻau pale , ʻo ia ke ālai i ke ala hōʻailona ʻeha i ka lolo no kekahi manawa. Ua like ia me ke kāohi ʻana i ka leka ʻeha mai ka hiki ʻana i ka lolo.
Hiki ke loaʻa kēia lāʻau lapaʻau ma Sri Lanka a ma waho ma lalo o nā inoa inoa like ʻole e like me `(Dilaudid)` a me `(Dilaudid-HP)`.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻAe, he mea nui loa kēia ʻāpana. ʻOiai he lāʻau ikaika loa ka hydromorphone, he mea nui e hāʻawi ʻoe i kāu kauka i kahi moʻolelo piha o kou kūlana olakino. ʻO ka hana ʻole ʻana pēlā e alakaʻi ai i nā pilikia koʻikoʻi. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma ka papa ma lalo nei, e hōʻoia e haʻi i kāu kauka.
| Ke kūlana āu e pono ai e hōʻike | No ke aha he mea nui? (Wehewehe maʻalahi) |
|---|---|
| ʻO ke kūlana e like me ka puʻupuʻu lolo, ka ʻeha poʻo, a i ʻole nā hōʻailona. | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ke kaomi i loko o ka lolo, no laila hiki ke lilo i mea weliweli no kekahi me kēia mau kūlana. |
| ʻO ka hānō a i ʻole nā maʻi ʻē aʻe o ka māmā/hanu. | Hoʻolohi nā opioids i ka hanu ʻana. Hiki i kēia ke hoʻolilo iā ia i mea paʻakikī loa no kekahi mea i loaʻa mua nā pilikia hanu. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa. | Kōkua nā puʻupaʻa a me ke akepaʻa i ka wehe ʻana i nā lāʻau lapaʻau mai ke kino. Inā ʻaʻole hana pono kēia mau ʻōkana, hiki i nā lāʻau lapaʻau ke hōʻiliʻili i loko o ke kino a hoʻonui i nā hopena ʻaoʻao. |
| Inā inu mau ʻoe i ka waiʻona a i ʻole he maʻi hoʻohana lāʻau. | Ke hui pū ʻia ka waiʻona a me nā opioids, hiki ke loaʻa nā kūlana koʻikoʻi a hoʻoweliweli i ke ola e like me ka hoʻopaʻa ʻana o ka hanu. He mea nui hoʻi e hōʻike i kekahi mōʻaukala o ka ʻona. |
| He pilikia ʻōpū a naʻau paha. | Ma muli o ke kumu o ka paʻa ʻana o ka ʻōpū i kēia lāʻau lapaʻau, hiki iā ia ke hoʻonui i nā pilikia o ka ʻōpū. |
| Maʻi puʻuwai. | Pono e hoʻohana ʻia kēia lāʻau lapaʻau me ka akahele i kekahi mau maʻi puʻuwai. |
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. | ʻO ka lawe ʻana i kēia lāʻau lapaʻau no ka manawa lōʻihi i ka wā hāpai e hoʻopilikia paha i ka pēpē. Inā he makuahine hānai ʻoe, hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. |
| Inā ua lawe ʻoe i kahi lāʻau MAOI (e like me Marplan, Nardil) i loko o nā lā 14 i hala. | ʻO ka hui pū ʻana o kēia mau lāʻau lapaʻau ʻelua hiki ke hana i nā hopena koʻikoʻi loa. |
| Inā he maʻi allergy kou i ka hydromorphone a i ʻole kekahi lāʻau lapaʻau a meaʻai paha. | He mea nui loa e hoʻomaopopo i ke kauka e pili ana i kekahi mau maʻi allergies. |
Pehea e hoʻohana ʻia ai kēia lāʻau pale?
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau pale e ke kauka a kahu maʻi paha ma kahi haukapila a i ʻole ke keʻena lapaʻau . Hiki ke hoʻokomo ʻia i loko o kahi aʻa koko, i loko o kahi ʻiʻo, a i ʻole ma lalo o ka ʻili.
Akā, he mea kākaʻikahi loa ia, pono paha ʻoe e hoʻohana ma ka home. Inā hana ʻia kēlā, e aʻo pololei ʻia ʻoe pehea e hoʻohana ai. Pono ʻoe e hoʻohana e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono, ma ka nui kūpono. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe.
He mea nui loa: Inā ʻoe e hoʻohana ana i kēia lāʻau pale ma ka home, mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Hiki i kēia ke lilo i mea ʻino loa i kekahi. Akā, e waiho iā lākou i loko o kahi pahu ʻoi kūikawā. Inā ʻaʻohe āu, e nīnau i kāu kauka e pili ana i ia mea.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
ʻAʻole kēia he mea pāʻani. Inā lawe nui ʻoe i kēia lāʻau lapaʻau, hiki ke hoʻoweliweli i ke ola. Inā manaʻo ʻoe ua lawe nui ʻoe, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa. A i ʻole e kelepona koke i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo . No kāu hoʻohana ponoʻī wale nō kēia lāʻau lapaʻau, mai kaʻana like me nā poʻe ʻē aʻe no kekahi kumu.
Nā pilina me nā lāʻau lapaʻau ʻē aʻe
He lāʻau lapaʻau ʻo Hydromorphone e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui, no laila pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau).
| E pale i ka lawe ʻana i ka hydromorphone me kēia mau mea | |
|---|---|
| ʻOlanzapine; samidorphan | ʻO Safinamide |
| E akahele loa i ka lawe ʻana i kēia mau mea me | |
| ʻAila | Hiki ke hiki mai ka hiamoe nui, nā pilikia hanu, a me ka make. |
| ʻO nā Benzodiazepines (e.g. Diazepam, Alprazolam) | He ʻano kēia e hoʻoulu ai i ka hiamoe, no laila ʻoi aku ke kiʻekiʻe o ka pilikia. |
| Nā lāʻau lapaʻau no ke anu a i ʻole nā maʻi ʻaleka (Antihistamine) | Hiki i kēia ke hoʻonui i ka hiamoe. |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha a i ʻole ka hopohopo | Hiki ke hui pū ʻia nā hopena o nā lāʻau lapaʻau ʻelua a hoʻonui i nā hopena ʻaoʻao. |
| Nā lāʻau hiamoe a i ʻole nā lāʻau hoʻomaha ʻiʻo | Hiki ke loaʻa ka hiamoe nui a me ka lohi o ka hanu ʻana. |
| Nā lāʻau ʻeha opioid ʻē aʻe a i ʻole nā lāʻau lapaʻau ʻūlū | Hiki i nā lāʻau opioid ke hōʻiliʻili i loko o ke kino me ke kumu ʻole. |
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
- E makaʻala i ka ʻeha: Inā ʻaʻole e nalowale kou ʻeha, inā e ʻoi aku ka ʻino, a inā he ʻano ʻeha hou kou, e haʻi i kāu kauka. Ke lawe ʻoe i ka lāʻau no ka manawa lōʻihi, hiki i kou kino ke hoʻomohala i kahi hoʻomanawanui i ka lāʻau, a ʻaʻole lawa paha ka nui āu i lawe ai ma mua e kāohi i ka ʻeha. He mea maʻamau kēia. Inā hana ʻia kēia, e hoʻoponopono kāu kauka i ka nui. Mai hoʻololi i ka nui ma kāu iho.
- Hilinaʻi: Ma hope o ka lawe ʻana i kēia lāʻau lapaʻau no ka manawa lōʻihi, hiki i kou kino ke hilinaʻi iā ia. ʻO ke ʻano kēia inā ʻoe e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau, hiki iā ʻoe ke ʻike i nā hōʻailona haʻalele. He mea ia e manaʻo ʻia. No laila, i ka wā e pono ai ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻemi mālie kāu kauka i ka nui.
- E makaʻala iā Naloxone:He lāʻau lapaʻau ulia pōpilikia e hoʻōla ola ai ka Naloxone i hāʻawi ʻia i ka wā e loaʻa ai ka overdose opioid. He mea nui e makaʻala i nā hōʻailona o ka overdose (hanu lohi, hiamoe nui, hiki ʻole ke ala aʻe). E haʻi pū i kou ʻohana e pili ana i kēia.
- Ke hoʻokele a me ka hoʻohana ʻana i nā mīkini: Hiki i kēia lāʻau lapaʻau ke hōʻemi i kou nānā ʻana, ka hiki ke hoʻoholo, a me ka manawa pane. No laila , e pale i ka hoʻokele a i ʻole ka hoʻohana ʻana i nā mīkini kaumaha a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Pōniuniu: Hiki iā ʻoe ke ʻike i ka pōniuniu a me ka nawaliwali ma hope o ka lawe ʻana i kēia lāʻau lapaʻau. No ka hōʻemi ʻana i kēia, e ala mālie mai kahi noho ʻana a moe paha, ma mua o ka wikiwiki. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia hopena ʻaoʻao.
- Paʻa ʻōpū: ʻO ka paʻa ʻōpū kahi hopena maʻamau o kēia lāʻau lapaʻau. Inā ʻaʻole ʻoe i neʻe i ka ʻōpū no 3 mau lā, e kamaʻilio me kāu kauka. Hiki i ka inu ʻana i ka wai he nui a me ka ʻai ʻana i ka meaʻai fiber kiʻekiʻe ke kōkua.
- Waha maloʻo: Inā maloʻo kou waha, hiki i ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai ke kōkua.
Nā hopena ʻaoʻao i ʻike pinepine ʻia
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Ka hanu lohi (kaumaha CNS) | Ka hanu lohi a papau paha, ka hiamoe nui, ka hiki ʻole ke ala aʻe, a me ka nalowale o ka ʻike. |
| Hoʻemi ʻia ka hana adrenal | Ka luaʻi, ka nele o ka makemake e ʻai, ka nāwaliwali kūikawā, ka poniuniu. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka paʻa ʻana o ka ʻōpū | Pōʻino |
| Hiamoe | Waha maloʻo |
| ʻEha poʻo | Ka luaʻi a me ka luaʻi ʻana (Nausea, Vomiting) |
Leka Lawe-Home
- He lāʻau ikaika loa ka Hydromorphone i hoʻohana wale ʻia no ka ʻeha nui i hōʻoluʻolu ʻole ʻia e nā lāʻau ʻeha ʻē aʻe.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hoʻomaopopo pono e haʻi i kāu kauka e pili ana i kou mau maʻi āpau a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai inu i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau no kekahi kumu. Eia kekahi, e makaʻala loa i ka wā e lawe ai i nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i ka hiamoe.
- E makaʻala i nā hōʻailona o ka overdose (hiamoe nui, hanu lohi). Inā kānalua ʻoe i kēlā mea, e hele koke i kahi lumi pilikia (ETU) .
- E mālama i kēia lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona . Hiki ke make inā ale ʻia e kekahi.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka.
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