He aha ke ʻano lāʻau lapaʻau kēia? (Nā Suppositories Hydromorphone)
I ka ʻōlelo maʻalahi, ʻo ka hydromorphone kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka ʻeha nui . Kuhi pinepine ʻia ia i ka wā ʻaʻole i holo pono nā ʻeha ʻē aʻe iā ʻoe, a i ʻole inā he maʻi kou kahi hiki ʻole iā ʻoe ke hoʻohana iā lākou. Hana kēia lāʻau lapaʻau ma ke ālai ʻana i nā hōʻailona ʻeha e hele ana i kou lolo. No kahi papa o nā lāʻau i kapa ʻia ʻo opioids. Ua ʻike pinepine ʻia kēia mau mea he mau ʻeha ʻeha ikaika. Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā maʻi ʻē aʻe. No laila, inā he mau nīnau kāu e pili ana i kēia, he manaʻo maikaʻi e nīnau i kāu kauka a kauka lāʻau paha. ʻO kahi inoa inoa maʻamau no kēia lāʻau lapaʻau ʻo Dilaudid.He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?
Ma mua o kou hoʻomaka ʻana e hoʻohana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. ʻO kēia no ka mea ʻaʻole kūpono kēia lāʻau lapaʻau no ka poʻe me kekahi mau kūlana olakino a i ʻole e pono paha ka mālama kūikawā. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻoluʻolu e haʻi i kāu kauka :- Inā he puʻupuʻu lolo kou .
- Inā he mea inu mau ʻoe.
- Inā he ʻeha poʻo.
- Inā he maʻi puʻuwai kou .
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe nā maʻi māmā , ka hānō , a i ʻole nā pilikia hanu .
- Inā loaʻa iā ʻoe nā maʻi ʻūlū, e like me ka maʻi epilepsy .
- Inā he mau pilikia kou ma ka ʻōpū a i ʻole ka ʻōpū .
- Mea hoʻohana lāʻau lapaʻau muaInā ua hoʻohana ʻoe i nā mea ʻona.
- Inā ua lawe ʻoe i kahi MAOI (no ka laʻana: Marplan, Nardil, Parnate) i loko o nā lā 14 i hala. He ʻano lāʻau lapaʻau kēia i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi ʻē aʻe i ka hydromorphone, 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 waiū ʻoe.
He mea nui loa ia no kou palekana ponoʻī e haʻi i ke kauka me ka hūnā ʻole i kēia ʻike!
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He lāʻau lapaʻau ʻokoʻa iki kēia. Pono e hoʻohana ʻia ma ka rectal wale nō . Mai lawe ma ka waha! Eia ke ʻano o ka hoʻohana pono ʻana: 1. ʻO ka mea mua, e holoi pono i kou mau lima me ke kopa a me ka wai . Pono hoʻi ʻoe e holoi i kou mau lima ma hope o ka hoʻohana ʻana i ka lāʻau. 2. Wehe i ka pepa kini mai ka suppository. 3. I mea e maʻalahi ai ke hoʻokomo ʻana i ka lāʻau, e hoʻomaʻū i ka piko o ka lāʻau me kahi wai anuanu iki . 4. I kēia manawa, e moe i lalo me kou wāwae haʻahaʻa e pololei ana, kou wāwae luna e kūlou ana i kou ʻōpū, a kūlou i mua . I ka pololei, e kūlou i ka hema a i ʻole ka ʻākau, me kou wāwae haʻahaʻa e hohola ʻia, a kou wāwae luna e kūlou ana ma ke kuli, kokoke i kou ʻōpū. 5. E hāpai iki i kou puʻupuʻu luna e hōʻike i ka ʻāpana rectal . 6. I kēia manawa, e hoʻokomo mālie i ka ʻaoʻao ʻoi o ka pila a hiki i loko o ka anus . Mai paʻi ikaika, e paʻi mālie i loko. 7. Ma hope o ke hoʻokomo ʻana i ka pila, e kaomi i kou puʻupuʻu no kekahi mau kekona . 8. E kali i ka lāʻau e puka mai, a moe i lalo no kahi o 15 mau minuke . Mai ala aʻe i kēia manawa. Mai lawe ʻoe i kēia lāʻau lapaʻau ma mua o ka mea a kāu kauka i ʻōlelo ai iā ʻoe e lawe, a i ʻole pinepine ma mua o ka mea i ʻōlelo ʻia iā ʻoe e lawe. Ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, e hāʻawi ka hale kūʻai lāʻau lapaʻau iā ʻoe i kahi pepa kuhikuhi kūikawā (`MedGuide`) . E loaʻa iā ʻoe kēia me kēlā me kēia kauoha, i kēlā me kēia manawa āu e loaʻa ai ka lāʻau lapaʻau. E heluhelu pono i ka ʻike ma loko. Loaʻa iā ia nā mea nui he nui nāu. Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, e kamaʻilio me kāu kauka e pili ana i ia mea. Pono paha ka mālama kūikawā. Overdose: Inā manaʻo ʻoe ua lawe ʻoe i ka nui o kēia lāʻau lapaʻau, e kelepona koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia . Mai hoʻokaʻulua! Manaʻo koʻikoʻi: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō . Mai kaʻana like me kekahi . He mea weliweli ia.He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe iā ia i ka wā hikiwawe.Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala ʻole a lawe iā ia i ka manawa i hoʻonohonoho ʻia aʻe . Mai lawe i kahi mahele lāʻau pālua a keu paha . ʻO ia hoʻi, mai lawe i ʻelua mau mahele lāʻau i ka manawa hoʻokahi.He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
Hiki i kēia lāʻau lapaʻau, i kapa ʻia ʻo "hydromorphone," ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei. ʻO ke ʻano kēia, ke lawe pū ʻia lākou, hiki iā lākou ke lilo i ikaika pono ʻole a i ʻole ke kumu o nā hopena ʻaoʻao ʻē aʻe. Eia kekahi mau mea e launa pū ai kēia lāʻau lapaʻau me:- ʻAila - ʻAʻole maikaʻi iki kēia. Mai inu i ka ʻaila i ka wā e lawe ana i kēia lāʻau.
- ʻO nā antihistamines nā lāʻau lapaʻau i hoʻohana ʻia no nā maʻi allergies, ke kuni, a me ke anu.
- Hiki i kekahi mau lāʻau lapaʻau no ka hopohopo ke kōkua iā ʻoe e hiamoe.
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me amitriptyline, fluoxetine, sertraline).
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hopu ʻana (e like me phenobarbital, primidone).
- Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻomāʻeleʻele iā ʻoe ma mua o ke ʻoki kino ('General anesthetics' - e.g. 'halothane', 'isoflurane', 'propofol').
- Nā lāʻau anesthetic kūloko (e.g. lidocaine, tetracaine).
- Nā lāʻau lapaʻau ʻano `MAOI` (e.g. `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`).
- Nā lāʻau hoʻomaha ʻiʻo no ke ʻoki kino.
- Nā lāʻau lapaʻau narcotic ʻē aʻe a i ʻole nā lāʻau lapaʻau ʻūlū e loaʻa ana i ka opioid.
- Nā Phenothiazines (e.g. chlorpromazine, mesoridazine).
He aha kaʻu e makaʻala nui ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui e hoʻolohe i kou kino a me kou manaʻo i ka wā e hoʻohana ana i kēia lāʻau.- Inā ʻaʻole e nalowale ka ʻeha a i ʻole e hoʻonui: Inā ʻaʻole e nalowale kou ʻeha, a inā ʻoi aku ka ʻino ma mua o ka wā ma mua, a inā he ʻano ʻeha hou kou, e haʻi koke i kāu kauka .
- Hoʻomanawanui: Ke hoʻohana ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, ʻaʻole paha lawa ka nui āu i lawe ai e kāohi i kou ʻeha. ʻO ke ʻano kēia e pono ai ʻoe i kahi nui kiʻekiʻe iki aʻe. Ua kapa ʻia kēia he hoʻomanawanui. He mea maʻamau kēia, ʻoiai ke lawe ʻoe i kēia ʻano lāʻau lapaʻau no ka manawa lōʻihi.
- Nā ʻano opioid like ʻole: Aia kekahi mau ʻano opioid i hoʻohana ʻia e mālama i ka ʻeha. Inā lawe ʻoe ma mua o hoʻokahi ʻano 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 lapaʻau āpau āu e lawe nei. E haʻi aku ʻo ia iā ʻoe i ka nui e lawe ai.Mai lawe i nā lāʻau lapaʻau ma mua o ka mea i kauoha ʻia e kāu kauka. Inā pilikia ʻoe i ka hanu ʻana, e ʻimi koke i ka lāʻau lapaʻau ulia pōpilikia.
- Mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau: Inā hoʻōki koke ʻoe i ka lawe ʻana i kēia lāʻau lapaʻau, hiki iā ʻoe ke loaʻa i 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 e pili ana i ka hoʻohana ʻana i kahi lāʻau lapaʻau no ke kumu ʻaʻole no ke olakino. Inā ʻeha ʻoe, he kumu olakino kou e lawe ai i ka mea hoʻopau 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 kēia i ka pilikia o nā hopena ʻaoʻao.
- E ʻike e pili ana iā Naloxone: ʻO Naloxone kahi lāʻau lapaʻau ulia pōpilikia i hāʻawi ʻia inā loaʻa kahi overdose opioid. Inā lawe ʻoe i ka nui o ka opioid, a inā lawe ʻoe i nā opioids me nā mea ʻē aʻe e like me ka waiʻona, hiki iā ʻoe ke loaʻa kahi overdose. E ʻike i nā hōʻailona o ka overdose (no ka laʻana, ka pilikia o ka hanu ʻana, ka luhi nui a i ʻole ka hiamoe, ka pane ʻole, a i ʻole ka hiki ʻole ke ala aʻe). E haʻi i kou ʻohana a me nā mea mālama i kahi o ka naloxone. E aʻo iā lākou pehea e hoʻohana ai. Ma hope o ka hāʻawi ʻana i ka naloxone, e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia . He lāʻau lapaʻau manawa pōkole wale nō ʻo Naloxone. Pono paha e hāʻawi pinepine ʻia. E kamaʻilio me kāu kauka e pili ana i kēia a loaʻa iā ʻoe ka naloxone inā pono.
- Hiamoe a poniuniu paha: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. 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 ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. Mai kū koke a noho paha i luna , ʻoiai inā he ʻelemakule ʻoe. ʻO ka hana ʻana pēlā e hiki ai ke poniuniu a hiki ke hāʻule ʻoe.
- ʻAila: Hiki i ka ʻaila ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau. No laila, e pale i ka inu ʻana i ka ʻaila .
- Paʻa ʻōpū: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. Hana kēia i nā poʻe he nui. Inā ʻaʻohe ou neʻe ʻana o ka ʻōpū no 3 mau lā, e kamaʻilio me kāu kauka . E inu i ka wai he nui a ʻai i nā meaʻai kiʻekiʻe i ka fiber (nā huaʻai, nā mea kanu).
- Waha maloʻo: Maloʻo paha kou waha. Hiki iā ʻoe ke kāohi i kēia ma ka nau ʻana i ka gum kō ʻole, ka omo ʻana i kahi ʻāpana kinika, a me ka inu ʻana i ka wai he nui. Inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e haʻi i kāu kauka .
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. ʻO kekahi o lākou e pono ʻoe e haʻi koke aku i kāu kauka , aʻo kekahi e kali iki a hoʻomaopopo iā lākou inā hoʻomau lākou.Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka :
- Nā hopena maʻi ʻaleka: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu. Inā hana ʻia kēia, he pilikia paha ia.
- Kaumaha o ka ʻōnaehana nerve waena (`CNS depression`): Hanu lohi a pāpaʻu paha, pōkole o ka hanu, manaʻo nāwaliwali, poniuniu, huikau, pilikia e ala. He mau hōʻailona weliweli nō hoʻi kēia.
- Hana haʻahaʻa o ke kelepa adrenal: Luli, luaʻi, nalowale o ka makemake, nāwaliwali a luhi paha, poniuniu.
- Ke koko haʻahaʻa: Pōʻino, manaʻo nāwaliwali a māmā paha ke poʻo, ʻike pōwehiwehi.
Nā hopena ʻaoʻao ʻaʻole pono ke mālama ʻia e ke kauka, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:
- Ka paʻa ʻana o ka ʻōpū
- Pōʻino
- Hiamoe
- Waha maloʻo
- ʻEha poʻo
- Ka luaʻi
- Ka luaʻi ʻana
Pehea e mālama ai i kēia lāʻau lapaʻau?
He mea nui loa kēia, no ka mea, hiki i kēia lāʻau lapaʻau ke lilo i mea weliweli inā loaʻa i nā lima hewa.- E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona. He mea nui loa kēia.
- 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 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 kekahi.
- E mālama i kēia lāʻau lapaʻau i loko o ka pahu hau ma kahi mahana ma waena o 2 a me 8 kekelē Celsius (2 a me 8 kekelē C / 36 a me 46 kekelē F) . Mai hoʻopaʻahau .
- 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. E hoʻolei i nā lāʻau lapaʻau i hoʻohana ʻole ʻia ma kahi hoʻolei kūhelu . Inā ʻaʻole hiki iā ʻoe ke loaʻa, e nānā me kou ʻaha kūkā kūloko. Inā ʻaʻole hiki kēia, e hoʻolei i lalo i ka lua .
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
E hoʻomanaʻo, he hōʻuluʻulu manaʻo wale nō kēia pepa liʻiliʻi. ʻAʻole paha i loko nā kikoʻī āpau. Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a mea lawelawe olakino paha.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana i kēia mau ʻHydromorphone Suppositories, ʻeā? E hoʻomanaʻo, he lāʻau lapaʻau kūikawā kēia no ka ʻeha nui. No laila, he mea nui loa e hoʻohana pono ia e like me ka ʻōlelo a ke kauka, a ma ka nui āna i ʻōlelo ai.- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei .
- Inā ʻaʻole ʻoe maopopo pehea e hoʻohana pono ai i ka lāʻau lapaʻau , e nīnau hou.
- E makaʻala i nā hopena ʻaoʻao . Inā ʻike ʻoe i kekahi mau hōʻailona weliweli, e haʻi koke aku i kāu kauka .
- E mālama i kēia lāʻau lapaʻau i kahi palekana, kahi e hiki ʻole ai i nā keiki a me nā poʻe ʻē aʻe .
- Mai lawe i kēia lāʻau lapaʻau me ka waiʻona .
- Inā he kānalua a nīnau paha kāu, mai makaʻu e nīnau i kāu kauka .
ʻO Hydromorphone, nā Suppositories, nā lāʻau hoʻopau ʻeha, nā Opioids, nā lāʻau lapaʻau rectal, Dilaudid, nā hopena ʻaoʻao, ka hoʻokele ʻeha
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