I kekahi manawa, ua koʻikoʻi loa ka ʻeha a mākou e ʻike nei a hiki ʻole i nā lāʻau hoʻomaha maʻamau ke kāohi iā ia, ʻeā? Ma hope o kahi ulia, ma hope o kahi ʻoki kino nui, a i ʻole ma muli o kahi maʻi e like me ke kanesa, ʻaʻole lawa paha nā lāʻau hoʻomaha maʻamau. ʻO kēia ka manawa e kuhikuhi ai kāu kauka iā ʻoe i kahi lāʻau hoʻomaha ikaika e like me Hydromorphone. He lāʻau lapaʻau kūikawā kēia no ka papa o nā lāʻau i kapa ʻia ʻo Opioids. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau, kona pono, nā hopena ʻaoʻao, a pehea e hoʻohana palekana ai.
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Hydromorphone?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ikaika ʻo Hydromorphone i hoʻohana ʻia e kāohi i ka ʻeha nui . Hoʻomaʻamaʻa pinepine ʻia e ke kauka ke kōkua ʻole nā mea hoʻomaha ʻeha ʻē aʻe, a i ʻole ke hiki ʻole iā ʻoe ke hoʻomanawanui iā lākou.
Hana ia ma ke ālai ʻana i nā hōʻailona ʻeha i kou lolo. ʻO ia hoʻi, ke kāohi nei ia i ka leka mai ka hele ʻana mai ke kumu o ka ʻeha a i kou lolo. Hoʻemi nui kēia i ka nui o ka ʻeha āu e manaʻo ai. No kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo opioids . Ma Sri Lanka, loaʻa paha ia ma lalo o nā inoa inoa ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
No ka mea he lāʻau ikaika loa ka hydromorphone, he mea nui i kāu kauka ke ʻike i nā kikoʻī piha o kou kūlana olakino. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka.
| Kou kūlana olakino a i ʻole kou ʻano maʻamau | No ke aha he mea nui kēlā? |
|---|---|
| ʻO ka puʻupuʻu lolo a i ʻole ka ʻeha poʻo | I ia mau kūlana, hiki ke hoʻonui ʻia nā hopena ʻaoʻao o ka lāʻau. |
| Inu pinepine | Ke hui pū ʻia kēia lāʻau lapaʻau me ka waiʻona, hiki ke loaʻa nā kūlana weliweli e like me ka hopu ʻana o ka hanu. |
| ʻO ka māmā, ka hānō, a i ʻole nā pilikia hanu | Ma muli o ka hoʻolohi ʻana o ka hydromorphone i ka hanu ʻana, hiki ke lilo i mea weliweli no ka poʻe i loaʻa mua nā pilikia hanu. |
| Maʻi akepaʻa a maʻi puʻupaʻa paha | Ma muli o ka maikaʻi ʻole o ke kaʻina hana hoʻopau ʻana o ke kino, hiki i ka lāʻau ke hōʻiliʻili i loko o ke kino a hoʻonui i nā hopena ʻaoʻao. |
| Nā hopu ʻana | Loaʻa i kēia lāʻau lapaʻau ka hiki ke hoʻonui i ka pilikia o ka hopu ʻana i ka epileptic. |
| He moʻolelo o ka hoʻohana ʻino ʻana i nā mea ʻona | He lāʻau lapaʻau kēia e pili ana i ka pilikia o ka hoʻohui ʻana, no laila he mea nui e hoʻomaopopo i ke kauka e pili ana i ia mea. |
| ʻO ka lawe ʻana i ka lāʻau MAOI i loko o nā lā 14 i hala | ʻO nā MAOI (e.g. Marplan, Nardil) kahi ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo. ʻO ka lawe ʻana iā Hydromorphone me kēia mau mea hiki ke hana i nā hopena koʻikoʻi. |
| Ke hāpai nei, ke ho'āʻo nei e hāpai, a i ʻole ka hānai waiū | Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka pēpē i loko o ka ʻōpū a i ʻole ma o ka waiū umauma. |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa e hahai pono i nā ʻōlelo a kāu kauka i ka wā e hoʻohana ai i kēia lāʻau.
- E ale i ka pila me ke aniani wai.
- Inā ʻeha kou ʻōpū, e lawe me ka ʻai ʻana a ma hope paha.
- E lawe wale i ka nui i kuhikuhi ʻia e kāu kauka, i ka manawa i kuhikuhi ʻia. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
Hoʻolohe: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo a i ʻole e hele koke i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. He kūlana hoʻoweliweli ola kēia a ʻaʻole pono e lawe māmā ʻia.
A e hoʻomanaʻo, nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
He aha kaʻu e hana ai inā e hala wau i kahi manawa hoʻopaʻa lāʻau lapaʻau?
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 ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ka lāʻau lapaʻau pālua e hoʻopiha no kahi lāʻau lapaʻau i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Hydromorphone e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe a me ka waiʻona, no laila e makaʻala i kēia mau mea:
- ʻAila
- Nā lāʻau lapaʻau no ke anu, ke kuni, a me nā maʻi ʻaleka (Antihistamine)
- Lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me Amitriptyline, Fluoxetine)
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi epilepsy (e like me Phenobarbital)
- Nā lāʻau hoʻomaʻamaʻa laulā
- Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana
- Nā lāʻau opioid ʻē aʻe no ka ʻeha a i ʻole ke kuni
ʻAʻole i piha kēia papa inoa, no laila he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau kuʻuna a me nā huaora.
He aha kaʻu e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau?
He mea nui e makaʻala pono i kou kino i ka wā e lawe ana i kēia lāʻau.
ʻEha a me ke ahonui
Inā ʻaʻole e hōʻemi ka nui o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe i kou ʻeha, a inā e ʻoi aku ka ʻino o ka ʻeha, e haʻi i kāu kauka. Ke lawe ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, hiki i kou kino ke maʻa iā ia. Ua kapa ʻia kēia he hoʻomanawanui . A laila, ʻaʻole paha lawa ka nui āu i lawe ai ma mua e kāohi i ka ʻeha. He mea maʻamau kēia.
ʻO ka mea nui, ʻo ia ka maʻa ʻana o kou kino i kahi lāʻau lapaʻau, ʻaʻole no ka mea ua "maʻa" ʻoe iā ia. ʻO ka maʻa ka hoʻohana ʻana i kahi lāʻau lapaʻau no kahi kumu ʻē aʻe ma mua o ke kumu lapaʻau. Inā ʻoe e ʻeha ana, ʻo ka lawe ʻana i ka lāʻau lapaʻau no ia mea he mea pono ia no ke olakino.
Ka pōʻino, ka hiamoe, a me ka paʻa ʻana
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a puni paha ʻoe. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. E makaʻala i ka hana ʻana i kēia mau hana, ʻoiai inā he ʻelemakule ʻoe, no ka mea, hiki iā ʻoe ke puni a palupalu paha i ka wā e kū koke ana a noho paha i lalo.
He mea maʻamau loa ka hoʻoulu ʻana o kēia lāʻau i ka paʻa ʻana o ka ʻōpū.Inā ʻaʻole hiki iā ʻoe ke neʻe i ka ʻōpū no 3 mau lā, e kamaʻilio me kāu kauka. Hiki paha i ka waha maloʻo. Hiki i ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai he nui ke kōkua.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki iā Hydromorphone ke hana i nā hopena ʻaoʻao. E hoʻokaʻawale kākou iā lākou i ʻelua mau ʻano.
| Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka kaumaha o ka ʻōnaehana nerve waena (kaumaha CNS) | Hanu lohi a papau paha, paʻakikī ka hanu ʻana, hiamoe nui, huikau. |
| Hoʻemi ʻia ka hana adrenal | Ka luaʻi, ka nele o ka makemake e ʻai, ka luhi ʻē, ka poniuniu. |
| Ke koko haʻahaʻa | Pōniuniu, maka polū, manaʻo nāwaliwali. |
| Nā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka paʻa ʻana o ka ʻōpū | Waha maloʻo |
| Pōʻino | ʻEha poʻo |
| Hiamoe | Ka luaʻi a me ka luaʻi ʻana (Nausea, Vomiting) |
Pehea e mālama pono ai i kaʻu lāʻau lapaʻau?
He mea nui loa kēia.
- E pani pono a laka ʻia, i kahi hiki ʻole i nā keiki a me nā holoholona ke loaʻa.
- Aia kahi hiki ke hoʻohana hewa ʻia kēia lāʻau lapaʻau, no laila e pale iā ia mai ka ʻaihue ʻia.
- He mea weliweli a kū ʻole i ke kānāwai ke kūʻai aku ʻana i kēia lāʻau lapaʻau a hāʻawi aku paha i kekahi.
- E mālama ma ka mahana o ka lumi (15-30°C) kahi ʻē aʻe mai ka mālamalama.
- E hoʻolei pono i ka lāʻau lapaʻau i hoʻohana ʻole ʻia a i ʻole i pau ka lāʻau. Inā hiki, e hoʻolei i lalo i ka lua.
Leka Lawe-Home
- He lāʻau lapaʻau ikaika ka Hydromorphone i kauoha ʻia e ke kauka no ka ʻeha nui.
- Ma mua o ka lawe ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai kaʻana like i kēia lāʻau lapaʻau me nā poʻe ʻē aʻe. Nou wale nō ia.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kahi hopena koʻikoʻi, e like me ka paʻakikī o ka hanu ʻana.
- E pale i ka inu ʻona a me ka hoʻokele kaʻa ʻana i ka wā e lawe ana i kēia lāʻau.
- E mālama mau i ka lāʻau lapaʻau ma kahi palekana i hiki ʻole i nā keiki a me nā holoholona ke hiki aku.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
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