I kekahi manawa, hiki i ka ʻeha a mākou e ʻike nei ke koʻikoʻi loa a hiki ʻole ke kāohi ʻia me kahi lāʻau ʻeha maʻamau. E noʻonoʻo i ka ʻeha e hiki mai ana ma hope o kahi ʻoki kino nui, a i ʻole kahi ulia koʻikoʻi. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi inikini ʻeha kūikawā a ikaika i hāʻawi ʻia e kāohi i kēlā ʻeha koʻikoʻi. Ua lohe paha ʻoe iā ia, a ua kapa ʻia ʻo Meperidine. Ua ʻike kekahi poʻe iā ia ma ka inoa inoa `(Demerol)`.
He aha ka Meperidine?
I ka ʻōlelo maʻalahi, he lāʻau hoʻopau ʻeha ikaika loa ka meperidine. Hoʻomaʻamaʻa pinepine nā kauka iā ia ke hiki ʻole iā ʻoe ke ʻae i nā lāʻau hoʻopau ʻeha ʻē aʻe a i ʻole ke kāohi ʻole lākou i kou ʻeha.
No loko kēia o kahi hui o nā lāʻau i kapa ʻia ʻo `(Opioids)`. I ka pololei, hana kēia lāʻau lapaʻau ma ke kāohi ʻana i nā hōʻailona ʻeha i ka lolo. Ke pau ka hoʻouna ʻia ʻana o nā hōʻailona ʻeha i ka lolo, pau mākou i ka ʻeha. I kekahi manawa hoʻohana ʻia kēia inikini e hoʻohiamoe iā ʻoe ma mua o kahi hoʻokolohua lapaʻau a i ʻole ke ʻoki kino.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau ikaika loa kēia, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa ai. E hōʻoia e haʻi i kekahi o nā maʻi i helu ʻia ma ka papa ma lalo inā loaʻa iā ʻoe.
| Kou kūlana olakino | No ke aha ʻoe e hōʻike ai? |
|---|---|
| He puʻupuʻu lolo a i ʻole ka ʻeha poʻo | No ka mea, hiki i kēia mau lāʻau lapaʻau ke hoʻonui i ke kaomi i loko o ka lolo. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ka paʻakikī o ka lawe ʻana i ka lāʻau lapaʻau mai ke kino, pono paha e hoʻololi i ka dosage . |
| ʻO ka hānō, ka maʻi māmā, a i ʻole nā pilikia hanu | Hiki i kēia mau lāʻau lapaʻau ke hoʻolohi i ka hanu ʻana, kahi mea hiki ke hoʻoweliweli. |
| Nā hopu ʻana | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ka hopu ʻana. |
| ʻO ke ʻano o ka hoʻohana ʻana i ka waiʻona a i ʻole nā lāʻau lapaʻau | He lāʻau lapaʻau kēia me ka pilikia o ka hoʻopilikia ʻia, no laila pono ka mālama kūikawā. |
| Inā ua lawe ʻoe i nā lāʻau MAOI (e like me Marplan, Nardil) i nā lā 14 i hala | Hiki i kēia mau lāʻau ʻelua ke hui pū a hana i kahi kūlana koʻikoʻi loa, a hiki ke hoʻoweliweli i ke ola. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka pēpē, no laila pono e kūkākūkā ʻia me ke kauka. |
| ʻAleʻaleʻa i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | No ka ʻike ʻana inā he maʻi ʻoe i kēia lāʻau lapaʻau a i ʻole kekahi o kāna mau mea hoʻohui. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
No ka mea he lāʻau pale ia, hāʻawi pinepine ʻia iā ʻoe e ke kauka a kahu maʻi paha ma kahi haukapila a i ʻole ke keʻena lapaʻau. Hiki ke hāʻawi ʻia ka lāʻau pale i loko o kou ʻiʻo, ma lalo o ka ʻili, a i ʻole i loko o kahi aʻa .
He mea kākaʻikahi loa, pono paha kekahi mau maʻi e loaʻa i kēia lāʻau pale ma ka home. Inā hana ʻia kēia, e aʻo pono ʻia ʻoe i ke ʻano o ka hoʻomākaukau ʻana a pehea e hāʻawi ai iā ʻoe iho i ka lāʻau pale. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai, a i ʻole e lawe ma mua o ka manawa i kuhikuhi ʻia.
ʻŌlelo Aʻo: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa a kāhea aku paha i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo . Hiki i kēia ke hoʻoweliweli i ke ola.
He lāʻau lapaʻau kēia i kuhikuhi ʻia nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
He aha nā pilina me nā lāʻau lapaʻau ʻē aʻe?
He lāʻau lapaʻau ʻo Meperidine e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui, no laila 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 ).
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me meperidine | |
|---|---|
ʻO nā lāʻau MAOI no ke kaumaha (e like me Marplan, Nardil, Parnate), Linezolid, Methylene blue, Ritonavir, a pēlā aku. ʻO ka lawe pū ʻana i kēia mau mea hiki ke hana i nā hopena ʻaoʻao koʻikoʻi loa. | |
| Nā mea e makaʻala nui ai i ka wā e lawe pū ana me meperidine | |
| ʻAila | Hiki iā ia ke hana i nā kūlana koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka hiamoe nui, a me ka nalowale o ka ʻike. Mai lawe pū iā lākou. |
| Nā lāʻau lapaʻau no ka hiamoe, ka hopohopo, a me ke kaumaha | Hoʻonui ʻia ka hiamoe nui a me ka hanu lohi. |
| Nā lāʻau lapaʻau allergy, cough, a me ke anu | Hoʻoulu kēia i ka hiamoe, no laila e hoʻonui ʻia ka hopena ke lawe ʻia me ka meperidine. |
| Nā mea ʻeha opioid ʻē aʻe | He kiʻekiʻe loa ka pilikia o nā hopena ʻaoʻao. |
| Nā anesthetics a me nā mea hoʻomaha ʻiʻo i hoʻohana ʻia i ka wā o ke ʻoki ʻana | Inā ʻoe e hana ʻia ana i ke ʻoki kino, he mea nui e hoʻomaopopo i ke kauka e lawe ana ʻoe i ka meperidine. |
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
ʻEha a me ka nui o ka lāʻau lapaʻau
E haʻi i kāu kauka inā ʻaʻole e nalowale kou ʻeha, inā e ʻoi aku ka ʻino, a inā he ʻano ʻeha hou kou. Ma hope o ka lawe ʻana i kēia lāʻau no ka manawa lōʻihi, hiki i kou kino ke maʻa iā ia. Ua kapa ʻia kēia he "Hoʻomanawanui". ʻO ke ʻano kēia, ʻaʻole lawa ka nui āu i lawe ai ma mua e kāohi i kou ʻeha, a pono paha ʻoe i kahi nui kiʻekiʻe iki aʻe. He mea maʻamau kēia.
ʻO ka mea nui, ʻo ia ka maʻa ʻana o kou kino i ka lāʻau lapaʻau, ʻaʻole no ka mea ua lilo ʻoe i mea maʻamau. ʻO ka maʻamau ka hoʻohana ʻana i ka lāʻau lapaʻau no nā kumu noʻonoʻo, me ke kumu ʻole o ke olakino. ʻO ka lawe ʻana i ka lāʻau lapaʻau no ka mea ke ʻeha nei ʻoe he kumu olakino ia.
Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hōʻeha ai i nā hōʻailona haʻalele koʻikoʻi. Inā makemake kāu kauka e hoʻōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻēmi mālie ʻo ia i ka nui.
Nā hopena ʻē aʻe
- Ke hoʻokele nei a me ka hoʻohana ʻana i nā mīkini: Hiki i kēia lāʻau lapaʻau ke hōʻemi i kou makaʻala a me ka manawa pane. No laila, e pale i ka hoʻokele ʻana a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Pīniu : Hiki iā ʻoe ke ʻike i ka pīniu a me ka mae ʻana. No ka hōʻemi ʻana i kēia, e kū pololei i luna ke ala ʻoe mai kahi noho a i ʻole ke ala ʻoe mai kahi moe.
- Paʻa ʻōpū: He hopena maʻamau kēia o nā lāʻau opioid. Inā ʻaʻole ʻoe i neʻe i ka ʻōpū no 3 mau lā, e haʻi i 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.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka hanu lohi (kaumaha CNS) | Hanu lohi a papau paha, paʻakikī ka hanu ʻana, hiamoe nui, huikau. |
| 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 a me ka hiamoe |
| Waha maloʻo | ʻEha poʻo, nausea, luaʻi |
Leka Lawe-Home
- He lāʻau ʻeha ikaika ʻo Meperidine i kuhikuhi ʻia no ka ʻeha nui wale nō .
- Ma mua o kou hoʻomaka ʻana e lawe i kēia 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 .
- E hōʻalo loa i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
- Mai hāʻawi i kēia lāʻau lapaʻau i kekahi no kekahi kumu. He mea weliweli loa ia.
- Mai hoʻōki koke i ka lāʻau lapaʻau. Pono e hoʻemi mālie ʻia ka nui e like me nā kuhikuhi a ke kauka.
- Inā loaʻa 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.
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