I kekahi manawa, hiki i ka ʻeha a mākou e ʻike ai ke koʻikoʻi loa a hiki ʻole ke kāohi ʻia me nā lāʻau hoʻomaha ʻeha maʻamau. E noʻonoʻo i ka ʻeha e hiki mai ana ma hope o kahi ʻoki kino nui, a i ʻole ka ʻeha e kū mai ana ma hope o kahi ulia koʻikoʻi. I kēlā mau hihia, i ka wā ʻaʻole hana nā lāʻau hoʻomaha ʻeha ʻē aʻe a i ʻole ʻaʻole hiki i ke kino ke ʻae iā ia, ʻo Meperidine kahi lāʻau hoʻomaha ʻeha kūikawā a nā kauka e ʻōlelo nei. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau papa Meperidine.
He aha ka Meperidine?
I ka ʻōlelo maʻalahi, he lāʻau hoʻopau ʻeha ikaika loa ʻo Meperidine. No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo opioids . ʻO kāna hana, ke ʻeha ko mākou kino, pale ia i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo. Ua like ia me ka ʻoki ʻana i ka 'pilina' o ka lolo i ka ʻeha no kekahi manawa, e hōʻemi ana i ka manaʻo o ka ʻeha.
ʻO ka mea nui loa, ʻaʻole kēia he lāʻau lapaʻau no ka ʻeha poʻo maʻamau a i ʻole ke kua. He lāʻau lapaʻau ia i hāʻawi wale ʻia no ka ʻeha nui, a inā he kumu kūikawā no ia, ma ke kauoha a ke kauka.
Hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau ma lalo o nā inoa ʻē aʻe i kekahi manawa, no laila inā ʻaʻole ʻoe maopopo e pili ana i ka lāʻau lapaʻau e kuhikuhi ʻia nei iā ʻoe, e nīnau mau i kāu kauka.
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 meperidine, he mea nui e ʻike pono kāu kauka i kou kūlana olakino. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau:
- Inā he puʻupuʻu lolo kou a he ʻeha poʻo nui paha.
- Inā he mea inu nui ʻoe a i ʻole he maʻi hoʻohana lāʻau ʻino kou.
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā he maʻi puʻuwai kou .
- Inā loaʻa iā ʻoe ka hānō , ka maʻi māmā, a i ʻole nā pilikia hanu ʻē aʻe.
- Inā loaʻa iā ʻoe nā ʻōʻili .
- Inā he mau pilikia kou ma ka ʻōpū a i ʻole ka ʻōpū.
- Inā ua lawe ʻoe i kahi lāʻau MAOI e like me Marplan, Nardil, a i ʻole Parnate i loko o nā lā 14 i hala . He mea nui loa kēia.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka meperidine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana , e hoʻāʻo ana e hāpai , a e hānai waiū ana paha.
He mea nui loa ia no kou palekana ponoʻī e haʻi i ke kauka me ka hūnā ʻole i kēia mau mea.
Pehea e pono ai iaʻu ke hoʻohana 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 lawe i kēia pila me ke aniani wai.
- E hahai pono i nā kuhikuhi ma ka lepili lāʻau lapaʻau.
- E lawe wale i ka nui i kuhikuhi ʻia e like me ke kuhikuhi a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
- Inā ʻoe e hoʻohana ana i kēia lāʻau lapaʻau i nā keiki, e kamaʻilio me kāu kauka e pili ana i ia mea a e makaʻala i nā hana palekana kūikawā.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, pono ʻoe e hana koke. He pilikia kēia.
E kelepona koke aku i ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa me ka hoʻokaʻulua ʻole.
He aha inā e hala wau i kahi manawa hoʻonohonoho 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 kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Meperidine
Hiki i ka Meperidine 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 huahana lāʻau).
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Meperidine! (E pale loa) | |
|---|---|
| |
| E hoʻohana me ke akahele inā ʻoe e lawe pū me Meperidine me kēia lāʻau lapaʻau. | |
| Māhele lāʻau lapaʻau | Nā Laʻana |
| ʻAila | Nā ʻano waiʻona a pau |
| Nā lāʻau anu/kūke/lāʻau ʻaleʻale (Antihistamine) | Nā lāʻau lapaʻau e like me Piriton, Cetirizine |
| Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka hiamoe | ʻAmitriptyline, Fluoxetine, Sertraline, Diazepam |
| Nā mea ʻeha opioid ʻē aʻe | Tramadol, Morphine |
| Nā lāʻau antifungal, antibiotics, nā lāʻau HIV/Hepatitis | Ketoconazole, Erythromycin, Rifampin |
| Nā lāʻau lapaʻau no ka hopu ʻana | ʻO Carbamazepine, Phenytoin |
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.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
ʻEha a me ke ahonui
E haʻi i kāu kauka inā ʻaʻole e nalowale kou ʻeha, inā e ʻoi aku ka ʻino, a inā he ʻano ʻeha hou kou. 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 . ʻO ke ʻano kēia, ʻaʻole lawa ka nui āu i lawe ai ma mua e kāohi i ka ʻeha, a pono ʻoe i kahi nui kiʻekiʻe. He mea maʻamau kēia.
Ka Hoʻopilikia a me ka Hilinaʻi
ʻElua kēia mau mea. He mea maʻamau i ke kino ke maʻa i nā lāʻau lapaʻau e like me Meperidine (dependence). ʻAʻole ia he manaʻo ua lilo ʻoe i mea hoʻopili. ʻO ka hoʻopili ʻana ka hoʻohana ʻana i kahi lāʻau lapaʻau no nā kumu noʻonoʻo, me ke kumu ʻole o ke olakino. Inā ʻoe e lawe ana i ka lāʻau lapaʻau no ka mea ʻeha ʻoe, he kumu olakino ia. No laila, mai makaʻu i kēia.
ʻO ka mea nui loa , ʻaʻole loa e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hiki ai ke hōʻeha nui i nā hōʻailona haʻalele. Inā makemake kāu kauka e hoʻōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau, e hōʻemi mālie ʻo ia i ka nui a hōʻike iā ʻoe pehea e hoʻōki palekana ai.
ʻO Naloxone, ka lāʻau lapaʻau ulia pōpilikia no ka overdose
ʻO ka overdose o kahi opioid e like me meperidine hiki ke hoʻoweliweli i ke ola. ʻO nā hōʻailona e komo pū me ka hanu lohi loa, ka hiamoe nui, a me ka nalowale o ka ʻike. ʻO Naloxone kahi lāʻau lapaʻau i hoʻohana ʻia ma ke ʻano he lāʻau lapaʻau ulia pōpilikia no kēia ʻano overdose opioid. Inā ʻoe e lawe nei i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana iā Naloxone a pehea e lawe ai. He mea nui e ʻike kou ʻohana i kēia.
Nā mea nui ʻē aʻe
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu. 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.
- ʻAila: E pale loa i ka ʻona i ka wā e lawe ana i kēia lāʻau lapaʻau. ʻO ka hui pū ʻana o kēia lāʻau lapaʻau me ka ʻona hiki ke hana i nā hopena ʻino.
- Paʻa ʻōpū: He mea maʻamau ka paʻa ʻōpū i ka poʻe e lawe ana i kēia lāʻau lapaʻau. E inu i ka wai he nui a ʻai i nā meaʻai kiʻekiʻe i ka fiber. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o 3 mau lā, e kamaʻilio me kāu kauka.
- Waha maloʻo: Inā maloʻo kou waha, hiki i ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā kinikini kō ʻole, a i ʻole ka inu ʻana i ka wai ke kōkua.
He aha nā hopena ʻaoʻao e hiki mai ana?
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Ka hopena ʻaoʻao | Nā ʻano |
| 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) | Ka hanu lohi a papau paha, ka paʻakikī o ka hanu ʻana, ka hiamoe nui, ka paʻakikī e makaʻala. |
| Hana haʻahaʻa o ke kelepa adrenal | Ka luaʻi, ka nele o ka makemake e ʻai, ka nāwaliwali kūikawā, ka poniuniu. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā hopena ʻaoʻao i maʻamau, 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 |
Pehea e mālama ai i ka lāʻau lapaʻau?
He mea nui loa kēia. E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona. Hiki i kēia lāʻau lapaʻau ke make inā hoʻohana hewa ʻia.
- E mālama i kāu lāʻau lapaʻau ma kahi palekana e pale aku ai mai ka ʻaihue ʻia .
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi no kekahi kumu. He kūʻē i ke kānāwai ka hana ʻana pēlā a he mea weliweli loa ia.
- E mālama pono ma kahi paʻa ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius).
- E hoʻolei pono i nā lāʻau lapaʻau i hoʻohana ʻole ʻia. Hiki iā ʻoe ke noi i kāu kauka no ka ʻōlelo aʻo no kēia. Inā ʻaʻohe ala e hoʻolei aku ai, e hoʻolei i lalo i ka lua.
Leka Lawe-Home
- He lāʻau opioid ikaika loa ka Meperidine i kuhikuhi ʻia e ke kauka no ka ʻeha nui wale nō ke ʻole i holomua nā ʻano hana ʻeha ʻē aʻe.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e hoʻomaopopo pono i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei a me kou mau kūlana olakino āpau.
- E mālama i kēia lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki. Mai kaʻana like me nā poʻe ʻē aʻe.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino, e like me ka paʻakikī o ka hanu ʻana a i ʻole ka hiamoe nui, e ʻimi koke i ke kōkua lapaʻau pilikia.
- E pale i ka hoʻōki koke ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
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