I kekahi manawa, lilo ka ʻeha a mākou e ʻike nei i mea koʻikoʻi loa a hiki ʻole ke kāohi ʻia me nā lāʻau hoʻomaha ʻeha maʻamau. Eia kekahi, hakakā kekahi poʻe e hoʻopau i nā mea hoʻopilikia koʻikoʻi e like me ka hoʻohana ʻana i ka lāʻau lapaʻau. He lāʻau ikaika loa ka Methadone i ʻōlelo ʻia e nā kauka i ia mau hihia kūikawā. No ka mea, hāʻawi ʻia ia ma ke ʻano he inikini, e kamaʻilio maopopo mākou e pili ana i kēia lā.
He aha ka Methadone?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Methadone i hoʻohana ʻia no nā kumu nui ʻelua.
1. Kāohi i ka ʻeha nui: Hāʻawi ʻia ia ke hiki ʻole i nā lāʻau ʻeha ʻē aʻe ke kāohi i ka ʻeha a i ʻole ke hiki ʻole i ke kino ke ʻae iā lākou. Hana ia ma ke ālai ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo.
2. Ka mālama ʻana i ka maʻi hoʻohana Opioid: Hāʻawi ʻia kēia lāʻau lapaʻau i ka poʻe i hoʻopili ʻia i nā lāʻau lapaʻau e like me ka heroin e kōkua iā lākou e haʻalele iā lākou. Hana ia ma ka hōʻemi ʻana i nā hōʻailona haʻalele a me ka makemake no ka lāʻau lapaʻau.
ʻO ka mea nui loa, ʻo ia ka hoʻohana ʻana i kēia ma ke ʻano he lāʻau lapaʻau no ka ʻona, loaʻa nā hopena maikaʻi loa ke hui pū ʻia me ke aʻo ʻana a me ka hoʻoponopono ʻana i ka hana.
ʻO ka Methadone kahi lāʻau lapaʻau no ka papa opioid o nā lāʻau lapaʻau a pono e lawe ʻia ma lalo o ka nānā ʻana a ke kauka.
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. Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka methadone, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. ʻOiai inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, pono ʻoe e haʻi iā lākou e pili ana i ia mea.
| Kūlana/maʻamau olakino | Wehewehena |
|---|---|
| ʻŌnaehana lolo a me ke aʻalolo | Nā kūlana e like me ka puʻupuʻu lolo, ka ʻeha poʻo, a i ʻole nā hōʻeha. |
| Puʻuwai a me ke koko | Maʻi puʻuwai, haʻahaʻa ke koko. |
| ʻŌnaehana hanu | Maʻi akemāmā, hānō, a i ʻole nā pilikia hanu ʻē aʻe. |
| ʻAke a me nā puʻupaʻa | Maʻi akepaʻa a maʻi puʻupaʻa paha. |
| Nā kūlana olakino ʻē aʻe | ʻO ka maʻi thyroid, ka hana haʻahaʻa o ke kelepa adrenal, a me nā pilikia ʻōpū. |
| Nā ʻano maʻamau a me ke olakino noʻonoʻo | Inu pinepine ʻana i ka waiʻona, ka hoʻohui ʻana i nā lāʻau ʻē aʻe, ka maʻi noʻonoʻo. |
| Nā lāʻau lapaʻau ʻē aʻe e lawe ʻia ana | Inā ua lawe ʻoe i kahi lāʻau MAOI (e.g. Parnate) i loko o nā lā 14 i hala. |
| Nā hanana kūikawā | Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, inā ʻoe e hānai waiū ana, a inā ua loaʻa iā ʻoe kahi hopena maʻi i ka methadone a i ʻole kekahi lāʻau lapaʻau a meaʻai paha. |
Pehea e hoʻohana ʻia ai kēia lāʻau pale?
Hoʻokomo ʻia kēia lāʻau pale ma lalo o ka ʻili, i loko o kahi ʻiʻo, a i ʻole i loko o kahi aa koko. Hāʻawi pinepine ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau.
Eia kekahi, inā pono ʻoe e hoʻohana i kēia lāʻau lapaʻau ma ka home, e aʻo ʻia ʻoe pehea e hoʻomākaukau ai a lawe pono iā ia. E hoʻohana pono e like me ke kuhikuhi ʻana, i nā manawa kūpono wale nō. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia i kēlā me kēia manawa.
He aha kāu e hana ai me nā nila i hoʻohana ʻia?
He mea nui loa kēia. Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala maʻamau. Pono e waiho ʻia i loko o kahi pahu ʻoi kūikawā e hiki ke wehe ʻia. Inā ʻaʻohe āu, e nīnau i kāu hui mālama ola kino pehea e loaʻa ai.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā kānalua ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia o kēia lāʻau lapaʻau, e hele koke i ka ʻOihana Pilikia kokoke loa (ETU). A i ʻole, e kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo .
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Methadone e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. ʻO ke ʻano kēia, ke lawe ʻia me nā lāʻau lapaʻau ʻē aʻe, hiki ke loli nā hopena o kēlā mau lāʻau lapaʻau a i ʻole methadone, a i ʻole hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi.
ʻOi aku hoʻi, mai lawe pū me Methadone me nā lāʻau lapaʻau penei:
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (e like me ketoconazole, voriconazole)
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi o ka puʻuwai (e like me quinidine, dronedarone)
- Nā lāʻau lapaʻau e like me Cisapride, Pimozide, Thioridazine
Eia kekahi, hiki ke loaʻa nā pilikia me nā lāʻau lapaʻau ʻē aʻe he nui. Eia kekahi laʻana:
- ʻAila
- Nā lāʻau lapaʻau allergy, cough, a me ke anu
- Nā lāʻau antiretroviral no ka maʻi HIV a i ʻole AIDS
- Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka insomnia
- Nā lāʻau anticonvulsant (e.g. carbamazepine, phenytoin)
- Kekahi mau lāʻau antibiotic (e.g. clarithromycin, erythromycin)
- Nā mea hoʻomaha ʻiʻo i hoʻohana ʻia i ka wā o ke ʻoki ʻana
- Nā lāʻau ʻeha opioid ʻē aʻe a i ʻole nā syrup cough
ʻAʻole piha kēia papa inoa. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui meaʻai. He mea nui hoʻi e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E ʻike pinepine i kāu kauka: E hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia e hōʻoia i ka holomua ʻana o kāu lāʻau lapaʻau.
- E haʻi i kāu kauka e pili ana i ka ʻeha: Inā ʻoe e lawe nei i kēia no ka ʻeha, e haʻi i kāu kauka inā ʻaʻole e nalowale ka ʻeha, inā e ʻoi aku ka ʻino, a inā he ʻano ʻeha hou kou.
- Mai hoʻōki koke: Hoʻomaʻa kou kino i kēia lāʻau lapaʻau. No laila , mai hoʻōki koke i ka lawe ʻana me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i ka hana ʻana pēlā ke hana i nā hopena koʻikoʻi. Inā hoʻōki ʻoe, e hana pēlā e like me ke aʻo ʻana a kāu kauka, ma ka hoʻēmi mālie ʻana i ka nui.
- Ka pilikia o ka hoʻi hou ʻana:Inā ʻoe e lawe nei i kēia ma ke ʻano he lāʻau lapaʻau no ka ʻona, mai hoʻāʻo e lawe hou i ka lāʻau lapaʻau e lanakila ai i nā hopena o kēia lāʻau. Hiki i kēia ke alakaʻi i ka make.
- Ka hiamoe a me ka makaʻala: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a puni ʻoe. Hiki ke hoʻopilikia ʻia kou makaʻala. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- E makaʻala i ke ala ʻana: I mea e pale aku ai i ka poniuniu a me ka māʻule ʻana, e kū mālie i luna i ke ala ʻana mai ka noho ʻana a i ʻole ka moe ʻana.
- Paʻa ʻōpū: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. Inā pilikia ʻoe i ka neʻe ʻana o ka ʻōpū no nā lā ʻekolu a ʻoi, e kamaʻilio me kāu kauka.
- E ʻike e pili ana iā Naloxone: ʻO Naloxone kahi lāʻau lapaʻau e hoʻōla ola ai hiki ke hāʻawi ʻia i ka wā o ka overdose opioid. E makaʻala i nā hōʻailona o ka overdose (hanu lohi , hiamoe nui, hiki ʻole ke ala aʻe). Inā ua hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, e haʻi i kou ʻohana a me kou poʻe aloha i kahi a pehea e hoʻohana ai. Ma hope o ka hāʻawi ʻana i ka naloxone, pono ka mea nāna i hāʻawi iā ia e kāhea i kahi kaʻa kaʻa ulia pōpilikia.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka methadone ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka kaumaha o ka ʻōnaehana nerve waena (CNS Depression) | Ka hanu lohi a papau paha, ka paʻakikī o ka hanu ʻana, ka hiamoe nui, ka huikau, a me ka paʻakikī e ala aʻe. |
| Nā loli i ka helu o ka puʻuwai | Ka puʻuwai wikiwiki a ʻano ʻē paha, ka poniuniu, ka maule ʻana, ka ʻeha o ka umauma. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā hopena ʻaoʻao maʻamau e 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 |
| Ka luaʻi a me ka luaʻi | ʻEha, ʻulaʻula, a pehu paha ma kahi i hāʻawi ʻia ai ka inikini. |
Leka Lawe-Home
- He lāʻau lapaʻau ikaika loa ka Methadone i hoʻohana ʻia no ka mālama ʻana i ka ʻeha nui a me ka hoʻohui opioid. Pono e hoʻohana wale ʻia ma lalo o ka nānā ʻana a ke kauka.
- E haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āu e lawe ai.
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi, a e mālama iā ia ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona.
- E makaʻala i nā hōʻailona o ka overdose (hanu lohi, hiamoe nui). Inā ʻike ʻoe i kekahi o kēia mau mea, e hele koke i ka Emergency Department (ETU).
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.











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