I kekahi manawa, loaʻa paha iā kākou nā ʻehaʻeha koʻikoʻi a mau loa i hiki ʻole ke kāohi ʻia me nā lāʻau hoʻomaha ʻeha maʻamau. A i ʻole, lilo kekahi poʻe, ma muli o ka naʻaupō a i ʻole nā kumu ʻē aʻe, i mea hoʻopili i nā lāʻau lapaʻau a ʻeha nui no ka mea ʻaʻole hiki iā lākou ke hoʻopau iā lākou. I ia mau hihia, ʻo kahi lāʻau lapaʻau kūikawā i kuhikuhi ʻia e nā kauka ua kapa ʻia ʻo Methadone. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, kāna hana, nā mea e makaʻala ai i ka wā e hoʻohana ana, a me nā mea āpau e pili ana i kona mau hopena ʻaoʻao.
He aha ka Methadone? He aha kāna hana?
I ka ʻōlelo maʻalahi, he lāʻau ikaika ʻo Methadone i hoʻohana ʻia no nā kumu nui ʻelua. No kahi papa lāʻau i kapa ʻia ʻo 'Opioids'.
1. No ka hoʻomalu ʻana i ka ʻeha nui a mau loa: Inā ʻaʻole hiki iā ʻoe ke ʻae i nā lāʻau ʻeha ʻē aʻe, a inā ʻaʻole lākou e hoʻomalu i kou ʻeha, hiki i nā kauka ke kuhikuhi i kēia lāʻau. Hana ia ma ke kāohi ʻana i nā hōʻailona ʻeha i ka lolo, e hōʻemi ana i ka ʻeha āu e manaʻo ai.
2. Ma ke ʻano he lāʻau lapaʻau no ka maʻi opioid: Ke hoʻōki kekahi i ka hoʻohana ʻana i nā lāʻau lapaʻau e like me ka heroin i ka hoʻohana ʻana iā lākou, ʻike ke kino i nā hōʻailona haʻalele a me ka makemake e hoʻohana hou i ka lāʻau. Kōkua ʻo Methadone i ka hōʻemi ʻana i kēlā mau hōʻailona a me nā makemake a kōkua i ke kanaka e hoʻi i kahi ola maikaʻi aʻe. Eia nō naʻe, i mea e holomua ai kēia lāʻau lapaʻau, he mea nui e lawe i kēia lāʻau lapaʻau me ke aʻo ʻana a me ka hoʻoponopono ʻana i ka hana .
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i ka methadone, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kekahi mau kūlana olakino āu e loaʻa nei, no ka mea, e hoʻoholo kēia ʻike i ka nui o ka lāʻau a me nā mea ʻē aʻe e hoʻopilikia i kāu lāʻau.
| Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻōlelo pono i kāu kauka: | |
|---|---|
| Nā pilikia e pili ana i ka ʻōnaehana nerve | Nā puʻupuʻu lolo, nā ʻeha poʻo, nā hopu ʻana |
| Ka mōʻaukala o ka hoʻomaʻamaʻa | ʻAi ʻia i nā lāʻau ʻē aʻe a i ʻole ka waiʻona, inu pinepine ʻana |
| Puʻuwai a me ke koko | Maʻi puʻuwai, haʻahaʻa ke koko |
| ʻŌnaehana hanu | Ka maʻi o ka māmā, ka hānō, a i ʻole nā pilikia hanu ʻē aʻe |
| Nā kūlana kino ʻē aʻe | Maʻi puʻupaʻa, maʻi akepaʻa, maʻi thyroid, hana haʻahaʻa o ke kelepa adrenal, pilikia ʻōpū a ʻōpū paha |
| Ola kino noʻonoʻo | Kekahi maʻi noʻonoʻo |
| Ka hoʻohana ʻana i nā lāʻau lapaʻau ʻē aʻe | Inā ua lawe ʻoe i nā lāʻau MAOI (e like me Marplan, Nardil) i loko o nā lā 14 i hala |
| Nā hanana kūikawā | Inā ʻoe e ho'āʻo nei e hāpai, ua hāpai, a he makuahine hānai paha |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka methadone, nā lāʻau ʻeha opioid ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea mālama, a i ʻole nā mea hoʻoluʻu |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He lāʻau lapaʻau kēia i loaʻa ma ke ʻano he hopena. No laila, e hoʻomanaʻo pono i kēia mau kuhikuhi.
- E ana pololei: E ana i ka nui kikoʻī i kuhikuhi ʻia e kāu kauka, me ka hoʻohana ʻana i ka puna kūikawā a i ʻole ke kīʻaha i hāʻawi ʻia no ia kumu. Mai hoʻohana i nā puna a i ʻole nā punetēpē o ka hale.ʻAʻole pololei kā lākou mau ana.
- Ma mua a ma hope paha o ka ʻai?: Hiki ke lawe ʻia kēia lāʻau lapaʻau me ka ʻai a me ka ʻole. Eia nō naʻe, inā ʻeha kou ʻōpū, e lawe pū me ka meaʻai.
- Hoʻohuihui: Inā makemake ʻoe, hiki iā ʻoe ke hoʻohuihui i ka lāʻau lapaʻau i loko o ka wai huaʻai a i ʻole ka meaʻai a lawe koke aku. Akā , mai mālama i ka meaʻai a mea inu paha i loko o ka lāʻau lapaʻau no ka hoʻohana ʻana ma hope .
- E lawe i ka manawa kūpono: E lawe i ka nui i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena ʻaoʻao koʻikoʻi.
Mea nui: Pono e mālama pono i ka wā e hoʻohana ai i kēia lāʻau lapaʻau i nā keiki. E kamaʻilio me kāu kauka e pili ana i kēia.
Auē! He aha kāu e hana ai inā hala ʻoe i kahi mahele 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.
He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. Hiki i kēia ke hoʻoweliweli i ke ola.
Nā lāʻau ʻē aʻe e launa pū me Methadone (Nā Hana Lāʻau)
He ʻāpana koʻikoʻi loa kēia. He lāʻau lapaʻau ʻo Methadone hiki 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 (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā lāʻau lapaʻau, nā huaora).
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Methadone | |
|---|---|
| ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal | ʻO kahi laʻana: itraconazole, ketoconazole, voriconazole |
| ʻO kekahi mau lāʻau lapaʻau no nā maʻi o ka puʻuwai | Laʻana: dronedarone, quinidine |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO Cisapride, Pimozide, Thioridazine, Rasagiline, Selegiline |
| Nā lāʻau lapaʻau a me nā mea ʻē aʻe e hiki ke launa pū me Methadone | |
ʻO ka waiʻona, nā antihistamines, nā lāʻau HIV/AIDS, kekahi mau lāʻau antibiotic, nā lāʻau kaumaha, ka hopohopo, a i ʻole nā lāʻau hiamoe, nā lāʻau hopu, kekahi mau lāʻau maʻi kanesa, nā lāʻau ʻē aʻe no nā maʻi puʻuwai, nā lāʻau i hoʻohana ʻia e hoʻopau a hoʻomaha paha i nā ʻiʻo i ka wā o ke ʻoki ʻana, a me nā mea ʻeha opioid ʻē aʻe. | |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā kipa ʻana i ke kauka: E kipa aku i kāu kauka i nā lā i hoʻonohonoho ʻia e nānā i ka holomua o kāu lāʻau lapaʻau.
- Ka hiamoe a me ka makaʻala: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a puni ʻoe. Hiki nō hoʻi ke hōʻemi i kou hiki ke noʻonoʻo a hoʻoholo. 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. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia kūlana.
- E makaʻala iā Naloxone: ʻO Naloxone kahi lāʻau lapaʻau ulia pōpilikia e hoʻōla ola i hāʻawi ʻia i ka wā e loaʻa ai ka overdose opioid. He mea nui paha i kekahi e lawe ana i ka methadone ke loaʻa kēia ma ka lima a no nā ʻohana e ʻike pehea e hoʻohana ai. E kamaʻilio me kāu kauka e pili ana i kēia.
- Paʻa ʻōpū: He mea maʻamau ka paʻa ʻōpū me kēia lāʻau lapaʻau. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o 3 mau lā, e kāhea i kāu kauka.
- Waha maloʻo: He mea maʻamau nō hoʻi ka waha maloʻo. Hiki ke hoʻomalu ʻia kēia ma ka nau ʻana i ka gum ʻole kō, ka omo ʻana i nā mea ʻono, a me ka inu ʻana i ka wai he nui.
- Hāpai: E haʻi i kāu kauka inā ʻoe e hoʻolālā ana e hāpai, a inā paha ua hāpai mua ʻoe. ʻO ka lawe ʻana i kēia lāʻau lapaʻau i ka wā hāpai hiki ke hana i nā kīnā hānau koʻikoʻi i kāu pēpē.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka methadone ke hana i nā hopena ʻaoʻao.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā 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 (kaumaha CNS) | ʻO ka hanu lohi a papau paha, ka hiamoe nui, ka huikau, a me ka hiamoe hiki ʻole ke hoʻāla ʻia. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma, paʻakikī ke hanu. |
| Ke koko haʻahaʻa | Pōʻino, ʻike maka pōʻeleʻele, maule. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
Paʻa ka ʻōpū, poniuniu, hiamoe, waha maloʻo, ʻeha poʻo, nausea, luaʻi. | |
Pehea e mālama pono ai i ka lāʻau lapaʻau?
He mea nui loa kēia: Hiki ke hoʻohana hewa ʻia kēia lāʻau lapaʻau. Hiki iā ia ke make inā komo i loko o nā lima o kekahi kanaka makua, keiki, a holoholona paha.
- E mālama ʻia mai nā keiki a me nā holoholona.
- E mālama iā ia ma kahi palekana e pale aku ai mai ka ʻaihue ʻia.
- Mai hāʻawi i kēia lāʻau lapaʻau i kekahi poʻe no kekahi kumu. He hewa hoʻopaʻi ka hana ʻana pēlā a he hana weliweli loa ia.
- E mālama ma ka mahana o ka lumi, kahi e hiki ʻole ai ke loaʻa ka mālamalama a me ka makū, a e pani pono i ke poʻi o ka ʻōmole.
- Mai hoʻohana ma hope o ka lā pau. E nīnau i kāu kauka pehea e hoʻolei pono ai i nā lāʻau lapaʻau i koe.
Leka Lawe-Home
- He lāʻau lapaʻau ikaika ka Methadone i hoʻohana ʻia no ka mālama ʻana i ka ʻeha nui a me ka hoʻohui opioid. Pono e loaʻa me ke kauoha a ke kauka wale nō.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei a me nā kūlana olakino āpau āu.
- Mai hoʻokele kaʻa a hoʻohana paha i nā mīkini weliweli no ka mea hiki ke hiamoe i ka wā e lawe ana i ka lāʻau. Mai inu i ka waiʻona.
- Inā kānalua ʻoe i kahi overdose, e hele koke i ka ʻoihana pilikia o ka haukapila (ETU).
- Mai kaʻana like i kēia lāʻau lapaʻau me nā poʻe ʻē aʻe. E mālama iā ia ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo