Ua kuhikuhi anei kāu kauka iā ʻoe i nā pila methadone no ka mea he ʻeha nui kou a lōʻihi paha a no ka mea ʻaʻole hiki iā ʻoe ke ʻae i nā lāʻau ʻeha ʻē aʻe? A i ʻole ke hoʻohana nei ʻoe i kēia lāʻau lapaʻau e kōkua iā ʻoe e lanakila ma luna o kou ʻona opioid? ʻOiai ke kumu, he ikaika loa kēia lāʻau lapaʻau, no laila he mea nui e makaʻala a hoʻohana palekana. No laila e kamaʻilio kākou e pili ana i ia mea me ka maʻalahi a me ke akahai i kēia lā.
He aha maoli ka Methadone?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau i hoʻohana ʻia no nā mea nui ʻelua.
1. Kāohi i ka ʻeha nui a mau loa: Ua kuhikuhi nā kauka i kēia no ka ʻeha nui a mau loa i hiki ʻole ke kāohi ʻia me nā lāʻau ʻeha maʻamau. Hana ia ma ke kāohi ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo.
2. Ma ke ʻano he lāʻau lapaʻau no ka maʻi opioid: Kōkua kēia lāʻau lapaʻau i ka hōʻemi ʻana i nā hōʻailona haʻalele kino a me ka makemake no nā lāʻau lapaʻau ke hoʻopili ʻia kekahi i nā opioids, e like me ka heroin. Eia nō naʻe, ʻoi aku ka maikaʻi o kēia lāʻau lapaʻau ke hui pū ʻia me ke aʻo ʻana a me ka hoʻōla ʻana i ka hana .
He lāʻau lapaʻau ʻo Methadone no ka papa o nā lāʻau lapaʻau i kapa ʻia ʻo opioids.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
No kou palekana, he mea nui loa ia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana ma mua o ka hoʻomaka ʻana i ka methadone. He mea nui loa kēia.
| ʻAno o nā kūlana | Nā mea e pono ai ʻoe e hōʻike |
|---|---|
| Nā pilikia e pili ana i ka lolo | Nā kūlana e like me ka ʻeha poʻo, ka puʻupuʻu lolo, a i ʻole nā hōʻeha. |
| Maʻi puʻuwai | ʻO kēlā me kēia ʻano maʻi puʻuwai a i ʻole nā kūlana puʻuwai. |
| Nā pilikia o ka ʻōnaehana hanu | Ka hānō, ka maʻi māmā, a i ʻole nā pilikia hanu. |
| Nā pilikia olakino ʻē aʻe | Maʻi akepaʻa, maʻi puʻupaʻa, maʻi thyroid, hana haʻahaʻa o ke kelepa adrenal, koko haʻahaʻa, pilikia ʻōpū. |
| ʻO ke ʻano o ka nohona a me nā lāʻau lapaʻau ʻē aʻe | E haʻi i kāu kauka inā inu mau ʻoe i ka waiʻona, ua hoʻopili ʻia i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā lāʻau lapaʻau, loaʻa kahi maʻi noʻonoʻo, a i ʻole ua lawe ʻoe i kahi antidepressant MAOI (e.g., Parnate) i loko o nā pule ʻelua i hala. |
| Nā maʻi ʻaleka | Inā loaʻa iā ʻoe kahi maʻi allergy i ka methadone, nā lāʻau ʻeha opioid ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pono e hoʻohana ʻia ka lāʻau lapaʻau ma ke ʻano kūpono.
E lawe i kēia lāʻau lapaʻau me ke kīʻaha wai. Inā ʻeha kou ʻōpū, e lawe pū me ka ʻai a i ʻole ke kīʻaha waiū. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka nui e like me ke kauoha a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia.
Overdose: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau ma ke kuhihewa, mai hoʻokaʻulua a kāhea aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. He hana hoʻōla ola paha kēia.
E loaʻa iā ʻoe kahi pepa ʻike kūikawā (`MedGuide`) e pili ana i kāu lāʻau lapaʻau ke hāʻawi ʻia iā ʻoe. E heluhelu pono mau.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi no kekahi kumu. He mea weliweli loa ia a he kū ʻole i ke kānāwai.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
Nā pilina me nā lāʻau ʻē aʻe
Hiki i ka Methadone ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui). Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe.
ʻO ka mea nui, pono ʻoe e pale i ka lawe ʻana i ka methadone me nā lāʻau lapaʻau e hiki mai ana:
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (e like me ketoconazole)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi o ka puʻuwai (e like me quinidine, dronedarone)
- Nā lāʻau lapaʻau e like me Cisapride, Pimozide, a me Thioridazine
Ma waho aʻe o kēia papa inoa, hiki i ka methadone ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui (e.g., antidepressants, nā lāʻau hiamoe, nā lāʻau HIV/AIDS, a me kekahi mau antibiotics). No laila, he mea nui e hāʻawi i kāu kauka i kahi wehewehe piha.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka Methadone
Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau!
Hoʻomaʻa kou kino i kēia lāʻau lapaʻau. No laila, inā ʻoe e hoʻōki koke i ka lawe ʻana iā ia, hiki iā ʻoe ke loaʻa kahi hopena koʻikoʻi. Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hana pēlā ma lalo o ke aʻo ʻana a ke kauka, a ma ka hoʻēmi mālie ʻana i ka nui .
Ka hiamoe a me ka hoʻokele kaʻa ʻana
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe, hoʻopōʻino, a hoʻopilikia i kou hiki ke hoʻoholo. 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. Hoʻonui ʻia kēia pilikia inā ʻoe e lawe i kēia lāʻau lapaʻau me ka waiʻona.
E makaʻala iā Naloxone
He lāʻau lapaʻau ulia pōpilikia ʻo Naloxone i hāʻawi ʻia e hoʻohuli i nā hopena o ka overdose opioid. ʻO nā hōʻailona o ka overdose e komo pū me ka hanu lohi a pāpaʻu paha, ka hiamoe nui, a me ka hiki ʻole ke ala. ʻO ka haʻi ʻana i kou ʻohana a me nā mea aloha e pili ana i kēia mau hōʻailona, a me kahi o Naloxone a pehea e hoʻohana ai, hiki ke hoʻōla i ke ola. Ma hope o ka hāʻawi ʻana iā Naloxone, pono ʻoe e kāhea koke i kahi ambulance.
Nā mea nui ʻē aʻe
- Paʻa ʻōpū: He mea maʻamau ka paʻa ʻōpū me kēia lāʻau lapaʻau. Inā ʻaʻohe ou neʻe ʻana o ka ʻōpū no 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 lole ʻono ʻole, a me ka inu ʻana i ka wai nui ke kōkua.
- Hāpai: E kamaʻilio me kāu kauka inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ʻoe e hāpai ana. ʻO ka lawe ʻana i kēia lāʻau lapaʻau i ka wā hāpai hiki ke hana i nā kīnā hānau koʻikoʻi i kāu pēpē.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu 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, puni ka poniuniu nui, nāwaliwali ke ʻano, paʻakikī ke ala. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, ʻeha ka umauma, pilikia ka hanu ʻana. |
| Ke koko haʻahaʻa | Pōʻino, manaʻo nāwaliwali, ʻike pōwehiwehi. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā 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 i ʻole ka luaʻi |
Pehea e mālama pono ai i ka lāʻau lapaʻau?
He lāʻau lapaʻau ikaika loa kēia , no laila e mālama iā ia ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona . No ka mea, hiki ke hana ʻino ʻia kēia lāʻau lapaʻau, e mālama iā ia ma kahi e hiki ke pale ʻia mai ka ʻaihue ʻia.
He mea nui e hoʻolei pono i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i ʻole nā lāʻau lapaʻau i pau. E hāʻawi iā lākou i kahi hoʻolei kūhelu. Inā ʻaʻole hiki kēia, e hoʻolei iā lākou i loko o ka lua.
Leka Lawe-Home
- E lawe mau i ka methadone e like me ke kauoha a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i ʻōlelo ʻia.
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi no kekahi kumu. He mea weliweli loa ia a he kū ʻole i ke kānāwai.
- E hāʻawi i kāu kauka i ka papa inoa piha o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā mea hoʻohui āu e lawe nei.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- E makaʻala i nā hōʻailona o ka overdose a e hoʻomaopopo i kou ʻohana e pili ana i ka Naloxone e hoʻohana ai inā pono.
- Inā lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau, e hele koke i ke Kikowaena ʻIke ʻAi Poisons National a i ʻole ke Keʻena ʻOihana Hoʻopilikia (ETU) kokoke loa i ka haukapila.
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