E aʻo pono kākou e pili ana i nā pila morphine, i hoʻohana ʻia no ka ʻeha nui!

I kekahi manawa, hiki i ka ʻeha a mākou e ʻike nei ke koʻikoʻi loa a hiki ʻole ke kāohi ʻia me nā lāʻau ʻeha maʻamau. I kēlā mau manawa, i ka wā hiki ʻole ke kāohi ʻia ka ʻeha me kekahi lāʻau lapaʻau ʻē aʻe, ʻo ka morphine kahi lāʻau ʻeha kūikawā a nā kauka e ʻōlelo nei. ʻOiai he lāʻau ikaika loa kēia, he mea nui loa ia e makaʻala a hoʻohana pono. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka morphine, pehea e hoʻohana ai, a me nā mea e makaʻala ai.

He aha kēia morphine?

I ka ʻōlelo maʻalahi, he lāʻau hoʻopau ʻeha ka morphine i hoʻohana ʻia e kāohi i ka ʻeha nui loa . Hāʻawi pinepine ʻia ia i nā hihia koʻikoʻi, e like me ka ʻeha maʻi kanesa a me ka ʻeha ma hope o ke ʻoki kino nui. Hana ia ma ke kāohi ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i ko mākou lolo. No kēia lāʻau lapaʻau kahi hui o nā lāʻau hoʻopau ʻeha i kapa ʻia ʻo opioids. He ikaika loa ia a pono e hoʻohana wale ʻia ma lalo o ke kauoha a ke kauka.

Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau

Ma mua o ka hāʻawi ʻana iā ʻoe i ka morphine, makemake kāu kauka e ʻike i kou mōʻaukala olakino piha. ʻO kēia no ka mea he mea weliweli paha ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi mau kūlana olakino. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.

ʻO ke ala kūpono e hoʻohana ai i kēia lāʻau lapaʻau

He maʻalahi loa ke ʻano e hoʻohana ai i kēia.

• E lawe i ka nui i kauoha ʻia e ke kauka me kahi kīʻaha wai.
• E hahai pono i nā kuhikuhi ma ke kauoha.
• Inā ʻeha kou ʻōpū, e lawe i kēia lāʻau me ka meaʻai.
• E lawe i kāu lāʻau lapaʻau i nā manawa i kuhikuhi ʻia, e like me ke kauoha a kāu kauka . Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
• Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.

He aha ka mea e hana ai inā piʻi ka nui o ka lāʻau (overdose)?

Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, he pilikia ia. Pono ʻoe e hele koke i ka haukapila kokoke loa ʻo Emergency Department (ETU). A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo. He kūlana hoʻoweliweli kēia i ke ola, no laila mai hoʻokaʻulua.

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 mea ʻē aʻe e hiki ke launa pū me ka morphine

Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka morphine a hoʻoulu i nā hopena ʻino, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui .

Mai lawe i ka morphine me:

• Linezolid
• Polū Methylene
• Samidorphan
• Nā lāʻau antidepressant MAOI (e like me Marplan, Nardil, Parnate)

Hiki nō hoʻi ke loaʻa nā pilikia me kēia mau mea:

• ʻOna: ʻO ka lawe ʻana i ka waiʻona me ka morphine hiki ke hoʻohaʻahaʻa i ka hanu ʻana a me ka nalowale o ka ʻike. No laila, e pale loa i ka waiʻona i ka wā e lawe ana i ka morphine.
• Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine)
• Hopohopo a me nā lāʻau hiamoe
• ʻO kekahi mau lāʻau lapaʻau no ke kaumaha
• Lāʻau lapaʻau migraine
• Lāʻau lapaʻau no nā hopu ʻana
• Nā mea hoʻomaha ʻiʻo
• Nā lāʻau hoʻomaʻamaʻa laulā

ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.

Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau

• Hōʻike ʻeha: E haʻi i kāu kauka inā ʻaʻole e nalowale kou ʻeha, inā e ʻoi aku ka ʻino, a inā paha e loaʻa iā ʻoe kahi ʻano ʻeha hou.
• Hoʻomanawanui: Ke lawe ʻoe i kahi lāʻau lapaʻau no kekahi manawa, ʻaʻole paha e hoʻomaha ʻia ka ʻeha e ka mahele mua. Ua kapa ʻia kēia he hoʻomanawanui. He mea maʻamau kēia. Inā hana ʻia kēia, e hoʻoponopono kāu kauka i ka mahele. Mai hoʻonui i ka mahele iā ʻoe iho.
• ʻOkoʻa ma waena o ka ʻona a me ka hilinaʻi: ʻO ka maʻa ʻana i ka lāʻau lapaʻau ʻaʻole ia he ʻona. He mea maʻamau no ke kino ke maʻa iā ia i ka wā e lawe ai i ka lāʻau lapaʻau no ke kumu lapaʻau, e like me ka ʻeha. ʻO ka ʻona ka hoʻohana ʻana i ka lāʻau lapaʻau no nā kumu noʻonoʻo, me ke kumu ʻole o ke olakino. Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau ma ke ʻōlelo aʻo a kāu kauka, e hoʻemi mālie ʻia ka nui e pale aku i nā hopena haʻalele.
• Hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu iā ʻoe. No laila , mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ke makaʻala a hiki i kou ʻike ʻana i kona hopena iā ʻoe. ʻOi loa aku inā he ʻelemakule ʻoe, mai ala koke mai kahi noho.
• Ka paʻa ʻana o ka ʻōpū:ʻO ka paʻa ʻana o ka ʻōpū kahi hopena maʻamau o kēia lāʻau lapaʻau. Inā pilikia ʻoe i ka hele ʻana i ka ʻōpū no nā lā ʻekolu a ʻoi, e kamaʻilio me kāu kauka. ʻO ka ʻai ʻana i nā huaʻai, nā mea kanu, nā meaʻai fiber kiʻekiʻe, a me ka inu ʻana i ka wai he nui e kōkua.
• 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.

Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau

E like me nā lāʻau lapaʻau āpau, hiki i ka morphine ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.

Pehea e mālama pono ai i ka lāʻau lapaʻau?

He mea nui loa kēia.

• E mālama iā ia ma kahi palekana, i kahi hiki ʻole i nā keiki a me nā holoholona ke loaʻa .
• E mālama i kēia lāʻau lapaʻau mai ka ʻaihue ʻia no ka mea hiki ke hoʻohana hewa ʻia.
• Mai hoʻohana ma hope o ka lā pau.
• E hoʻolei pono i kekahi lāʻau lapaʻau i koe. ʻOi aku ka maikaʻi o ka hāʻawi ʻana aku i kahi kahua hoʻolei kūhelu. Inā ʻaʻole hiki kēia, e hoʻolei i lalo i ka lua.