I kekahi manawa, ʻike mākou i ka ʻeha nui i hiki ʻole ke kāohi ʻia me nā lāʻau hoʻomaha ʻeha maʻamau. No ka laʻana, ma hope o kahi ʻoki kino nui, a i ʻole ma muli o kahi maʻi e like me ke kanesa ... I kēlā mau hihia, inā ʻaʻole hiki iā ʻoe ke ʻae i nā lāʻau hoʻomaha ʻeha ʻē aʻe a inā ʻaʻole i kāohi ʻia ka ʻeha e lākou, he lāʻau hoʻomaha ʻeha ikaika ka morphine a nā kauka e ʻōlelo nei. I kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ka hāʻawi ʻana i kēia morphine ma ke ala rectal, ʻo ia hoʻi, ma ke ʻano he nila liʻiliʻi (suppository) i kau ʻia i loko o ka rectum.
I ka ʻōlelo maʻalahi, he aha kēia morphine?
He lāʻau hoʻopau ʻeha ikaika loa ka Morphine. I ka pololei, no kahi hui o nā lāʻau i kapa ʻia ʻo opioids . Hana ia ma ke kāohi ʻana i nā hōʻailona ʻeha i ko mākou lolo, e kaohi ana i ka ʻeha a mākou e manaʻo nei. Hoʻohana pinepine ʻia ia no ka ʻeha nui loa i hiki ʻole ke kaohi ʻia e kekahi lāʻau hoʻopau ʻeha ʻē aʻe. Hiki ke hoʻohana ʻia kēia lāʻau no nā kūlana olakino ʻē aʻe. Inā he mau nīnau kāu e pili ana i ia mea, hiki iā ʻoe ke nīnau i kāu 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 ke kuhikuhi ʻana i ka morphine iā ʻoe, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā he puʻupuʻu lolo kou.
- Inā ʻoe e hoʻopili ʻia i nā lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau ʻē aʻe a i ʻole he moʻolelo o ka hoʻopili ʻana.
- Ka maʻi ʻōpū.
- Inā he ʻeha poʻo.
- Maʻi puʻuwai.
- Inā he mea inu mau ʻoe.
- Maʻi puʻupaʻa a i ʻole ke akepaʻa.
- Inā hana ʻole ka ʻili adrenal.
- Maʻi akemāmā, hānō, a i ʻole nā pilikia hanu ʻē aʻe.
- Maʻi pancreatic.
- Ka paʻakikī i ka ale ʻana a i ʻole ka hopu ʻana.
- Nā pilikia o ka ʻōpū a i ʻole ka naʻau.
- Inā ua lawe ʻoe i kahi ʻano antidepressant i kapa ʻia ʻo MAOI (e like me Marplan, Nardil, Parnate) i loko o nā lā 14 i hala.
- Ka maʻi thyroid.
- Paʻakikī i ka mimi ʻana.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka morphine a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa ia e ʻike pehea e hoʻohana pono ai i kēia mea.
1. No ka hoʻohana rectal wale nō kēia lāʻau lapaʻau. Mai lawe waha no kekahi kumu.
2. E holoi pono i kou mau lima me ke kopa ma mua a ma hope o ka hoʻohana ʻana.
3. Wehe i ka pepa alumini e ʻōwili ana a puni ka lāʻau lapaʻau.
4. E hoʻomaʻū i ka wēlau o ka lāʻau lapaʻau me ka wai maʻemaʻe. E maʻalahi kēia i ka hoʻokomo ʻana.
5. E moe ma kou ʻaoʻao ma kahi moe. E hoʻomau i kou wāwae lalo i pololei a kulou i kou wāwae luna i kou ʻōpū.
6. E hāpai iki i kou puʻupuʻu luna e hōʻike i ka anus.
7. E hoʻokomo mālie i ka lāʻau lapaʻau a hiki i loko o ka rectum, me ka wēlau ʻoi e hele mua.
8. E kaomi i kou mau puʻupuʻu no kekahi mau kekona.
9. A laila, e moe i lalo no kahi o 15 mau minuke. ʻO kēia ke pale aku i ka lāʻau mai ka hoʻi hou ʻana mai i waho.
10. Mai hoʻohana pinepine ma mua o ka mea i kauoha ʻia e kāu kauka.
Mea nui: Ke kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, e loaʻa iā ʻoe kahi pepa ʻike kūikawā (MedGuide) e pili ana i ia mea. E hōʻoia e heluhelu pono i kēlā me kēia manawa.
He aha inā hāʻawi ʻia kēia i nā keiki?
Pono ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, no laila e kamaʻilio me kāu kauka e pili ana i ia mea.
He aha ka mea e hana ai inā piʻi ka nui o ka lāʻau (overdose)?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻokaʻulua. 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 iā ʻoe . Hiki i kēia ke hoʻoweliweli i ke ola.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
Nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau
- Inā ʻaʻole e nalowale kou ʻeha: Inā ʻaʻole e nalowale kou ʻeha, e ʻoi aku ka ʻino, a i ʻole he ʻano ʻeha hou kou, e haʻi i kāu kauka. I ka hala ʻana o ka manawa, ʻaʻole paha e hoʻomaha hou ʻia ka ʻeha e ka nui like i hana ma mua. Ua kapa ʻia kēia he hoʻomanawanui. He mea maʻamau kēia a ʻaʻole ia he mea hoʻopilikia.
- ʻAi ʻona a me ka hoʻololi ʻana i ke kino: Hoʻomaʻamaʻa kou kino i kēia lāʻau lapaʻau. ʻAʻole kēia manaʻo ua ʻona ʻoe iā ia. ʻO ka ʻona ka hoʻohana ʻana i kahi lāʻau lapaʻau no ka leʻaleʻa me ke kumu ʻole o ke olakino. Inā ʻeha ʻoe, he mea pono ke olakino ka lawe ʻana i ka lāʻau lapaʻau. Mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau. Hiki i ka hana ʻana pēlā ke hana i nā hopena koʻikoʻi. Inā makemake ke kauka e hoʻōki i ka lāʻau lapaʻau, e hana ʻo ia pēlā ma ka hoʻēmi mālie ʻana i ka nui o ka lāʻau.
- Naloxone:He lāʻau lapaʻau ulia pōpilikia kēia e hoʻōla ola ai i hāʻawi ʻia i ka wā e loaʻa ai ka overdose opioid. E nīnau i kāu kauka e pili ana i kēia. E makaʻala i nā hōʻailona o ka overdose (paʻakikī ka hanu ʻana, hiamoe nui, hiki ʻole ke ala aʻe).
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu. No laila, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka noʻonoʻo a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. E pale i ke ala koke ʻana a i ʻole ka noho ʻana i lalo, ʻoiai inā he ʻelemakule ʻoe.
- ʻAila: Mai lawe pū i kēia lāʻau me ka ʻaila. Hiki iā ia ke hoʻololi i nā hopena o ka lāʻau a hoʻoulu i nā hopena ʻino.
- Paʻa ʻōpū: He mea maʻamau ka paʻa ʻōpū me kēia lāʻau lapaʻau. Inā ʻaʻole hiki iā ʻoe ke hele i ka lua no nā lā ʻekolu a ʻoi, e kamaʻilio me kāu kauka.
Nā hopena ʻaoʻao hiki
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao 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) | Ka hanu lohi a papau paha, ka paʻakikī o ka hanu ʻana, ka maule ʻana, ka hiamoe nui, ka paʻakikī e ala. |
| Hoʻemi ʻia ka hana adrenal | Ka luaʻi ʻana, ka nausea, ka nalowale o ka makemake e ʻai, ka nāwaliwali kūikawā, ka poniuniu. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| ʻEha rectum | ʻEha ʻōpū, kuni, a kahe koko paha ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau. |
| Nā mea e haʻi aku ai i kāu kauka inā hoʻomau a hoʻopilikia paha lākou | |
| Ka paʻa ʻana o ka ʻōpū | Hiki ke loaʻa pinepine kēia ʻano. |
| Pōʻino | |
| Hiamoe | |
| Waha maloʻo | |
| ʻEha poʻo | |
| Ka luaʻi/ka luaʻi | |
Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?
Ma muli o ka ikaika loa o kēia lāʻau lapaʻau, he mea nui loa ia e mālama pono iā ia.
- 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 lawe ʻia e kekahi, ʻoiai hoʻi he keiki.
- He lāʻau lapaʻau kēia hiki ke hoʻohana hewa ʻia, no laila e mālama iā ia ma kahi e hiki ai ke pale ʻia mai ka ʻaihue ʻia.
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He hewa kalaima ke kūʻai aku a hāʻawi aku paha i kekahi a hiki ke lilo i mea weliweli loa.
- E mālama ma ka mahana o ka lumi (ma waena o 15-25 Celsius). Mai hoʻopaʻahau.
- Mai wehe i ka lāʻau lapaʻau mai loko mai o kona ʻeke a hiki i ka manawa e hoʻohana ai.
Leka Lawe-Home
- He lāʻau hoʻopau ʻeha ikaika loa ka Morphine, no laila e lawe mau ia e like me ka ʻōlelo a kāu kauka iā ʻoe, ma ke ʻano kūpono, i ka manawa kūpono.
- Mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai (me nā huaora, nā mea kanu, a me nā mea hoʻohui).
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe a me ka poniuniu, no laila e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini.
- Inā loaʻa kahi kānalua iki o ka overdose , e hele koke i ke Kikowaena ʻIke Poisons National a i ʻole ka Halemai Emergency Department (ETU) kokoke loa.
- E hoʻopaʻa i kēia lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki. He mea nui loa kēia no kou palekana a me ko kou ʻohana.
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