I kekahi manawa, ʻoi aku ka nui o ka ʻeha a mākou e ʻike nei e hiki ʻole ke kāohi ʻia me nā lāʻau hoʻomaha ʻeha maʻamau. Hiki ke lilo i ʻeha i hoʻokumu ʻia e ke kanesa, ʻeha ma hope o ke ʻoki kino nui, a i ʻole ka ʻeha i hoʻokumu ʻia e kahi maʻi olakino lōʻihi. ʻO kēia ka manawa e kuhikuhi ai nā kauka i kahi lāʻau ikaika e like me ka morphine. ʻAʻole kēia he lāʻau hoʻomaha ʻeha wale nō. No laila, he mea nui loa ka makaʻala i kēia a hoʻohana pono.
I ka ʻōlelo maʻalahi, he aha kēia morphine?
He lāʻau lapaʻau kūikawā ka Morphine i hoʻohana ʻia e kāohi i ka ʻeha nui a lōʻihi . Hoʻomaʻamaʻa pinepine ʻia e ke kauka ke ʻole i holo pono nā lāʻau ʻeha ʻē aʻe a i ʻole kūpono ʻole. No kahi hui lāʻau i kapa ʻia ʻo opioids . I ka ʻōlelo maʻalahi, hana kēia lāʻau lapaʻau ma ke kāohi ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo.
ʻO ka mea kūikawā e pili ana i kēia, ʻo ia ka hana lohi a hāʻawi i ka hoʻomaha ʻeha lōʻihi (Sustained-Release) . No laila, ʻaʻole ia he lāʻau lapaʻau i hoʻohana ʻia no ka ʻeha koke (no ka laʻana, ka ʻeha e hiki mai ana ma hope o kahi ʻeha poʻo). Hoʻohana ʻia ia e kāohi i ka ʻeha nui a mau.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau:
ʻOiai he lāʻau lapaʻau ikaika kēia, he mea nui loa ia e ʻike pono kāu kauka i kou kūlana olakino. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
- Inā he puʻupuʻu lolo kou a he ʻeha poʻo nui paha.
- Inā he mea inu pinepine ʻoe i ka waiʻona .
- Inā he mau pilikia kou i ka hanu ʻana, e like me nā maʻi o ka māmā a i ʻole ka hānō .
- Inā hana ʻole nā kele adrenal .
- Inā he maʻi puʻuwai kou .
- Inā loaʻa iā ʻoe kahi maʻi e hoʻoulu ai i ka hopu ʻana .
- Inā he mau pilikia ʻōpū kou.
- Inā he moʻolelo kou no ka hoʻohana ʻana i nā mea ʻona .
- Inā ua lawe ʻoe i kahi lāʻau antidepressant MAOI (e.g., Carbex, Eldepryl, Marplan, Nardil, Parnate) i loko o nā lā 14 i hala.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka morphine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
He mea nui loa ia no kou palekana e haʻi i ke kauka i kēia ʻike me ka hūnā ʻole.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
E like me ka ʻōlelo a ke kauka, he mea nui e lawe i ka lāʻau lapaʻau i ka manawa kūpono.
- E ale holoʻokoʻa i ke kāpule: E ale holoʻokoʻa i kēia kāpule me kahi aniani wai.
- Mai uhaʻi, kuʻi, a nau paha: ʻO kēia ka mea nui loa. Mai uhaʻi, kuʻi, a nau paha i kēia capsule. Inā ʻoe e hana pēlā, ʻo nā lāʻau lapaʻau a pau e pono e komo mālie i loko o ke kino i ka manawa lōʻihi e komo koke i loko o ke kino, e hana ana i kahi overdose weliweli .
- Inā pilikia ʻoe i ka moni ʻana: He paʻakikī i kekahi poʻe ke moni i nā capsules. Inā pēlā, hiki iā ʻoe ke wehe pono i ke capsule, e kāwili i nā capsules liʻiliʻi i loko me kahi teaspoon o ka ʻāpala anu, a moni iā lākou a pau i ka manawa hoʻokahi me ka ʻole o ka nau ʻana . Mai mālama iā lākou no ka wā ma hope. E holoi i kou waha me ka wai ma hope o ka moni ʻana.
- Me ka meaʻai a me ka ʻole paha: Hiki ke lawe ʻia kēia lāʻau lapaʻau me ka meaʻai a me ka ʻole paha. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana i ka lāʻau lapaʻau me kekahi meaʻai.
- Mai hoʻonui i ka nui: Mai lawe ʻoe ma mua o ka nui i kauoha ʻia e kāu kauka.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka 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 i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, 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 . He pilikia kēia ʻaʻole pono e hoʻopaneʻe ʻia.
Nā lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke launa pū me kēia lāʻau lapaʻau
He lāʻau ikaika ka Morphine e hiki ke launa pū me nā lāʻau ʻē aʻe, no laila pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau).
| Nā mea hiki ke hana me ka morphine | |
|---|---|
| E pale i ka lawe ʻana i ka morphine me kēia mau mea | |
| Nā MAOI | ʻO nā lāʻau antidepressant e like me Marplan, Nardil, Parnate. |
| Nā lāʻau lapaʻau ʻē aʻe | Nā lāʻau lapaʻau e like me Linezolid, Methylene blue, Samidorphan. |
| Hiki i kēia ke hana i nā pilikia ke lawe ʻia me ka morphine (e haʻi i kāu kauka). | |
| ʻAila | Hoʻonui nui i ka hiamoe, ka poniuniu, a me ka paʻakikī o ka hanu ʻana. |
| Nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i ka hiamoe | Nā lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe, nā lāʻau lapaʻau no nā maʻi ʻaleka (antihistamine), a me nā mea hoʻomaha ʻiʻo. |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha | Nā lāʻau lapaʻau e like me Amitriptyline, Fluoxetine, Sertraline. |
| ʻĒ aʻe | ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hopu ʻana, anesthetics, diuretics, a me nā lāʻau lapaʻau ʻē aʻe he nui. |
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
ʻEha a me ke ahonui
Ke lawe ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, ʻaʻole paha e lawa ka nui like i kāohi mua i kou ʻeha. Ua kapa ʻia kēia he hoʻomanawanui . He mea maʻamau kēia. Inā manaʻo ʻoe e ʻoi aku ka ʻino o kou ʻeha, e haʻi i kāu kauka. E hoʻoponopono ʻo ia i ka nui e like me ka mea e pono ai. Mai hoʻonui i ka nui ke ʻoluʻolu ʻoe.
Ka hilinaʻi ʻana i ka lāʻau lapaʻau
Ke lawe ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, hiki i kou kino a me kou lolo ke hilinaʻi iki iā ia. ʻAʻole kēia he mea hoʻomaʻamaʻa. Hiki nō hoʻi kēia ke hana ke lawe ʻoe i ka lāʻau lapaʻau ma ke ʻōlelo aʻo a kāu kauka. Ke pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, ʻaʻole e hoʻōki koke kāu kauka i ka lawe ʻana i ka lāʻau lapaʻau, akā e hoʻēmi mālie i ka nui. E maʻalahi kēia i kou kino ke maʻa iā ia.
Lapaʻau ulia pōpilikia no ka overdose: Naloxone
Hiki i ka overdose opioid ke hoʻoweliweli i ke ola. ʻO nā hōʻailona o ka overdose e komo pū me ka hanu lohi, ka hiamoe nui, a me ka paʻakikī ke ala. ʻO Naloxone kahi lāʻau lapaʻau ulia pōpilikia e hoʻōla ola i hiki ke hāʻawi ʻia i ka hanana o ka overdose. Hoʻopaʻa ia i nā hopena o ka opioid no kekahi manawa. He mea nui e hoʻomaopopo i kou ʻohana i kēia.
Nā mea nui ʻē aʻe
- Ke hoʻokele nei: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu iā ʻoe. No laila , e pale i ka hoʻokele ʻana 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.
- Paʻa ʻōpū: ʻO ka paʻa ʻōpū kahi hopena maʻamau o kēia lāʻau lapaʻau. Inā ʻaʻole ʻoe i neʻe i ka ʻōpū no 3 mau lā, e kamaʻilio me kāu kauka. Hiki i ka inu ʻana i ka wai he nui a me ka ʻai ʻana i ka meaʻai fiber kiʻekiʻe ke kōkua.
- Waha maloʻo: Manaʻo paha ʻoe ua maloʻo kou waha. Hiki ke hoʻomalu ʻia kēia ma ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka morphine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona , e haʻi koke aku i kāu kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Ka kaumaha o ka ʻōnaehana nerve waena (kaumaha CNS) | Hanu lohi a papau paha, paʻakikī ka hanu ʻana, hiamoe nui, hiki ʻole ke ala aʻe. |
| Ke koko haʻahaʻa | Pōʻino, ʻike maka pōʻeleʻele, maule. |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao maʻamau | Paʻa ka ʻōpū, poniuniu, hiamoe, waha maloʻo, ʻeha poʻo, nausea, luaʻi. |
Pehea ʻoe e mālama ai a hoʻolei aku i ka lāʻau lapaʻau?
He mea nui loa kēia. Inā loaʻa kēia lāʻau lapaʻau i nā lima hewa, hiki ke make.
- E mālama pono: E mālama i kēia lāʻau lapaʻau ma kahi palekana a paʻa i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi .
- Mai kaʻana like: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi. He kūʻē i ke kānāwai a hiki ke hoʻoweliweli i ke ola.
- Ke hoʻolei ʻana: E hoʻolei pono i nā lāʻau lapaʻau i koe a i ʻole nā lāʻau lapaʻau i pau. Loaʻa i kekahi mau hale kūʻai lāʻau nā papahana e ʻae ana i nā lāʻau lapaʻau kahiko. A i ʻole, inā ʻaʻohe koho ʻē aʻe, e hoʻolei iā lākou i loko o ka lua.
Leka Lawe-Home
- He lāʻau ikaika ka Morphine i hāʻawi ʻia no ka ʻeha nui a lōʻihi.
- Mai uhaʻi, kuʻi, a nau paha i nā capsules. E ale holoʻokoʻa iā lākou.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā kūlana olakino, a me nā maʻi allergies āu e lawe nei.
- E makaʻala i nā hopena ʻino e like me ka paʻakikī o ka hanu ʻana a me ka hiamoe nui. Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
- E mālama i kēia lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā poʻe ʻē aʻe.
- E hahai pono i nā kuhikuhi a kāu kauka. Inā he mau nīnau kāu, e nīnau i kāu kauka.
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