Ke ʻeha nei paha ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui a lōʻihi. Malia paha ua hāʻawi kāu kauka iā ʻoe i nā lāʻau ʻeha ʻē aʻe he nui, ʻaʻohe o lākou i kōkua maoli. ʻO ia ka manawa e kuhikuhi ai ke kauka i kahi lāʻau i kapa ʻia ʻo morphine. He lāʻau ʻeha ikaika loa ia. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau, pehea e hoʻohana ʻia ai, a me kāna mea e hiki ai ke hana.
He aha kēia morphine hoʻokuʻu mau ʻia?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kūikawā ka morphine i hoʻohana ʻia e kāohi i ka ʻeha nui a mau loa. No loko ia o kahi hui o nā lāʻau hoʻomaha ʻeha ikaika i kapa ʻia ʻo opioids. Hana kēia lāʻau lapaʻau ma ke kāohi ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo. Hoʻemi kēia i ka ʻeha a mākou e manaʻo nei.
Ua ʻike paha ʻoe ua ʻōlelo ʻia ka inoa o kēia lāʻau lapaʻau ʻo 'Sustained-Release'. ʻO ke ʻano kēia, ke lawe ʻoe i kēia lāʻau lapaʻau, e hoʻokuʻu mālie ʻia ka lāʻau lapaʻau i loko o ke kino a mau no kekahi mau hola, ʻo ia hoʻi he hana lōʻihi ia . No laila, hoʻohana ʻia no ka ʻeha lōʻihi, ʻaʻole no ka ʻeha koke.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Pono kāu kauka e ʻike i kou mōʻaukala olakino piha ma mua o ke kau ʻana i kēia lāʻau lapaʻau. Pono ʻoe e haʻi aku i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
- Inā he puʻupuʻu lolo kou
- Inā ʻoe a ua lilo paha i mea hoʻohana i nā lāʻau lapaʻau a i ʻole ka waiʻona
- Inā ua loaʻa iā ʻoe kahi ʻeha poʻo nui
- Inā he maʻi puʻuwai kou
- Inā he mea inu mau ʻoe
- Inā hana ʻole nā kele adrenal
- Inā loaʻa iā ʻoe ka maʻi māmā, ka hānō, a i ʻole nā pilikia hanu ʻē aʻe
- Inā loaʻa iā ʻoe nā hopu ʻana
- Inā he mau pilikia ʻōpū a ʻōpū paha kou
- 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 i ʻole nā mea hoʻoluʻu artificial.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana
He mea nui loa no kou palekana ke ʻōlelo i kēia mau mea me ka hūnā ʻole ʻana.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
Ma muli o ka mana o kēia lāʻau lapaʻau, he mea nui loa ia e lawe i ka nui kūpono i ka manawa kūpono, e like me ka ʻōlelo a ke kauka.
- E ale i kēia capsule me kahi aniani wai.
- Mai uhaʻi, wili, a nau paha i ke capsule. ʻO ka hana ʻana pēlā e hiki ai i ke kino ke omo i nā lāʻau lapaʻau a pau e pono ai no ka manawa lōʻihi, e hopena ai i ka overdose weliweli.
- Inā paʻakikī ke hoʻomaopopo i ka lāʻau lapaʻau, e lawe me ka ʻai a i ʻole ke aniani waiū.
- Inā pilikia ʻoe i ke ale ʻana i ke kāpule, e wehe pono i ke kāpule a hoʻohui i nā hua liʻiliʻi i loko, me kahi ʻāpala anu . A laila e ale i ka ʻāpala me ka ʻole o ka nau ʻana . Mai mālama no ka wā ma hope. Mai waiho i ke kāpule i loko o kou waha. Ma hope o ke ale ʻana, e holoi i kou waha me ka wai a ale i ka wai.
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Mai lawe ʻoe ma mua o ka nui i kuhikuhi ʻia e kāu kauka.
Ka nui loa o ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila kokoke loa. Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā 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 lāʻau lapaʻau i ka manawa hoʻokahi.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
Hiki i kekahi mau lāʻau lapaʻau ke hana i nā hopena weliweli ke lawe ʻia me ka morphine, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me ka morphine | |
|---|---|
| Linezolid | Polū Methylene |
| Nā MAOI (e.g. Marplan, Nardil, Parnate) | Samidorphan |
Eia kekahi, hiki i ka morphine ke launa pū me kēia mau mea:
- ʻAila
- Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻūlū a me ke anu (Antihistamine)
- Lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me ka amitriptyline, fluoxetine)
- ʻO kekahi mau lāʻau lapaʻau no ka migraines
- ʻO kekahi mau lāʻau lapaʻau no ka luaʻi ʻana
- Nā mea hoʻomaha ʻiʻo
- Nā lāʻau ʻeha ikaika ʻē aʻe a i ʻole nā lāʻau lapaʻau ʻūlū
- Nā lāʻau lapaʻau
- Nā lāʻau hoʻomaʻamaʻa laulā
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau kuʻuna) , a inā ʻoe e puhipaka ana, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E makaʻala i ka ʻeha: Inā ʻaʻole e nalowale kou ʻeha ma hope o ka lawe ʻana i ka lāʻau lapaʻau, inā e ʻoi aku ka ʻino, a inā he ʻano ʻeha hou kou, e haʻi i kāu kauka. I ka hala ʻana o ka manawa, ʻaʻole paha e lawa ka nui āu i lawe ai e kāohi i kou ʻeha. Ua kapa ʻia kēia he hoʻomohala ʻana i ka hoʻomanawanui. He mea maʻamau kēia.
- ʻO ka ʻokoʻa ma waena o ka maʻa a me ka maʻa mau: Ke hoʻomau nei ʻoe i ka lawe ʻana i kēia lāʻau lapaʻau, e maʻa kou kino iā ia. ʻAʻole kēia manaʻo ua maʻa ʻoe iā ia. ʻO ka maʻa ka hana o ka lawe ʻana i ka lāʻau lapaʻau no ke kumu o ka kiʻekiʻe me ke kumu ʻole o ke olakino. Loaʻa iā ʻoe ke kumu olakino no ka lawe ʻana i ka lāʻau lapaʻau no ka mea ke ʻeha nei ʻoe.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau: Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hōʻailona i ka haʻalele ʻana. Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻemi mālie kāu kauka i ka nui.
- E ʻike e pili ana iā Naloxone: He lāʻau lapaʻau ulia pōpilikia kēia e hoʻōla ola ai i hāʻawi ʻia i ka wā e loaʻa ai ka overdose opioid. E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka loaʻa ʻana. E makaʻala i nā hōʻailona o ka overdose (paʻakikī ka hanu ʻana, hiamoe nui, nalowale o ka ʻike). E hoʻomaopopo i kou ʻohana e pili ana i kēia a haʻi iā lākou i kahi o kēia lāʻau lapaʻau a pehea e hoʻohana ai. ʻOiai ma hope o ka hāʻawi ʻana iā Naloxone, he mea nui ka hoʻokipa koke ʻia ʻana.
- Hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu. No laila, 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. Inā he ʻelemakule ʻoe, mai ala koke a noho koke paha.
- 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 haʻi i kāu kauka.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| 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) | Hanu lohi a papau paha, paʻakikī ka hanu ʻana, hiamoe nui, huikau. |
| Hoʻemi ʻia ka hana adrenal | Ka luaʻi, ka nele o ka makemake e ʻai, ka nāwaliwali kūikawā, ka poniuniu. |
| Ke koko haʻahaʻa | Pōʻino, ʻike maka pōʻeleʻele, maule. |
| Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike ʻia inā hoʻomau lākou) | |
| Ka paʻa ʻana o ka ʻōpū | Pōniuniu, hiamoe, waha maloʻo, ʻeha poʻo, nausea, luaʻi. |
Pehea e pale ai a wehe i ka lāʻau lapaʻau?
- E mālama pono, mai ka hiki ʻana aku o nā keiki a me nā holoholona. He lāʻau lapaʻau ikaika loa kēia. Hiki ke make inā lawe kekahi, ʻoiai he keiki.
- E pale i kēia lāʻau lapaʻau mai ka ʻaihue ʻia .
- E hoʻolei i nā lāʻau lapaʻau i pau ka lā a i ʻole i hoʻohana ʻole ʻia ma ke ʻano kūpono. Inā ʻaʻole hiki kēia, e hoʻolei i lalo i ka lua.
Leka Lawe-Home
- He lāʻau lapaʻau ikaika kēia no ka ʻeha nui a lōʻihi. E hoʻohana pono e like me ka ʻōlelo a kāu kauka.
- Mai uhaʻi, kuʻi, a nau paha i ke capsule. E ale holoʻokoʻa.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, ʻoiai ka waiʻona.
- E pale i ka hoʻokele kaʻa ʻana no ka mea hiki ke hoʻohiamoe.
- E makaʻala i nā hōʻailona o ka overdose. Inā kānalua ʻoe i kēlā mea, e hele koke i ka Emergency Treatment Unit (ETU).
- E mālama i ka lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona.











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