E aʻo kākou e pili ana i nā hōʻailona haʻalele e kū mai ana ke hoʻōki ʻoe i ka hoʻohana ʻana i nā opioids!

Ua lohe paha ʻoe, a ua ʻike paha ʻoe iā ʻoe iho, he mea paʻakikī loa ka hoʻōki ʻana i kekahi mau lāʻau ʻeha a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe. Hiki iā ʻoe ke manaʻo i ka poniuniu, ka māmā o ke poʻo, a me ka poniuniu. ʻO ia ka mea e hana ʻia ke hoʻōki koke ʻoe i ka lawe ʻana i nā opioids. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī.

He aha kēia mau opioids? No ke aha i paʻakikī ai ke hoʻōki?

I ka ʻōlelo maʻalahi, he hui nā opioids o nā lāʻau ʻeha ikaika loa. Loaʻa maoli kekahi i loko o ka lāʻau poppy (Opiates), e like me ka morphine. Hana ʻia kekahi i loko o nā keʻena hoʻokolohua (Opioids), e like me ka oxycodone a me ka hydrocodone. ʻO Heroin, kahi a kekahi poʻe e hoʻohana ai ma ke ʻano he lāʻau lapaʻau, no kēia hui pū kekahi.

Kōkua maoli kēia i ka hōʻemi ʻana i ka ʻeha. Eia nō naʻe, he mea hoʻopili nui lākou. I kekahi manawa, ma hope o kahi ulia a i ʻole kahi ʻoki kino nui, ʻoiai inā hāʻawi ke kauka iā ʻoe i kēia lāʻau lapaʻau no kahi manawa pōkole, hiki i kou kino ke maʻa iā ia. Ke maʻa ʻoe iā ia, hoʻomaka ʻoe e loaʻa nā pilikia ke hoʻōki ʻoe i ka lawe ʻana. ʻO kēia ka mea a mākou e kapa nei ʻo Opioid Withdrawal Syndrome.

Hoʻopilikia kēia kūlana haʻalele ʻana i ka poʻe e hoʻohana nei i kēia mau lāʻau i kēlā me kēia lā no nā pule ʻelua a ʻoi aku, a ʻoi aku hoʻi no nā lā he 90 a ʻoi aku (3 mahina), ma mua o kekahi mau lā wale nō.

ʻO ka mea nui, ʻaʻole ia he mea hoʻoweliweli i ke ola nā hōʻailona haʻalele. Eia nō naʻe, hiki iā lākou ke lilo i mea ʻoluʻolu ʻole loa, e like me ke anu nui. ʻO ka makaʻu i kēia mau ʻoluʻolu ʻole ke kumu e pale ai i kekahi poʻe mai ka hoʻohana ʻana iā lākou. Inā loaʻa iā ʻoe kahi maʻi hoʻohana opioid, ʻo ka loaʻa ʻana o ka lāʻau no kēia mau hōʻailona haʻalele ke kaʻina mua i ka hoʻōla ʻana.

He aha nā hōʻailona o ka haʻalele ʻana o ka opioid?

ʻAʻole like kēia mau hōʻailona no kēlā me kēia kanaka. ʻOkoʻa lākou ma muli o nā mea e like me ke ʻano o ka opioid āu i hoʻohana ai a me ka lōʻihi o kou hoʻohana ʻana. Hiki i nā hōʻailona mua ke like me ke anu nui . E nānā e ʻike inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• ʻEhaʻeha a me nā ʻāʻī o ke kino: Manaʻo ia me he mea lā e haehae ʻia ana nā ʻiʻo o ke kino.
• Hopohopo a me ka hoʻomaha ʻole: Manaʻo nui ka hoʻomaha ʻole, me he mea lā ʻaʻole hiki iā ʻoe ke noho ma kahi hoʻokahi.
• Anuanu a me ke kuni: Anuanu koke, haʻalulu, a me ke kuni.
• Ka maʻi kahe: nā ʻōpala palahalaha.
• Nā haumāna i hoʻonui ʻia .
• Hoʻonui ʻia ka nui o ka puʻuwai a me ke koko.
• Ka hou nui ʻana.
• ʻInsomnia: ʻAʻole pili i ka nui o kou hoʻāʻo ʻana, ʻaʻole hiki iā ʻoe ke hiamoe.
• Ka makemake ʻana i ka opioid a i ʻole ka makemake nui.
• Ka luaʻi a me ka luaʻi.
• Ke kahe ʻana o nā waimaka mai nā maka mai a i ʻole ka uē pinepine ʻana.

Hiki ke ʻike ʻia kekahi a ʻoi aku paha o kēia mau hōʻailona i ka manawa like.

Pehea ka lōʻihi o kēia mau pilikia?

Aia nō hoʻi ia i ke ʻano o ka opioid āu i lawe ai. No ka laʻana, inā ʻoe e lawe ana i kahi opioid hana wikiwiki e like me ka heroin a i ʻole oxycodone, hiki ke mau kēia mau hōʻailona no kahi o ʻehā a ʻelima mau lā. Eia nō naʻe, inā ʻoe e lawe ana i kahi opioid hana lōʻihi e like me ka methadone, hiki ke mau kēia mau hōʻailona no hoʻokahi pule a ʻoi aku paha.

No ke aha lā kēia e hana nei? He aha ke kumu o kēia?

E noʻonoʻo e pili ana i ia mea, ke hoʻohana mākou i kēia mau opioids no ka manawa lōʻihi, loaʻa kekahi mau loli i loko o ko mākou lolo . ʻAʻole wale kēia mau lāʻau e hōʻemi i ka ʻeha, akā hoʻololi pū i ko mākou ʻano. No laila, maʻa ko mākou kino i ka manaʻo o kēia mau lāʻau. Ke hoʻōki koke mākou i ka lawe ʻana iā lākou, ʻike ʻia kēia mau hōʻailona haʻalele ma muli o kēlā mau loli i loko o ka lolo. ʻO ia hoʻi, pane ka lolo me he mea lā ʻaʻole hiki ke ola me ka ʻole o ka lāʻau.

He aha ka mea ʻino loa e hiki ke hana ma kēia?

ʻO ka pilikia koʻikoʻi loa o kēia, ʻo ia ka overdose ulia pōpilikia ma hope o ka hoʻōki ʻana i ka hoʻohana ʻana i ka opioid a laila hoʻomaka hou. I kekahi manawa, ʻoi aku ka koʻikoʻi o kēia mau hōʻailona haʻalele ʻana i hiki ʻole i nā kānaka ke hoʻomanawanui i ka ʻeha a hoʻohana hou i ka lāʻau. Hoʻonui kēia i ka pilikia o ka overdose, no ka mea, ʻaʻole hiki i ke kino ke ʻae i ka nui like o nā opioids e like me ma mua.

Pehea e ʻike maopopo ai ke kauka he Opioid Withdrawal kēia?

E nānā ke kauka iā ʻoe. Hiki iā lākou ke hana i kahi hoʻāʻo koko e nānā i nā lāʻau lapaʻau. E nīnau pū lākou iā ʻoe i kēia mau nīnau:

• Ua ʻike mua ʻia ʻoe me ka Opioid Use Disorder?
• He aha ke ʻano opioid āu i hoʻohana ai?
• I ka manawa hea ʻoe i hoʻōki ai i ka lawe ʻana?
• He aha nā hōʻailona āu e ʻike nei i kēia manawa?
• I ka manawa hea i hoʻomaka ai kēlā mau hōʻailona?
• Ua ʻike anei ʻoe i ka haʻalele ʻana e like me kēia ma mua?

He mea nui loa e pane pololei i kēia mau nīnau.

He aha nā lāʻau lapaʻau no kēia? Hiki iaʻu ke loaʻa ka hōʻoluʻolu?

ʻAe, aia nō nā lāʻau lapaʻau no kēia. E kuhikuhi nā kauka i nā lāʻau lapaʻau no nā hōʻailona kikoʻī āu e loaʻa nei. Eia kekahi laʻana, no nā mea e like me ka maʻi pākī, nā ʻeha ʻiʻo, a pēlā aku.

E kamaʻilio pū lākou me ʻoe e pili ana i kāu hoʻohana ʻana i ka opioid a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo no ka pehea e wehe ai iā ʻoe iho mai ia mea a pale aku i nā hōʻailona haʻalele. No ka laʻana, inā ʻoe e lawe ana i kahi opioid i kuhikuhi ʻia e kāu kauka no ka ʻeha ma hope o ke ʻoki ʻana, e kōkua kāu kauka iā ʻoe e hoʻēmi mālie i ka lāʻau lapaʻau ma mua o ka hoʻōki ʻana i ka manawa hoʻokahi.

Inā loaʻa iā ʻoe, a manaʻo paha he loaʻa iā ʻoe kahi maʻi hoʻohana opioid, e nīnau kāu kauka iā ʻoe:Ke makemake nei ʻoe e ʻimi i nā lawelawe aʻoaʻo e like me ka Cognitive Behavioral Therapy (CBT)?

Eia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka hōʻoluʻolu i nā hōʻailona haʻalele:

• No ka maʻi opioid: Buprenorphine (Subutex®). Hāʻawi pinepine ʻia kēia ma ke ʻano he pila, akā hiki ke hāʻawi ʻia ma ke ʻano he inikini. I kekahi manawa ua hui pū ʻia ka buprenorphine a me ka opioid blocker naloxone (Suboxone® a i ʻole Zubsolv®). Hāʻawi pū ʻia ka Methadone (Dolophine® a i ʻole Methadose®).
• No nā ʻeha ʻōpū a me ka maʻi diarrhea: Clonidine (Catapres®). Kōkua pū kēia me ke koko kiʻekiʻe e piʻi aʻe ana i ka wā o ka haʻalele ʻana. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ma luna o ke kūʻai aku no ka maʻi diarrhea.
• No ka hiamoe ʻole: Trazodone (Desyrel®), Doxepin (Silenor®) a i ʻole Mirtazapine (Remeron®).
• No ka nausea a me ka luaʻi: ​​Ondansetron (Zofran ODT®), Prochlorperazine (Compazine®) a i ʻole Metoclopramide (Reglan®).
• No nā ʻūmiʻi ʻiʻo: Baclofen (Baclofen - Ozobax®).
• No nā ʻehaʻeha o ke kino: Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) a me ka paracetamol (Acetaminophen).

He aha kāu e manaʻo ai?

ʻO ka maʻamau, pono ʻoe e lawe i ka lāʻau lapaʻau e hōʻemi i kou makemake no nā opioids. E wehewehe kāu kauka iā ʻoe i ka lōʻihi o kou pono e lawe i kēia lāʻau lapaʻau. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe, ma ka nui kūpono, a i ka manawa kūpono.

ʻAʻole hiki ke pale ʻia kēia haʻalele ʻana i ka opioid?

ʻAʻole paha hiki ke pale loa iā ia. Eia nō naʻe, hiki iā ʻoe ke hana i nā hana e pale ai i ka hoʻomaka ʻana o nā hōʻailona koʻikoʻi. Inā ʻoe e hoʻohana ana i nā opioids no kekahi kumu a hopohopo e pili ana i ka haʻalele ʻana, e ʻimi pono i ke kōkua mai kāu kauka. Hiki iā ia ke kuhikuhi i ka lāʻau lapaʻau e kōkua i ka kaohi ʻana i kāu mau hōʻailona. Eia kekahi, ʻo ka loaʻa ʻana o ke kōkua me kēia mau hōʻailona hiki ke kōkua iā ʻoe e pale i ka hoʻomohala ʻana i kahi maʻi hoʻohana opioid, a i ʻole e kōkua iā ʻoe e hoʻomaka e hoʻōla mai ia mea.

Pehea ʻoe e kōkua ai iā ʻoe iho?

He manawa paʻakikī loa kēia, akā aia kekahi mau mea hiki iā ʻoe ke hana e kōkua:

• E lawe i kāu lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka, me ka ʻole o ka hala ʻana o hoʻokahi lāʻau. ʻO ka hala ʻana o kahi lāʻau hiki ke hoʻihoʻi i nā hōʻailona haʻalele. Hiki i kēia ke hoʻoikaika iā ʻoe e hoʻohana hou i nā opioids.
• E noʻonoʻo e pili ana i ke aʻoaʻo ʻana:Inā ʻoe e hoʻāʻo nei e haʻalele i ka hoʻohana ʻana i ka opioid, hiki ke ʻike ʻia ua lilo ʻoe i mea hoʻohana opioid, a i ʻole he maʻi hoʻohana opioid kāu. Hiki i ke kamaʻilio ʻana me kahi kākāʻōlelo no ka hoʻohana ʻana i ka opioid ke kōkua nui i kāu huakaʻi hoʻōla.
• E hoʻomaha nui: ʻOiai inā ʻoe e lawe nei i ka lāʻau lapaʻau no ka insomnia, ʻo nā hana e like me ka pale ʻana i ke kofe, ke kī, a me ka waiʻona i ka pō e hiki ke kōkua iā ʻoe e hiamoe maikaʻi.
• E inu i ka wai nui: ʻOiai inā ʻoe e lawe i ka lāʻau lapaʻau no ka maʻi pākī a me ka luaʻi ʻana, hiki nō iā ʻoe ke lilo i ka nui o ka wai mai kou kino a maloʻo loa. Hiki i kēia ke hana i ka poniuniu a me ke poʻo. No laila, e inu i nā wai he nui e like me ka wai a me ka wai huaʻai.
• E hele wāwae a hana paha i kekahi hoʻoikaika kino: E hana i kekahi mea e like me ka hele wāwae, holo, ʻauʻau, a i ʻole ke kaʻa paikikala. Ke hoʻoikaika kino mākou, hoʻokuʻu ko mākou lolo i nā hormones i kapa ʻia ʻo endorphins. Kōkua kēia i ka hōʻemi ʻana i ka ʻeha, ke kaumaha, a me ke kaumaha. ʻO ka hoʻokuʻu ʻia ʻana o nā endorphins hou aʻe hiki ke hōʻemi i ka ʻeha, ke kaumaha, a hoʻomaikaʻi i ke ʻano.

Āhea wau e ʻike ai i ke kauka?

Inā ʻoe e mālama ʻia nei no ka hoʻēmi ʻana i ka opioid, inā e ʻoi aku ka ʻino o kāu mau hōʻailona, ​​a inā makemake ʻoe e hoʻohana hou i nā opioids ma muli o ka paʻakikī, e ʻike koke i ke kauka.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Ke hiki koke mai kēia mau hōʻailona hoʻohemo opioid, nui paha kāu mau nīnau. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• Ua lawe au i ka lāʻau lapaʻau e like me ke kauoha a ke kauka. No ke aha lā wau e loaʻa nei i kēia mau hōʻailona haʻalele?
• Pono anei au e lawe i ka lāʻau lapaʻau e mālama ai i kēia mau hōʻailona?
• Ke ʻike nei anei au i kēia mau hōʻailona haʻalele ʻana he maʻi hoʻohana opioid koʻu?
• He maʻi hoʻohana opioid koʻu. Pehea e hiki ai iaʻu ke pale aku i ka hoʻohana hou ʻana i nā opioids?

Malia paha ua lawe ʻoe i nā opioids no ka hōʻoluʻolu ʻeha a ke pilikia nei ʻoe i ka hōʻemi ʻana. A i ʻole he maʻi hoʻohana opioid paha kāu a pono ʻoe i ke kōkua. Ua ʻike ʻoe i ka paʻakikī o kēia mau hōʻailona haʻalele. ʻO ka loaʻa ʻana o ka lāʻau no kēia hiki ke kōkua iā ʻoe e hoʻokele i kou ʻeha, hoʻokele i kou ʻano, a noho i waho o nā opioids. ʻOiai ke kumu āu e hoʻohana ai i nā opioids, e kamaʻilio me kāu kauka e pili ana i nā ala e pale aku ai i ka haʻalele ʻana o ka opioid, hiki ke hana ke hoʻōki ʻoe i ka lawe ʻana iā lākou.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, no laila e hoʻomanaʻo aku mākou iā ʻoe i kekahi mau mea a mākou i kamaʻilio ai a mākou e manaʻo nei he mea nui iā ʻoe.

ʻOiai he mau lāʻau hoʻomaha ʻeha ikaika nā opioids, hiki iā lākou ke hoʻopili. ʻO nā hōʻailona haʻalele e kū mai ana ke hoʻōki koke ʻoe i ka lawe ʻana iā lākou hiki ke lilo i mea ʻoluʻolu ʻole, akā ʻaʻole lākou e hoʻoweliweli i ke ola. Mai makaʻu i ka ʻeha hoʻokahi.Aia nā lāʻau lapaʻau kūpono no kēia. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka a ʻimi i ka lāʻau lapaʻau ʻepekema. E hoʻomanaʻo, ʻo ke noi ʻana i ke kōkua ʻaʻole ia he nāwaliwali, he ikaika ia. Hiki iā ʻoe ke hele ma waena o kēia huakaʻi.

ʻopioid , opiate, haʻalele ʻana, ʻona, lāʻau lapaʻau, nā hōʻailona, ​​mea hoʻopau ʻeha