I kekahi manawa, hiki i ka ʻeha a mākou e ʻike nei ke koʻikoʻi loa a hiki ʻole i nā lāʻau hoʻomaha ʻeha maʻamau ke kāohi iā ia. Loaʻa iā ʻoe kekahi ʻeha koʻikoʻi? Ke hana ʻole nā lāʻau hoʻomaha ʻeha ʻē aʻe a i ʻole ʻaʻole hiki iā ʻoe ke hoʻomanawanui iā lākou, hiki i ke kauka ke kuhikuhi iā ʻoe i kahi lāʻau lapaʻau ikaika e like me kēia. He hui pū kēia o nā lāʻau ʻelua i kapa ʻia ʻo oxycodone a me aspirin. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, maʻalahi loa.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻelua ʻano lāʻau lapaʻau.
1. Oxycodone: He lāʻau hoʻopau ʻeha ikaika kēia. I ka lāʻau lapaʻau, kapa mākou i kēia he ʻano lāʻau "Opioid". Hana ia ma ke kāohi ʻana i nā hōʻailona ʻeha i ka lolo. Ua like ia me ke pani ʻana i ke ala e lawe ana i ka leka ʻeha.
2. ʻAspirin: Ua lohe paha ʻoe i kēia. No loko ia o ka māhele o nā "NSAID". ʻO ia hoʻi ka lāʻau lapaʻau anti-inflammatory non-Steroidal. ʻO kāna hana nui ka hōʻemi ʻana i ka pehu a me ka mumū i loko o ke kino.
No laila, i ka hui pū ʻia ʻana o kēia mau mea ʻelua, loaʻa iā lākou kahi hiki ke kāohi i ka ʻeha nui . Hiki ke ʻike ʻia kēia lāʻau lapaʻau ma ka mākeke ma lalo o nā inoa e like me `(Endodan)`, `(Percodan)`.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kūlana | Wehewehena |
|---|---|
| Ke kahe ʻana o ke koko | Nā maʻi koko a i ʻole nā pilikia me ke kāpili koko. |
| Poʻo a me ka lolo | Nā puʻupuʻu lolo, nā ʻeha poʻo, nā ʻūlū. |
| ʻŌnaehana hoʻoheheʻe | ʻO nā ʻōpū ʻōpū, nā maʻi ʻōpū, ka paʻa pinepine ʻana. |
| ʻŌnaehana hanu | Maʻi akemāmā, hānō, a i ʻole nā pilikia hanu ʻē aʻe. |
| Nā kūlana olakino ʻē aʻe | Maʻi puʻuwai, hoʻemi ʻia ka hana o nā kelepa adrenal. |
| ʻAno nohona | Inu pinepine ʻana i ka waiʻona, hoʻohana ʻana i nā lāʻau ʻē aʻe (Substance use disorder). |
| Nā lāʻau lapaʻau ʻē aʻe | Inā ua lawe ʻoe i nā lāʻau MAOI (e.g. Parnate, Nardil) i nā lā 14 i hala. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka aspirin, oxycodone, a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Nā hanana kūikawā | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea e hoʻohana pono ai i kēia lāʻau lapaʻau?
- E lawe i kēia pila me ke aniani wai .
- E lawe iā ia e like me ke kauoha a ke kauka, i ka manawa kūpono.
- Inā ʻeha kou ʻōpū, e lawe pū me ka meaʻai . A i ʻole he mea ʻole inā lawe ʻoe ma mua a ma hope paha o ka ʻai ʻana.
- E hoʻomau i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki koke.
- ʻOi aku ka maʻalahi o ka poʻe ma luna o 65 mau makahiki i nā hopena o kēia lāʻau lapaʻau, no laila e kuhikuhi ʻia paha lākou i kahi mahele haʻahaʻa.
- ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki . No laila, e pale i ka hāʻawi ʻana i nā keiki.
ʻŌlelo Aʻo: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
He aha ka mea e hana ai inā piʻi ka nui o ka lāʻau (overdose)?
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e hana koke . Inā hiki, e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Halemai Pilikia (ETU) kokoke loa i ka hikiwawe. He mea kēia ʻaʻole pono e hoʻopaneʻe ʻia.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, ʻoiaʻiʻo nō. Nui ka manawa kūpono e launa pū ai kēia lāʻau me nā lāʻau ʻē aʻe. No laila e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe ai, me nā huaora a me nā huahana lāʻau.
| Mai lawe pū me kēia mau lāʻau lapaʻau! | |
|---|---|
| ʻO Cidofovir | ʻO Defibrotide |
| ʻO Ketorolac | ʻO Methotrexate |
| ʻO Probenecid | |
| E akahele loa i ka wā e hoʻohana pū ʻia ai kēia mau lāʻau. | |
| ʻAila | Hiki ke loaʻa ka hiamoe nui a me ka pilikia o ka hanu ʻana. |
| Nā mea ʻeha ʻē aʻe | ʻO nā NSAID e like me Ibuprofen a me Naproxen, a me nā lāʻau ʻeha opioid ʻē aʻe. |
| Nā lāʻau anticoagulant | Nā lāʻau lapaʻau e like me Warfarin, Apixaban, Rivaroxaban. |
| Nā lāʻau lapaʻau no ka maʻi noʻonoʻo | Nā lāʻau lapaʻau no ke kaumaha a me ka hopohopo. |
| Nā lāʻau lapaʻau no ka hiamoe ʻole | Hiki ke ʻike ʻia ka hiamoe a me ka lohi o ka hanu ʻana. |
| Nā lāʻau lapaʻau no nā maʻi allergies | He nui nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (antihistamine). |
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
E pili ana i ka ʻeha a me ka nui o ka lāʻau lapaʻau
Ke lawe ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, hiki i kou kino ke maʻa iā ia (hoʻomanawanui). ʻO ke ʻano kēia e pono paha ʻoe i kahi mahele kiʻekiʻe iki aʻe e kāohi i kou ʻeha ma mua o ka wā ma mua. He mea maʻamau kēia. ʻAʻole kēia manaʻo ua "addicted" ʻoe i ka lāʻau lapaʻau. ʻO ka addiction ka hoʻohana ʻana i kahi lāʻau lapaʻau me ke kumu ʻole o ke olakino. No ka mea ua ʻeha ʻoe, loaʻa iā ʻoe ke kumu olakino e lawe ai i kēia lāʻau lapaʻau.
ʻO ka mea nui loa , ʻaʻole e hoʻōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hōʻailona haʻalele koʻikoʻi. Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau, e hōʻemi mālie kāu kauka i ka nui.
Ka hiamoe, nā pilikia hanu a me Naloxone
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu iā ʻoe. No laila , e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia kūlana.
Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe e hoʻohiamoe ai iā ʻoe (e like me nā lāʻau hiamoe, nā lāʻau hoʻomaha), aia kahi pilikia o ka hanu lohi loa (CNS depression). Inā pilikia ʻoe i ka hanu ʻana, luhi ʻē, a hiamoe loa paha ʻaʻole hiki iā ʻoe ke ala aʻe , he pilikia ia. E hele koke i ka haukapila. ʻO ka `(Naloxone)` kahi lāʻau lapaʻau pilikia no ka `(Opioid)` overdose. E nīnau i kāu kauka e pili ana i kēia.
Nā pilikia ʻōpū
- Paʻa ʻōpū: He hopena maʻamau kēia o kēia lāʻau lapaʻau. Inā ʻaʻole ʻoe i neʻe i ka ʻōpū no 3 mau lā, e kāhea i kāu kauka.
- Nā ʻōpū ʻōpū a me ke kahe koko:Hiki i kēia lāʻau lapaʻau ke hoʻoulu i nā ʻōpū ʻeha a me ke kahe ʻana o ke koko. Hiki ke hana ʻia kēia me ka ʻole o ka ʻōlelo aʻo . Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū, ka luaʻi ʻana i ke koko, ka luaʻi ʻana i kahi mea e like me ke kofe lepo, a i ʻole nā ʻeleʻele lepo, e ʻimi koke i ke kōkua lapaʻau.
Nā mea nui ʻē aʻe
- Nā hopena ʻili: I kekahi manawa, ʻoiai he mau pule ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, hiki ke loaʻa nā pehu poni a ʻulaʻula paha a i ʻole ka ʻili ʻili me ke kuni, nā ʻeha kino, a me ka ʻulaʻula. Inā hana kēia, e ʻike koke i ke kauka.
- Hāpai: ʻO ka lawe ʻana i kēia lāʻau lapaʻau i ka wā hāpai hiki ke hana i nā kīnā hānau koʻikoʻi i ka pēpē. No laila, ʻo nā wahine hāpai a me ka poʻe e manaʻolana ana e hāpai e kamaʻilio me kā lākou kauka e pili ana i kēia.
- 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 i ʻole ka inu ʻana i ka wai he nui ke kōkua.
He aha nā hopena ʻaoʻao e hiki mai ana?
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke kahe ʻana o ke koko | ʻO ka ʻōpala ʻeleʻele a koko paha, ka luaʻi ʻana i ke koko a i ʻole kahi mea e like me ke kofe lepo, ka mimi ʻeleʻele/ʻulaʻula. |
| Paʻakikī ka hanu ʻana | Hanu lohi, paʻakikī ka hanu ʻana, hiamoe loa, ʻike ʻole i ka ʻike. |
| Nā pilikia o ka puʻupaʻa a i ʻole ke akepaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a me nā wāwae, ka melemele ʻana o nā maka a i ʻole ka ʻili, a me ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. |
| Poho lohe | Ke kani ʻana o nā pepeiao a i ʻole ka nalowale o ka lohe. |
| Mea maʻamau (akā e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha) | |
| Ka paʻa ʻana o ka ʻōpū | Pōʻino, hiamoe |
| Waha maloʻo | ʻEha ke poʻo, nalowale ka makemake |
| Ka luaʻi, ka luaʻi | ʻO ka ʻeha o ka ʻōpū |
Leka Lawe-Home
- He lāʻau lapaʻau ikaika kēia no ka ʻeha nui. E hoʻohana e like me ke kuhikuhi a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā maʻi āu e loaʻa nei.
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi, a e mālama iā ia ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona.
- Inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, nā ʻōpala ʻeleʻele, a i ʻole ka luaʻi ʻana i ke koko, e ʻimi koke i ke kōkua lapaʻau.
- Mai hoʻōki koke i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- He mea nui loa ia no kou palekana e pale i ka inu ʻana i ka waiʻona a me ka hoʻokele ʻana i ka wā e lawe ana i kēia lāʻau.
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