I kekahi manawa, ua koʻikoʻi loa ka ʻeha a mākou e ʻike nei a hiki ʻole ke kāohi ʻia me nā lāʻau ʻeha maʻamau. No ia ʻeha koʻikoʻi, inā ma hope o kahi ʻoki kino a i ʻole ma muli o kekahi kūlana olakino, kuhikuhi pinepine nā kauka i kahi lāʻau lapaʻau kūikawā. ʻO kekahi o ia mau lāʻau lapaʻau ʻo Oxymorphone. ʻOiai he lāʻau ʻeha ikaika loa kēia, he mea nui loa ia e ʻike pono kākou e pili ana i ia mea.
He aha ke ʻano lāʻau lapaʻau kēia ʻOxymorphone?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Oxymorphone i hoʻohana ʻia e hōʻoluʻolu i ka ʻeha nui . Hoʻomaʻamaʻa pinepine nā kauka iā ia ke hana ʻole nā lāʻau ʻeha ʻē aʻe, a i ʻole ke hiki ʻole i ke kino ke ʻae i ka lāʻau lapaʻau.
Hana kēia ma ke ālai ʻana i nā hōʻailona ʻeha e hele ana i kou lolo. No kahi hui o nā lāʻau ʻeha ikaika i kapa ʻia ʻo opioids . No laila, pono ʻoe e makaʻala loa i ka wā e hoʻohana ai.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
No ka mea he lāʻau lapaʻau ikaika loa kēia, he mea nui loa ia e hāʻawi i kāu kauka i kahi moʻolelo piha o kou olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā he ʻeha poʻo kou a he puʻupuʻu lolo paha
- Inā he lāʻau lapaʻau a waiʻona paha kou
- Maʻi puʻuwai, maʻi puʻupaʻa, a maʻi akepaʻa paha
- Ka maʻi o ka māmā, ka hānō, a i ʻole nā pilikia hanu ʻē aʻe
- Inā he mea inu mau ʻoe
- Inā loaʻa iā ʻoe nā hopu ʻana
- Nā pilikia ʻōpū
- Paʻakikī ke mimi
- Inā ua hoʻohana ʻoe i kahi antidepressant MAOI (e.g. Marplan, Nardil, Parnate) i loko o nā lā 14 i hala
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka oxymorphone a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha a me ka nui e hāʻawi ai.
ʻO ke ala kūpono e hoʻohana ai i kēia lāʻau lapaʻau
He mea nui e hahai i nā ʻōlelo a ke kauka i ka wā e hoʻohana ai i kēia.
- E ale i kēia pila me ke aniani wai.
- E lawe i kēia ma ka ʻōpū ʻole, ma kahi o hoʻokahi hola ma mua a ʻelua paha hola ma hope o ka ʻai ʻana . Mai lawe pū me ka meaʻai.
- E lawe i kāu lāʻau lapaʻau i ka manawa kūpono, i nā wā kūpono. Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia e kāu kauka.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
Hoʻolohe:Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo.
Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
He aha inā e hala wau i kahi manawa hoʻonohonoho 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 pālua i ka lāʻau lapaʻau.
Loaʻa anei kēia i ka hopena me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, he lāʻau lapaʻau ʻo Oxymorphone e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau lāʻau). Hiki iā ia ke launa pū me nā lāʻau lapaʻau aʻe:
| Māhele lāʻau lapaʻau | Ka wehewehe a me nā laʻana |
|---|---|
| ʻAila | ʻO kēlā me kēia ʻano waiʻona. |
| Nā lāʻau hoʻomaha a me nā lāʻau hiamoe | Lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe ʻole. |
| Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu | Lāʻau antihistamine. |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha | E like me: amitriptyline, fluoxetine, sertraline |
| Nā mea hoʻomaha ʻeha ikaika ʻē aʻe | ʻO nā lāʻau ʻeha opioid ʻē aʻe a i ʻole nā syrup cough. |
| Nā lāʻau hoʻomaha | Nā anesthetics i hoʻohana ʻia no ke ʻoki kino. |
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
- ʻEha a me ke ahonui: E haʻi i kāu kauka inā ʻaʻole e nalowale kou ʻeha, e ʻoi aku ka ʻino, a i ʻole he ʻano ʻeha hou kāu. Ma hope o ka lawe ʻana i kēia lāʻau lapaʻau no kekahi manawa, e ʻike paha ʻoe ʻaʻole lawa ka nui o ka lāʻau i hana ma mua. ʻO ia hoʻi, pono ʻoe i kahi nui kiʻekiʻe iki e kāohi i kou ʻeha. Ua kapa ʻia kēia he ahonui . He mea maʻamau kēia, no laila mai hopohopo. Akā, pono ʻoe e haʻi i kāu kauka e pili ana i kēia.
- ʻAʻai ʻona a me ka hoʻomaʻamaʻa kino: Ua maʻa kou kino i kēia lāʻau lapaʻau. ʻAʻole kēia manaʻo ua 'ʻai ʻia' ʻoe iā ia. ʻO ka ʻai ʻona ka hoʻohana ʻana i kahi lāʻau lapaʻau no kekahi kumu ʻē aʻe ma mua o ke kumu lapaʻau. Loaʻa iā ʻoe ke kumu lapaʻau no ka lawe ʻana i kēia lāʻau lapaʻau no ka mea ke ʻeha nei ʻoe.
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i kona hopena iā ʻoe. E hana mālie i kēia mau mea, no ka mea, e poniuniu paha ʻoe ke kū aʻe a noho koke paha. E pale i ka inu ʻana i ka waiʻona.
- Paʻa ʻōpū: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o 3 mau lā, e kāhea i kāu kauka.
- Naloxone: He lāʻau lapaʻau ulia pōpilikia ʻo Naloxone i hāʻawi ʻia e hoʻohuli i nā hopena o ka overdose opioid. He mea nui i nā ʻohana e noho pū ana me kekahi e lawe ana i kēia lāʻau lapaʻau e makaʻala i kēia. ʻOiai ma hope o ka hāʻawi ʻia ʻana o Naloxone, he mea nui ka hoʻokipa koke ʻia ʻana i ka haukapila .
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Inā loaʻa iā ʻoe kekahi o nā hopena ʻaoʻao koʻikoʻi i helu ʻia ma ka papa ma lalo nei, e ʻimi koke i ke kōkua lapaʻau.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| 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 emi ʻana o ka hana o ka ʻōnaehana nerve waena (CNS depression) | Hanu lohi a papau paha, hiamoe nui, ʻike ʻole i ka ʻike, huikau. |
| Ka hana emi ʻana o nā kelepa adrenal | Ka luaʻi, ka nele o ka makemake e ʻai, ka nāwaliwali kūikawā, ka poniuniu. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā hopena ʻaoʻao ʻaʻole pono ke mālama lapaʻau (akā e haʻi i kāu kauka inā hoʻomau lākou a hoʻopilikia paha) | |
| Ke ālai ʻia | Ka paʻa ʻana o ka ʻōpū |
| Pōʻino a me ka hiamoe | Pōʻino, hiamoe |
| Waha maloʻo | Waha maloʻo |
| Ka luaʻi, ka luaʻi ʻana, ka ʻeha poʻo | Ka luaʻi, ka luaʻi ʻana, ka ʻeha poʻo |
Pehea e mālama pono ai i ka lāʻau lapaʻau?
No ka mea he lāʻau lapaʻau ikaika loa kēia, ʻo kou kuleana ia e mālama pono iā ia.
- E mālama ʻia mai ka hiki ʻana aku o nā keiki a me nā holoholona. Hiki i kēia lāʻau lapaʻau ke make inā lawe ʻia e kahi keiki a i ʻole kekahi pākeke ʻē aʻe.
- He lāʻau lapaʻau kēia hiki ke hoʻohana hewa ʻia . No laila, e hoʻopaʻa iā ia ma kahi palekana e pale aku ai mai ka ʻaihue ʻia.
- He mea nui e hoʻolei pono i nā lāʻau lapaʻau i hoʻohana ʻole ʻia. Inā ʻaʻole hiki kēia, e hoʻolei i lalo i ka lua. ʻO kēia ke pale aku i ka hiki ke loaʻa nā ulia make inā hāʻule kēia lāʻau lapaʻau i nā lima hewa.
- Mai hoʻohana i ka lāʻau lapaʻau ma hope o ka lā pau.
Leka Lawe-Home
- He lāʻau hoʻopau ʻeha ikaika ʻo Oxymorphone, no laila e lawe mau ia e like me ke kauoha a kāu kauka, a ma ka nui wale nō i kauoha ʻia .
- E haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi . He mea weliweli loa ia a he kū ʻole i ke kānāwai.
- Mai hoʻōki koke i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe nā hopena ʻino e like me ka paʻakikī o ka hanu ʻana, ka hiamoe nui, a i ʻole ka huikau, e hele koke i ka ETU .
- E mālama mau i ka lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki.
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