I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kumuhana koʻikoʻi loa. Ua lohe paha ʻoe i kahi lāʻau i kapa ʻia ʻo `(Opioid)`. Hiki i kēia ke lilo i mau lāʻau lapaʻau a nā kauka e kuhikuhi ai i kekahi manawa e kāohi i ka ʻeha nui, a i ʻole hiki ke lilo i mau mea e like me `(Heroin)` a i ʻole `(Fentanyl)` a kekahi poʻe e hoʻohana nei me ka minamina ma ke ʻano he lāʻau lapaʻau. Eia naʻe, inā lawe nui ʻia kēia mau mea `(Opioid)`, ʻo ia hoʻi, inā lilo lākou i `(Overdose)`, hiki ke lilo i mea weliweli loa no ke ola. Akā, ua ʻike anei ʻoe, inā hoʻohana ʻia i ka manawa kūpono, aia kahi lāʻau liʻiliʻi e hiki ke hoʻopakele i kekahi mai ia ʻano `(Opioid Overdose)`? Ua kapa ʻia kēlā lāʻau lapaʻau ʻo `(Narcan)`. I kēia lā, e kamaʻilio mākou e pili ana i kēia `(Narcan)` me ka kikoʻī.
He aha ʻo Narcan? I ka pōkole...
He inoa hōʻailona maoli ʻo Narcan. ʻO Naloxone ka mea hana nui i loko. E noʻonoʻo e like me kahi mea hana ulia pōpilikia i hoʻohana ʻia i kahi hana hoʻopakele ola. Inā ua lawe nui kekahi i kahi opioid, e like me ka heroin a i ʻole fentanyl, a i ʻole kahi lāʻau ʻeha opioid i kuhikuhi ʻia e ke kauka, hiki iā Narcan ke hoʻopakele i ko lākou ola.
ʻO ka mea nui loa, he lāʻau lapaʻau ʻo Narcan e hana wale ana no ka overdose opioid. ʻAʻohe ona hopena i nā ʻano lāʻau lapaʻau ʻē aʻe.
Pehea ʻoe e hoʻohana ai iā Narcan? He paʻakikī anei?
ʻAʻole loa! ʻO kēia kekahi o nā pono nui o Narcan. ʻAʻole pono ʻoe i kekahi hoʻomaʻamaʻa lapaʻau a ʻike kūikawā paha e hoʻohana ai iā Narcan. He mea maʻalahi loa ia.
ʻElua ʻano maʻamau o Narcan:
- ʻŌpī Ihu: ʻO kēia ke ʻano maʻamau. Ua like ia me ka ʻōpī ihu maʻamau. He maʻalahi loa ka hoʻohana ʻana. He kakaikahi wale nō nā kuhikuhi.
- Injection: ʻIke ʻia kēia i kekahi manawa, akā ʻaʻole i like me ka mea maʻamau e like me ka ihu pīpī.
Hiki iā ʻoe ke aʻo pehea e hoʻohana ai i kēia mau mea ma ka nānā ʻana i nā wikiō ma ka pūnaewele. No ka laʻana, ua hoʻokuʻu ka CDC ma ʻAmelika i nā wikiō e pili ana i kēia. No laila, ʻaʻohe mea e hopohopo ai. Ua hoʻolālā ʻia kēia e lawe lima a wikiwiki hoʻi e hoʻohana i kahi pilikia.
He aha ka mea e hana nei me Narcan?
ʻAe, e nānā kākou i ka mea e hana ai ke komo ʻo Narcan i loko o ke kino.
I ka ʻōlelo maʻalahi, ke lawe nui ʻoe i kahi opioid, ʻo ia hoʻi, ke overdose ʻoe, hoʻopaʻa ka lāʻau i kekahi mau ʻāpana o kou lolo, ʻoiai nā kikowaena e kaohi ana i ka hanu ʻana. ʻO ia ke kumu nui e hanu ai ʻoe, e pau ai ka hanu ʻana, a make ai mai ka overdose opioid.
ʻO ka hana a Narcan, ʻo ia ke wehe ʻana i nā opioids mai nā wahi i hoʻopaʻa ʻia ai lākou i loko o ka lolo. E noʻonoʻo iā ia e like me ke kī, i hoʻopaʻa ʻia i loko o kahi laka i loko o ka lolo i kapa ʻia he receptor. ʻO Narcan kekahi kī ikaika e wehe ana i ke kī opioid a hoʻokuʻu i ka laka. Hoʻomaka ia e hana i loko o kekahi mau minuke. A laila hoʻomaka ka hanu i hoʻopau ʻia e hoʻi i ka maʻamau. I nā huaʻōlelo ʻē aʻe, ua like ʻo Narcan me ke kaula e huki ana i kahi mea ma waena o ke ola a me ka make i ke ola i ka hanana o ka overdose opioid.
ʻO wai ka mea e loaʻa ai kēia Narcan?
He nīnau koʻikoʻi loa kēia. ʻOiai he lāʻau lapaʻau pilikia ʻo Narcan, he mea nui loa ia no kekahi poʻe ke loaʻa iā ia ma ka lima. ʻOi loa aku:
- ʻO ka poʻe i hoʻopili ʻia i nā opioids a ke hoʻāʻo nei e haʻalele: ʻOi aku ka nui o kēia poʻe e hoʻi hou a me ka overdose me ka ʻike ʻole. No laila, he mea nui loa iā lākou a me ko lākou ʻohana ke loaʻa iā Narcan.
- ʻO ka poʻe e hoʻohana ana i nā lāʻau ʻeha opioid i kauoha ʻia: ʻAʻole nā kānaka a pau, akā ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka overdose no ka mea lawe lākou i nā ʻeha opioid i nā dosis kiʻekiʻe a i ʻole he mau maʻi ʻē aʻe. Eia kekahi, ʻoi aku ka kiʻekiʻe o ka pilikia o ka overdose ke hoʻohana pū ʻia nā opioids me nā benzodiazepines (e.g., nā tranquilizers e like me diazepam a me clonazepam). Hoʻopilikia kēia mau lāʻau ʻelua i nā kikowaena e kaohi ana i ka hanu ʻana. No laila, inā ʻoe e lawe nei i kēia mau lāʻau, he mea naʻauao ke kamaʻilio me kāu kauka e pili ana i ka mālama ʻana iā Narcan.
- ʻO ka poʻe e pili kokoke ana i ka poʻe e hoʻohana ana i nā opioids: Inā he hoaaloha kāu, ʻohana, a i ʻole kekahi āu i ʻike ai e hoʻohana ana i nā opioids, ʻo ka mālama ʻana iā Narcan me ʻoe ma ke ʻano he kōkua e hiki ke kōkua i ka hoʻopakele ʻana i ko lākou ola i kahi pilikia.
E noʻonoʻo he hoaaloha kāu e hoʻāʻo nei e hoʻōla mai kahi overdose opioid. I kekahi lā, ʻoiai ʻoe me ia, ua nalowale koke ʻo ia i ka ʻike a ʻaʻole hiki ke hanu. Inā ʻo Narcan kāu me ʻoe, hiki iā ʻoe ke hāʻawi koke iā ia a kōkua i ka hoʻopakele ʻana i kona ola a hiki i ka hōʻea ʻana o ka ambulance.
Ma hea e hiki ai iaʻu ke loaʻa iā Narcan?
Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, loaʻa ka Narcan nasal spray ma luna o ke kūʻai aku ma kahi hale kūʻai lāʻau lapaʻau me ka ʻole o ke kauoha. Loaʻa pū kekahi ʻo Narcan, i kekahi manawa me ka uku ʻole, ma o nā papahana kūloko a mokuʻāina paha, nā wahi hōʻemi pōʻino, a i ʻole nā hui kaiāulu . He kū kānāwai loa ke kiʻi, lawe, a hoʻohana iā Narcan i kahi pilikia. Ma Sri Lanka, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka a i ʻole nā luna olakino e pili ana i kēia kūlana.
Pehea ʻoe e ʻike pono ai inā ua overdose kekahi?
He mea nui loa kēia. ʻO ka ʻike ʻana i nā hōʻailona o ka overdose opioid ke ala wale nō e hana wikiwiki ai. Inā ua overdose kekahi i nā opioids, hiki iā lākou ke hōʻike i nā hōʻailona e like me kēia:
- Liʻiliʻi nā haumāna o nā maka, e like me ka piko o ka peni (Pinpoint Pupils).
- Ua nalowale koke kou ʻike a hāʻule i lalo.
- Lohi loa ka hanu ʻana, a i ʻole e pau loa ka hanu ʻana.
- Ua lilo ke kino holoʻokoʻa i mea make, e kau ana i lalo e like me ka ʻāpana lole (Limp body).
- Polū nā lehelehe a me nā kui. ʻO kēia no ka mea ʻaʻole lawa ka oxygen i ke kino.
- Puka mai kahi leo ʻē mai ka puʻu mai, e like me ke kani ʻū ʻana a i ʻole ke kani ʻūlū ʻana.
Inā ʻike ʻia kekahi a ʻoi aku paha o kēia mau hōʻailona i ka manawa hoʻokahi, nui ka manawa kūpono he "Opioid Overdose" ia.
He aha kaʻu e hana ai inā lawe kekahi i ka overdose?
ʻAe, i kēia manawa ua ʻike ʻoe i nā hōʻailona o ka overdose. He aha kāu e hana ai inā ʻike ʻoe i kekahi e like me ia? Mai hopohopo. E hahai i kēia mau ʻanuʻu:
1. E kāhea koke aku i nā lawelawe ulia pōpilikia (1990 ma Sri Lanka, 911 ma ʻAmelika Hui Pū ʻIa). E haʻi iā lākou i kou wahi a me ke kūlana o ka mea maʻi.
2. Inā loaʻa iā ʻoe ʻo Narcan, e hāʻawi. E pīpī i loko o ka ihu a i ʻole e hoʻokomo e like me ke kuhikuhi.
3. E hoʻohuli i ka mea maʻi ma ko lākou ʻaoʻao a e hoʻomoe iā lākou i lalo ma ke "kūlana hoʻōla". E kōkua kēia i ka pale ʻana i ka luaʻi mai ka paʻa ʻana i loko o ko lākou puʻu inā e luaʻi lākou.
4. E hoʻāʻo e hoʻomaopopo pono i ka mea i hōʻeha ʻia. E kamaʻilio me lākou, e pā iā lākou ma ke kino. Inā ʻike ʻia ua pau ko lākou hanu ʻana, e hāʻawi iā lākou i ka hanu hoʻopakele inā hiki iā ʻoe. Inā ʻike ʻia ua pau ko lākou hanu ʻana, e hoʻomaka i ka cardiopulmonary resuscitation (CPR) inā hiki iā ʻoe.
5. E noho me ka mea maʻi a hiki i ka hōʻea ʻana mai o ka ambulance. Mai waiho wale iā ia.
He mea nui loa: I kekahi manawa, ʻaʻole paha ʻoe e ʻike maopopo inā ua overdose maoli kekahi. Eia nō naʻe, inā he kānalua iki kou, e mālama iā ia he overdose a hana e like me ia. He lāʻau lapaʻau ʻo Narcan ʻaʻole e hōʻeha i kahi mea ʻaʻole i loko o ka overdose opioid. No laila, inā kānalua, mai makaʻu e hāʻawi!
He aha nā mea nui ʻē aʻe āu e makemake ai e ʻike?
He nui nā ʻāina he "Nā Kānāwai Samaria Maikaʻi." ʻO ke ʻano kēia, inā ʻoe e hele e kōkua i kahi mea i overdose a kāhea aku i nā lawelawe ulia pōpilikia, ʻaʻole ʻoe a me ka mea i overdose e kū i ka hoʻopiʻi kānāwai. ʻO ka manaʻolana e hele mai nā kānaka me ka makaʻu ʻole a kōkua i ka hoʻopakele ʻana i ke ola.
Ma hea e loaʻa ai iaʻu ke kōkua noʻu iho a i ʻole kekahi aʻu i ʻike ai?
Inā ʻoe a i ʻole kekahi āu i ʻike ai e hakakā nei me ka hoʻohana ʻana i ka lāʻau lapaʻau, e hoʻomanaʻo he hiki ke ho'ōla ʻia. Hiki ke lilo i huakaʻi paʻakikī ke hana hoʻokahi, akā ʻaʻole loa e lohi ke noi ʻana i ke kōkua.
- E kamaʻilio me kāu kauka ʻohana.
- E nānā i nā pūnaewele o kāu keʻena olakino kūloko a i ʻole e kelepona iā lākou.
- Ma ʻAmelika Hui Pū ʻIa, aia nā helu kelepona e like me 1-800-662-HELP (4357). Hiki iā ʻoe ke loaʻa hou aku ka ʻike a me ke kākoʻo mai nā pūnaewele e like me `CDC.gov` a me `SAMHSA.gov`. Aia nā wahi ma Sri Lanka e hāʻawi ana i nā lawelawe like, no laila e nānā iā lākou.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana iā Narcan i kēia lā. He mea nui e hoʻomanaʻo i kēia:
- He lāʻau lapaʻau waiwai nui ʻo Narcan i hiki ke hoʻopakele i ke ola mai ka overdose opioid.
- He mea maʻalahi loa ka hoʻohana ʻana a ʻaʻole pono ke aʻo kūikawā ʻana i ke kauka.
- He mea nui e hoʻomaopopo i nā hōʻailona o ka overdose opioid (nā haumāna liʻiliʻi, nalowale ka ʻike, paʻakikī ka hanu ʻana).
- Inā manaʻo ʻoe ua overdose kekahi, mai kānalua e hāʻawi iā Narcan a kāhea koke aku i kahi kaʻa kaʻa.
- He maʻi ka hoʻohana ʻana i nā lāʻau lapaʻau, a aia ke ʻano lapaʻau no ia mea. Mai makaʻu e noi i ke kōkua.
Inā ʻoe e hoʻonaʻauao i kekahi me kēia ʻike, hiki paha iā ia ke kōkua i ka hoʻopakele ʻana i ke ola o kekahi mea nele. E makaʻala kākou a pau i kēia a hana me ke kuleana.
ʻO Narcan, Naloxone, Opioid Overdose, Nā lāʻau lapaʻau, Hoʻōla ola, Lapaʻau pilikia, Pīpī ihu











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