Ke loaʻa iā ʻoe ka ʻeha o ke kua a i ʻole ka ʻāʻī, makemake ʻoe e lawe i kahi lāʻau ʻeha e hoʻopau koke i ka ʻeha, ʻeā? ʻOiaʻiʻo, nui ka poʻe ma ko mākou ʻāina e hana pēlā. I kekahi manawa, ke kōkua ʻole kahi lāʻau ʻeha maʻalahi, hoʻowalewale ʻia kekahi poʻe e hoʻohana i kahi lāʻau ʻeha ikaika a "ikaika". Akā ua ʻike anei ʻoe ua ʻike ʻia kahi noiʻi hou ʻaʻole nui ka hopena o ka hoʻohana ʻana i kēia mau mea i kapa ʻia he mau lāʻau ʻeha ikaika no ka ʻeha koke o ke kua a me ka ʻāʻī?
He aha kēia mau ʻeha hoʻomaha ikaika (Opioids)?
I ka ʻōlelo maʻalahi, he hui kūikawā kēia o nā lāʻau ʻeha ʻeha a nā kauka e kuhikuhi ai e kāohi i ka ʻeha nui loa. No ka laʻana, ua lohe paha ʻoe i nā inoa e like me Tramadol, Morphine, a me Pethidine. ʻO kēia nā mea a mākou e kapa nei he opioids. Hāʻawi pinepine ʻia kēia mau mea no ka ʻeha nui ma hope o ke ʻoki ʻana, ka ʻeha maʻi kanesa, a pēlā aku. Hoʻopilikia lākou i ka lolo a me ka ʻōnaehana nerve a hoʻemi i ka manaʻo o ka ʻeha. Eia naʻe, hiki iā lākou ke hoʻopili nui, no laila ʻaʻole pono e hoʻohana ʻia me ka ʻole o ka nānā ʻana o ke kauka.
He aha ka ʻōlelo a ke aʻo hou loa?
Ua paʻi ʻia kahi noiʻi hou i hana ʻia e kahi hui o nā kānaka noiʻi ma Australia ma ka puke pai lapaʻau kaulana o ka honua ʻo *The Lancet*. Ua kāhāhā maoli kēia noiʻi i nā poʻe he nui.
E noʻonoʻo, ua māhele lākou ma mua o 340 mau maʻi i loaʻa koke i ka ʻeha kua a ʻāʻī paha, ʻo ia hoʻi, ua loaʻa iā lākou ka ʻeha no ka liʻiliʻi ma mua o 12 mau pule, i ʻelua mau pūʻulu .
1. ʻO ka hui mua: ua hāʻawi ʻia i ka lāʻau opioid.
2. ʻO ka lua o ka hui: ua hāʻawi ʻia i kahi placebo. ʻO ia hoʻi, kahi mea e like me ka lāʻau lapaʻau, akā ʻaʻohe lāʻau lapaʻau ikaika. Eia naʻe, ʻaʻole ʻike ka mea maʻi inā e loaʻa ana iā ia ka lāʻau lapaʻau maoli a i ʻole ka lāʻau lapaʻau hoʻopunipuni.
He mea kupanaha loa nā hopena o kēia noiʻi 6 makahiki.
Ma hope o 6 mau pule , ʻaʻohe ʻokoʻa koʻikoʻi o nā pae ʻeha o nā maʻi ma kēlā me kēia hui. A ua like nā hopena ma hope o 12 mau pule. ʻO ia hoʻi, ʻaʻohe ʻokoʻa koʻikoʻi o ka hōʻemi ʻana i ka ʻeha ma waena o ka mea nāna i lawe i ka lāʻau ʻeha ikaika a me ka mea nāna i lawe wale i kahi pila.
Wahi a nā kānaka noiʻi, "Hōʻike kēia mau hopena e pono mākou e noʻonoʻo hou i ke kuhikuhi ʻana i nā opioids no ka ʻeha hope a me ka ʻāʻī, no ka mea, ʻaʻole mākou i ʻike i kahi ʻokoʻa koʻikoʻi i ka hōʻoluʻolu ʻeha i hoʻohālikelike ʻia me ka placebo."
No ke aha he mea nui kēia?
He mea nui kēia no ka mea, he nui nā alakaʻi lapaʻau a puni ka honua e paipai mau nei i nā opioids no kēia ʻano ʻeha. Hōʻike kēia noiʻi ʻaʻohe kumu o ka hāʻawi ʻana i kēia mau lāʻau ikaika no ka mea a mākou e kapa pinepine ai he " ʻeha hope ," ʻeha ma lalo o ʻekolu mahina.
ʻO nā pōʻino maoli o nā opioids
Ua ʻike ʻia ma ke aʻo ʻana kekahi mea ʻoi aku ka hopohopo ma mua o ka nele o ka hōʻoluʻolu ʻeha: ʻoi aku ka nui o ka pilikia o ka poʻe i lawe i nā opioids i ka lilo ʻana i mea hoʻohui a hoʻomāinoino paha i ka lāʻau lapaʻau i hoʻokahi makahiki ma hope.
ʻO kēia ka pilikia nui loa. Pehea ka weliweli o ka ʻoki wale ʻana i ke ala i ka maʻi ʻona me ka ʻole o ka hōʻoluʻolu ʻeha? Eia kekahi o nā mea e hiki ke hana me ka maʻi ʻona opioid:
- Hoʻomanawanui: Ma hope o kekahi manawa, ʻaʻole e emi hou ka ʻeha me ka mahele mua. A laila makemake ʻoe e lawe i kahi mahele kiʻekiʻe aʻe.
- Hilinaʻi Kino: Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻomaka ʻoe e ʻike i nā hōʻailona haʻalele, e like me ka hou ʻana, ka ʻeha kino, ka nausea, a me ka ʻōpū ʻeha.
- Overdose: ʻO ka lawe ʻana i ka nui loa hiki ke hoʻopau i ka hanu a me ka make.
- Nā hopena ʻaoʻao ʻē aʻe: He mea maʻamau nō hoʻi ka paʻa ʻana o ka ʻōpū, ka hiamoe , ka nausea, ka luaʻi ʻana, a me ka huikau.
No laila he aha kāu e hana ai no ka ʻeha o ke kua/ʻāʻī?
I kēia manawa ke noʻonoʻo nei paha ʻoe, "No laila e hoʻomanawanui wale ʻoe i kēia ʻeha?" ʻAʻole loa. He nui nā ala palekana a ʻoi aku ka maikaʻi e hoʻokele ai i kēia ʻano ʻeha koke ma mua o nā opioids.
1. Neʻe: Ua ʻōlelo mākou ma mua inā loaʻa iā ʻoe ka ʻeha o ke kua, pono ʻoe e noho ma kahi moe. Akā i kēia manawa ke ʻōlelo nei mākou e hana ʻoe i kāu hana ma ke ʻano maʻamau e like me ka hiki a hele iki. ʻO ka noho mālie e hoʻopaʻa i kou mau ʻiʻo.
2. Nā ʻeke wela/anu: ʻO ke kau ʻana i kahi ʻōmole wai wela a i ʻole kahi ʻeke hau i ka wahi ʻeha e hiki ke hāʻawi i ka hōʻoluʻolu maikaʻi.
3. Physiotherapy: ʻO kēia ka hopena maikaʻi loa a lōʻihi loa. E aʻo aku kahi physiotherapist iā ʻoe i nā hoʻomaʻamaʻa kino a me nā ʻano hana hoʻoikaika ʻiʻo e kūpono i kou kūlana.
4. Nā lāʻau ʻeha ʻē aʻe: ʻO Paracetamol a i ʻole NSAID (Non-Steroidal Anti-Inflammatory Drugs) e like me ibuprofen a me diclofenac e ʻoi aku ka maikaʻi no kēia ʻano ʻeha ma mua o nā opioids. Akā e hoʻomanaʻo, pono ʻoe e nīnau mau i kāu kauka ma mua o ka hoʻohana ʻana i kekahi o kēia mau lāʻau.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
E emi ana ka ʻeha maʻamau o ke kua/ʻāʻī i loko o kekahi mau lā a i ʻole ʻelua a ʻekolu paha pule. Eia nō naʻe, aia kekahi mau hōʻailona e pono ai ke kiʻi koke ʻia e ke kauka . Manaʻo mākou he mau "hōʻailona ʻulaʻula" kēia.
| Hōʻailona | He aha ke ʻano o kēia? |
|---|---|
| ʻO ka maneʻo ma nā wāwae a i ʻole ka ʻāpana genital, hiki ʻole ke kāohi i ka mimi a i ʻole ka ʻōpala. | Ua hoʻopilikia paha kēia i ke kaula kuamoʻo. E hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila. |
| ʻEha nui ma hope o kahi ulia a hāʻule paha. | Hiki ke loaʻa kahi iwi haki a i ʻole kekahi ʻeha koʻikoʻi ʻē aʻe. |
| ʻEha me ke kuni, ke anu, a me ka pohō kaumaha. | He hōʻailona paha ia o kahi maʻi a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe. |
| ʻOi aku ka ʻino o ka ʻeha i ka pō a mau nō hoʻi i ka wā e hoʻomaha ana. | Aia paha kekahi kūlana e pono ai ka noiʻi hohonu aku. |
Inā loaʻa iā ʻoe kēia mau hōʻailona, mai noho i ka home a e ʻike koke i kāu kauka.
Leka Lawe-Home
- Ua hōʻoia nā noiʻi hou nei ʻaʻole hāʻawi ka hoʻohana ʻana i nā lāʻau ʻeha pain ikaika (Opioids) i ka hōʻoluʻolu nui no ka ʻeha hope a me ka ʻāʻī koke a pōkole.
- ʻAʻole wale kēia mau lāʻau lapaʻau e hāʻawi i ka hōʻoluʻolu ʻeha, akā lawe pū lākou i kahi pilikia kiʻekiʻe o ka maʻi ʻona a me nā hopena ʻino ʻē aʻe.
- ʻO ka lāʻau lapaʻau maikaʻi loa no ka ʻeha o ke kua/ʻāʻī, ʻo ia ka neʻe kūpono, ka hoʻoikaika kino, a me nā mea ʻeha ʻeha palekana e lawe ʻia e like me ke kuhikuhi a ke kauka.
- Mai hoʻohana i nā lāʻau ʻeha ikaika, ʻoiai nā opioids, me ke kauoha ʻole a ke kauka.
- Inā hele pū kou ʻeha me nā hōʻailona e like me ke kuni, ka mae ʻana o ka ʻōpū, a i ʻole ka nalowale ʻana o ka mana o ka ʻōpū mimi/ʻōpū, e ʻimi koke i ke kōkua lapaʻau.
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