I kekahi manawa, ua koʻikoʻi loa ka ʻeha a mākou e manaʻo nei, ʻeā? Aia kekahi mau manawa ʻaʻole hiki i nā lāʻau ʻeha maʻamau ke kāohi i kēlā ʻeha. No kēlā mau manawa, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau ʻeha kūikawā a ikaika hoʻi a nā kauka e hoʻohana wale ai i loko o kahi haukapila a i ʻole ke keʻena lapaʻau. ʻO Sufentanil kēlā.
He aha ka Sufentanil?
I ka ʻōlelo maʻalahi, he lāʻau ikaika ʻo Sufentanil i hoʻohana ʻia e mālama i ka ʻeha nui . Hoʻohana pinepine nā kauka iā ia ke hiki ʻole i nā ʻeha ʻē aʻe ke hōʻoluʻolu i ka ʻeha, a i ʻole ke hiki ʻole i ke kino ke ʻae iā lākou.
No loko kēia o kahi hui o nā lāʻau i kapa ʻia ʻo opioids . Hana ia ma ke ālai ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i ko mākou lolo. Hoʻemi kēia i ka nui o ka ʻeha a mākou e manaʻo nei. Loaʻa pinepine ʻia kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo DSUVIA.
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kiʻi ma kahi hale kūʻai lāʻau lapaʻau a lawe i ka home. Hāʻawi wale ʻia ia ma kahi hoʻonohonoho i mālama piha ʻia e ke kauka, e like me ka haukapila a i ʻole ke keʻena lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui i kāu kauka ke ʻike i kou mōʻaukala olakino piha ma mua o ka hoʻoholo ʻana e kuhikuhi i kēia lāʻau. E hōʻoia e haʻi i kekahi o kēia mau kūlana inā loaʻa iā ʻoe kekahi:
- Inā he puʻupuʻu lolo kou a he ʻeha poʻo paha.
- Inā he mea inu pinepine ʻoe.
- Inā loaʻa iā ʻoe ka maʻi puʻuwai , ka maʻi puʻupaʻa , a i ʻole ka maʻi akepaʻa .
- Inā he mau pilikia kou i ka māmā a i ʻole ka hanu ʻana, e like me ka hānō .
- Inā loaʻa iā ʻoe kahi maʻi e like me ka ʻūlū ʻana .
- Inā he mau pilikia ʻōpū a ʻōpū paha kou.
- Inā ua loaʻa iā ʻoe kahi maʻi hoʻohana waiwai ma mua.
- Inā he maʻi allergy kou iā Sufentanil a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e maʻalahi i ke kauka ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau a he aha ka hopena inā lawe nui ʻoe?
Hāʻawi ʻia kēia ma ke ʻano he papa e hoʻoheheʻe ʻia ma lalo o ke alelo. E hoʻomanaʻo, hāʻawi ʻia kēia e nā limahana o ka haukapila. ʻAʻole ʻae ʻia ʻoe e hoʻohana iā ʻoe iho. No laila, ʻaʻohe pilikia me ka hala ʻana o kahi lāʻau.
Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻia ka lāʻau lapaʻau ma kekahi ʻano, ʻoiai inā ua lawelawe ʻia ma lalo o ka mākaʻikaʻi lapaʻau, he pilikia ia.
I kēlā hihia, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. A i ʻole, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Sufentanil
No ka mea he lāʻau ikaika kēia, hiki iā ia ke loaʻa nā hopena weliweli ke lawe ʻia me nā lāʻau ʻē aʻe. No laila e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau).
E wehewehe hou aku kākou i kēia me ka papa ma lalo nei.
| Māhele lāʻau lapaʻau | Ka wehewehe a me nā laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia | |
| Nā lāʻau lapaʻau no kekahi mau maʻi noʻonoʻo | ʻOlanzapine; samidorphan |
| Nā lāʻau lapaʻau no ka maʻi o Parkinson | ʻO Safinamide |
| Nā lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke launa pū | |
| ʻAila | Hoʻoulu i ka hiamoe nui, lohi ka hanu ʻana, a he mea hoʻoweliweli i ke ola. |
| Nā lāʻau lapaʻau e hoʻoulu ai i ka hiamoe | Nā lāʻau lapaʻau no ka maʻi ʻaleka, ke kuni, a me ke anu, nā benzodiazepines (e.g., Diazepam, Alprazolam), nā mea hoʻomaha ʻiʻo, a me nā lāʻau hiamoe. |
| Nā lāʻau lapaʻau no ke kaumaha a i ʻole ka hopohopo | Nā ʻano antidepressants like ʻole. |
| Nā mea ʻeha opioid ʻē aʻe | Nā ʻano opioid ʻē aʻe i hāʻawi ʻia no ke kuni a i ʻole ka ʻeha. |
| Nā huahana lāʻau lapaʻau | Eia kekahi laʻana, ʻo ka wort o St. John. |
*E ʻoluʻolu e hoʻomaopopo ʻaʻole kēia he papa inoa piha. He mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.*
He aha nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
- ʻEha a me ke ahonui: Inā ʻaʻole e nalowale kou ʻeha a i ʻole e ʻoi aku ka ʻino, e haʻi koke i kāu hui mālama ola. Ma hope o ka lawe ʻana i kēia lāʻau no kekahi manawa, ʻaʻole paha lawa ka mahele mua e kāohi i kou ʻeha. Ua kapa ʻia kēia he ahonui. He mea maʻamau kēia.
- Nā pilikia hanu: ʻO kēia lāʻau lapaʻau, ʻoiai ke lawe ʻia me nā mea hoʻonāukiuki hiamoe ʻē aʻe e like me ka waiʻona a benzodiazepines paha, hiki ke hana i ka hanu lohi loa a hoʻoweliweli i ke ola. Inā pilikia ʻoe i ka hanu ʻana a hiamoe loa paha a hiki ʻole ke ala aʻe, he pilikia ia.
- Hilinaʻi: Ke lawe ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, hiki i kou kino ke hilinaʻi iā ia. Ke hoʻōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau ma ke ʻōlelo aʻo a kāu kauka, pono ʻoe e hoʻēmi mālie i ka nui e hōʻemi i nā hopena haʻalele.
- E makaʻala iā Naloxone: ʻO Naloxone kahi lāʻau lapaʻau ulia pōpilikia e hoʻōla ola i hāʻawi ʻia i ka wā e loaʻa ai ka overdose opioid. He mea nui e makaʻala i nā hōʻailona o ka overdose (paʻakikī ka hanu ʻana, hiamoe nui, hiki ʻole ke ala aʻe). Ma kahi haukapila, makaʻala ka hui lapaʻau i kēia.
- E pale i ka hoʻokele kaʻa: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou noʻonoʻo ʻana, ka hiki ke hoʻoholo, a me ke kaulike. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou hoʻōla piha ʻana.
- Ka paʻa ʻana o ka ʻōpū:Loaʻa i kēia lāʻau lapaʻau kahi manawa kiʻekiʻe e hoʻoulu ai i ka paʻa ʻana o ka ʻōpū. Inā ʻaʻole ʻoe e neʻe i loko o 3 mau lā, e haʻi i kāu kauka.
- Waha maloʻo: Hiki ke loaʻa ka waha maloʻo. Hiki ke kāohi ʻia kēia ma ka nau ʻana i ka gum ʻaʻohe kō a me ka inu ʻana i ka wai he nui.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki i ka Sufentanil ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he akahai.
| Ka hopena ʻaoʻao | He aha e hana ai |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena maʻi āpau - ka ʻili ʻana, ka ʻūlū ʻana, ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. | E haʻi koke aku i kāu kauka a i ʻole ka hui lapaʻau. |
| Hanu lohi (CNS depression) - hanu lohi a pāpaʻu paha, paʻakikī ka hanu ʻana, hiamoe nui, paʻakikī ke ala. | |
| ʻO ka lawa ʻole o ka adrenal - nausea, luaʻi, nalowale o ka makemake, luhi nui, dizziness. | |
| Ke koko haʻahaʻa - poniuniu, nāwaliwali, ʻike maka pohihihi. | |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| Ka paʻa ʻana o ka ʻōpū | Inā hoʻomau kēia mau mea a lilo paha i mea hoʻopilikia, e hoʻomaopopo i kāu kauka. |
| Pōʻino | |
| Hiamoe | |
| Waha maloʻo | |
| ʻEha poʻo | |
| Ka luaʻi a me ka luaʻi ʻana (Nausea, Vomiting) | |
Leka Lawe-Home
- He lāʻau opioid ikaika loa ʻo Sufentanil i hoʻohana ʻia no ka ʻeha nui a hoʻohana wale ʻia ma nā haukapila.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ma mua o ka lawe ʻana i kēia lāʻau.
- Mai hoʻohana i ka waiʻona a i ʻole nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i ka hiamoe i ka wā e lawe ana i kēia lāʻau. Hiki ke hoʻoweliweli i ke ola.
- Inā loaʻa iā ʻoe nā hopena ʻino e like me ka emi ʻana o ka hanu ʻana a i ʻole ka hiamoe nui, e noʻonoʻo he pilikia ia.
- He lāʻau lapaʻau kēia i hāʻawi wale ʻia ma lalo o ka nānā ʻana a ke kauka a loea olakino paha, ʻaʻole ia he lāʻau lapaʻau no ka hoʻohana ʻana ma ka home.
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