I kekahi manawa, ua koʻikoʻi loa ka ʻeha a mākou e ʻike nei, ʻeā? Aia kekahi mau manawa ʻaʻole hiki i nā lāʻau ʻeha maʻamau ke kāohi i kēlā ʻeha. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau ʻeha kūikawā i hāʻawi wale ʻia ma ka haukapila, ma lalo o ka nānā pono ʻana a nā kauka. ʻO Sufentanil kona inoa. He mea nui loa ka ʻike piha ʻana i kēia.
He aha kēia Sufentanil?
I ka ʻōlelo maʻalahi, he lāʻau hoʻopau ʻeha ikaika loa ka sufentanil. Ua lohe paha ʻoe i kahi papa o nā lāʻau i kapa ʻia ʻo opioids. ʻO kēia kekahi o kēlā mau lāʻau. Hana ia ma ke kāohi ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i ko mākou lolo, e hōʻemi ana i ka manaʻo o ka ʻeha.
Akā, ʻaʻole kēia he lāʻau lapaʻau no nā ʻeha a pau. Paipai wale nā kauka i kēia lāʻau lapaʻau i nā hihia o ka ʻeha nui loa i kāohi ʻole ʻia e nā lāʻau ʻeha ʻē aʻe, a i ʻole ke hiki ʻole i ke kino ke ʻae i nā lāʻau ʻeha ʻē aʻe.
ʻO ka mea nui loa: ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kiʻi ma kahi hale kūʻai lāʻau lapaʻau a lawe i ka home. Hoʻohana wale ʻia ia ma ka haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā pololei ʻana o nā limahana lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Inā hoʻoholo ʻoe e lawe i kēia lāʻau lapaʻau, he mea nui e hāʻawi i kāu kauka i kahi wehewehe piha o kou olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā he puʻupuʻu lolo kou
- Inā loaʻa iā ʻoe kahi moʻolelo o ka hoʻohui ʻana i nā lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau ʻē aʻe
- Inā he ʻeha poʻo
- Inā he maʻi puʻuwai kou
- Inā he mea inu mau ʻoe
- Inā he maʻi puʻupaʻa kou
- Inā loaʻa iā ʻoe ka maʻi akepaʻa
- Inā loaʻa iā ʻoe nā maʻi māmā a i ʻole nā maʻi hanu e like me ka hānō
- Inā loaʻa iā ʻoe nā hopu ʻana
- Inā he mau pilikia ʻōpū a ʻōpū paha kou
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka sufentanil a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama.
- Inā ʻoe e ho'āʻo nei e hāpai a hāpai paha
- Inā hānai waiū ka makuahine i kāna keiki
Pehea e hoʻohana ai i kēia lāʻau lapaʻau a me nā mea e pono ai ke akahele
He papa sublingual kēia e hoʻoheheʻe ʻia ma lalo o ke alelo. E like me ka mea i ʻōlelo ʻia ma mua, e hāʻawi ʻia kēia iā ʻoe e ke kauka a kahu maʻi paha ma ka haukapila, no laila ʻaʻole pono ʻoe e hopohopo no ia mea.
He aha kāu e hana ai inā lawe ʻoe i ka lāʻau lapaʻau overdose?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka pilikia o ka overdose. Akahele loa nā limahana lapaʻau e pili ana i kēia. Akā he mea nui e makaʻala. Inā manaʻo ʻoe ua loaʻa iā ʻoe ka nui o kēia lāʻau lapaʻau, e haʻi koke i kāu kauka a kahu maʻi paha. ʻO ka maʻamau, i ia mau hihia, e kuhikuhi koke ʻia ʻoe i ka Emergency Treatment Unit (ETU) o ka haukapila, a i ʻole e hoʻomaopopo ʻia ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a e loaʻa nā ʻōlelo aʻoaʻo e pono ai.
Nā mea ʻē aʻe e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau
E makaʻala i ka ʻeha.
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, e haʻi i kāu hui mālama ola inā e ʻoi aku ka ʻino o kou ʻeha, a i ʻole inā he ʻano ʻeha hou kou. I kekahi manawa, ma hope o ka lawe ʻana i kēia lāʻau lapaʻau no ka manawa lōʻihi, ʻaʻole lawa ka nui like e kāohi i kou ʻeha. Ua kapa ʻia kēia he hoʻomanawanui. He mea maʻamau kēia a ʻaʻole ia he mea hoʻopilikia.
Ka Hoʻopilikia a me ka Hilinaʻi
He ʻokoʻa nui ma waena o nā mea ʻelua. Ke lawe ʻoe i kahi lāʻau lapaʻau e like me kēia e kāohi i ka ʻeha ma ke ʻōlelo aʻo a ke kauka, maʻa kou kino i kēlā lāʻau lapaʻau (dependence). He mea maʻamau kēlā. ʻO ka ʻona ka hoʻohana ʻana i kahi lāʻau lapaʻau no ka leʻaleʻa noʻonoʻo me ke kumu ʻole o ke olakino. No laila, mai makaʻu ʻoe he ʻona ka lawe ʻana i kahi lāʻau lapaʻau i kuhikuhi ʻia e ke kauka no ka ʻeha.
Mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau. Ua maʻa kou kino iā ia, no laila ʻo ka hoʻōki koke ʻana iā ia hiki ke hana i nā hopena koʻikoʻi. Inā hoʻoholo kāu kauka e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻēmi mālie ʻo ia i ka nui.
Hiamoe a me ka poniuniu
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe loa iā ʻoe a me ka poniuniu . No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i kekahi mea e pono ai ka noʻonoʻo ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau. ʻOiai inā he ʻelemakule ʻoe, hiki iā ʻoe ke poniuniu a hāʻule i kou ala koke ʻana mai kahi noho a i ʻole i kou ala ʻana mai kahi moe. No laila, e hana mālie i kēlā mau mea.
Ka paʻa ʻana o ka ʻōpū
ʻO ka paʻa ʻana o ka ʻōpū kahi hopena maʻamau o nā lāʻau ʻeha opioid. Hiki iā ʻoe ke ʻike i kēia ʻano i ka wā e lawe ana i kēia lāʻau. E ho'āʻo e neʻe i ka ʻōpū ma ka liʻiliʻi i kēlā me kēia ʻelua a ʻekolu lā. Inā ʻaʻole ʻoe i neʻe i ka ʻōpū no ʻekolu lā , e haʻi i kāu kauka a kahu maʻi paha.
He aha nā pilina me nā lāʻau lapaʻau ʻē aʻe?
Hiki iā Sufentanil ke launa pū me nā lāʻau lapaʻau he nui. He mea nui 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).
| ʻAno lāʻau lapaʻau | Nā mea e noʻonoʻo ai |
|---|---|
| ʻAila | Pono e hōʻalo loa ʻia. Hiki iā ia ke hoʻonui nui i ka hiamoe a me nā pilikia hanu. |
| Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a me ka hiamoe | Hiki ke hiamoe, poniuniu, a me ka emi ʻana o ka hanu ʻana (CNS depression). |
| Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine) | Hoʻonui kēia i ka hiamoe, no laila hiki ke koʻikoʻi nā hopena ke lawe pū ʻia. |
| ʻO kekahi mau antibiotics a me nā antifungals | Eia kekahi laʻana: Clarithromycin, Erythromycin, Ketoconazole. Hiki i kēia mau mea ke hoʻonui i ka pae o ka sufentanil i loko o ke kino a hoʻonui i nā hopena ʻaoʻao. |
| Nā lāʻau ʻeha opioid ʻē aʻe a i ʻole nā lāʻau lapaʻau ʻūlū | Hiki i nā hopena ʻaoʻao ke hui pū e hana i nā kūlana koʻikoʻi loa. |
| Nā lāʻau lapaʻau hopu | Eia kekahi laʻana: Carbamazepine, Phenytoin. Hiki i kēia mau mea ke hōʻemi i nā waiwai analgesic o sufentanil. |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka sufentanil ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo kekahi he mea maʻamau.
| Nā mea e haʻi koke aku ai i kāu kauka a kahu maʻi paha | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka kaumaha o ka ʻōnaehana nerve waena (kaumaha CNS) | Hanu lohi a papau paha, paʻakikī ka hanu ʻana, hiamoe nui, huikau, a me ka paʻakikī ke ala aʻe. |
| Hana haʻahaʻa o ke kelepa adrenal | Ka luaʻi, ka nalowale o ka makemake e ʻai, ka manaʻo luhi a nāwaliwali paha, ka poniuniu. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| |
Leka Lawe-Home
- He lāʻau hoʻopau ʻeha ikaika ʻo Sufentanil i hāʻawi wale ʻia ma kahi haukapila no ka ʻeha nui.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe nui. No laila, e pale loa i ka hoʻokele kaʻa a me nā hana weliweli. Mai inu i ka waiʻona.
- He hopena maʻamau ka paʻa ʻana o ka ʻōpū. E makaʻala i kēia. Inā ʻaʻole ʻoe i neʻe i ka ʻōpū no 3 mau lā, e haʻi i kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka paʻakikī o ka hanu ʻana a i ʻole ka hiamoe nui, e hoʻomaopopo koke i nā limahana lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi no kekahi kumu.
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