Loaʻa iā ʻoe ka ʻeha nui e mau ana no ka manawa lōʻihi a ʻaʻole i hōʻoluʻolu ʻia e nā lāʻau hōʻoluʻolu maʻamau? A i ʻole ke ʻeha nei ʻoe i ke aʻalolo? I kekahi manawa, ʻaʻole hiki iā ʻoe ke ʻae i nā lāʻau hōʻoluʻolu ʻē aʻe. I kēlā mau hihia, ua kuhikuhi paha kāu kauka iā ʻoe i kēia lāʻau i kapa ʻia ʻo Tapentadol. ʻOiai he lāʻau ikaika kēia, he mea nui loa ia e ʻike. No laila i kēia lā e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka Tapentadol?
I ka ʻōlelo maʻalahi, he lāʻau ʻeha kūikawā ʻo Tapentadol i hoʻohana ʻia e kāohi i ka ʻeha nui a mau loa. No kahi papa o nā lāʻau i kapa ʻia ʻo opioids . Hana kēia mau lāʻau lapaʻau ma ke kāohi ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i kou lolo, e hōʻemi ana i ka ʻeha āu e manaʻo ai.
ʻO ka mea kūikawā e pili ana i kēia, he pila "hoʻokuʻu lōʻihi" a i ʻole "hana lōʻihi" . ʻO ia hoʻi, ma hope o kou lawe ʻana i kēia pila, e hoʻokuʻu ʻia ka lāʻau lapaʻau i loko o kou kino ma luna o kekahi mau hola. No laila, loaʻa iā ʻoe ka hoʻomaha ʻeha no ka manawa lōʻihi.
Mea nui: No ka ʻeha lōʻihi wale nō kēia. ʻAʻole kūpono ia no ka ʻeha koke a koʻikoʻi, e like me ke poʻo ʻeha a i ʻole ka ʻeha niho. E aʻo aku kāu kauka iā ʻoe i nā lāʻau ʻeha ʻē aʻe e hoʻohana ai i ia mau hihia.
Nā mea e haʻi aku 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 inā kūpono kēia lāʻau lapaʻau iā ʻoe. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| ʻIke e hoʻomaopopo i kāu kauka | |
|---|---|
| ʻO ka puʻupuʻu lolo a i ʻole ka ʻeha poʻo | ʻAi ʻona lāʻau a waiʻona paha |
| Maʻi puʻuwai | Ka hana emi ʻana o nā kelepa adrenal |
| Ka maʻi o ka māmā, ka hānō, a i ʻole nā pilikia hanu ʻē aʻe | Nā maʻi prostate |
| Nā hopu ʻana | Nā pilikia o ka ʻōpū a i ʻole ka ʻōpū (e.g., blockade) |
| Nā maʻi thyroid | ʻAleʻaleʻa i ka Tapentadol a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | Inā ua lawe ʻoe i nā lāʻau MAOI (e like me Marplan, Nardil, Parnate) i nā lā 14 i hala |
Pehea e hoʻohana pono ai i kēia lāʻau lapaʻau?
ʻO kēia ka ʻāpana koʻikoʻi loa. E hahai pono i kēia mau kuhikuhi.
Nā mea e hana ai
- E ale i ka pila me ke aniani wai.
- Hiki ke lawe ʻia me ka meaʻai a me ka ʻole o ka meaʻai. Inā ʻeha kou ʻōpū, e lawe ma hope o ka ʻai ʻana.
- E lawe i ka lāʻau lapaʻau i ka manawa i kuhikuhi ʻia a ma nā manawa i kuhikuhi ʻia e like me ke kauoha a ke kauka.
Nā mea āu e pono ʻole ai e hana (he mea nui loa)
- Mai uhaʻi, kuʻi, a nau paha i ka pila. Ua hana ʻia kēia pila e hoʻoheheʻe loa. Inā ʻoe e uhaʻi, kuʻi, a nau paha a hoʻāʻo e ale iā ia, e hoʻokuʻu koke ʻoe i ka nui o ka lāʻau lapaʻau e komo i loko o kou kino i loko o kekahi mau hola.
- He aha ka mea e hana ʻia inā hana ʻia kēia? Ua like ia me ka lawe ʻana i nā pila he nui i ka manawa hoʻokahi. Hiki iā ia ke hana i nā hopena ʻino loa, me ka hāʻule ʻana o ka hanu, ka coma, a i ʻole ka make . No laila e ale i ka pila holoʻokoʻa .
- E hoʻomaʻū i ka papa ma mua o ke kau ʻana i loko o kou waha, mai palu.
- Mai hoʻonui i ka nui a hoʻōki koke paha i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
Inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau (Overdose)
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e hele koke i ka haukapila kokoke loa ʻo Emergency Department (ETU) . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital . Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
Nā pilina me nā lāʻau ʻē aʻe
Hiki iā Tapentadol ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā huahana lāʻau).
| Mai lawe pū i kēia lāʻau me kekahi lāʻau ʻē aʻe. | |
|---|---|
| Linezolid | Nā MAOI (e like me Marplan, Nardil, a me Parnate) |
| Polū Methylene | Samidorphan, Tedizolid |
| Hiki paha i kēia mau mea ke pane (e ʻimi i ke aʻo lapaʻau) | |
| ʻAila a i ʻole kekahi mea i loaʻa ka ʻaila | Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine) |
| Nā lāʻau lapaʻau no ke kaumaha a me ka hopohopo | Nā lāʻau hiamoe |
| ʻO kekahi mau lāʻau lapaʻau no ka migraines | Nā mea ʻeha opioid ʻē aʻe |
ʻAʻole i piha kēia papa inoa, no laila he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Ka mālama ʻana i ka ʻeha: Inā ʻaʻole e nalowale kou ʻeha, e ʻoi aku ka ʻino, a i ʻole he ʻano ʻeha ʻē aʻe, e haʻi i kāu kauka. I ka hala ʻana o ka manawa, pono paha ʻoe i kahi mahele kiʻekiʻe e loaʻa ai ka hōʻoluʻolu ʻeha like. Ua kapa ʻia kēia he "hoʻomanawanui." He mea maʻamau kēia ke lawe ʻoe i kēia mau lāʻau lapaʻau no ka manawa lōʻihi.
- ʻO ke ʻano hoʻomanawanui a me ke ʻano hoʻopili ʻia he ʻelua:ʻAʻole manaʻo ke ahonui ua lilo ʻoe i mea hoʻopilikia i ka lāʻau lapaʻau. ʻO ka hoʻopilikia ka hahai ʻana i ka lāʻau lapaʻau me ke kumu ʻole o ke olakino. Loaʻa iā ʻoe ke kumu olakino no ka lawe ʻana i ka lāʻau lapaʻau no ka mea ke ʻeha nei ʻoe.
- Ke hoʻōki ʻana i ka lāʻau lapaʻau: Mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hōʻailona i ka haʻalele ʻana. Inā hoʻōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau, e hana pēlā ma lalo o ka nānā ʻana a kāu kauka, a e hoʻēmi mālie i ka nui.
- Nā hopena ʻaoʻao: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke pane a hoʻonohonoho i kāu mau hana. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. No ka hōʻemi ʻana i ka poniuniu a me ke poʻo māmā, e kū mālie i ke ala ʻana mai kahi noho a i ʻole ma waho o kahi moe. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia mau hopena ʻaoʻao.
- Paʻa ʻōpū: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. Inā pilikia ʻoe i ka hele ʻana i ka ʻōpū no nā lā he 3 a ʻoi, e haʻi i kāu kauka. Hiki i ka inu ʻana i ka wai he nui a me ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka fiber ke kōkua.
- Waha maloʻo: He mea maʻamau nō hoʻi ka waha maloʻo. ʻO ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai he nui e kōkua i ka hoʻomaha ʻana.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao.
| Nā hopena ʻaoʻao koʻikoʻi 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 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. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Ka hana ʻino ʻana o ke kelepa adrenal | Ka luaʻi, ka nele o ka makemake e ʻai, ka nāwaliwali kūikawā, ka poniuniu. |
| Nā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka paʻa ʻana o ka ʻōpū | Pōʻino |
| Hiamoe | Waha maloʻo |
| ʻEha poʻo | Ka luaʻi a me ka luaʻi ʻana (Nausea, Vomiting) |
Pehea e mālama pono ai i ka lāʻau lapaʻau?
He lāʻau lapaʻau ikaika loa kēia. No laila, e hoʻopaʻa iā ia ma kahi palekana, mai ka hiki ʻana aku o nā keiki a me nā holoholona . Hiki ke hoʻohana hewa ʻia kēia lāʻau lapaʻau, no laila e pale iā ia mai ka ʻaihue ʻia. Nou wale nō kēia. ʻO ka hāʻawi ʻana a kūʻai aku paha i kekahi kanaka ʻē aʻe he hewa ia e hoʻopaʻi ʻia a he hana weliweli loa ia.
E mālama ma ka mahana o ka lumi (ma waena o 15-30 Celsius), kahi mamao aku mai ka makū. E hoʻolei palekana i nā lāʻau lapaʻau i pau ka lā a i ʻole i hoʻohana ʻole ʻia. Hiki iā ʻoe ke nīnau i kou aupuni kūloko no kahi papahana lawe hou ʻana i nā lāʻau lapaʻau. Inā ʻaʻole hiki kēia, ʻōlelo kekahi mau ʻāina e hoʻolei iā lākou i loko o ka lua, akā ʻoi aku ka maikaʻi o ka hāʻawi ʻana iā lākou i kahi wahi hōʻiliʻili i nā manawa āpau e hiki ai, me ka noʻonoʻo ʻana i ka hopena o ke kaiapuni o ko mākou ʻāina.
Leka Lawe-Home
- He lāʻau lapaʻau ikaika ʻo Tapentadol i hoʻohana ʻia no ka ʻeha nui a mau loa. Pono e hoʻohana wale ʻia ma lalo o ka nānā ʻana a ke kauka.
- Mai uhaʻi, wili, a nau paha i kēia papa. E ale holoʻokoʻa.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me kou mau kūlana olakino. E pale aku i ka inu ʻana i ka waiʻona.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka hiamoe nui a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- E mālama i kēia lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona . Mai kaʻana like me kekahi.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio pono me kāu kauka.
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