He aha ʻo Buprenorphine: Nā Hoʻohana, Nā Ana, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He lāʻau lapaʻau kauka ʻo Buprenorphine e kōkua ana i ka mālama ʻana i ka ʻeha nui a me ka mālama ʻana i ka maʻi opioid. No ka papa o nā lāʻau lapaʻau i kapa ʻia he mau agonist opioid hapa, ʻo ia hoʻi, hana ʻokoʻa ia ma mua o nā opioids ʻē aʻe ma ka hāʻawi ʻana i ka hōʻoluʻolu ʻeha a i ʻole ka hōʻemi ʻana i nā hōʻailona haʻalele me ka ʻole e hana i ka pae like o ka pilikia hilinaʻi.

Hele mai kēia lāʻau lapaʻau i nā ʻano like ʻole, me nā papa e hoʻoheheʻe ʻia ma lalo o kou alelo (sublingual) a i ʻole e kūʻē i kou papalina (buccal). Kōkua kēia mau ʻano hāʻawi kūikawā i ka lāʻau lapaʻau e komo pololei i loko o kou kahe koko ma nā ʻiʻo i loko o kou waha, e hana wikiwiki a ʻoi aku ka maikaʻi ma mua o nā pila āu e ale ai.

No ke aha e hoʻohana ʻia ai ʻo Buprenorphine?

He ʻelua mau kumu nui o Buprenorphine i ka mālama ʻana i ka lāʻau lapaʻau. ʻO ka mea mua, kōkua ia i ka poʻe e mālama i ka ʻeha nui a me ka maʻi mau i ka wā i hana ʻole ai nā lāʻau lapaʻau ʻeha ʻē aʻe. ʻO ka lua, he hana koʻikoʻi ia i ka mālama ʻana i ka maʻi hoʻohana opioid ma ka hōʻemi ʻana i nā makemake a me nā hōʻailona haʻalele.

No ka mālama ʻana i ka ʻeha, kuhikuhi maʻamau nā kauka i ka buprenorphine ke pono ʻoe i ka hōʻoluʻolu ʻeha a puni ka uaki no nā kūlana e like me ka maʻi kanesa, ka ʻāʻī nui, a i ʻole ka ʻeha hope mau. Hāʻawi ka lāʻau lapaʻau i ka mana ʻeha paʻa i ka lā a pau, e kōkua ana iā ʻoe e mālama i ke ola maikaʻi.

I ka mālama ʻana i ka maʻi, kōkua ʻo buprenorphine i ka poʻe e ola mai ka hilinaʻi ʻana i nā opioids e like me ka heroin, nā mea hōʻeha ʻeha kauka, a i ʻole fentanyl. Hoʻemi ia i nā hōʻailona haʻalele ʻoluʻolu ʻole a hoʻemi i nā makemake, e maʻalahi ai ka nānā ʻana i ka hoʻōla a kūkulu hou i kou ola.

Pehea e hana ai ʻo Buprenorphine?

Hana ʻo Buprenorphine ma ka hoʻopili ʻana i nā mea hoʻokipa lolo like i nā opioids ʻē aʻe, akā hana ia ma ke ʻano kūʻokoʻa. Ma ke ʻano he agonist opioid hapa, hoʻāla ia i kēia mau mea hoʻokipa i lawa e hāʻawi i ka hōʻoluʻolu ʻeha a i ʻole e pale i nā hōʻailona haʻalele me ka ʻole e hana i ka kiʻekiʻe ikaika e pili ana me nā opioids ʻē aʻe.

E like me ke kī e komo ana i loko o ka laka akā e huli wale ana i ka hapalua. ʻO kēia hana hapa e hōʻike ana he

He lōʻihi ka lōʻihi o ka mālama ʻana i ka buprenorphine ma muli o ke kumu e lawe nei ʻoe a pehea ka pane ʻana o kou kino. No ka mālama ʻana i ka ʻeha mau, pono paha ʻoe e lawe no nā mahina a i ʻole nā makahiki, ʻoiai e kōkua ana a ʻaʻole e hoʻopilikia i nā hopena ʻaoʻao.

No ka mālama ʻana i ka maʻi opioid, he mea pilikino loa ka lōʻihi a pinepine e hoʻolōʻihi ʻia no nā mahina he nui a i ʻole nā makahiki. Hōʻike ka noiʻi ʻana i nā manawa lōʻihi o ka mālama ʻana i ka hopena maikaʻi, me ka nui o nā kānaka e pōmaikaʻi ana mai ka mālama ʻana no nā wā lōʻihi.

E hana kāu kauka me ʻoe e hoʻoholo i ka lōʻihi o ka mālama ʻana e pili ana i kāu kūlana kikoʻī. E noʻonoʻo lākou i nā mea e like me kāu pae ʻeha, ka holomua o ka hoʻōla, ke olakino holoʻokoʻa, a me nā pahuhopu pilikino. Mai hooki koke i ka lawe ʻana i ka buprenorphine me ka ʻole o ka nānā ʻana i ka lāʻau lapaʻau, no ka mea, hiki i kēia ke hana i nā hōʻailona haʻalele ʻoluʻolu ʻole.

He aha nā hopena ʻaoʻao o ka Buprenorphine?

E like me nā lāʻau lapaʻau a pau, hiki i ka buprenorphine ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā mea a pau. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a i ka waena a pinepine e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau i nā pule mua o ka mālama ʻana.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia:

• Nausea a me ka luaʻi ʻana, ʻoi loa i nā lā mua
• Ke poʻo a me ka noʻonoʻo
• Ka paʻa ʻana o ka ʻōpū, hiki ke mālama ʻia me nā loli meaʻai a me nā wai
• Ka hiamoe a i ʻole ka luhi
• Nā pilikia hiamoe a i ʻole ka hiamoe ʻole
• Ka hou ʻana ma mua o ka maʻamau
• Ka ʻeha a i ʻole ka ʻeha o ka waha kahi i hoʻoheheʻe ʻia ai ka papa

ʻO kēia mau hopena maʻamau e lilo pinepine i mea liʻiliʻi e like me ka hoʻopili ʻana o kou kino i ka lāʻau lapaʻau. ʻO ka inu ʻana i ka wai nui, ka ʻai ʻana i nā meaʻai momona i ka fiber, a me ka hoʻoikaika kino maʻamau e hiki ke kōkua i ka mālama ʻana i kekahi o kēia mau hōʻailona.

ʻOiai ʻaʻole maʻamau, hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao koʻikoʻi e pono ai ka lāʻau lapaʻau:

• Nā pilikia hanu nui a i ʻole ka pōkole o ka hanu
• ʻEha o ka umauma a i ʻole ka puʻuwai ʻole
• Pilikia nui a i ʻole ka hāʻule
• Huikau a i ʻole ka pilikia o ka noʻonoʻo
• ʻEha nui o ka ʻōpū a i ʻole ka luaʻi mau
• Nā hōʻailona o ka hopena maʻi e like me ka ʻōpala, ka ʻūlū, a i ʻole ka pehu

Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao koʻikoʻi, e hoʻokaʻaʻike koke i kāu mea mālama ola a i ʻole e ʻimi i ka mālama olakino pilikia. ʻO kou palekana ka mea nui, a ʻaʻole pono e mālama ʻole ʻia kēia mau hōʻailona.

ʻO wai ka mea pono ʻole e lawe i ka Buprenorphine?

ʻAʻole kūpono ka Buprenorphine no nā mea a pau, a ʻo kekahi mau kūlana olakino a i ʻole nā kūlana e palekana ʻole ai ka hoʻohana ʻana. E nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ka kau ʻana i kēia lāʻau lapaʻau e hōʻoia i ka kūpono iā ʻoe.

ʻAʻole pono ʻoe e lawe i ka buprenorphine inā loaʻa iā ʻoe:

• He maʻi ʻike ʻia i ka buprenorphine a i ʻole kekahi mea i loko o ka lāʻau lapaʻau
• Nā pilikia hanu nui a i ʻole ka hoʻohaʻahaʻa ʻana i ka hanu
• He paʻa i loko o kou ʻōpū a i ʻole nā ʻōpū
• Maʻi ate nui a i ʻole ka hāʻule ʻana o ke ake
• Ua inu i ka waiʻona a i ʻole e lawe ana i nā mea hoʻomaha i kēia manawa

Pono kekahi mau pūʻulu o nā kānaka i ka noʻonoʻo kūikawā a me ka nānā pono ʻana i ka wā e lawe ana i ka buprenorphine. E kaupaona kāu kauka i nā pōmaikaʻi a me nā pilikia inā hāpai ʻoe, hānai ʻoe i ka umauma, ʻelemakule, a i ʻole he pilikia o ka puʻupaʻa, nā kūlana olakino noʻonoʻo, a i ʻole ka mōʻaukala o nā ʻeha poʻo.

Pono nō hoʻi ka poʻe me ka moe apnea, nā pilikia thyroid, a i ʻole nā maʻi adrenal gland i ka loiloi pono ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. E hoʻoholo kāu mea mālama ola inā palekana ka buprenorphine no kāu kūlana.

Nā inoa inoa inoa Buprenorphine

Loaʻa ka Buprenorphine ma lalo o nā inoa inoa like ʻole, i hoʻolālā ʻia kēlā me kēia no nā hoʻohana kikoʻī a me nā ʻano hāʻawi. ʻO nā inoa inoa maʻamau e pili ana iā Suboxone, e hui pū ana i ka buprenorphine me ka naloxone e pale ai i ka hoʻohana hewa ʻana, a me Subutex, aia wale nō ka buprenorphine.

ʻO nā inoa inoa ʻē aʻe āu e hālāwai ai, ʻo ia hoʻi ʻo Belbuca no ka mālama ʻana i ka ʻeha mau, Bunavail no ka mālama ʻana i ka hilinaʻi ʻana i ka opioid, a me Zubsolv, kekahi lāʻau hui pū. He mau ʻano ʻokoʻa iki ko kēlā me kēia inoa, a i ʻole nā ʻōnaehana hāʻawi, akā aia nā mea hana like i loko o lākou a pau.

Na kāu kauka e koho i ka inoa kūpono loa e pili ana i kāu mau pono kikoʻī, ka uhi ʻinikua, a me nā pahuhopu lapaʻau. Mai hoʻololi ma waena o nā inoa like ʻole me ka ʻole e kūkākūkā me kāu mea mālama ola, no ka mea, he mau helu komo like ʻole a i ʻole nā hopena.

Nā Koho ʻē aʻe o Buprenorphine

Nui nā koho ʻē aʻe no ka mālama ʻana i ka ʻeha a me ka mālama ʻana i ka maʻi opioid, ma muli o kāu mau pono kikoʻī a me ke kūlana olakino. E kōkua kāu kauka iā ʻoe e ʻimi i kēia mau koho inā ʻaʻole kūpono ʻo buprenorphine iā ʻoe a i ʻole e pau ka hana pono.

No ka mālama ʻana i ka ʻeha mau, hiki i nā koho ʻē aʻe ke komo i nā opioids lōʻihi e like me ka morphine a i ʻole oxycodone, nā lāʻau ʻeha ʻole opioid e like me gabapentin a i ʻole duloxetine, a i ʻole nā ala ʻaʻole lāʻau lapaʻau e like me ka lāʻau kino a me ka lāʻau lapaʻau ʻano.

No ka mālama ʻana i ka maʻi opioid, nā koho ʻē aʻe e komo pū ana me ka methadone maintenance therapy, naltrexone (waha a i ʻole injectable), a i ʻole nā papahana aʻoaʻo a me ke kākoʻo. Loaʻa i kēlā me kēia koho nā pōmaikaʻi a me nā manaʻo like ʻole e kūkākūkā ʻia e kāu hui mālama ola me ʻoe.

ʻO ke ala lapaʻau maikaʻi loa e hui pinepine i ka lāʻau lapaʻau me ke aʻoaʻo ʻana, nā hui kākoʻo, a me nā loli ola. E hana kāu kauka me ʻoe e hana i kahi hoʻolālā lapaʻau piha e pili ana i kāu mau pono a me nā kūlana.

Ua ʻoi aku ka maikaʻi o Buprenorphine ma mua o Methadone?

He mau lāʻau lapaʻau maikaʻi ʻo Buprenorphine a me methadone no ka mālama ʻana i ka maʻi opioid, akā hana lākou i nā ʻano like ʻole a loaʻa nā pono ʻokoʻa. ʻO ke koho ma waena o lākou e pili ana i kāu mau pono, ke ola, a me ka mōʻaukala olakino.

He nui nā pōmaikaʻi o ka buprenorphine ma mua o ka methadone. He haʻahaʻa ka pilikia o ka overdose ma muli o kāna hopena kaupaku, hiki ke kauoha ʻia e nā kauka i hōʻoia ʻia ma nā keʻena, a maʻamau ka liʻiliʻi o ka sedation a me nā pilikia hanu. Loaʻa iā ʻoe ka maʻalahi i ka hoʻohana ʻana i ka lāʻau a ʻaʻole pono e kipa i kahi keʻena i kēlā me kēia lā.

Eia naʻe, ʻoi aku ka maikaʻi o ka methadone no ka poʻe me ka maʻi opioid koʻikoʻi, lōʻihi a i ʻole ka poʻe i pane ʻole i ka buprenorphine. He mea maʻamau nō hoʻi ke kumu kūʻai a ua hoʻohana maikaʻi ʻia no nā makahiki he nui i ka mālama ʻana i ka maʻi.

E noʻonoʻo kāu mea mālama ola i nā mea e like me kāu mōʻaukala maʻi, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, kou kūlana ola, a me nā makemake pilikino i ka wā e ʻōlelo ai i ka koho maikaʻi loa nāu. Hiki i nā lāʻau lapaʻau ʻelua ke maikaʻi loa ke hoʻohana ʻia ma ke ʻano he ʻāpana o kahi papahana lapaʻau piha.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Buprenorphine

He Palekana anei ka Buprenorphine no ka poʻe me ka maʻi ate?

Hiki ke hoʻohana ʻia ka Buprenorphine me ka akahele i ka poʻe me nā pilikia ate māmā a i ʻole kaulike, akā pono ia i ka nānā pono ʻana a me ka hoʻoponopono ʻana i ka lāʻau. E nānā kāu kauka i kāu hana ate i nā manawa a pau a hiki ke hoʻomaka iā ʻoe ma kahi haʻahaʻa haʻahaʻa ma mua o ka maʻamau.

ʻAʻole pono ka poʻe me ka maʻi ate koʻikoʻi a i ʻole ka maʻi ate e lawe i ka buprenorphine, no ka mea, ʻaʻole hiki i ko lākou kino ke hana i ka lāʻau me ka palekana. Inā he pilikia kou ate, he mea nui e kūkākūkā i kēia me kāu mea mālama ola ma mua o ka hoʻomaka ʻana i ka lāʻau.

He aha kaʻu e hana ai inā ua hoʻohana hewa au i ka nui o ka Buprenorphine?

Inā manaʻo ʻoe ua lawe ʻoe i ka nui o ka buprenorphine, e ʻimi koke i ke kōkua olakino ulia pōpilikia ma ke kelepona ʻana iā 911 a i ʻole ke hele ʻana i ka lumi ulia pōpilikia kokoke loa. Hiki i ka overdose ke hana i nā pilikia hanu koʻikoʻi, ka hiamoe nui, a me ka nalowale o ka ʻike.

ʻO nā hōʻailona o ka overdose buprenorphine e komo pū ana me ka hanu lohi a paʻakikī paha, nā lehelehe a i ʻole nā kui lima uliuli, ka hiamoe nui, ka ʻili anuanu a me ka pulu, a me ka nalowale o ka ʻike. Mai kali e ʻike inā e hoʻomaikaʻi nā hōʻailona, no ka mea, he mea nui ka mālama ʻana i ka lāʻau lapaʻau no ka palekana.

He aha kaʻu e hana ai inā ua hala wau i kahi mahele o Buprenorphine?

Inā ua hala ʻoe i kahi mahele o ka buprenorphine, e lawe koke ʻoe i ka wā e hoʻomanaʻo ai ʻoe, ke ʻole kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia. I kēlā hihia, e lele i ka mahele i hala a e hoʻomau me kāu papa hana maʻamau.

Mai lawe i ʻelua mahele i ka manawa hoʻokahi e hoʻoponopono ai i kahi mahele i hala, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao. Inā ʻaʻole ʻoe maopopo i ka mea e hana ai a i ʻole inā ua hala ʻoe i nā mahele he nui, e hoʻokaʻaʻike i kāu mea mālama ola no ke alakaʻi.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Buprenorphine?

ʻO ka hoʻoholo e hooki i ka lawe ʻana i ka buprenorphine e hana mau ʻia me ke alakaʻi a me ke kākoʻo o kāu kauka. ʻO ka hooki ʻana i ka hikiwawe hiki ke hana i nā hōʻailona haʻalele ʻoluʻolu ʻole, no laila e ʻōlelo maʻamau kāu kauka i ka hoʻemi ʻana i ka mahele i nā pule a i ʻole nā mahina.

Aia ka manawa i kāu mau pahuhopu lapaʻau, pehea ka lōʻihi o kou lawe ʻana i ka lāʻau, a me kou holomua holoʻokoʻa. Loaʻa ka pōmaikaʻi o kekahi poʻe mai ka lāʻau lapaʻau mālama lōʻihi, a hiki i nā poʻe ʻē aʻe ke mākaukau e emi ma hope o ka loaʻa ʻana o ke kūpaʻa i kā lākou hoʻōla a i ʻole ka mālama ʻana i ka ʻeha.

Hiki iaʻu ke kalaiwa i ka wā e lawe ana i ka Buprenorphine?

Hiki i ka Buprenorphine ke hana i ka hiamoe, ka ʻūlū, a me ka hoʻemi ʻia o ka manawa pane, ʻoi aku ka nui i ka wā e hoʻomaka mua ai ʻoe e lawe a i ʻole ke hoʻoponopono ʻia kāu mahele. ʻAʻole pono ʻoe e kalaiwa a i ʻole e hana i nā mīkini a hiki i kou ʻike ʻana i ka hopena o ka lāʻau iā ʻoe iho.

Ke paʻa ʻoe i kāu mahele a ʻaʻole ʻoe e ʻike hou i nā hopena ʻaoʻao e like me ka hiamoe a i ʻole ka ʻūlū, hiki i nā poʻe he nui ke kalaiwa me ka palekana. Eia naʻe, he mea nui e ʻoiaʻiʻo iā ʻoe iho e pili ana i kou makaʻala a me nā manawa pane, a e hahai mau i nā ʻōlelo aʻoaʻo kikoʻī a kāu kauka e pili ana i ke kalaiwa.