He aha ka Nalbuphine: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Nalbuphine he lāʻau lapaʻau ʻeha i kauoha ʻia e pili ana i kahi papa o nā lāʻau i kapa ʻia he opioid analgesics. Hāʻawi ʻia ma ke ʻano he injection e mālama i ka ʻeha maʻalahi a koʻikoʻi, pinepine i nā wahi haukapila a i ʻole i ka wā o nā kaʻina hana lapaʻau.

Hana ʻokoʻa kēia lāʻau lapaʻau mai nā opioids ʻē aʻe no ka mea hiki iā ia ke hōʻoluʻolu i ka ʻeha a loaʻa kahi hopena kaupaku no nā pilikia hanu. ʻO kēia ka mea e lilo ai i koho waiwai no ka mālama ʻana i ka ʻeha me ka hōʻemi ʻana i kekahi o nā pilikia e pili ana me nā opioids ikaika.

He aha ka Nalbuphine?

ʻO Nalbuphine he mea hoʻomaha ʻeha opioid synthetic i lawelawe ʻia ma o ka injection i loko o ka ʻiʻo a i ʻole ke aʻa. Hoʻokaʻawale ʻia ʻo ia he agonist-antagonist opioid hui pū ʻia, ʻo ia hoʻi, hana ia ma nā mea loaʻa opioid i kou lolo ma ke ʻano kūʻokoʻa.

ʻAʻole like me nā lāʻau opioid maʻemaʻe, loaʻa i ka nalbuphine nā waiwai hoʻomaha ʻeha a me nā hiʻohiʻona palekana i kūkulu ʻia. Hoʻāla ia i kekahi mau mea loaʻa opioid e ālai i nā hōʻailona ʻeha i ka wā e ālai ana i nā mea ʻē aʻe e hiki ke hoʻoulu i nā hopena ʻaoʻao weliweli e like me nā pilikia hanu nui.

Hele mai ka lāʻau lapaʻau ma ke ʻano he hopena maopopo a ʻaʻohe kala e hoʻomākaukau a lawelawe nā mea mālama ola. E loaʻa iā ʻoe ka nalbuphine i loko o kahi hoʻonohonoho lapaʻau kahi e hiki ai i nā poʻe loea i hoʻomaʻamaʻa ʻia ke nānā i kāu pane a hoʻoponopono i ka nui e like me ka mea e pono ai.

No ke aha e hoʻohana ʻia ai ka Nalbuphine?

Hoʻohana nui ʻia ka Nalbuphine e mālama i ka ʻeha maʻalahi a koʻikoʻi e koi ana i ka hoʻomaha pae opioid. Koho pinepine nā mea mālama ola i kēia lāʻau lapaʻau ke pono ʻoe i ka mana ʻeha ikaika akā makemake e hōʻemi i kekahi mau pilikia e pili ana me nā opioids kuʻuna.

ʻO nā kūlana maʻamau e loaʻa ai iā ʻoe ka nalbuphine e pili ana i nā kaʻina hana ʻoki, ka hana a me ka hānau ʻana, a me ka mālama ʻana i ka ʻeha ma hope o ka hana. He mea kōkua nui ia i ka wā hānau keiki no ka mea hiki iā ia ke hāʻawi i ka hōʻoluʻolu ʻeha nui me ka ʻole o ka hoʻoulu ʻana i ka nui o ka hanu ʻana i nā keiki hānau hou.

Hoʻohana kekahi poʻe lawelawe mālama ola i ka nalbuphine no ka mālama ʻana i nā maʻi ʻeha mau loa i ka wā i hāʻawi ʻole ai nā lāʻau lapaʻau ʻē aʻe i ka hōʻoluʻolu kūpono. I kēia mau hihia, hiki i nā waiwai kū hoʻokahi o ka lāʻau lapaʻau ke hāʻawi i ka mana ʻeha i ka wā e hōʻemi ana i ka pilikia o ka hoʻomanawanui a me ka hilinaʻi e hiki ke ulu me nā opioids ʻē aʻe.

Eia kekahi, hiki ke hoʻohana ʻia ka nalbuphine e hoʻohuli i kekahi o nā hopena ʻaoʻao o nā opioids ʻē aʻe, ʻo ia hoʻi nā pilikia hanu, ʻoiai e mālama ana i ka hōʻoluʻolu ʻeha. ʻO kēia ka mea he mea hana maʻalahi i ka mālama ʻeha.

Pehea e Hana ai ʻo Nalbuphine?

Hana ʻo Nalbuphine ma ka launa pū ʻana me nā mea hoʻokipa opioid i kou lolo a me ke kuamoʻo, akā hana ia ma ke ʻano paʻakikī ma mua o nā opioids kuʻuna. Ua manaʻo ʻia he lāʻau lapaʻau ʻeha ikaika e hāʻawi ana i ka hōʻoluʻolu maikaʻi me ka ʻole o kekahi o nā pilikia o nā opioids ikaika.

Ke komo ka nalbuphine i loko o kāu ʻōnaehana, pili ia i nā mea hoʻokipa opioid kikoʻī i kapa ʻia he kappa receptors, e kōkua ana i ka pale ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i kou lolo. I ka manawa like, e ālai hapa ia i nā mea hoʻokipa mu-opioid, nā mea e kuleana no ka hōʻoluʻolu ʻeha a me nā hopena ʻaoʻao weliweli e like me nā pilikia hanu nui.

Hoʻokumu kēia hana pālua i ka mea a nā kauka e kapa ai he

Ma mua o ka loaʻa ʻana o ka nalbuphine, e nānā kāu mea mālama ola i kāu moʻolelo olakino a me nā lāʻau lapaʻau i kēia manawa e hōʻoia i ka palekana iā ʻoe. E nānā pū lākou i kāu mau hōʻailona ola, me kou hanu ʻana, ka puʻuwai, a me ke koko, i ka wā o ka mālama ʻana.

ʻAʻole pono ʻoe e hopohopo e pili ana i ka manawa o kēia lāʻau lapaʻau me nā meaʻai no ka mea e hāʻawi ʻia ana e ka injection. Eia naʻe, inā ua hoʻonohonoho ʻia ʻoe no kahi kaʻina hana e pili ana i ka nalbuphine, e hāʻawi kāu hui mālama ola iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka ʻai ʻana a me ka inu ʻana ma mua.

ʻO ka dosage a me ke alapine o nā injections nalbuphine e hilinaʻi ana i nā mea he nui, me kou pae ʻeha, ke kaumaha o ke kino, ka hana ʻana o ka puʻupaʻa, a me ke ʻano o kou pane ʻana i ka lāʻau lapaʻau. E hoʻoponopono kāu mea mālama ola i kēia mau mea ma muli o kāu pono a me ka pane.

Pehea ka lōʻihi e lawe ai au i ka Nalbuphine?

ʻO ka lōʻihi o ka mālama ʻana i ka nalbuphine e ʻokoʻa loa ma muli o ke kumu e loaʻa nei iā ʻoe a me kou kūlana olakino. No nā kaʻina hana ʻoki a i ʻole nā hanana ʻeha nui, hiki iā ʻoe ke loaʻa iā ia no kekahi mau hola a i ʻole mau lā.

I nā wahi haukapila, hoʻohana maʻamau nā mea mālama ola i ka nalbuphine no ka mālama ʻana i ka ʻeha no ka manawa pōkole i ka wā o nā kaʻina hana a i ʻole i ka manawa ma hope o ka hana. ʻO ka pahuhopu ka hāʻawi ʻana i ka hōʻoluʻolu ʻeha maikaʻi i ka wā o ka manawa ʻoluʻolu ʻole loa i ka wā e hoʻololi ai i nā hoʻolālā mālama ʻeha ʻē aʻe i kou wā e ola ai.

No nā maʻi ʻeha mau, hiki i kekahi poʻe ke loaʻa i ka nalbuphine no nā manawa lōʻihi, akā pono kēia i ka nānā pono ʻana e kāu hui mālama ola. E loiloi mau lākou inā e hāʻawi ana ka lāʻau lapaʻau i nā pōmaikaʻi a inā pono e hana i nā hoʻoponopono.

E hana kāu mea mālama ola me ʻoe e hoʻoholo i ka lōʻihi kūpono o ka mālama ʻana ma muli o kou pae ʻeha, ka holomua o ka hoʻōla ʻana, a me ke kūlana olakino holoʻokoʻa. E kūkākūkā pū lākou i ka manawa a me ke ʻano e hoʻololi ai i nā ala mālama ʻeha ʻē aʻe.

He aha nā hopena ʻaoʻao o Nalbuphine?

E like me nā lāʻau lapaʻau a pau, hiki i ka nalbuphine ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole nā mea a pau e ʻike iā lākou. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a ʻike i ka manawa e ʻimi ai i ka lāʻau lapaʻau.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike me ka nalbuphine:

• Ka hiamoe a i ʻole ka hiamoe
• Ka wili a i ʻole ka māmā
• Ka maʻi a i ʻole ka luaʻi
• ʻEha poʻo
• Waha maloʻo
• Ka hou
• Ka manaʻo huikau a i ʻole ka disorientation

He maʻalahi ka maʻamau o kēia mau hopena ʻaoʻao a maʻa mau e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau. E nānā pono kāu hui mālama ola iā ʻoe a hiki ke hāʻawi i ke kākoʻo inā pono.

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e komo pū me nā pilikia hanu, nā hopena maʻi koʻikoʻi, a i ʻole ka hāʻule nui ʻana o ke koko. He mea maʻamau kēia mau mea akā pono ka lāʻau lapaʻau koke.

Hiki i kekahi poʻe ke ʻike i nā hopena psychological e like me ka hopohopo, ka ʻole, a i ʻole nā ​​hoʻololi ʻana o ke ʻano. Inā ʻike ʻoe i nā manaʻo a i ʻole nā ​​manaʻo ʻē, he mea nui e kūkākūkā i kēia mau mea me kāu mea mālama ola.

I nā manawa maʻamau, hiki i ka nalbuphine ke hana i nā pilikia koʻikoʻi e like me nā hopu ʻana, nā hopena maʻi koʻikoʻi me ka pilikia o ka hanu ʻana a i ʻole ka pehu ʻana, a i ʻole nā ​​hoʻololi nui ʻana o ka puʻuwai. Ua aʻo ʻia kāu hui mālama ola e ʻike a mālama i kēia mau hopena maʻamau akā koʻikoʻi.

ʻO wai ka mea ʻaʻole pono e lawe i ka Nalbuphine?

ʻAʻole kūpono ka Nalbuphine no nā mea a pau, a e loiloi pono kāu mea mālama ola inā palekana ia iā ʻoe ma mua o ka lawelawe ʻana. ʻO kekahi mau maʻi lapaʻau a me nā kūlana e hana i ka nalbuphine i mea pōʻino a i ʻole ka liʻiliʻi.

ʻAʻole pono ʻoe e loaʻa i ka nalbuphine inā he maʻi ʻike ʻia ʻoe i ka nalbuphine a i ʻole nā ​​lāʻau opioid like. ʻO nā hōʻailona o ka hopena maʻi e komo pū me ka pilikia o ka hanu ʻana, ka pehu ʻana o ka maka a i ʻole ka ʻāʻī, a i ʻole nā ​​hopena ʻili koʻikoʻi.

ʻAʻole paha he mau moho maikaʻi nā kānaka me nā pilikia hanu nui, e like me ka maʻi hānō nui a i ʻole ka maʻi pulmonary obstructive maʻi (COPD), no ka nalbuphine. ʻOiai ʻoi aku ka palekana ma mua o kekahi mau opioids e pili ana i ka hōʻemi ʻana i ka hanu, hiki nō ke hoʻopilikia i kāu hana hanu.

Inā loaʻa iā ʻoe ka maʻi ate a i ʻole ka maʻi kīkī, pono e noʻonoʻo pono kāu mea mālama ola inā kūpono ka nalbuphine iā ʻoe. Kōkua kēia mau ʻōkana i ka hana ʻana a me ka hoʻopau ʻana i ka lāʻau lapaʻau mai kou kino, no laila hiki i nā pilikia me kā lākou hana ke hoʻopilikia i ka hana ʻana o ka lāʻau.

Pono nā wahine hāpai i ka noʻonoʻo kūikawā i ka wā e pili ana i ka nalbuphine. ʻOiai hoʻohana ʻia i kekahi manawa i ka wā o ka hana a me ka hānau ʻana, pono ka manawa a me ka dosage i ka hoʻolālā pono e hōʻoia i ka palekana o ka makuahine a me ka pēpē.

Pono paha nā kānaka me ka mōʻaukala o ka hoʻomāinoino ʻana i nā mea a i ʻole ka hoʻohui ʻana i nā ala hoʻokele ʻeha ʻē aʻe. E kūkākūkā kāu mea mālama ola i nā koho palekana a me ka maikaʻi loa no kāu kūlana kikoʻī.

Nā inoa inoa Nalbuphine

Loaʻa ka Nalbuphine ma lalo o nā inoa inoa like ʻole, ʻoiai ua loaʻa pinepine ʻia ma ke ʻano he lāʻau lapaʻau maʻamau. ʻO ka inoa inoa kaulana loa ʻo Nubain, ʻo ia ka mana inoa mua o ka nalbuphine.

ʻO nā inoa inoa ʻē aʻe āu e hālāwai ai me Nalbuphine HCl a me nā ʻano hana maʻamau like ʻole. Noho like ka mea hana a me ka pono me ka nānā ʻole i ka inoa inoa a i ʻole ka mea hana.

E hoʻohana maʻamau kāu mea mālama ola i nā mea i loaʻa ma kā lākou hale. Pono nā mana a pau o ka nalbuphine e hoʻokō i nā kūlana palekana a me ka pono i hoʻonohonoho ʻia e nā ʻoihana hoʻoponopono.

Nā koho ʻē aʻe o Nalbuphine

Inā ʻaʻole kūpono ka nalbuphine iā ʻoe a i ʻole ʻaʻole e hāʻawi i ka hōʻoluʻolu ʻeha kūpono, hiki ke noʻonoʻo ʻia kekahi mau lāʻau lapaʻau ʻē aʻe. E koho kāu mea mālama ola i ke koho maikaʻi loa e pili ana i kāu pono olakino a me nā kūlana.

ʻO nā lāʻau opioid ʻē aʻe e like me ka morphine, fentanyl, a i ʻole hydromorphone paha he mau koho ʻē aʻe no ka mālama ʻana i ka ʻeha nui. Hana ʻokoʻa kēia mau lāʻau lapaʻau ma mua o ka nalbuphine a he kūpono paha lākou ma muli o kou kūlana.

No ka ʻeha waena, hiki i nā lāʻau lapaʻau e like me ka tramadol a i ʻole nā lāʻau hui pū e loaʻa ana ka acetaminophen a i ʻole ibuprofen ke kūpono. He ʻokoʻa pinepine kēia mau koho i nā hopena ʻaoʻao a kūpono paha i kāu mau pono pilikino.

Hiki nō hoʻi i nā ala mālama ʻeha non-opioid ke kūpono loa, me nā poloka nerve, nā injections epidural, a i ʻole nā ʻenehana anesthesia ʻē aʻe. Hiki i kāu hui mālama ola ke kūkākūkā i nā koho ʻē aʻe e hana maikaʻi loa no kāu ʻano ʻeha.

Aia ke koho o nā koho ʻē aʻe ma nā mea e like me ke koʻikoʻi o kou ʻeha, kāu mōʻaukala olakino, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me kāu mau makemake pilikino e pili ana i nā ala mālama ʻeha.

Ua ʻoi aku ka maikaʻi o ka Nalbuphine ma mua o ka Morphine?

He mau lāʻau lapaʻau ʻeha kūpono ka Nalbuphine a me ka morphine, akā hana lākou i nā mea like ʻole a loaʻa nā pono like ʻole ma muli o kāu kūlana olakino. ʻAʻole ʻoi aku kekahi ma mua o kekahi - pili ke koho i kāu mau pono a me nā kūlana.

Loaʻa i ka Nalbuphine kekahi mau pono palekana ma luna o ka morphine, ʻo ia hoʻi e pili ana i nā pilikia hanu. ʻO ka hopena kaupaku no ka hoʻohaʻahaʻa ʻana i ka hanu ʻo ia ka nalbuphine ʻaʻole paha e hoʻoulu i nā pilikia hanu weliweli, ʻoiai ma nā kiʻekiʻe kiʻekiʻe.

ʻO ka morphine, ma kekahi ʻaoʻao, ʻoi aku ka maikaʻi no ka ʻeha nui a ʻaʻole i loaʻa ka hopena kaupaku like no ka hoʻomaha ʻeha e like me ka nalbuphine. ʻO ia hoʻi, hiki i ka morphine ke hāʻawi i ka hoʻomaha ʻeha ikaika ke pono, akā lawe pū kekahi i nā pilikia kiʻekiʻe.

No kekahi mau kūlana, e like me ka hana a me ka hānau ʻana a i ʻole i nā maʻi me ka hanu i hoʻopilikia ʻia, makemake ʻia ka nalbuphine ma muli o kāna ʻano palekana. No ka ʻeha maʻi nui a i ʻole ka ʻeha ma hope o ke ʻoki ʻana, ʻoi aku ka maikaʻi o ka morphine.

E noʻonoʻo ana kāu mea mālama ola i nā mea e like me ka nui o kou ʻeha, ka mōʻaukala olakino, nā lāʻau lapaʻau ʻē aʻe, a me nā mea pilikia i ke koho ʻana ma waena o kēia mau lāʻau lapaʻau. He mau koho maikaʻi ʻelua ke hoʻohana pono ʻia.

Nā Nīnau i Nīnau pinepine ʻia e pili ana iā Nalbuphine

Q1. Palekana anei ʻo Nalbuphine no nā wahine hāpai?

Hiki ke hoʻohana ʻia ʻo Nalbuphine i ka wā hāpai, ʻoi aku hoʻi i ka wā hana a me ka hānau ʻana, akā pono ia i ka mālama olakino pono. Koho pinepine nā mea mālama ola i ka nalbuphine i ka wā hānau no ka mea hāʻawi ia i ka hōʻoluʻolu ʻeha maikaʻi ʻoiai e palekana ana no ka makuahine a me ka pēpē i hoʻohālikelike ʻia me kekahi mau opioids ʻē aʻe.

Hele ka lāʻau lapaʻau ma ka placenta, ʻo ia hoʻi hiki iā ia ke hoʻopilikia i ka pēpē. Eia naʻe, ʻo ka hopena o ka nalbuphine no ka hoʻohaʻahaʻa ʻana i ka hanu e hōʻemi ana i ka hiki ke hoʻopilikia i nā pilikia hanu koʻikoʻi i nā keiki hānau hou i hoʻohālikelike ʻia me nā opioids ʻē aʻe.

Inā hāpai ʻoe a pono i ka mālama ʻeha, e noʻonoʻo pono kāu mea mālama ola i nā pōmaikaʻi a me nā pilikia o ka nalbuphine i hoʻohālikelike ʻia me nā koho ʻē aʻe. E nānā pū lākou iā ʻoe a me kāu pēpē i ka wā a ma hope o ka lawelawe ʻana.

Q2. He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Nalbuphine?

No ka mea, hāʻawi ʻia ʻo nalbuphine e nā poʻe loea olakino i nā wahi lapaʻau, ʻaʻole hiki ke loaʻa ka overdose. Eia naʻe, inā ʻoe e ʻike i ka hiamoe nui, ka huikau, ka pilikia o ka hanu ʻana, a i ʻole nā ​​hōʻailona ʻē aʻe e pili ana, e hoʻomaopopo koke i kāu hui mālama ola.

Loaʻa i nā mea mālama ola nā lāʻau lapaʻau a me nā mea hana e hoʻohuli i nā hopena o ka nalbuphine inā pono. Ua aʻo ʻia lākou e ʻike a mālama i nā kūlana overdose me ka wikiwiki a me ka maikaʻi.

ʻO ka hopena o ka nalbuphine, ʻo ia hoʻi, ʻaʻole hiki ke hoʻoweliweli i ke ola ka hoʻohaʻahaʻa ʻana i ka hanu i hoʻohālikelike ʻia me nā opioids ʻē aʻe, akā he mea nui ka mālama olakino inā ʻoe e ʻike i nā hōʻailona koʻikoʻi.

Q3. He aha kaʻu e hana ai inā haʻalele wau i kahi mahele o Nalbuphine?

Mai ka mea i hāʻawi ʻia ʻo nalbuphine e nā poʻe loea mālama ola ma kahi papa manawa kikoʻī e pili ana i kāu mau pono olakino, ʻaʻole pono ʻoe e hopohopo e pili ana i ka nalo ʻana i nā lāʻau. E mālama kāu hui mālama ola i ka manawa a me ka hoʻohana ʻana i kāu lāʻau.

Inā hopohopo ʻoe e pili ana i ka mālama ʻana i ka ʻeha a i ʻole manaʻo ʻoe ʻaʻole i mālama pono ʻia kou ʻeha, e kūkākūkā i kēia me kāu mea mālama ola. Hiki iā lākou ke hoʻoponopono i kāu hoʻolālā lapaʻau a i ʻole e hāʻawi i ke kōkua ʻeha hou inā pono.

E nānā kāu hui mālama ola i kāu mau pae ʻeha a hoʻoponopono i ke alapine a me ka dosage o nalbuphine e pili ana i kāu pane a me ke kūlana olakino.

Q4. I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Nalbuphine?

ʻO ka hoʻoholo e hooki i ka nalbuphine e hilinaʻi ana i kou kūlana olakino, nā pae ʻeha, a me ka hoʻolālā lapaʻau holoʻokoʻa. E hoʻoholo kāu mea mālama ola i ka wā e kūpono ai ke hooki i ka lāʻau a i ʻole e hoʻololi i nā ala ʻē aʻe e mālama ai i ka ʻeha.

No ka hoʻohana ʻana i ka wā pōkole i ka wā o nā kaʻina hana a i ʻole nā hanana ʻeha nui, hoʻōki ʻia ʻo nalbuphine i ka wā e emi ai ka ʻeha i nā pae hiki ke mālama ʻia a i ka wā e kūpono ai nā hoʻolālā mālama ʻeha ʻē aʻe.

Inā ua loaʻa iā ʻoe ka nalbuphine no ka manawa lōʻihi, hiki i kāu mea mālama ola ke hoʻemi mālie i ka dosage ma mua o ka hooki ʻana koke. Kōkua kēia i ka pale ʻana i nā hōʻailona haʻalele a hōʻoia i ka mālama maikaʻi ʻia o kou ʻeha i ka wā o ka hoʻololi.

Q5. Hiki iā Nalbuphine ke hana i ka addiction?

He haʻahaʻa ka hiki ke hoʻohui ʻia ʻo Nalbuphine i hoʻohālikelike ʻia me nā lāʻau opioid ʻē aʻe ma muli o kāna ʻano hana kūʻokoʻa. Eia naʻe, e like me nā opioids a pau, hiki nō ke hana i ka hilinaʻi kino a loaʻa kekahi hiki ke hoʻohana hewa.

ʻO nā waiwai agonist-antagonist hui pū o nalbuphine ʻo ia ka mea ʻaʻole paha e hana i nā hopena euphoric e hiki ke alakaʻi i ka addiction. ʻO kēia ka mea e palekana ai no ka nui o nā poʻe e pono ai ke kōkua ʻeha pae opioid.

E nānā ana kāu mea mālama ola iā ʻoe no nā hōʻailona o ka hilinaʻi a i ʻole ka hoʻohana hewa ʻana, ʻoiai inā pono ʻoe i ka nalbuphine no nā wā lōʻihi. E kūkākūkā pū lākou i nā hoʻolālā e hōʻemi i ka pilikia o ka hoʻohui ʻana i ka wā e hōʻoiaʻiʻo ana i ka mālama ʻeha pono.