ʻOna ʻana o Cocaine
ʻO ka Cocaine kahi lāʻau stimulant kū ʻole i ke kānāwai e hoʻopili i kāu ʻōnaehana waena. No Cocca ka kumu kanu. Ke hoʻohana ʻia, hana ka cocaine i ka lolo e hoʻokuʻu i nā kiʻekiʻe ma mua o nā maʻamau o kekahi mau kemika. Hoʻopuka kēia mau mea i kahi ʻano euphoria, a i ʻole "kiʻekiʻe."
ʻO ka inu ʻona ʻana o Cocaine kahi kūlana ʻaʻole kiʻekiʻe wale ʻoe mai ka hoʻohana ʻana i ka lāʻau, akā loaʻa iā ʻoe nā hōʻailona ākea o ke kino e hiki ai iā ʻoe ke maʻi a hōʻino hoʻi.
Hoʻokumu ʻia ka ʻona ʻana o Cocaine e:
- Lawe nui i ka cocaine, a i ʻole concentrated kekahi ʻano o ka cocaine
- Ke hoʻohana nei i ka cocaine ke wela ke aniau, kahi e alakaʻi ai i nā ʻino hou a me nā hopena ʻaoʻao ma muli o ka make wai
- Ke hoʻohana nei i ka cocaine me kekahi mau lāʻau ʻē aʻe
Nā ʻōuli o ka ʻona ʻana o ka cocaine:
- Kiʻekiʻena, pīhoihoi, kamaʻilio a huehue, i kekahi manawa e pili ana i nā mea maikaʻi ʻole e hana ʻia
- Ka pīhoihoi, hoʻonāukiuki, hoʻomaha ʻole, huikau
- Haʻalulu nā mākala, e like me ka maka a me nā manamana lima
- Hoʻonui ʻia nā haumāna e liʻiliʻi ʻole ke hoʻomālamalama ke kukui i nā maka
- Hoʻonui i ka helu o ka puʻuwai a me ke kahe o ke koko
- ʻĀlohilohi
- Maʻaleʻa
- ʻO Nusea a me ka luaʻi
- Fever, sweating
Me nā kiʻekiʻena kiʻekiʻe, a i ʻole overdose, hiki i nā ʻōuli ʻoi loa ke loaʻa, e like me:
- Ka hopu ʻana i nā maʻi
- Ka nalowale o ka ʻike i nā wahi
- Ka nalowale ʻana o ka mimi
- Wela ke kino kiʻekiʻe, sweating ʻino
- ʻO ke kiʻekiʻe o ke koko, ka wikiwiki o ka puʻuwai a i ʻole ka ritme puʻuwai ʻole
- ʻO kaʻula Bluish o ka ʻili
- Wikiwiki a paʻakikī hoʻi i ka hanu ʻana
- Make
ʻOkiʻoki pinepine ʻia ʻo Cocaine (kāwili ʻia) me nā mea ʻē aʻe. Ke lawe ʻia, hiki ke loaʻa nā hōʻailona hou aʻe.
Inā manaʻo ʻia ka ʻona ʻana o ka cocaine, hiki i ka mea mālama ola ke kauoha i nā hōʻike aʻe:
- ʻO nā enzymes Cardiac (e nānā i ka hōʻike o ka hōʻeha puʻuwai a i ʻole ka hōʻeha puʻuwai)
- Pākuʻi x-ray
- CT scan o ke poʻo, inā kuhi ʻia ke poʻo poʻo a i ʻole ke kahe ʻana o ke koko
- ECG (electrocardiogram, e ana i ka hana uila i ka puʻuwai)
- Toxicology (lāʻau make a me ka lāʻau) kānana
- Urinalysis
E ana a mālama ka mea hāʻawi i nā hōʻailona koʻikoʻi o ke kanaka, e like me ka mahana, ka pālū, ka hanu hanu, a me ke kahe o ke koko.
E mālama ʻia nā ʻōuli ma ke kūpono. E loaʻa paha i ke kanaka:
- Kākoʻo hanu, e like me ka oxygen, he paipu i lalo o ka puʻu, a me ka ventilator (mīkini hanu)
- Nā wai IV (nā wai ma o kahi aa)
- ʻO nā lāʻau e mālama ai i nā hōʻailona e like me ka ʻeha, ka hopohopo, ka hoʻonāukiuki, ka paupau, ka hopu ʻana, a me ke koko kiʻekiʻe
- Nā lāʻau ʻē aʻe a i ʻole nā lāʻau lapaʻau no ka naʻau, ka lolo, nā mākala, a me nā kūpikipiki
Pono ka hoʻomaʻamaʻa wā lōʻihi i ka ʻōlelo aʻoaʻo lāʻau me ka lāʻau lapaʻau.
Aia ka nānā i ka nui o ka cocaine i hoʻohana ʻia a me nā mea i hoʻopili ʻia. Hiki ke hōʻino mau, a laila e kumu:
- ʻO ka hopu ʻana i ka maʻi, ka hahau, a me ka maʻi pākī
- Ka hopohopo nui a me ka psychosis (nā maʻi noʻonoʻo koʻikoʻi)
- Hoʻoemi i ka hana noʻonoʻo
- Nā kīnā ʻole o ka naʻau a hoʻemi i ka hana puʻuwai
- ʻO ke kīnā ʻole hakuʻala e koi ana i ka dialysis (mīkini hakuʻala)
- Ka luku ʻia ʻana o nā mākala, hiki ke alakaʻi i ka ʻokiʻoki
Intoxication - cocaine
- Electrocardiogram (ECG)
Aronson JK. ʻO Cocaine. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 492-542.
Rao RB, Hoffman RS, Erickson TB. ʻO Cocaine a me nā mea aloha ʻē aʻe. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 149.