ʻO Heroin overdose
He lāʻau kūpaʻa ʻole ʻo Heroin i mea hoʻomake loa. Aia ia i ka papa o nā lāʻau i ʻike ʻia ʻo opioids.
Kūkā kēia ʻatikala i ka heroin overdose. Hana ʻia kahi overdose ke lawe nui kekahi i kahi mea, maʻa mau ka lāʻau. Hiki paha i kēia ma ke kuʻuna a i ʻole ke kumu. Hiki i kahi heroin overdose ke kumu i nā hōʻailona koʻikoʻi, weliweli, a i ʻole ka make.
E pili ana i ka heroin overdose:
Ke piʻi nui nei ʻo Heroin overdoses maʻAmelika Hui Pū ʻIa i nā makahiki i hala aku nei. I ka 2015, ma luna o 13,000 mau kānaka i make i ka overdosis heroin ma United States. Kūʻai ʻole ʻia ʻo Heroin, no laila ʻaʻohe kaohi i ka maikaʻi a i ʻole ka ikaika o ka lāʻau. Eia kekahi, ua hui ʻia i kekahi manawa me nā lāʻau ʻona ʻē aʻe.
ʻO ka hapa nui o ka poʻe i overdose ua lilo i mea addict, akā ʻo kekahi poʻe overdose i ka manawa mua loa a lākou i hoʻāʻo ai. ʻO ka poʻe e hoʻohana nei i ka heroin e hoʻomāinoino pū i nā lāʻau ʻeha a me nā lāʻau ʻē aʻe. Hiki paha iā lākou ke hōʻino i ka waiʻona. Hiki ke weliweli loa kēia hui ʻana o nā mea. Ke ulu nei ʻo Heroin ma ʻAmelika Hui Pū ʻIa mai ka makahiki 2007.
Ua hoʻololi ʻia kekahi ma nā heluna kanaka o ka hoʻohana heroin. Manaʻo ʻia i kēia manawa ʻo ka hoʻāʻo ʻana i nā lāʻau paino opioid i kuhikuhi ʻia ka ʻīpuka e hoʻohana ai ka heroin no nā poʻe he nui. ʻO kēia no ka mea ʻo ke kumukūʻai alanui o heroin ka mea i ʻoi aku ka maikaʻi ma mua o ka helu o nā opioids kuhikuhi.
ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana iā ia e mālama a mālama i kahi overdose maoli. Inā loaʻa ʻoe a i ʻole kekahi mea āu e launa pū ai, e kāhea i kāu helu pilikia kūloko (e like me 911), a i ʻole hiki ke kiʻi pololei ʻia i kahi kikowaena lāʻau make kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help free (1-800-222-1222) mai nā wahi a ʻAmelika Hui Pū ʻIa.
ʻAwaʻawa ʻo Heroin. I kekahi manawa, hui pū ʻia nā mea heroin me ka lāʻau make pū kekahi.
Hana ʻia ʻo Heroin mai ka morphine. ʻO Morphine kahi lāʻau ikaika i loaʻa i nā seedpods o nā mea kanu opium poppy. Ua ulu kēia mau mea kanu a puni ka honua. ʻO nā lāʻau ʻehaʻeha kū kānāwai i loaʻa ka morphine i kapa ʻia ʻo opioids. ʻO Opioid kahi manawa i lawe ʻia mai opiuma, ʻo ia ka huaʻōlelo Helene no ka wai o ka mea kanu popa. ʻAʻole hoʻohana lapaʻau i ke kānāwai no heroin.
ʻO nā inoa o ke alanui no ka heroin e komo pū me "junk", "smack", dope, brown sugar, keʻokeʻo lio, Kina keʻokeʻo, a me "skag".
Hoʻohana ka poʻe i ka heroin e kiʻekiʻe. Akā inā lākou e overdose ma luna o ia, hiamoe loa lākou a i ʻole lilo paha i ʻike ʻole a hoʻōki i ka hanu.
Ma lalo nā ʻōuli o ka heroin overdose i nā ʻāpana like ʻole o ke kino.
NA ALANUI A ME NA NUI
- ʻAʻohe hanu
- Hā hanu
- Hanu mālie a paʻakikī hoʻi
NĀ MAKA, NOHO, NAHI A ME NUIʻU
- Waha maloo
- ʻO nā haumana liʻiliʻi loa, i kekahi manawa ua liʻiliʻi e like me ke poʻo o kahi pine (pinpoint pupils)
- ʻ tonguelelo kala ʻole
HEPU ME KE KOKO
- Kaomi haʻahaʻa
- Pulse nāwaliwali
ʻIli
- Nā kui kuʻi a me nā lehelehe
WAI A ME NĀ INNESTESTA
- Konipōpō
- Spasms o ka ʻōpū a me ka ʻōpū
ʻERLĀ NERVOUS
- ʻO Coma (nele i ka pane ʻole)
- Delirium (huikau)
- Hoʻohuli manaʻo
- Hiamoe
- Nā hoʻoneʻe Muscle i kāohi ʻole ʻia
E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i ke kanaka ke ʻole ke kāohi lāʻau ʻona a i ʻole kahi mea mālama ola e ʻōlelo iā ʻoe e hana pēlā.
Ma 2014, ua ʻae ka US Food and Drug Administration (FDA) i ka hoʻohana ʻana i kahi lāʻau i kapa ʻia ʻo naloxone (inoa inoa Narcan) e hoʻohuli i nā hopena o ka heroin overdose. Kapa ʻia kēia ʻano lāʻau he antidote. Hoʻokomo ʻia ʻo Naloxone ma lalo o ka ʻili a i ʻole i kahi mākala, e hoʻohana ana i kahi injector akomi. Hiki ke hoʻohana ʻia e nā mea hoʻoponopono olakino pōpilikia, nā mākaʻi, nā lālā o ka ʻohana, nā mea mālama, a me nā mea ʻē aʻe. Hiki iā ia ke mālama i nā ola a hiki i ka manawa e loaʻa ai ka mālama olakino.
E hoʻomākaukau i kēia ʻike:
- ʻO ka makahiki o ke kanaka, kaupaona, a me ke kūlana
- Ehia mau heroin a lākou i lawe ai, inā ʻike ʻia
- I ka wā a lākou i lawe ai
Hiki ke kiʻi pololei ʻia i kou kikowaena lāʻau make ma ke kāhea ʻana i ka lālani kōkua manuahi Poison Help (1-800-222-1222) mai nā wahi a pau o ʻAmelika Hui Pū ʻIa. E ʻae kēia helu hotline aupuni iā ʻoe e kamaʻilio me nā loea i ka lāʻau make. E hāʻawi lākou iā ʻoe i nā ʻōkuhi ʻē aʻe.
He lawelawe manuahi kēia a pilikino. Hoʻohana nā kikowaena mālama lāʻau ʻona āpau i ʻAmelika Hui Pū ʻIa i kēia helu aupuni. E kāhea ʻoe inā he nīnau kāu e pili ana i ka lāʻau make a i ʻole ka pale ʻana i ka lāʻau make. ʻAʻole pono ia e pilikia. Hiki iā ʻoe ke kāhea no nā kumu, 24 mau hola i ka lā, 7 mau lā o ka pule.
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. E loaʻa paha i ke kanaka:
- Nā hoʻāʻo ʻana o ke koko a me ka mimi
- Kākoʻo hanu, me ka paipu oxygen ma o ka waha i loko o ka puʻu, a me ka mīkini hanu
- Pākuʻi x-ray
- CT scan (kiʻi mua) o ka lolo inā kuhi ʻia ka ʻeha poʻo
- ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
- Nā wai kūpikipiki (IV, ma o ke aa)
- Nā lāʻau lapaʻau e mālama ai i nā hōʻailona, e like me ka naloxone (ʻike i ka ʻāpana "Home Care" ma luna), e pale aku ai i nā hopena o ka heroin
- Nā mahele lāʻau he nui a i ʻole hoʻomau hoʻomau ʻana IV o ka naxolone. Pono paha kēia no ka mea he pōkole nā hopena o ka naxolone a ʻo ka hopena depressive o ka heroin he mau loa.
Inā hiki ke hāʻawi ʻia kahi lāʻau hoʻōla, ola mai kahi overdose huikau i loko o 24 a 48 mau hola. Hoʻohui pinepine ʻia ʻo Heroin me nā mea i kapa ʻia he poʻe moekolohe. Hiki i kēia ke kumu i nā hōʻailona ʻē aʻe a me nā hōʻino o nā meaola. Pono paha kahi noho haukapila.
Inā ua loʻohia ka hanu o ke kanaka no ka manawa lōʻihi, hiki paha iā lākou ke hanu i nā wai i loko o ko lākou mau māmā. Hiki i kēia ke alakaʻi i ka niumonia a me nā pilikia pūpū ʻē aʻe.
ʻO nā kānaka e lilo i mea noʻonoʻo ʻole no nā wā lōʻihi o ka manawa a moe i nā ʻāpana paʻakikī e hoʻomohala i nā ʻeha ʻeha i ka ʻili a me nā mea i lalo. Kēia i hiki aku ai i ka ili ulcer, maʻiʻaʻai, a me ka hohonu scarring.
ʻO ke komo ʻana i nā lāʻau i loko o ke kui kuʻikuʻi ke kumu i nā maʻi ʻino. Hoʻopili kēia i nā abscesses o ka lolo, nā mumū, a me nā puʻupaʻa, a me ka maʻi puʻuwai puʻuwai.
Ma muli o ka hoʻokomo pinepine ʻia o ka heroin i loko o ke aa, hiki i kahi mea hoʻohana heroin ke hoʻomohala i nā pilikia e pili ana i ka hoʻokaʻawale ʻana i nā nila me nā mea hoʻohana ʻē aʻe. ʻO ke kaʻana ʻana i nā nila ke hiki i ka maʻi hepatitis, maʻi HIV, a me ka maʻi SIDA.
Overdosis Acetomorphine; Hoʻopiʻi nui Diacetylmorphine; Opiate overdose; ʻO ka overdose opioid
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Ka pale ʻana i ka ʻeha a me ka kaohi: overdose opioid. www.cdc.gov/drugoverdose/opioids/heroin.html. Hoʻohou i Kēkēmapa 19, 2018. Loaʻa iā Iulai 9, 2019.
ʻO Levine DP, ʻo Brown P. Nā maʻi i nā mea hoʻohana lāʻau hoʻōla. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 312.
Pūnaewele National on Abuse Abuse pūnaewele. Heroin. www.drugabuse.gov/publications/drugfact/heroin. Hoʻohou ʻia Iune 2019. Loaʻa iā Iulai 9, 2019.
Pūnaewele National on Abuse Abuse pūnaewele. Nā helu make make nui loa. www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates. Hoʻohou Ianuali 2019. Loaʻa iā Iulai 9, 2019.
Nikolaides JK, Thompson TM. Opioids. 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 156.