Ke ʻike nei ʻoe i kekahi manawa i nā loli o ke ʻano i waho o ke kaohi a manaʻo koke ʻoe i ka hauʻoli nui a me ka hana nui (mania) a i kekahi manawa manaʻo koke ʻoe i ke kaumaha nui a me ke kaumaha (kaumaha)? ʻO kēia ka mea a mākou e kapa nei he Bipolar I Disorder i ka lāʻau lapaʻau. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi inikini kūikawā i hāʻawi ʻia i hoʻokahi manawa i ka mahina e kāohi i kēia mau loli koʻikoʻi o ke ʻano. ʻO ia ʻo Abilify Maintena.
He aha ka Bipolar I? Pehea e hana ai ʻo Abilify Maintena?
I ka ʻōlelo maʻalahi, ʻo ka maʻi bipolar kahi maʻi noʻonoʻo kahi e loli koke ai ke ʻano o ke kanaka, ka pae ikehu, a me nā pae hana. Hiki iā ia ke komo pū me nā hanana manic, i ka wā e hauʻoli nui ai lākou a hana ikaika, nā hanana kaumaha, i ka wā e kaumaha nui ai lākou a kaumaha, a me nā hanana hui pū ʻia, i ka wā e hui pū ʻia ai nā mea ʻelua. ʻO ke kanaka me ka maʻi bipolar I e ʻike i hoʻokahi hanana manic. Akā e hoʻomanaʻo, ʻokoʻa ke ʻano o ka hopena o ke kūlana i kēlā me kēia kanaka, ke koʻikoʻi o nā hōʻailona, a me ka lōʻihi o ko lākou mau manawa.
ʻOiai ʻaʻohe lāʻau lapaʻau piha no ka maʻi bipolar, hiki nō ke kāohi i nā hōʻailona a mālama i kahi ola maikaʻi me nā lāʻau lapaʻau kūpono a me ka mālama ʻana .
Aia i loko o ka inikini Abilify Maintena kahi lāʻau i kapa ʻia ʻo `aripiprazole`. No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo `nā antipsychotics hanauna ʻelua`. ʻOkoʻa kēia papa o nā lāʻau mai nā lāʻau kahiko no ka mea ʻaʻole lākou e hoʻoulu i nā hopena ʻaoʻao e pili ana i ka neʻe ʻana (` nā hōʻailona extrapyramidal` ) e like me ka haʻalulu a me ka hoʻomaha ʻole.
ʻAʻole maopopo loa ke ʻano o ka hana ʻana o kēia lāʻau lapaʻau i loko o ka lolo, akā ua manaʻoʻiʻo ʻia i kēia manawa e kōkua i ke kaulike ʻana i ka hana o nā kemika o ka lolo ʻo serotonin a me dopamine, ka mea e kaohi ana i ko mākou ʻano.
Pehea e loaʻa ai iaʻu kēia lāʻau pale?
ʻAʻole ʻo Abilify Maintena kahi lāʻau lapaʻau hiki iā ʻoe ke lawe iā ʻoe iho. He inikini ia i hāʻawi ʻia i hoʻokahi manawa i ka mahina e kāu kauka a i ʻole kekahi loea mālama ola kino i aʻo ʻia. ʻO ka maʻamau, hoʻokomo ʻia ia i loko o kou lima a i ʻole kou puʻupuʻu.
Hoʻomaka pinepine ka lāʻau lapaʻau me kahi mahele o 400mg. Eia nō naʻe, inā loaʻa iā ʻoe nā hopena ʻaoʻao, hiki i kāu kauka ke hoʻoholo e hōʻemi iā ia i 300mg.
He mea nui kēia mau mea i ka hoʻomaka ʻana o ka mālama ʻana.
- Inā ʻoe e lawe nei i kekahi ʻano lāʻau lapaʻau bipolar ʻē aʻe:Ma hope o kou loaʻa ʻana o kāu mahele mua o Abilify Maintena, e haʻi aku kāu kauka iā ʻoe e hoʻomau i ka lawe ʻana i ka mahele like no kahi o 14 mau lā. ʻO kēia ke kōkua i ka kaohi ʻana i kāu mau hōʻailona a hiki i ka paʻa ʻana o nā pae o ka lāʻau i loko o kou koko.
- Inā ʻaʻole ʻoe i lawe i kekahi lāʻau lapaʻau no ka maʻi bipolar ma mua: E hāʻawi kāu kauka iā ʻoe i kahi pila i kapa ʻia ʻo `aripiprazole` (Abilify) ma ka waha no ʻelua pule ma mua o ka hāʻawi ʻana iā ʻoe i kāu pana mua e ʻike ai inā hiki i kou kino ke ʻae i ka lāʻau lapaʻau a inā he mau hopena koʻikoʻi kou. A laila hiki ke hāʻawi ʻia iā ʻoe ka pila like no ʻelua pule ma hope o ka hāʻawi ʻana iā ʻoe i kāu pana mua. E like me ka mea i ʻōlelo ʻia ma mua, ʻo kēia ke mālama i nā pae lāʻau i loko o kou koko a hiki i ka hopena piha o ka pana.
He mea nui loa ʻaʻole ʻoe e poina i ka lā i hoʻonohonoho ʻia no kāu lāʻau lapaʻau no kekahi kumu. Inā poina ʻoe i ka lā palena, e kāhea koke i kāu kauka . Eia kekahi, ʻaʻole hiki iā ʻoe ke loaʻa i ka lāʻau lapaʻau aʻe a hiki i ka hala ʻana o 26 mau lā mai ka lāʻau lapaʻau mua.
He aha nā pono o kēia lāʻau lapaʻau? Pehea ka lōʻihi o ka hana ʻana?
Ua hōʻike ʻia nā haʻawina lapaʻau o Abilify Maintena ua emi iki ka nui o nā hanana ʻino o ka naʻau o ka poʻe i lawe iā Abilify Maintena ma mua o ka poʻe i lawe i ka placebo. I ka ʻōlelo maʻalahi, ua hiki i ka poʻe i lawe i kēia lāʻau ke mālama i ko lākou mau naʻau i ʻoi aku ka paʻa a me ka mālie no ka manawa lōʻihi.
He lāʻau pale "hoʻokuʻu lōʻihi" kēia. ʻO ke ʻano kēia, ua hoʻokuʻu mālie ʻia ka lāʻau i loko o ke kino a hana i kahi manawa lōʻihi. No laila, ʻaʻole paha ʻoe e ʻike i ka ʻokoʻa nui ma hope koke o ka pana ʻana. ʻO ia ke kumu i hāʻawi ʻia ai ʻoe i ka lāʻau lapaʻau waha no nā pule ʻelua mua. Inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona ma hope o kekahi mau mahina, e kamaʻilio me kāu kauka e pili ana i ia mea.
Nā hopena ʻaoʻao a pehea e mālama ai iā lākou?
E like me nā lāʻau lapaʻau āpau, hiki iā Abilify Maintena ke hana i kekahi mau hopena ʻaoʻao , ʻoiai ʻaʻole i loaʻa i nā kānaka a pau. Aia ma lalo nā hopena ʻaoʻao maʻamau a me nā mea hiki iā ʻoe ke hana e pili ana iā lākou.
| Hopena ʻaoʻao | Pehea e hoʻokele ai |
|---|---|
| ʻO ka hoʻomaha ʻole (akathisia) a me nā neʻe ʻana i kāohi ʻole ʻia (nā hōʻailona extrapyramidal) | Inā loaʻa iā ʻoe kēia mau hōʻailona, e haʻi koke aku i kāu kauka . Hiki iā ia ke hōʻemi i ka nui o ka lāʻau a kuhikuhi paha i kahi lāʻau lapaʻau ʻokoʻa no kēia mau hōʻailona. |
| ʻO ka piʻi ʻana o ke kaumaha, ke kiʻekiʻe o ke kō koko a me nā pae cholesterol | E nānā mau ana kāu kauka i kou kaumaha a me nā hoʻāʻo koko. He mea nui loa ka hahai ʻana i kahi papaʻai olakino a me ka hoʻoikaika kino . |
| Hopohopo | E hōʻemi i nā mea inu i loaʻa ka caffeine e like me ke kofe. E hiamoe lawa. E hoʻomālielie i kou manaʻo me nā mea e like me ka yoga a me ka hoʻoikaika kino. Inā hoʻomau, e haʻi i kāu kauka. |
| ʻAʻole hiki ke hiamoe | E hoʻomau i kou manawa moe a me kou manawa ala. Mai hoʻohana i kāu kelepona a nānā paha i ke TV ma mua o ka hiamoe ʻana. E kamaʻilio pū me kāu kauka e pili ana i kēia. |
| Luhi nui a me ka hiamoe | E pale i ka hoʻokele kaʻa ʻana a me ka hana ʻana i kekahi mea e pono ai ka makaʻala a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. |
| ʻEha ma kahi i hoʻokomo ʻia | E nalo ana kēia ʻeha i loko o kekahi mau hola a i ʻole mau lā. Hiki iā ʻoe ke noi i kāu kauka e kau i kahi ʻeke hau a i ʻole kahi ʻūpā mahana. Inā koʻikoʻi a mau paha ka ʻeha, e haʻi i kāu kauka . |
Nā Hana like ʻana o nā Lāʻau Lapaʻau
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i nā hopena o Abilify Maintena. Hiki iā Abilify Maintena ke hoʻololi i nā hopena o nā lāʻau lapaʻau ʻē aʻe. No laila , he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā huaora, a me nā lāʻau lapaʻau lāʻau/kūlohelohe.
| ʻAno lāʻau lapaʻau | Ka hopena hiki ke loaʻa |
|---|---|
| Nā lāʻau antifungal (e like me ke ketoconazole) a me kekahi mau lāʻau antidepressants (e like me ka paroxetine, fluoxetine) | Hiki iā ia ke hoʻonui i ka pae o Abilify i loko o ke koko, e hoʻonui ana i ka pilikia o nā hopena ʻaoʻao. |
| Nā lāʻau lapaʻau no ka maʻi epilepsy a me ka ʻeha aʻalolo (e like me ka carbamazepine) | Hiki iā ia ke hoʻemi i ka pae o Abilify i loko o ke koko, e hoʻemi ana i ka pono o ka lāʻau lapaʻau. |
| Lāʻau lapaʻau no ke koko kiʻekiʻe | Haʻahaʻa loa paha kou koko. E nānā pinepine kāu kauka i kou koko. |
| Nā lāʻau hoʻomaha (benzodiazepines) | Hiki ke loaʻa ka hiamoe nui a me ka emi ʻana o ke koko i ke kū koke ʻana (orthostatic hypotension). |
Leka Lawe-Home
- He inikini mahina ʻo Abilify Maintena i hoʻohana ʻia no ka mālama ʻana i ka maʻi Bipolar I.
- Hana ʻia kēia e hōʻemi i nā loli koʻikoʻi o ka naʻau a kōkua iā ʻoe e noho i kahi kūlana noʻonoʻo paʻa. He lāʻau lapaʻau kēia e kāohi ai i ka maʻi, ʻaʻole he lāʻau lapaʻau piha.
- Mai poina i nā lā hoʻopili i hoʻonohonoho ʻia. Inā loaʻa iā ʻoe kekahi pilikia, e hoʻomaopopo koke i kāu kauka.
- E makaʻala i nā hopena ʻaoʻao e like me ka piʻi ʻana o ke kaumaha, ka hoʻomaha ʻole, a me ka hiamoe. E kamaʻilio ākea me kāu kauka e pili ana i nā mea āpau e hoʻoluhi ai iā ʻoe.
- Hiki iā ʻoe ke pale aku i nā pilina weliweli ma ka hoʻomaopopo ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
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