Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kahi "fit" a i ʻole migraine, loaʻa paha iā ʻoe nā nīnau like ʻole a me ka makaʻu iki paha e pili ana i ka lāʻau i hāʻawi ʻia no ia mea. He aha ke ʻano o kēia lāʻau? He maikaʻi anei kēia no ke kino? Pehea ka lōʻihi o kou lawe ʻana? Ke noʻonoʻo nei paha ʻoe i nā mea e like me kēia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ka lāʻau i hāʻawi ʻia no kēia fit, a i ʻole ma nā huaʻōlelo lapaʻau, 'Nā Lāʻau Lapaʻau Antiseizure', ma ke ʻano maʻalahi loa, ma ka ʻōlelo hiki iā ʻoe ke hoʻomaopopo.
ʻO ka mea mua, e nānā kākou, he aha ka "seizure"?
I ka ʻōlelo maʻalahi, ʻo kā mākou mau ʻāpana lolo, i kapa ʻia ʻo neurons, e kamaʻilio pū kekahi me kekahi ma o nā hōʻailona uila maalea loa. ʻO ka hopu ʻana he piʻi koke ʻole ʻia o ka hana uila ma kahi ʻāpana o ka lolo. Ua like ia me kahi kaapuni pōkole i loko o kahi ʻōnaehana uila. Hiki i kēia ke hana nui i kēlā ʻāpana o ka lolo, e hana ana i nā ʻano hōʻailona like ʻole.
- I kekahi manawa aia nā haʻalulu a me ka haʻalulu o nā lālā (convulsions).
- I kekahi manawa, nalowale koʻu ʻike.
- ʻO kekahi manawa ʻē aʻe e haka pono ana ʻoe (e kilokilo ana).
- Hiki paha iā ʻoe ke manaʻo i nā manaʻo ʻē.
Manaʻo ka poʻe he nui ke ʻōlelo ʻoe "kūpono," pono ʻoe e loaʻa i kahi hopu. Akā, ʻaʻole ia ka hihia. Hiki ke loaʻa kahi hopu me ka ʻole o kahi hopu. ʻO ia ke kumu i kapa ʻia ai kēia mau lāʻau lapaʻau ʻo "Antiseizure Medications" ma mua o ka inoa ma mua, "Anticonvulsants."
He aha kēia mau lāʻau lapaʻau?
Nui nā ʻano lāʻau lapaʻau no nā maʻi ʻeha. E koho kāu kauka i ka lāʻau lapaʻau kūpono loa nāu ma muli o ke ʻano o ke maʻi āu e loaʻa nei, kou mau makahiki, a inā he mau maʻi ʻē aʻe kāu. Hiki ke hoʻokaʻawale ʻia kēia mau lāʻau lapaʻau i ʻelua mau ʻāpana nui.
| Māhele lāʻau lapaʻau | Ka wehewehe a me nā laʻana |
|---|---|
| Ka laulā ākea | Hiki ke hoʻohana ʻia kēia mau mea no nā ʻano kūlana kūpono like ʻole. ʻŌlelo pinepine nā kauka i kēia mau mea mua ke maopopo ʻole ke ʻano o ke kūpono. ʻO kahi laʻana: Levetiracetam, Valproate, Lamotrigine, Topiramate. |
| ʻĀpana haiki | Hoʻohana nui ʻia kēia mau mea no kekahi mau ʻano o nā hoʻopā (e.g. nā hopu ʻana ma ke ʻano he focal sealing). E.g.: Carbamazepine, Gabapentin, Pregabalin, Ethosuximide. |
No ke olakino wale nō anei kēia lāʻau lapaʻau?
ʻAʻole. He mea kēia a ka poʻe he nui i ʻike ʻole ai. Hoʻohana ʻia nā lāʻau antiseizure e mālama i kekahi mau kūlana ʻē aʻe ma waho aʻe o ka kaohi ʻana i nā hopu ʻana. He mea pono nō hoʻi lākou no nā kūlana ʻē aʻe ma muli o ko lākou hiki ke hoʻomālielie i ka ʻōnaehana nerve i loko o ka lolo.
- No ka pale ʻana i nā migraines
- No ka ʻeha neuropathic
- Nā maʻi noʻonoʻo e like me ka Bipolar Disorder
- Fibromyalgia (ʻeha ma ke kino holoʻokoʻa)
- Nā kūlana hopohopo
- ʻO ka Restless Leg Syndrome (ʻeha i nā wāwae)
ʻO ka mea nui loa, mai hoʻohana i kahi lāʻau lapaʻau i kuhikuhi ʻia no kekahi. ʻO kāu kauka wale nō ke hoʻoholo i ka lāʻau lapaʻau kūpono a me ka nui no kou kūlana.
Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?
E noʻonoʻo i ka pā ʻana e like me ka ʻino uila i loko o ka lolo. ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ka hoʻomālielie ʻana i kēlā ʻino. Nui nā ala e hana ai i kēlā.
1. Ke kāohi ʻana i nā kahawai ion: Hoʻopuka ʻia nā hōʻailona uila i loko o kā mākou mau neurons e ka neʻe ʻana o nā ion e like me ka sodium a me ka calcium. Hana kēia mau lāʻau lapaʻau ma ka hoʻēmi iki ʻana i ka hana o nā kahawai e neʻe ai kēlā mau ion. Hoʻōki kēia i nā neurons mai ka hoʻoulu nui ʻia.
2. Hoʻonui i nā kemika hōʻoluʻolu (`neurotransmitters`): Loaʻa i ko kākou lolo kahi kemika e hōʻoluʻolu ai i kekahi mau neurons. Ua kapa ʻia ʻo `GABA`. Hana kekahi mau lāʻau `antiseizure` ma ka hoʻonui ʻana i nā hopena o kēia `GABA`. A laila mālie ka lolo.
I ka ʻōlelo maʻalahi, hoʻomalu kēia mau lāʻau lapaʻau i ka hana uila nui i loko o ka lolo a hoʻihoʻi mai i ka maʻamau.
Nā pilikia koʻikoʻi a me nā mea e pono ai mākou e makaʻala
E like me nā lāʻau lapaʻau āpau, hiki i kēia mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao liʻiliʻi a me nā pilikia koʻikoʻi kakaikahi loa. ʻAʻohe mea e hopohopo ai, akā he mea nui e makaʻala i kēia.
Nā hopena ʻaoʻao maʻamau
ʻIke pinepine ʻia kēia mau mea i ka wā mua o ka lāʻau lapaʻau a nalowale i ka wā e hoʻomaʻamaʻa ai ke kino i ka lāʻau lapaʻau.
- ʻEha poʻo (ʻeha poʻo)
- Hiamoe, luhi
- Pōʻino
- ʻIke pōwehiwehi
- Ka luaʻi
- Piʻi a emi paha ke kaumaha
Inā hoʻomau kēia mau mea a hoʻopilikia paha iā ʻoe, e kamaʻilio me kāu kauka me ka hoʻōki ʻole i ka lāʻau lapaʻau .
ʻAkika a me nā pilikia
ʻO ka lawe ʻana i nā lāʻau lapaʻau ma mua o ke kauka i kuhikuhi ʻia (ma ke ʻano ulia a manaʻo paha) hiki ke alakaʻi i ka lāʻau make. He kūlana kēia e pono ai ka mālama olakino ulia pōpilikia.
| Pilikia! Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka haukapila. | |
|---|---|
| Nā ʻano |
|
| He aha e hana ai | E lawe koke i ka Halemai Pilikia (ETU) kokoke loa. Inā pono, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻike hou aku. |
Nā pilikia koʻikoʻi ʻē aʻe akā kakaikahi
He mau mea i ʻike pinepine ʻole ʻia kēia.
- ʻO ka maʻi Stevens-Johnson: He kūlana e hoʻoulu ai i ka pehu nui a me ka ʻili ʻana o ka ʻili a me nā membrane mucous (i loko o ka waha a me ka ihu).
- Ka hōʻino ʻana o ke akepaʻa (Akepaʻa ʻole)
- Hoʻopilikia i ka hana ʻana o nā ʻāpana koko (Aplastic Anemia, Agranulocytosis)
He mea kākaʻikahi loa nā maʻi ʻaleka koʻikoʻi e like me kēia, ʻo ia ke kumu e nānā mau ai kāu kauka i kou koko a nānā iā ʻoe no kēia.
He palekana anei ka hoʻohana ʻana i kēia lāʻau lapaʻau i ka wā hāpai?
He nīnau koʻikoʻi kēia no nā poʻe he nui. He mea weliweli loa ka hoʻōki koke ʻana i ka lawe ʻana i ka lāʻau lapaʻau no ka maʻi epilepsy i ka wā hāpai. ʻO ka hana ʻana pēlā e hiki ai ke hoʻi hou mai ka maʻi epilepsy, kahi mea e hōʻino ai i ka makuahine a me ke keiki i hānau ʻole ʻia.
No laila, ʻōlelo pinepine nā kauka e hoʻomau i ka hoʻohana ʻana i ka lāʻau lapaʻau i ka wā hāpai. Eia nō naʻe, inā ʻoe e hāpai ana i kahi keiki, pono ʻoe e haʻi i kāu kauka ma mua o kou hāpai ʻana .
A laila hiki i ke kauka ke koho i ka lāʻau lapaʻau palekana loa a me ka nui o ka lāʻau nou e hōʻemi ai i ka pilikia i kāu pēpē. ʻOi aku ka pilikia o kekahi mau lāʻau lapaʻau (e like me ka `Valproic acid`) no kāu pēpē ma mua o nā mea ʻē aʻe. No laila ʻoi aku ka maikaʻi o ka hoʻolālā ʻana ma mua.
Leka Lawe-Home
- ʻO nā lāʻau lapaʻau antiseizure ke kāohi wale i ka hoʻomaka ʻana o nā hopu ʻana, ʻaʻole e ho'ōla loa i ka maʻi epilepsy.
- He lōʻihi paha ka manawa e loaʻa ai ka lāʻau lapaʻau kūpono a me ka nui kūpono nou. E hoʻomanawanui.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hoʻonui hou i ka ʻeha.
- E hoʻomaopopo i kāu kauka e pili ana i nā hopena ʻaoʻao āu e ʻike ai, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a inā ʻoe e hoʻolālā nei e hāpai.
- E makaʻala i nā hōʻailona o ka overdose. I kēlā hihia, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- I kekahi manawa hiki i kēia lāʻau lapaʻau ke hoʻoulu i ke kaumaha a me nā manaʻo pepehi kanaka (he haʻahaʻa loa kēia o ka pilikia). Inā manaʻo ʻoe e like me kēia, e kelepona koke i kāu kauka a i ʻole ke kōkua olakino noʻonoʻo aupuni 1926 .
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