Ke paʻakikī nei kāu keiki e noho kālele? A i ʻole ua manaʻo paha ʻoe e like me ka pilikia o ka noho kālele ʻana i ka wā e aʻo ana a hana paha i ka hana? ʻO Atomoxetine kahi lāʻau lapaʻau a nā kauka e kuhikuhi ai no ADHD (Attention-Deficit Hyperactivity Disorder). ʻIke nui ʻia ʻo ia ma ka inoa inoa ʻo Strattera. No laila i kēia lā, e aʻo hou kākou e pili ana i kēia lāʻau lapaʻau, kāna hana maoli, pehea e hoʻohana ai, a me nā mea āu e makaʻala nui ai.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Atomoxetine i hoʻohana ʻia e mālama i ka ADHD. Hoʻomaikaʻi ia i kou hiki a me kāu keiki ke kālele a kōkua i ka kaohi ʻana i ka hana impulsive.
No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo SNRI (Serotonin-Norepinephrine Reuptake Inhibitor). I ka ʻōlelo maʻalahi, hana kēia lāʻau lapaʻau ma ke kaulike ʻana i ka hana o kekahi mau kemika (neurotransmitters) e lawe ana i nā leka ma waena o nā aʻalolo i loko o ko kākou lolo. He kōkua nui kēia i ka kaohi ʻana i ka nānā a me ke ʻano. I kekahi manawa, hiki i kāu kauka ke kuhikuhi i kēia no nā mea ʻē aʻe. No laila, inā he mau nīnau kāu, mai kānalua e nīnau i kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e hoʻohana i ka atomoxetine, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana olakino ma lalo nei, no ka mea, hiki i kēia ʻike ke hoʻopili i ka dosage a i ʻole inā kūpono ka lāʻau lapaʻau iā ʻoe.
| Kou kūlana olakino a pilikia paha | No ke aha ʻoe e hoʻomaopopo ai i ke kauka? |
|---|---|
| ʻO ka glaucoma | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ke kaomi o nā maka. |
| Ke koko kiʻekiʻe a haʻahaʻa paha, maʻi puʻuwai, puʻuwai kū ʻole, a i ʻole ka mōʻaukala o ka hahau ʻana | Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ke koko a me ka helu o ka puʻuwai. |
| Maʻi akepaʻa | Inā pilikia ka hana o ke akepaʻa, hoʻopau mālie ʻia ka lāʻau mai ke kino. |
| ʻO kahi maʻi noʻonoʻo e like me ka mania a i ʻole ka maʻi bipolar | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ia mau kūlana. |
| He ʻano puʻupuʻu i kapa ʻia ʻo pheochromocytoma | He puʻupuʻu kēia e ulu ana i loko o nā kelepa adrenal, a hiki i ka lāʻau lapaʻau ke hoʻonui i ke koko i mea weliweli. |
| Nā manaʻo pepehi kanaka a i ʻole ka mōʻaukala o lākou | I ka manawa pinepine ʻole, hiki i kēia lāʻau lapaʻau ke hoʻonui i ia mau manaʻo. |
| Ke ho'āʻo nei e hāpai, e hāpai ana, a e hānai waiū paha | I kēia mau hihia, he mea nui ka ʻōlelo aʻoaʻo lapaʻau e hōʻoia i ka palekana o ka lāʻau lapaʻau. |
| Nā maʻi ʻaleka i ka atomoxetine a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā wai hoʻoluʻu | He mea nui e hoʻomaopopo i kēia e pale aku i nā maʻi allergies. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau.
- E inu ma ka waha me ke aniani wai.
- E hahai pono i nā kuhikuhi a ke kauka.
- Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana, akā inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- Hiki paha i kēia ke paʻakikī i kekahi poʻe ke hiamoe i ka pō. Inā pono ʻoe e lawe i nā lāʻau lapaʻau he nui i ka lā, e hoʻāʻo e lawe i ka lāʻau lapaʻau hope loa ma mua o ka hola 6 pm.
- ʻO ka mea nui loa, mai hoʻōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau, e hele koke i ka Emergency Unit (ETU) kokoke loa o ka haukapila a i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. No laila, mai kaʻana like i kāu lāʻau lapaʻau me kekahi. Hiki ke lilo i mea weliweli.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i poina.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Atomoxetine e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, no laila he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Atomoxetine! | |
|---|---|
| Nā MAOI (e laʻa me Carbex, Eldepryl, Marplan, Nardil, a me Parnate) | ʻO Cisapride |
| ʻO Dronedarone | Pimozide |
| ʻO Reboxetine | ʻO Thioridazine |
| E makaʻala loa inā ʻoe e lawe pū me kēia lāʻau lapaʻau me Atomoxetine. | |
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ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a me nā lāʻau lapaʻau āu e lawe ai. Mai poina e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- He mea nui ke ahonui: Hiki ke hala i hoʻokahi pule a ʻoi aku paha no ka hopena piha o kēia lāʻau lapaʻau. No laila, mai hoʻōki i ka lawe ʻana iā ia no ka mea "ʻaʻole ʻoe e manaʻo maikaʻi aʻe." E hoʻomau i ka lawe ʻana e like me ke kuhikuhi a kāu kauka.
- E makaʻala i ke olakino noʻonoʻo: He mea kākaʻikahi loa, hiki ke loaʻa nā manaʻo pepehi kanaka a i ʻole nā loli o ke ʻano (e like me ka huhū nui ʻana, ka hoʻonāukiuki, a i ʻole ke kaumaha) i nā keiki a me nā ʻōpio e lawe ana i kēia lāʻau lapaʻau. Inā ʻike ʻoe i kahi loli koke i ke ʻano o kāu keiki, e kāhea koke i kāu kauka.
- Hoʻomaopopo kūikawā no nā kāne: Inā loaʻa i ke kāne kahi kūkulu ʻeha a lōʻihi paha no nā hola he 4 a ʻoi, hiki ke lilo i maʻi koʻikoʻi. Inā hana ʻia kēia , pono ʻoe e ʻimi koke i ke kōkua lapaʻau ma mua o ka hiki ʻana mai o ka hōʻino mau loa.
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu paha. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o kēia hopena iā ʻoe. E makaʻala i ke ala ʻana a i ʻole ka noho ʻana i lalo me ka wikiwiki, ʻoiai inā he ʻelemakule ʻoe.
- Waha maloʻo: Inā manaʻo ʻoe ua maloʻo kou waha, e nau i ka gum ʻaʻohe kō a inu i ka wai he nui.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki i ka Atomoxetine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, aʻo kekahi he mea maʻamau.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau luna, nalowale ka makemake e ʻai, melemele ka ʻili a i ʻole nā maka, mimi melemele ʻeleʻele, ʻōpala mae. |
| Nā loli noʻonoʻo a me ke ʻano | Hopohopo, huhū, manaʻo pepehi kanaka, kaumaha. |
| Nā Hōʻailona o ka Stroke | Ka mae/nāwaliwali koke o ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka ʻeha poʻo nui. |
| Paʻakikī ke mimi | Paʻakikī i ka mimi ʻana a i ʻole ka mimi ʻole ʻana. |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
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ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Atomoxetine e kōkua ana i ka ADHD. Eia nō naʻe, he manawa iki ka manawa e ʻike ai i nā hopena piha, no laila e hoʻomanawanui a hoʻohana mau e like me ke kuhikuhi a kāu kauka.
- Mai ho'ōki koke i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- E hōʻoia e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā kūlana olakino āu e lawe nei.
- E makaʻala loa i nā hopena ʻino koʻikoʻi e like me nā loli i ke ʻano o kāu keiki a i ʻole nā manaʻo pepehi kanaka. Inā ʻike ʻoe i kekahi mea e like me kēia, e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai nā papa Aliskiren / Tekturna?
He lāʻau lapaʻau holomua loa kēia o ka hanauna hou loa a ʻokoʻa hoʻi (Direct Renin Inhibitor) i ʻike ʻia ma ka honua e kāohi i ke 'High Blood Pressure'! ʻOiai ʻo nā pila kaomi ʻē aʻe e hoʻōki i ka muliwai waikawa ke iho mai, ua ālai kēia pila i ke kumu o ka muliwai (Renin) 100% a pani iā ia, e hoʻōki ana i ke kaomi mai ka hōʻiliʻili ʻana ma kahi mua.
💬 Pehea e hoʻohaʻahaʻa ai i ke koko me kēia pila koko hou loa (Aliskiren)?
Hoʻomaka ka muliwai kemika e hoʻokiʻekiʻe i ke koko me kahi enzyme i kapa ʻia ʻo 'Renin' i hoʻokuʻu ʻia e ko kākou mau puʻupaʻa! Hana nā pila ʻē aʻe (ACE/ARB) ma ka kemika Angiotensin i hana ʻia e ia. Akā i ka wā e komo ai kēia pila i ke kino, hele pololei ia i nā puʻupaʻa a ālai i kēlā mīkini enzyme nui i kapa ʻia ʻo 'Renin' 100%. A laila ʻaʻole hoʻomaka ka muliwai, hoʻomaha nā kīʻaha koko a hāʻule koke ke kaomi.
💬 He aha ka pilikia make koʻikoʻi loa (Black Box Warning) e makaʻala ai i ka wā e lawe ai i kēia lāʻau (Aliskiren)?
Ua pāpā loa ʻia kēia pila, e like me nā pila koko ʻē aʻe, no nā wahine hāpai! Inā hāpai ka wahine hāpai e inu ana i kēia, e luku ʻia/kahe koko paha nā puʻupaʻa o ke keiki a make paha ke keiki (Fetal morbidity). Eia kekahi, inā loaʻa iā ʻoe ka maʻi diabetes a lawe pū me nā pila koko ʻē aʻe (ACE/ARB - e.g. Losartan), aia kahi pilikia o ka hōʻino ʻia ʻana o nā puʻupaʻa 100%/kiʻekiʻe ka potassium a me ka make.
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