Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Carbamazepine no ka maʻi epilepsy a i ʻole kekahi ʻeha aʻalolo? Inā pēlā, he mea nui loa ia e ʻike piha e pili ana i kēia lāʻau lapaʻau. No ka mea, e like me nā lāʻau lapaʻau āpau, no ka loaʻa ʻana o ka mea nui loa mai ia mea, pono ʻoe e hoʻohana pono. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka pololei i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Carbamazepine?
ʻO kēia ka lāʻau lapaʻau nui e hōʻoluʻolu i nā aʻalolo i loko o ko mākou kino. E noʻonoʻo, hele nā hōʻailona uila ma o nā aʻalolo i loko o ko mākou lolo a me ke kino. I ke kūlana e like me ka hopu ʻana, lilo kēia mau hōʻailona i kaohi ʻole ʻia a me ka hana nui. Hoʻomālielie ʻo Carbamazepine i kēlā mau aʻalolo hana nui a kāohi i ka hana uila kūpono ʻole. Kāohi kēia i ka hanana o nā hopu ʻana. Kōkua pū kēia lāʻau lapaʻau i ka kāohi ʻana i ka ʻeha nui (ʻeha aʻalolo) i hoʻokumu ʻia e kekahi mau aʻalolo. Hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma Sri Lanka ma lalo o nā inoa inoa e like me `Tegretol-XR`.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono ʻo ia e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Ke kūlana āu e pono ai e hōʻike | Wehewehena |
|---|---|
| Nā kūlana olakino mua | Nā kūlana e like me ka maʻi iwi ʻiʻo, glaucoma, maʻi puʻuwai a i ʻole ka puʻuwai naʻau kūpono ʻole, maʻi puʻupaʻa, maʻi ake, a me ka porphyria. |
| Nā pilikia koko | ʻO nā kūlana e like me ka emi ʻana o ka helu o nā hunaola koko keʻokeʻo, nā platelets, a i ʻole nā hunaola koko ʻulaʻula i loko o ke koko. |
| Ola kino noʻonoʻo | Nā maʻi psychotic a i ʻole nā manaʻo pepehi kanaka, nā hoʻolālā, a i ʻole nā hoʻāʻo (i loko ou iho a i ʻole kekahi lālā o ka ʻohana) |
| Kumu ʻĀkia | Inā he mamo ʻAsia ʻoe, he mea nui e haʻi aku i kāu kauka e pili ana i ia mea, no ka mea, aia ʻoe i ka pilikia o ka loaʻa ʻana o kekahi mau maʻi ʻili koʻikoʻi. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i nā lāʻau lapaʻau ʻē aʻe e like me ka carbamazepine, nā antidepressants tricyclic, phenytoin, phenobarbital, a i ʻole i nā meaʻai a i ʻole nā mea mālama. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha, e ʻōlelo pono pēlā. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
I kēia hihia, ʻo ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a kāu kauka.
- E ale i kēia pila me ke aniani wai.
- Mai uhaʻi, kuʻi, a nau paha i ka papa. ʻOiai he mau papa hoʻokuʻu lōʻihi kēia, ʻo ka hana ʻana pēlā e hiki ai ke komo koke ka lāʻau i loko o ke kino a hoʻoulu i nā hopena ʻaoʻao.
- E nānā i nā papa. Mai hoʻohana inā he mau papa haki a nahā paha.
- ʻOi aku ka maikaʻi o ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻai . Hiki i kēia ke kōkua i ka hōʻemi ʻana i nā hopena ʻaoʻao e like me ka ʻeha o ka ʻōpū.
- E lawe i ka nui i kuhikuhi ʻia e like me ke kauoha a kāu kauka. Mai hoʻonui a hoʻēmi paha i ka nui e like me kou makemake, a i ʻole e lawe pinepine ma mua o ke kauoha.
- ʻO ka mea nui loa: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o ka hopu ʻana.
I kekahi manawa e ʻike paha ʻoe i ka uhi papa e puka mai ana me kāu ʻōpala. Mai hopohopo no ia mea. He mea maʻamau kēia. Ua komo ka mea hana nui o ka lāʻau i loko o kou kino.
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 kāu 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.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i kahi Keʻena Pilikia (ETU) a i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo . Mai lawe māmā i kēia.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i ka Carbamazepine ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a me nā mea inu, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau).
Mai lawe pū me ka carbamazepine i kēia mau mea:
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi HIV a i ʻole AIDS (nā mea i hāʻawi ʻia me ka cobicistat)
- ʻO Delavirdine
- Nā lāʻau lapaʻau MAOI (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate)
- Nefazodone
- ʻOxcarbazepine
Hiki i kēia mau mea ke pane:
He lōʻihi loa kēia papa inoa, no laila e kamaʻilio me kāu kauka e pili ana i kekahi lāʻau lapaʻau hou āu e lawe ai.
- ʻAsetaminopena
- ʻO kekahi mau lāʻau antibiotic (e like me clarithromycin, erythromycin)
- Nā lāʻau hoʻomalu hānau (Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka pono o nā lāʻau hoʻomalu hānau. No laila, e kamaʻilio me kāu kauka e pili ana i kahi ʻano hana hoʻomalu hānau ʻē aʻe.)
- Wai ʻāpala
- Nā lāʻau lapaʻau no nā maʻi noʻonoʻo e like me Lithium
- Lāʻau lapaʻau koko
- nā lāʻau antifungal (e like me fluconazole, ketoconazole)
- Nā ʻano steroid
- Nā lāʻau hoʻokahe koko e like me Warfarin
ʻAʻole kēia he papa inoa piha. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, inā ʻoe e puhipaka, a inā ʻoe e inu waiʻona .
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hopena ʻili koʻikoʻi: He mea nui loa kēia. Loaʻa paha i kekahi poʻe nā hopena ʻili koʻikoʻi i kekahi mau pule a i ʻole mau mahina ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe kahi ʻulaʻula me nā hōʻailona e like me ke kuni a i ʻole ke anu, inā lilo ka ʻulaʻula i poni, nā pehu, a hoʻomaka paha e ʻili, a inā ʻike ʻoe i ka pehu ʻana o ka maka, nā lehelehe, a i ʻole kahi puʻupuʻu ma ka ʻāʻī a i ʻole nā armpits , e ʻike koke i ke kauka.
- ʻO ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe, poniuniu, a i ʻole he ʻike pohihihi. No laila , mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe. E makaʻala i ke ala ʻana mai kahi noho a noho koke paha, ʻoiai inā he ʻelemakule ʻoe. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia hiamoe.
- E makaʻala i kou kūlana noʻonoʻo:ʻOiai he mea kakaikahi, hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o nā manaʻo a i ʻole nā hana pepehi kanaka. Inā nalowale kou ʻano hauʻoli, e ʻoi aku ka ʻino o kou ʻano, a i ʻole manaʻo ʻoe e make ana ʻoe, e haʻi koke i kāu kauka a i ʻole kekahi lālā o ka ʻohana. Mai hūnā iā ia.
- ʻIke i ka lā: ʻOi aku ka ʻike o kou ʻili i ka lā i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, inā ʻoe e hele ana i ka lā, e ʻaʻahu i nā lole e uhi ana i kou ʻili a hoʻohana i ka sunscreen.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
| ʻAleʻaleʻa koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻAʻai anemia aplastic | Luhi kūikawā, nāwaliwali, poniuniu, paʻakikī ka hanu ʻana, kahe koko maʻalahi a i ʻole ka palapū. |
| Ka pōʻino o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka melemele o ka ʻili a i ʻole nā maka. |
| Nā pae sodium haʻahaʻa | Nāwaliwali o nā ʻiʻo, luhi, poniuniu, ʻeha poʻo, nalowale ka hoʻomanaʻo. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā loli o ka ʻike, ka puʻuwai wikiwiki a ʻano ʻole paha, ke kuni, ke anu, ka ʻāʻī ʻeha, ka ʻulaʻula, ka pehu, a i ʻole ka ʻili ʻili, me loko o ka waha. |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao liʻiliʻi | Pōʻino, hiamoe, nalowale ke kaulike, nausea, luaʻi. |
Leka Lawe-Home
- Mai uhaʻi, kuʻi, a nau paha i ka papa carbamazepine. E ale holoʻokoʻa.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i kēia ke hoʻonui i ka pilikia o ka hopu ʻana.
- Inā hele pū kou kuni me nā ʻulaʻula ʻili e pehu ana, he hōʻailona paha ia o kahi maʻi koʻikoʻi. E haʻi koke aku i ke kauka.
- Inā manaʻo ʻoe ua pau kou manaʻolana, kaumaha, a i ʻole he mau manaʻo pepehi kanaka, e haʻi pono i kāu kauka a i ʻole kekahi āu e hilinaʻi nei.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, ʻoiai nā huaora. E pale i ka inu ʻana i ka wai pomelo.
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe, no laila e makaʻala loa i ka hana ʻana i nā hana e pono ai ka nānā ʻana, e like me ka hoʻokele kaʻa ʻana.
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