Loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi Parkinson? Inā pēlā, ua hāʻawi paha kāu kauka iā ʻoe i kahi pila i hana ʻia ma ka hoʻohui ʻana i kēia mau lāʻau lapaʻau ʻekolu. ʻOiai ke ʻano paʻakikī iki ka inoa o kēia lāʻau lapaʻau, ke maopopo iā ʻoe pehea e hana ai, he mea maʻalahi loa ia. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, kāna hana, a me nā mea āu e pono ai e makaʻala, ma ke ʻano aloha a maʻalahi.
He aha ka mea e hana ʻia ke hui pū ʻia kēia mau lāʻau lapaʻau ʻekolu?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻekolu mau lāʻau lapaʻau: Carbidopa, Levodopa, a me Entacapone . ʻO Levodopa ke kanaka nui o kēia pila. Hoʻokumu ʻia ka maʻi Parkinson e ka emi ʻana o ka kemika 'Dopamine' i loko o ko kākou lolo. Hana ka lāʻau lapaʻau i kapa ʻia ʻo Levodopa ma ka hele ʻana i ka lolo a kōkua i ke kūkulu hou ʻana i kēia dopamine i emi iho.
No laila he aha ka mea e hana ʻia i nā lāʻau ʻelua ʻē aʻe? E noʻonoʻo ʻoe he kanaka ʻo Levodopa e lawe ana i kahi leka koʻikoʻi.
- Ua like ʻo Carbidopa me kahi kiaʻi kino e pale ana i ke kanaka mai nā pilikia ma ke ala (mai ka haki ʻana o ka lāʻau lapaʻau ma nā wahi ʻē aʻe o ke kino ma mua o ka hiki ʻana i ka lolo).
- Ua like ʻo Entacapone me kekahi mea kōkua e hoʻoikaika i ka hana a ke kino kiaʻi a hiki iā Levodopa ke hana lōʻihi a ʻoi aku ka maikaʻi.
Ke hui pū ʻia kēia mau mea ʻekolu, hiki iā lākou ke lilo i mea kōkua nui i ka kaohi ʻana i nā hōʻailona o Parkinson (e like me ka haʻalulu, ka haʻalulu, a me ka hele lohi).
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa i kāu kauka ke ʻike i kou mōʻaukala olakino piha ma mua o ke kau ʻana i kēia lāʻau lapaʻau iā ʻoe. ʻO kēia no ka mea pono mākou e makaʻala loa i ka wā e hoʻohana ai i kēia lāʻau lapaʻau me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
| Maʻi a i ʻole ke kūlana | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Kaumaha a i ʻole nā maʻi noʻonoʻo ʻē aʻe | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā kūlana noʻonoʻo i kekahi manawa. |
| Maʻi diabetes | Hiki i ka lāʻau lapaʻau ke hoʻololi i nā pae kō koko. |
| Ke kūlana Glaucoma | No ka mea hiki iā ia ke hoʻopilikia i ke kaomi o nā maka. |
| Maʻi puʻuwai, mōʻaukala o ka hōʻeha puʻuwai, puʻuwai naʻau kūpono ʻole | Hiki ke hoʻopilikia ʻia ka helu o ka puʻuwai a me ke koko. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | No ka mea, pili ia i ke kaʻina hana o ka hoʻopau ʻana i ka lāʻau mai ke kino. |
| Nā maʻi māmā e like me ka hānō | I kekahi manawa hiki ke hoʻopilikia ʻia ka ʻōnaehana hanu. |
| ʻAneʻane hiamoe a i ʻole narcolepsy | No ka mea, hiki i kēia lāʻau lapaʻau ke hoʻohiamoe. |
| Nā ʻōpū ʻōpū a i ʻole nā maʻi ʻōpū | Hiki ke hoʻonui ʻia ka pilikia o kekahi mau hopena ʻaoʻao. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | Pono ʻoe e kamaʻilio me kāu kauka e pili ana i nā hopena hiki ke loaʻa i kāu keiki. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | E makaʻala i ka hiki ke loaʻa kahi maʻi allergy i kēia lāʻau lapaʻau. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
- E ale i ka pila me ke aniani wai. E lawe e like me ke kauoha a kāu kauka, i ka manawa kūpono.
- ʻO ka mea nui loa: Mai uhaʻi, kuʻi, a nau paha i ka papa. E ale holoʻokoʻa.
- E akahele me ka meaʻai: Hiki ke lawe ʻia kēia lāʻau me ka meaʻai a me ka ʻole. Eia nō naʻe, e akahele i ka wā e lawe ai i ka lāʻau.E pale i ka ʻai ʻana i nā meaʻai i kiʻekiʻe i ka momona, nā calorie, a me ka protein (e like me ka ʻiʻo, ka iʻa, nā hua manu, a me nā huahana waiū) , no ka mea, hiki i kēia mau meaʻai ke hōʻemi i ka omo ʻana o Levodopa. E kamaʻilio me kāu kauka e pili ana i kāu ʻai.
- Mai poina i kahi lāʻau lapaʻau: E lawe i kāu lāʻau lapaʻau i ka manawa kūpono. Mai lawe ʻoi aku ma mua o ka lāʻau i kuhikuhi ʻia a i ʻole e hoʻōki koke i ka lawe ʻana me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i ka hana ʻana pēlā ke loaʻa nā hopena koʻikoʻi.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka pila aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi.
Mea nui: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā mea kanu, a me nā mea hoʻopihapiha), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.
ʻO ke ʻano kūikawā, ʻaʻole loa e lawe pū ʻia me kēia lāʻau lapaʻau nā lāʻau MAOI (Monoamine Oxidase Inhibitors) no ka maʻi noʻonoʻo (e like me Marplan, Nardil, Parnate).
Eia kekahi, hiki i kēia lāʻau lapaʻau ke launa pū me kēia mau mea:
- ʻAila
- Nā mea hoʻohui hao - Inā ʻoe e lawe ana i nā mea hoʻohui hao, e lawe iā lākou i 2 mau hola ma mua a ma hope paha o ka lawe ʻana i kēia lāʻau.
- ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe
- Nā lāʻau lapaʻau no ka maʻi noʻonoʻo, ka hopohopo, a me ka hiamoe
- Kekahi mau lāʻau antibiotic (e.g. ampicillin, erythromycin, rifampin)
- Nā lāʻau lapaʻau Narcotic no ka ʻeha
- ʻO Warfarin (kahi lāʻau lapaʻau i hoʻohana ʻia e pale i ke kāpili ʻana o ke koko)
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea kūikawā e noʻonoʻo ʻia i ka wā e lawe ana i ka lāʻau lapaʻau
Hiamoe a me ka hiamoe koke
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. I kekahi manawa, me ka ʻole o ka ʻōlelo aʻo , hiki iā ʻoe ke hiamoe i ka wā e hoʻokele ana a kamaʻilio ana paha. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai ala koke mai kahi noho a kū paha. Hiki i kēia ke hōʻemi i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
Nā manaʻo hoʻonāukiuki a me nā ʻano hana maʻamau ʻole
He mea kākaʻikahi loa, ua hōʻike ʻia kekahi poʻe e lawe ana i kēia lāʻau lapaʻau he mau makemake ʻē. Eia kekahi laʻana, loaʻa paha iā lākou ka makemake nui e piliwaiwai, moe kolohe, hoʻolilo kālā me ke kumu ʻole, a ʻai nui paha. Inā ʻike ʻoe a i ʻole kou ʻohana i kekahi o kēia mau loli, e haʻi koke i kāu kauka.
Ka hopena 'Wearing-off' a me 'On-Off'
I kekahi manawa, i ka hoʻokokoke ʻana mai o ka lāʻau lapaʻau aʻe, manaʻo paha ia e nalowale ana ka hopena o ka lāʻau lapaʻau a ke hoʻi hou mai nei kāu mau hōʻailona Parkinson. Ua kapa ʻia kēia ʻo ka hopena 'wearing-off'. I kekahi manawa, manaʻo paha ia ʻaʻole hana iki ka lāʻau lapaʻau (he wā 'off'), a laila hoʻomaka hou e hana ma hope o kekahi manawa (he wā 'on'). Inā hana kēia iā ʻoe, e haʻi i kāu kauka. Hiki paha iā ia ke hoʻoponopono i kāu lāʻau.
Ka loli ʻana o ke kala o ka mimi a me ka hou
Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou mimi, lawai, a i ʻole ka hou i ʻeleʻele, ʻulaʻula, a ʻeleʻele paha. ʻAʻole kēia he mea e hopohopo ai. Eia nō naʻe, e makaʻala no ka mea hiki ke hoʻohaumia i nā lole.
E mālama i kou ʻili.
ʻOiai e lawe ana i kēia lāʻau lapaʻau, e nānā mau i kou ʻili no nā loli i kāu mau mole e kū nei a i ʻole ke ʻano o nā mole hou. E haʻi i kāu kauka inā ʻike ʻoe i kekahi mau loli.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. ʻAʻole koʻikoʻi ka hapa nui o lākou. Akā aia kekahi mau mea e pono ai mākou e makaʻala.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| • Nā hopena maʻi e like me ka ʻili ʻulaʻula, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo | • Nā neʻe ʻana o nā lima, ka maka, ka waha, ka ʻāʻī, a i ʻole ke kino o luna i hiki ʻole ke kāohi ʻia |
| • Hiamoe koke | • Nā loli i ke kūlana noʻonoʻo a i ʻole ke ʻano, nā hallucinations |
| • Puʻuwai wikiwiki a kūpono ʻole | • ʻEha ʻōpū, kuni, ʻeha ʻiʻo |
| • Pōniuniu, hāʻule | • Paʻakikī i ka mimi ʻana a i ʻole ka loli ʻana o ka nui o ka mimi |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| • Ka ʻōpū paʻa | • ʻEha poʻo |
| • Ka nalowale o ka makemake e ʻai | • ʻŌpū ʻeha, luaʻi |
| • Paʻakikī i ka hiamoe ʻana | • Waha maloʻo |
Leka Lawe-Home
- E lawe i kēia lāʻau lapaʻau e like me ke kauoha a ke kauka, i ka manawa kūpono, a ma ke ana kūpono. Mai uhaʻi a wāwahi paha i ka pila.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka.
- E hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe a pau, nā huaora, a me nā kūlana olakino ʻē aʻe āu e loaʻa ai.
- Inā loaʻa iā ʻoe ka hiamoe koke a i ʻole ka hoʻonāukiuki noʻonoʻo ʻē aʻe i ka wā e lawe ana i ka lāʻau lapaʻau, e haʻi koke aku i kāu kauka.
- E pale i ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka protein a me ka hao a puni ka manawa āu e lawe ai i ka lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i kēia.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kou olakino, mai makaʻu e kamaʻilio me kāu kauka.
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