Ke pilikia nei ʻoe i ka hana ʻana i kāu mau hana o kēlā me kēia lā ma muli o ka maʻi Parkinson? Malia paha ua paʻakikī kou mau wāwae a haʻalulu paha kou mau lālā? Ua ʻike mākou ʻaʻole maʻalahi ke ola me kēia mau hōʻailona. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau e hiki ke kōkua iā ʻoe e hōʻemi i kēia mau ʻeha. ʻO ia hoʻi, nā Capsules Hoʻokuʻu-Hoʻonui ʻia, ʻo ia ka hui pū ʻana o ʻelua mau lāʻau i kapa ʻia ʻo Carbidopa lāua ʻo Levodopa.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, hoʻohana ʻia kēia lāʻau lapaʻau, ʻo Carbidopa; Levodopa, e kāohi i nā hōʻailona o ka maʻi Parkinson. Loaʻa i ko mākou lolo kahi kemika i kapa ʻia ʻo dopamine. ʻO kēia ka mea e kōkua ai i ka hoʻokele ʻana i ka neʻe ʻana o ko mākou kino a me ka hoʻonohonoho ʻana. Ke ulu ka maʻi Parkinson, emi ka nui o ka dopamine i loko o ka lolo. ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona e like me ka ʻoʻoleʻa a me ka haʻalulu. No laila hana kēia lāʻau lapaʻau ma ka hoʻonui ʻana i ka nui o ka dopamine i loko o ka lolo a me ka hōʻemi ʻana i kēlā mau hōʻailona. Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā mea ʻē aʻe. Hiki iā ʻoe ke nīnau i kāu kauka a kauka lāʻau paha e pili ana i ia mea. ʻO kahi inoa inoa kaulana no kēia lāʻau lapaʻau ʻo Rytary.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hoʻomaopopo i kāu hui lapaʻau (hui mālama) e pili ana i kekahi mau mea. No ka mea, ʻo kēlā ʻike e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a pehea e hāʻawi ʻia ai.
Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻoluʻolu e haʻi aku iā lākou:
- Inā loaʻa iā ʻoe ke kaumaha a i ʻole kekahi maʻi noʻonoʻo ʻē aʻe.
- Inā loaʻa iā ʻoe ka maʻi diabetes.
- Inā he glaucoma kou i loko o kou mau maka.
- ʻO ka maʻi puʻuwai, ʻo ia hoʻi ka loaʻa ʻana o ka hānō puʻuwai ma mua, a i ʻole ka loaʻa ʻana o kahi mōʻaukala o ka puʻuwai puʻuwai kūpono ʻole.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe kahi maʻi māmā, no ka laʻana, ka hānō.
- ʻO Narcolepsy - kahi ʻano e hiamoe koke ai ʻoe me ka hiki ʻole ke kāohi ʻia i ke ao.
- Inā loaʻa iā ʻoe ka apnea hiamoe, kahi kūlana e pau ai kou hanu ʻana i ka wā hiamoe.
- Inā he mau pilikia kou ma ka ʻōpū a i ʻole ka ʻōpū.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi a i ʻole kahi hopena kūikawā iā Levodopa, Carbidopa, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
He mea nui loa ia no kou palekana ponoʻī e haʻi aku i ke kauka i kēia mau mea me ka hūnā ʻole ʻana iā lākou, ʻeā?
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
Pono e lawe ʻia kēia lāʻau lapaʻau me ke aniani wai. E hahai i nā kuhikuhi ma ka lepili lāʻau i hāʻawi ʻia iā ʻoe e kāu kauka e like me ka mea i ʻōlelo ʻia. Pono e ale ʻia ke capsule holoʻokoʻa. Mai kuʻi, nau, a uhaʻi paha i ka hapalua.
Inā paʻakikī iā ʻoe ke ale i kēia capsule. I kēlā hihia, hiki iā ʻoe ke wili mālie i ka capsule a ninini i ka lāʻau lapaʻau a pau i loko ma luna o hoʻokahi a ʻelua paha punetēpē o ka applesauce. Eia naʻe, pono ʻoe e hoʻohana koke i ka lāʻau lapaʻau ma hope o ke kāwili ʻana me ka meaʻai. Mai mālama no ka hoʻohana ʻana ma hope. E lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, i nā manawa maʻamau. Mai lawe i nā lāʻau lapaʻau ma mua o ka mea a kāu kauka e ʻōlelo ai. Eia kekahi, mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.
Eia kekahi, inā ʻoe e ʻai i kahi meaʻai momona a me nā calorie, hiki ke lōʻihi ka manawa e komo ai ka lāʻau i loko o kou kino. Hiki i kēia ke hoʻopaneʻe i ka hoʻomaka ʻana o ka lāʻau lapaʻau ma ʻelua a ʻekolu mau hola. No laila, e noʻonoʻo e lawe i kāu mahele mua o ka lā i hoʻokahi hola a ʻelua paha ma mua o ka ʻai ʻana. Eia nō naʻe, inā manaʻo ʻoe ua luaʻi ma hope o ka lawe ʻana i ka lāʻau lapaʻau, hiki iā ʻoe ke lawe pū me kekahi meaʻai.
Pono e mālama pono i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, no laila e kamaʻilio me kāu hui lapaʻau e pili ana i ia mea.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me nā poʻe ʻē aʻe.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia.
He aha inā e hala wau i kaʻu lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau lapaʻau pālua a i ʻole kahi lāʻau lapaʻau keu.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Aia kekahi mau lāʻau lapaʻau, e like me Carbidopa; Levodopa, hiki ke hoʻopilikia i ka wā e lawe pū ʻia ai. No laila, inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, he mea nui e haʻi i kāu kauka .
Mai lawe pū me kēia mau lāʻau lapaʻau:
- ʻO nā lāʻau lapaʻau i loko o ka papa o nā lāʻau i kapa ʻia ʻo MAOI, e like me Marplan, Nardil, a me Parnate.
- ʻO Reserpine
- ʻO Tetrabenazine
Hiki ke hana ʻia nā pilina me kēia mau lāʻau lapaʻau:
- ʻAila
- Droperidol
- ʻEntacapone
- Nā mea hoʻohui hao a i ʻole nā multivitamins me ka hao
- ʻIsoniazid (INH)
- Linezolid
- Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo
- Lāʻau lapaʻau no ke koko kiʻekiʻe
- Nā lāʻau hiamoe
- ʻO Metoclopramide
- Papaverine
- ʻO Procarbazine
- ʻO Tedizolid
- Rasagiline
- ʻO Selegiline
- Tolcapone
ʻAʻole paha e komo pū kēia papa inoa me nā pilina āpau. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā huahana lāʻau lapaʻau, nā huaora). E haʻi pū i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi o kēia mau mea ke launa pū me kāu lāʻau lapaʻau.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
E ʻike pinepine i kāu kauka e nānā i kou ʻano i kou wā e lawe ana i kēia lāʻau. E haʻi i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino. Mai hoʻōki i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i kahi hopena koʻikoʻi. E haʻi aku kāu kauka iā ʻoe i ka nui o ka lāʻau lapaʻau āu e pono ai e lawe.
- ʻO ka hiamoe a me ka poniuniu: Hiki iā ʻoe ke hiamoe a poniuniu paha. Mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka noʻonoʻo a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. Mai kū aʻe a kū koke paha mai kahi noho ʻana, ʻoiai inā he ʻelemakule ʻoe. ʻO ka hana ʻana pēlā e hōʻemi ai i ka pilikia o ka poniuniu a me ka hāʻule ʻana. Hiki i ka waiʻona ke hoʻopilikia i ke ʻano o ka hana a kēia lāʻau lapaʻau. No laila e pale i ka inu ʻana i ka waiʻona.
- Hiamoe koke: Ke lawe nei i kēia lāʻau lapaʻau, hiki iā ʻoe ke hiamoe koke me ka ʻole o ka ʻōlelo aʻo . Hiki iā ʻoe ke hiamoe i ka wā e hoʻokele ana, e kamaʻilio ana, a i ʻole e ʻai ana. ʻAʻole paha ʻoe e hiamoe ma mua o ka hiki ʻana mai o kēia. Inā hiki kēia iā ʻoe, e haʻi koke i kāu kauka .
- Nā makemake kūikawā: Ua hōʻike kekahi poʻe ua loaʻa iā lākou ka makemake moekolohe kūikawā i ka wā e lawe ana i kēia lāʻau lapaʻau, a i ʻole he mau makemake koʻikoʻi ʻole ko lākou e piliwaiwai, ʻai nui, a kūʻai paha i nā mea pono ʻole iā lākou. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e haʻi koke i kāu kauka .
- Nā hopena 'ʻAʻole e hoʻopau' a me 'On-Off': I kekahi manawa, ma mua o ka manawa e lawe ai i kāu mahele lāʻau aʻe, manaʻo paha ʻoe e pau ana ka lāʻau lapaʻau (he hopena 'ʻaʻole e hoʻopau'). Eia kekahi, i kekahi manawa e pau koke ka hana a ka lāʻau lapaʻau (mai kekahi mau minuke a i kekahi mau hola) a laila hoʻomaka hou e hana (he hopena 'on-off'). Ua like ia me ka hoʻohuli ʻana i kahi kuapo 'on' a 'off' paha. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi i kāu kauka . Pono paha e hoʻoponopono ʻia kāu mahele lāʻau.
- Nā meaʻai kiʻekiʻe i ka protein:ʻO ka ʻai ʻana i kahi meaʻai protein kiʻekiʻe hiki ke hoʻopaneʻe a pale paha i ka omo ʻana o kēia lāʻau lapaʻau. No laila, i mea e pale aku ai i kēia mau pilikia, e pale i ka ʻai ʻana i kahi meaʻai protein kiʻekiʻe (no ka laʻana, ka nui o ka ʻiʻo, ka iʻa, nā lentil, a me nā mea ʻē aʻe) kokoke i ka manawa āu e lawe ai i ka lāʻau lapaʻau. E lawe i ka lāʻau lapaʻau ma ka liʻiliʻi he 30 mau minuke ma mua a i ʻole hoʻokahi hola ma hope o ka ʻai ʻana. Hiki iā ʻoe ke ʻai i nā meaʻai protein kiʻekiʻe ma hope o ka lā a i ʻole ma nā nui liʻiliʻi. E kamaʻilio me kāu kauka e pili ana i kēia.
- No nā maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i kēia lāʻau lapaʻau ke hana i kahi hopena wahaheʻe no ke kō i loko o kou mimi. No laila e kamaʻilio me kāu kauka e pili ana i kēia.
- Ka hoʻololi ʻana o ke kala o ka mimi a i ʻole ka hou: Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou mimi a i ʻole ka hou i ʻeleʻele (e like me ka ʻeleʻele) a ʻulaʻula paha. ʻAʻole kēia he kumu e hopohopo ai. Eia nō naʻe, hiki iā ia ke hoʻohaumia i nā lole.
- Ka nele o ka wikamina B6: Hiki i kēia lāʻau lapaʻau ke hoʻemi i nā pae wikamina B6 i loko o ke kino. No laila, pono ʻoe e hōʻoia e loaʻa ana iā ʻoe ka lawa o ka wikamina B6 i ka wā e lawe ana i kēia lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i nā meaʻai a me nā wikamina āu e lawe nei.
Nā hopena ʻaoʻao hiki ke loaʻa o kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi loa kekahi.
Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka:
Inā loaʻa iā ʻoe kekahi o nā hopena ʻaoʻao i helu ʻia ma lalo nei, pono ʻoe e haʻi i kāu kauka a i ʻole ka hui lapaʻau i ka wā hikiwawe loa:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu.
- Hiamoe koke i ka wā e hana ana i ke ao.
- Nā loli i ka helu o ka puʻuwai: ka puʻuwai wikiwiki a ʻano ʻole paha, ka poniuniu, ka maule ʻana, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana.
- Ke koko haʻahaʻa: poniuniu, nāwaliwali, ʻike maka pōwehiwehi.
- Nā loli o ke ʻano a me ke ʻano: hopohopo, hoʻomaha ʻole, huikau, hallucinations, huhū, ʻenemi, manaʻo pepehi iā ia iho, ʻoi aku ka maikaʻi ʻole o ke kūlana noʻonoʻo, nā manaʻo kaumaha.
- Nā neʻe hou a ʻoi aku ka ʻino, hiki ʻole ke kaohi, nā neʻe hou o ka maka, ka waha, a i ʻole ke kino o luna.
- Ke kahe ʻana o ke koko: nā ʻōpala koko a ʻālohilohi paha, e luaʻi ana i kahi mea ʻeleʻele e like me ke kofe, a i ʻole ke koko.
- ʻEha koke ka maka a i ʻole nā loli o ka ʻike: no ka laʻana, ka ʻike maka pōwehiwehi, ka ʻike ʻana i nā halo a puni nā kukui, a i ʻole ka nalowale ʻana o ka ʻike.
- Nā hoʻowalewale maʻamau ʻole:Nā ʻano hana hoʻohihi i hiki ʻole iā ʻoe ke kaohi, e like me ka piliwaiwai, ka ʻai nui ʻana, ke komo ʻana i ka hana moekolohe, a i ʻole ke kūʻai ʻana i nā mea ma ke ʻano ʻē aʻe ma mua o ka mea maʻamau.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
- ʻUlaʻula ʻeleʻele a ʻeleʻele paha ke kala o ka lawai, ka hou, a i ʻole ka mimi.
- Pōʻaiʻī.
- Hiamoe.
- ʻEha poʻo (ʻeha poʻo).
- Ka luaʻi.
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. E kamaʻilio me kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau e pili ana i nā hopena ʻaoʻao.
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki.
E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius, ma waena o 59 a me 86 kekelē Fahrenheit). E pale mai ka mālamalama a me ka makū. E hoʻolei aku i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a ua pau ka lā.
E hoʻomanaʻo (Leka Lawe-Home)
ʻAe, no laila e hoʻomanaʻo aku kākou iā ʻoe i kekahi o nā mea nui a kākou i kamaʻilio ai.
- ʻO kēia Carbidopa; ʻO ka lāʻau lapaʻau Levodopa e kōkua i ka hōʻemi ʻana i nā hōʻailona o ka maʻi Parkinson.
- He mea nui loa e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ma mua o ka hoʻomaka ʻana i ka lāʻau .
- E ale holoʻokoʻa i ka lāʻau lapaʻau. Mai kuʻi a nau paha. Inā paʻakikī ke ale, e wāwahi iā ia i mau ʻāpana a lawe pū me ka ʻāpala.
- E lawe i ka nui i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia. Mai hoʻōki i ka lawe ʻana me ke aʻo ʻole ʻia e kāu kauka.
- E makaʻala no ka mea hiki ke hoʻoulu i ka hiamoe a me ka poniuniu. Hiki paha iā ʻoe ke hiamoe koke.
- E makaʻala i nā makemake kūikawā, e like me ke 'wearing off'/'on-off'. Inā hana ʻia kēia, e haʻi i kāu kauka .
- Mai ʻai i nā meaʻai kiʻekiʻe i ka protein kokoke i ka manawa āu e lawe ai i kāu lāʻau lapaʻau.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao ʻē, ʻoiai nā mea ma ka papa inoa o "nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka" a mākou i kūkākūkā ai, e haʻi koke aku i kāu kauka .
E hoʻomanaʻo, he hōʻuluʻulu manaʻo wale nō kēia pepa liʻiliʻi. ʻAʻole paha e uhi i nā ʻike āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe. E hiki iā lākou ke kōkua iā ʻoe.
ʻO ka maʻi o Parkinson, carbidopa, levodopa, dopamine, ka lāʻau lapaʻau o Parkinson, nā hopena ʻaoʻao, nā pilina lāʻau











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