Hiki i ka maʻi Parkinson ke hoʻolilo i ka hana i nā hana o kēlā me kēia lā i mea paʻakikī i ka maʻi, ʻeā? ʻAʻole maʻalahi ka noho ʻana me nā hōʻailona e like me ka ʻoʻoleʻa a me ka haʻalulu. Eia nō naʻe, me ka holomua o ka ʻepekema lapaʻau, ke hoʻohui ʻia nei nā lāʻau lapaʻau hou e kāohi i kēia mau hōʻailona. I kēia lā e kamaʻilio mākou e pili ana i hoʻokahi lāʻau lapaʻau kūikawā. ʻO ia hoʻi ʻo 'Carbidopa; Levodopa Suspension' . ʻAʻole like kēia me nā pila maʻamau, akā he lāʻau lapaʻau i hāʻawi ʻia i ke kino ma ke ʻano ʻokoʻa iki.
He aha kēia lāʻau lapaʻau? Pehea kāna hana?
I ka ʻōlelo maʻalahi, ʻo `Carbidopa; ʻO Levodopa` kahi lāʻau lapaʻau i hāʻawi ʻia e hōʻoluʻolu i nā hōʻailona o ka maʻi Parkinson. Ua ʻike anei ʻoe, aia kahi kemika i kapa ʻia ʻo ` Dopamine` e kōkua ana i ka hoʻomalu ʻana i ka neʻe ʻana o ko mākou lolo. I ka maʻi Parkinson, emi iho ka pae o `Dopamine` i loko o ka lolo. No laila, hoʻonui kēia lāʻau i ka nui o `Dopamine` i loko o ka lolo a hōʻemi i nā hōʻailona e like me ka ʻoʻoleʻa a me ka haʻalulu i loko o ke kino.
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe i kekahi manawa. Inā he mau nīnau kāu e pili ana i ia mea, e nīnau i kāu kauka a kauka lāʻau paha. ʻO kahi inoa inoa no kēia lāʻau lapaʻau ʻo 'Duopa'.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e haʻi aku i kāu hui mālama e pili ana i kekahi mau mea. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi aku iā lākou:
- Maʻi diabetes
- Inā he ʻona ʻona ʻoe
- Ke kūlana Glaucoma
- Maʻi puʻuwai
- Ke koko kiʻekiʻe
- Inā ua loaʻa iā ʻoe nā puʻuwai puʻuwai kūpono ʻole ma mua
- Maʻi puʻupaʻa
- Maʻi akepaʻa
- Ke koko haʻahaʻa
- Nā maʻi o ka māmā a i ʻole ka hanu ʻana (e like me ka hānō)
- Nā loli o ke ʻano a i ʻole ke ʻano
- Narcolepsy
- ʻAneʻane hiamoe
- Nā pilikia o ka ʻōpū a i ʻole ka naʻau
- Nā manaʻo, nā hoʻolālā, a i ʻole nā hoʻāʻo pepehi kanaka; inā ua hana ʻoe a i ʻole kekahi lālā o ka ʻohana pēlā
- Inā ua loaʻa iā ʻoe kahi hopena maʻamau ʻole a i ʻole ka maʻi ʻaleka i ka levodopa, carbidopa, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala a i ʻole nā mea mālama
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai
- Inā he makuahine hānai ʻoe
Ke ʻike ke kauka i kēia mau mea, e hiki iā ia ke mālama iā ʻoe ma ke ala kūpono loa.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻOiai he lāʻau lapaʻau kūikawā kēia, he mea nui e hoʻomaopopo pono iā ia.
E hoʻomākaukau ʻia kāu lāʻau lapaʻau i kuhikuhi ʻia e kāu hui mālama ola a hoʻokomo ʻia i loko o kahi 'pamu' liʻiliʻi. E hōʻike mua ʻia ʻoe pehea e hoʻohana ai i kēia 'cassette' me ka pamu. Pono ʻoe e heluhelu pono i nā 'Kuhikuhi no ka Hoʻohana'. ʻO kāu hui mālama ola wale nō ke hoʻololi i kāu lāʻau lapaʻau, a i ka wā e loaʻa ai lākou. Mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau a hoʻololi paha i ka lāʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.
Pono e hoʻohana ʻia kēia lāʻau lapaʻau ma ka mahana o ka lumi. E lawe i ka cassette lāʻau lapaʻau mai loko mai o ka friji a mai loko mai o ka pahu he 20 mau minuke ma mua o ka hoʻohana ʻana. E hoʻohana ma hope o ka hiki ʻana i ka mahana o ka lumi, inā ʻaʻole paha ʻoe e loaʻa i ka nui kūpono o ka lāʻau lapaʻau.
E hoʻomau ʻia ka hāʻawi ʻana i kēia lāʻau lapaʻau i kou kino no 16 mau hola. Hana ʻia kēia me ka hoʻohana ʻana i kahi pamu liʻiliʻi, e like me ka CADD-Legacy 1400. E lawe kēia pamu i ka lāʻau lapaʻau mai ka cassette i kāu paipu PEG-J (kahi paipu kūikawā i hoʻokomo ʻia ma kou ʻōpū i loko o kou ʻōpū liʻiliʻi). Hiki ke hoʻohana ʻia kēlā me kēia cassette i hoʻokahi manawa wale nō. Mai hoʻohana hou i kahi cassette i wehe ʻia. Eia kekahi, ʻaʻole ʻōlelo ʻia e hoʻohana i ka cassette no nā hola he 16 a ʻoi.
Ma hope o ka pau ʻana o ka lāʻau lapaʻau he 16 hola, e wehe i ka pamu mai ka ʻōmole PEG-J. A laila, e holoi i kāu ʻōmole PEG-J me kahi syringe i piha i ka wai mahana o ka lumi. Ma hope o kēia hoʻokomo ʻana i kēlā me kēia lā, pono ʻoe e lawe i kāu mau papa carbidopa-levodopa waha maʻamau i kēlā me kēia pō e like me ke kauoha. Inā ʻaʻole hiki iā ʻoe ke lawe i kēia hoʻokomo no kekahi kumu, e mālama i kekahi mau papa carbidopa-levodopa maʻamau ma ka lima.
ʻAʻole hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ʻōpio.
Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like 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 ka lāʻau lapaʻau, e kāhea koke i ke kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā no kekahi kumu i hoʻōki ʻia ai kāu hoʻokomo ʻana no nā hola he 2 a ʻoi i loko o kahi manawa he 16 hola, e kelepona i kāu hui mālama ola a lawe i kāu mau papa carbidopa-levodopa e like me ke kauoha a hiki i ka hoʻomaka hou ʻana o ka hoʻokomo ʻana. Inā ua hoʻōki ʻia ka hoʻokomo ʻana no ka liʻiliʻi ma mua o 2 mau hola, ʻaʻole pono ʻoe e lawe i nā papa, akā e haʻi aku paha kāu hui mālama ola iā ʻoe e lawe i kahi mahele hou o ka hoʻokomo ʻana.
E mālama mau i kekahi mau papa carbidopa-levodopa hoʻokuʻu koke ʻia inā ʻaʻole hiki iā ʻoe ke loaʻa kahi infusion.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Carbidopa; Levodopa. ʻO ke ʻano kēia, hiki ke loaʻa nā pilikia ke lawe pū ʻia. 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, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui.
Mai lawe pū me kēia mau lāʻau lapaʻau:
- Nā lāʻau lapaʻau ʻano ʻano `MAOI` (e.g. `Marplan`, `Nardil`, `Parnate`)
- ʻO ka Reserpine
- ʻO ka Tetrabenazine
Hiki i kēia mau lāʻau lapaʻau ke launa pū kekahi:
- ʻAila
- ʻO Droperidol
- ʻEntacapone
- Nā mea hoʻohui hao a i ʻole nā multivitamins me ka hao
- ʻIsoniazid (INH)
- ʻO Linezolid
- Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā pilikia psychotic
- Lāʻau lapaʻau no ke koko kiʻekiʻe
- Nā lāʻau hiamoe
- ʻO ka Metoclopramide
- ʻO Papaverine
- ʻO ka Procarbazine
- ʻO Tedizolid
- ʻO Rasagiline
- ʻO Selegiline
- ʻO Tolcapone
ʻAʻole paha i piha kēia papa inoa, no laila e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻae ʻole i ke kānāwai.
Nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau
E nānā mau kāu hui lapaʻau i kou olakino i kou wā e lawe ana i kēia lāʻau. E hōʻoia e mālama i kāu mau manawa i hoʻonohonoho ʻia. E haʻi i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona a i ʻole inā e ʻoi aku ka ʻino. Mai hoʻōki i ka lawe ʻana i ka 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.
Pehea e mālama ai i kahi paipu PEG-J
E haʻi aku kāu hui lapaʻau iā ʻoe pehea e mālama ai i kāu wahi paipu PEG-J. E nānā mau i ka wahi no nā hōʻailona o ka maʻi. Hiki i ke kaʻina hana no ka hoʻokomo ʻana i kahi paipu PEG-J ke hoʻoulu i nā pilikia o ka ʻōpū a i ʻole ka ʻōpū. Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū, ka paʻa ʻana no kekahi mau lā, ka nausea, ka luaʻi ʻana, ke kuni, a i ʻole nā ʻeleʻele ʻeleʻele, e haʻi koke i kāu hui lapaʻau.
Inā ʻūlū, hihia, a paʻa paha ka paipu PEG-J, e ʻoi aku ka ʻino o nā hōʻailona o Parkinson a i ʻole e hoʻi hou mai nā loli o ke kino. Inā hana ʻia kēia, e kamaʻilio me kāu kauka.
ʻAi
ʻO ka ʻai ʻana i kahi meaʻai kiʻekiʻe i ka protein e hoʻopilikia paha i ke ʻano o ka hana ʻana o kēia lāʻau. Inā ʻoe e hoʻololi nei i kāu meaʻai, e kamaʻilio me kāu kauka e pili ana i ia mea.
Hiamoe a me ka poniuniu
Hiki paha 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 ala koke a noho paha i lalo, ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hōʻemi 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 ʻoe 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 kou hiamoe ʻana. Inā hana kēia iā ʻoe, e haʻi koke i kāu kauka.
Hana hoʻohihi
Ua hōʻike kekahi poʻe ua hoʻonui ʻia ko lākou makemake i ka moekolohe a i ʻole nā makemake ikaika ʻē aʻe, e like me ka piliwaiwai a i ʻole ka ʻai nui ʻana, i ka wā e lawe ana i kēia lāʻau. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e haʻi koke aku i kāu kauka.
Ola kino noʻonoʻo
Pono nā mea maʻi a me ko lākou mau ʻohana e makaʻala no ke kaumaha hou a i ʻole ka ʻino a me nā manaʻo no ka pepehi kanaka. Inā manaʻo ʻoe ua kaumaha a loaʻa paha iā ʻoe nā manaʻo pepehi kanaka, e kāhea koke i kāu hui mālama ola.
Nā hopena 'ʻAʻahu ʻole' a me 'On-Off'
Ma mua o ka manawa e lawe ai i kāu mahele lāʻau aʻe, e manaʻo paha ʻoe ua pau ka lāʻau lapaʻau (he hopena 'pale'). Eia kekahi, i kekahi manawa e pau paha ka hana a ka lāʻau lapaʻau no kekahi mau minuke a i kekahi mau hola a laila hoʻomaka koke e hana hou (he hopena 'on-off'). Inā loaʻa iā ʻoe kēia mau hōʻailona, e haʻi i kāu kauka. Pono paha e hoʻoponopono ʻia kāu mahele lāʻau.
No nā maʻi diabetes
Inā loaʻa iā ʻoe ka maʻi diabetes, hiki iā ʻoe ke loaʻa kahi hopena wahaheʻe ke hoʻāʻo ʻoe no ke kō i loko o kou mimi. E kamaʻilio me kāu kauka e pili ana i kēia.
Hoʻololi i 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 mea ʻeleʻele a ʻulaʻula paha ke kala. ʻAʻole kēia he kumu e hopohopo ai. Eia nō naʻe, hiki iā ia ke hoʻohaumia i nā lole.
Wikamina B6
Hiki i kēia lāʻau lapaʻau ke hoʻemi i kāu pae wikamina B6. 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.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi loa kekahi.
Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka:
- Nā hopena maʻi āpau - ka ʻili ʻana o ka ʻili, ka ʻūlū, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu
- Ka paʻa ʻana o ka ʻōpū - ka ʻeha nui o ka ʻōpū, ka hiki ʻole ke hoʻokahe a hoʻokuʻu paha i ka ea, ka nalowale o ka makemake, ka luaʻi ʻana
- Ke hiamoe nei i ka wā o ka hana o kēlā me kēia lā
- Nā loli o ka puʻuwai - ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole, ka poniuniu, ka nāwaliwali, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana
- Ke koko haʻahaʻa - dizziness, nāwaliwali, ʻike maka pōʻeleʻele
- Nā loli o ke ʻano a me ke ʻano - hopohopo, hoʻomaha ʻole, huikau, hallucinations, huhū, ʻenemi, manaʻo pepehi kanaka, kaumaha
- Nā neʻe hou a koʻikoʻi paha o ka maka, ka waha, a i ʻole ke kino o luna
- ʻEha, ʻūlū, a i ʻole ka ʻāʻī ʻana i nā lālā
- Ka maʻi ʻana o kahi - ka ʻulaʻula, ka pehu ʻana, ka mahana, a i ʻole ka ʻeha ma kahi o ke komo ʻana o ka paipu
- ʻO ke kahe koko ʻana o ka ʻōpū - nā ʻōpala ʻeleʻele koko a ʻeleʻele paha, e luaʻi ana i nā mea ʻeleʻele e like me ke kofe
- ʻEha koke ka maka a i ʻole nā loli o ka ʻike (e laʻa, ka ʻike maka pōwehiwehi, ka ʻike ʻana i nā apo a puni nā kukui, ka nalowale o ka ʻike)
- Loaʻa iā ʻoe kahi makemake kūikawā e komo i nā hana hoʻopunipuni, e like me ka piliwaiwai, ka ʻai nui ʻana, ka komo ʻana i ka moekolohe, a i ʻole ke kūʻai ʻana.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
- ʻO ke kala ʻulaʻula ʻeleʻele a ʻeleʻele paha o ka lawai, ka hou, a i ʻole ka mimi
- Pōʻino
- Hiamoe
- ʻEha poʻo (Me he mea lā mai kahi ʻōlelo ʻē aʻe kēia, ʻo ka huaʻōlelo Sinhala pololei: ʻEha poʻo )
- Ka luaʻi
ʻAʻole paha i piha kēia papa inoa. E kamaʻilio me kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau e pili ana i nā hopena ʻaoʻao.
Pehea e mālama ai i kēia lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki.
- E mālama i nā cassette i wehe ʻole ʻia i loko o ka pahu hau ma 2 a 8 degere Celsius (36 a 46 degere Fahrenheit). Mai hoʻopaʻahau. E pale i ka cassette mai ka mālamalama a mālama i loko o ka pahu a hiki i ka hoʻohana ʻana. E hoʻohana ma mua o ka lā pau. E hoʻolei i ka lāʻau lapaʻau i pau.
- E hoʻolei aku i kahi pahu ma hope o 16 mau hola o ka lawe ʻana mai loko mai o ka pahu hau, ma hope o ka wehe ʻana, a i ʻole i ka wā e hoʻohana ai, ʻoiai inā aia nō ka lāʻau lapaʻau. E hoʻohana ma mua o ka lā palena pau.
Pono e hoʻomaopopo ʻia:He hōʻuluʻulu manaʻo wale nō kēia ʻatikala. ʻAʻole paha i loko nā ʻike āpau. Inā he mau nīnau 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.
Leka Lawe-Home
ʻAe, e hōʻuluʻulu kākou i nā mea nui loa a mākou i kamaʻilio ai:
- ʻO kēia "Carbidopa; Levodopa Suspension" kahi lāʻau lapaʻau kūikawā e kōkua ai i ka kaohi ʻana i nā hōʻailona o ka maʻi Parkinson.
- Hāʻawi ʻia kēia i ke kino ma o ka `pamu` a me ka `paipu PEG-J`.
- Pono ʻoe e haʻi i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hahai pono i nā ʻōlelo a kāu kauka no ka hoʻohana ʻana i ka lāʻau lapaʻau a pehea e mālama ai i ka paipu PEG-J.
- E makaʻala i nā mea e like me ka hiamoe ʻana, ka hiamoe koke ʻana, nā loli o ke ʻano, a me ke ʻano hoʻopūhoihoi. Inā ʻike ʻoe i kekahi mea ʻē , e haʻi koke aku i kāu kauka .
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau.
- Inā loaʻa nā hopena ʻaoʻao, ʻoiai inā he koʻikoʻi lākou, e ʻimi koke i ke kōkua lapaʻau.
ʻOiai hiki ke paʻakikī ka noho ʻana me ka maʻi Parkinson, me ka mālama kūpono a me nā ʻōlelo aʻoaʻo lapaʻau, hiki iā ʻoe ke hoʻokele i kāu mau hōʻailona a ola i kahi ola maikaʻi aʻe. E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau, nā makaʻu, a i ʻole nā hopohopo āu e loaʻa ai. Ma kēlā ala, hiki iā ʻoe ke loaʻa ke kōkua āu e pono ai.
ʻO Carbidopa, Levodopa, Maʻi Parkinson, Dopamine, Paipu PEG-J, Nā hopena ʻaoʻao o ka lāʻau lapaʻau, ka lāʻau lapaʻau no Parkinson
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