Malia paha ua kuhikuhi ʻia ʻoe a i ʻole kekahi o kou ʻohana i kahi lāʻau i kapa ʻia ʻo Chlorpromazine e kāu kauka. Ke lohe ʻoe i kēia inoa, makaʻu iki paha ʻoe a hoihoi paha. He mea maʻamau ka noʻonoʻo ʻana i nā nīnau e like me, 'He aha kēia lāʻau lapaʻau? No ke aha i hāʻawi ʻia mai ai kēia iaʻu?'. ʻOiai he lāʻau lapaʻau kēia i hāʻawi pinepine ʻia no nā kūlana olakino noʻonoʻo, hiki ke loaʻa nā manaʻo kuhihewa like ʻole i waena o ka poʻe. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau chlorpromazine ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka Chlorpromazine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ka chlorpromazine i hoʻohana ʻia e mālama i kekahi mau maʻi olakino noʻonoʻo. No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo antipsychotics . He kemika ka Dopamine i loko o ka lolo e kōkua i ka hoʻomalu ʻana i nā mea e like me ko kākou ʻano a me nā manaʻo. Hana kēia lāʻau lapaʻau ma ke kaulike ʻana i nā pae o kēia dopamine i loko o ka lolo.
Eia naʻe, ʻaʻole i kuhikuhi wale ʻia kēia lāʻau lapaʻau no nā maʻi noʻonoʻo. Hoʻohana nā kauka iā ia i kekahi mau kūlana ʻē aʻe. Eia kekahi laʻana:
- Nā maʻi noʻonoʻo e like me ka schizophrenia a me ka maʻi bipolar.
- Kāohi i ka nausea a me ka luaʻi.
- No nā ʻūpā i hana ʻia no ka manawa lōʻihi a hiki ʻole ke hoʻōki.
- No kekahi mau hihia o ka maʻi i kapa ʻia ʻo porphyria.
- E hoʻomaha i nā ʻiʻo i ka wā o ka tetanus.
- E hoʻomālielie i ka mea maʻi ma mua o kekahi ʻoki kino a i ʻole kekahi hoʻokolohua lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. No ka mea, pono e hoʻohana ʻia kēia lāʻau lapaʻau me ke akahele i nā poʻe 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.
| Kūlana/kumu kūpono | Wehewehena |
|---|---|
| Nā kūlana olakino e kū nei | ʻO ka puʻupuʻu lolo, ka dementia, ka maʻi diabetes, ka glaucoma, ka ʻeha poʻo, ka maʻi puʻuwai, ka mōʻaukala o ka puʻuwai kūpono ʻole, ka maʻi puʻupaʻa a i ʻole ke akepaʻa, ke koko haʻahaʻa, nā maʻi māmā e like me ka hānō, ka maʻi Parkinson, ka maʻi prostate, nā hopu ʻana. |
| ʻO ka ʻoluʻolu ʻole o ke kino | Paʻakikī i ka moni ʻana i ka meaʻai, paʻakikī i ka kaohi ʻana i ka neʻe ʻana o ka ʻōpū, paʻakikī i ka mimi, a me ke ālai ʻana o ka ʻōpū. |
| Nā pilikia e pili ana i ke koko | Nā kūlana e like me nā keʻokeʻo koko haʻahaʻa, nā keʻokeʻo koko ʻulaʻula, a i ʻole nā platelets. |
| ʻO ke ʻano o ka nohona a me nā hana maʻamau | Inā he mea inu pinepine ʻoe. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka chlorpromazine, sulfites, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala a i ʻole nā mea mālama. |
| Nā hanana kūikawā | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. ʻO Chlorpromazine kahi inikini i hāʻawi ʻia e kahi loea lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau . Hāʻawi ʻia ia i loko o ke kino ma o ka inikini ʻana i loko o kahi ʻiʻo a i ʻole ka hoʻokomo ʻana i loko o kahi aʻa.
Pono e mālama pono i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. ʻOiai ua ʻōlelo ʻia i kekahi mau hihia kūikawā no nā keiki ma luna o 6 mahina, he mea nui e hahai i nā hana palekana kūpono.
ʻO ka overdose - He mea nui loa!
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻowahāwahā iā ia. E hele koke i ka Emergency Unit (ETU) o ka haukapila. Inā pono, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, no ka mea, hiki i ka chlorpromazine ke launa pū me nā lāʻau lapaʻau ʻē aʻe.
| Mai lawe pū me kēia mau mea i ka chlorpromazine. | |
|---|---|
| ʻO Cisapride | Pimozide |
| ʻO Dronedarone | ʻO Saquinavir |
| ʻO Metoclopramide | ʻO Thioridazine |
| E akahele loa no ka mea hiki ke kū mai nā pilikia me kēia mau mea. | |
| ʻAila | Litiuma |
| Nā antihistamines no nā maʻi ʻaleka, nā ʻū, a me ke anu | Nā lāʻau lapaʻau koko kiʻekiʻe |
| Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka hiamoe | Nā lāʻau hoʻōki i ka ʻōhū (Phenobarbital, Phenytoin) |
| Nā lāʻau lapaʻau no ka maʻi o Parkinson (Levodopa) | Nā lāʻau lapaʻau narcotic |
| Nā lāʻau lapaʻau i hoʻohana ʻia e hoʻoulu ai i ka hiamoe i ka wā o ke ʻoki kino | Nā lāʻau hoʻokahe koko e like me Warfarin |
ʻAʻole i piha kēia papa inoa, no laila e haʻi pono i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a i ʻole nā lāʻau lapaʻau kuʻuna āu e lawe nei.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
E nānā pono ana kāu hui lapaʻau i kou kūlana i kou wā e loaʻa ana kēia lāʻau lapaʻau, akā he mea nui e ʻike ʻoe i kēia mau ʻoiaʻiʻo.
Hiamoe a me ka poniuniu
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe, poniuniu, a i ʻole he ʻike pohihihi . No laila, e pale i nā hana weliweli e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe. E makaʻala i ke ala ʻana a i ʻole ka noho ʻana i lalo me ka koke , ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hōʻemi i ka manawa e hāʻule ai a hāʻule. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia hiamoe.
Ka hoʻomalu ʻana i ka mahana o ke kino
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hiki o kou kino ke hoʻoponopono i ka mahana. Hiki ke hoʻemi ʻia kou hoʻomanawanui i ke anuanu, a hiki ke hoʻemi ʻia kou hoʻomanawanui i ka wela. No laila, e ʻaʻahu i nā lole mahana i nā lā anuanu. I nā lā wela, e kaupalena i ka ʻike ʻana i ka lā, e hoʻoikaika kino, a inu i ka wai he nui.
ʻIke i ka lā
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou ʻili i ka lā. No laila e pale iā ʻoe iho mai ka lā. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole e uhi ana i kou kino a hoʻohana i ka sunscreen .
Waha maloʻo
ʻO ka waha maloʻo kahi hopena maʻamau o kēia lāʻau lapaʻau. Hiki ke mālama ʻia kēia ma ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono ʻole, a me ka inu ʻana i ka wai he nui.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka chlorpromazine ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka a i ʻole ka haukapila | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻO ka maʻi ʻino Neuroleptic | Kuni nui koke, ʻoʻoleʻa o nā ʻiʻo, hou nui, puʻuwai wikiwiki a ʻano ʻole paha, huikau. |
| Nā hōʻailona EPS (Nā hōʻailona Extrapyramidal) | Nā neʻe ʻana o nā ʻāpana o ke kino i kāohi ʻole ʻia (ʻoiai ke alo, ka waha), ka ʻoʻoleʻa o nā ʻiʻo, ka haʻalulu, ka nalowale o ke kaulike, ka hoʻomaha ʻole. |
| Ka pōʻino o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele, a me nā ʻōpala māmā. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā hōʻailona o ka maʻi (kuni, anu, ʻū, ʻeha puʻu), haʻahaʻa ke koko (hanu ʻū, maule). |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka paʻa ʻana o ka ʻōpū | Waha maloʻo |
| Hiamoe | Piʻi ke kaumaha |
| Pōʻino | |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau pale ʻo Chlorpromazine i hāʻawi wale ʻia ma ka haukapila a i ʻole ke keʻena lapaʻau ma lalo o ka nānā ʻana a ke kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā maʻi ʻē aʻe āu e loaʻa nei, a me nā maʻi allergies āu e loaʻa ai.
- E makaʻala i ka hana ʻana i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa ʻana, no ka mea, hiki ke hiamoe a me ka poniuniu i ka wā e lawe ana i ka lāʻau. E pale i ka inu ʻana i ka waiʻona.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke kuni nui, ka ʻoʻoleʻa o nā ʻiʻo, nā neʻe ʻana o ke kino hiki ʻole ke kāohi ʻia, a i ʻole ka melemele ʻana o ka ʻili, e ʻimi koke i ke kōkua lapaʻau.
- Inā he mau hopohopo a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio ākea me kāu kauka e pili ana.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau ikaika loa ka Chlorpromazine Injection / Thorazine i hoʻohana ʻia no ka mālama ʻana i ka maʻi hea?
ʻAʻole kēia he lāʻau lapaʻau maʻamau! He inikini kēia o ka lāʻau lapaʻau ulia pōpilikia kahiko loa a ikaika loa (First-Generation Antipsychotic) i hoʻohana ʻia e hōʻoluʻolu koke i ka mea maʻi a hoʻokomo iā ia i loko o ka hiamoe hohonu (sedation) i nā hihia o ka 'pupule noʻonoʻo' koʻikoʻi (Severe Psychosis/Agitation) i hoʻokumu ʻia e ka schizophrenia, ka maʻi bipolar, a me nā lāʻau lapaʻau, i ka wā e hoʻonāukiuki nui ʻole ʻia ai ka mea maʻi, a aia i ka pōʻino nui o ka hōʻeha ʻana i nā poʻe ʻē aʻe a i ʻole iā ia iho.
💬 Ke uē/uwē nui nei ʻoe, pehea lā e kōkua ai kēia inikini (Chlorpromazine) i kou lolo e ho'ōla/hiamoe?
ʻIke ʻia/hoʻopilikia loa kēlā mau mea ʻē ke piha ka kemika 'Dopamine (Dopamine / D2)' i loko o ka lolo! Hoʻopaʻa loa kēia lāʻau pale a laka i nā 'Dopamine receptors' a pau i loko o ka lolo (Dopamine antagonist). Eia kekahi, hoʻopau pū ia i nā mīkini i nā pae 'Histamine (H1)' a me 'Adrenaline (Alpha-1)', no laila e noho mālie ka mea maʻi a noho mālie/hiamoe i loko o kekahi mau minuke.
💬 He aha nā hopena ʻaoʻao e hiki ke make (Nā ʻŌlelo Aʻo Pahu ʻEleʻele) o kēia lāʻau pale hōʻino nui i ka lolo (Thorazine)?
ʻO ka pōʻino nui loa, inā hāʻawi ʻia kēia i nā poʻe ʻelemakule me ka dementia (Dementia-related psychosis), hiki iā lākou ke oki koke i ka hanu ʻana a make (Hoʻonui ʻia ka make)! ʻO kekahi mea pōʻino loa, hiki i kēia ke hoʻoulu i ka mea maʻi e hāʻule i loko o ka coma ma muli o 'Fatal Hypotension / Orthostatic'. Eia kekahi, he maʻi neurological koʻikoʻi e hiki ʻole ai ke noho mālie, e hoʻoluliluli ana i nā lālā e like me ka pupule a me ka neʻe ʻana o ka ʻāʻī/maka (Extrapyramidal Symptoms / EPS / Tardive Dyskinesia) hiki ke hana maoli.
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