Ua kuhikuhi anei kāu kauka iā ʻoe i ka chlorpromazine? A i ʻole he lālā o kou ʻohana a i ʻole he hoaaloha paha e hoʻohana ana i kēia lāʻau. He lāʻau ikaika loa ia i kuhikuhi pinepine ʻia no nā ʻano maʻi noʻonoʻo like ʻole. No laila he mea nui loa ka ʻike pono ʻana i ke ʻano o kēia lāʻau a pehea e hoʻohana pono ai me ka palekana a me ka pololei. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.
No ke aha i hāʻawi ʻia mai ai kēia lāʻau Chlorpromazine iā mākou?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia i hoʻohana ʻia i ka psychiatry. ʻO ia hoʻi, he lāʻau lapaʻau i hāʻawi ʻia e kāohi i nā maʻi noʻonoʻo. I ka pololei, no ka hui kēia o nā lāʻau lapaʻau i kapa ʻia ʻo "Antipsychotics".
Hana kēia ma ke kaulike ʻana i ka neurotransmitter dopamine i loko o ko kākou lolo. E noʻonoʻo i kēia ʻano, he ʻelele kemika ka dopamine e kōkua i ka hoʻomalu ʻana i nā mea e like me ko kākou ʻano, nā manaʻo, a me nā manaʻo. I kekahi mau maʻi noʻonoʻo, lilo kēia pae dopamine i mea kaulike ʻole. ʻO ia ka manawa e hāʻawi ʻia ai kēia lāʻau lapaʻau e kōkua i ka hoʻihoʻi ʻana i ka pae kūpono.
ʻO nā kūlana nui i kuhikuhi ʻia ai kēia lāʻau lapaʻau:
- ʻO ka maʻi schizophrenia
- Maʻi bipolar
Akā, ʻaʻole wale no kēia, hoʻohana nā kauka i kēia lāʻau lapaʻau no kekahi mau kumu ʻē aʻe.
- Kāohi i ka nausea a me ka luaʻi.
- E ho'ōki i nā hiccups mau ʻole.
- I ke ʻano o kahi maʻi i kapa ʻia ʻo Porphyria.
- I ke ʻano o ka tetanus.
- I kekahi manawa hoʻohana ʻia ia e hōʻoluʻolu i ka mea maʻi ma mua o ke ʻoki ʻana.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
He ʻāpana koʻikoʻi loa kēia. Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei. No ka mea, hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau maʻi.
| Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻōlelo pono i kāu kauka. | |
|---|---|
| He moʻolelo o ka maʻi puʻuwai a i ʻole ka puʻuwai naʻau kūpono ʻole | Ke koko haʻahaʻa |
| Maʻi akepaʻa | Maʻi puʻupaʻa |
| Maʻi diabetes | ka maʻi o Parkinson |
| Nā hopu ʻana | ʻŌpū lolo |
| ʻO ka glaucoma | Dementia |
| Nā pilikia hanu a i ʻole ka hānō | Ka emi ʻana o ka helu o nā hunaola koko (e like me nā hunaola koko keʻokeʻo) |
| Ka paʻa ʻana o ka ʻōpū | Nā pilikia prostate |
| Paʻakikī ke ale ʻana | Paʻakikī ke mimi |
| Inā he mea inu pinepine ʻoe | Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai |
| Inā he makuahine hānai ʻoe | Inā he maʻi allergy kou i kēia lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau a meaʻai paha |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
Lawe ʻia kēia lāʻau lapaʻau ma ka waha e like me ka papa. E lawe me ke aniani wai. He mea nui loa ia e lawe i ka nui kūpono, i ka manawa kūpono, e like me ke kauoha a kāu kauka. Mai hoʻonui a hoʻēmi paha i ka nui e like me kou ʻoluʻolu, a i ʻole e lawe pinepine ma mua o ke kauoha.
Mea nui loa:Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. Hiki i kēia ke hana i nā hōʻailona haʻalele e like me ka nausea, ka luaʻi ʻana, a me ka poniuniu. Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e aʻo aku kāu kauka iā ʻoe pehea e hana ai pēlā.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo. Mai hoʻokaʻulua.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi, me ka lāʻau i hala ʻole.
Nā lāʻau lapaʻau 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 (nā lāʻau lapaʻau no nā maʻi ʻē aʻe, nā huaora, nā lāʻau lapaʻau kuʻuna), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Chlorpromazine.
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Chlorpromazine. | |
|---|---|
| ʻO Cisapride | Pimozide |
| ʻO Dronedarone | ʻO Saquinavir |
| ʻO Metoclopramide | ʻO Thioridazine |
| Hiki paha i kēia ke launa pū me Chlorpromazine - e haʻi i kāu kauka. | |
| ʻAila | Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine) |
| Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka hiamoe | Nā lāʻau ʻeha (ʻoi aku hoʻi nā mea e hoʻoulu ai i ka ʻona) |
| Lāʻau lapaʻau no ke koko kiʻekiʻe | Nā lāʻau lapaʻau e like me Levodopa no ka maʻi o Parkinson |
| Nā lāʻau hoʻokahe koko e like me Warfarin | Lāʻau lapaʻau anesthesia ulia pōpilikia |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe, poniuniu, a i ʻole he ʻike pōwehiwehi. No laila , mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka makaʻala a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Ke ala koke ʻana: Mai ala koke mai ka noho ʻana a i ʻole ka moe ʻana. ʻO ka hana ʻana pēlā e hiki ai ke poniuniu a hāʻule. Pono ka poʻe ʻelemakule e makaʻala loa i kēia.
- ʻOna: E pale i ka inu ʻana i ka ʻona. Hiki i ka ʻona ke hoʻohiamoe iā ʻoe a me ka poniuniu.
- Mahana kino: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hiki o ke kino ke hoʻoponopono i ka mahana. ʻO ke ʻano kēia, hiki ke hoʻemi ʻia ka hiki o ke kino ke ʻae i ke anu nui a me ka wela nui. No laila, e pale iā ʻoe iho mai ka wela nui a me ke anu nui. E 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 ʻoe e hele ana i ka lā, e ʻaʻahu i nā lole e uhi ana i kou kino a hoʻohana i ka sunscreen.
- Kō koko: Inā he maʻi diabetes ʻoe, hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pae kō koko. No laila e nānā mau i kou pae kō koko. Inā pono, e kamaʻilio me kāu kauka e pili ana i ka hana ʻana i nā hoʻololi i kāu meaʻai a i ʻole ka lāʻau lapaʻau maʻi diabetes.
- 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 kō 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 kēia ke loaʻa nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. Akā, he mea nui e makaʻala iā lākou.
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻO ka maʻi ʻino Neuroleptic (NMS) | Kuni nui, ʻoʻoleʻa o nā ʻiʻo, hou nui, puʻuwai wikiwiki a ʻano ʻole paha, huikau. |
| Nā Hōʻailona Extrapyramidal (EPS) | Nā neʻe ʻana o ke kino i kāohi ʻole ʻia, ka ʻoʻoleʻa a i ʻole ka ʻūlū ʻana o nā ʻiʻo, ka haʻalulu, ka hoʻomaha ʻole, ka paʻakikī i ka hele wāwae. |
| Ka pōʻino o ke akepaʻa | ʻEha ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele ʻeleʻele, melemele o ka ʻili a i ʻole nā maka. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu. |
| Nā hopena ʻaoʻao ʻaʻole ia he mea weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻopilikia lākou | |
| Ka paʻa ʻana o ka ʻōpū | Waha maloʻo |
| Hiamoe | Piʻi ke kaumaha |
Leka Lawe-Home
- He lāʻau ikaika ʻo Chlorpromazine e pono ke lawe ʻia ma lalo o ke kuhikuhi a ke kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā kūlana olakino ʻē aʻe āu e loaʻa ai.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- E hōʻalo i ka hoʻokele kaʻa a me ka hana ʻana i nā hana e pono ai ka makaʻala i ka wā e lawe ana i ka lāʻau lapaʻau, no ka mea, hiki ke hiamoe a me ka dizziness.
- E hōʻalo loa i ka waiʻona.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke kuni nui, ka ʻoʻoleʻa o nā ʻiʻo, a i ʻole nā neʻe kino hiki ʻole ke kāohi ʻia, e ʻike koke i ke kauka.
- Inā lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka lumi pilikia o ka haukapila (ETU) a i ʻole e kāhea aku i ka National Poisons Information Center.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 ʻO nā papa Chlorpromazine (Chlorpromazine / Thorazine) ka hopena hope loa no ka maʻi hea?
He lāʻau lapaʻau ikaika loa kēia mai ka hanauna kahiko (Typical antipsychotic / Phenothiazine) i hoʻolālā ʻia e kāohi i ka maʻi noʻonoʻo koʻikoʻi i kapa ʻia ʻo 'Schizophrenia'! ʻAʻole hāʻawi ʻia kēia i nā mea āpau, hoʻohana pinepine ʻia no nā maʻi paʻakikī loa (Treatment-resistant) nona nā manaʻo kuhihewa ʻaʻole i pau loa me nā lāʻau lapaʻau ʻē aʻe. Hāʻawi ʻia nō hoʻi e hoʻōki i nā hiccups koʻikoʻi a me nā hopu ʻana.
💬 Pehea e hiki ai kēia pila (Chlorpromazine) i ka lolo a hoʻopau i nā kuhihewa a me ka manaʻo hoʻomakeʻe o ka mea maʻi?
ʻO ke kumu nui o ka ulu ʻana o nā maʻi noʻonoʻo koʻikoʻi, ʻo ia ka hoʻonui nui ʻia o ka kemika 'Dopamine' i loko o ka lolo! Hoʻopaʻa/pani kēia lāʻau i ka 100% o nā mea loaʻa dopamine (nā mea loaʻa D2) i ka wā e komo koke ai i loko o ka lolo. Hoʻopau ia i nā manaʻo pupule i loko o ka noʻonoʻo a hōʻoluʻolu i ka mea maʻi a hiki i kahi hiki ʻole iā ia ke hoʻoneʻe i kona wāwae/lima (sedation).
💬 He aha nā hopena ʻaoʻao nui e pono ai e makaʻala ʻia e ka poʻe e lawe ana i kēia lāʻau kahiko (Chlorpromazine)?
Nui nā hopena ʻaoʻao! ʻO ka pōʻino nui loa, ʻo ia ka 'nā ʻūlū a me nā ʻiʻo (EPS/Tardive Dyskinesia)'. ʻO ia hoʻi, ke inu ʻoe i kēia, e ʻike maoli ʻoe i nā haʻalulu hiki ʻole ke kāohi ʻia o nā wāwae/lima, ke alelo e kū aʻe ana a me ka wili ʻana, a e lilo maoli ʻoe i ʻoʻoleʻa e like me ka robot. Eia kekahi, (Anticholinergic) lilo ka waha i maloʻo loa, lilo ka ʻike i mea palalulu, a inā ʻoe e hele i waho i ka lā, aia kahi manawa kiʻekiʻe o ka loaʻa ʻana o ka lā (Photosensitivity).
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