Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Clobazam no kahi maʻi e like me ka maʻi epilepsy? A i ʻole ke hoʻohana nei kekahi o kou ʻohana i kēia lāʻau lapaʻau? Inā hopohopo iki ʻoe a hoihoi paha e pili ana i kēia lāʻau lapaʻau, eia wau e kamaʻilio e pili ana i ia mea ma ke ʻano maʻalahi. E nānā kākou i ka hana maoli o kēia pila a me nā mea āu e pono ai e makaʻala i ka wā e hoʻohana ai.
He aha kēia Clobazam?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Clobazam i hoʻohana ʻia e kāohi i nā hopu ʻana i nā kūlana e like me ka maʻi epilepsy. I kekahi manawa lilo nā aʻalolo i loko o ko kākou lolo i mea hana nui. Ua like ia me kahi kaapuni pōkole. ʻO ia ka manawa e loaʻa ai kahi hopu ʻana. Hana kēia lāʻau lapaʻau ma ka hōʻoluʻolu ʻana i kēlā mau aʻalolo hana nui. No kahi papa o nā lāʻau i kapa ʻia ʻo "Benzodiazepines". Ua kuhikuhi paha kāu kauka i kēia lāʻau lapaʻau no nā kumu ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Pono kāu kauka e ʻike i kou mōʻaukala olakino piha ma mua o ka hāʻawi ʻana iā ʻoe iā Clobazam. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi i kāu kauka. Mai hūnā i kekahi mea.
- Ke kūlana metabolizer maikaʻi ʻole o CYP2C19: He inoa paʻakikī kēia, akā ʻo ia hoʻi ke ʻano o ka metabolization maikaʻi ʻole o kou kino i kekahi mau lāʻau lapaʻau. Inā ʻike ʻoe he maʻi kou, e hoʻomaopopo mai iā mākou.
- Glaucoma: He ʻano e piʻi ai ke kaomi i loko o nā maka.
- Maʻi puʻupaʻa: Nā kūlana e like me ka hāʻule ʻana o ka puʻupaʻa.
- Maʻi akepaʻa: Nā kūlana e like me ka hāʻule ʻana o ke akepaʻa.
- Nā pilikia o ka māmā a i ʻole ka hanu ʻana: Nā maʻi e like me ka hānō a i ʻole COPD.
- Nā pilikia olakino noʻonoʻo: Nā kūlana e like me ke kaumaha.
- Inā he ʻona lāʻau a waiʻona paha kou.
- Inā ua loaʻa iā ʻoe a i ʻole kekahi lālā o ka ʻohana nā manaʻo e hōʻeha iā ʻoe iho a pepehi paha iā ʻoe iho i ka wā ma mua.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i Clobazam a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
Pono e hoʻohana ʻia kēia lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka. E hahai pono i nā kuhikuhi ma ka pūʻolo lāʻau.
- E ale i ka pila me ke aniani wai.
- Hiki iā ʻoe ke ale holoʻokoʻa i ka papa, uhaʻi i ka hapalua ma ka laina ma waenakonu, a i ʻole e kuʻi a kāwili me kahi mea e like me ka applesauce.
- Hiki iā ʻoe ke lawe me ka meaʻai a me ka ʻole. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E hoʻomau i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki koke, ʻoiai inā ua maikaʻi kou manaʻo.
E loaʻa pinepine iā ʻoe kahi pepa ʻike kūikawā (MedGuide) e pili ana i kēia lāʻau lapaʻau ke kuhikuhi ʻia ʻoe. E hoʻomaʻamaʻa i ka heluhelu pono ʻana i kēlā me kēia manawa āu e lawe ai i kāu lāʻau lapaʻau.
Hāʻawi ʻia kēia i nā keiki a me ka poʻe ʻelemakule?
ʻAe. Ua kuhikuhi ʻia kēia lāʻau lapaʻau no kekahi mau maʻi i nā keiki ʻōpiopio e like me 2 mau makahiki. Akā pono e mālama pono ʻia. Eia kekahi, ʻo ka poʻe ma luna o 65 mau makahiki e ʻike paha i nā hopena o kēia lāʻau lapaʻau i ʻoi aku ka ikaika. No laila, hāʻawi pinepine ʻia lākou i kahi mahele haʻahaʻa.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau a inu nui paha?
Inā ʻoe e poina i kahi lāʻau:
E lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
Inā inu nui ʻoe (overdose):
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kelepona koke i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ma Colombo, a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa. He pilikia kēia, no laila mai hoʻokaʻulua.
Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kāu lāʻau lapaʻau me kekahi no kekahi kumu.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Hiki i kekahi mau lāʻau lapaʻau a me nā meaʻai ke launa pū me kēia lāʻau. No laila, e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau kuʻuna).
| Nā pilikia kūpono (nā launa pū ʻana) me Clobazam | |
|---|---|
| Nā mea pono ʻole e lawe pū ʻia | |
| Sodium oxybate | ʻO Thioridazine |
| Nā mea ʻē aʻe e hiki ai ke hoʻopilikia (e lawe wale ma muli o ka ʻōlelo aʻoaʻo lapaʻau) | |
| ʻAila | Cannabidiol (nā huahana e pili ana i ka cannabis) |
| Nā lāʻau hoʻomalu hānau (nā hormones Estrogen/progestin) | Nā lāʻau lapaʻau e hoʻohiamoe ai ʻoe (e like me Propofol) |
| Nā mea hoʻomaha ʻiʻo | Nā Opioid |
| Nā lāʻau lapaʻau ʻē aʻe ʻano Benzodiazepine | ʻO kekahi mau lāʻau lapaʻau allergy (Antihistamine) |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me Amitriptyline) | Nā lāʻau lapaʻau epilepsy ʻē aʻe (e like me Phenobarbital) |
E makaʻala loa i kēia mau mea i ka wā e lawe ai i ka lāʻau lapaʻau.
- Ka pilikia o ka ʻona: Aia kahi pilikia o ka ʻona i kēia lāʻau lapaʻau. No laila, mai lawe ʻoe ma mua o ka nui i kuhikuhi ʻia e kāu kauka a i ʻole no ka lōʻihi ma mua o ka manawa i kuhikuhi ʻia.
- Ka hiamoe a me ka makaʻala: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a me ka poniuniu. Hiki nō hoʻi ke hōʻemi i kou hiki ke noʻonoʻo a hoʻoholo. 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.
- Hopena Hoʻohaʻahaʻa CNS: He lāʻau lapaʻau kēia e hōʻemi ana i ka hana o ka ʻōnaehana nerve waena (CNS depressant). ʻO ia hoʻi, hoʻolohi ia i ka lolo a me ka ʻōnaehana nerve.
Inā ʻoe e inu i ka waiʻona, lawe i nā lāʻau hiamoe, a lawe paha i nā lāʻau ʻeha ikaika i ka wā e lawe ana i kēia lāʻau, e lohi loa paha kou hanu ʻana, e nalowale paha kou ʻike (coma), a make paha. He mea weliweli loa ia.
- Nā pilikia o ka hoʻōki koke ʻana: Inā ʻoe e hoʻohana nei i kēia lāʻau lapaʻau no ka manawa lōʻihi, ua maʻa paha kou kino iā ia.Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hōʻeha ai i nā hōʻailona haʻalele koʻikoʻi. Ke pono ʻoe e hoʻōki, e hoʻēmi mālie kāu kauka i ka nui.
- Ola kino: Hiki i kekahi poʻe ke ʻike i ka piʻi ʻana o ke kaumaha a me nā manaʻo e hōʻeha iā lākou iho ma muli o kēia lāʻau lapaʻau. E haʻi koke i kāu kauka inā ʻike ʻoe i kekahi mau loli i kāu ʻano a i ʻole kou naʻau.
- Nā hopena ʻili koʻikoʻi: I kekahi manawa, hiki i kekahi poʻe ke loaʻa i nā hopena ʻili koʻikoʻi i kekahi mau pule ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kahi ʻulaʻula, pehu, a ʻili paha o ka ʻili me ke kuni, nā ʻeha kino, a i ʻole ka ʻulaʻula o ka ʻili.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Clobazam ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā mea e haʻi koke aku i kāu kauka | |
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Ka emi ʻana o ka hana o ka ʻōnaehana nerve (CNS depression) | Ka hanu lohi a papau paha, ka hiamoe nui, ka paʻakikī e ala. |
| Nā hopena ʻili koʻikoʻi | ʻUlaʻula ka ʻili, ka pehu, ka ʻili ʻili (a hiki i loko o ka waha), ke kuni, a me nā kīʻaha lymph pehu. |
| Nā loli noʻonoʻo | Nā manaʻo pepehi kanaka, hoʻonui ʻia ke kaumaha, nā loli koke o ke ʻano. |
| Nā mea e haʻi aku ai i kāu kauka inā ʻaʻole lākou e pōʻino pinepine, akā hoʻomau lākou | |
| Ka paʻa ʻana o ka ʻōpū | Pōʻino |
| Hiamoe | Ka nui o ka wai kahe |
| kuni | Manaʻo luhi ʻole (Fatigue) |
Pehea e mālama ai i ka lāʻau lapaʻau? He aha kaʻu e hana ai inā he koena?
E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona. E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius). Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
He mea nui e hoʻolei palekana i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i ʻole nā lāʻau lapaʻau i pau. Hiki i kēia ke lilo i mea weliweli inā hāʻule lākou i nā lima hewa. E nīnau i kāu kauka e pili ana i ke ala maikaʻi loa e hoʻolei aku ai i kēia mau lāʻau lapaʻau. I kekahi manawa hiki iā ʻoe ke waiho iā lākou ma ka hale kūʻai lāʻau lapaʻau o ka haukapila. Inā ʻaʻole hiki kēlā, e lawe i nā pila mai loko mai o ka pahu, e kāwili iā lākou me kahi mea e like me ke kope kope i hoʻohana ʻia, ka lepo, a i ʻole ka ʻōpala pōpoki, a waiho iā lākou i loko o kahi ʻeke sila a hoʻolei iā lākou i loko o ka ʻōpala.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Clobazam i hoʻohana ʻia e kāohi i ka hopu ʻana i ka maʻi epilepsy.
- I ka wā e lawe ai i kēia lāʻau lapaʻau, e hahai pono i ka dosage a me nā ʻōlelo aʻoaʻo i hāʻawi ʻia e kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hōʻalo loa i ka inu ʻana i ka waiʻona i ka wā e lawe ana i ka lāʻau.
- E pale i ka hoʻokele kaʻa a me ka hana ʻana i nā hana e pono ai ka nānā ʻana no ka mea hiki iā ʻoe ke hiamoe nui loa.
- Mai hoʻōki koke i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe nā hopena ʻili koʻikoʻi, nā loli noʻonoʻo, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
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