He paʻakikī anei i kāu keiki ke noho ma kahi hoʻokahi? A i ʻole e loli koke ana kona manaʻo? Ua manaʻo paha ʻoe he paʻakikī iā ia ke noho ma kahi mea hoʻokahi, ʻoiai ke aʻo ʻana a i ʻole ke pāʻani ʻana? Ma nā huaʻōlelo lapaʻau, kapa mākou i kēia ADHD (Attention-Deficit Hyperactivity Disorder). ʻO kahi lāʻau lapaʻau kūikawā a nā kauka e ʻōlelo nei e kāohi i kēia kūlana ʻo Clonidine. ʻOi loa aku, ke ʻano Extended-Release. No laila, i kēia lā e kamaʻilio wale mākou e pili ana i kēia pila Clonidine, kāna hana, pehea e hoʻohana ai, a me nā mea e pono ai mākou e makaʻala.
He aha ka hana a kēia lāʻau i kapa ʻia ʻo Clonidine?
I ka ʻōlelo maʻalahi, ʻo kēia lāʻau lapaʻau i kapa ʻia ʻo Clonidine ke kāohi nei i kekahi o ka hana o ka lolo i loko o ke kanaka me ADHD. Hana kēia i ʻelua mau mea nui.
1. Hoʻomaikaʻi i ka nānā ʻana: Hoʻonui i ka hiki ke kālele i hoʻokahi mea.
2. Hoʻēmi i ka hana hoʻomākeʻaka: Kōkua i ka kaohi ʻana i ka hana hoʻomākeʻaka.
ʻOiai he pila "Hoʻokuʻu-Hoʻolōʻihi" kēia, hoʻokuʻu mālie ʻia ka lāʻau lapaʻau i loko o ke kino i ka lā a pau. No laila, hiki ke mālama ʻia kona hopena i ka lā a pau. Ma Sri Lanka, loaʻa paha kēia lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole e like me Kapvay.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana a i ʻole kāu keiki e lawe iā Clonidine, pono ʻoe e haʻi i kāu kauka i kēia ʻike. He mea nui loa ia no kou palekana.
- Inā ua loaʻa iā ʻoe kahi maʻi e like me ke kahe koko o ka lolo ma mua.
- Inā he maʻi puʻuwai kou a i ʻole kekahi pilikia me ka hana puʻuwai.
- Inā he kiʻekiʻe a haʻahaʻa paha kou koko .
- Inā he moʻolelo kou o ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole .
- Inā he maʻi puʻupaʻa kou .
- Inā he mau maʻi ʻaleka kou i ka clonidine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha .
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
ʻO ke kamaʻilio ʻana me kāu kauka e pili ana i kēia mau mea me ka hūnā ʻole ʻana iā lākou he mea nui ia no ka loaʻa ʻana o ka lāʻau lapaʻau pololei a palekana hoʻi.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā kuhikuhi a ke kauka. Ma ke ʻano laulā, pono e hoʻohana ʻia kēia lāʻau lapaʻau penei:
- E ale i ka papa holoʻokoʻa me kahi aniani wai.
- He mea nui loa kēia: No ka mea, he pila (Hoʻokuʻu-Hoʻolōʻihi) kēia, mai uhaʻi, wili, a nau paha i ka pila.Inā ʻoe e hana i kēlā, hiki i ka lāʻau lapaʻau ke komo koke i ke kino a hoʻoulu i nā hopena ʻaoʻao.
- Hiki ke lawe ʻia kēia ma mua a ma hope paha o ka ʻai ʻana, akā inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E ho'āʻo e lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā.
- Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā keiki ma luna o 6 mau makahiki ma ke ʻōlelo aʻo a ke kauka. Eia nō naʻe, pono e mālama pono ʻia.
He mea nui loa: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau, no ka mea, hiki i kēia ke hana i nā hopena ʻino, e like me ka piʻi koke ʻana o ke koko. Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, pono e hana mālie ʻia ma ka hoʻēmi ʻana i ka nui. E kamaʻilio me kāu kauka a e ʻimi i kāna ʻōlelo aʻo.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. E kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Mai lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. E poina loa iā ia a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i ka Clonidine ke launa pū me nā lāʻau lapaʻau ʻē aʻe, e like me ka waiʻona, no laila pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau).
| ʻAno kuʻi | Ka wehewehe a me nā laʻana |
|---|---|
| Mai lawe pū me kēia mau mea me Clonidine. | |
| Nā lāʻau lapaʻau MAOI | He ʻano lāʻau lapaʻau kēia i hoʻohana ʻia e mālama i nā kūlana e like me ke kaumaha. (Ex: Marplan, Nardil, Parnate). He mea weliweli loa ka lawe ʻana iā Clonidine me kēia. |
| Hiki ke loaʻa nā pilikia me kēia mau mea (e hoʻomaopopo i kāu kauka) | |
| ʻAila | Hiki i ka waiʻona ke hoʻonui nui i ka hiamoe a me ka poniuniu i hoʻokumu ʻia e ka lāʻau lapaʻau. |
| Nā lāʻau lapaʻau ʻē aʻe no ke koko a i ʻole ka maʻi puʻuwai | Hiki i kēia ke hoʻohaʻahaʻa i ke koko a i ʻole ka puʻuwai me ke kumu ʻole. |
| Lāʻau lapaʻau no ka maʻi noʻonoʻo | Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā kūlana noʻonoʻo ʻē aʻe. |
| Nā lāʻau hiamoe | Hiki i kēia ke hoʻonui i ka hiamoe. |
| ʻO kekahi mau lāʻau lapaʻau no ka migraines | Eia kekahi laʻana, kahi lāʻau lapaʻau e like me phenobarbital. |
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Clonidine ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole koʻikoʻi kekahi o kēia mau mea, akā pono kekahi e nānā koke ʻia.
| Ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo, a me ka maka. |
| Ke koko haʻahaʻa | Pōʻino, poʻo māmā, ʻike pōwehiwehi. |
| Nā palpitations o ka puʻuwai | Pōniuniu, poʻo māmā, paʻakikī ka hanu ʻana, manaʻo luhi ʻē. |
| Nā mea e haʻi aku ai i kāu kauka inā ʻaʻole lākou i koʻikoʻi, akā hoʻomau | |
| Hiamoe/poʻo hina | He mea maʻamau kēia i nā lā mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. Hiki ke emi iho i ka wā e maʻa ai kou kino iā ia. |
| Waha maloʻo | Hiki i ka inu ʻana i ka wai a me ka nau ʻana i ka gum kō ʻole ke kōkua. |
| Ka paʻa ʻana o ka ʻōpū | E inu i ka nui o ka wai a ʻai i nā meaʻai me ka fiber (nā huaʻai, nā mea kanu). |
| ʻĒ aʻe | Luhi, nalowale o ka makemake, nā pilikia hiamoe. |
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku .
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- E pani pono i ka ʻōmole, mai ka mālamalama a me ka makū.
- Mai hoʻohana a hoʻolei aku paha i nā lāʻau lapaʻau i pau ka lā .
Leka Lawe-Home
- ʻO Clonidine (Extended-Release) kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka ADHD, hoʻomaikaʻi i ka nānā ʻana, a hōʻemi i ka hana impulsive.
- Mai uhaʻi, kuʻi, a nau paha i kēia papa. E ale holoʻokoʻa.
- ʻO ka mea nui loa, mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā maʻi āu e loaʻa ai.
- E makaʻala i ka hiamoe, ka poniuniu, a me ke koko haʻahaʻa i ka wā e lawe ana i ka lāʻau. E akahele loa inā ʻoe e hoʻokele.
- Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau a i ʻole ʻike ʻoe i nā hopena ʻaoʻao koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
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