Ua kuhikuhi ʻia paha ʻoe a i ʻole kekahi āu i ʻike ai iā Clozapine e kāu kauka no kahi maʻi olakino noʻonoʻo i paʻakikī ke kāohi me nā lāʻau lapaʻau ʻē aʻe. He mea weliweli iki paha ka inoa iā ʻoe. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou ma nā ʻōlelo maʻalahi e pili ana i ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau, kāna hana, a me nā mea āu e pono ai e makaʻala.
I ka ʻōlelo maʻalahi, he aha ʻo Clozapine?
He ʻano lāʻau lapaʻau ʻo Clozapine i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo e like me ka schizophrenia . Hoʻohana pinepine ʻia ia i ka wā ʻaʻole i holo pono nā lāʻau lapaʻau ʻē aʻe a i ʻole ke hiki ʻole i ke kino ke ʻae iā lākou. I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ikaika ia e pono e hoʻohana me ke akahele.
No loko o kahi papa o nā lāʻau lapaʻau i kapa ʻia he antipsychotics kēia lāʻau lapaʻau. Hana ia ma ke kaulike ʻana i nā pae o nā neurotransmitters i kapa ʻia ʻo dopamine a me serotonin i loko o ko kākou lolo. Kōkua kēia i ka hoʻomalu ʻana i ko kākou ʻano, nā manaʻo, a me nā manaʻo.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana iā Clozapine, 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 kekahi mau kūlana olakino. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kūlana olakino | Wehewehena |
|---|---|
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka pale ʻana o ka ʻōpū, ka paʻa pinepine ʻana |
| Nā pilikia e pili ana i ke koko | Ua emi nā pae o nā hunaola koko (nā hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, nā platelets) |
| Maʻi puʻuwai | ʻO kēlā me kēia maʻi puʻuwai, ka puʻuwai naʻau kūpono ʻole, ka cholesterol kiʻekiʻe, ke koko kiʻekiʻe, ka mōʻaukala o ka hahau ʻana |
| Nā kūlana olakino ʻē aʻe | Maʻi kō, nā ʻūhū, nā maʻi akepaʻa a i ʻole nā puʻupaʻa, Glaucoma, ka maʻi o Parkinson, Dementia, nā pilikia prostate |
| Nā ʻano a me nā mea ʻē aʻe | Ka hoʻohana ʻana i ka paka (puhipaka), nā pilikia ale, nā pilikia mimi, nā pilikia kaohi ʻana i nā ʻiʻo |
| Nā maʻi ʻaleka | Inā he maʻi ʻaleka kou i ka Clozapine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Nā hanana kūikawā | Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
ʻOiai he lāʻau lapaʻau wai kēia (suspension), pono ʻoe e akahele iki i ka wā e hoʻohana ai.
- E lulu maikaʻi: Ma mua o kēlā me kēia hoʻohana, e lulu maikaʻi i ka ʻōmole no kahi o 10 kekona .
- Ana pololei: E hoʻohana wale i ka syringe waha kūikawā e hele mai me ka lāʻau lapaʻau a e ana i ka nui pololei a kāu kauka e haʻi aku ai iā ʻoe e lawe. Mai hoʻohana i nā punetēpuni hale a i ʻole nā punetēpuni sopa. ʻAʻole pololei lākou.
- E inu koke: E inu koke i ka lāʻau lapaʻau ma hope o kou huki ʻana i loko o ka syringe. Mai mālama no ka wā ma hope.
- ʻAi: Hiki ke lawe ʻia kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana. ʻAʻohe kānāwai kūikawā e pili ana i ia mea.
- E lawe i ka manawa kūpono: E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. E lawe i kāu lāʻau lapaʻau i nā manawa i kuhikuhi ʻia, e like me ke kuhikuhi a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
- Mai ho'ōki: Mai ho'ōki koke i ka lā'au lapa'au me ka ʻole o ke a'o a kāu kauka. Hiki i ka hana ʻana pēlā ke kumu i nā hopena koʻikoʻi.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau lapaʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke i ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i hala ʻole a lawe i kāu lāʻau lapaʻau aʻe i ka manawa maʻamau. Mai lawe i kahi lāʻau lapaʻau pālua e hoʻopiha ai i kahi lāʻau lapaʻau i hala ʻole. Inā ʻoe e hala ma mua o ʻelua lā o ka lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ka lāʻau kūpono ma mua o ka hoʻomaka hou ʻana.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. No laila, mai kaʻana like me kekahi.
Nā lāʻau lapaʻau ʻē aʻe e makaʻala ai i ka wā e hoʻohana ʻia ai me Clozapine
He lāʻau lapaʻau ʻo Clozapine e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. ʻO ia hoʻi, ʻo ka lawe ʻana me nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻololi i ka hana maikaʻi o Clozapine a hoʻonui paha i kona mau hopena ʻaoʻao. No laila 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 lāʻau).
| Mai lawe pū me kēia mau mea iā Clozapine. | |
|---|---|
| ʻO Dronedarone | Pimozide |
| ʻO Metoclopramide | ʻO Thioridazine |
| E makaʻala loa inā ʻoe e lawe pū me kēia mau mea me Clozapine. | |
| ʻAila | Nā mea inu me ka caffeine (kofe, tī) |
| ʻO kekahi mau ʻano antibiotic | Lāʻau lapaʻau no ke kaumaha |
| Nā lāʻau lapaʻau no ka hiamoe a i ʻole ka hopohopo | Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu |
| Lāʻau lapaʻau koko | Lāʻau lapaʻau no nā hopu ʻana |
ʻAʻole i piha kēia papa inoa, no laila he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻāʻo koko hebedoma: Ke hoʻomaka ʻoe iā Clozapine , pono ʻoe e hana i kahi hoʻāʻo koko i hoʻokahi manawa i ka pule no nā mahina mua. E nānā kēia e ʻike inā e emi ana ka helu o kāu mau cell koko keʻokeʻo. Inā maikaʻi kou helu koko no nā mahina 6 mua, hiki i kāu kauka ke hoʻoholo e hōʻemi i ke alapine o nā hoʻāʻo koko. He mea kēia āu e hana ai.
- Nā hopena ʻili: I kekahi manawa hiki ke loaʻa nā hopena ʻili koʻikoʻi i nā pule ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā pehu ʻulaʻula a poni paha ma kou ʻili me nā hōʻailona e like me ke kuni a i ʻole ke anu, ka ʻili ʻana o ka ʻili, a i ʻole nā kīʻaha lymph pehu i kou maka, lehelehe, ʻāʻī, a i ʻole nā armpits.
- Paʻa ʻōpū: Aia kahi pilikia o ka paʻa ʻōpū me kēia lāʻau lapaʻau. E haʻi i kāu kauka inā ʻaʻole hiki iā ʻoe ke hele i ka lua e like me ka maʻamau, inā he emi iho ma mua o ʻekolu mau neʻe ʻana o ka ʻōpū i kēlā me kēia pule, a inā he mau hōʻailona kou e like me ka ʻeha o ka ʻōpū, ka pehu ʻana, ka nausea, a i ʻole ka luaʻi ʻana. E inu i ka wai he nui.
- ʻO ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe a me ka poniuniu. No laila, e pale i ka hoʻokele a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana pehea e pili ai kēia iā ʻoe. I mea e pale aku ai i ka poniuniu, e ala mālie i ke ala ʻana mai kahi noho a i ʻole mai kahi moe.
- Puhipaka: E haʻi i kāu kauka inā ʻoe e puhipaka ana, no ka mea, hiki i ka puhipaka ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia lāʻau. E haʻi pū i kāu kauka inā ʻoe e hoʻolālā ana e haʻalele i ka puhipaka.
- Mahana kino: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke kāohi i ka mahana o kou kino. E pale iā ʻoe iho mai ke anu nui a me ka wela. E inu i ka wai he nui.
Nā hopena ʻaoʻao e hiki ke loaʻa me kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Clozapine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻO ka ʻili pehu, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu |
| Nā pilikia o ka puʻuwai | Puʻuwai kū ʻole, ʻeha umauma, paʻakikī ka hanu ʻana, pehu o nā wāwae/kuʻekuʻe wāwae, luhi nui |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha puʻu (he hōʻailona paha ia o ka haʻahaʻa o ka helu o nā keʻokeʻo koko) |
| Nā hōʻailona o ka hahau ʻana | Ka palupalu/nāwaliwali koke o ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī o ka ʻōlelo ʻana, ka huikau, ka paʻakikī o ka hele ʻana, ka ʻeha poʻo nui |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā ʻūlū, ke kuni nui me ka ʻoʻoleʻa o nā ʻiʻo (Neuroleptic Malignant Syndrome), nā neʻe kino hiki ʻole ke kāohi ʻia (EPS), ka paʻa ʻana o ka ʻōpū, nā hōʻailona o ka hōʻino ʻia o ke akepaʻa (melemele o ka ʻili/maka, mimi ʻeleʻele) |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Pōʻino/hiamoe | Ka nui o ka salivation |
| ʻEha poʻo | Piʻi ke kaumaha |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē, e kamaʻilio koke me kāu kauka.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki.
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 Celsius). Mai hoʻokomo i loko o ka pahu hau a i ʻole e hoʻopaʻahau.
- E pale mai ka mālamalama.
- E hoʻolei i kekahi lāʻau lapaʻau i koe i 100 mau lā ma hope o ka wehe ʻana i ka ʻōmole.
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Clozapine e pono e hoʻohana ʻia me ke akahele kūikawā. E hahai pono i nā ʻōlelo a kāu kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i kou mau maʻi ʻē aʻe a me nā lāʻau lapaʻau āpau āu e lawe nei.
- Mai hōʻalo i nā hoʻāʻo koko i hoʻonohonoho ʻia. He mea nui loa kēia no kou palekana.
- E pale i ka hoʻōki koke ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- Inā loaʻa iā ʻoe kahi hopena koʻikoʻi e like me ke kuni, nā pehu ʻili, ka ʻeha o ka umauma, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻike koke i ke kauka.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka.
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