I kekahi manawa, lilo ko kākou mau manaʻo kaumaha, hopohopo, a me ke kōkua ʻole i mea ikaika loa a hiki ʻole iā kākou ke hana i kā kākou mau hana o kēlā me kēia lā. I kēlā mau manawa, ke ʻike ʻoe i ke kauka, hiki iā ia ke ʻike iā ʻoe me ke kaumaha a kuhikuhi i ka lāʻau lapaʻau. ʻO Desipramine kahi lāʻau lapaʻau i hoʻohana pinepine ʻia e mālama i ke kaumaha. No laila, inā ua kuhikuhi ʻia kēia lāʻau iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe, he mea nui e makaʻala iā ia.
He aha ka Desipramine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Desipramine i hoʻohana ʻia e mālama i ke kaumaha. Hoʻopuka maoli ko mākou lolo i nā ʻelele kemika i kapa ʻia he neurotransmitters. ʻO Serotonin lāua ʻo Norepinephrine ʻelua o nā kemika nui e kaohi i ko mākou ʻano, ʻo ia hoʻi ke hauʻoli nei mākou, mālie, a me ka ikaika.
Hoʻokumu ʻia ke kaumaha e ka nele o kēia mau kemika. Hana ʻo Desipramine ma ka hoʻonui ʻana i nā pae o ka serotonin a me ka norepinephrine i loko o ka lolo, e kōkua ana i ka hoʻihoʻi ʻana i kā lākou hana. No kēia lāʻau lapaʻau kahi papa o nā lāʻau i kapa ʻia ʻo tricyclic antidepressants (TCAs) .
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 iā Desipramine, he mea nui e hāʻawi i kāu kauka i kahi kiʻi piha o kou kūlana olakino. ʻAʻole paha e kūlike kēia lāʻau lapaʻau me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻoluʻolu e hoʻomaopopo i kāu kauka.
| Kūlana a maʻamau paha | No ke aha ʻoe e pono ai e haʻi aku i ke kauka? |
|---|---|
| Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole kahi hāʻule puʻuwai ma mua | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka helu o ka puʻuwai i kekahi manawa. |
| Nā manaʻo pepehi kanaka, nā hoʻāʻo i hala, a i ʻole kahi moʻolelo ʻohana o ka pepehi kanaka | Hiki i nā lāʻau lapaʻau antidepressant, ʻoiai i nā wā mua, ke hoʻonui i kēia mau manaʻo i kekahi poʻe, no laila pono ka nānā pono ʻana. |
| Nā maʻi noʻonoʻo ʻē aʻe, e like me ka maʻi bipolar a i ʻole schizophrenia | Hiki i kēia lāʻau lapaʻau ke hoʻololi a hoʻonui paha i kēlā mau hōʻailona. |
| Maʻi akepaʻa | Hoʻoneʻe ʻia kēia lāʻau lapaʻau mai ke kino e ke akepaʻa. Inā maikaʻi ʻole ka hana o ke akepaʻa, hiki i ka lāʻau lapaʻau ke hōʻiliʻili i loko o ke kino. |
| Ke kūlana Glaucoma | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ke kaomi o nā maka. |
| Ka paʻakikī o ka mimi ʻana, nā pilikia prostate | Hiki i ka lāʻau lapaʻau ke hoʻonui i kēia ʻano. |
| ʻEpilepsy a i ʻole nā hopu ʻana (Seizures) | Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i ka pilikia o ka hopu ʻana. |
| He pilikia inu | ʻO ka hui pū ʻana o ka waiʻona a me kēia lāʻau lapaʻau e hoʻonui i ka hiamoe a me nā hopena ʻaoʻao ʻē aʻe. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | Pono ʻoe e kūkākūkā me kāu kauka inā paha e hoʻopilikia ka lāʻau lapaʻau i ke keiki. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a me nā kala | No ka ʻike ʻana inā he maʻi ʻoe i ka desipramine a i ʻole kekahi o kāna mau mea hoʻohui. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa ia e lawe i ka lāʻau lapaʻau i ka manawa kūpono, e like me ka mea i ʻōlelo ʻia e ke kauka.
- E ale i kēia pila me ke aniani wai.
- E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, e like me ke kauoha a kāu kauka.
- Mai lawe i nā lāʻau lapaʻau ma mua o ke kauoha.
- ʻO ka mea nui loa, ʻaʻole e hoʻōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Inā hana ʻoe pēlā, hiki iā ʻoe ke ʻike i nā hōʻailona haʻalele e like me ka dizziness, nausea, a me ke poʻo. A i ʻole e ʻoi aku ka ʻino o kou kūlana. Inā hoʻōki ʻoe, e hana pēlā e like me ke kuhikuhi a kāu kauka, e hoʻēmi mālie ana i ka nui o ka lāʻau.
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, e lawe koke iā ia i kou hoʻomanaʻo ʻana. 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 e hoʻopiha ai i kahi lāʻau i hala ʻole.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā kānalua ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, mai lawe māmā. E hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .
Nā lāʻau lapaʻau ʻē aʻe e launa pū me Desipramine
Hiki iā Desipramine ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau kuʻuna, nā huaora, a me nā mea hoʻohui.
Aia ma lalo iho nei kekahi mau laʻana.
- He mea weliweli loa ka lawe ʻana iā Desipramine me nā antidepressants ʻē aʻe e like me MAOIs (e.g. Carbex, Marplan).
- Nā lāʻau lapaʻau no nā maʻi noʻonoʻo e like me phenothiazines (e.g. perphenazine, chlorpromazine).
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi puʻuwai.
- ʻO kekahi mau lāʻau antibiotic, e like me Linezolid.
- Hiki iā ia ke hana me nā mea hoʻohui i loko o kekahi mau lāʻau lapaʻau no ke anu, ka ʻū, a me nā maʻi allergies.
No laila, e nīnau mau i kāu kauka ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau hou.
Nā mea e makaʻala ai i ka wā e hoʻohana ai i ka lāʻau lapaʻau
- E makaʻala i kou mau manaʻo: I nā pule mua o ka hoʻomaka ʻana i ka lāʻau antidepressant, a i ʻole ke hoʻololi ʻana i ka nui, hiki i kekahi poʻe ke loaʻa nā manaʻo pepehi kanaka, ka hopohopo, ka hoʻomaha ʻole, a me ka impulsivity maʻamau. Inā ʻike ʻoe a i ʻole kou ʻohana i kekahi o kēia mau loli, e kamaʻilio koke me kāu kauka.Mai makaʻu i kēia, akā he mea nui e makaʻala.
- ʻO ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a me ka poniuniu. No laila, e pale i ka hoʻokele kaʻa ʻana, ka hana ʻana ma nā wahi kiʻekiʻe, a i ʻole ka hoʻohana ʻana i nā mīkini e pono ai ka makaʻala a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. ʻOi loa aku inā he ʻelemakule ʻoe, e kū pololei i ke ala ʻana mai kahi noho a i ʻole ke ala ʻana mai kahi moe.
- ʻOna: E hōʻalo loa i ka ʻona i ka wā e lawe ana i ka desipramine. Hiki i ka ʻona ke hoʻonui nui i nā hopena ʻaoʻao o ka lāʻau, ʻoi aku ka hiamoe.
- Waha maloʻo: He hopena maʻamau kēia. Hiki iā ʻoe ke hoʻokele i 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 i ka lā a pau.
- Paʻa ʻōpū: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. He mea nui e ʻai i nā meaʻai momona i ka fiber (nā huaʻai, nā mea kanu) a inu i ka wai he nui. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū no nā lā he 2-3 a ʻoi, e haʻi i kāu kauka.
- ʻIke i ka lā: ʻOi aku ka ʻike o kou ʻili i ka lā i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, e hoʻohana i ka sunscreen a e ʻaʻahu i nā lole e uhi ana i kou kino i ka wā e hele ai i waho i ka lā.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki iā Desipramine ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole loaʻa i nā kānaka āpau. Ua wehewehe pono ka papa ma lalo nei i kēia.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Nā loli i ka helu o ka puʻuwai | Manaʻo e kuʻi wikiwiki ana kou puʻuwai, ka puʻuwai kūpono ʻole, ka poniuniu, ka ʻeha o ka umauma. |
| ʻO ka maʻi Serotonin | Hoʻomaha ʻole, ʻoʻoleʻa a haʻalulu paha nā ʻiʻo, hou nui, kuni nui, haʻalulu, luaʻi, kahe koko. He kūlana weliweli loa kēia. |
| Nā loli koʻikoʻi o ka naʻau | Nā manaʻo pepehi kanaka, ka hoʻonui ʻia ʻana o ke kaumaha, ka huhū. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā ʻūlū, ʻeha koke o nā maka, ʻike pōwehiwehi, hiki ʻole ke mimi. |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao maʻamau | Waha maloʻo, hiamoe, poniuniu, paʻa ʻōpū, nausea, haʻalulu. |
| ʻĒ aʻe | Nā loli i ka makemake a i ʻole ka hana moekolohe. |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Desipramine no ke kaumaha. Hiki ke hala kekahi mau pule e pōmaikaʻi piha ai mai kēia lāʻau lapaʻau. No laila, e hoʻomanawanui a lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka.
- E hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau kuʻuna).
- E makaʻala pono i kou mau manaʻo a me kou mau manaʻo ke hoʻomaka mua ʻoe e lawe i kēia lāʻau. Inā ʻike ʻoe i kekahi mau loli ʻē, ʻoiai hoʻi nā manaʻo o ka pepehi kanaka, e haʻi koke i kāu kauka.
- Inā lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka lumi pilikia o ka haukapila (ETU) a i ʻole e kelepona i ka National Poisons Information Center .
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 Ua kuhikuhi ʻia nā papa Desipramine / Norpramin no ke aha maʻi?
ʻO kēia kekahi o nā lāʻau lapaʻau psychiatric kahiko loa a ikaika loa (TCA - Tricyclic Antidepressant) hiki ke hoʻohana ʻia e mālama i ka 'Depression and Anxiety' koʻikoʻi! He ʻokoʻa iki kēia mai nā lāʻau TCA ʻē aʻe (e like me Amitriptyline). ʻOiai ʻo nā mea ʻē aʻe e hoʻohiamoe/hiamoe ai ka mea maʻi, hāʻawi kēia pila i ka mea maʻi i kahi 'Stimulating effect' a hoʻomau iā ia i ka hana i ka lā a pau.
💬 Pehea e hāʻawi ai kēia lāʻau lapaʻau (Desipramine) i ka hauʻoli a me ka ikehu i ka mea maʻi i ka manawa like?
Hoʻokumu ʻia ke kaumaha e ka emi ʻana o nā kemika hauʻoli o ka lolo (Norepinephrine, Serotonin). ʻO ka hana nui a kēia lāʻau lapaʻau (ma mua o ka hoʻonui ʻana i ka Serotonin) ʻo ia ka hoʻonui ʻana i ka nui o kahi kemika i kapa ʻia ʻo 'Norepinephrine' ma ka 100%, kahi e hoʻopau ai i ka luhi a hāʻawi i ka ikehu o ka lolo a me ka hiki ke kālele i hoʻokahi mea. ʻO ia ke kumu e paipai ai nā kauka i kēia i nā poʻe maʻi palaualelo loa a hiki ʻole ke ala aʻe mai kahi moe.
💬 He aha nā hopena ʻaoʻao nui a me nā pōʻino weliweli loa o kēia?
Nui nā pōʻino! (Nā hopena anti-cholinergic). Hoʻomaloʻo kēia i ka waha, paʻakikī i ka mimi, a me ka poniuniu/māmā ke ala aʻe mai kahi moe. ʻO kekahi pōʻino weliweli loa, he hopena nui ia i ka puʻuwai! Nui ka pilikia o ka hoʻololi ʻana i ke ʻano o ka puʻuwai o ka mea maʻi a me ke kumu o kahi maʻi make (Arrhythmia/Tachycardia).
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