Ua loaʻa anei iā ʻoe kahi manawa o ka ʻakaʻaka hiki ʻole ke kāohi ʻia me ke kumu ʻole, a i ʻole kahi manawa o ka uē hiki ʻole ke kāohi ʻia, ʻoiai ʻaʻole ʻoe e kaumaha? Malia paha ua loaʻa i kekahi āu i ʻike ai kēia ʻike. He ʻano maoli kēia e hiki ke hana me kekahi mau kūlana neurological. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo Pseudobulbar Affect (PBA) . No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā e hiki ke kōkua i ka kaohi ʻana i kēia ʻakaʻaka a me ka uē ʻana maʻamau ʻole.
He aha kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻelua mau lāʻau lapaʻau. ʻO Dextromethorphan lāua ʻo Quinidine . Ua hui pū ʻia kēia mau lāʻau lapaʻau ʻelua i loko o nā capsules a hoʻohana ʻia e mālama i kahi maʻi i kapa ʻia ʻo Pseudobulbar Affect (PBA). Ua ʻike paha ʻoe i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Nuedexta . Hana kēia lāʻau lapaʻau ma ka kaohi ʻana i kekahi mau hōʻailona i loko o ka lolo, e kōkua ana i ka kaohi ʻana i kēlā mau ʻakaʻaka a me ka uē ʻana hiki ʻole ke kaohi.
Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu, e kamaʻilio me kāu kauka e pili ana i ia mea.
Nā mea e haʻi aku i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ke kuhikuhi ʻana i kēia lāʻau lapaʻau iā ʻoe, pono i kāu kauka ke ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou e pili ana i kekahi o nā kūlana i helu ʻia ma lalo nei.
- Maʻi puʻuwai: Inā loaʻa iā ʻoe ka maʻi puʻuwai, e like me ka puʻuwai kūpono ʻole (arrhythmia).
- Maʻi o ke akepaʻa a i ʻole nā puʻupaʻa: Inā he pilikia me ka hana o ke akepaʻa a i ʻole nā puʻupaʻa.
- ʻO Myasthenia Gravis: Inā loaʻa iā ʻoe kahi maʻi neuromuscular e like me Myasthenia Gravis.
- Haʻahaʻa o ka potassium a magnesium paha i ke koko: Inā ua loaʻa i nā hoʻokolohua koko ia mea.
- Dementia: Inā he mau pilikia hoʻomanaʻo a dementia paha kou.
- ʻAi ʻona a waiʻona paha: Inā ua lilo mua ʻoe i nā lāʻau lapaʻau a waiʻona paha a inā paha he pilikia kāu i kēia manawa.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i kēia lāʻau lapaʻau (Dextromethorphan, Quinidine), nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu.
- Hāpai a hānai waiū paha: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha.
Ma ka hoʻomaopopo ʻana i kāu kauka e pili ana i kēia mau mea, hiki iā ia ke hāʻawi iā ʻoe i ka lāʻau palekana.
Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?
E makaʻala i kēia mau mea i ka wā e hoʻohana ai i kēia lāʻau.
- E ale i kēia lāʻau lapaʻau me ke aniani wai.
- E lawe iā ia e like me ke kauoha a kāu kauka, i ka manawa kūpono.Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia.
- 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.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, e kamaʻilio me ke kauka lapaʻau e pili ana i ia mea a e hahai i kā lākou ʻōlelo aʻo.
ʻŌlelo Aʻo: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi no kekahi kumu.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Emergency Treatment Unit (ETU) kokoke loa. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo .
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, me ka mea āu i poina ai.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, 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 huahana lāʻau).
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau | |
|---|---|
| Māhele lāʻau lapaʻau | Nā Laʻana |
| Nā Antipsychotics (nā lāʻau lapaʻau no kekahi mau maʻi noʻonoʻo) | chlorpromazine, haloperidol, pimozide, risperidone, thioridazine |
| Lāʻau lapaʻau no ka puʻuwai puʻuwai kūpono ʻole | dofetilide, encainide, flecainide, mexiletine, propafenone, quinidine |
| Nā lāʻau lapaʻau MAOI | ʻO Carbex, Eldepryl, Marplan, Nardil, Parnate |
| Nā lāʻau lapaʻau ʻē aʻe | cisapride, dolasetron, dronedarone, mefloquine, quinine |
| Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau | |
| |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Inā ʻaʻole e hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona, e haʻi i kāu kauka. E hele i nā keʻena lapaʻau i ka manawa kūpono a e nānā i kou kūlana.
- Hiki paha iā ʻoe ke poniuniu. Inā loaʻa iā ʻoe kekahi poniuniu a poʻo māmā paha i ka wā e lawe ana i kēia lāʻau lapaʻau, e haʻi koke aku i kāu kauka.
- E pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a me ka hana ʻana 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.
- Mai kū koke, ʻoiai inā he ʻelemakule ʻoe. E ala mālie. Hiki i kēia ke hōʻemi i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
- E pale i ka inu ʻana i ka waiʻona. Hiki i ka waiʻona ke hoʻonui i ka poniuniu.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me kekahi lāʻau lapaʻau, hiki i kēia lāʻau ke hoʻoulu i kekahi mau hopena ʻaoʻao.
| Inā ʻike ʻoe i kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau. | |
|---|---|
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā pilikia o ka puʻuwai | ʻEha ka umauma, ka poniuniu, ka puʻuwai wikiwiki a ʻano ʻole paha, ka maule ʻana, ka nalowale o ka ʻike. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nausea, nalowale o ka makemake e ʻai. |
| ʻO ka maʻi Serotonin | Huikau, hou nui, kuni, anuanu, ʻoʻoleʻa o nā ʻiʻo, ka maʻi pākī. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā loli o ka ʻike, ka nalowale o ka lohe, ka ʻeha a i ʻole ke kahe ʻana o ke koko ma ke ʻano ʻē, nā hōʻailona like me ka lupus (e.g., ka ʻike i ka lā, ka ʻeha o nā hono). |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
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Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?
- E mālama ʻia mai ka hiki ʻana aku o nā keiki a me nā holoholona. Hiki i kēia lāʻau lapaʻau ke make inā ale ʻia e kahi pākeke, keiki, a holoholona paha.
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius).
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
- E hoʻohui i kekahi lāʻau lapaʻau i hoʻohana ʻole ʻia me kahi mea e like me ke kope kope a i ʻole ka ʻōpala pōpoki, e waiho i loko o kahi pahu i hoʻopaʻa paʻa ʻia, a hoʻolei aku.
Leka Lawe-Home
- ʻO Dextromethorphan; He lāʻau lapaʻau kūikawā ʻo Quinidine i hāʻawi ʻia e mālama i kahi maʻi i kapa ʻia ʻo Pseudobulbar Affect (PBA), kahi e hoʻoulu ai i ka ʻakaʻaka a me ka uē ʻana i hiki ʻole ke kāohi.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hahai pono i nā ʻōlelo a kāu kauka. Mai hoʻololi i ka nui o ka lāʻau a i ʻole e hoʻōki koke i ka lawe ʻana i ka lāʻau.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka poniuniu, ka nāwaliwali, ka puʻuwai wikiwiki, a i ʻole ka hopena maʻi ʻino.
- He mea weliweli loa ka overdose. E hele koke i ka Emergency Department (ETU) a i ʻole e kelepona i ke National Poisons Information Center.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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