He pilikia ka hoʻomaʻamaʻa ʻona i nā kānaka he nui. Ua ʻike mākou ʻaʻole he huakaʻi maʻalahi ka lanakila ʻana ma luna o ia mea. Akā, ʻaʻole ʻoe hoʻokahi. Aia kekahi mau mea e hiki ke kōkua iā ʻoe ma kēia huakaʻi. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau i kapa ʻia ʻo Disulfiram hiki ke kōkua. Ua lohe paha ʻoe iā ia ma lalo o ka inoa inoa ʻo Antabuse .
He aha ke ʻano o ka lāʻau lapaʻau ʻo Disulfiram?
I ka ʻōlelo maʻalahi, ʻo Disulfiram kahi lāʻau lapaʻau e kōkua i ka poʻe e hakakā nei me ka waiʻona e hoʻōki i ka inu ʻana. Hana ia ma ke ʻano ʻokoʻa iki. Ke lawe ʻoe i kēia lāʻau lapaʻau, inā ʻoe e ʻai i kahi waiʻona liʻiliʻi, e loaʻa iā ʻoe kahi ʻike maikaʻi ʻole loa . ʻO ia hoʻi, e paʻakikī loa ia no kou kino. No laila, e kōkua ia i ka hoʻēmi ʻana i ka makemake e inu i ka waiʻona.
Eia naʻe, ʻaʻole kēia he lāʻau kilokilo e hoʻōki iā ʻoe i ka inu ʻona i ka manawa hoʻokahi. He ʻāpana koʻikoʻi wale nō ia o kahi papahana hoʻōla . ʻO ia hoʻi, me kēia lāʻau lapaʻau, pono maoli ka nānā ʻana a me ke aʻo ʻana a ke kauka. He paʻakikī ke manaʻo i nā hopena mai ka hoʻohana ʻana i kēia wale nō.
I kekahi manawa, hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau hou aku kāu e pili ana i kēia, e nīnau i kāu kauka a mea kūʻai lāʻau paha.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe iā Disulfiram, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino. Pono ʻoe e haʻi kūikawā i kekahi o nā kūlana ma lalo nei:
- Inā ua loaʻa iā ʻoe kekahi hōʻeha o ka lolo ma mua .
- Inā loaʻa iā ʻoe ka maʻi diabetes (Diabetes Mellitus) .
- Inā he maʻi puʻuwai kou .
- Inā he maʻi puʻupaʻa kou .
- Inā loaʻa iā ʻoe ka maʻi akepaʻa (he mea nui loa kēia, no ka mea, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke akepaʻa).
- Inā loaʻa iā ʻoe kahi maʻi psychotic .
- Inā ua inu ʻoe i ka waiʻona i kēia manawa a i ʻole ua hoʻohana paha i kekahi huahana ʻē aʻe i loaʻa ka waiʻona (he mea nui loa kēia, ʻoiai ʻo ka lawe ʻana i kēia lāʻau lapaʻau i ia manawa hiki ke hana i kahi hopena koʻikoʻi).
- Inā loaʻa iā ʻoe nā ʻōʻili .
- Inā ʻoe e hoʻohana ana i nā lāʻau lapaʻau e like me ka metronidazole a i ʻole paraldehyde .
- Inā hana ʻole kou kelepa thyroid (under-active thyroid) .
- Hiki paha iā ʻoe ke maʻi āpau i ka disulfiram, nā pesticides, nā huahana rubber, nā lāʻau lapaʻau ʻē aʻe, ka meaʻai, ka waihoʻoluʻu meaʻai, a i ʻole nā mea hoʻomalu meaʻai.Inā ua loaʻa iā ʻoe kahi hopena alerika ʻē aʻe ma mua.
- Inā hāpai ʻoe, a i ʻole ke manaʻolana nei e hāpai .
- Inā he makuahine hānai waiū ʻoe .
Ke haʻi aku ʻoe i kēia mau mea i kāu kauka, hiki iā ia ke hoʻoholo pololei inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a pehea e hāʻawi ai.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea nui loa ia e ʻike pono pehea e hoʻohana ai i kēia lāʻau.
- Pono e lawe ʻia kēia mau lāʻau lapaʻau me ka waha, me ke aniani wai maikaʻi .
- E hahai pono i nā kuhikuhi ma kāu lepili lāʻau lapaʻau . Mai lawe ʻoi aku a emi mai paha ma mua o ka nui a kāu kauka e ʻōlelo ai iā ʻoe e lawe.
- ʻO kēia ka mea nui loa: Mai lawe i kēia lāʻau lapaʻau i loko o 12 mau hola ma hope o ka inu ʻana i ka waiʻona. ʻO ka hana ʻana pēlā e hiki ai ke hana i kahi hopena koʻikoʻi loa.
- Hiki ke kuʻi ʻia kēia mau pila a kāwili ʻia me kahi wai e like me ka wai ma mua o ka lawe ʻana iā lākou. Akā e ʻoluʻolu e nīnau i kāu kauka a mea kūʻai lāʻau paha e pili ana i kēia.
- E lawe i ka lāʻau lapaʻau i ka manawa kūpono a me nā wā kūpono .
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ʻoe e kamaʻilio me ke kauka pediatric e pili ana i ia mea. Pono paha ka mālama kūikawā i ia mau hihia.
Mea nui: No kāu hoʻohana ponoʻī wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi, ʻoiai inā loaʻa iā lākou ka pilikia like me ʻoe.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe ʻoe i ka lāʻau lapaʻau ma mua o kou manaʻo, e kāhea koke i ke kikowaena hoʻomalu lāʻau make kokoke loa a i ʻole ka lumi pilikia o ka haukapila. Mai hoʻonele i ka manawa.
He aha inā e hala wau i kaʻu lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. 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 pālua i ka lāʻau.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
He lāʻau lapaʻau ʻo Disulfiram i hiki ke launa pū me kekahi mau lāʻau lapaʻau, meaʻai, a me nā mea ʻē aʻe, no laila he mea nui e ʻike i kēia.
Mai lawe pū me kēia mau lāʻau lapaʻau ʻo Disulfiram:
- ʻAila a i ʻole kekahi huahana i loaʻa ka ʻaila. ʻO kēia ka mea nui.
- ʻAmprenavir
- Kokaini
- Lopinavir; Ritonavir (lopinavir; ritonavir)
- Metronidazole
- Nā wai hoʻonā waha e loaʻa ana ka ritonavir a i ʻole sertraline
- Paclitaxel
- Paraldehyde
- Tranylcypromine
Hiki i kēia mau lāʻau lapaʻau ke launa pū me Disulfiram:
- ʻIsoniazid
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko, no ka laʻana warfarin
- ʻO Phenytoin
ʻAʻole piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ʻole, nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai). Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona (ka mea i pāpā loa ʻia i ka wā e lawe ana i kēia lāʻau lapaʻau), a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi o kēia mau mea ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia lāʻau lapaʻau.
Nā mea e pono e makaʻala nui ʻia i ka wā e hoʻohana ai i kēia lāʻau lapaʻau:
Aia kekahi mau mea e pono ai ʻoe e makaʻala i ka wā e lawe ana i kēia lāʻau lapaʻau e hōʻoia i kou palekana a me ka holomua o ka lāʻau lapaʻau.
- E ʻike pinepine i kāu kauka no nā nānā mau ʻana. E kiʻi i nā hoʻokolohua a kāu kauka e ʻōlelo ai.
- E akahele loa i ka waiʻona!
- Mai lawe i kēia lāʻau lapaʻau i kou wā e inu ana i ka waiʻona.
- E hoʻomaopopo i nā poʻe ʻē aʻe o kou hale (nā ʻohana, nā poʻe e noho pū ana) i kēia lāʻau lapaʻau a e haʻi iā lākou i ka mea e hana ai inā he pilikia.
- Inā ʻoe e inu iki i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau, hiki iā ʻoe ke loaʻa i kahi hopena koʻikoʻi a ʻoluʻolu ʻole. Ua kapa ʻia kēia hopena ʻo ka Disulfiram-Ethanol Reaction . I kēia hihia, hiki iā ʻoe ke loaʻa i kahi ʻeha poʻo nui, ka ʻulaʻula, ka luaʻi ʻana, ka nāwaliwali, a me ka ʻeha o ka umauma . I kekahi mau hihia koʻikoʻi, hiki ke loaʻa nā pilikia hanu, nā pilikia puʻuwai, nā hopu ʻana, a me ka make . No laila, pono ʻoe e makaʻala loa i kēia.
- ʻO kekahi mea nui ʻē aʻe, ʻo ia ka hiki i nā hopena o Disulfiram ke hoʻomau i loko o kou kino a hiki i 14 mau lā ma hope o kou lawe hope ʻana i kāu papa hope loa . ʻO ke ʻano kēia, inā ʻoe e inu i ka waiʻona i loko o ia manawa, hiki iā ʻoe ke ʻike i ka hopena weliweli i ʻōlelo ʻia ma luna.
- E makaʻala hoʻi i ka waiʻona huna:
- E pale loa i ka hoʻohana ʻana i ka waiʻona wale nō, akā, ʻo nā huahana ʻē aʻe hoʻi i loaʻa ka waiʻona.
- E heluhelu pono i ka lepili o nā huahana āu e hoʻohana ai e ʻike inā he waiʻona ko lākou.
- E noʻonoʻo i ia mea, kekahiHiki ke loaʻa ka waiʻona i loko o nā syrups kuni, nā lāʻau ʻeha wai, nā tonics, nā holoi waha, nā lotions aftershave, nā colognes, kekahi mau liniments, nā vinega, a me kekahi mau mea ʻono. No laila, pono ʻoe e makaʻala loa ma mua o ka hoʻohana ʻana i kēia mau mea.
- E kau i kahi hōʻailona hōʻoia:
- He manaʻo maikaʻi ke kau ʻana i kahi kūpeʻe lima lapaʻau a lei paha e hōʻike ana he mea hoʻohana disulfiram ʻoe.
- Eia kekahi, e lawe mau i kahi kāleka hōʻoia me ʻoe e komo pū ana me kou inoa, ka inoa a me ka nui o ka lāʻau lapaʻau āu e lawe nei, ka inoa a me ka helu kelepona o kāu kauka, a me ka ʻike o kekahi āu e hiki ai ke hoʻokaʻaʻike aku i kahi pilikia (e laʻa, he lālā o ka ʻohana). He mea kōkua nui kēia i ka poʻe e mālama ana iā ʻoe i kahi pilikia.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Disulfiram ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole koʻikoʻi kekahi, akā pono ʻoe e hōʻike koke iā lākou i kāu kauka.
ʻO nā hopena ʻaoʻao āu e haʻi koke aku ai i kāu kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ke kauka a i ʻole ka haukapila:
- Nā hopena maʻi e like me: ka ʻili ʻulaʻula, ka maneʻo a i ʻole ka hives, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo.
- Nā loli o ka ʻike (e.g. ʻike pōwehiwehi).
- Huikau, haunaele, huhū.
- Inā lilo ka mimi i pouli .
- Manaʻo palaualelo a loaʻa nā hōʻailona e like me ka maʻi palū.
- Ka nalowale o ka makemake, ka luaʻi.
- He manaʻo o ka hoʻokaʻawale ʻia ʻana mai ke ao maoli, he manaʻo o ke kūlana o ka kuhihewa (nalowale ka pilina me ka ʻoiaʻiʻo).
- ʻO ka mae, ka ʻeha a i ʻole ke kani ʻana o nā lālā.
- ʻEha ka ʻōpū ʻākau o luna ( he pilikia paha kēia i ke akepaʻa).
- Inā ʻoe e manaʻo i ka nāwaliwali loa a i ʻole ka luhi.
- Melemele o nā maka a i ʻole ka ʻili (he hōʻailona paha kēia o ka jaundice).
Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau, akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha:
Hoʻopau pinepine kēia i loko o kekahi mau lā, akā inā hoʻomau lākou, e haʻi i kāu kauka.
- ʻO kēlā me kēia loli i ka makemake o ka moekolohe a i ʻole ka hana.
- Pōʻaiʻī.
- Hiamoe, luhi.
- ʻEha poʻo (ʻaʻole ka ʻeha poʻo nui e hele mai me ka waiʻona).
- He ʻono metala a ʻono kālika paha i loko o ka waha.
- Ka luaʻi ʻana, ka luaʻi ʻana ( ʻaʻole ka luaʻi nui e kū mai ana me ka waiʻona).
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻike ʻole ʻia, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e mālama ai i kēia mau pila?
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a mai ko lākou hiki ʻana aku .
- E mālama ma ka mahana o ka lumi, ma waena o 20 a me 25 kekelē Celsius (68 a me 77 kekelē Fahrenheit). Mai hoʻokuʻu i ka wela nui a i ʻole ke anu.
- E mālama i loko o kahi pahu i hoʻopaʻa paʻa ʻia a pale aku i ka mālamalama.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei pono iā lākou.
Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)
He kōkua waiwai nui ʻo Disulfiram no ka poʻe e hoʻāʻo nei e haʻalele i ka waiʻona. Akā e hoʻomanaʻo i kēia mau mea:
- Hana kēia lāʻau lapaʻau ma ka hāʻawi ʻana iā ʻoe i kahi ʻike maikaʻi ʻole inā ʻoe e inu i ka waiʻona.
- ʻAʻole kēia he hopena kū hoʻokahi. He ʻāpana wale nō kēia o kahi papahana holoʻokoʻa e hoʻopau i ka waiʻona. He mea nui ka ʻōlelo aʻoaʻo a me ke aʻo ʻana mai ke kauka.
- Mai ʻai i kekahi mea i loaʻa ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau. ʻAʻole wale kēia i ka waiʻona, akā, ʻo kekahi mau meaʻai, nā mea inu, nā lāʻau lapaʻau, a me nā mea ʻala. E heluhelu pono i nā lepili.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me kou mau maʻi a pau.
- E makaʻala i nā hopena ʻaoʻao. Inā ʻike ʻoe i kekahi mea koʻikoʻi, e haʻi koke i kāu kauka.
- E lawe i ka lāʻau lapaʻau no ka manawa i kuhikuhi ʻia e ke kauka. Mai hoʻōki koke.
Hiki ke paʻakikī ka huakaʻi i ka hoʻōla ʻana mai ka ʻona lama, akā me ke kākoʻo kūpono a me ka mālama ʻana, hiki iā ʻoe ke lanakila ma luna. ʻO Disulfiram kekahi mea hana e hiki ke kōkua iā ʻoe ma kēlā huakaʻi. E wehe a ʻoiaʻiʻo me kāu kauka e pili ana i kāu mau nīnau a me nā hopohopo. Aloha nui!
ʻO Disulfiram, Antabuse, e hoʻōki i ka inu ʻana, lāʻau lapaʻau waiʻona, hopena waiʻona, haʻalele ʻana i ka lāʻau lapaʻau, Disulfiram Sinhala
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