ʻO ka poʻe i loaʻa i kekahi manawa nā hahau koke a i ʻole ka pilikia o ka loaʻa ʻana o nā hopu ʻana, ua lohe paha lākou i kēia lāʻau lapaʻau. He lāʻau lapaʻau maoli ia e hōʻoluʻolu i nā aʻalolo i loko o ka lolo a kōkua i ka hoʻomalu ʻana i kēlā mau hahau ʻē. E kamaʻilio hou kākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Divalproex Sodium, ʻae?
He aha ke ʻano lāʻau lapaʻau ʻo Divalproex Sodium?
I ka ʻōlelo maʻalahi, ʻo divalproex sodium kahi lāʻau lapaʻau i hoʻohana ʻia e pale a kāohi i nā hopu ʻana, a i ʻole nā convulsions, i nā kūlana e like me ka epilepsy. Loaʻa kahi hopu ʻana i ka wā e hana nui ai nā aʻalolo i loko o ko mākou lolo. No laila, ʻo ka mea a kēia lāʻau lapaʻau e hana ai , ʻo ia ka hoʻomālielie ʻana i kēlā mau aʻalolo hana nui.
Hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me `(Depakote)`. Eia kekahi, i kekahi manawa e kuhikuhi paha nā kauka iā ia no nā kūlana olakino ʻē aʻe. Hiki iā ʻoe ke nīnau i kāu kauka a mea kūʻai lāʻau paha e pili ana i kēia.
He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu hui lapaʻau (ʻo ia hoʻi ke kauka, ka mea kūʻai lāʻau lapaʻau) i kēia mau mea:
- Inā inu mau ʻoe i ka waiʻona: Hiki i kēia lāʻau lapaʻau ke launa pū me ka waiʻona, no laila he mea nui e haʻi i kēia.
- Inā loaʻa iā ʻoe ka maʻi puʻupaʻa: ʻO nā puʻupaʻa ke ala o ke kino e wehe ai i nā huahana ʻōpala. No laila, inā loaʻa iā ʻoe nā pilikia puʻupaʻa, hiki i ka lāʻau lapaʻau ke hōʻiliʻili i loko o kou kino.
- Inā loaʻa iā ʻoe ka maʻi akepaʻa: Hana ʻia kēia lāʻau lapaʻau e ke akepaʻa. Inā nāwaliwali ke akepaʻa, hiki ke loaʻa nā pilikia koʻikoʻi.
- Inā he haʻahaʻa kou helu platelet: Hiki i kēia ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
- Inā loaʻa iā ʻoe ka maʻi mitochondrial: He ʻano genetic kēia a hiki ke pilikia i kēia lāʻau lapaʻau.
- Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā manaʻo pepehi kanaka, nā hoʻolālā, a i ʻole nā hoʻāʻo pepehi kanaka: He mea nui kēia e haʻi ʻia no ka mea hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke kūlana noʻonoʻo o kekahi poʻe.
- Inā loaʻa iā ʻoe kahi maʻi pōʻaiapuni urea (UCD): He ʻano genetic nō hoʻi kēia a hiki ke loaʻa nā hopena koʻikoʻi me kēia lāʻau lapaʻau.
- Inā ua loaʻa iā ʻoe ma mua kahi hopena ʻē aʻe a i ʻole kahi maʻi ʻaleka i Divalproex Sodium, Sodium Valproate, Valproic Acid, a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai: He mea nui loa kēia. Hiki i kēia lāʻau lapaʻau ke hōʻeha i ka pēpē i ka wā hāpai.
- Inā he makuahine hānai waiū ʻoe ('Hānai waiū'): Hiki i nā ʻāpana o ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma.
ʻO ka haʻi ʻana aku i kāu kauka e pili ana i kēia mau mea e kōkua iā ʻoe e loaʻa ka lāʻau lapaʻau me ka palekana. No laila, mai hūnā i kekahi mea, ʻeā?
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
E lawe ʻia kēia lāʻau lapaʻau ma ka waha. Loaʻa ia i loko o nā capsules.
- Hiki ke ale ʻia kēia mau capsules me ka wai.
- A i ʻole, e wehe pono i ke capsule a kāpīpī i nā ʻāpana lāʻau lapaʻau liʻiliʻi e like me ka hua ma luna o kahi teaspoon o ka applesauce a i ʻole ka pudding, a ale koke iā lākou me ka ʻole o ka hoʻoulu ʻana .
- ʻAʻole pono e wāwahi ʻia, kuʻi ʻia, a nau ʻia paha kēia lāʻau lapaʻau.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a me ka ʻole. Eia nō naʻe, inā he ʻōpū ʻeha kou, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E hoʻohana i ka lāʻau lapaʻau a kāu kauka i kauoha ai e like me ke kuhikuhi ʻana ma ka lepili kauoha.
- E lawe i ka lāʻau lapaʻau i ka manawa kūpono, ma ka nui kūpono . Mai lawe ʻoi aku ma mua o ka mea a ke kauka e ʻōlelo ai iā ʻoe.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka. ʻO ka hana ʻana pēlā e hoʻonui ai i ka likelika o ka maʻi ʻeha.
Ke hāʻawi ka hale kūʻai lāʻau lapaʻau iā ʻoe i kēia lāʻau lapaʻau, e hāʻawi pū ia iā ʻoe i kahi pepa ʻike kūikawā (i kekahi manawa i kapa ʻia ʻo 'MedGuide'). E hōʻoia e heluhelu pono i kēia i kēlā me kēia manawa e loaʻa ai iā ʻoe kahi hoʻopiha hou a hoʻopiha hou paha. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi nāu.
Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
ʻOiai hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki he 10 mau makahiki no kekahi mau kūlana i koho ʻia, aia kekahi mau manaʻo kūikawā e pono e noʻonoʻo ʻia. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio pono me kāu kauka e pili ana i ia mea a wehewehe i nā mea āpau.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, pono ʻoe e kāhea koke i ka lumi pilikia o ka haukapila kokoke loa a i ʻole ke kikowaena kaohi lāʻau make. Mai hoʻāʻo e hana i kekahi mea iā ʻoe iho.
ʻO ka mea nui loa, ʻo kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi , ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe!
He aha inā e hala wau i kaʻu lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe (ʻo ia hoʻi i loko o kekahi mau hola), e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi. ʻO ka hana ʻana pēlā e hiki ai ke hopena i nā hopena ʻaoʻao.
He aha nā pilina ʻē aʻe e hiki ke hana me kēia lāʻau lapaʻau?
He mea kēia e makaʻala nui ai. Hiki i kekahi mau lāʻau lapaʻau a me nā mea ʻē aʻe āu e lawe ai ke launa pū me kēia lāʻau divalproex sodium, ʻo ia hoʻi hiki ke kūʻē. A laila ʻaʻole e hana pono ka lāʻau lapaʻau, a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao.
Nā mea āu e pono ʻole ai e lawe pū me kēia lāʻau lapaʻau:
- Sodium phenylbutyrate
Nā lāʻau lapaʻau ʻē aʻe a me nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau:
- ʻAspirina
- ʻO kekahi ʻano o nā antibiotics, no ka laʻana, ertapenem, imipenem, a me meropenem.
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo ʻē aʻe.
- Nā lāʻau lapaʻau ʻē aʻe i hāʻawi ʻia no nā hopu ʻana: No ka laʻana, `(carbamazepine)`, `(clonazepam)`, `(diazepam)`, `(ethosuximide)`, `(felbamate)`, `(lamotrigine)`, `(phenobarbital)`, `(phenytoin)`, `(primidone)`, `(rufinamide)`, `(topiramate)`.
- Nā lāʻau lapaʻau e pale ai a mālama paha i ke kāpili ʻana o ke koko, no ka laʻana warfarin.
- ʻO Cholestyramine
- ʻO nā hormones Estrogen a me progestin.
- ʻO Propofol (ʻO Propofol)
- ʻO Rifampin
- ʻO Ritonavir
- Tolbutamide
- ʻO Zidovudine
ʻAʻole piha kēia papa inoa. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (i kauoha ʻia e kāu kauka a i kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau), nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe i kū ʻole i ke kānāwai. A laila wale nō e hiki ai iā ia ke haʻi iā ʻoe me ka maopopo inā palekana kēia lāʻau lapaʻau iā ʻoe.
He aha kaʻu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
- Inā ʻaʻole e hoʻomaikaʻi kou mau ʻōuli, a inā paha e ʻoi aku ka ʻino, e haʻi koke aku i kāu kauka.
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i nā hopena ʻili koʻikoʻi i kekahi manawa. Hiki ke hana ʻia kēia mau mea i nā pule a i ʻole nā mahina ma hope o kou hoʻomaka ʻana e lawe i ka lāʻau lapaʻau. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kahi ʻulaʻula me ke kuni. Hiki i kēia mau ʻulaʻula ke lilo i ʻulaʻula a poni paha, a laila pehu a ʻili. A i ʻole he mau ʻulaʻula paha ma kou maka, lehelehe, ʻāʻī, a i ʻole nā armpits, me nā lymph nodes pehu. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- He manaʻo maikaʻi e lawe i kahi kūpeʻe lima lapaʻau a kaulahao paha a kāleka paha e hōʻike ana he maʻi kou a he kikoʻī e pili ana i ka lāʻau lapaʻau āu e lawe nei a me ka nui o ka lāʻau.
- Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe, poniuniu, a i ʻole he ʻike pohihihi . No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i nā hana ʻē aʻe e pono ai ka noʻonoʻo a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. No ka hōʻemi ʻana i ka poniuniu a me ke poʻo māmā, mai kū koke mai kahi noho a kū paha mai kahi noho ʻana, ʻoiai inā he ʻelemakule ʻoe. Hiki i ka inu ʻana i ka waiʻona ke hoʻohiamoe iā ʻoe a poniuniu. No laila, e pale i ka waiʻona.
- Ke lawe ʻoe i kēia lāʻau lapaʻau, ʻo kāuHiki i ka ʻili ke lilo i mea ʻoi aku ka maʻalahi i ka lā. No laila, e kaupalena i kou ʻike ʻana i ka lā i ka hiki. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole pale a hoʻohana i ka sunscreen. Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning/booths.
- He mea nui loa kēia: Pono e nānā pono ʻia nā mea maʻi a me ko lākou mau ʻohana no ka hoʻomaka hou ʻana o ke kaumaha, nā manaʻo pepehi kanaka, a i ʻole ka ʻino ʻana o nā hōʻailona. Eia kekahi, e makaʻala i nā loli koke o ke ʻano (e laʻa me ka hopohopo, ka hoʻonāukiuki, ka huhū, ka huhū, ka hoʻomaha ʻole, ka hoʻonāukiuki nui, ka hiamoe ʻole). Inā hana kēia, ʻoiai i ka hoʻomaka ʻana o ka lāʻau lapaʻau a i ʻole ma hope o ka hoʻololi ʻana i ka nui o ka lāʻau lapaʻau, e kamaʻilio koke me kāu kauka.
- ʻOi loa aku no nā wahine: Inā ʻoe e hoʻolālā ana e hāpai, a manaʻo paha ʻoe e hāpai ana ʻoe, pono ʻoe e haʻi koke i kāu kauka. ʻO kēia no ka mea hiki ke hana i nā hopena koʻikoʻi no kāu pēpē i hānau ʻole ʻia. E nīnau i kāu kauka a kauka lāʻau paha no ka ʻike hou aku. (Ma ʻAmelika Hui Pū ʻIa, aia kahi papahana i kapa ʻia ʻo North American Antiepileptic Drug Pregnancy Registry e hoʻopaʻa ana i ka hoʻohana ʻana i kēia mau lāʻau i ka wā hāpai, kahi e hōʻiliʻili ai i ka ʻike e pili ana i ka palekana o kēia mau lāʻau. ʻOiai ʻaʻohe papahana like ma Sri Lanka, he mea nui e kamaʻilio me kāu kauka.)
- Hiki i kēia lāʻau lapaʻau ke hoʻemi i ka nui o ka waikawa folic a me ka wikamina D i loko o ke kino. No laila, pono ʻoe e hōʻoia e loaʻa ana iā ʻoe nā wikamina lawa i ka wā e lawe ana i kēia lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i nā meaʻai a me nā wikamina āu e lawe nei.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao, akā ʻaʻole i loaʻa i nā mea āpau.
Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka:
- Nā hopena maʻi: ka ʻulaʻula, ka maneʻo, ka pehu ʻana o nā lehelehe, ke alelo, ka maka, a me ka ʻāʻī.
- Ke kiʻekiʻe o ka ʻamonia i loko o ke koko: Manaʻo luhi loa, huikau, nalowale o ka makemake e ʻai, nausea, luaʻi, a me nā ʻōʻō.
- ʻEha o ke akepaʻa: ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale o ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o ka ʻili a i ʻole nā maka, luhi ʻē.
- Hoʻemi ʻia ka mahana o ke kino, ka hiamoe, ka huikau.
- Pancreatitis: ʻEha nui o ka ʻōpū (e pālahalaha ana i ke kua, ʻoi aku ka ʻino ma hope o ka ʻai ʻana a i ʻole ke hoʻopā ʻia), kuni, nausea, luaʻi.
- Ka ʻulaʻula o ka ʻili, ke kuni, a me nā ʻōpuʻu lymph pehu.
- Nā manaʻo a hoʻāʻo paha e pepehi iā ia iho, ka ʻino ʻana o ke kūlana noʻonoʻo, nā manaʻo kaumaha.
- ʻO ka palapū a i ʻole ke kahe koko ma ke ʻano ʻē.
Nā hōʻailona e pono ʻole ai ke aʻo lapaʻau (akā e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha):
- Nā loli o ka ʻike
- Pōʻino
- Hiamoe
- Pohō lauoho
- ʻEha poʻo (ʻeha poʻo)
- Ka luaʻi
- Haʻalulu a haʻalulu paha
- Piʻi ke kaumaha
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e haʻi i kāu kauka e pili ana iā lākou.
Pehea e mālama ai i kēia lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona .
- E mālama ma ka mahana o ka lumi, ma lalo o 25 kekelē Celsius (77 kekelē Fahrenheit).
- E pani paʻa i ka ʻōmole/ʻeke lāʻau lapaʻau.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei aku iā lākou.
Nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana i kēia lāʻau Divalproex Sodium, ʻeā? I ka pōkole, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:
- E lawe mau i kāu lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka. E hahai pono i ka nui a me ka manawa.
- Inā he mau maʻi ʻē aʻe kāu a i ʻole ke lawe nei ʻoe i nā lāʻau lapaʻau ʻē aʻe, e haʻi i kāu kauka e pili ana i kēia mau mea āpau.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao hou, a i ʻole inā e ʻoi aku ka ʻino o kāu mau hōʻailona, e haʻi koke aku i kāu kauka.
- Inā hāpai ʻoe, e hoʻolālā ana e hāpai, a i ʻole he makuahine hānai, e ʻōlelo pono i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau.
- E mālama pono i ka lāʻau lapaʻau a palekana.
Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau kāu, mai kānalua e nīnau i kāu kauka a kauka lāʻau paha. Aia lākou ma laila e kōkua iā ʻoe.
ʻO Divalproex Sodium, Epilepsy, Nā ʻūlū, Nā hopena ʻaoʻao, Lāʻau lapaʻau, Depakote
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