Ke loaʻa iā ʻoe kahi migraine headache hiki ʻole ke hoʻomanawanui, hiki ke lilo i ʻeha maoli i ka lā a pau, ʻeā? I kekahi manawa ʻeha nui kou poʻo a hiki ʻole iā ʻoe ke nānā aku i ke kukui, manaʻo ʻoe ua luaʻi, a luaʻi kekahi poʻe. Aia kekahi mau manawa ʻaʻole hiki iā ʻoe ke hana i kekahi mea a noho wale ma kahi moe i ka lā a pau. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā e hiki ke hāʻawi iā ʻoe i ka hōʻoluʻolu ke loaʻa iā ʻoe kahi ʻeha migraine koʻikoʻi.
He aha ke ʻano lāʻau lapaʻau kēia?
Ua kapa ʻia kēia lāʻau lapaʻau he ergotamine . Loaʻa pinepine ia ma ke ʻano he papa sublingual āu e waiho ai ma lalo o kou alelo a hoʻoheheʻe. Ua hoʻolālā kūikawā ʻia ia e kōkua iā ʻoe e kāohi i nā ʻeha poʻo nui e hele mai me ka migraines.
I ka ʻōlelo maʻalahi, hana kēia lāʻau lapaʻau, ʻo Ergotamine, i ʻelua mau mea i loko o kou lolo. ʻO kekahi, ʻo ia ke ālai i nā hōʻailona ʻeha e hoʻoulu ai i ka migraines. ʻO kekahi, ʻo ia ke hoʻoulu i kekahi o nā kīʻaha koko i loko o ka lolo e pehu, kahi e hoʻopili ai i kēlā mau kīʻaha koko. No kahi papa o nā lāʻau i kapa ʻia ʻo ergot alkaloids .
Eia nō naʻe, he mea nui loa e hoʻomanaʻo i kēia: ʻAʻole kēia lāʻau lapaʻau he lāʻau e pale aku ai i ka migraines ma mua o ko lākou hiki ʻana mai. ʻO ke ʻano kēia, pono ʻoe e lawe ma hope o kou hoʻomaka ʻana e loaʻa i ka ʻeha poʻo, ʻo ia hoʻi, ma hope o kou loaʻa ʻana o nā hōʻailona o ka migraine. ʻAʻole ia he manaʻo maikaʻi e lawe iā ia me ka manaʻo e hiki mai ana.
I kekahi manawa, e kuhikuhi paha kāu kauka i kēia lāʻau lapaʻau no kekahi kumu ʻē aʻe. No laila, inā he mau nīnau kāu a i ʻole kānalua paha e pili ana i kēia lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kauka lāʻau paha. E ʻike pinepine ʻoe i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo 'Ergomar' .
He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?
ʻAe, he mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e hoʻohana i kēia lāʻau Ergotamine, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, pono ʻoe e haʻi i kāu kauka me ka hūnā ʻole i kekahi mea. No ka mea, a laila hiki i ke kauka ke hoʻoholo inā kūpono kēia lāʻau iā ʻoe a i ʻole pehea e hāʻawi ai.
I kēia manawa, e nānā inā pili kēia mau mea iā ʻoe pū kekahi:
- Loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka pilikia o ka hanu ʻana?
- He maʻi puʻuwai kou a i ʻole kekahi maʻi aʻa koko?
- He koko kiʻekiʻe kou?
- Loaʻa iā ʻoe kekahi ʻano maʻi i loko o kou kino, e like me ka paila?
- He maʻi puʻupaʻa kou?
- Aia kekahi pilikia me ke akepaʻa, ʻo ia hoʻi ka maʻi akepaʻa?
- He maikaʻi ʻole ke kahe koko i kou mau wāwae? ʻO ia hoʻi nā mea e like me ke kahe koko maikaʻi ʻole i kou mau wāwae, ka mae ʻana o ke kino, a pēlā aku.
- He mea puhi paka ʻoe? He mea pilikia ka puhi paka no ka maʻi puʻuwai.
- Ua loaʻa paha iā ʻoe kahi hopena maʻi a i ʻole kekahi hopena ʻē aʻe i kēia lāʻau ergotamine, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā mea mālama?
- Ke hāpai nei ʻoe i kēia manawa? A i ʻole ke hoʻāʻo nei ʻoe e hāpai?
- He makuahine hānai waiū ʻoe?
Inā pili kekahi o kēia mau mea iā ʻoe, e ʻoluʻolu e haʻi i kāu kauka.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea kūikawā loa ke ʻano o ka hoʻohana ʻia ʻana o kēia lāʻau lapaʻau. He mea nui loa ia e ʻike a hana pololei.
- Pehea e lawe ai: Pono e lawe waha ʻia kēia lāʻau. E lawe i ka papa, e kau ma lalo o kou alelo , a kali a hiki i ka wā e heheʻe loa ai.
- ʻO ka mea nui loa: Mai nau a ale paha i ka papa. E hoʻoheheʻe ia ma lalo o kou alelo. E hōʻoia kēia ua komo piha ka lāʻau i loko o kou kino.
- E hahai i nā kuhikuhi: E hahai pono i nā kuhikuhi ma ka lepili lāʻau lapaʻau i hāʻawi ʻia iā ʻoe e kāu kauka.
- Ka manawa kūpono loa: No nā hopena maikaʻi loa, e lawe i kēia lāʻau lapaʻau i ka wā e ʻike ai ʻoe i ka hoʻomaka ʻana o kahi ʻeha poʻo migraine, a i ʻole i ka wā e hoʻomaka ai ʻoe e ʻike i nā hōʻailona ma mua o ka migraine (e like me ka aura). Mai hoʻokaʻulua. ʻO ia ka manawa e hāʻawi ai i ka hōʻoluʻolu maikaʻi loa.
- Mai lawe pinepine i kēia lāʻau lapaʻau: ʻAʻole manaʻo ʻia kēia lāʻau lapaʻau e lawe ʻia i kēlā me kēia lā. Eia kekahi, mai lawe ʻoe ma mua o ka nui o ka lāʻau a kāu kauka e ʻōlelo ai iā ʻoe e lawe, ʻaʻole hoʻi ʻoe e lawe ma mua o ka helu o nā manawa i ka lā a kāu kauka e ʻōlelo ai iā ʻoe e lawe.
- Inā hāʻawi i nā keiki: E kamaʻilio me kāu hui mālama ola e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki ʻōpio. Pono paha ka mālama kūikawā. Mai hāʻawi i kēia lāʻau lapaʻau i nā keiki ʻōpio me ka ʻole o ke aʻo ʻana a ke kauka.
- Overdose: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ke kikowaena hoʻomalu lāʻau make kokoke loa a i ʻole ke keʻena pilikia. A i ʻole e hele koke i laila.
- Mai kaʻana like: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kahi hoaaloha a ʻohana paha, ʻoiai inā he kuni ko lākou. ʻAʻole pono nā lāʻau lapaʻau a pau no nā kānaka a pau.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau?
ʻAʻole pili loa kēia nīnau i kēia lāʻau lapaʻau. No ka mea, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole kēia he lāʻau lapaʻau e lawe ʻia i ka manawa like i kēlā me kēia lā, ma ke ʻano maʻamau. Lawe ʻia ia i ka wā e hiki mai ai ka ʻeha poʻo i ka Lāpule.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau? (Nā Hana like ʻana)
He mea kēia e makaʻala nui ai. Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻoulu i nā hopena ʻino ke lawe pū ʻia me Ergotamine. Eia kekahi, aia kekahi mau lāʻau lapaʻau a me nā meaʻai ʻē aʻe e hiki ke hoʻopilikia i ke ʻano o ka hana a Ergotamine.
ʻAʻole pono e lawe pū ʻia ʻo Ergotamine me nā lāʻau lapaʻau penei:
- ʻO Bromocriptine
- ʻO Ceritinib
- ʻO kekahi mau lāʻau antibiotic, e like me ka clarithromycin a me ka erythromycin
- ʻO kekahi mau lāʻau antiviral i hāʻawi ʻia no ka maʻi HIV a i ʻole ka hepatitis
- ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, ka maʻi puʻuwai, a me ka puʻuwai naʻau kūpono ʻole
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal, e like me itraconazole, ketoconazole, posaconazole, a me voriconazole
- ʻO kekahi mau lāʻau lapaʻau ʻē aʻe i kuhikuhi ʻia no nā ʻeha poʻo migraine: almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, a me zolmitriptan. Ua kapa ʻia kēia mau mea he 'triptans'.
- Kokaini
- ʻIdelalisib
- ʻImatinib
- ʻO Levoketoconazole
- ʻO Lonafarnib
- ʻO Mifepristone
- Pseudoephedrine (hiki ke loaʻa i kekahi mau lāʻau lapaʻau anu)
- ʻO Ribociclib
- ʻO Tucatinib
Eia kekahi, hiki i kēia lāʻau lapaʻau ke launa pū me nā mea aʻe. ʻO ia hoʻi, hiki ke loaʻa nā hopena:
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi psychotic
- ʻO Clotrimazole (he lāʻau antifungal)
- ʻO Fluconazole (he lāʻau antifungal)
- Wai ʻāpala - E akahele loa me kēia. ʻO ka inu ʻana i ka wai ʻāpala i ka wā e lawe ana i ka ergotamine hiki ke hoʻonui i nā hopena ʻaoʻao.
- ʻO Metronidazole (kahi lāʻau lapaʻau i hoʻohana ʻia no kekahi mau maʻi)
- ʻO ka nikotine - ʻO ia hoʻi nā huahana e pili ana i ka paka, e like me nā cigarettes.
- ʻO Propranolol (kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi puʻuwai a me ke koko kiʻekiʻe)
- ʻO Zileuton (he lāʻau lapaʻau no ka hānō)
ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā pilina lāʻau āpau. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau āpau āu e lawe nei (me nā mea no nā kūlana ʻē aʻe, nā huaora, nā mea kanu, nā lāʻau lapaʻau ʻaʻole i kuhikuhi ʻia, a me nā mea hoʻohui meaʻai).Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻole, no ka mea hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau a hoʻoulu i nā pilikia.
He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
Aia kekahi mau mea ʻē aʻe āu e pono ai e hoʻolohe i ka wā e hoʻohana ai i ka ergotamine.
- Inā ʻaʻohe hōʻoluʻolu: Inā ʻaʻole hāʻawi kēia lāʻau i ka hōʻoluʻolu nui mai kou mau poʻo migraine, a inā paha e hele mai ana kou mau poʻo ma ke ʻano ʻokoʻa ma mua o ka mea maʻamau, e kamaʻilio me kāu hui mālama ola. Pono paha ʻoe e hoʻololi i kahi lāʻau lapaʻau ʻē aʻe a hoʻāʻo paha i kahi ʻano lapaʻau ʻē aʻe e mālama ai i kou mau poʻo.
- Hiamoe/Pīni: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a i ʻole ka pīni. No laila, mai hoʻokele kaʻa, hoʻohana i nā mīkini kaumaha, a hana paha i kekahi mea ʻē aʻe e pono ai ka makaʻala 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 pilikia o ka pīni a i ʻole ka maule ʻana, mai ala koke mai kahi noho a kū paha. E hana mālie i kēia mau mea. He mea nui loa kēia inā he ʻelemakule ʻoe. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia hiamoe, ka pīni, a me ka ʻulaʻula. No laila, e pale loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau.
- Kahe koko: Hiki i kēia lāʻau lapaʻau ke hōʻemi iki i ke kahe koko i kou ʻili, nā manamana lima a me nā manamana wāwae. Hiki i kēia ke hoʻolilo iā ʻoe i mea ʻoi aku ka maʻalahi i ke anu. Hiki i kou mau lima a me kou mau wāwae ke anu a mae. ʻOi aku ka nui o ka poʻe ʻelemakule e ʻike i kēia hopena. No laila , e ʻaʻahu maikaʻi a e hoʻomehana i ke anuanu. E pale i ka noho ʻana i ke anu no ka lōʻihi loa.
- ʻO ka lāʻau lapaʻau nui loa: He mea nui loa kēia. Inā ʻoe e hoʻohana i ka lāʻau migraine (ʻaʻole wale ka ergotamine, akā ʻo nā mea ʻeha ʻē aʻe) no 10 a ʻoi aku paha mau lā i ka mahina, e ʻoi aku ka ʻino o kou migraines ma mua o ka hoʻomaikaʻi ʻana. Ua kapa ʻia kēia he 'medication overuse headache'. No laila, he mea pono loa ka mālama ʻana i kahi puke moʻolelo poʻo, e hoʻopaʻa ana i nā lā i loaʻa ai iā ʻoe nā poʻo, nā lāʻau āu e lawe ai, a me ka nui. Inā e lilo ana kāu mau hoʻouka migraine i mea pinepine, a inā paha e loli kou ʻano poʻo, e hoʻokaʻaʻike aku i kāu hui mālama ola a e hoʻomaopopo iā lākou.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka ergotamine ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. He koʻikoʻi kekahi mau hopena ʻaoʻao a pono ʻoe e ʻimi koke i ke kōkua lapaʻau inā loaʻa. ʻAʻole koʻikoʻi kekahi a nalowale ma hope o kekahi mau lā.
Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻino, pono ʻoe e haʻi koke i kāu hui mālama ola. A i ʻole e hele i ka haukapila kokoke loa:
- Nā hopena maʻi ʻaleka: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu. Inā pehu ka puʻu, hiki iā ia ke paʻakikī i ka hanu ʻana.
- Nā loli i nā lālā: Ke kuni, ka ʻeha, ke kani ʻana, a i ʻole nā hoʻololi kala (e like me ka huli ʻana i ka keʻokeʻo, polū) ma nā wāwae a i ʻole nā lālā.
- Nā Hōʻailona o ka hōʻeha puʻuwai: ʻEha a ʻūlū paha ma ka umauma, ʻeha e pālahalaha ana i nā poʻohiwi, nā lima, ka ʻāʻī, a i ʻole ka ʻauwae, ka nausea, ka pōkole o ka hanu, ka ʻili anu a palupalu paha, ka nāwaliwali, a i ʻole ka manaʻo koke o ka māmā.
- Nā loli o ke au o ka puʻuwai: Ka piʻi koke ʻana o ka wikiwiki o ka puʻuwai (fast heartbeat), me he mea lā e kuʻi kūpono ʻole ana (irregular heartbeat), ka poniuniu, ka maule, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana.
- Piʻi koke ke koko.
- ʻO ka hanana ʻo Raynaud: Manaʻo nā manamana lima a i ʻole nā manamana wāwae i ke anu, ka mae, a me ka ʻeha. Hiki ke loli ke kala o nā manamana lima mai ka melemele a i ka uliuli, a laila ʻulaʻula.
- Nā hōʻailona o ka maʻi epilepsy (Seizures): ʻO ke ʻano kēia e hele mai lākou e like me ka hopu ʻana.
- Nā Hōʻailona o ka hahau ʻana: Ka mae koke ʻana a i ʻole ka nāwaliwali o ka maka, ka lima, a i ʻole ka wāwae (ma kekahi ʻaoʻao o ke kino), ka pilikia o ka ʻōlelo ʻana, ka ʻōlelo ʻana me ka ʻole o ka ʻike, ka huikau, ka pilikia o ka hele wāwae ʻana, ka nalowale o ke kaulike a i ʻole ka hoʻonohonoho ʻana, ka poniuniu, kahi ʻeha poʻo nui e kū mai me ke kumu ʻole, a me ka loli koke o ka ʻike.
- ʻEha nui o ka ʻōpū: ʻEha koke a nui o ka ʻōpū, kahe koko, kuni, nausea, a me ka luaʻi ʻana.
- Poho ʻike: Ka nalowale koke ʻana o ka ʻike, a i ʻole ka nalowale loa ʻana o ka ʻike.
Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau, akā pono ʻoe e haʻi i kāu hui mālama ola inā hoʻomau a hoʻopilikia paha lākou iā ʻoe:
- Pōʻino
- ʻO ka ʻoluʻolu ʻole a i ʻole ka luhi
- Ka luaʻi
- Ka luaʻi ʻana
Aia i loko o kēia papa inoa kekahi mau hopena ʻaoʻao hiki ke loaʻa. ʻAʻole i helu ʻia nā hopena ʻaoʻao āpau ma aneʻi. Inā ʻike ʻoe i kekahi mea ʻē, e ʻimi i ke kōkua lapaʻau. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma ʻAmelika Hui Pū ʻIa ma 1-800-FDA-1088. Ma Sri Lanka, ʻoi aku ka maikaʻi o ka hōʻike ʻana iā lākou i kāu kauka a i ʻole ka haukapila.
Pehea e mālama ai i kaʻu lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kāu lāʻau lapaʻau.
- E mālama ʻia mai nā keiki: E mālama iā ia ma kahi i hiki ʻole i nā keiki liʻiliʻi ke hiki aku, e like me luna.
- Mahana: E mālama i ka mahana o ka lumi, ma waena o 15 a me 30 kekelē Celsius (59 a me 86 kekelē Fahrenheit).
- Pūʻolo: E mālama i loko o ka pūʻolo pepa kini i kona wā i hoʻokomo ʻia ai a hiki i ka wā e hoʻohana ai. Mai wehe i nā papa.
- Palekana: E pale mai ka mālamalama a me ka makū. Mai mālama i nā wahi pulu e like me ka lumipaku.
- Pau: E nānā i ka lā pau ma ka pūʻolo lāʻau. Mai hoʻohana i kekahi lāʻau i hala i kēlā lā a hoʻolei aku.
He hōʻuluʻulu manaʻo wale nō kēia ʻike. ʻAʻole paha e hoʻokomo piha ʻia nā mea āpau. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe.
Nā mea nui a mākou e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, no laila e hōʻuluʻulu kākou i nā mea nui e pili ana i ka Ergotamine a mākou i kamaʻilio ai i kēia lā, ʻeā?
- He lāʻau lapaʻau ʻo Ergotamine i hāʻawi ʻia e kāohi i ka ʻeha o ka migraine ke hoʻomaka. ʻAʻole hoʻohana ʻia e pale aku i ka migraines.
- Pono e waiho ʻia kēia papa ma lalo o ke alelo a ʻae ʻia e hoʻoheheʻe loa. Mai nau a ale paha.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu i loaʻa ai (ʻoiai ka maʻi puʻuwai, ke koko kiʻekiʻe, nā pilikia kahe koko), nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me nā maʻi allergies āu e loaʻa ai.
- Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila e kamaʻilio pū me kāu kauka e pili ana i kēlā. Pono ʻoe e makaʻala loa me ka wai pomelo.
- ʻO ka lawe ʻana i ka lāʻau lapaʻau e hiki ke hoʻohiamoe a me ka poniuniu. No laila, e makaʻala i ka wā e hoʻokele ana a hana paha i ka hana e pono ai ka noʻonoʻo pono.
- ʻO ka hoʻohana nui ʻana i kēia lāʻau lapaʻau e hiki ke hoʻonui i kou migraine headaches. No laila e hoʻohana wale ia e like me ke kuhikuhi a kāu kauka.
- Inā ʻike ʻoe i kekahi mau hōʻailona o kahi hopena koʻikoʻi (e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, nā maʻi allergies, a i ʻole nā hōʻailona o ka hahau ʻana) , e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi.
No laila, he maʻi ka migraine i loaʻa i nā poʻe he nui. Eia nō naʻe, me ka ʻike pono ʻana a me ka mālama ʻana, hiki iā ʻoe ke kāohi i ka ʻeha a ola i kahi ola maʻamau. Inā ʻoe e ʻeha nei i ka migraines, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a loaʻa ka ʻōlelo aʻoaʻo.
ʻergotamine , migraine, ʻeha poʻo, lāʻau lapaʻau, nā hopena ʻaoʻao, sublingual
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