Ua lōʻihi anei kou ʻeha ʻana i ke kaumaha ? Ua hoʻāʻo paha ʻoe i kekahi mau lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, akā ʻaʻole ʻoe i ʻike i ka hoʻomaikaʻi i makemake ʻia. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā e hiki ke kōkua i ka poʻe i ʻeha i ke kaumaha nui a ʻaʻole pane maikaʻi i nā lāʻau lapaʻau ʻē aʻe. ʻO kēia ka Esketamine Nasal Spray.
He aha ka Esketamine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Esketamine i hoʻohana ʻia no ka mālama ʻana i ke kaumaha. Akā, ʻaʻole ia he lāʻau lapaʻau maʻamau i hāʻawi ʻia i nā kānaka a pau. Hoʻomaʻamaʻa pinepine nā kauka i kēia lāʻau lapaʻau ke ʻole i kōkua nā lāʻau lapaʻau antidepressant ʻē aʻe . He pīpī ihu ia. ʻO kekahi o nā inoa kaulana no ia ma ka mākeke ʻo Spravato.
Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kūlana ʻē aʻe ma waho aʻe o ke kaumaha. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia no ka ʻike hou aku.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. Mai hūnā i kahi maʻi liʻiliʻi āu i loaʻa ai. ʻAʻole kūpono kēia lāʻau lapaʻau no nā mea āpau. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
| ʻAno kūlana/ʻike olakino | Wehewehena |
|---|---|
| Nā maʻi o ke koko | Inā he maʻi koʻikoʻi kou ma nā wahi a pau o ke kino, e like me ka lolo, ka umauma, nā lima, a i ʻole nā wāwae. |
| Maʻi puʻuwai a me ke koko | Ke koko kiʻekiʻe, maʻi puʻuwai, puʻuwai kū ʻole, a i ʻole kahi hāʻule puʻuwai ma mua. |
| Moʻolelo pili i ka lolo | Inā ua loaʻa iā ʻoe kahi hahau ma mua, kahi moʻolelo o ke kahe koko ʻana i loko o ka lolo, a i ʻole kahi ʻeha poʻo nui. |
| Ola kino noʻonoʻo | Nā maʻi noʻonoʻo e like me ka schizophrenia, dementia (nalowale ka hoʻomanaʻo), a i ʻole inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā manaʻo a hoʻolālā paha e pepehi iā ʻoe iho. |
| Nā kūlana olakino ʻē aʻe | ʻO ka maʻi ate, kahi mōʻaukala o ka hoʻohui lāʻau lapaʻau a waiʻona paha (Substance use disorder). |
| Nā maʻi ʻaleka | Inā he maʻi ʻaleka kou i ka Esketamine, Ketamine, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO kēia ka mea nui loa āu e pono ai e ʻike. ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home a hoʻohana.
Pono e hoʻohana ʻia kēia lāʻau lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau wale nō, ma lalo o ka mākaʻikaʻi pololei a ke kauka a i ʻole ka loea mālama ola i aʻo ʻia.
- ʻO ʻoe iho e pīpī: E hōʻike maopopo ana kāu kauka a kahu maʻi paha iā ʻoe pehea e hoʻohana ai i kēia mea pīpī ihu, ka nui e hoʻohana ai, a me ka manawa e hoʻohana ai. E pīpī ʻoe i loko o kou ihu ma lalo o kā lākou nānā ʻana.
- E nānā no kekahi mau hola: Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e nānā ʻia ʻoe no ʻelua hola ma ka liʻiliʻi.E nānā pono ke kime lapaʻau iā ʻoe. E nānā lākou i nā mea e like me kou koko a me kou puʻuwai a hoʻoholo inā kūpono ʻoe e hoʻi i ka home.
- Kapu ka hoʻokele kaʻa: He mea nui loa kēia. ʻAʻole hiki iā ʻoe ke hoʻokele i kahi kaʻa no kekahi kumu i ka lā e lawe ai i ka lāʻau lapaʻau. ʻAʻole hoʻi ʻoe e hana i kekahi mea e pono ai ka nānā pono ʻana o ka noʻonoʻo. He mea nui e hele mai kahi lālā o ka ʻohana a i ʻole hoaaloha e lawe iā ʻoe i ka home. E hiki iā ʻoe ke hoʻokele maʻamau hou i ka lā aʻe ma hope o kou hiamoe maikaʻi ʻana i ka pō.
- E makaʻala i ka meaʻai a me ka mea inu: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka nausea a me ka luaʻi. No laila, pono ʻoe e hoʻōki i ka ʻai ʻana ma ka liʻiliʻi he 2 mau hola ma mua o ka lawe ʻana i ka lāʻau lapaʻau. Pono hoʻi ʻoe e hoʻōki i ka inu ʻana i nā wai, e like me ka wai, ma ka liʻiliʻi he 30 mau minuke ma mua .
- Nā pīpī ihu ʻē aʻe: Inā ʻoe e hoʻohana ana i nā corticosteroids ihu ʻē aʻe a i ʻole nā mea hoʻomaʻemaʻe ihu, pono ʻoe e hoʻohana iā lākou ma ka liʻiliʻi he hoʻokahi hola ma mua o ka lawe ʻana i kēia lāʻau Esketamine.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau ma kekahi ʻano, e hoʻomaopopo koke i ka hui lapaʻau. Inā ua lawe kekahi ma ka home i kēia lāʻau lapaʻau a hiki kēia, e lawe koke iā lākou i ka ʻOihana Pilikia kokoke loa (ETU) . A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora a me nā lāʻau lapaʻau kuʻuna, no ka mea hiki i kekahi mau mea ke hana me Esketamine a hoʻoulu i nā kūlana weliweli.
| Nā ʻano mea e hiki ke hoʻokuʻi | Nā Laʻana |
|---|---|
| ʻAila | E hōʻalo i ka hoʻohana ʻana i kekahi ʻano waiʻona. |
| Nā lāʻau lapaʻau no ka hiamoe a me ka hopohopo | ʻO nā Benzodiazepines, e like me Alprazolam, Diazepam, Lorazepam, he mau lāʻau hiamoe. |
| Nā antidepressants ʻē aʻe | ʻO nā lāʻau lapaʻau e like me Amitriptyline, Trazodone, ʻoi aku hoʻi nā lāʻau MAOI e like me Marplan, Nardil, Parnate. |
| Nā lāʻau hoʻopau ʻeha a me ka lāʻau ʻūlū | Nā lāʻau hoʻomaha ʻeha mai ka hui opioid. |
| ʻĒ aʻe | ʻO Ketamine, lāʻau lapaʻau epilepsy (e like me Phenobarbital), nā mea hoʻomaha ʻiʻo, nā mea hoʻoulu no ka ADHD. |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nānā mau ʻia: E nānā mau kāu kauka e ʻike inā e hoʻomaikaʻi ana kou kūlana a i ʻole e ʻoi aʻe ana paha. E haʻi iā lākou inā he loli i kāu mau hōʻailona.
- Ka hiamoe a me ka poniuniu: Hiki paha iā ʻoe ke hiamoe loa, poniuniu, a nāwaliwali paha no kekahi mau hola ma hope o ka lawe ʻana i ka lāʻau lapaʻau. ʻO ia ke kumu e mālama ʻia ai ʻoe ma ka haukapila. ʻO ia ke kumu e ʻōlelo ʻia ai ʻaʻole ʻoe e hoʻokele a hoʻohana paha i nā mīkini.
- Ka pilikia o ka ʻona: Aia kahi pilikia o ka hana ʻino a me ka hilinaʻi ʻana me kēia lāʻau lapaʻau. No laila, e nānā pono kāu kauka iā ʻoe no kēlā.
- Hāpai: ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau inā hāpai ʻoe. Hiki i kēia lāʻau lapaʻau ke hana i nā kīnā hānau koʻikoʻi i ka pēpē.
- Ka hānai ʻana i ka waiū: Mai hānai i kāu pēpē i ka waiū i ka wā e lawe ana i kēia lāʻau.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. ʻO ka mea nui loa, ʻo ia ke hoʻomaopopo koke i kāu hui lapaʻau inā ʻike ʻoe i kekahi mea ʻē.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| 🚨 Pono e hōʻike koke ʻia nā hopena ʻaoʻao koʻikoʻi i ke kauka a i ʻole ke kahu maʻi. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka kaumaha o ka ʻōnaehana nerve waena (kaumaha CNS) | Hanu lohi a papau paha, paʻakikī ka hanu ʻana, hiamoe nui, nāwaliwali, huikau. |
| Manaʻo o ka hoʻokaʻawale ʻana (Dissociation) | Ka manaʻo hoʻokaʻawale ʻia ʻana mai nā manaʻo, nā manaʻo, a me nā mea e puni ana, me he mea lā ma ka moeʻuhane. |
| Hoʻonui ʻia ke koko | Ka piʻi koke ʻana o ke koko. |
| Ka hōʻino ʻana o ke kūlana noʻonoʻo | Nā manaʻo pepehi kanaka, hoʻonui ʻia ke kaumaha. |
| 🙂 ʻAʻohe mea e hopohopo ai, akā inā hoʻomau nā hopena ʻaoʻao, pono ʻoe e haʻi i kāu kauka. | |
| Hopohopo, hoʻomaha ʻole | Pōʻino a me ka hiamoe |
| Ka luaʻi a me ka luaʻi | Manaʻo o ka hauʻoli kūikawā, ka pīhoihoi |
| Ka mae ʻana, ka emi ʻana o ka manaʻo o ka hoʻopā ʻana | |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Esketamine i hāʻawi wale ʻia ma kahi haukapila ma lalo o ka mākaʻikaʻi lapaʻau no ke kaumaha koʻikoʻi i mālama ʻole ʻia me nā lāʻau lapaʻau ʻē aʻe.
- ʻAʻole pono ʻoe e hoʻokele a hana paha i kekahi mea e pono ai ka nānā ʻana i ka lā āu e lawe ai i kēia lāʻau. Pono ʻoe e loaʻa i kekahi e lawe iā ʻoe i ka home.
- E haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āpau āu e lawe ai me ka hūnā ʻole i kekahi mea .
- E nānā ʻia ʻoe e kahi hui lapaʻau no kekahi mau hola ma hope o ka lawe ʻana i ka lāʻau lapaʻau, no ka mea, hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi.
- ʻAʻole kūpono kēia lāʻau lapaʻau no nā wahine hāpai a hānai waiū paha. ʻAʻole hoʻi i ʻāpono ʻia no nā keiki.
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