I kekahi manawa he mea paʻakikī loa ke hakakā ʻana i kahi kūlana i kapa ʻia ʻo ke kaumaha. Ke ʻole ka loli o kou kūlana ma hope o ka lawe ʻana i ka lāʻau lapaʻau a me ka hana ʻana i nā mea a pau a ke kauka e ʻōlelo ai, ʻaʻole hiki ke hōʻike ʻia ka huhū a me ka mehameha e hiki mai ana i ka noʻonoʻo ma nā huaʻōlelo. Inā ʻoe kekahi e ʻeha nei i kahi ʻike like, he mea nui loa kēia ʻatikala iā ʻoe. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia i nā hihia kahi i hāʻawi ʻole ai nā antidepressants i kuhikuhi pinepine ʻia i ka hōʻoluʻolu, ʻo ia hoʻi, ka Esketamine Nasal Spray.
I ka ʻōlelo maʻalahi, he aha ka Esketamine?
ʻO Esketamine (i ʻike ʻia hoʻi ma ka inoa inoa ʻo Spravato) he lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha. Akā, ʻaʻole ia he lāʻau lapaʻau hoʻokahi no nā mea āpau. E noʻonoʻo wale kāu kauka i kēia lāʻau lapaʻau inā loaʻa iā ʻoe ke kaumaha a ua hoʻāʻo ʻoe ma ka liʻiliʻi he ʻelua mau antidepressants ʻē aʻe a ʻaʻole lākou i kōkua iā ʻoe e like me kou makemake. ʻO ia hoʻi , he lāʻau lapaʻau kūikawā ia no ka poʻe i pane ʻole i nā lāʻau lapaʻau ʻē aʻe .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi iā lākou e pili ana i ia mea.
| Kūlana | Wehewehena |
|---|---|
| Puʻuwai a me ke koko | Loaʻa ka moʻolelo o ke koko kiʻekiʻe, ka maʻi puʻuwai, ka hōʻeha puʻuwai, a i ʻole ka puʻuwai puʻuwai kūpono ʻole. |
| ʻO ka lolo a me nā kīʻaha koko | Loaʻa i ke kahe koko o ka lolo, ka hahau ʻana, ka ʻeha o ke poʻo, a i ʻole ka maʻi o nā aʻa koko ma ka lolo, ka umauma, nā lālā, a i ʻole ma nā wahi ʻē aʻe. |
| Ola kino noʻonoʻo | Nā maʻi noʻonoʻo ʻē aʻe e like me ka schizophrenia, dementia, nā manaʻo pepehi kanaka a i ʻole nā hoʻāʻo pepehi kanaka (i loko ou a i ʻole kekahi o kou ʻohana). |
| Nā kūlana ʻē aʻe | ʻO ka maʻi ate, ka mōʻaukala o ka hoʻohui ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona, nā maʻi alerika i ka Esketamine, Ketamine a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Hāpai keiki | Inā ʻoe e hāpai ana i kēia manawa, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana, e ʻoluʻolu e hoʻomaopopo mai iā mākou. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau? He mea kūikawā loa kēia!
ʻO ka mea nui e pono ai ʻoe e hoʻomaopopo ma ʻaneʻi, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home . Hoʻohana wale ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana a ke kauka, ma ka haukapila a i ʻole ke keʻena lapaʻau.
- Ma lalo o ka mākaʻi lapaʻau: Pono ʻoe e hoʻohana i kēia ʻūpā ihu ma lalo o ka mākaʻi a ke kauka a i ʻole nā limahana lapaʻau i aʻo ʻia. E aʻo maopopo lākou iā ʻoe pehea e hoʻohana ai a me ka nui e hoʻohana ai.
- Ka wā nānā ʻelua hola: Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e nānā ʻia ʻoe e nā limahana lapaʻau no ʻelua hola ma ka liʻiliʻi . E nānā lākou i kou koko a me nā kūlana ʻē aʻe a hoʻoholo inā ua lawa kou olakino e hoʻi i ka home.
- Kapu loa ka hoʻokele kaʻa ʻana: He mea nui loa kēia. ʻAʻole hiki iā ʻoe ke hoʻokele no kekahi kumu i ka lā e lawe ai i ka lāʻau lapaʻau. ʻAʻole wale ia, akā, ʻaʻole pono ʻoe e hoʻohana i nā mīkini a hana paha i kekahi mea e pono ai ka noʻonoʻo pono. No laila, he mea nui e lawe mai ʻoe i kahi lālā o ka ʻohana a i ʻole hoaaloha e lawe iā ʻoe i ka home. Ma hope o ka hiamoe maikaʻi ʻana i ka pō, hiki iā ʻoe ke hoʻi i nā hana maʻamau i ka lā aʻe.
- E makaʻala i ka meaʻai a me ka mea inu: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka nausea a me ka luaʻi. I mea e pale aku ai i kēia, mai ʻai i kekahi mea 2 mau hola ma mua o ka lawe ʻana i ka lāʻau. Eia kekahi, e hoʻōki i ka inu ʻana i nā wai, me ka wai , 30 mau minuke ma mua o ka lawe ʻana i ka lāʻau.
- Nā pīpī ihu ʻē aʻe: Inā ʻoe e hoʻohana ana i nā steroid ihu ʻē aʻe (corticosteroids) a i ʻole nā decongestants, e hoʻohana iā lākou ma ka liʻiliʻi he hoʻokahi hola ma mua o ka pīpī ʻana o Esketamine.
Inā ʻoe e hala i kahi lāʻau lapaʻau, ʻo ia hoʻi, ʻaʻole hiki iā ʻoe ke hele i kāu manawa i hoʻonohonoho ʻia, e ʻoluʻolu e hoʻomaopopo koke i kāu kauka. He mea nui loa ia e hoʻomau i kēia lāʻau lapaʻau e like me ke kauoha.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma lalo o ka nānā ʻana o ke kauka no laila haʻahaʻa ka manawa e hiki ai kēia. Eia nō naʻe, inā loaʻa kekahi mea e like me kēia, e kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā mea hoʻohui meaʻai, a me nā huahana lāʻau lapaʻau āu e lawe nei. Hiki i kekahi mau mea ke launa pū me kēia lāʻau. E makaʻala loa i kēia mau mea:
- ʻAila
- Nā lāʻau lapaʻau e hoʻomālielie i ka noʻonoʻo a hoʻoulu i ka hiamoe
- Kekahi mau lāʻau lapaʻau no ke anu, ka ʻū, a me nā maʻi ʻaleka (Antihistamine)
- Nā lāʻau antidepressant ʻē aʻe (e.g. Amitriptyline, Fluoxetine, Sertraline)
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi epilepsy (e like me Phenobarbital)
- Nā lāʻau hoʻomaʻamaʻa laulā
- Nā mea hoʻomaha ʻiʻo i hoʻohana ʻia i ka wā o ke ʻoki ʻana
- Nā lāʻau lapaʻau Narcotic no ka ʻeha nui
- Nā lāʻau antidepressants o ke ʻano i kapa ʻia ʻo MAOIs
- Nā Psychostimulants (e.g. Amphetamines, Methylphenidate)
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu hui lapaʻau | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Hoʻokaʻawale ʻana | Manaʻo hoʻokaʻawale ʻia mai nā manaʻo, nā manaʻo, ke kino, a me nā mea e puni ana, me he mea lā e lana ana. He manaʻo hoʻokaʻawale ʻia mai ka ʻoiaʻiʻo. |
| Hoʻonui ʻia ke koko | Hoʻonui nui ʻia ke koko ma hope o ka lawe ʻana i ka lāʻau. |
| Ka loli ʻana o ke kūlana noʻonoʻo | Nā manaʻo pepehi kanaka, ka hoʻonui ʻia ʻana o ke kaumaha, ka hoʻonāukiuki. |
| Nā mea e haʻi aku ai i kāu kauka inā hoʻomau a hoʻopilikia paha lākou | |
| Nā mea i manaʻo pinepine ʻia | Pōʻino, hiamoe, nausea, luaʻi, hopohopo. |
| Nā hopena ʻē aʻe | Paʻakikī i ka noʻonoʻo ʻana, nā pilikia me ka hoʻomanaʻo a i ʻole ka ʻōlelo ʻana, ka mae ʻana o ke kino, ka manaʻo o ka hauʻoli nui. |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Esketamine no ke kaumaha koʻikoʻi i pane ʻole i nā lāʻau lapaʻau ʻē aʻe, a hāʻawi wale ʻia ma lalo o ka mākaʻikaʻi lapaʻau.
- ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home a hoʻohana. Hāʻawi mau ʻia ia ma ka haukapila a i ʻole ke keʻena lapaʻau.
- I ka lā e lawe ai i ka lāʻau lapaʻau, he mea nui e lawe kekahi iā ʻoe i ka home. Mai hoʻokele kaʻa a hana paha i kekahi mea e pono ai ka noʻonoʻo a hiki i kou hiamoe maikaʻi ʻana i ka pō.
- E hāʻawi i kāu kauka i ka wehewehe piha no nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā maʻi o kēia manawa, a me nā mea allergies.
- E makaʻala i nā hopena ʻaoʻao koʻikoʻi (ʻoiai nā loli noʻonoʻo, ke koko kiʻekiʻe, nā maʻi allergies) a e hoʻomaopopo koke i ka hui lapaʻau inā ʻike ʻoe i kekahi o ia mau hōʻailona.
- E hahai mau i nā ʻōlelo a kāu kauka. Mai hoʻōki i ka mālama ʻana i ka hapalua.
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