Ke luhi nei hoʻi ʻoe i ke ao holoʻokoʻa no hoʻokahi a ʻelua paha pule ma mua o ka hoʻomaka ʻana o kou wā? Huhū ʻoe i nā mea liʻiliʻi loa, waimaka ʻoe me ke kumu ʻole, kaumaha nui ʻoe a kaumaha? Ke lilo nei kēia mau manaʻo i mea koʻikoʻi loa i kekahi manawa a hiki ʻole iā ʻoe ke kāohi iā ʻoe iho? He ʻano ʻoi aku ka koʻikoʻi o kēia ma mua o ka 'Premenstrual Syndrome - PMS' maʻamau. I ka lāʻau lapaʻau, kapa mākou i kēia 'Premenstrual Dysphoric Disorder' a i ʻole `(PMDD)'. No laila, inā e hoʻopilikia ana kēia ʻano `(PMDD)` i kāu hana o kēlā me kēia lā, ka hana, a me ke ola ʻohana, hiki i ke kauka ke kuhikuhi iā ʻoe i kahi lāʻau i kapa ʻia ʻo `Fluoxetine` ma ke ʻano he hopena. E kamaʻilio kākou e pili ana i kēia lāʻau i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Fluoxetine?
He lāʻau lapaʻau ʻo 'Fluoxetine' i hoʻohana ʻia e mālama i ka 'PMDD'. No loko ia o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo 'SSRI' (Selective Serotonin Reuptake Inhibitors). ʻAe, ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau huaʻōlelo.
E noʻonoʻo wale i kēia ʻano. Aia nā kemika i loko o ko kākou lolo e kōkua iā kākou e kamaʻilio ma waena o nā hunaola nerve. Kāhea mākou i kēia mau mea he "Neurotransmitters". ʻO "Serotonin" kekahi o ia mau kemika. Kōkua nui kēia "Serotonin" i ka hoʻomalu ʻana i ko kākou ʻano, ʻo ia hoʻi, ko kākou mau manaʻo o ka hauʻoli, ke kaumaha, a me ka mālie. ʻO ia ke kumu i kapa ʻia ai e kekahi poʻe ʻo ia ka "hormone hauʻoli."
Ua manaʻoʻiʻo ʻia he haʻahaʻa nā pae serotonin o nā wāhine me PMDD ma mua o ko lākou wā. ʻO ia ke kumu e kaumaha nui ai lākou i kēlā mau lā. No laila, hana ka lāʻau lapaʻau ʻo Fluoxetine ma ka hoʻonui ʻana i ka nui o ka serotonin i loko o ka lolo a kōkua i ke kaulike ʻana i kēlā pae. A laila, ua kāohi ʻia kēlā mau hōʻailona koʻikoʻi e like me ke kaumaha, ka huhū, a me ke kaumaha.
Paipai nā kauka i kēia lāʻau lapaʻau ʻaʻole wale no PMDD, akā no nā kūlana olakino noʻonoʻo ʻē aʻe e like me ke kaumaha a me ka hopohopo.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻAʻole ʻo Fluoxetine kahi lāʻau lapaʻau hiki iā ʻoe ke kūʻai wale mai kahi hale kūʻai lāʻau. Ma mua o ka hoʻohana ʻana, pono i kāu kauka ke ʻike i kāu mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kekahi o kēia mau kūlana:
ʻO ka hūnā ʻana i kēia ʻike ke hoʻoweliweli nei i kou ola. No laila e kamaʻilio me kāu kauka e pili ana i nā mea āpau me ka maopopo.
- Nā pilikia olakino noʻonoʻo: Inā ʻoe a i ʻole kekahi o kou ʻohana he maʻi bipolar, a inā paha he mau manaʻo pepehi kanaka mua kāu, nā hoʻolālā, a i ʻole nā hoʻāʻo pepehi kanaka, pono ʻoe e haʻi i kēia.
- ʻO nā ʻano lāʻau ʻē aʻe:E haʻi i kāu kauka inā ʻoe e lawe nei i kahi lāʻau i kapa ʻia he MAOI (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate). He mea weliweli loa ka lawe pū ʻana i kēia mau lāʻau ʻelua.
- Nā pilikia koko: Inā ʻoe e lawe ana i ka lāʻau hoʻokahe koko (e like me Warfarin) a inā he maʻi kahe koko kou.
- Nā kūlana olakino ʻē aʻe: Maʻi puʻuwai, maʻi akepaʻa, hopu ʻana, glaucoma, maʻi thyroid, a i ʻole nā pae sodium haʻahaʻa i loko o ke kino.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i ka Fluoxetine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai a me ka hānai waiū: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau, akā he mea nui loa e hahai pololei i nā kuhikuhi.
1. Pehea e lawe ai: Loaʻa kēia lāʻau lapaʻau ma ke ʻano he capsule a papa paha. E ale me ke aniani wai. Hiki iā ʻoe ke lawe me ka meaʻai a me ka ʻole. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
2. Ka manawa kūpono: E lawe i ka mahele i kuhikuhi ʻia i kēlā me kēia lā, i ka manawa a kāu kauka e ʻōlelo ai iā ʻoe. Mai hōʻalo i ka manawa.
3. Mai hoʻōki koke: ʻO kēia ka mea nui loa. Mai hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Inā hana ʻoe, hiki iā ʻoe ke ʻike i ka ʻoluʻolu ʻole e like me ka poniuniu, ka ʻeha poʻo, a me ka nausea. Hiki iā ia ke hoʻonui i kou mau hōʻailona PMDD. Inā hoʻōki ʻoe, pono ʻoe e hana pēlā ma ka hoʻēmi mālie ʻana i ka nui e like me ke kuhikuhi a kāu kauka.
He aha kāu e hana ai inā e poina iā ʻoe kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. 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 e like me ka mea maʻamau. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala ʻole.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila a i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital . Mai lawe māmā i kēia.
Nā lāʻau ʻē aʻe e launa pū me Fluoxetine (Nā Hana Lāʻau)
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei, no ka mea, hiki i ka fluoxetine ke launa pū me nā lāʻau lapaʻau ʻē aʻe a hoʻoulu i nā hopena ʻaoʻao weliweli.
| ʻAno pane | Nā laʻana a me nā wehewehena |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia | ʻO ka lawe ʻana i kēia mau lāʻau lapaʻau me Fluoxetine hiki ke hoʻoweliweli i ke ola.
|
| Nā mea e makaʻala loa ai i ka wā e lawe ai a me nā mea e haʻi aku ai i kāu kauka | He mea nui ka ʻōlelo aʻo a ke kauka no ka mea hiki i kēia mau mea ke launa pū me Fluoxetine.
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai. |
Nā mea e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
E makaʻala i nā loli o ke ʻano.
He mea nui loa kēia. Aia kahi pilikia liʻiliʻi o ka hoʻonui ʻia ʻana o nā manaʻo pepehi kanaka a i ʻole ke ʻano pepehi kanaka ke hoʻomaka mua ʻoe e lawe i kahi lāʻau lapaʻau e like me Fluoxetine, ʻoi aku hoʻi i nā poʻe ʻōpio. No laila, inā ʻike ʻoe a i ʻole kekahi āu i ʻike ai i kēia mau mea, e kamaʻilio koke me kāu kauka.
- Inā manaʻo ʻoe e piʻi aʻe ana kou kaumaha a me kou kaumaha.
- Inā ʻoe e hopohopo, hoʻomaha ʻole, a huhū paha.
- Inā ʻike ʻoe i nā loli koke a koʻikoʻi i ke ʻano a i ʻole ke ʻano.
He mau pule paha e pau ai ka hopena o kēia lāʻau. No laila, mai hopohopo inā ʻaʻole i hoʻomaikaʻi iki ʻia kou mau hōʻailona. E hoʻomau i ka lawe ʻana i ka lāʻau e like me ka ʻōlelo a kāu kauka.
Nā hopena maʻamau ʻē aʻe
- ʻO ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe, pilikia i ka noʻonoʻo ʻana, a poniuniu paha. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini weliweli a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Waha maloʻo: Manaʻo paha ʻoe ua maloʻo kou waha. Hiki i ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai hou aku ke kōkua.
- Maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kāu pae kō koko, no laila e kamaʻilio me kāu kauka e pili ana i ia mea.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Fluoxetine ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Hiki i kekahi poʻe ke ʻike wale i ka ʻeha iki. ʻO ka mea nui, ʻo ia ka ʻike i nā hopena ʻaoʻao koʻikoʻi a me nā hopena ʻaoʻao maʻamau.
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| ʻO ka maʻi Serotonin | Hoʻomaha ʻole, huikau, puʻuwai wikiwiki, ʻoʻoleʻa a ʻūlū paha nā ʻiʻo, hou nui, kuni, haʻalulu, luaʻi, kahe koko. He kūlana weliweli loa kēia. |
| Ke kahe koko ʻano ʻē | ʻO ka lepo ʻeleʻele a i ʻole ke koko, ka mimi ʻulaʻula/ʻeleʻele ʻeleʻele, ka luaʻi ʻana i ke koko, nā kiko ʻulaʻula/poni ma ka ʻili, a me nā palapū i wehewehe ʻole ʻia. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, nāwaliwali, ʻeha umauma. |
| Nā pilikia maka | ʻEha koke nā maka, ka ʻike pohihihi, a me ka ʻike ʻana i nā halo a puni nā kukui. |
| Ua hoʻemi ʻia nā pae sodium i loko o ke kino | Nāwaliwali o nā ʻiʻo, luhi loa, ʻeha poʻo, huikau. |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka luaʻi, ka maʻi pākī, ka ʻōpū ʻeha. |
| Nā pilikia maʻamau ʻē aʻe | Waha maloʻo, ʻeha poʻo, hou nui, hiamoe ʻole a hiamoe paha, haʻalulu, hopohopo, loli i ka makemake moekolohe a i ʻole ka hana. |
Leka Lawe-Home
- He lāʻau lapaʻau kūpono ʻo Fluoxetine no ke kūlana kaumaha koʻikoʻi i ʻike ʻia ʻo PMDD. Pono e hoʻohana wale ʻia ma ke ʻōlelo a ke kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā kūlana olakino āu e lawe nei ma mua o ka hoʻomaka ʻana i ka lāʻau.
- Mai hoʻōki koke i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hōʻeha ai i ka ʻoluʻolu ʻole. Inā hoʻōki ʻoe, e hana pēlā e like me ke kuhikuhi a kāu kauka.
- I ka wā mua o ka lawe ʻana i ka lāʻau lapaʻau, e makaʻala loa i nā loli i kou kūlana noʻonoʻo, ʻoiai nā manaʻo o ka pepehi kanaka. Inā ʻike ʻoe i kekahi mau loli, e haʻi koke i kāu kauka .
- Inā loaʻa nā hopena ʻaoʻao koʻikoʻi (e like me nā maʻi allergies, serotonin syndrome, kahe koko ʻē), e ʻimi koke i ke kōkua lapaʻau.
- ʻAʻole hewa ʻo PMDD iā ʻoe. He maʻi ia e hiki ke mālama ʻia. No laila, mai makaʻu e noi i ke kōkua.
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