Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Fluphenazine? A i ʻole he lālā o ka ʻohana a i ʻole he hoaaloha e hoʻohana ana i kēia lāʻau lapaʻau? ʻO ka lohe ʻana i kēia inoa e hoʻoweliweli iki paha iā ʻoe a hoihoi paha. Akā, mai hopohopo. He mea nui loa ka ʻike pono e pili ana i kekahi lāʻau lapaʻau ma mua o ka hoʻohana ʻana. No laila, i kēia lā, e kamaʻilio maʻalahi a me ke akahai e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Fluphenazine, kona hopena ma ka lolo, a me nā mea e makaʻala ai i ka wā e hoʻohana ana.
I ka ʻōlelo maʻalahi, he aha ka Fluphenazine?
He lāʻau lapaʻau ʻo Fluphenazine i hoʻohana ʻia e mālama i nā kūlana olakino noʻonoʻo e like me ka schizophrenia . No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo 'antipsychotics'.
Aia i loko o ko kākou lolo kahi kemika i kapa ʻia ʻo dopamine. Hoʻomalu kēia i nā mea he nui, me ko kākou ʻano, ke ʻano, a me nā manaʻo. I kekahi mau kūlana olakino noʻonoʻo, lilo kēia pae dopamine i mea kaulike ʻole. No laila, ʻo ka mea a kēia lāʻau fluphenazine e hana ai, ʻo ia ke hoʻoponopono hou i kēlā pae dopamine a kōkua i ka kaohi ʻana i nā hōʻailona. Hiki i nā kauka ke kuhikuhi i kēia lāʻau no nā kūlana olakino noʻonoʻo ʻē aʻe ma waho aʻe o ka schizophrenia .
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 ka fluphenazine, he mea nui e hāʻawi i kāu kauka i kahi kiʻi piha o kou olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kūlana/Maʻi | Wehewehena |
|---|---|
| Nā kūlana olakino e kū nei | ʻO ka maʻi diabetes, ka maʻi Parkinson, nā hopu ʻana, ka glaucoma, nā puʻupuʻu lolo, ka maʻi puʻuwai, ka maʻi ake, ka maʻi prostate, a me nā maʻi māmā e like me ka hānō. |
| ʻO ka ʻoluʻolu ʻole o ke kino | Paʻakikī i ka moni ʻana i ka meaʻai, paʻakikī i ka mimi ʻana, pale ʻana i ka ʻōpū, paʻakikī i ka hoʻokele ʻana i nā ʻiʻo. |
| Nā pilikia e pili ana i ke koko | Ke koko haʻahaʻa, ka mōʻaukala o ka puʻuwai puʻuwai kūpono ʻole, ka helu haʻahaʻa o nā cell koko (nā keʻokeʻo koko, nā ʻulaʻula koko, nā platelets). |
| Nā mea nui ʻē aʻe | Inā loaʻa iā ʻoe ka dementia, kahi ʻeha poʻo, a i ʻole ka mōʻaukala o ka inu nui ʻana. |
| Nā maʻi ʻaleka | Inā loaʻa iā ʻoe kahi hopena maʻi i ka fluphenazine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Nā hanana kūikawā | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
Lawe pinepine ʻia kēia ma ka waha e like me ka pila. E lawe i ka lāʻau lapaʻau me ke aniani wai. E hōʻoia e lawe i ka nui i kuhikuhi ʻia e kāu kauka, i ka manawa kūpono . E mālama i ka manawa ma waena o nā nui. ʻOiai inā ʻoe e manaʻo maikaʻi, mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka. ʻO ka hana ʻana pēlā hiki ke hana i nā hopena koʻikoʻi.
Hoʻolohe: Overdose
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia o kēia lāʻau lapaʻau, mai hoʻowahāwahā iā ia i kēlā me kēia manawa . E hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) . A i ʻole, e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka 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, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
I ka wā e lawe ai i ka fluphenazine, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā mea hoʻohui āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ia.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Fluphenazine | |
|---|---|
| ʻO Cisapride | ʻO Dronedarone |
| ʻO Metoclopramide | Pimozide |
| ʻO Saquinavir | ʻO Thioridazine |
| Nā mea e hiki ke hana me Fluphenazine, no laila e makaʻala | |
|---|---|
| ʻAila | Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine) |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka hiamoe | Lāʻau lapaʻau koko |
| Nā lāʻau lapaʻau e like me Levodopa no ka maʻi o Parkinson | ʻAnestesia no ke ʻoki kino |
| Nā lāʻau lapaʻau, e like me ka morphine, no ka ʻeha nui | Litiuma |
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe .
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Hiamoe a me ka poniuniu
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe, puni ka maka, a i ʻole he ʻike pohihihi. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. Hiki iā ʻoe ke puni ka maka a hāʻule paha ke kū koke ʻoe, ʻoiai inā he ʻelemakule ʻoe. No laila, e hoʻololi mālie i nā kūlana. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia hiamoe.
Nā pilikia e hoʻoponopono ana i ka mahana o ke kino
Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka hiki o kou kino ke pane i ke anu a me ka wela. ʻO ke ʻano kēia, hiki iā ʻoe ke manaʻo koke i ke anu i ke anuanu loa a wela koke i ka wela loa.
- E noho i loko o ka hale i ka hiki ke hiki i ke anuanu . Inā ʻoe e hele i waho, e ʻaʻahu mehana.
- I ka wā wela , e kaupalena i ka lā a me ka hoʻoikaika kino nui. E ʻaʻahu i nā lole e hanu ai a inu i ka wai he nui.
ʻIke i ka lā
Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou ʻili i ka lā. No laila, inā ʻoe e hele ana i ka lā, e ʻaʻahu i nā lole e uhi ana i kou ʻili a hoʻohana i ka sunscreen.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki iā Fluphenazine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau. He mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻO ka maʻi ʻino Neuroleptic | Kuni nui, ʻoʻoleʻa o nā ʻiʻo, hou nui, puʻuwai wikiwiki a ʻano ʻole paha, huikau. |
| Nā Hōʻailona Extrapyramidal (EPS) | Nā neʻe ʻana o nā ʻāpana o ke kino i hiki ʻole ke kāohi ʻia (ʻoiai ke alo, ke alelo), ʻoʻoleʻa a haʻalulu paha nā ʻiʻo, hoʻomaha ʻole, paʻakikī i ka hele wāwae. |
| Ka pōʻino o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, mimi ʻeleʻele. |
| Nā hiʻohiʻona ʻē aʻe | Nā loli o ka ʻike, nā hōʻailona o ka maʻi (ke kuni, ke anu, ke kuʻi), ka poniuniu ma muli o ke koko haʻahaʻa, nā loli o ka hormonal (ka hoʻokuʻu ʻana o ka umauma, nā loli o ka makemake i ka moekolohe). |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Waha maloʻo | Ka paʻa ʻana o ka ʻōpū |
| Hiamoe | ʻEha poʻo, luaʻi |
Inā ʻike ʻoe i kahi mea ʻē aʻe ʻaʻole ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Fluphenazine e hoʻohana wale ʻia ma lalo o ke aʻo ʻana a ke kauka a kōkua i ka mālama ʻana i nā kūlana olakino noʻonoʻo.
- Mai hoʻomaka, hoʻololi i ka dosage, a hoʻōki paha i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E hāʻawi i kāu kauka i ka wehewehe piha o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me kou mau kūlana olakino āpau.
- E makaʻala i nā hopena ʻaoʻao e like me ka hiamoe a me ka poniuniu. E pale i ka hoʻokele kaʻa a hiki i kou ʻike ʻana i ke ʻano o ka lāʻau lapaʻau iā ʻoe.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke kuni nui, ka ʻoʻoleʻa o nā ʻiʻo, a i ʻole nā neʻe hiki ʻole ke kāohi ʻia, e ʻimi koke i ke kōkua lapaʻau.
- Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me nā poʻe ʻē aʻe.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau ikaika loa nā papa Sotalol (Sotalol / Betapace) i hoʻohana ʻia no ka maʻi hea?
ʻAʻole like kēia me nā pila koko maʻamau ʻē aʻe (Beta-blockers - e.g. Propranolol)! He lāʻau lapaʻau ikaika kēia (Class II a me III Antiarrhythmic) a nā kauka e hoʻohana ai e hoʻoponopono i ke ʻano o ka puʻuwai ke kuʻi koke nā keʻena o luna a i ʻole lalo o ka puʻuwai me ka wikiwiki/ʻano ʻē (Atrial Fibrillation / Ventricular Arrhythmias), he maʻi make!
💬 Ke kuʻi nei ka puʻuwai me he pupule lā, pehea lā e hiki ai i kēia pila (Sotalol) ke hoʻoponopono i ke kuʻina o ka puʻuwai?
Hana kēia i ʻelua mau mea i loko o hoʻokahi pila! ʻO ka mea mua (ma ke ʻano he Beta-blocker), pale ia i ka 100% o ka leka 'adrenaline' mai ka lolo e hoʻoikaika ai i ka puʻuwai e kuʻi wikiwiki, e hoʻolohi ana i ka puʻuwai. A laila (ma ke ʻano he Potassium channel blocker), hoʻolōʻihi ia i ka manawa e pono ai no nā huna uila o ka puʻuwai e hoʻouka a hoʻonohonoho hou/hoʻomaha (QT interval)! A laila ʻaʻole hiki i ka puʻuwai ke kuʻi wikiwiki, a e hoʻi hou ke kuʻi i ka maʻamau (lohi).
💬 No ke aha i ʻōlelo ʻia ai 'Pono ʻoe e noho i ka haukapila no 3 mau lā (ʻŌlelo Aʻo Pahu ʻEleʻele)' ke hoʻomaka ʻoe e lawe i kēia lāʻau lapaʻau (Sotalol)?
ʻO ia ka pōʻino nui loa a me ka make! Ua like kēia me ka hoʻokumu ʻana i kahi mele puʻuwai, a i ka manawa koke e lawe ai ʻoe i kekahi mau pila, hiki ke hana ʻia kahi 'mele puʻuwai make hou (Torsades de pointes / Proarrhythmia)' a hiki i ka puʻuwai o ka mea maʻi ke kū loa a make! No laila, no nā lā 3 mua, e hoʻopaʻa pono nā kauka i ka mea maʻi ma kahi ECG a nānā i nā puʻupaʻa ma mua o ka hoʻoponopono ʻana i ka nui.
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