E aʻo kākou e pili ana i ka lāʻau pale Fosphenytoin. E kōkua anei kēia i kā kākou mau maʻi hopu?

Loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kahi maʻi hopu, kahi maʻi e like me ka maʻi epilepsy? A i ʻole makemake ʻoe i ke kōkua e hoʻōki i nā hopu ma hope o ke ʻoki ʻana o ka lolo, a i ʻole e kāohi i nā hopu e kū mai ana i kēlā manawa? ʻO Fosphenytoin kahi inikini kūikawā a nā kauka e hoʻohana ai i ia mau hihia. Hoʻomalu maoli kēia i nā hopu ma ka hōʻoluʻolu ʻana i nā hunaola nerve i loko o ko mākou kino e puhi wikiwiki ana. I ka ʻōlelo maʻalahi, hoʻouna pinepine ko mākou lolo i nā leka uila pono ʻole, e like me ka hōʻailona kelepona i hoʻopau ʻia a ʻaʻole hele pono ke kelepona. Kōkua kēia lāʻau lapaʻau e kāohi i kēlā.

He aha maoli kēia lāʻau i kapa ʻia ʻo Fosphenytoin?

I ka ʻōlelo maʻalahi, ʻo Fosphenytoin kahi lāʻau lapaʻau i hoʻohana ʻia e pale a kāohi i nā hopu ʻana. He mea nui loa kēia no ka poʻe me ka maʻi epilepsy . Hoʻohana ʻia nō hoʻi ia e pale i nā hopu ʻana i ka wā a ma hope o ke ʻoki ʻana o ka lolo. ʻO ka hana nui o kēia lāʻau lapaʻau ka hoʻomālielie i ka hana nui o kā mākou ʻōnaehana nerve. Hana ia e like me ka hoʻomālielie ʻana i kahi keiki fussy.

Hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau e nā kauka no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kauka lāʻau paha. ʻO kekahi o nā inoa inoa no kēia lāʻau lapaʻau ʻo Cerebyx .

He aha kaʻu e haʻi aku ai i ka hui lapaʻau ma mua o ka hoʻohana ʻana i kēia lāʻau?

Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka inikini Fosphenytoin, aia kekahi mau mea e pono ai kāu hui lapaʻau e ʻike. He mea nui kēia no kou palekana.

• Ua hoʻopilikia anei ʻoe i ka waiʻona? (Maʻi hoʻohana waiʻona)
• No ʻAsia kou kūpuna? - No ka mea, hiki i ko kākou ʻano hoʻoilina ke hoʻopilikia i ka pono o kekahi mau lāʻau lapaʻau.
• He mau maʻi koko a maʻi paha kāu?
• He maʻi puʻuwai kou? (Maʻi puʻuwai)
• He maʻi puʻupaʻa kou?
• He maʻi akepaʻa kou?
• He haʻahaʻa kou koko?
• Ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā manaʻo, nā hoʻolālā, a i ʻole nā ​​​​hoʻāʻo pepehi iā ʻoe iho?
• Ua loaʻa anei iā ʻoe kahi hopena maʻi ʻē aʻe i ka Phenytoin , nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā ​​​​mea mālama?
• Ke hāpai nei ʻoe? A i ʻole ke hoʻāʻo nei ʻoe e hāpai? (Hapai a hoʻāʻo paha e hāpai)
• He makuahine hānai waiū anei ʻoe? (Hānai waiū)

Inā pili kekahi o kēia mau mea iā ʻoe, he mea nui loa e haʻi aku i kāu hui lapaʻau i hiki iā lākou ke mālama iā ʻoe ma ke ala kūpono loa.

Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

ʻO kēia lāʻau lapaʻau, i kapa ʻia ʻo Fosphenytoin, hāʻawi ʻia ma ke ʻano he injection . Hāʻawi pololei ʻia i loko o kahi vein (injection into a infusion into a vein), a i kekahi manawa i loko o kahi ʻiʻo (injection into a muscle). He lāʻau lapaʻau kēia i hāʻawi ʻia ma lalo o ka nānā ʻana a ke kauka ma kahi haukapila a i ʻole ke keʻena lapaʻau . ʻAʻole ia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home.

Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?

ʻAe, i kekahi mau hihia kūikawā, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā pēpē hānau hou. Akā, pono e mālama ʻia nā hana palekana kūikawā. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio pono me kāu hui lapaʻau e pili ana i ia mea a e ʻike i nā kikoʻī.

He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ke kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia. ʻOiai ua hāʻawi ʻia kēia ma ka haukapila, na nā limahana lapaʻau e mālama i kēia.

Nou wale nō kēia lāʻau lapaʻau!

He mea nui loa kēia. Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi.

He aha inā e hala wau i kahi lāʻau?

ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma ka haukapila, ʻaʻole pono e poina i kahi mahele lāʻau. Na nā limahana lapaʻau e mālama i kēlā.

Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)

He ʻāpana koʻikoʻi loa kēia. Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, hiki i kekahi o lākou ke launa pū me Fosphenytoin. ʻO ke ʻano kēia, ʻo ka lawe pū ʻana i kēia mau lāʻau lapaʻau ʻelua e hoʻololi paha i ke ʻano o ka hana a hoʻonui paha i nā hopena ʻaoʻao.

Aia kekahi mau lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia lāʻau:

• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ka maʻi HIV a i ʻole AIDS, ke hāʻawi pū ʻia me ka cobicistat .
• ʻO Delavirdine
• ʻIbrutinib
• Ranolazine

Ma waho aʻe o kēia, aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Fosphenytoin:

E noʻonoʻo ʻoe e lawe ana ʻoe i ka lāʻau lapaʻau no kekahi mea ʻē aʻe. Malia paha he lāʻau anu, a he lāʻau lapaʻau no ka cholesterol, a he lāʻau lapaʻau no ke koko kiʻekiʻe. ʻO kekahi o kēia mau lāʻau lapaʻau, inā paha ʻoe e kūʻai iā lākou ma ka hale kūʻai lāʻau lapaʻau a i ʻole ke kauoha a ke kauka, hiki ke launa pū me ka fosphenytoin. No laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻoiai nā huaora. Eia kekahi mau laʻana:

• ʻAlbendazole
• ʻAila
• ʻAspirin a me nā lāʻau lapaʻau e like me ka aspirin
• ʻO kekahi mau lāʻau lapaʻau koko, no ka laʻana ʻo nifedipine, nimodipine, a me verapamil
• Kekahi mau lāʻau lapaʻau no ka maʻi kanesa
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e hoʻohaʻahaʻa i ka cholesterol, no ka laʻana atorvastatin, simvastatin, a me fluvastatin
• ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā ​​​​​​pilikia psychotic
• ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal, no ka laʻana ketoconazole a me itraconazole
• ʻO kekahi mau lāʻau lapaʻau no nā puʻuwai puʻuwai kūpono ʻole, no ka laʻana amiodarone a me quinidine
• Nā lāʻau lapaʻau ʻē aʻe no ka hopu ʻana, e like me ka carbamazepine, phenobarbital, a me topiramate
• ʻO kekahi mau lāʻau lapaʻau no nā pilikia ʻōpū, no ka laʻana cimetidine a me omeprazole
• Chloramphenicol
• ʻO Cyclosporine
• Diazoxide
• ʻO Digoxin
• ʻO Disulfiram
• ʻO Doxycycline ( Doxycycline )
• Nā hormones Estrogen a i ʻole progestin
• Furosemide
• Halothane
• ʻIsoniazid
• Nā lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo no ke ʻoki ʻana
• Nā lāʻau lapaʻau i hoʻohana ʻia no ka maʻi HIV a i ʻole AIDS
• Methylphenidate
• Nā lāʻau ʻeha opioid
• ʻO nā Phenothiazines, no ka laʻana chlorpromazine, mesoridazine, prochlorperazine, thioridazine
• ʻO Praziquantel
• ʻO Reserpine
• ʻO Rifampin
• ʻO St. John's Wort (he lau nahele kēia)
• Nā lāʻau steroid, e like me prednisone a i ʻole cortisone
• ʻO nā Sulfonamides, e like me sulfamethoxazole a i ʻole sulfasalazine
• Nā meaʻai hoʻohui e like me ka folic acid a i ʻole ka huaora D
• ʻO ka Theophylline
• ʻO ka Ticlopidine
• Tolbutamide
• ʻO Warfarin

ʻAʻole i hoʻokomo ʻia nā lāʻau lapaʻau āpau i loko o kēia papa inoa. No laila, he mea nui e papa inoa i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau lāʻau, nā lāʻau lapaʻau ma luna o ke kauka, a me nā mea hoʻohui.E haʻi i kāu kauka e pili ana i kāu mau lāʻau lapaʻau. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kēia mau mea ke launa pū me kāu lāʻau lapaʻau.

He aha kekahi mau mea e pono ai mākou e makaʻala nui i ka wā e lawe ai i kēia lāʻau?

Ke hāʻawi ʻia ʻoe i ka Fosphenytoin, e nānā mau kāu hui lapaʻau i kou olakino.

• Nā nānā lapaʻau maʻamau: E nānā mau kāu kauka iā ʻoe e nānā i kou maikaʻi a e hōʻoia i ka hana pono ʻana o ka lāʻau. Pono paha lākou e hana i nā mea e like me nā hoʻāʻo koko . ʻO kēia no ka mea pono ʻoe e nānā pono ʻia i ka wā e hoʻohana ana i kēia lāʻau.
• Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o ka hopu ʻana.
• He kāleka hōʻoia: He manaʻo maikaʻi ke komo ʻana i kahi kāleka hōʻoia, lei, a kūpeʻe lima paha i loaʻa nā kikoʻī e pili ana i kou kūlana olakino a me nā lāʻau lapaʻau āu e lawe nei, no ka mea, he mea pono loa ia i ka wā pilikia.
• Nā hopena ʻili koʻikoʻi: Hiki ke loaʻa nā hopena ʻili koʻikoʻi i loko o kekahi mau pule a i ʻole mau mahina o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E haʻi koke i kāu hui mālama ola inā loaʻa iā ʻoe kahi ʻili ʻili me nā hōʻailona e like me ke kuni a i ʻole ke anuanu. Hiki ke ʻulaʻula a poni paha ka ʻili, a ma hope aku e pehu a ʻili. A i ʻole e ʻike paha ʻoe i kahi ʻulaʻula ma kou maka, lehelehe, ʻāʻī, a i ʻole ma lalo o nā lima me nā lymph node pehu. Inā ʻike ʻoe i kekahi mea e like me kēia , e ʻimi koke i ke kōkua lapaʻau .
• Pōniuniu a me ka hiamoe: Hiki iā ʻoe ke manaʻo i ka pōniuniu a hiamoe paha. Mai hoʻokele, hoʻohana i nā mīkini, a hana paha i kekahi mea ʻē aʻe e pono ai ke makaʻala a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe. No ka hōʻemi ʻana i ka pilikia o ka pōniuniu a i ʻole ka mae ʻana, mai noho a kū koke paha. He mea nui loa kēia inā he ʻelemakule ʻoe. ʻO ka inu ʻana i ka waiʻona hiki ke hoʻonui i kou manaʻo i ka pōniuniu, ka ʻulaʻula, a me ka wikiwiki o ka puʻuwai. No laila e pale i ka inu ʻana i ka waiʻona.
• Maʻi ʻāʻī: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka ulu ʻana o nā ʻiʻo ʻāʻī. No laila, e ʻike pinepine i ke kauka niho. Inā pono ʻoe e loaʻa ka mālama niho, e makaʻala ʻaʻole e hōʻino i kou ʻāʻī i ka wā e palaki ai a me ka floss i kou mau niho i kēlā me kēia lā.
• Manaʻo pepehi kanaka: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia o nā manaʻo a i ʻole nā ​​hana pepehi kanaka. No laila, e makaʻala pono i kou kūlana noʻonoʻo i ka wā e lawe ana i kēia lāʻau lapaʻau. Inā ʻoi aku ka ʻino o kou ʻano, manaʻo ʻoe e make ana ʻoe, a i ʻole he mau manaʻo pepehi kanaka kāu , e haʻi koke i kāu hui mālama ola .
• Ka nele o ka waikawa Folic:Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i kāu pae waikawa folic. No laila, pono ʻoe e hōʻoia e loaʻa ana iā ʻoe ka waikawa folic lawa i ka wā e lawe ana i kēia lāʻau lapaʻau. E kamaʻilio me kāu hui mālama ola e pili ana i nā meaʻai a me nā huaora āu e lawe nei.

Nā hopena ʻaoʻao e hiki ke loaʻa me kēia lāʻau lapaʻau

E like me nā lāʻau lapaʻau āpau, hiki iā Fosphenytoin ke hana i nā hopena ʻaoʻao. ʻO kekahi mau mea āu e haʻi koke aku ai i kāu kauka, aʻo nā mea ʻē aʻe ʻaʻole koʻikoʻi akā pono e hōʻike ʻia inā hoʻomau lākou.

Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka:

• Nā hopena maʻi a i ʻole angioedema: ʻulaʻula ʻili, ʻeha, hives, pehu o ka maka, nā maka, nā lehelehe, ke alelo, nā lima a i ʻole nā ​​​​wāwae, paʻakikī ke ale a i ʻole ka hanu ʻana.
• Nā loli o ke ʻano o ka puʻuwai: ka puʻuwai wikiwiki a ʻano ʻole paha, ka poniuniu, ka maule ʻana, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana.
• Ke kō koko kiʻekiʻe (Hyperglycemia): Ka makewai nui a i ʻole ka mimi pinepine ʻana, nāwaliwali a luhi paha, ʻike maka pohihihi.
• Maʻi: Kuni, anu, ʻū, a ʻeha paha ka puʻu.
• ʻEha o ke akepaʻa: ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake i ka ʻai, nausea, ʻōpala māmā, mimi melemele a ʻeleʻele paha, melemele o ka ʻili a i ʻole nā ​​maka, nāwaliwali a luhi paha.
• ʻEha, pehu, ʻulaʻula a poni paha ke kala ma kahi i ini ʻia.
• ʻAkika Phenytoin: Nā neʻe ʻana o nā maka i hiki ʻole ke kāohi ʻia, nalowale ke kaulike a i ʻole ka hoʻonohonoho ʻana, paʻakikī i ka ʻōlelo ʻana, nāwaliwali a luhi paha, nausea, luaʻi.
• ʻŌhūhū, kuni, a me nā ʻōpuʻu lymph pehu.
• ʻUlaʻula, pehu, ʻili, a wehe paha o ka ʻili (me ka waha).
• Puʻuwai lohi: poniuniu, māʻule, huikau, paʻakikī ka hanu ʻana, nāwaliwali a luhi paha.
• Nā kīʻaha lymph pehu i ka ʻāʻī, ka ʻūhā, ka umauma, a i ʻole nā ​​​​​​armpits.
• ʻO ka palapū a i ʻole ke kahe koko ma ke ʻano ʻē.

Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i ke kauka inā hoʻomau lākou:

• Ke kuni a ʻā paha i nā lima a i ʻole nā ​​wāwae.
• Ka paʻakikī i ka noʻonoʻo ʻana, ka hoʻomanaʻo ʻana, a i ʻole ka ʻōlelo ʻana.
• Pōʻaiʻī.
• Hiamoe.
• ʻEha poʻo.

ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao ʻē aʻe, e kamaʻilio me kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau. Inā makemake ʻoe, hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma 1-800-FDA-1088.

Pehea e mālama ai i ka lāʻau lapaʻau?

ʻO kēia lāʻau lapaʻau, i kapa ʻia ʻo Fosphenytoin, hāʻawi ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau. No laila, ʻaʻole pono ʻoe e lawe i ka home a mālama. Na nā limahana lapaʻau e mālama iā ia.

ʻO ka mea hope loa, he aha e hoʻomanaʻo ai

ʻAe, i kēia manawa ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i kēia inikini i kapa ʻia ʻo Fosphenytoin. E hoʻomanaʻo, he lāʻau lapaʻau koʻikoʻi kēia i hoʻohana ʻia e kāohi i nā hopu ʻana. Akā aia kekahi mau mea e makaʻala ai i ka wā e hoʻohana ai.

ʻO ka mea nui loa, ʻo ia ka hoʻolohe ʻana i ka ʻōlelo a kāu kauka a hahai pono iā ia. Inā he mau nīnau a kānalua paha kāu, mai hūnā iā ʻoe iho, akā e nīnau i kāu kauka, kahu maʻi, a kauka lāʻau paha. Aia lākou ma laila e kōkua iā ʻoe.

He hōʻuluʻulu manaʻo wale nō kēia pepa ʻike. ʻAʻole paha i loko nā kikoʻī āpau. No laila, inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole ka mea mālama ola kino.

ʻO Fosphenytoin, nā hopu ʻana, ka maʻi epilepsy, ka lāʻau pale ʻana, nā hopena ʻaoʻao, ke ʻoki ʻana i ka lolo, ka ʻōnaehana nerve