I kekahi manawa, kuhikuhi ke kauka i kahi lāʻau lapaʻau me kahi inoa ʻē a mākou i lohe ʻole ai ma mua. ʻO Gabapentin paha kekahi o ia mau lāʻau lapaʻau. Malia paha ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe no kahi maʻi e like me ka hopu ʻana, a i ʻole no ka ʻeha nui o ke aʻalolo ma hope o ka shingles, a i ʻole no nā wāwae hoʻomaha ʻole i ka pō. ʻOiai ke kumu, he mea nui loa ia no kou olakino e ʻike pono i ka lāʻau lapaʻau āu e lawe nei. No laila i kēia lā, e kamaʻilio kākou e pili ana iā Gabapentin ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ke ʻano lāʻau lapaʻau ʻo Gabapentin?
I ka ʻōlelo maʻalahi, aia i loko o ko kākou lolo nā pūnaewele nerve (neurons). I kekahi manawa, ke hoʻoulu nui ʻia kēia mau pūnaewele nerve, loaʻa nā kūlana e like me nā hopu ʻana a i ʻole ka ʻeha nui. Hoʻopuka maoli ko kākou kino i kahi ʻelele kemika i kapa ʻia ʻo GABA (Gamma Aminobutyric Acid) . Hana kēia ma ka hōʻoluʻolu ʻana i kēlā mau pūnaewele nerve i hoʻoulu nui ʻia.
He lāʻau lapaʻau ʻo Gabapentin e hoʻohālike ana i ka hana a GABA. ʻO ia hoʻi, hoʻomalu ia i ka hoʻoulu ʻana i ko mākou ʻōnaehana nerve, hoʻomālielie i nā hunaola nerve, a hoʻomalu i ka hele ʻana o nā hopu a me nā hōʻailona ʻeha i ka lolo. ʻO ia ke kumu i pili ai kēia lāʻau lapaʻau i ka māhele lapaʻau o 'anticonvulsants'. ʻO ia hoʻi, he ʻano lāʻau lapaʻau ia i hāʻawi ʻia e kāohi i nā kūlana e like me nā hopu/kū.
He aha nā lāʻau lapaʻau e hoʻohana ai iā Gabapentin?
ʻO Gabapentin ke kauka nui ʻia e like me ka lāʻau lapaʻau no kekahi mau kūlana olakino.
| Ke kūlana maʻi | He wehewehe maʻalahi |
|---|---|
| Ke kāohi ʻana i kahi kūpono (Partial Seizures) | No ke kāohi ʻana a me ka pale ʻana i nā hopu ʻana (fits) e hoʻomaka ana ma kekahi ʻāpana o ka lolo. Hoʻohana ʻia ia i nā keiki ma luna o 3 mau makahiki a me nā pākeke. |
| ʻO ka neuralgia postherpetic (PHN) | Ma hope o ka shingles, loaʻa i kekahi poʻe ka ʻeha nui o ke aʻalolo ma ia wahi. Ua like ia me ka haʻalulu uila, me he mea lā e wela ana, a he mea hiki ʻole ke hoʻomanawanui. ʻO kēia ka mea a mākou e kapa nei ʻo Postherpetic Neuralgia (PHN) . He kōkua nui ʻo Gabapentin i ka kaohi ʻana i kēia ʻeha. |
| ʻO ka maʻi wāwae hoʻomaha ʻole | ʻIke kekahi poʻe, ʻoi aku hoʻi i ka pō i ka wā e hoʻomaha ana lākou, i kahi ʻano hoʻomaha ʻē i ko lākou mau wāwae, kahi makemake hiki ʻole ke kāohi ʻia e hoʻoneʻe i ko lākou mau wāwae. Hiki i kēia ke hoʻopilikia i ka hiamoe. Paipai ʻia ʻo Gabapentin no kēia maʻi. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa ka lawe ʻana i ka nui kūpono, i ka manawa kūpono, e like me ke kauoha a kāu kauka. E makaʻala hoʻi i kēia mau mea.
- Hiki ke lawe ʻia ka hapa nui o nā lama Gabapentin me ka meaʻai a me ka ʻole o ka meaʻai. Eia nō naʻe, ua ʻōlelo ʻia kekahi mau lama, e like me Gralise®, e lawe ʻia me ka ʻaina ahiahi. No laila e nīnau i kāu kauka e pili ana i kēia.
- Inā ʻoe e lawe ana i ka pila, e ale holoʻokoʻa me ke aniani wai. Mai nau, uhaʻi, a wili paha i nā papa hoʻokuʻu lōʻihi, ʻoiai inā he hana lōʻihi ko lākou. ʻO ka hana ʻana pēlā e hoʻololi paha i ke ʻano o ka hana a ka lāʻau.
- Inā ʻoe e lawe ana i kahi antacid i loaʻa ka alumini a i ʻole ka magnesium, e like me Maalox® a i ʻole Mylanta®, no ka gastritis, pono ʻoe e kali ma ka liʻiliʻi he ʻelua hola ma hope o ka lawe ʻana ma mua o ka lawe ʻana iā Gabapentin. A i ʻole, ʻaʻole paha e komo pono ʻia ʻo Gabapentin e ke kino.
- Inā he wai ka lāʻau lapaʻau (wai hoʻoheheʻe waha), e hoʻohana i ka mea ana (syringe a kīʻaha paha) e hele pū mai me ia. Mai ana me nā tīpune a i ʻole nā punetēpē, no ka mea hiki i kēia ke hana i kahi dosage kūpono ʻole.
- ʻO ka mea nui loa: E lawe wale i ka nui i kuhikuhi ʻia nou, no ka manawa i kuhikuhi ʻia. Mai hoʻololi i ka nui a i ʻole e hoʻōki i ka lawe ʻana i ka lāʻau me ka ʻole o ke noi ʻana i kāu kauka.
He mau hopena ʻaoʻao koʻikoʻi anei ʻo Gabapentin?
E like me nā lāʻau lapaʻau āpau, hiki iā Gabapentin ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻOiai ʻo ka hapa nui o kēia mau mea he mea liʻiliʻi, he mea nui e makaʻala i kekahi mau hōʻailona koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke i kāu kauka.
| ʻAno o ka hopena ʻaoʻao | Nā hiʻohiʻona e nānā ai |
|---|---|
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, hives, maneʻo, pehu o ka ʻili, ʻili ʻana o ka ʻili me ke kuni a i ʻole me ke kuni ʻole, pilikia ka hanu ʻana a i ʻole ke ale ʻana, pehu o ka maka, nā lehelehe, ka puʻu, a me ke alelo. |
| Nā loli noʻonoʻo a me ke ʻano | Ke kaumaha hou a i ʻole ka ʻino ʻana, nā manaʻo pepehi iā ia iho, ka huhū, ka hoʻomaha ʻole, ka hiamoe ʻole, ka huhū koke, ka hana hoʻopololei, ka huikau, nā pilikia hoʻomanaʻo. |
| Nā pilikia o ke akepaʻa | Melemele o ka ʻili a i ʻole keʻokeʻo o nā maka, mimi ʻeleʻele, nā ʻōpala māmā, luaʻi, a me ka ʻeha a i ʻole ke kahe koko ʻana ma ke ʻano ʻē. |
| Nā pilikia puʻupaʻa | Paʻakikī i ka mimi ʻana, nā loli i ka nui o ka mimi āu e hoʻokuʻu ai, ke koko i loko o kou mimi, ka pehu ʻana i kou mau wāwae ma muli o ka paʻa ʻana o ka wai i loko o ke kino, a me ka piʻi ʻana o ke kaumaha. |
Inā ʻike ʻoe i kekahi mau hōʻailona koʻikoʻi e like me kēia, mai kali wale a ʻike, akā e hoʻomaopopo koke i kāu kauka. I kekahi manawa pono paha ʻoe e hele i ka ETU (Emergency Treatment Unit).
Nā hopena ʻaoʻao maʻamau
ʻAʻole koʻikoʻi kēia mau mea a nalo wale i loko o kekahi mau lā.
- Hiamoe, luhi
- Pōʻino
- ʻEha poʻo
- Ka luaʻi a me ka luaʻi
- kuni
- Paʻakikī i ka ʻōlelo ʻana
- Poho hoʻomanaʻo
- Piʻi ke kaumaha
- Ka hele wāwae hiki ʻole ke kāohi ʻia, nā haʻalulu
- Nā pilikia ʻike pālua
Inā hoʻomau a hoʻopilikia paha kēia mau hopena ʻaoʻao liʻiliʻi iā ʻoe, e kamaʻilio me kāu kauka e pili ana iā lākou.
Ke hoʻopilikia nei ʻo Gabapentin i nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, he mea nui loa kēia. Inā ʻoe e lawe iā Gabapentin a me nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i ka hiamoe a hōʻemi paha i ka makaʻala (e.g., narcotic opioids, tranquilizers, a me kekahi mau lāʻau allergy),Hiki ke loaʻa nā pilikia hanu koʻikoʻi.
He kiʻekiʻe loa kēia pilikia no ka poʻe ma luna o 65 mau makahiki a me ka poʻe me nā maʻi māmā (e like me COPD).
E ʻimi koke i ke kōkua lapaʻau!
Inā ʻike koke ʻoe a i ʻole kekahi mea ʻē aʻe e lawe ana iā Gabapentin i ka huikau, ka poniuniu nui, ka hanu lohi a paʻakikī paha, ka paʻakikī e ala aʻe, a i ʻole nā lehelehe polū a i ʻole nā manamana lima, e hele koke i ka lumi pilikia.
Eia kekahi, e pale i ka inu ʻana i ka waiʻona a pau . ʻO ka hui pū ʻana o ka waiʻona a me Gabapentin hiki ke hoʻoulu i ka hiamoe nui a me ka poniuniu.
Kekahi mau nīnau i nīnau pinepine ʻia
He lāʻau lapaʻau anei ʻo Gabapentin?
ʻAʻole. ʻAʻole ʻo Gabapentin he narcotic. ʻAʻole hoʻi he opioid. Eia nō naʻe, ua loaʻa nā hōʻike no ka hana ʻino ʻia e kekahi poʻe.
He aha ka mea e hana ai inā e hoʻōki koke ʻoe i ka lawe ʻana i ka lāʻau lapaʻau?
Mai ho'ōki koke i ka lawe ʻana iā Gabapentin me ka ʻole o ke aʻo ʻana a ke kauka. ʻO ka hana ʻana pēlā e hoʻonui ai i kou mau hopu ʻana inā ʻoe e lawe ana no ka hopu ʻana. Inā ʻoe e lawe ana no kekahi maʻi ʻē aʻe, e hoʻi hou mai paha kāu mau hōʻailona.
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 lāʻau lapaʻau i ka manawa hoʻokahi.
He aha ka mea e hana ai inā ʻoe e overdose?
ʻO nā hōʻailona o ka overdose Gabapentin e komo pū me ka ʻike pālua, ka ʻōlelo slurred, a me ka hiamoe nui. Inā manaʻo ʻoe ua lawe kekahi i ka nui o kēia lāʻau lapaʻau, e lawe koke iā lākou i ka ETU (Emergency Treatment Unit) . Inā pono, hiki iā ʻoe ke kelepona i ka National Poisons Information Center ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- ʻO Gabapentin kahi lāʻau lapaʻau i hoʻohana nui ʻia e kāohi i nā hopu ʻana a me ke ʻeha o ke aʻalolo.
- E lawe i ka nui like me ke kauoha a kāu kauka. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a ke kauka.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kahi hopena koʻikoʻi e like me nā maʻi alerika koʻikoʻi, nā loli noʻonoʻo, a i ʻole ka paʻakikī o ka hanu ʻana.
- E pale loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau. E akahele loa i ka wā e lawe ai i nā lāʻau ʻē aʻe e hoʻoulu ai i ka hiamoe nui.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā pilikia olakino ʻē aʻe āu e loaʻa nei, a inā ʻoe e hāpai ana a hānai waiū paha.
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