Ke ʻeha nei ʻoe i nā neʻe kino i kāohi ʻole ʻia? (Tardive Dyskinesia & Chorea) - E kamaʻilio kākou e pili ana iā Ingrezza!

ʻO ka neʻe ʻana o kou mau lālā a i ʻole ka loli ʻana o kou helehelena me kou kaohi ʻole ʻana he mea ʻoluʻolu ʻole ia. Hiki iā ia ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā a i ʻole ka launa pū ʻana me ʻehā mau kānaka. Nui ka poʻe i kaumaha ma muli o ia mau kūlana. Inā ua ʻike ʻoe a i ʻole kekahi mea kokoke iā ʻoe i kēia, he mea nui loa kēia ʻatikala iā ʻoe.

He aha nā Tardive Dyskinesia a me Chorea?

I ka ʻōlelo maʻalahi, ʻelua mau kūlana olakino e pili ana i ka neʻe ʻana o ko mākou kino.

ʻO Tardive Dyskinesia (TD): He ʻano kēia e ʻike ai mākou i nā neʻe ʻana o ke kino me ka makemake ʻole, ʻoiai ke alo a me nā lālā. Hiki i kēia ke komo pū me ke alelo me ka makemake ʻole e puka i waho, ka pā ʻana o ka lehelehe, ka ʻālohilohi ʻana o ka maka, a i ʻole ka ʻūlū ʻana o nā lālā. Hiki i kēia ʻano ke hana ma ke ʻano he hopena ʻaoʻao o ka hoʻohana lōʻihi ʻana i kekahi mau antipsychotics a i ʻole kekahi mau lāʻau lapaʻau ʻōpū.

ʻO Chorea: He maʻi neʻe kēia i hoʻokumu ʻia e kahi maʻi genetic i kapa ʻia ʻo Huntington 's Disease . I ka maʻi o Huntington, ua luku mālie ʻia nā hunaola nerve i loko o ka lolo. Hoʻopilikia kēia i ka noʻonoʻo ʻana, ka kaohi ʻana i nā manaʻo, a me ka neʻe ʻana o ke kino. Hoʻokumu ʻo Chorea i nā neʻe ʻana o nā lima, nā wāwae, a me ka maka i kāohi ʻole ʻia.

Kōkua ka lāʻau lapaʻau ʻo Ingrezza i ka hoʻomalu ʻana i nā neʻe ʻana i kāohi ʻole ʻia e kū nei ma nā kūlana ʻelua. Akā e hoʻomanaʻo, ʻaʻole mālama ʻo Ingrezza i nā hōʻailona ʻē aʻe o ka maʻi Huntington (e like me nā pilikia noʻonoʻo).

Pehea e hana ai ka lāʻau lapaʻau ʻo Ingrezza?

I mea e hoʻomaopopo ai i kēia, pono mua kākou e ʻike e pili ana i kahi ʻelele kemika liʻiliʻi i loko o ko kākou lolo. ʻO Dopamine kona inoa. I mea e pololei ai, he neurotransmitter ʻo Dopamine. He mea nui loa kēia Dopamine no ka kaohi ʻana i nā neʻe ʻana o ko kākou kino.

E noʻonoʻo i ka mea e hana ʻia inā hoʻouna nui ko kākou lolo i ka dopamine? E like me ka piula wai e huli wikiwiki ana, ua manaʻoʻiʻo ʻia i ka wā e piʻi ai nā hōʻailona dopamine, lilo ko kākou kino i mea makemake ʻole .

Eia ka hana a Ingrezza. Hoʻopili ia i kahi protein i loko o ko kākou lolo i kapa ʻia ʻo VMAT2 (vesicular monoamine transporter 2) . ʻO kēia protein ka mea e kōkua ai i ka hoʻokuʻu ʻana i ka dopamine. Ma ka kaohi ʻana i ka hana o VMAT2, hoʻemi ʻo Ingrezza i ka nui o ka hōʻailona dopamine. Ua like ia me ka hoʻohuli iki ʻana i ka faucet. ʻO ka hopena, emi mālie nā neʻe i kāohi ʻole ʻia.

Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?

He lāʻau lapaʻau ʻo Ingrezza i loaʻa ma ke ʻano he capsule. Hiki ke lawe ʻia me ka meaʻai a me ka ʻole. Na kāu kauka e kuhikuhi i kēia lāʻau lapaʻau nāu. Mai lawe ʻoi aku a emi mai paha ma mua o ka nui o ka lāʻau a kāu kauka e ʻōlelo ai iā ʻoe e lawe.

Ua helu ʻia ka nui maʻamau ma ka papa ma lalo nei, akā hiki i kāu kauka ke hoʻololi i kēia ma muli o kou kūlana.

Pehea e lawe ai i ka Ingrezza Sprinkle capsule

He paʻakikī i kekahi poʻe ke ale i nā capsules. No kēlā poʻe, aia kekahi ʻano kūikawā i kapa ʻia ʻo "Ingrezza Sprinkle." Penei ke ʻano o ka hoʻohana ʻana:

1. E wehe pono i ke capsule a hoʻohui i nā hua liʻiliʻi o ka lāʻau lapaʻau (sprinkles) i loko o kahi teaspoon o ka meaʻai palupalu e like me ka applesauce, yogurt, a i ʻole ka pudding.

2. Mai nau a wili paha i kēia lāʻau .

3. E ʻai koke i ka punetune holoʻokoʻa o ka meaʻai i kāwili ʻia me ka lāʻau lapaʻau.

4. A laila e inu i hoʻokahi kīʻaha wai (ma kahi o 240 ml).

5. Mai hoʻohuihui i kēia lāʻau lapaʻau me ka waiū a i ʻole ka wai.

Pehea ʻoe e ʻike ai inā e hana ana ka lāʻau lapaʻau?

Wahi a nā haʻawina lapaʻau, hiki iā ʻoe ke ʻike i kekahi hoʻomaikaʻi ʻana i nā hōʻailona i loko o ʻelua pule wale nō o ka hoʻomaka ʻana iā Ingrezza. E ʻike ʻoe e emi mālie ana kēlā mau neʻe kino i kāohi ʻole ʻia.

E hoʻomaka kāu kauka iā ʻoe ma kahi mahele haʻahaʻa a hoʻoponopono i ka mahele e like me ka mea e pono ai e ʻike i ke ʻano o ka pane ʻana o kou kino. No laila, e lōʻihi paha ka manawa e ʻike ai i nā hopena maikaʻi loa. Inā manaʻo ʻoe ʻaʻole e hoʻomaikaʻi ana kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino, e haʻi koke i kāu kauka. Hiki iā ia ke hoʻoponopono i ka mahele, hoʻohui i kahi lāʻau lapaʻau ʻē aʻe, a hoʻololi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe inā pono.

Nā hopena ʻaoʻao hiki ke loaʻa a pehea e mālama ai iā lākou?

E like me nā lāʻau lapaʻau āpau, hiki iā Ingrezza ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau.

• ʻO nā hopena ʻaoʻao maʻamau i waena o nā poʻe me ka tardive dyskinesia (TD):
• Hiamoe

• Nā hopena ʻaoʻao maʻamau i waena o nā maʻi Chorea:
• Hiamoe
• Nā ʻūlū ʻili (Hives)
• ʻŌhū ʻili
• Pilikia i ka hiamoe ʻana

Pehea ʻoe e hana ai me kēia mau mea?

• Hiamoe: E hōʻalo i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
• ʻŌhūhū ʻili a i ʻole nā ​​hives: He mau hōʻailona paha kēia o kahi hopena maʻi. Inā hana ʻia kēia, e kāhea koke i kāu kauka, a i ʻole e hele i ka lumi pilikia haukapila kokoke loa (ETU).
• ʻAʻole hiamoe: Aia kekahi mau mea hiki iā ʻoe ke hana nou iho. ʻO ka hōʻemi ʻana i kāu ʻai ʻana i nā mea inu caffeine e like me ke kofe, ke kī, a me ka cola, ke komo ʻana i ka maʻa o ka hele ʻana i ka hiamoe a me ke ala ʻana i ka manawa like i kēlā me kēia lā, ka mālama ʻana i kou lumi moe i ka pōʻeleʻele, a me ka kaupalena ʻana i kāu hoʻohana ʻana i nā kelepona a me nā papa ma mua o ka hiamoe ʻana hiki ke kōkua.

Nā Hana like ʻana o nā Lāʻau Lapaʻau

Inā ʻoe e lawe ana iā Ingrezza, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā huaora, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Ingrezza.

• Nā mea hoʻopaʻa monoamine oxidase (MAOI):He mau lāʻau lapaʻau kēia i hoʻohana ʻia no ka mālama ʻana i ke kaumaha a i ʻole ka maʻi Parkinson. Ua pāpā loa ʻia kēia mau lāʻau MAOI mai ka lawe pū ʻana me Ingrezza.
• ʻO Digoxin: He lāʻau lapaʻau kēia i hoʻohana ʻia no ka mālama ʻana i ka hāʻule ʻana o ka puʻuwai a me nā puʻuwai puʻuwai kūpono ʻole. ʻO ka lawe ʻana iā Ingrezza me Digoxin hiki ke hoʻonui i ka pae o Digoxin i loko o kou koko, e hana ana i nā hopena ʻaoʻao. E hoʻāʻo kāu kauka i kou koko a hoʻemi i kāu mahele Digoxin inā pono.
• Nā mea hoʻopaʻa/hoʻoulu CYP3A4 a me CYP2D6: He ʻano paʻakikī kēia huaʻōlelo lapaʻau. Pili lākou i nā ʻano lāʻau like ʻole. ʻO ka mea maʻalahi a palekana hoʻi hiki iā ʻoe ke hana, ʻo ia ke haʻi aku i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei. E hana ʻo ia i nā hoʻoponopono e pono ai.