Ua ʻike mākou he paʻakikī ke ola ʻana me ka maʻi Parkinson i kekahi manawa. Ke lawe nei paha ʻoe i nā ʻano lāʻau like ʻole e mālama i kāu mau hōʻailona. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau i hoʻohana ʻia e mālama ai i ka maʻi Parkinson i mea hou paha iā ʻoe. ʻO Istradefylline kona inoa.
I ka ʻōlelo maʻalahi, he aha ka Istradefylline?
He lāʻau lapaʻau ʻo Istradefylline i hoʻohana ʻia no ka mālama ʻana i ka maʻi Parkinson. Eia naʻe, ʻaʻole ia ka lāʻau lapaʻau mua. Hoʻohana pinepine ʻia ia ma ke ʻano he "hoʻohui lāʻau" me nā lāʻau lapaʻau maʻamau no Parkinson e like me Levodopa a me Carbidopa (Levodopa/Carbidopa).
Eia kekahi laʻana, inā manaʻo ʻoe ʻaʻole lawa ka kaohi ʻana o kāu lāʻau lapaʻau nui i kāu mau hōʻailona, ʻo ia hoʻi ke loaʻa nei iā ʻoe nā wā "off", hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau e kōkua iā ʻoe e kaohi maikaʻi i kāu mau hōʻailona. Loaʻa pinepine kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Nourianz.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
He mea nui loa i kāu kauka ke kiʻi piha o kou kūlana olakino. A laila hiki iā ia ke hāʻawi iā ʻoe i ka lāʻau kūpono a palekana loa. No laila, ma mua o ka hoʻomaka ʻana iā Istradefylline, mai poina e hoʻomaopopo i kāu kauka e pili ana i kēia mau ʻoiaʻiʻo.
- Inā he mea puhi paka ʻoe: Hiki i ka puhi paka ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia lāʻau lapaʻau, no laila e haʻi pono i kāu kauka e pili ana i ia mea.
- Inā loaʻa iā ʻoe ka maʻi akepaʻa: Inā ua pilikia ka hana o kou akepaʻa, pono paha e hoʻoponopono ʻia kāu lāʻau lapaʻau.
- Inā ua loaʻa iā ʻoe a i ʻole he pilikia olakino noʻonoʻo i kēia manawa: He mea nui e haʻi i kāu kauka e pili ana i nā pilikia olakino noʻonoʻo ma mua.
- Inā loaʻa iā ʻoe kekahi mau maʻi ʻaleka: E haʻi mai iā mākou e pili ana i kekahi mau maʻi ʻaleka āu i loaʻa ʻole i kēia lāʻau lapaʻau wale nō, akā, i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana: ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i kēia mau manawa. No laila e kamaʻilio me kāu kauka e pili ana i kēia.
Pehea e pono ai iaʻu e hoʻohana pono i ka lāʻau lapaʻau?
E ale i kēia papa 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. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka nui pololei, i ka manawa kūpono, e like me ke kauoha a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia, a i ʻole e lawe pinepine.
He mea nui loa: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i ka hana ʻana pēlā ke hana i nā hopena ʻaoʻao koʻikoʻi. Inā ʻoe e hoʻōki, aia kekahi ala e hana ai, a na kāu kauka e wehewehe iā ʻoe.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā he kānalua kou ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia o kēia lāʻau lapaʻau, e kelepona koke i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo . A i ʻole, e hele koke i ka Halemai Pilikia (ETU) kokoke loa.
He aha inā e poina iaʻu kahi lāʻau? (Ua hala ka lāʻau)
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 poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe, nā mea kanu, a me nā mea hoʻohui āu e lawe nei ke launa pū me Istradefylline. No laila, e hāʻawi i kāu kauka i kahi papa inoa o nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora a me nā lāʻau lapaʻau lāʻau . Aia ma lalo kekahi o nā lāʻau lapaʻau maʻamau e hiki ke hoʻopilikia.
| Papa a inoa lāʻau lapaʻau paha | Nā laʻana a me nā wehewehena |
|---|---|
| Kekahi mau lāʻau antibiotic | Laʻana: Clarithromycin |
| ʻO kekahi mau lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol | ʻO kahi laʻana: Atorvastatin, Lovastatin, Simvastatin |
| Nā lāʻau lapaʻau no nā maʻi fungal | E like me: Ketoconazole, Itraconazole, Posaconazole |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi epilepsy ( seizures ) | Laʻana: Carbamazepine, Phenobarbital, Phenytoin |
| Nā lāʻau lapaʻau ʻē aʻe | Nā lāʻau lapaʻau e like me Digoxin, Rifampin, a me ka wort ʻo St. John. |
Nā mea e makaʻala nui ai i ka wā e lawe ana i ka lāʻau lapaʻau
E makaʻala i nā koi kūikawā ʻole
He mea nui loa kēia. Hiki i kekahi poʻe ke loaʻa nā makemake ʻē a hiki ʻole ke kāohi ʻia i ka wā e lawe ai i kēia lāʻau lapaʻau. Eia kekahi laʻana:
- He makemake nui e pāʻani i nā pāʻani o ka manawa kūpono.
- Ka hoʻolilo kālā me ke kumu ʻole.
- Ka piʻi ʻana o ka makemake moekolohe ma ke ʻano kūpono ʻole.
- ʻAi nui ʻole i kāohi ʻia.
ʻAʻole kēia kou hewa a nāwaliwali paha. He hopena ʻaoʻao kēia e hiki ke hana ma muli o nā hopena o ka lāʻau lapaʻau. Inā ʻike ʻoe a i ʻole kou ʻohana i kekahi mau loli e like me kēia, mai hilahila a makaʻu paha, akā e haʻi koke i kāu kauka e pili ana i ia mea.
Ka puhi paka a me ka hāpai ʻana
Inā he mea puhi paka ʻoe, hiki ke hoʻemi ʻia ka pono o kēia lāʻau lapaʻau. Eia kekahi, inā ʻoe e noʻonoʻo ana e haʻalele i ka puhi paka, e haʻi i kāu kauka e pili ana i ia mea no ka mea pono paha e hoʻololi ʻia ka nui o ka lāʻau lapaʻau.
Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. Aia kahi pilikia o ka pōʻino nui i ka pēpē. Inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ua hāpai ʻoe, e kamaʻilio koke me kāu kauka.
He aha nā hopena ʻaoʻao e hiki ke ʻike ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i ka Istradefylline ke hana i nā hopena ʻaoʻao. Hiki i kekahi o lākou ke koʻikoʻi a hiki i kekahi o lākou ke maʻamau.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā loli noʻonoʻo | Hopohopo, huikau noʻonoʻo, ʻike ʻana a lohe ʻana paha i nā mea i ʻike ʻole ʻia (hallucinations). |
| Nā koi ikaika (Urges) | ʻO ka piliwaiwai hou a i ʻole ka hoʻonui ʻia ʻana, ka hoʻolilo kālā, nā makemake moekolohe, a pēlā aku. |
| Nā neʻe ʻana i hiki ʻole ke kāohi ʻia (Dyskinesia) | Ka haʻalulu a i ʻole ka hula ʻana o nā lima, nā wāwae, ka maka, ka waha, ka ʻāʻī, a i ʻole ke kino o luna i hiki ʻole ke kāohi ʻia. |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻakikī e hele i ka lua. |
| Pōʻino | Pōʻaiʻī . |
| Ka luaʻi | Manaʻo e luaʻi ana. |
| ʻAʻole hiki ke hiamoe | Ka paʻakikī e hiamoe i ka pō. |
ʻAʻole kēia papa inoa i nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e kamaʻilio me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Istradefylline i hāʻawi ʻia ma waho aʻe o nā lāʻau lapaʻau nui e like me Levodopa/Carbidopa e kāohi i nā hōʻailona o Parkinson.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino āpau (ʻoiai nā maʻi ate, nā pilikia olakino noʻonoʻo) a inā ʻoe e puhipaka.
- Mai hoʻōki koke i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe nā makemake ikaika a ʻokoʻa, e like me ka piliwaiwai a i ʻole ka hoʻolilo kālā nui ʻana, i ka wā e lawe ana i ka lāʻau lapaʻau, mai hilahila a e hoʻomaopopo koke i kāu kauka, no ka mea, he hopena ʻaoʻao paha kēia o ka lāʻau lapaʻau.
- E hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau Sinhala).
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