ʻO ka poʻe i loaʻa i ke kaumaha wale nō ka poʻe i ʻike i ka paʻakikī o ke ola ʻana me ia. I kekahi manawa ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Levomilnacipran ma ke ʻano he lāʻau lapaʻau no kēia ʻano. Hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Fetzima ma Sri Lanka. No laila, ma ke ʻano he mea hoʻohana i kēia lāʻau lapaʻau, he mea nui loa ia e ʻike maopopo i nā mea āpau e pili ana iā ia. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, pehea e hana ai, a me nā mea e pono ai mākou e makaʻala.
He aha kēia lāʻau lapaʻau? Pehea kāna hana ma ke kino?
I ka ʻōlelo maʻalahi, ʻo Levomilnacipran kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i kahi maʻi i kapa ʻia ʻo ke kaumaha . Hoʻopili nā ʻāpana aʻalolo o ka lolo kekahi i kekahi e kāohi i ko mākou ʻano, ke ʻano, a me ke kaulike. ʻElua mau kemika kūikawā e kōkua ana i kēia ʻo ia ka serotonin a me ka norepinephrine .
Hiki i ke kanaka me ke kaumaha ke loaʻa kekahi mau loli i ke ʻano o ka hana ʻana o kēia mau kemika i loko o ko lākou lolo. Hana ʻo Levomilnacipran ma ka hoʻonui ʻana i ka nui a me ka hana o kēia mau kemika i loko o ka lolo i kapa ʻia ʻo serotonin a me norepinephrine. I ka pololei, no loko kēia lāʻau lapaʻau i kahi papa o nā lāʻau i kapa ʻia ʻo SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) . ʻO ke ʻano kēia e pale aku ai kēia lāʻau lapaʻau i kēia mau kemika mai ka hoʻopili hou ʻia ʻana i loko o nā ʻaʻalolo. A laila, no ka mea aia lākou i loko o nā ʻaʻalolo no ka manawa lōʻihi a me nā ʻano kiʻekiʻe, hoʻomaikaʻi ke ʻano.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha. Hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau kūlana olakino. E nānā i ka papa ma lalo. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka.
| ʻO ke kūlana a i ʻole ka maʻamau e pili ana iā ʻoe | No ke aha ʻoe e haʻi aku ai i ke kauka? |
|---|---|
| Inu pinepine | Hiki ke hoʻonui ʻia nā hopena ʻaoʻao (ʻoi aku ka dizziness). |
| Nā maʻi noʻonoʻo ʻē aʻe(e.g. Mania, maʻi Bipolar) | Hiki i kēia lāʻau lapaʻau ke hoʻololi i kēlā mau kūlana. |
| Maʻi puʻuwai , ke koko kiʻekiʻe , a i ʻole ka puʻuwai naʻau kūpono ʻole | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ke koko a me ka helu o ka puʻuwai. |
| Maʻi puʻupaʻa | Pono paha e hoʻololi i ka nui o ka lāʻau lapaʻau. |
| He maʻi maka ka Glaucoma . | Hiki ke piʻi aʻe ke kaomi o nā maka. |
| Inā ua loaʻa iā ʻoe nā hopu ʻana | Hiki ke piʻi aʻe ka pilikia o ka hopu ʻana. |
| Nā maʻi koko a i ʻole ka lawe ʻana i nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin, Aspirin) | Hoʻonui i ka pilikia o ke kahe koko kūpono ʻole. |
| Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā manaʻo pepehi kanaka | He mea nui loa kēia. E hopohopo nui ke kauka no kēia. |
| Inā hāpai ʻoe , e hoʻāʻo ana e hāpai , a e hānai waiū ana paha | Pono ka nānā kūikawā no ka mea hiki i ka lāʻau lapaʻau ke hoʻopilikia i ke keiki. |
| ʻO ka lawe ʻana i nā lāʻau MAOI (e like me Marplan, Nardil) | ʻO ka lawe pū ʻana i kēia mau lāʻau ʻelua hiki ke lilo i mea weliweli loa. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau, akā he mea nui loa.
- E lawe i kēia lāʻau lapaʻau me ke aniani wai. ʻAʻole ia he mea nui inā ʻoe e lawe ia mea ma mua a ma hope paha o ka ʻai ʻana.
- ʻO ka mea nui loa: Mai uhaʻi, kuʻi, a nau paha i ke capsule. E ale holoʻokoʻa . A i ʻole, e hoʻokuʻu koke ʻia ka lāʻau lapaʻau i loko o ke kino a hiki ke hana i nā hopena ʻino.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa i kauoha ʻia. Mai hoʻololi i ka nui o ka lāʻau ma kāu iho.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ke aʻo ʻole a kāu kauka. Inā hana ʻoe pēlā, hiki iā ʻoe ke ʻike i nā hōʻailona haʻalele, a i ʻole e ʻoi aku ka ʻino o kou kūlana. Inā hoʻōki ʻoe, e hana pēlā e like me ke kuhikuhi a kāu kauka, e hoʻēmi mālie ana i ka nui.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. He pilikia kēia.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Poina iā kākou a pau ke lawe i kā kākou lāʻau lapaʻau. Inā hana ʻia kēlā, e lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Levomilnacipran i hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, kekahi mau meaʻai, a me ka waiʻona.
Mai lawe pū me kēia mau mea:
I ka wā e lawe ai i kēia lāʻau lapaʻau, ua kapu loa ʻia ka lawe ʻana i nā lāʻau SNRI ʻē aʻe e like me Duloxetine, Venlafaxine, Milnacipran, a me nā lāʻau MAOI (e like me Marplan, Nardil). Eia kekahi, hiki i ka antibiotic Linezolid a me ka lāʻau pale Methylene blue ke launa pū me kēia lāʻau lapaʻau.
E makaʻala no ka mea hiki ke kūʻē i kēia mau mea me:
- ʻOna: Hoʻonui nui i nā hopena ʻaoʻao e like me ka poniuniu a me ka hiamoe.
- Nā lāʻau hoʻopau ʻeha: ʻO nā lāʻau anti-inflammatory nonsteroidal (NSAID) e like me Aspirin, Ibuprofen, a me Naproxen.
- Nā lāʻau hoʻokahe koko: Warfarin, Enoxaparin, a me nā mea ʻē aʻe.
- Nā lāʻau lapaʻau migraine: Nā lāʻau lapaʻau ʻano Triptan e like me Sumatriptan.
- Nā lāʻau lapaʻau a me nā lāʻau hiamoe no nā maʻi noʻonoʻo ʻē aʻe.
- Nā mea hoʻohui lāʻau lapaʻau: ʻoiai ʻo St. John's Wort .
- Kekahi mau lāʻau antibiotic (Clarithromycin), nā antifungals (Ketoconazole), a me nā lāʻau lapaʻau e like me Isoniazid, i hoʻohana ʻia e mālama i ka TB.
No laila, ke hele ʻoe e ʻike i kāu kauka, e lawe mai i kahi papa inoa piha o nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe ai. Mai poina e haʻi iā lākou inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E hoʻomanawanui: ʻAʻole ʻoe e ʻike koke i nā hopena ma hope o ka lawe ʻana i kēia lāʻau. Hiki ke hala kekahi mau pule e ʻoluʻolu loa ai. No laila, e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka.
- E makaʻala i nā loli o ke ʻano (he mea nui loa): Inā ʻoe a i ʻole kekahi o kou ʻohana e hoʻomohala i nā manaʻo pepehi kanaka, lilo i mea hopohopo, hoʻomaha ʻole, huhū, a pilikia paha i ka noʻonoʻo ʻana , ʻoiai i ka hoʻomaka ʻana i ka lāʻau lapaʻau a i ʻole ke hoʻololi ʻia ka nui o ka lāʻau, e kāhea koke i kāu kauka. He ʻōlelo aʻo koʻikoʻi loa kēia.
- Ke koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i ke koko. No laila, e ana i kou koko ma ka home e like me ke kuhikuhi a kāu kauka.
- Ka poniuniu a me ka hiamoe: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke noʻonoʻo a pane koke. 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. No ka hōʻemi ʻana i ka poniuniu, e kū mālie i luna i ke ala ʻana mai kahi noho a i ʻole ke ala ʻana mai kahi moe.
- Waha maloʻo: He hopena maʻamau kēia. Hiki ke kāohi ʻia kēia ma ka nau ʻana i ka gum ʻaʻohe kō a me ka inu ʻana i ka wai he nui.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Ka hopena ʻaoʻao | Wehewehena |
| ʻAleʻaleʻa | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke kahe koko ʻano ʻē | ʻEleʻele a ʻālohilohi paha ka lepo, ka luaʻi e like me ke ʻano o ka lepo kofe, ka mimi ʻulaʻula/ʻeleʻele ʻeleʻele, nā kiko ʻulaʻula/poni ma ka ʻili. |
| ʻO ka maʻi Serotonin | Huikau, hoʻomaha ʻole, hou nui, kuni nui, ʻoʻoleʻa o nā ʻiʻo, nā ʻūlū. He kūlana weliweli kēia. |
| Puʻuwai wikiwiki | Manaʻo e like me ka wikiwiki o kou puʻuwai, ke kuʻi ʻana, a i ʻole ke kuʻi kūpono ʻole. |
| Hoʻonui ʻia ke koko | E hoʻomaopopo i ke kauka. |
| Ua emi ka sodium i loko o ke koko | Ka nāwaliwali o nā ʻiʻo, ka luhi, ka poniuniu, ka huikau. |
| ʻEha maka a loli paha ka ʻike | ʻEha koke nā maka, ʻike pōwehiwehi, ʻike ʻana i nā apo a puni nā kukui. |
| Paʻakikī ke mimi | ʻAʻohe a kakaikahi paha ka mimi ʻana. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka luaʻi a me ka luaʻi | ʻOi aku ka maʻamau i nā pae mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau. |
| Ka paʻa ʻana o ka ʻōpū | ʻIke pinepine ʻia. |
| Ka hou nui ʻana | - |
| Nā loli i ka makemake a i ʻole ka hana moekolohe | Mai hilahila e kamaʻilio me kāu kauka e pili ana i kēia. |
Leka Lawe-Home
- ʻO Levomilnacipran (Fetzima) kahi lāʻau lapaʻau e mālama ai i ke kaumaha a hoʻopilikia i nā kemika lolo.
- Mai uhaʻi, kuʻi, a nau paha i ke capsule. E ale holoʻokoʻa.
- Mai hoʻōki koke i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā mea hoʻohui lāʻau lapaʻau.
- Inā loaʻa iā ʻoe nā loli o ka naʻau a i ʻole nā manaʻo pepehi iā ʻoe iho i ka hoʻomaka ʻana o ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
- He pilikia ka overdose. E hele koke i ke Kikowaena ʻIke ʻAi Poisons Lahui a i ʻole ka haukapila kokoke loa ʻo ETU .
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