Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole hiki i kāu keiki ke noho mālie a ʻaʻole hana iki i kahi hana home, ke hoʻoluliluli mau nei, a ʻaʻole hoʻolohe i kāu ʻōlelo? A i ʻole, loaʻa paha i kekahi poʻe mākua ka maʻa o ka ʻai ʻana i ka nui o ka meaʻai i ka manawa hoʻokahi, ʻaʻole hiki ke kāohi i ka nui o ka meaʻai a lākou e ʻai ai. ʻO kekahi o nā lāʻau lapaʻau a nā kauka e ʻōlelo ai no ia mau kūlana ʻo Lisdexamfetamine. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau me nā kikoʻī hou aku, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.
He aha ke ʻano o ka lāʻau lapaʻau ʻo Lisdexamfetamine?
I ka ʻōlelo maʻalahi, ʻo ka lisdexamfetamine kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka Attention-Deficit Hyperactivity Disorder (ADHD) . Ua ʻike paha ʻoe he mau keiki (a i kekahi manawa he poʻe ʻōpio) he hoʻomaha ʻole, hoʻoluliluli, pilikia i ka noʻonoʻo ʻana, a pilikia hoʻi i ka hoʻolohe ʻana i nā hana kula. Kuhikuhi nui ʻia kēia lāʻau lapaʻau i ka poʻe me kēia mau hōʻailona.
ʻAʻole wale ia, aia kekahi hihia kūikawā kahi e hoʻohana ʻia ai kēia lāʻau. ʻO ia hoʻi, Binge Eating Disorder . I kēia hihia, ʻaʻole hiki i ke kanaka ke kāohi i ka nui o ka meaʻai a lākou e ʻai ai a ʻai mau i ka nui o ka meaʻai. Hoʻohana ʻia ʻo Lisdexamfetamine no kēia kūlana.
Hana kēia lāʻau lapaʻau ma ka hoʻololi ʻana i ka hana o kekahi mau kemika (neurotransmitters) i loko o ko kākou lolo. Penei e hōʻemi ai i nā mea e like me ka hyperactivity, ka hana impulsive, a hoʻonui i ka hiki ke kālele. No ka papa o nā lāʻau lapaʻau i kapa ʻia he stimulants kēia lāʻau lapaʻau.
E hoʻomanaʻo, hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kumu ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
Loaʻa pinepine kēia lāʻau lapaʻau ma kekahi mau ʻāina ma lalo o ka inoa inoa ʻo Vyvanse .
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
ʻAe, he mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e hoʻohana i ka lisdexamfetamine, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei. ʻO kēia no ka mea a laila hiki i kāu kauka ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ai.
Eia kēlā mau kūlana:
- Inā ʻike pinepine ʻoe i ka hopohopo nui a i ʻole nā hōʻeha panic .
- Inā he mau pilikia ke kahe koko ma kou mau manamana lima a me kou mau manamana wāwae (e laʻa, ua mae kou mau manamana lima, polū, a mae paha).
- Inā loaʻa iā ʻoe ka glaucoma, kahi maʻi e hoʻonui ai ke kaomi i loko o nā maka.
- Inā he paʻakikī a paʻa paha nā aʻa koko ma muli o nā waihona momona i loko o nā kīʻaha koko a inā he pilikia me nā kīʻaha koko o ka puʻuwai.
- Inā he maʻi puʻuwai kou a he kīnā puʻuwai hānau paha.
- Inā he koko kiʻekiʻe kou.
- Inā ua hoʻohana mua ʻoe i nā lāʻau lapaʻau a i ʻole ka waiʻona (Mōʻaukala o kahi pilikia hoʻohana lāʻau lapaʻau a waiʻona paha) .
- Inā ua loaʻa iā ʻoe kahi hahau ma mua.
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe kahi maʻi noʻonoʻo (e.g., bipolar disorder, schizophrenia )
- Inā loaʻa iā ʻoe nā kūlana e like me ka hopu ʻana a i ʻole ka hoʻopūʻiwa.
- Inā ua loaʻa iā ʻoe nā manaʻo, nā hoʻolālā, a i ʻole nā hoʻāʻo pepehi kanaka , a inā ua hana kekahi o kou ʻohana pēlā.
- Inā he maʻi thyroid kou.
- Inā loaʻa iā ʻoe ka Tourette's syndrome (kahi kūlana e hoʻoulu ai i nā neʻe a i ʻole nā leo koke a hiki ʻole ke kaohi).
- Inā ua loaʻa iā ʻoe kahi hopena maʻamau ʻole a maʻi paha i ka lisdexamfetamine, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe .
Mai hilahila i ka ʻōlelo ʻana i kēia mau mea. He mea nui loa kēia ʻike no kou palekana a no ka loaʻa ʻana o ka mea nui loa mai kāu lāʻau lapaʻau.
ʻAe, e nānā kākou pehea e hoʻohana pono ai i kēia lāʻau lapaʻau.
Loaʻa pinepine kēia lāʻau lapaʻau ma ke ʻano he capsule . Lawe ʻia ma ka waha.
- Pono ʻoe e lawe i ka lāʻau lapaʻau i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, ma ke ʻano i kuhikuhi ʻia, e like me ke kauoha a kāu kauka.
- E ale i ke capsule me ke aniani wai.
- I kekahi manawa, inā paʻakikī iā ʻoe ke ale i ke capsule, hiki iā ʻoe ke wehe mālie i ke capsule, ninini i ka pauka i loko o ke aniani wai, hoʻowali maikaʻi, a inu koke . Eia nō naʻe, ʻoi aku ka maikaʻi o ke noi mua ʻana i kāu kauka a kauka lāʻau paha no ka ʻōlelo aʻo.
- E lawe i kāu lāʻau lapaʻau e like me ke kauoha. Mai lawe i nā lāʻau lapaʻau ma mua o ka mea a kāu kauka e ʻōlelo ai, a i ʻole e lawe pinepine.
- ʻAʻole maikaʻi ka hoʻōki koke ʻana i ka lawe ʻana i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hiki ai ke hopena i ka haʻalele ʻana. No laila, inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hana pēlā e like me ke kuhikuhi a kāu kauka, e hoʻēmi mālie ana i ka nui.
- E hāʻawi ka hale kūʻai lāʻau lapaʻau kahi āu e loaʻa ai kāu lāʻau lapaʻau iā ʻoe i kahi pepa ʻike kūikawā (MedGuide) e pili ana i kēia lāʻau lapaʻau. E heluhelu pono i kēlā me kēia manawa āu e loaʻa ai kāu lāʻau lapaʻau, a i kēlā me kēia manawa āu e loaʻa ai kahi hoʻopihapiha. Loaʻa iā ia ka ʻike koʻikoʻi.
Inā hāʻawi ʻoe i kēia lāʻau lapaʻau i nā keiki:
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau i nā keiki e like me 6 mau makahiki no kekahi mau kūlana. Eia nō naʻe, aia nā hana palekana kūikawā. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki, e kamaʻilio pono me ke kauka a wehewehe i nā mea āpau.
Ka nui o ka lāʻau:
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka lumi pilikia o ka haukapila kokoke loa, a i ʻole e kelepona i kahi kikowaena kaohi lāʻau make .
ʻO ka mea nui loa: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi no kekahi kumu . He mea weliweli a kūʻē i ke kānāwai ka hana ʻana pēlā.
He aha kaʻu e hana ai inā poina iaʻu ke lawe i kahi lāʻau?
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 nā lāʻau lapaʻau pālua a keu paha e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
He aha nā lāʻau lapaʻau ʻē aʻe e pono ʻole e hoʻohana pū ʻia me kēia lāʻau lapaʻau, a he aha nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻopilikia i nā hopena ʻaoʻao?
He mea nui loa kēia. Ke lawe ʻia ka lāʻau lisdexamfetamine me kekahi mau lāʻau lapaʻau ʻē aʻe, hiki iā lākou ke hana i nā hopena maikaʻi ʻole a i ʻole e hoʻopilikia i ka pono o ka lāʻau.
Mai lawe i ka lisdexamfetamine me nā lāʻau lapaʻau aʻe:
- Nā lāʻau lapaʻau i loko o ka papa o nā lāʻau i kapa ʻia ʻo MAOIs (Monoamine Oxidase Inhibitors) (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate). Inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau, ʻaʻole ia e ʻōlelo ʻia e hoʻomaka i ka lisdexamfetamine a hiki i ʻelua pule ma hope o ka hoʻōki ʻana.
- Nā lāʻau hoʻoulu ʻē aʻe no ka hemahema o ka nānā ʻana, ka pohō kaumaha, a i ʻole e kōkua iā ʻoe e ala.
Eia kekahi, hiki i nā lāʻau lapaʻau e hiki mai ana ke launa pū me ka lisdexamfetamine:
- ʻAsetazolamide
- ʻAmonium chloride
- Nā Antacids - nā lāʻau lapaʻau no ka gastritis
- ʻAkika ascorbic - Wikamina C
- ʻAtomoxetine
- Caffeine - loaʻa i loko o ke kofe, ke kī, a me kekahi mau mea inu palupalu
- ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo ʻē aʻe
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi epilepsy (e like me Carbamazepine, Phenobarbital, Phenytoin)
- ʻO kekahi mau lāʻau lapaʻau no nā pilikia ʻōpū (e like me Cimetidine , Famotidine, Omeprazole, Lansoprazole)
- ʻO kekahi mau lāʻau lapaʻau no ke anu a i ʻole nā maʻi allergies
- Kī ʻōmaʻomaʻo
- ʻO Levodopa
- ʻO Linezolid - he lāʻau antibiotic
- Nā mea hoʻomaha i ka wā o ke ʻoki kino
- Methenamine
- ʻO Norepinephrine
- Nā Phenothiazines (e.g. Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine)
- ʻO Propoxyphene
- ʻAkika sodium phosphate
- Sodium bicarbonate
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (kauoha, kūʻai ʻole ʻia, lāʻau lapaʻau, huaora, a me nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kēia lāʻau.
He aha nā mea e pono ai mākou e makaʻala nui i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAe, pono ʻoe e akahele iki i ka wā e lawe ai i kēia lāʻau lapaʻau.
- Nā nānā maʻamau: E hele i kāu kauka i nā manawa maʻamau e like me ke kuhikuhi a kāu kauka. Aia paha kekahi mau kaʻina hana kūikawā āu, kāu kauka , a me ka hale kūʻai lāʻau lapaʻau e pono ai e hahai i ke kuhikuhi ʻana i kēia lāʻau. No ka laʻana, pono paha ʻoe e kiʻi i kahi palapala kauoha hou mai kāu kauka i kēlā me kēia manawa āu e pono ai e hoʻopiha hou.
- Hoʻolohe: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou noʻonoʻo ʻana a i ʻole e hoʻēmi i kou luhi. No laila, mai hoʻokele kaʻa, holo paikikala, hoʻohana mīkini, a hana paha i kekahi mea e pono ai ʻoe e makaʻala loa a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Inā ʻaʻole e hana pono ana ka lāʻau lapaʻau: Inā manaʻo ʻoe ʻaʻole e hana pono ana ka lāʻau lapaʻau, a inā manaʻo ʻoe e pono ʻoe e lawe i ʻoi aku ma mua o ka nui i kauoha ʻia e kāu kauka, e kamaʻilio koke me kāu kauka. Mai hoʻololi i ka nui o kāu lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.
- Ka nalowale o ka makemake: He mea maʻamau ka ʻike ʻana i ka emi ʻana o ka makemake i ka wā e hoʻomaka ai i kēia lāʻau lapaʻau. Hiki iā ʻoe ke hana a puni kēia ma ka ʻai ʻana i nā meaʻai liʻiliʻi a pinepine paha. Inā hoʻomau ʻoe i ka nalowale o ka makemake, e kamaʻilio me kāu kauka. Inā ke lawe nei kekahi keiki i kēia lāʻau lapaʻau, e nānā mau ke kauka i ke kiʻekiʻe a me ke kaumaha o ke keiki.
- Nā hopena i ka hiamoe: Hiki i kēia lāʻau lapaʻau ke paʻakikī i ka hiamoe inā lawe ʻia i ka pō. No laila, mai lawe i kēia lāʻau lapaʻau i ka pō.
- ʻO ke ʻoki kino a i ʻole nā hoʻokolohua lapaʻau ʻē aʻe: Inā e hana ʻia ʻoe i ke ʻoki kino, kahi MRI, kahi CT scan, a i ʻole kekahi hana lapaʻau ʻē aʻe, e hōʻoia e haʻi i kāu kauka e lawe ana ʻoe i kēia lāʻau. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau no kekahi manawa ma mua o ke kaʻina hana.
- Nā pilikia manamana lima:E haʻi koke aku i kāu kauka inā loaʻa iā ʻoe nā ʻeha i wehewehe ʻole ʻia ma kou mau lima, nā wāwae, a i ʻole nā manamana lima i ka wā e lawe ana i kēia lāʻau lapaʻau. Eia kekahi, e haʻi aku i kāu kauka inā e mae kou mau manamana lima, ʻeha, loli ke kala o ka ʻili, a i ʻole e lilo i mea ʻike i ka mahana. He hōʻailona paha kēia o ka hanana ʻo Raynaud .
Aia kekahi mau hopena ʻaoʻao? He aha lākou?
E like me nā lāʻau lapaʻau āpau, hiki i ka lisdexamfetamine ke hana i nā hopena ʻaoʻao i kekahi poʻe. Mai hopohopo, ʻaʻole e loaʻa i nā kānaka a pau. Inā loaʻa iā lākou, ʻaʻole koʻikoʻi kekahi o lākou a e nalo ma hope o kekahi mau lā.
Eia nō naʻe, inā loaʻa iā ʻoe kekahi o nā hopena ʻaoʻao ma lalo nei, pono ʻoe e haʻi i kāu kauka i ka wā hikiwawe loa:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu.
- Nā loli o ke ʻano o ka puʻuwai: Puʻuwai wikiwiki a ʻano ʻole paha, poniuniu, nāwaliwali a māmā paha ke poʻo, ʻeha ka umauma, pilikia ka hanu ʻana.
- Hoʻonui ʻia ke koko.
- Nā loli o ke ʻano a me ke ʻano: Hopohopo, Hopohopo, Huikau, Hōʻikeʻike ʻino, Huhū, ʻIno, Manaʻo e pepehi iā ia iho a i ʻole e hōʻeha iā ia iho, ʻAno ʻino aʻe, Manaʻo kaumaha.
- ʻEha a lōʻihi paha ke kūkulu ʻana (no nā kāne)
- ʻO ka hanana ʻo Raynaud: ke anu, ka mae ʻole, ka ʻeha, a me ke kala ʻulaʻula, polū, a ʻulaʻula paha o nā manamana lima.
- Hahau ʻana i nā mākua: Ka mae koke ʻana a i ʻole ka nāwaliwali o ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka huikau, ka paʻakikī i ka hele ʻana, ka nalowale o ke kaulike, ka poniuniu, ka ʻeha poʻo nui, nā loli o ka ʻike.
Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:
- Hopohopo, hopohopo
- ʻIke pōwehiwehi
- ʻEha poʻo
- Ka nalowale o ka makemake
- Ka luaʻi
- Pilikia i ka hiamoe ʻana
- Ka emi ʻana o ke kaumaha
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e mālama pono ai i kēia lāʻau lapaʻau?
He mea nui loa hoʻi kēia.
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku.
- ʻO kēia lāʻau lapaʻauHiki ke hoʻohana hewa ʻia . No laila, e mālama i kāu lāʻau lapaʻau ma kahi palekana e pale aku ai mai ka ʻaihue ʻia .
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He mea weliweli ke kūʻai aku a hāʻawi aku paha i kēia lāʻau lapaʻau i kekahi poʻe ʻē aʻe a kūʻē i ke kānāwai.
- E mālama ma ka mahana o ka lumi , ma waena o 15°C a me 30°C. E pale mai ka mālamalama. E pani paʻa i ka ʻōmole/ʻeke lāʻau.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei pono iā lākou.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana iā Lisdexamfetamine, ʻeā? Hiki i kēia lāʻau lapaʻau ke kōkua i nā kūlana e like me ADHD a me Binge Eating Disorder. Akā he mea nui e hoʻohana pono ia e like me ke kuhikuhi a kāu kauka.
E hoʻomanaʻo, no ka ʻike laulā wale nō kēia ʻatikala. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa e pili ana i kou kūlana kikoʻī. No laila, ʻaʻohe mea āu e hopohopo nei, mai kānalua e kamaʻilio me kāu kauka. He mea nui kou olakino iā ʻoe e like me mākou!
Manaʻolana wau he mea pono kēia ʻike nou. E ola kino!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau anei ʻo Lisdexamfetamine (Vyvanse) e hoʻonui ai i ka nānā ʻana o nā keiki?
ʻAe! He lāʻau hoʻoulu mana loa kēia! Hāʻawi nui ʻia kēia i nā keiki a me nā mākua me ADHD (Attention Deficit Hyperactivity Disorder). Ke hāʻawi ʻia kēia i ka poʻe i hoʻopuehu ʻia, hoʻoluliluli, a pilikia i ka noho ʻana ma kahi hoʻokahi, hoʻonui ia i nā kemika i loko o ka lolo (Dopamine, Norepinephrine), e hoʻolilo iā lākou i mālie loa a hiki ke kālele i hoʻokahi hana.
💬 No ke aha i hāʻawi ʻia ai kēia no ka Binge Eating Disorder (BED)?
ʻO ia kekahi pōmaikaʻi nui o kēia lāʻau lapaʻau! He maʻi noʻonoʻo ʻo BED kahi āu e ʻai ai me ka hoʻomalu ʻole a me ka hoʻomalu ʻole i ka wā ʻaʻole ʻoe e pōloli, akā i ka wā e kaumaha ai ʻoe a kaumaha paha. Ke lawe ʻoe iā Vyvanse (lisdexamfetamine), ua kāohi loa ʻia ka makemake o ka lolo no ka meaʻai. ʻO kēia ka mea e maʻalahi ai i ka mea maʻi ke kāohi i kā lākou ʻai ʻana.
💬 Hiki i kēia lāʻau lapaʻau ke hoʻopilikia? He aha nā hopena ʻaoʻao?
Aia kēia lāʻau lapaʻau (Vyvanse) i loko o ka papa Amphetamine, no laila he kiʻekiʻe kona hiki ke hoʻomāinoino ʻia (inā hoʻohana ʻia ma ke ʻano he pauka/hoʻomāinoino ma kahi o nā pila). ʻO nā hopena ʻaoʻao e komo pū me ka pohō kaumaha i nā keiki (ma muli o ka nele o ka makemake), ka hiamoe ʻole, a me ka wikiwiki o ka puʻuwai. No laila, he lāʻau lapaʻau kēia i hāʻawi wale ʻia ma lalo o ka nānā pono ʻana a me ke kauoha a ke kauka!
ʻO Lisdexamfetamine, Lisdexamfetamine, ADHD, Ka maʻi hoʻoikaika kino nele i ka nānā ʻana, Ka maʻi ʻai nui ʻana, ʻAi nui ʻana, Nā mea hoʻoulu, Nā mea hoʻoulu, Vyvanse
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