Hiki iā ʻoe a i ʻole kāu keiki ke paʻakikī i ka noho ʻana ma kahi mea hoʻokahi i kekahi manawa, ʻeā? A i ʻole ke manaʻo nei ʻoe e hiamoe wale ana ʻoe i ke ao? E noʻonoʻo, e holo ana kāu keiki i loko o ka papa, ʻaʻole hiki ke noʻonoʻo i kāna mau haʻawina, e hoʻopilikia ana i nā keiki ʻē aʻe, ʻaʻole hana pono i kāna haʻawina home... ʻO kēia ka manawa e ʻike ai nā kauka i ka Attention-Deficit Hyperactivity Disorder (ADHD) a kuhikuhi i ka lāʻau lapaʻau inā pono. A i ʻole e noʻonoʻo e hiamoe koke ʻoe me ka hoʻomalu ʻole ʻia i ka wā e hana ana i ka hana ma ke keʻena a i ʻole ke kalaiwa ʻana i kahi kaʻa. He mea weliweli loa kēia, ʻeā? Ua kapa ʻia kēia he narcolepsy . No ke kōkua ʻana i ia mau kūlana, kuhikuhi pinepine nā kauka i kahi lāʻau i kapa ʻia ʻo (Methylphenidate). No loko kēia o kahi papa o nā lāʻau i kapa ʻia he stimulants . I ka ʻōlelo maʻalahi, hoʻomaikaʻi ia i kou hiki ke noʻonoʻo, kōkua i ka hoʻomalu ʻana i ka hoʻomaha ʻole, nā impulses, a kōkua iā ʻoe e ala. I kēia lā, e kamaʻilio hou mākou e pili ana i kēia lāʻau (Methylphenidate). Loaʻa pū ia ma lalo o ka inoa inoa (Methylin).
He aha kāu e haʻi aku ai i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
ʻAe, i kēia manawa ma mua o ke kuhikuhi ʻana o kāu kauka i kēia lāʻau lapaʻau (Methylphenidate) nāu, he mea nui loa ia e haʻi aku iā ia e pili ana i kou kūlana olakino. No ka mea, ʻaʻole kūpono kekahi poʻe me kekahi mau kūlana olakino no kēia lāʻau lapaʻau, a i ʻole he mau hana palekana kūikawā paha āu e pono ai e lawe. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi aku i kāu kauka, ʻeā?
- Inā loaʻa pinepine iā ʻoe ka hopohopo a i ʻole nā hoʻouka kaua panic .
- Inā he mau pilikia ke kahe o ke koko ma kou mau manamana lima a me kou mau manamana wāwae.
- Inā loaʻa iā ʻoe ka glaucoma .
- Inā he paʻakikī a he ālai ʻia paha nā aʻa koko a i ʻole nā kīʻaha koko o ka puʻuwai .
- Inā he maʻi puʻuwai kou a he kīnā puʻuwai hānau paha .
- Inā he koko kiʻekiʻe kou.
- Inā he moʻolelo kou o nā pilikia me ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona .
- Inā he moʻolelo kou no ka hahau ʻana .
- Inā he maʻi kou i ke akepaʻa .
- Inā he maʻi noʻonoʻo kou.
- Inā loaʻa iā ʻoe nā tics motor ( nā neʻe ʻana o nā ʻāpana kino) a inā he maʻi ko kekahi o kou ʻohana i kapa ʻia ʻo Tourette's syndrome .
- 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 ua loaʻa iā ʻoe kahi hopena maʻamau ʻole a maʻi paha i kēia lāʻau lapaʻau (Methylphenidate), 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 ʻoe e hānai waiū ana .
Ke ʻike ke kauka i kēia mau mea, hiki iā ia ke hoʻoholo pono inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a pehea e hāʻawi ai.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
Loaʻa kēia lāʻau lapaʻau (Methylphenidate) i loko o kahi wai, ʻo ia hoʻi, he syrup. Pono ʻoe e lawe ia mea e like me ke kauoha a kāu kauka, ma ka nui i kauoha ʻia, a ma ka manawa i kauoha ʻia.
- Puna ana: He puna kūikawā a kīʻaha paha kēia (puna a ipu paha i hōʻailona kūikawā ʻia) hiki ke hoʻohana ʻia e ana i ka nui pololei o ka lāʻau lapaʻau. Inā ʻaʻohe āu, e nīnau i ke kauka lāʻau. ʻAʻole anei ʻoe e hoʻohana i nā punetēpē maʻamau a i ʻole nā punetēpē āu e loaʻa nei ma ka home? ʻAʻole lākou e ana i ka nui pololei.
- I ka wā e lawe ai: ʻOi aku ka maikaʻi o ka lawe ʻana i kēia lāʻau lapaʻau 30 a 45 mau minuke ma mua o ka ʻai ʻana . Eia nō naʻe, inā haʻi aku kāu kauka iā ʻoe i kahi ʻē aʻe, e hana pēlā.
- Nā wā maʻamau: E lawe i kāu lāʻau lapaʻau i nā manawa maʻamau o ka lā e like me ke kuhikuhi a kāu kauka. E haʻi aku ka hapa nui o ka poʻe iā ʻoe e lawe i kāu mahele hope loa o ka lā ma ka liʻiliʻi he 4 a 6 mau hola ma mua o ka hiamoe ʻana. A i ʻole, ʻaʻole paha ʻoe e hiamoe.
- Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia: Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia e kāu kauka, a mai lawe pinepine aku.
He pepa kuhikuhi kūikawā (MedGuide): I kēlā me kēia manawa e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe e ka hale kūʻai lāʻau, inā paha i ka wā e loaʻa ai iā ʻoe kahi hoʻopihapiha a i ʻole i kou hele ʻana e kiʻi hou, e hāʻawi ʻia ʻoe i kahi pepa kuhikuhi kūikawā (MedGuide) . Loaʻa iā ia ka ʻike koʻikoʻi loa e pili ana i kēia lāʻau. E hoʻomanaʻo mau e heluhelu pono.
Ke hāʻawi ʻia i nā keiki: Hāʻawi ʻia kēia lāʻau lapaʻau i kekahi manawa i nā keiki ʻōpio a hiki i ka 6 mau makahiki. Eia nō naʻe, aia kekahi mau mea e makaʻala ai i ka hāʻawi ʻana i kāu keiki. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio pono me kāu kauka e pili ana i ia mea a e ʻike i nā kikoʻī.
Overdose: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ka lumi pilikia haukapila kokoke loa .
Nou wale nō kēia lāʻau lapaʻau:He lāʻau lapaʻau kēia a ke kauka i hāʻawi mai ai iā ʻoe. Mai hāʻawi aku i kēia i kekahi. He mea weliweli ia a kūʻē i ke kānāwai.
He aha kāu e hana ai inā e hala 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 nā lāʻau lapaʻau pālua a keu paha i kēlā me kēia manawa.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
Ke lawe ʻoe i kēia lāʻau lapaʻau (Methylphenidate), hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO ia hoʻi, ke lawe pū ʻia me kēlā lāʻau lapaʻau, hiki ke hoʻololi i ke ʻano o kāna hana a hoʻonui paha i kona mau hopena ʻaoʻao.
Mai lawe pū me nā lāʻau lapaʻau aʻe ʻo Methylphenidate:
- Litiuma
- Nā MAOI (e.g. Carbex, Eldepryl, Marplan, Nardil, a me Parnate)
- Nā lāʻau hoʻoulu ʻē aʻe no ka hemahema o ka nānā ʻana, ka pohō kaumaha, a i ʻole e kōkua iā ʻoe e ala
- ʻO Procarbazine
Hiki i kēia mau lāʻau lapaʻau ke launa pū me ka methylphenidate. No laila e haʻi i kāu kauka inā ʻoe e lawe nei i kēia mau mea:
- ʻAtomoxetine
- Kafeina (loaʻa i loko o ke kofe, ke kī, a me kekahi mau mea inu palupalu)
- ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, ka maʻi puʻuwai, a me ka puʻuwai naʻau kūpono ʻole
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka maʻi noʻonoʻo
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hopu ʻana (e like me carbamazepine, phenobarbital, phenytoin)
- ʻO kekahi mau lāʻau lapaʻau no ke anu a i ʻole nā maʻi allergies
- ʻO Warfarin (kahi lāʻau lapaʻau e hōʻemi ai i ke kahe koko)
ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā pilina āpau. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau lāʻau, nā huaora, a me nā mea hoʻohui). E haʻi pū i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai, no ka mea hiki i kēia mau mea ke launa pū me kēia lāʻau lapaʻau.
He aha kāu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e nānā mau me kāu kauka. ʻOiai he lāʻau lapaʻau i kuhikuhi ʻia kēia, pono ʻoe e kiʻi i kahi palapala kauoha hou mai kāu kauka i kēlā me kēia manawa āu e pono ai e hoʻopiha hou.
- Ka nānā ʻana a me ka luhi: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou nānā ʻana a i ʻole e hoʻēmi i kou luhi. No laila, mai hoʻokele kaʻa, holo paikikala, hoʻohana mīkini, a hana paha i nā hana ʻē aʻe e pono ai ka noʻonoʻo ʻana a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Inā emi ka hopena o ka lāʻau lapaʻau:Inā manaʻo ʻoe ʻaʻole e hana pono ana ka lāʻau lapaʻau e like me ka mea e pono ai, a inā manaʻo ʻoe e pono ʻoe e lawe ma mua o ka nui i kuhikuhi ʻia, e haʻi i kāu kauka. Mai hoʻololi i ka nui o ka lāʻau lapaʻau me ka ʻole o ke kamaʻilio ʻana me kāu kauka.
- Ola Kino o nā Kāne: Inā he kāne ʻoe, inā he ʻeha kou kūkulu ʻana ma mua o 4 mau hola, e haʻi koke i kāu kauka. He hōʻailona paha kēia o kahi maʻi koʻikoʻi. Inā ʻaʻole e mālama koke ʻia, hiki ke hōʻeha mau loa.
- Ka nalowale o ka makemake: He mea maʻamau ka nalowale o ka makemake i ka wā e hoʻomaka ai i kēia lāʻau lapaʻau. ʻO ka ʻai ʻana i nā meaʻai liʻiliʻi a pinepine paha e kōkua paha. Inā hoʻomau kou nalowale o ka makemake, e kamaʻilio me kāu kauka. E nānā pinepine kāu kauka i ka ulu a me ke kaumaha o kahi keiki e lawe ana i kēia lāʻau lapaʻau.
- Hiamoe: Mai lawe i kēia lāʻau lapaʻau kokoke i ka wā moe. ʻO ka hana ʻana pēlā e pale aku ai iā ʻoe mai ka hiamoe ʻana.
- ʻOki ʻana a i ʻole nā hoʻāʻo: Inā e hana ʻia ʻoe i ke ʻoki ʻana, kahi MRI, kahi CT scan, a i ʻole kekahi hana lapaʻau ʻē aʻe, e haʻi i kāu kauka e lawe ana ʻoe i kēia lāʻau. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau ma mua o ke kaʻina hana.
- Nā ʻeha a i ʻole nā loli i kou mau manamana lima: Inā ʻike ʻoe i nā ʻeha i wehewehe ʻole ʻia ma kou mau manamana lima a manamana wāwae paha i ka wā e lawe ana i kēia lāʻau lapaʻau, e haʻi koke i kāu kauka . Eia kekahi, e haʻi i kou mau manamana lima inā manaʻo lākou he mae, ʻeha, loli ke kala o ka ʻili, a lilo paha i mea maʻalahi i ka mahana.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau (Methylphenidate) ke hana i nā hopena ʻaoʻao i kekahi poʻe. Akā, ʻaʻole hana nā kānaka a pau. He koʻikoʻi kekahi o lākou a pono ʻoe e haʻi koke i kāu kauka . ʻAʻole koʻikoʻi kekahi o lākou, akā inā hoʻomau lākou, ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka .
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka :
- Nā hopena maʻi: ʻulaʻula o ka ʻili, ka maneʻo, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu.
- Nā loli o ke ʻano o ka puʻuwai: ka puʻuwai wikiwiki a ʻano ʻole paha, ka poniuniu, ka nāwaliwali a i ʻole ke poʻo māmā, ʻeha ka umauma, pilikia ka hanu ʻana.
- Hoʻonui ʻia ke koko.
- Nā loli o ke ʻano a me ke ʻano: hopohopo, hopohopo, huikau, ʻike ʻole ʻia, huhū, ʻenemi, manaʻo e pepehi iā ia iho a i ʻole e hōʻeha iā ia iho, ʻoi aku ka maikaʻi o ke ʻano, nā manaʻo kaumaha.
- Ke kūkulu ʻana i ka wā lōʻihi a ʻeha paha.
- ʻO ka hanana ʻo Raynaud: Lilo nā manamana lima a me nā manamana wāwae i anu, mae, a ʻeha paha, a hiki ke lilo i ke keʻokeʻo, uliuli, a ʻulaʻula paha.
- 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 ʻōlelo aʻoaʻo lapaʻau, akā pono e hōʻike ʻia inā hoʻomau 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 paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e kamaʻilio me kāu kauka no ka ʻōlelo aʻo. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA ma 1-800-FDA-1088.
Pehea lā e mālama ai i kā mākou lāʻau lapaʻau? E noʻonoʻo pū kākou e pili ana i ka palekana.
Pono e mālama ʻia kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona . Hiki ke hoʻohana hewa ʻia kēia lāʻau lapaʻau. No laila, e mālama iā ia ma kahi palekana e pale aku ai mai ka ʻaihue ʻia . Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He mea weliweli a kūʻē i ke kānāwai ke kūʻai aku a hāʻawi aku paha i kekahi.
E mālama ma ka mahana o ka lumi (20 a 25 kekelē Celsius / 68 a 77 kekelē Fahrenheit). E pale mai ka mālamalama a me ka makū. E pani pono i ke poʻi o ka ʻōmole.
He mea nui: Hiki i kēia lāʻau lapaʻau ke make inā lawe ʻia e nā pākeke ʻē aʻe, nā keiki, a i ʻole nā holoholona. No laila, inā he mau lāʻau lapaʻau i koe, e kāwili iā ia me kahi mea e like me ka ʻōpala pōpoki a i ʻole nā mea i wili ʻia i ke kope. A laila e hoʻokomo i loko o kahi ʻeke i hoʻopaʻa paʻa ʻia a i ʻole kahi kini kope me kahi uhi a hoʻolei i loko o ka ʻōpala. Mai hoʻohana i ka lāʻau lapaʻau i hala i kona lā palena pau.
He hōʻuluʻulu manaʻo wale nō kēia pepa. ʻAʻole paha i loko nā ʻike āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole ka mea mālama ola kino.
Nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui kākou e pili ana i ka methylphenidate i kēia lā, ʻeā? I ka pōkole, he lāʻau lapaʻau ia e hoʻomaikaʻi ai i ka nānā ʻana a hoʻemi i ka hopohopo, a hoʻohana ʻia e mālama i nā kūlana e like me ADHD a me Narcolepsy.
- E haʻi i kāu kauka : E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hoʻohana pono: E lawe e like me ka ʻōlelo a kāu kauka iā ʻoe, ma ka nui kūpono, a i ka manawa kūpono. E hoʻohana i kahi mea ana kūikawā.
- E makaʻala i nā hopena ʻaoʻao:Inā ʻike ʻoe i kekahi mau hopena koʻikoʻi, e haʻi koke aku i kāu kauka .
- E mālama pono: E mālama ʻia mai ka hiki ʻana aku o nā keiki. E hoʻolei pono i nā lāʻau lapaʻau i koe.
- E nīnau i nā nīnau: Inā he mau hopohopo a nīnau paha kāu, mai makaʻu e nīnau i kāu kauka a kauka lāʻau paha.
He mea nui loa kou olakino iā ʻoe, no laila he mea nui loa e hahai i kēia mau kuhikuhi.
Methylphenidate , ADHD, Narcolepsy, mea hoʻoulu, nānā, kālele, hyperactivity, nā hopena ʻaoʻao, lāʻau lapaʻau
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo