Ke manaʻo nei ʻoe i kekahi manawa ua piha ʻoe me ka ʻole o ka ʻai ʻana i ka meaʻai? A i ʻole he ʻoluʻolu ʻole kou e like me ke kuni ʻana i ka umauma a i ʻole ka nausea? ʻO Metoclopramide kahi lāʻau lapaʻau a nā kauka e kuhikuhi ai no ia mau maʻi. I kēia lā, e kamaʻilio kākou e pili ana i kekahi mau mea nui e pono ai ʻoe e ʻike e pili ana i kēia lāʻau lapaʻau.
He aha ka mea e hoʻohana ʻia ai kēia lāʻau lapaʻau i kapa ʻia ʻo Metoclopramide?
I ka ʻōlelo maʻalahi, ʻo ka metoclopramide kahi lāʻau lapaʻau e kōkua i kāu ʻōnaehana hoʻoheheʻe e hana pono. Hoʻohana nui ʻia ia i ʻelua mau kūlana.
1. Ka Maʻi Reflux Gastroesophageal (GERD): He ʻano kēia a kākou a pau i ʻike ai e hoʻoulu ai i nā hōʻailona e like me ka ʻāʻī ʻana o ka puʻuwai a me ka ʻono ʻawaʻawa i ka puʻu. Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau inā ʻaʻole hiki i nā lāʻau lapaʻau ʻē aʻe ke kāohi i ke ʻano.
2. Gastroparesis: He kūlana kēia kahi e hoʻokahe pono ʻole ai ka meaʻai i loko o kou ʻōpū a noho mau i loko no ka manawa lōʻihi. E noʻonoʻo, ua piha ʻoe ma hope o ka ʻai ʻana, a hiki i kēia ke hana i nā mea e like me ka nausea a me ka luaʻi. ʻOi aku ka maʻalahi o kēia kūlana i ka poʻe me ka maʻi diabetes.
No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ke kōkua i nā ʻiʻo o kāu ʻōnaehana hoʻoheheʻe e hana pono a hoʻoneʻe i ka meaʻai i lalo o ke ala hoʻoheheʻe me ka wikiwiki. A laila e emi mālie ana nā hōʻailona i ʻōlelo ʻia ma luna e like me ka pehu ʻana, ka nausea, a me ka ʻāʻī.
Ma waho aʻe o kēia, hiki i ke kauka ke hoʻohana i kēia lāʻau lapaʻau i kekahi mau hihia ʻē aʻe. No laila, inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe no kekahi kumu ʻē aʻe, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha e pili ana i ia mea.
He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. ʻO kēia no ka mea ʻaʻole kūpono kekahi poʻe me kekahi mau kūlana olakino no kēia lāʻau lapaʻau, a i ʻole e koi paha i nā hana palekana kūikawā. E nānā inā pili kēia mau mea iā ʻoe:
- Inā loaʻa iā ʻoe ka maʻi ʻaʻai umauma.
- Inā ʻoe e ʻeha nei i ke kaumaha.
- Inā loaʻa iā ʻoe ka maʻi diabetes (Diabetes Mellitus).
- Inā he mea inu mau ʻoe.
- Inā loaʻa iā ʻoe kahi maʻi puʻuwai e like me ka hāʻule ʻana o ka puʻuwai.
- Inā he koko kiʻekiʻe kou.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe ka maʻi o Parkinson a i ʻole nā maʻi neʻe ʻē aʻe.
- Inā loaʻa iā ʻoe kahi puʻupuʻu laha ʻole i kapa ʻia ʻo pheochromocytoma.
- Inā ua loaʻa iā ʻoe nā ʻūlū ma mua.
- Inā loaʻa iā ʻoe kahi maʻi e like me ke ālai ʻana o ka ʻōpū, ke kahe ʻana o ke koko, a i ʻole ka perforation.
- Inā loaʻa iā ʻoe kahi hopena alerika i ka metoclopramide, procainamide, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Inā loaʻa iā ʻoe kekahi o kēia mau mea, he mea nui loa ia e haʻi i kāu kauka i hiki iā ia ke mālama pono iā ʻoe.
Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?
Pono ʻoe e lawe i kēia lāʻau lapaʻau me ke aniani wai. Pono ʻoe e hahai pono i nā kuhikuhi ma ke kauoha i hāʻawi ʻia iā ʻoe e kāu kauka.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia lāʻau lapaʻau ma kahi o 30 mau minuke ma mua o ka ʻai ʻana, ma ka ʻōpū ʻole. ʻO ia ka manawa e hana maikaʻi ai ka lāʻau lapaʻau.
E lawe i kāu lāʻau lapaʻau i nā manawa i kuhikuhi ʻia a me nā wā i kuhikuhi ʻia. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia a i ʻole e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hopena i nā hopena maikaʻi ʻole.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, me kēlā me kēia kauoha a ke hoʻopiha hou ʻoe, hāʻawi lākou iā ʻoe i kahi puke liʻiliʻi kūikawā i kapa ʻia ʻo MedGuide. Pono ʻoe e heluhelu pono i ka ʻike i loko i kēlā me kēia manawa. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi nāu.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea. Pono paha ia i ka mālama kūikawā.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
E ʻoluʻolu, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ke kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia.
ʻO kekahi mea ʻē aʻe, nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi, ʻeā?
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e hōʻalo iā ia. E lawe i ka lāʻau aʻe i ka manawa maʻamau. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau? (Nā Hana like ʻana)
Hiki i kekahi mau mea ke "launa pū" me kēia lāʻau lapaʻau. ʻO ia hoʻi, hiki iā lākou ke hoʻopili kekahi i kekahi. No laila he mea nui loa e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei. E nānā e ʻike inā ʻoe e lawe ana i kekahi o kēia mau mea:
- ʻAila
- Nā ʻano antihistamines no nā maʻi allergies, coughs, a me ke anu
- ʻAtovaquone
- ʻAtropine
- ʻO Bupropion
- ʻO kekahi mau lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
- ʻO kekahi mau lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi (e like me Oxybutynin, Tolterodine)
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha a i ʻole nā maʻi noʻonoʻo ʻē aʻe
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi o Parkinson
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hopu ʻana (e.g., phenobarbital, primidone)
- ʻO kekahi mau lāʻau lapaʻau no nā pilikia o ka ʻōpū (e.g., dicyclomine, hyoscyamine)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi neʻe (e.g., Scopolamine)
- ʻO Cyclosporine
- ʻO Digoxin
- ʻO Fosfomycin `(Fosfomycin)`
- Nā lāʻau lapaʻau anesthesia (e.g., Halothane, Isoflurane)
- ʻO ka insulin a me nā lāʻau ʻē aʻe no ka maʻi diabetes
- ʻIpratropium
- Nā MAOI (e.g. Carbex, Eldepryl)
- Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana
- Lāʻau hoʻopau ʻeha opioid
- ʻO Paroxetine
- Nā Phenothiazines (e.g., chlorpromazine, prochlorperazine)
- ʻO Posaconazole `(Posaconazole)`
- Kuinidina
- ʻO Sirolimus
- ʻO Takrolimus
ʻAʻole paha piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā huahana lāʻau lapaʻau, nā huaora), a me ka puhipaka ʻana, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
Hiki ke hala kekahi mau pule no ka hoʻōla ʻana o kou ʻeha ʻōpū. Eia naʻe, mai lawe i kēia lāʻau lapaʻau no nā pule he 12 a ʻoi aku. ʻO ka lōʻihi o kou lawe ʻana i kēia lāʻau lapaʻau, a ʻo ke kiʻekiʻe o ka nui, ʻo ka nui o ka loaʻa ʻana o nā hopena ʻaoʻao koʻikoʻi. Loaʻa iā ʻoe ka pilikia o nā hopena ʻaoʻao mai kēia lāʻau lapaʻau inā ʻoe ma luna o 65 mau makahiki, inā he wahine ʻoe, a inā he maʻi diabetes kou .
Inā ʻike ʻoe i nā neʻe hiki ʻole ke kāohi ʻia i ka wā e lawe ana i kēia lāʻau lapaʻau (e like me ke kuʻi ʻana o ka lehelehe, ka neʻe ʻana o ke alelo ma ʻō a ma ʻaneʻi, nā neʻe ʻana o nā maka, ke poʻo, a i ʻole nā lālā i kāohi ʻole ʻia, a i ʻole ka ʻūlū ʻana o nā ʻiʻo a i ʻole ka ʻūlū ʻana), ua kapa ʻia kēia he mau hōʻailona extrapyramidal (EPS) . Inā ʻike ʻoe i kekahi o kēia mau mea, pono ʻoe e haʻi koke i kāu kauka.
Eia kekahi, inā ʻike ʻoe a i ʻole kou ʻohana e ʻoi aku ka ʻino o kou kaumaha, ke loaʻa nei iā ʻoe nā manaʻo pepehi iā ʻoe iho, a i ʻole ke ʻike koke nei ʻoe i kahi loli nui i kou ʻano (e.g., ke hopohopo mau nei i nā manawa a pau, ka huhū maʻalahi, ka hoʻomaha ʻole, ka pilikia hiamoe), ʻoiai ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau a ma hope paha o ka hoʻololi ʻana i ka nui o ka lāʻau, e haʻi i kāu kauka.
Inā loaʻa iā ʻoe ke kuni kiʻekiʻe, mai hoʻāʻo e mālama iā ʻoe iho. E ʻimi i ka ʻōlelo aʻo a kāu kauka.
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a me ka poniuniu.Hiki paha iā ʻoe ke manaʻo i ka poniuniu. No laila, mai hoʻokele, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ke makaʻala a hiki i kou ʻike pono ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe. Mai kū koke a noho paha i luna, ʻoiai inā he ʻelemakule ʻoe. E hōʻemi kēia i ka pilikia o ka poniuniu a me ka hāʻule ʻana. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia hiamoe a me ka poniuniu. No laila e pale i ka inu ʻana i ka waiʻona.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau? (Nā hopena ʻaoʻao)
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi loa kekahi.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, 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.
- ʻO ka Neuroleptic Malignant Syndrome paha e komo pū me: ke kuni nui, ka ʻoʻoleʻa o nā ʻiʻo, ka hou nui, ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole, a me ka huikau.
- Nā hōʻailona o nā pae prolactin kiʻekiʻe: Ka ulu ʻana o ka umauma i makemake ʻole ʻia, ka hoʻokahe ʻana o ka nipple, nā loli i ka makemake moekolohe a i ʻole ka hana ʻana, a me nā pōʻaiapuni menstrual maʻamau ʻole i nā wahine.
- Hoʻonui ʻia ke koko.
- Ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae.
- Nā manaʻo e pepehi iā ʻoe iho a i ʻole e hōʻeha iā ʻoe iho, ka ʻino ʻana o ke kūlana noʻonoʻo, nā manaʻo kaumaha.
- Nā Hōʻailona Extrapyramidal (EPS): Nā hōʻailona e like me nā neʻe kino i hiki ʻole ke kaohi a hana hou ʻia, ka ʻoʻoleʻa o nā ʻiʻo a i ʻole ka neʻe ʻana, ka haʻalulu, ka nalowale o ke kaulike, ka hoʻomaha ʻole, a me ka huki ʻana o nā wāwae i ka wā e hele ai.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
- Pōʻino
- Hiamoe
- Luhi
- ʻEha poʻo
- Ka paʻakikī e hiamoe ana
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e nīnau i kāu kauka e pili ana i ia mea.
Pehea ʻoe e mālama pono ai i kēia lāʻau lapaʻau?
E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona .
E mālama ma ka mahana o ka lumi (20 a 25 kekelē Celsius, 68 a 77 kekelē Fahrenheit), pale ʻia mai ka mālamalama, a e pani paʻa i ka ʻōmole i loko o kahi pahu ea paʻa. E hoʻolei aku i nā lāʻau lapaʻau i pau ka lāʻau.
Kekahi mau mea aʻu e manaʻo nei he mea nui iā ʻoe (Leka Lawe-Home)
He lāʻau lapaʻau ʻo Metoclopramide e hiki ke kōkua i kekahi o kāu mau pilikia ʻōpū. Eia nō naʻe, aia kekahi mau mea āu e pono ai e makaʻala i ka wā e hoʻohana ai.
- E lawe mau i kāu lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka. E hahai pono i ka nui o ka lāʻau, ka manawa, a me ka lōʻihi o kāu lāʻau lapaʻau.
- 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 makaʻala i nā hopena ʻaoʻao. ʻOi loa aku inā ʻike ʻoe i nā neʻe hiki ʻole ke kāohi ʻia (EPS) i ʻōlelo mua ʻia a i ʻole nā loli noʻonoʻo, e haʻi koke i kāu kauka .
- E hōʻalo loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
- Mai hoʻohana mau i kēia lāʻau lapaʻau no nā pule he 12 a ʻoi aku, ke ʻole i kuhikuhi pono ʻia e kāu kauka.
Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka, kauka lāʻau a mea mālama ola paha. He mea nui loa kou olakino iā ʻoe!
ʻO Metoclopramide, gastroparesis, reflux, mumū o ka umauma, nausea, nā hopena ʻaoʻao, ʻike lāʻau lapaʻau
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