Pono anei ʻoe e noho me ka ʻeha, ka ʻoʻoleʻa a me ka luhi mau ma kou kino holoʻokoʻa? Ua kapa paha kāu kauka i kēia maʻi he fibromyalgia . He maʻi hoʻonāukiuki loa ia. No laila, hoʻokahi lāʻau lapaʻau kūikawā a nā kauka e ʻōlelo nei e kōkua iā ʻoe i nā manawa e like me kēia ʻo Milnacipran. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, pehea e hana ai, ka mea hiki iā ia ke hana a me nā mea āu e makaʻala ai, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.
He aha ke ʻano lāʻau lapaʻau ʻo Milnacipran?
I ka ʻōlelo maʻalahi, ʻo Milnacipran kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i kou maʻi Fibromyalgia . No loko ia o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo SNRI (Serotonin-Norepinephrine Reuptake Inhibitor). Mai noʻonoʻo, "Auē, he aha kēia huaʻōlelo nui?" E wehewehe maʻalahi wau.
E noʻonoʻo he mau ʻelele liʻiliʻi i loko o ko kākou lolo e lawe ana i nā leka i mua a i hope. Kāhea mākou iā lākou he mau neurotransmitters. ʻO Serotonin lāua ʻo Norepinephrine ʻelua o kēia mau ʻelele koʻikoʻi loa. Kōkua lākou i ka mālama ʻana i ko kākou ʻano hauʻoli a kaohi i ka ʻeha. Hiki i ka poʻe me fibromyalgia ke loaʻa kekahi mau loli i ka hana a kēia mau ʻelele.
No laila, ʻo ka mea a Milnacipran e hana ai, ʻo ia ka hoʻonui ʻana i nā pae o kēia serotonin a me norepinephrine i loko o ka lolo, kahi e kōkua ai i ka hoʻomalu ʻana i ke ʻano o kou manaʻo i ka ʻeha a me kou ʻano. No laila, e hoʻomaka mālie ka ʻeha a me nā ʻoluʻolu ʻole ʻē aʻe āu e manaʻo ai e emi.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana iā Milnacipran, pono ʻoe e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. Mai hūnā i kekahi mea no ka mea he mea liʻiliʻi ia. No ka mea, hiki i kēlā mau mea liʻiliʻi ke hoʻopilikia i kāu lāʻau lapaʻau.
Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma ka papa ma lalo nei, e ʻoluʻolu e haʻi i kāu kauka e pili ana i ia mea.
| Kūlana a maʻamau paha | No ke aha he mea nui kēlā? |
|---|---|
| Nā maʻi koko | Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i ka pilikia o ke kahe ʻana o ke koko. |
| Inā inu pinepine ʻoe i ka waiʻona | Hiki ke hoʻonui ʻia ka hōʻino ʻana o ke akepaʻa a me nā hopena ʻaoʻao ʻē aʻe. |
| Ke kūlana Glaucoma | Hiki iā ia ke hoʻonui i ke kaomi o nā maka. |
| Maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi puʻuwai | Hiki i kēia lāʻau lapaʻau ke hoʻololi i ke koko a me ka helu o ka puʻuwai. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Pono paha e hoʻololi i ka nui o ka lāʻau no ka mea e pili ana ia i ka hoʻopau ʻana o ka lāʻau lapaʻau mai ke kino. |
| Mania a i ʻole nā kūlana bipolar | E piʻi aʻe ana paha kēia mau kūlana. |
| Nā maʻi prostate | Hiki ke paʻakikī ka mimi ʻana. |
| Inā loaʻa iā ʻoe kahi maʻi hopu | Hiki ke piʻi aʻe ka pilikia. |
| Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā manaʻo pepehi kanaka | He mea nui loa kēia. Pono ʻoe e makaʻala loa e pili ana i kēia mau manaʻo i nā pae mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. |
| Inā ua lawe ʻoe i kahi lāʻau MAOI i loko o nā lā 14 i hala | Hiki i kēia ke hana i kahi hopena weliweli loa. |
| Inā ʻoe e ho'āʻo nei e hāpai, ua hāpai, a he makuahine hānai paha | E hōʻoia e hoʻomaopopo i kāu kauka e pili ana i kēia. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
Pono e lawe waha ʻia kēia lāʻau lapaʻau me ke aniani wai. Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā huhū ʻoe, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai. E hōʻoia e lawe i ka nui i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia, e like me ke kauoha a ke kauka . Mai hoʻonui a hoʻēmi paha i ka nui e like me kou manaʻo, a i ʻole e lawe pinepine ma mua o ke kauoha.
ʻO ka mea nui loa, ʻo ka hoʻōki koke ʻana i kēia lāʻau lapaʻau hiki ke hana i nā hopena ʻaoʻao koʻikoʻi. A i ʻole e ʻoi aku ka ʻino o kou maʻi fibromyalgia. No laila, mai hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Mai hopohopo. E hōʻalo i ka lāʻau i hala ʻole a lawe i ka lāʻau lapaʻau e like me ka mea maʻamau i ka wā kūpono. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi. Inā hana kēia, e nīnau i kāu kauka.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
E hoʻomanaʻo hoʻi, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi, ʻoiai inā like ko lākou mau hōʻailona me kāu. Hiki ke lilo i mea weliweli.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
He lāʻau lapaʻau ʻo Milnacipran e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, no laila he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui).
Mai lawe pū me kēia lāʻau lapaʻau ʻo Milnacipran.
ʻAʻole loa ʻoe e hoʻohana iā Milnacipran inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau: Hiki iā ia ke hana i nā hopena koʻikoʻi, a hiki ke hoʻoweliweli i ke ola.
- nā lāʻau MAOI (e like me Marplan, Nardil)
- Linezolid
- Polū Methylene (intravenous)
- ʻO nā SNRI ʻē aʻe e like me Duloxetine, Desvenlafaxine, Venlafaxine, Levomilnacipran
Hiki ke loaʻa nā pilikia me kēia lāʻau lapaʻau.
Hiki i nā lāʻau lapaʻau ma lalo nei ke launa pū me Milnacipran. No laila, e hoʻomaopopo pono i kāu kauka e pili ana i kēia mau mea.
- ʻO ka Aspirin a me nā lāʻau ʻeha ʻeha like
- Nā lāʻau ʻeha ʻano NSAIDS (e.g. Ibuprofen, Naproxen)
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin, Enoxaparin)
- ʻO kekahi mau lāʻau migraine (Triptans)
- Nā lāʻau lapaʻau ʻē aʻe no ka maʻi noʻonoʻo
- Tramadol, Lithium, Tryptophan
- ʻO ka mea hoʻohui lāʻau lapaʻau ʻo St. John's Wort
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
E makaʻala nui: Ke hoʻomaka mua ʻoe e hoʻohana i kēia lāʻau lapaʻau a i ʻole ke hoʻololi ʻoe i ka nui o ka lāʻau, e makaʻala pono no nā loli hou a i ʻole ka ʻino ʻana o ka naʻau, nā manaʻo pepehi kanaka, ka hoʻonāukiuki, a i ʻole ka hopohopo iā ʻoe iho a i ʻole kou ʻohana. Inā hana kēia , e kāhea koke i kāu kauka. He mea nui loa kēia.
- Ke koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui i ke koko. E noi paha kāu kauka iā ʻoe e nānā mau i kou koko.
- Pōniuniu: 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 kēia lāʻau lapaʻau iā ʻoe. No ka hōʻemi ʻana i ka pōniuniu a me ke poʻo māmā, e ala mālie mai kahi noho a i ʻole mai kahi moe. Hiki ke hoʻonui ʻia kēia kūlana ma ka inu ʻana i ka waiʻona.
- Waha maloʻo: He hopena maʻamau ka waha maloʻo. Hiki ke mālama ʻia kēia ma ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai he nui.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Milnacipran ke hana i nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, a he ʻoluʻolu kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Ke kahe koko ʻano ʻē | Nā ʻōpala ʻeleʻele e like me ke kope a i ʻole ke koko, e luaʻi ana i ke koko, ka mimi ʻulaʻula/ʻeleʻele, a me nā kiko ʻulaʻula/poni liʻiliʻi ma ka ʻili. |
| Nā loli i ka helu o ka puʻuwai | Ke manaʻo nei e kuʻi wikiwiki ana kou puʻuwai, e paʻa ana ka umauma. |
| ʻO ka maʻi Serotonin | Hoʻomaha ʻole, huikau, hou nui, kuni, ʻoʻoleʻa a ʻūlū paha nā ʻiʻo, luaʻi, kahe koko. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, melemele o nā maka a i ʻole ka ʻili, mimi melemele/ʻeleʻele. |
| Nā hōʻailona o ka haʻahaʻa o ka sodium i ke kino | Nāwaliwali o nā ʻiʻo, luhi loa, ʻeha poʻo, huikau. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā ʻūlū, ʻeha koke o nā maka, ʻike pohihihi, manaʻo pepehi iā ia iho, paʻakikī i ka mimi. |
Nā hopena ʻaoʻao i maʻa mau ʻole i koʻikoʻi
E nalo pinepine kēia i loko o kekahi mau lā. Akā inā hoʻomau lākou, a inā hoʻopilikia nui lākou iā ʻoe, e haʻi i kāu kauka.
- Ka luaʻi, ka luaʻi
- Ka paʻa ʻana o ka ʻōpū
- Waha maloʻo
- Pōʻino
- Ka hou nui ʻana
- Nā loli i ka makemake a i ʻole ka hana moekolohe
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Milnacipran i hoʻohana ʻia e mālama i ka fibromyalgia .
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino āu .
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- E makaʻala loa i nā loli o ke ʻano, ka hoʻonāukiuki, a i ʻole nā manaʻo pepehi kanaka i nā wā mua o ka lawe ʻana i ka lāʻau. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e haʻi koke i kāu kauka.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
- E mālama i ka lāʻau lapaʻau ma ka mahana o ka lumi , kahi i hiki ʻole ai i nā keiki ke loaʻa .
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