Ke kaumaha nui nei ʻoe i kekahi manawa, mehameha, a ʻaʻole makemake e hana i kekahi mea? I kekahi manawa e nalowale ana kēia mau manaʻo ma hope o kekahi mau lā, akā inā hoʻomau lākou, hiki ke lilo i hōʻailona o kahi maʻi i kapa ʻia ʻo ke kaumaha . I kēlā hihia, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau. I kēlā mau manawa, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau i kapa ʻia ʻo 'Mirtazapine'. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o 'Mirtazapine', pehea e hoʻohana ai, a me nā mea e makaʻala ai.
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Mirtazapine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Mirtazapine i hoʻohana ʻia e mālama i ke kaumaha. Loaʻa i ko kākou lolo ʻelua mau kemika i kapa ʻia ʻo serotonin a me norepinephrine . Kōkua kēia mau mea i ka hoʻoponopono ʻana i ko kākou mau manaʻo hauʻoli a me ke kaumaha. Hana lākou ma ke ʻano he mau ʻelele e kāohi ana i ko kākou ʻano. No laila, ke loaʻa iā kākou ke kaumaha, hiki ke hoʻopilikia ʻia ke kaulike o kēia mau kemika. ʻO ka mea a Mirtazapine e hana ai, ʻo ia ka hoʻonui ʻana i nā pae o ka serotonin a me ka norepinephrine i loko o ka lolo, e kōkua ana i ka hoʻomaikaʻi ʻana i kou ʻano.
Hiki iā ʻoe ke kūʻai i kēia lāʻau lapaʻau ma nā hale kūʻai lāʻau lapaʻau ma lalo o ka inoa inoa ʻo "Remeron" a i ʻole ma lalo o nā inoa ʻē aʻe. I kekahi manawa hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe. No laila, inā he mau nīnau hou kāu e pili ana i kēia lāʻau lapaʻau, e nīnau i kāu kauka a kauka lāʻau paha.
He aha kaʻu e haʻi aku ai i kaʻu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e hoʻohana iā Mirtazapine, pono ʻoe e haʻi i kāu kauka e pili ana i kou kūlana olakino. ʻO kēia no ka mea ʻaʻole kūpono kekahi mau kūlana olakino me kēia lāʻau lapaʻau, a i ʻole pono ʻoe e mālama pono. Eia kekahi mau mea āu e haʻi aku ai i kāu kauka:
- Inā loaʻa iā ʻoe kahi maʻi noʻonoʻo e like me ka 'maʻi bipolar': ʻO kēia ka manawa e paʻakikī ai iā ʻoe ke mālama i kou noʻonoʻo ma kahi hoʻokahi. Manaʻo koke ʻoe i ka hauʻoli nui loa (mania), a laila manaʻo koke ʻoe i ke kaumaha nui ( kaumaha ).
- Inā loaʻa iā ʻoe ka glaucoma: He maʻi kēia e piʻi ai ke kaomi i loko o nā maka.
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā ua loaʻa iā ʻoe a ke manaʻo nei paha e pepehi iā ʻoe iho i kēia manawa.
- Inā loaʻa iā ʻoe kahi hopena maʻi ʻaleka iā Mirtazapine, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala meaʻai, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai nei i kēia manawa, a i ʻole e hoʻāʻo nei e hāpai i ka wā e hiki mai ana.
- Inā he makuahine hānai waiū ʻoe.
Inā ʻoe e haʻi pololei i kēia mau mea, hiki i kāu kauka ke hoʻolālā i ka lāʻau lapaʻau e kūpono loa iā ʻoe.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAe, e nānā kākou pehea e lawe ai i kēia lāʻau lapaʻau.
- Loaʻa kēia lāʻau lapaʻau ma ke ʻano he mau papa. Pono e lawe ʻia me ka waha me ke aniani wai.
- Pono ʻoe e lawe i ka lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe, i ka manawa kūpono, a ma ka nui like i kauoha ʻia e kāu kauka. Mai lawe ʻoi aku ma mua o ka nui a kāu kauka e ʻōlelo ai iā ʻoe.
- ʻOi aku ka maikaʻi o ka lawe ʻana i ka lāʻau i ka manawa like i kēlā me kēia lā. Ma kēlā ʻano, ʻaʻole ʻoe e poina a e hana pono ka lāʻau.
- ʻO kēia ka mea nui loa: Mai hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka. Inā hana ʻoe pēlā, hiki iā ʻoe ke loaʻa i nā hopena ʻaoʻao koʻikoʻi a i ʻole e ʻoi aku ka ʻino o kou kaumaha. E haʻi pū kāu kauka iā ʻoe pehea e hoʻōki ai i ka lawe ʻana i ka lāʻau lapaʻau inā pono.
- Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia iā ʻoe kahi pepa ʻike kūikawā (`MedGuide`) me ia. E heluhelu pono i kēia pepa i kēlā me kēia manawa e loaʻa ai iā ʻoe kahi hoʻopihapiha. Loaʻa iā ia ka ʻike koʻikoʻi loa e pili ana i kēia lāʻau lapaʻau.
- Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki: Pono e mālama pono ʻia. E hāʻawi i kēia lāʻau lapaʻau i nā keiki ma hope o ke kamaʻilio ʻana me ke kauka a e like me kāna mau kuhikuhi.
- 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 kokoke loa.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
I kekahi manawa poina iā ʻoe ke lawe i kāu lāʻau lapaʻau. Inā hana ʻia kēlā, mai hopohopo.
- E lawe i ka lāʻau i hala ʻole i ka wā e hoʻomanaʻo ai ʻoe.
- Eia nō naʻe, inā kokoke ka manawa no kāu mahele aʻe ke hoʻomanaʻo ʻoe, e kāpae i ka mahele i hala ʻole a lawe wale i ka mahele aʻe i ka manawa i hoʻonohonoho ʻia.
- Mai lawe pālua i ka lāʻau lapaʻau i ka manawa hoʻokahi.ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao.
He aha nā pilina ʻē aʻe e hiki ke hana me kēia lāʻau lapaʻau?
ʻO ke ʻano o ka "Pili ʻana" ʻo ia hoʻi, hiki ke hoʻopilikia ʻia ka hana a Mirtazapine e nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea ʻē aʻe āu e lawe nei. No laila, pono ʻoe 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 huahana lāʻau, nā huaora), a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe.
Aia kekahi mau lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me ka 'Mirtazapine' :
- ʻO Linezolid (he lāʻau antibiotic kēia)
- Nā lāʻau lapaʻau MAOI (nā laʻana: Carbex, Eldepryl, Marplan, Nardil, a me Parnate) - He ʻano lāʻau lapaʻau kēia i hoʻohana ʻia e mālama i ke kaumaha . ʻO ka lawe ʻana i kēia me Mirtazapine hiki ke hana i nā hopena weliweli.
- ʻO ka `Methylene blue` (He lāʻau lapaʻau kēia i hoʻokomo ʻia i loko o kahi aʻa)
Hiki iā Mirtazapine ke launa pū me kēia mau mea:
- ʻAila: ʻO ka lawe ʻana i kēia lāʻau lapaʻau me ka waiʻona hiki ke hoʻonui i ka hiamoe a me ka poniuniu. No laila, ʻoi aku ka maikaʻi o ka pale ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau.
- Nā lāʻau lapaʻau antiviral e mālama ai i ka 'HIV' a i ʻole 'AIDS'.
- Nā lāʻau hoʻokahe koko (e.g., nā anticoagulants e like me Warfarin).
- Nā lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia e mālama i ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo ʻē aʻe.
- Nā lāʻau lapaʻau no nā maʻi fungal (e.g. Ketoconazole, Itraconazole).
- Kekahi mau lāʻau lapaʻau no ka migraine (e.g., Almotriptan, Eletriptan, Sumatriptan).
- Nā lāʻau lapaʻau no ka hopu ʻana a i ʻole ka hoʻokē ʻai ʻana (e.g., Carbamazepine, Phenytoin).
- Lāʻau lapaʻau no ka hiamoe.
- ʻO Cimetidine (he lāʻau lapaʻau no ka mumū o ka ʻōpū).
- ʻErythromycin (he lāʻau antibiotic).
- ʻO Fentanyl (kahi lāʻau hoʻopau ʻeha ikaika).
- Lithium (kahi lāʻau lapaʻau i hāʻawi pinepine ʻia no ka maʻi bipolar).
- Nā lāʻau lapaʻau e kāohi ai i ke koko.
- ʻO `Nefazodone` (he lāʻau hoʻēmi kaumaha).
- ʻO Rasagiline (he lāʻau lapaʻau no ka maʻi o Parkinson).
- ʻO Rifampin (he lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi puʻupuʻu).
- ʻO kekahi mau mea hoʻohui lāʻau lapaʻau e komo pū me ka `St. John's wort`, `kava kava`, `valerian`.
- ʻO Tramadol (he lāʻau hoʻopau ʻeha).
- ʻO Tryptophan (he amino acid, i kekahi manawa lawe ʻia ma ke ʻano he mea hoʻohui).
ʻAʻole i piha kēia papa inoa. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei a me nā huahana lāʻau lapaʻau āu e hoʻohana nei. Hiki iā ia ke kōkua iā ʻoe e hoʻohana palekana iā Mirtazapine.
He aha nā mea āu e makaʻala nui ai i ka wā e lawe ai i kēia lāʻau?
Pono ʻoe e akahele iki i ka wā e hoʻohana ai iā 'Mirtazapine'.
- Inā ʻaʻole e hoʻomaikaʻi kou mau ʻōuli, a inā paha e ʻoi aku ka ʻino, e haʻi koke aku i kāu kauka.
- E hoʻomau i ka launa pū ʻana me kāu kauka i nā manawa a pau a e hele i nā hoʻokolohua e like me kāna i ʻōlelo ai.
- He mau pule paha e pau ai ka hopena o kēia lāʻau. No laila, mai hopohopo a e hoʻomau i ka lawe ʻana i ka lāʻau e like me ka ʻōlelo a kāu kauka.
- He mea nui loa kēia: Pono ʻoe a me kou ʻohana e makaʻala i nā loli i kāu ʻano a i ʻole kou noʻonoʻo ʻana. ʻOi aku hoʻi, inā he mau manaʻo hou a ʻoi aku paha kou noʻonoʻo no ka pepehi kanaka, a inā paha e manaʻo nui ana ʻoe i ke kaumaha, pono ʻoe e haʻi koke i kāu kauka.
- Eia kekahi, inā manaʻo koke ʻoe i ka hopohopo, ka hoʻonāukiuki, ka makaʻu, ka huhū, ka ʻenemi, ka huhū, ka wikiwiki, ka hoʻomaha ʻole loa, ka pīhoihoi nui a me ka hyperactive, a i ʻole ʻaʻole hiki ke hiamoe, ʻoiai i ka hoʻomaka ʻana o ka lāʻau lapaʻau a ma hope o ka hoʻololi ʻana i ka dosage, e kamaʻilio koke me kāu kauka.
- Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu paha . No laila, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka makaʻala a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Mai ala koke mai ke kū ʻana a i ʻole ke noho ʻana, ʻoiai inā he ʻelemakule ʻoe. Hiki i ka hana ʻana pēlā ke hoʻoulu i ka poniuniu a hāʻule paha ʻoe.
- Mai inu i ka waiʻona. Hiki i ka waiʻona ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau a hoʻonui i nā hopena ʻaoʻao.
- Hiki i kēia lāʻau lapaʻau ke hoʻomaloʻo i nā maka a me ka ʻike maka ʻole . Inā ʻoe e kau i nā aniani hoʻopili, hiki iā ʻoe ke loaʻa i kahi ʻoluʻolu ʻole. Hiki i nā kulu lubrication ke kōkua. Eia nō naʻe, inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e ʻike i kāu kauka maka.
- Hiki nō hoʻi ke maloʻo ka waha . ʻO ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono kō ʻole, a me ka inu ʻana i ka wai he nui e kōkua. Eia nō naʻe, inā hoʻomau kēia a lilo paha i mea koʻikoʻi, e kamaʻilio me kāu kauka.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Mirtazapine ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā loaʻa i kekahi poʻe.
ʻO nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka:
- Nā hopena maʻi ʻaleka: ʻulaʻula o ka ʻili, ka maneʻo, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu. Hiki i kēia ke pilikia i ka hanu ʻana a pono e mālama koke ʻia.
- Nā loli o ke ʻano o ka puʻuwai: Inā manaʻo ʻoe e kuʻi wikiwiki ana kou puʻuwai a i ʻole ke ʻano ʻē, inā manaʻo ʻoe ua poniuniu ʻoe, inā manaʻo ʻoe ua nāwaliwali a māmā paha ke poʻo, inā he ʻeha kou umauma, a inā pilikia ʻoe i ka hanu ʻana.
- Nā hōʻailona o ka maʻi: kuni, anuanu, ʻū, a ʻeha paha ka puʻu.
- Nā Hōʻailona o ka Serotonin Syndrome: He ʻano weliweli iki kēia. Hiki ke hana ia ke piʻi nui ka pae o ka serotonin i loko o ka lolo. ʻO nā hōʻailona: ka huhū, ka huikau, ka puʻuwai wikiwiki a ʻano ʻole paha, ka ʻoʻoleʻa a i ʻole ka ʻūlū ʻana o nā ʻiʻo, ka hou nui, ke kuni nui, nā hopu ʻana, nā anuanu, ka luaʻi ʻana, a me ka maʻi pākī.
- Nā hōʻailona o ka haʻahaʻa o ka sodium i ke koko ('Hyponatremia'): nāwaliwali o nā ʻiʻo, luhi, poniuniu, ʻeha poʻo, huikau.
- ʻO ka ʻulaʻula ʻili me ke kuni a me nā kīʻaha lymph pehu.
- Hiki ke ʻulaʻula o ka ʻili, ka pehu ʻana, ka ʻili ʻana a i ʻole ka wehe ʻana o ka ʻili, a i loko hoʻi o ka waha.
- Nā ʻōhū/nā ʻūlū.
- ʻEha koke ka maka a i ʻole nā loli o ka ʻike: ʻike maka pōwehiwehi, ʻike ʻana i nā halo a puni nā kukui, nalowale ka ʻike.
- Nā manaʻo no ka pepehi kanaka a i ʻole ka hōʻeha ʻana iā ia iho, ka ʻino ʻana o ke ʻano, a me ka hoʻonui ʻia o nā manaʻo kaumaha.
Nā hopena ʻaoʻao ʻaʻole pono ka lāʻau lapaʻau, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:
- Ka paʻa ʻana o ka ʻōpū.
- Pōʻaiʻī.
- Hiamoe.
- Waha maloʻo.
- Hoʻonui i ka makemake.
- Piʻi ke kaumaha.
E hoʻomanaʻo, ʻaʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. Inā loaʻa iā ʻoe kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio pū me kāu kauka e pili ana i kēlā. Mai makaʻu i nā hopena ʻaoʻao, akā he mea nui e makaʻala.
Pehea ʻoe e mālama ai i kēia lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kāu lāʻau lapaʻau.
- E mālama iā ia mai ka hiki ʻana aku o nā keiki a mai ko lākou hiki ʻana aku hoʻi.
- Pono e mālama ʻia ma ka mahana o ka lumi, ʻo ia hoʻi ma waena o 15 a me 30 kekelē Celsius (15 a me 30 kekelē C a i ʻole 59 a me 86 kekelē F).
- E pale mai ka lā pololei a me ka makū. No laila, mai waiho i loko o nā wahi makū e like me ka lua.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei aku iā lākou.
ʻO ka mea nui loa e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana iā 'Mirtazapine.' ʻO ka mea hope loa, eia nā mea nui e hoʻomanaʻo ai:
- He lāʻau lapaʻau ʻo Mirtazapine no ke kaumaha. Kōkua ia i ka hoʻomaikaʻi ʻana i kou ʻano ma ke kaulike ʻana i nā kemika i loko o kou lolo.
- Ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka i nā mea āpau e pili ana i kou kūlana olakino.
- E lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka iā ʻoe, i ka manawa kūpono, i ka nui kūpono. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- E makaʻala i nā hopena ʻaoʻao koʻikoʻi i ka wā e lawe ai i ka lāʻau lapaʻau, a inā loaʻa kekahi, e haʻi koke aku i kāu kauka .
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā huahana lāʻau āu e lawe nei, no ka mea hiki iā lākou ke launa pū me kēia lāʻau.
- E makaʻala no ka mea hiki ke hoʻoulu i ka hiamoe a me ka poniuniu. E pale i ka waiʻona.
He ʻano kaumaha ka mea hiki ke hoʻopilikia i kekahi. Hiki ke ho'ōla ʻia me ka mālama kūpono. ʻO 'Mirtazapine' kekahi lāʻau lapaʻau e hiki ke kōkua me ia. Inā he mau nīnau hou kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka. ʻO ia ke kanaka hiki ke kōkua maikaʻi loa iā ʻoe. Makemake au iā ʻoe e ho'ōla koke!
Kaumaha , mirtazapine, Remeron, antidepressants, olakino noʻonoʻo, nā hopena ʻaoʻao, nā lāʻau lapaʻau
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