ʻO ka makaʻu nui loa i loaʻa i ka poʻe he nui i ka hoʻomaka ʻana i ka lāʻau lapaʻau no ke kaumaha, ʻo ia nā hopena ʻaoʻao. He mea maʻamau ka loaʻa ʻana o nā nīnau e like me "E hoʻomaikaʻi anei iaʻu?", "E hoʻopilikia anei i koʻu ola moekolohe?", "E loaʻa anei nā pilikia ʻē aʻe?". No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lāʻau lapaʻau hou loa i emi iho ka hopena ʻaoʻao ma mua o nā mea ʻē aʻe. ʻO ia ka antidepressant i kapa ʻia ʻo NDRI. Inā ua kuhikuhi kāu kauka i kēia ʻano lāʻau lapaʻau nāu, he mea nui loa kēia ʻatikala iā ʻoe.
He aha ka NDRI? Pehea e hana ai?
I ka ʻōlelo maʻalahi, ua hoʻomalu ʻia ko mākou mau manaʻo o ka hauʻoli, ke kaumaha, a me ka hana e nā ʻelele kemika i loko o ka lolo i kapa ʻia he neurotransmitters. I nā kūlana e like me ke kaumaha, lilo ke kaulike o kēia mau ʻelele i mea hoʻopilikia iki ʻia. Hoʻomaikaʻi nā ʻano antidepressants like ʻole i ko mākou ʻano ma ka hoʻopilikia ʻana i kēia mau ʻelele ma nā ʻano like ʻole.
ʻO NDRI kahi hōʻailona no Norepinephrine a me Dopamine Reuptake Inhibitors . Hana nui kēia mau lāʻau lapaʻau ma ka hoʻonui ʻana i nā pae o ʻelua neurotransmitters i loko o ka lolo i kapa ʻia ʻo Norepinephrine lāua ʻo Dopamine. He hopena nui kēia i ko mākou makaʻala a me ka hauʻoli.
ʻO Bupropion wale nō ka NDRI i loaʻa i kēia manawa ma Sri Lanka. Ua kuhikuhi paha kāu kauka iā ia ma lalo o kahi inoa inoa e like me Wellbutrin . I kekahi manawa hoʻohui ʻia ia i nā antidepressants ʻē aʻe no ka poʻe i pane ʻole i nā antidepressants ʻē aʻe. Ua kuhikuhi pū ʻia ʻo Bupropion e nā kauka ma lalo o ka inoa inoa ʻo Zyban ma ke ʻano he kōkua i ka haʻalele ʻana i ka puhipaka.
ʻO kahi pōmaikaʻi nui o NDRIs, ʻo ia ka liʻiliʻi o ka hiki ke hoʻoulu i nā hopena ʻaoʻao, e like me ka piʻi ʻana o ke kaumaha a i ʻole ka emi ʻana o ka makemake i ka moekolohe, i ʻike ʻia me nā antidepressants ʻē aʻe he nui.
Nā hopena ʻaoʻao maʻamau (akā ʻaʻole weliweli)
E like me nā lāʻau lapaʻau āpau, hiki i nā NDRI ke loaʻa nā hopena ʻaoʻao liʻiliʻi. Akā ʻo ka hapa nui o kēia mau mea he manawa pōkole . ʻO ia hoʻi, e nalo pinepine lākou ma hope o kekahi mau pule o ka hoʻohana ʻana i ka lāʻau lapaʻau ke maʻa kou kino iā ia.
| Hopena ʻaoʻao | Nā mea e hana ai a me nā mea e ʻike ai |
|---|---|
| Waha maloʻo | ʻO kēia ka hopena ʻaoʻao maʻamau. E inu i ka wai he nui, e omo i ka hau hau, e palaki pinepine i kou mau niho. ʻO ka hōʻemi ʻana i nā mea e like me ka waiʻona, ke kofe, a me ka puhipaka he mea kōkua nō hoʻi. |
| Ka luaʻi/ka luaʻi | Hiki ke hoʻēmi nui ʻia kēia ke lawe ʻia ka lāʻau lapaʻau me ka ʻai. |
| ʻAʻole hiki ke hiamoe | Hiki i nā NDRI ke hoʻopilikia i kekahi poʻe e hiamoe no ka mea he mea hoʻonāukiuki iki lākou. Inā loaʻa iā ʻoe kēia pilikia, e pale i ka lawe ʻana i kāu mahele hope loa o ka lā kokoke i ka wā moe. |
| ʻEha poʻo | Nalo pinepine kēia i loko o kekahi mau lā o ka hoʻomaka ʻana o ka lāʻau lapaʻau. |
| Ka Pohō Kaumaha | ʻOiai he nui nā antidepressants e hoʻopiʻi e pili ana i ka loaʻa ʻana o ke kaumaha, hiki i nā NDRI ke kōkua iā ʻoe e lilo i kahi kaumaha iki. |
| Hopohopo | Hiki i nā hana e like me ka hoʻoikaika kino, ka yoga, a me ka noʻonoʻo ʻana ke kōkua i ka mālie o kou manaʻo. |
| Pōʻino | Hiki ke hana kēia ke ala koke ʻoe. E ala mālie a inu i ka wai he nui. |
| Ka paʻa ʻana o ka ʻōpū | ʻO ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka fiber (nā huaʻai, nā mea kanu, nā legumes), ka hoʻoikaika kino, a me ka inu ʻana i ka nui o nā wai e kōkua. |
Ma waho aʻe o kēia mau mea, ʻo nā hopena ʻaoʻao kakaikahi e komo pū me ka puʻuwai wikiwiki, ka ʻeha o ka ʻāʻī, ka haʻalulu hiki ʻole ke kāohi, ka ʻulaʻula o ka ʻili, ka hou ʻana, ke kani ʻana o nā pepeiao, ka ʻeha o ka ʻōpū, ka ʻeha o nā ʻiʻo, a me ka mimi pinepine.
Nā hopena ʻaoʻao koʻikoʻi e makaʻala ai
He mea kākaʻikahi loa kēia, akā pono mākou e makaʻala iā lākou. Inā loaʻa iā ʻoe kekahi mea e like me kēia, pono ʻoe e hoʻomaopopo koke i kāu kauka.
1. Nā hopu ʻana
No ka hapa nui o nā kānaka, he haʻahaʻa loa kēia pilikia. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o ka pilikia no kekahi kanaka me kēia mau kūlana:
- Inā loaʻa iā ʻoe nā maʻi ʻai (Anorexia a i ʻole Bulimia)
- Inā ua loaʻa iā ʻoe kahi hopu ma mua
- Inā ua loaʻa iā ʻoe kahi ʻeha poʻo koʻikoʻi
- Inā loaʻa iā ʻoe ka maʻi akepaʻa
- Inā ʻoe e hoʻopilikia nei i ka waiʻona a i ʻole nā lāʻau lapaʻau
2. Ke koko kiʻekiʻe
E nānā mau kāu kauka i kou koko ma hope o kou hoʻomaka ʻana e lawe i ka lāʻau lapaʻau. He mea nui loa kēia inā ʻoe e hoʻohana ana i kahi mea e like me nā ʻāpana nicotine e hoʻōki i ka puhipaka.
3. Hoʻonui ʻia ke kaomi i loko o nā maka (Angle-closure Glaucoma)
He pilikia maka kēia e hiki ke hiki koke mai. Hiki iā ia ke alakaʻi i ka nalowale o ka ʻike. Inā loaʻa iā ʻoe ka ʻeha o ka maka, nā loli o ka ʻike, ka pehu a i ʻole ka ʻulaʻula i loko a puni paha o kou mau maka , e haʻi koke aku i kāu kauka.
4. Nā Manaʻo Hoʻomake i ke Kanaka
He mea nui loa kēia. I ka wā mua o ka hoʻohana ʻana i kekahi antidepressant, me nā NDRI, he liʻiliʻi loa ka manawa e loaʻa ai i kekahi poʻe (ʻoi aku ka poʻe ʻōpio) ka piʻi ʻana o ke kaumaha a i ʻole nā manaʻo pepehi kanaka.
Inā ʻike ʻoe a i ʻole kekahi āu i ʻike ai i ka huhū nui, ka hoʻonāukiuki, ke kaumaha, ka makaʻu, a i ʻole kekahi manaʻo koʻikoʻi ʻē aʻe i ka wā e lawe ana i kēia lāʻau lapaʻau, he mea nui e kāhea koke aku i kāu kauka a hele paha i ka haukapila kokoke loa ʻo Emergency Department (ETU).
Nā pilina me nā lāʻau lapaʻau ʻē aʻe
He mea nui loa kēia. Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā mea hoʻohui lāʻau lapaʻau, a me nā lāʻau lapaʻau kūʻai ʻole ʻia . Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i ka pilikia o nā hopu ʻana i ka wā e hui pū ʻia me NDRIs. Hiki i nā lāʻau lapaʻau ʻē aʻe ke hōʻemi i ka pono o NDRIs.
E hōʻoia e nīnau i kāu kauka inā palekana ke lawe ʻana i nā NDRI, ʻoiai inā ʻoe e lawe ana i kekahi o kēia mau mea:
- Nā lāʻau antidepressant MAOI (inā lawe ʻia i loko o 2 mau pule)
- ʻO kekahi antidepressant ʻē aʻe
- ʻO ka waiʻona a me nā lāʻau lapaʻau
- Nā lāʻau lapaʻau antipsychotic
- Lāʻau lapaʻau no nā hopu ʻana
- Nā mea hoʻoulu
- Nā ʻano Steroid
- ʻO ka insulin a me nā lāʻau lapaʻau maʻi diabetes ʻē aʻe
- Kekahi mau lāʻau antibiotic
- Nā mea pale beta
- Nā lāʻau lapaʻau no nā maʻi o ka puʻuwai
- Nā lāʻau hoʻopau ʻeha me ke codeine
- Nā lāʻau hiamoe a me nā lāʻau hoʻomaha
ʻO ka mea nui loa: Mai lawe i hoʻokahi lāʻau lapaʻau i loaʻa iā Bupropion i ka manawa hoʻokahi (e like me ka lawe ʻana iā Wellbutrin lāua ʻo Zyban pū). ʻO ka lawe ʻana i ka nui o ka lāʻau lapaʻau (overdose) hiki ke hana i nā hopena ʻino, nā hopu ʻana, a i ʻole ka make.
I ka manawa hea e kāhea aku ai i ke kauka
ʻOiai inā loaʻa iā ʻoe kahi hopena ʻaoʻao liʻiliʻi, e haʻi i kāu kauka e pili ana i ia mea. Hiki paha iā ia ke hoʻoponopono i ka nui o ka lāʻau a kuhikuhi paha i kahi lāʻau lapaʻau ʻē aʻe e kāohi i ka hopena ʻaoʻao. Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, he pilikia ia. E kāhea koke i kāu kauka a i ʻole e hele i ka haukapila kokoke loa ʻo Emergency Treatment Unit (ETU) . Inā manaʻo ʻoe he overdose, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo .
| Pilikia! E ʻimi koke i ke kōkua lapaʻau. | |
|---|---|
| Hōʻailona | Wehewehena |
| Nā hopu ʻana | Inā haʻalulu ke kino me ke kāohi ʻole. |
| Nā manaʻo hoʻokalakupua | Inā ʻoe e ʻike a lohe paha i nā mea ʻaʻole maoli ma laila. |
| Ka mae ʻana | Inā nalowale koke kou ʻike a hāʻule. |
| Nā loli i ka helu o ka puʻuwai | Inā manaʻo ʻoe e kuʻi wikiwiki ana kou puʻuwai, leo nui loa, lohi loa, a i ʻole kūpono ʻole. |
Leka Lawe-Home
- He ʻano palekana loa nā NDRI o ka antidepressant me kekahi mau hopena maʻamau, e like me ka piʻi ʻana o ke kaumaha a me ka emi ʻana o ka makemake i ka moekolohe.
- Hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi e like me ka waha maloʻo a me ka hiamoe ʻole, akā naʻe nalo pinepine lākou i loko o kekahi mau pule.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a ke kauka.
- Inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka hopu ʻana, ka nalowale o ka ʻike, a i ʻole nā loli noʻonoʻo koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
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