I kekahi manawa, ua hoʻokomo ʻia kekahi kanaka i ka haukapila me ka ʻeha poʻo nui a me ka ʻāʻī ʻoʻoleʻa. Ma hope o nā hoʻokolohua, ʻōlelo nā kauka he wahi koko iki a puni ka lolo. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano ʻo 'Subarachnoid Hemorrhage'. I loko o ia hihia koʻikoʻi, hāʻawi ʻia kahi lāʻau lapaʻau kūikawā i kapa ʻia ʻo Nimodipine e hōʻemi i ka hōʻino ʻana i ka lolo. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau koʻikoʻi ma nā ʻōlelo maʻalahi.
He aha ka Nimodipine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Nimodipine no kahi papa o nā lāʻau i kapa ʻia ʻo nā mea pale calcium-channel . ʻO kāna hana nui ka hoʻomaha ʻana i nā kīʻaha koko i loko o ka lolo, e hoʻomaʻamaʻa ana i ke kahe koko ma o lākou.
Ma ke kūlana a mākou i kūkākūkā ai ma mua, i kapa ʻia ʻo 'Subarachnoid Hemorrhage', hōʻiliʻili ke koko a puni ka lolo. Ma ke ʻano he pane i kēia, hiki i nā kīʻaha koko i loko o ka lolo ke hoʻomaka koke e ʻūlū. Inā hana ʻia kēia, ʻaʻole e loaʻa i ka lolo ka oxygen a me nā meaʻai e pono ai, a aia kahi hiki ke hōʻino nui i ka lolo. Pale ʻo Nimodipine i kēlā mau kīʻaha koko mai ka ʻūlū ʻana, e hōʻemi ana i ka hōʻino i ka lolo.
ʻOiai hoʻohana nui ʻia ia no kēia ʻano, i kekahi mau hihia, hiki i kāu kauka ke kuhikuhi iā ia no nā kūlana ʻē aʻe.
Nā mea e haʻi aku i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i kou olakino ma mua o ka hoʻohana ʻana iā Nimodipine. E hōʻoia e haʻi aku iā lākou e pili ana i kēia mau mea:
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Nā maʻi ʻaleka: Inā loaʻa iā ʻoe kahi hopena maʻi ʻaleka i ka nimodipine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻomalu paha.
- Hāpai: Inā hāpai ʻoe, a i ʻole e kali koke ana i kahi pēpē.
- Ka hānai waiū ʻana: Inā ʻoe e hānai waiū ana i kahi keiki.
ʻO ke kamaʻilio ākea ʻana me kāu kauka e pili ana i kekahi mea e like me kēia e kōkua nui i ka holomua o kāu lāʻau lapaʻau.
Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
I mea e loaʻa ai ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, pono ʻoe e ʻike pehea e hoʻohana pono ai.
- Pehea e lawe ai: E ale i kēia capsule me ke aniani piha o ka wai.
- Manawa: He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka, i ka manawa i kuhikuhi ʻia. ʻO ka maʻamau, ua ʻōlelo ʻia e lawe i kēia lāʻau lapaʻau i hoʻokahi hola ma mua a i ʻole ʻelua hola ma hope o ka ʻai ʻana . Hoʻopili maikaʻi ʻia kēia lāʻau lapaʻau e ke kino.
- Ke kū nei:Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. He mea nui e lawe i ka lāʻau no ka manawa piha i kuhikuhi ʻia, ʻoiai inā ʻoe e manaʻo nei ua maikaʻi aʻe.
- No nā keiki: Inā hāʻawi ʻoe i kēia lāʻau lapaʻau i nā keiki, pono ʻoe e kamaʻilio me ke kauka pediatric e pili ana i ia mea a e ʻimi i ka ʻōlelo aʻo.
- Kaʻana like ʻana: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
He aha kāu e hana ai inā e poina 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 ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
He aha inā piʻi ka nui (overdose)?
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Nimodipine e hiki ke launa pū me nā lāʻau lapaʻau a me nā meaʻai ʻē aʻe, no laila he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
| Māhele lāʻau lapaʻau/mea | Ka wehewehe a me nā laʻana |
|---|---|
| Wai ʻāpala | He mea nui loa: Mai inu loa i ka wai pomelo i ka wā e lawe ana i kēia lāʻau. Hiki iā ia ke hoʻopilikia nui i ka pono o ka lāʻau. |
| Lāʻau lapaʻau no ke koko kiʻekiʻe | Hiki paha i kēia ke launa pū me nā lāʻau lapaʻau ʻē aʻe e hoʻohaʻahaʻa i ke koko. |
| Kekahi mau lāʻau antibiotic | E laʻana: clarithromycin, erythromycin |
| Nā lāʻau antifungal | Laʻana: ketoconazole, itraconazole |
| Nā lāʻau lapaʻau hopu | Laʻana: carbamazepine, phenytoin, phenobarbital |
| Nā lāʻau lapaʻau no ka maʻi HIV a i ʻole Hepatitis C | ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a me ka hepatitis C. |
| Nā lāʻau lapaʻau ʻē aʻe | Nā lāʻau lapaʻau e like me St. John's Wort, nā pila hoʻomalu hānau, nā antidepressants, a pēlā aku. |
ʻAʻole i piha kēia papa inoa. No laila, e hoʻomaopopo 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).
Nā mea e pono ai ke hoʻomaopopo i ka wā e lawe ai iā Nimodipine
- Nā Nānā Lapaʻau: E hele i nā keʻena lapaʻau i nā lā i kuhikuhi ʻia e kāu kauka e nānā i ka holomua o kou kūlana olakino.
- ʻOna: E pale i ka inu ʻana i ka waiʻona a pau. ʻO ka hui pū ʻana o ka waiʻona a me Nimodipine hiki ke hoʻonui i ka pilikia o ke koko haʻahaʻa weliweli.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Nimodipine ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka |
|---|
| Paʻakikī ka hanu ʻana |
| Ka puʻuwai wikiwiki a i ʻole ka wikiwiki (palpitations) |
| Lohi loa ka helu o ka puʻuwai. |
| Māmā ke poʻo a i ʻole ka nawaliwali |
| Ka pehu ʻana o nā wāwae a i ʻole nā kuʻekuʻe wāwae |
| ʻO ka palapū i wehewehe ʻole ʻia a i ʻole ke kahe koko ma ke kino |
| Luhi nui loa |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou |
| ʻUlaʻula o ka maka a i ʻole ka manaʻo o ka wela a i ʻole ke kuni ʻana (flushing) |
| ʻEha poʻo |
| Ka luaʻi |
| Ka hou ʻana |
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
- E mālama pono i nā lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki.
- Mahana: E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius). E pale mai ka hau ʻana.
- Mālamalama: E mālama i kahi i pale ʻia mai ka lā pololei a me ka mālamalama. E mālama i ka ʻeke pepa kini me nā capsules i loko o ka pahu kumu a hiki i ka wā e hoʻohana ai.
- Pau: E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā me ka hoʻohana ʻole ʻana.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Nimodipine i hoʻohana nui ʻia e hōʻemi i ka hōʻino ʻana o ka lolo i nā hihia o ke kahe koko subarachnoid.
- E lawe mau i kēia lāʻau lapaʻau ma ka nui a me ka manawa i kuhikuhi ʻia e kāu kauka. Mai hoʻōki i ka lawe ʻana me ka ʻole o ke aʻo ʻana a ke kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana e like me ka maʻi ate.
- E pale loa i ka inu ʻana i ka waiʻona a me ka wai pomelo i ka wā e lawe ana i kēia lāʻau.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me nā loli o ka puʻuwai, ka paʻakikī o ka hanu ʻana, a i ʻole ka nāwaliwali.
- Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me nā poʻe ʻē aʻe.
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