Ua haʻi ʻia paha ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pili ana i kahi lāʻau i kapa ʻia ʻo Olanzapine. A i ʻole ke nānā nei paha ʻoe i ia mea. Hoʻohana ʻia kēia lāʻau lapaʻau e mālama i nā maʻi olakino noʻonoʻo. No laila, e kamaʻilio kākou e pili ana i ia mea ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.
He aha kēia ʻano hana ʻino Olanzapine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo OLANZAPINE i hoʻohana ʻia e mālama i nā kūlana olakino noʻonoʻo e like me ka schizophrenia . Loaʻa i ko kākou lolo ʻelua mau kemika i kapa ʻia ʻo dopamine a me serotonin. Kōkua kēia mau mea i ka hoʻomalu ʻana i ko kākou ʻano, ʻano, a me nā manaʻo. Hana ʻo Olanzapine ma ke kaulike ʻana i nā pae o kēia mau kemika. No loko ia o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo antipsychotics. Hoʻohana ʻia kēia ʻano lāʻau antipsychotic e mālama i nā ʻano kūlana olakino noʻonoʻo like ʻole.
I kekahi manawa hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kauka lāʻau paha.
KA INOA MAʻAMAU O KĒIA LĀʻAU: `Zyprexa Relprevv`
He aha nā mea e pono ai ʻoe e haʻi i kāu hui lapaʻau ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui e ʻike kāu hui mālama ola (nā kauka a me nā kahu maʻi) i kēia mau mea i hiki iā lākou ke mālama iā ʻoe me ka palekana a me ke kūpono. E nānā inā pili kēia mau mea iā ʻoe:
- Loaʻa iā ʻoe kahi maʻi e like me ke ʻano o ka ʻōpū ?
- He mea puhi paka ʻoe ?
- Ua pilikia pinepine ʻoe i ka constipation ?
- Loaʻa iā ʻoe ka dementia ( poho ka hoʻomanaʻo)?
- He maʻi diabetes kou?
- He pilikia anei kou i ka ale ʻana ?
- Loaʻa iā ʻoe ka glaucoma ?
- He pilikia anei kou i ka kaohi ʻana i kou mau ʻiʻo ?
- He maʻi puʻuwai kou?
- Loaʻa iā ʻoe ka cholesterol kiʻekiʻe ?
- Ua kiʻekiʻe aʻe kou pae prolactin ?
- Ua loaʻa iā ʻoe kahi moʻolelo o ka maʻi ʻaʻai umauma ?
- Aia kekahi moʻolelo o ka puʻuwai puʻuwai kūpono ʻole ?
- Ua loaʻa anei iā ʻoe kahi hahau ma mua?
- He maʻi akepaʻa kou?
- He haʻahaʻa anei kou helu koko ( e.g. haʻahaʻa nā keʻokeʻo koko, nā platelets, a i ʻole nā keʻokeʻo koko ʻulaʻula)?
- He haʻahaʻa kou koko?
- Loaʻa iā ʻoe ka maʻi ʻo Parkinson ?
- Aia kekahi maʻi prostate ?
- Loaʻa iā ʻoe nā maʻi ʻeha e like me ka epilepsy ?
- Ua loaʻa iā ʻoe kekahi mau manaʻo pepehi kanaka, nā hoʻolālā a i ʻole nā hoʻāʻo pepehi kanaka ? Ua hoʻāʻo anei ʻoe a i ʻole kekahi o kou ʻohana e hana pēlā?
- He pilikia anei kou i ka mimi ʻana ?
- Ua loaʻa anei iā ʻoe kahi hopena maʻamau ʻole a i ʻole kahi maʻi ʻaleka i ka olanzapine, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala a i ʻole nā mea mālama?
- Ke hāpai nei ʻoe a ke hoʻāʻo nei paha e hāpai ?
- Ke hānai waiū nei ʻoe ?
ʻAʻole wale kēia mau mea, akā pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā lāʻau lapaʻau kuʻuna āu e lawe nei.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe ma ka home. Hāʻawi ʻia ia ma ke ʻano he inikini i loko o kahi ʻiʻo e kāu hui mālama ola. ʻO ia hoʻi, hāʻawi ʻia ia e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia. Hāʻawi ʻia ia i nā manawa maʻamau . Mai hoʻōki i ka lawe ʻana i kēia lāʻau a hiki i ka wā e haʻi aku ai kāu hui mālama ola iā ʻoe.
Ma mua o kēlā me kēia lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa kuhikuhi kūikawā (`MedGuide`) . He mea nui loa e heluhelu a hoʻomaopopo pono i nā kikoʻī i loko i kēlā me kēia manawa.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, e kamaʻilio me kāu hui lapaʻau e pili ana i ia mea. Pono paha ka mālama kūikawā.
Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua overdose ʻoe, e hele koke i ka lumi pilikia haukapila kokoke loa a kāhea aku paha i kahi kikowaena kaohi lāʻau make.
He aha inā e hala wau i ka lā i hoʻonohonoho ʻia no ka lāʻau pale?
Inā ʻaʻole ʻoe e hala i ka manawa a i ʻole ka lā i hoʻonohonoho ʻia no kāu lāʻau lapaʻau, e kāhea koke aku i kāu hui lapaʻau a e hoʻomaopopo iā lākou.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau? (Nā Hana Pilikino Lāʻau Lapaʻau)
Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka wā e lawe ʻia ai me kēia lāʻau lapaʻau. No laila e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe ai, me nā lāʻau lapaʻau lāʻau, nā lāʻau lapaʻau ʻole i kauoha ʻia, a me nā mea hoʻohui meaʻai. E haʻi pū i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.
Mai lawe i kēia ʻōʻō Olanzapine me kekahi o nā lāʻau lapaʻau ma lalo nei:
- ʻO Dronedarone
- ʻO Cisapride
- ʻO Metoclopramide
- Pimozide
- ʻO Thioridazine
Hiki i kēia lāʻau lapaʻau ke launa pū me kēia mau mea:
- ʻAila
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (e.g., antihistamines)
- ʻAtropine
- ʻO Carbamazepine
- 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 (e like me amitriptyline, fluoxetine, sertraline)
- ʻO kekahi mau lāʻau lapaʻau no nā pilikia ʻōpū (e like me dicyclomine, hyoscyamine)
- Nā lāʻau lapaʻau no ka maʻi neʻe (e.g., scopolamine)
- ʻO Fluvoxamine
- Nā lāʻau hoʻomaha (e.g., halothane, isoflurane, methoxyflurane, propofol)
- ʻO Levodopa a i ʻole nā lāʻau lapaʻau ʻē aʻe no ka maʻi o Parkinson
- Lāʻau lapaʻau koko
- Lāʻau lapaʻau no nā hopu ʻana
- Nā mea hoʻomaha ʻiʻo no ke ʻoki kino
- Nā lāʻau lapaʻau Narcotic no ka ʻeha
- ʻOmeprazole
- ʻO nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻoulu i nā ʻano ʻino o ka puʻuwai ('QT interval')
- Nā Phenothiazines (e.g. chlorpromazine, prochlorperazine)
- ʻO Rifampin
ʻAʻole paha i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
He aha nā hana palekana kūikawā e pono e hana ʻia i ka wā e lawe ai i kēia lāʻau lapaʻau?
E nānā pono kāu hui lapaʻau iā ʻoe i kou wā e lawe ana i kēia lāʻau. E haʻi aku i kāu hui lapaʻau inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino.
He mea nui loa kēia: Ma hope o kou hoʻokomo ʻia ʻana, pono ʻoe e noho ma ke keʻena lapaʻau kahi i hoʻokomo ʻia ai ʻoe no ka liʻiliʻi he 3 mau hola . Maopopo iā ʻoe ke ʻano o ia mea? Makemake ka hui lapaʻau e ʻike inā loaʻa iā ʻoe kekahi mau hōʻailona o kahi maʻi i kapa ʻia ʻo Post-injection Delirium Sedation Syndrome (PDSS). He maʻi koʻikoʻi ka PDSS. Hana ʻia ia ke komo koke ka lāʻau i loko o kou koko. ʻO kekahi o nā hōʻailona o ka PDSS:
- Hiamoe
- Pōʻino
- Ka huikau (ʻike ʻole i ka mea e hana nei)
- Paʻakikī i ka ʻōlelo ʻana a i ʻole ka hele wāwae ʻana
- Ka haʻalulu
- ʻOʻoleʻa a haʻalulu paha nā ʻiʻo
- Manaʻo nāwaliwali
- Manaʻo hopohopo a huhū paha
- Ka nalowale o ka ʻike a i ʻole ka nawaliwali
- Nā loli i ke koko
Ke haʻalele ʻoe i ke keʻena lapaʻau, pono e hele pū kekahi me ʻoe.Inā loaʻa iā ʻoe nā hōʻailona o PDSS ma hope o ka haʻalele ʻana i ke keʻena lapaʻau a i ʻole ka haukapila, e ʻimi koke i ke kōkua lapaʻau .
Mai hoʻokele a hoʻohana paha i nā mīkini kaumaha no ke koena o ka lā ma hope o ka hoʻokomo ʻana. Hiki iā ʻoe ke manaʻo i ka poniuniu a hiamoe paha. Mai kū koke a noho paha i luna, ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hōʻemi i ka poniuniu a me ka māʻule ʻana. Hiki i ka waiʻona ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia lāʻau. No laila e pale i ka inu ʻana i ka waiʻona.
Hiki i kēia lāʻau lapaʻau ke hoʻoulu i nā hopena ʻili koʻikoʻi i kekahi poʻe. Hiki ke hana ʻia kēia mau mea i nā pule ma hope o kou hoʻomaka ʻana e lawe i ka lāʻau lapaʻau. E haʻi koke i kāu hui mālama ola inā loaʻa iā ʻoe kahi ʻulaʻula me ke kuni a me nā hōʻailona e like me ke anu. Hiki ke ʻike ʻia kēia mau ʻulaʻula i ka ʻulaʻula a poni paha, a laila pehu a ʻili. Eia kekahi, e haʻi i kāu kauka inā loaʻa iā ʻoe kahi ʻulaʻula me ka pehu o ka maka a i ʻole nā lehelehe, a i ʻole nā kikowaena lymph pehu ma ka ʻāʻī a i ʻole nā armpits.
Hiki i kēia lāʻau lapaʻau ke hoʻonui i nā pae kō koko . Inā loaʻa iā ʻoe ka maʻi diabetes, e nīnau i kāu hui mālama ola inā pono ʻoe e hana i kekahi hoʻololi i kāu meaʻai a i ʻole nā lāʻau lapaʻau.
Loaʻa paha iā ʻoe ka waha maloʻo . Hiki iā ʻoe ke kōkua i ka hoʻokele ʻana i kēia ma ka nau ʻana i ka gum ʻole kō, ka omo ʻana i kahi ʻāpana gum, a me ka inu ʻana i ka wai he nui. Inā hoʻomau kēia pilikia a lilo paha i mea koʻikoʻi, e haʻi i kāu hui mālama ola.
Hiki i kēia lāʻau lapaʻau ke hoʻoikaika iā ʻoe e hoʻoponopono i ka mahana o kou kino . Hiki iā ia ke hoʻolilo i kou kino i mea emi iki ka pane ʻana i ke anuanu. Inā hiki, e noho i loko o ka hale i nā lā anuanu. Inā pono ʻoe e hele i waho, e ʻaʻahu i nā lole mahana. Hiki nō hoʻi iā ia ke hoʻolilo i kou kino i mea emi iki ka pane ʻana i ka wela. No laila, mai hoʻokuʻu i kou kino e wela loa. Mai hoʻoikaika kino nui. E noho ma waho o ka lā i ka hiki. Inā pono ʻoe e noho i ka lā, e ʻaʻahu i nā lole e hanu ai. E inu i ka wai he nui. Inā manaʻo ʻoe e pilikia ana ʻoe i ka hoʻoponopono ʻana i ka mahana o kou kino, e kāhea koke i kāu hui lapaʻau.
Inā he mea puhi paka ʻoe, e haʻi i kāu hui mālama ola inā manaʻo ʻoe ʻaʻole hana maikaʻi kēia lāʻau. Inā he mea puhi paka ʻoe a i ʻole ke noʻonoʻo nei e haʻalele, e kamaʻilio me kāu hui mālama ola e pili ana i ia mea.
He aha nā hopena ʻaoʻao e hiki ai i kēia lāʻau lapaʻau ke hana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao, akā ʻaʻole i loaʻa i nā mea āpau.
Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka a i ʻole ka hui lapaʻau:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e hōʻike koke iā lākou:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu.
- Ke kō koko kiʻekiʻe (hyperglycemia): Makewai nui a mimi paha, nāwaliwali a luhi paha, ʻike maka pohihihi.
- 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: Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi koʻikoʻi i kapa ʻia ʻo neuroleptic malignant syndrome.
- Nā pae prolactin kiʻekiʻe: Ka ulu ʻana o ka ʻiʻo umauma i manaʻo ʻole ʻia, ka kahe ʻana o ka nipple, ka loli o ka makemake a i ʻole ka hana moekolohe, nā pōʻaiapuni menstrual kūpono ʻole.
- Maʻi: Kuni, anu, ʻū, a ʻeha paha ka puʻu.
- Ke koko haʻahaʻa: poniuniu, nāwaliwali, maka polū.
- ʻEha a pilikia paha i ka moni ʻana.
- ʻO ka maʻi hoʻomaha ma hope o ka inikini: Pōʻino, hiamoe, ʻōlelo palahalaha, huikau, hoʻoluhi, hoʻomaha ʻole, paʻakikī ke hele, nalowale ke kaulike, nāwaliwali a luhi paha.
- ʻŌhūhū, kuni, a me nā ʻōpuʻu lymph pehu.
- Nā manaʻo no ka pepehi kanaka a i ʻole ka hōʻeha ʻana iā ia iho, ka ʻino ʻana o ke ʻano, nā manaʻo kaumaha.
- Nā neʻe kino i kāohi ʻole ʻia a hana hou ʻia, ka ʻoʻoleʻa a i ʻole ka ʻūlū ʻana o nā ʻiʻo, nā haʻalulu, ka nalowale o ke kaulike, ka hoʻomaha ʻole, ka hele ʻana me ka neʻe ʻana: hiki i kēia ke lilo i mau hōʻailona o nā 'hōʻailona extrapyramidal (EPS)'.
Nā hōʻailona e pono ʻole ai ke aʻo lapaʻau (akā e hoʻomaopopo i ka hui lapaʻau inā hoʻomau a hoʻopilikia paha):
Hoʻopau pinepine kēia i loko o kekahi mau lā, akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka.
- Ka maʻi pākī
- Pōʻino
- Hiamoe
- Waha maloʻo
- ʻEha poʻo
- Ka luaʻi
- Piʻi ke kaumaha
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. E kamaʻilio me kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau e pili ana i nā hopena ʻaoʻao.
Ma hea kahi e mālama ai i kēia lāʻau lapaʻau?
ʻAʻole ʻoe e ʻae ʻia e lawe i kēia lāʻau lapaʻau i ka home. He mea kēia i hāʻawi ʻia ma ka haukapila a i ʻole ke keʻena lapaʻau, no laila ʻaʻole pono ʻoe e mālama iā ia ma ka home.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
ʻAe, i kēia manawa ua loaʻa iā ʻoe kekahi manaʻo e pili ana i ka lāʻau pale olanzapine hana lōʻihi. ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea me kāu kauka a i ʻole kekahi lālā o kāu hui lapaʻau e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. ʻO lākou ka poʻe hiki ke kōkua maikaʻi loa iā ʻoe.
E hoʻomanaʻo, no kou ʻike wale nō kēia ʻike. ʻAʻole ia he ʻōlelo aʻoaʻo lapaʻau. E hahai mau i ka ʻōlelo aʻoaʻo a kāu kauka.
Ke makemake nei iā ʻoe e ho'ōla koke!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau hoʻomau anei ka Olanzapine Extended-Release Injection (Zyprexa Relprevv) no nā poʻe maʻi noʻonoʻo?
ʻAe! He lāʻau ikaika kēia i hoʻohana ʻia no ka mālama ʻana i nā maʻi noʻonoʻo koʻikoʻi e like me ka schizophrenia. No nā poʻe maʻi i makemake ʻole e lawe i nā lāʻau Olanzapine i kēlā me kēia lā, hāʻawi ʻia kēia inikini kūikawā i loko o ka ʻiʻo gluteal i kēlā me kēia 2 a 4 mau pule. A laila paʻakikī ia i loko a hoʻokuʻu i ka nui o ka lāʻau lapaʻau e pono ai i loko o ke koko no 30 mau lā, e mālama ana i ka mālie o ka mea maʻi.
💬 No ke aha i loaʻa ʻole ai/paʻakikī ai ke kiʻi ʻana i kēia lāʻau pale (Olanzapine LAI) ma nā keʻena lapaʻau maʻamau?
Aia kekahi pilikia weliweli e hiki ke hana me kēia: 'Post-Injection Delirium/Sedation Syndrome (PDSS).' ʻO ke ʻano kēia inā e hoʻokomo hewa ʻia kahi nui o ka lāʻau i loko o kahi aʻa i ka wā o ka injection, hiki i ka mea maʻi ke hāʻule koke i loko o ka coma a make paha ma muli o ka hanu ʻole. No laila, hiki ke hana ʻia kēia ma nā keʻena lapaʻau pilikino me ka ʻae kūikawā, a mālama ʻia ka mea maʻi ma ka haukapila no 3 mau hola ma hope o ka injection (REMS Program).
💬 He aha nā hopena ʻaoʻao e hiki mai ana o kēia lāʻau pale ma hope o ke komo ʻana i loko o ke kino no hoʻokahi mahina?
Mai ka wā i loko o ke kino no hoʻokahi mahina, ke hoʻomau nei nā hopena ʻaoʻao! ʻO ka mea nui, ʻo ia ka hoʻonui nui ʻana o ka makemake o ka mea maʻi a me ka piʻi ʻana o ke kaumaha o ke kino ma ke ʻano ʻē (Weight gain). I ka manawa like, aia kahi manawa kūpono e hoʻonui ai i ke kō koko a me nā pae cholesterol (Metabolic syndrome & Diabetes risk). ʻO kekahi mea ʻē aʻe, hiki i ka mea maʻi ke hiamoe mau (Sedation) a maloʻo ka waha.
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