Ua ʻike mākou i nā pilikia o ke ola ʻana me ka maʻi Parkinson. I kekahi manawa hiki ke luhi loa ka hana ʻana i nā hana o kēlā me kēia lā me nā hōʻailona e like me ka haʻalulu a me ka ʻoʻoleʻa i ke kino. No laila, ua kuhikuhi paha kāu kauka iā ʻoe i nā lāʻau lapaʻau like ʻole e kāohi i kēia mau hōʻailona. Inā ʻoe e lawe nei iā Carbidopa lāua ʻo Levodopa, ʻo kekahi lāʻau lapaʻau koʻikoʻi e hoʻohana pū ʻia me lāua ʻo Opicapone. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau ma ke ʻano maʻalahi a aloha i kēia lā.
He aha ka Opicapone? Pehea e hana ai?
I ka ʻōlelo maʻalahi, ʻo Opicapone kahi lāʻau lapaʻau e kōkua ai i ka kaohi ʻana i nā hōʻailona o ka maʻi Parkinson. ʻAʻole ia e hāʻawi wale ʻia, akā i ka hui pū ʻana me nā lāʻau lapaʻau āu e lawe nei, ʻo Carbidopa lāua ʻo Levodopa.
E noʻonoʻo, aia kekahi kemika koʻikoʻi i loko o ko kākou lolo e kāohi ana i ka neʻe ʻana i kapa ʻia ʻo dopamine . I ka maʻi o Parkinson, emi ka pae o kēia dopamine i loko o ka lolo. Hana ka lāʻau Levodopa ma ka hele ʻana i ka lolo a hoʻololi iā ia i dopamine. Akā, ua wāwahi koke ʻia ka dopamine i hana ʻia e ke kino.
ʻO kēia kahi e komo mai ai ʻo Opicapone. Hana kēia lāʻau lapaʻau ma ka hoʻōki ʻana i ka haki ʻana o ka dopamine a kōkua i ka mālama ʻana iā ia i loko o ka lolo no ka manawa lōʻihi. Ua like ia me ke sila ʻana i kahi lua i loko o kahi bākeke wai a mālama i ka wai i loko no ka manawa lōʻihi. ʻO ka hopena, ʻoi aku ka maikaʻi o ka hoʻomalu ʻana i nā hōʻailona o kou kino e like me ka ʻoʻoleʻa a me ka haʻalulu.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau palekana ʻo Opicapone no ka hapa nui o nā kānaka, hiki iā ia ke launa pū me kekahi mau kūlana olakino. No laila, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
| ʻO ke kūlana a i ʻole ka maʻamau āu e hōʻike ai | No ke aha ʻoe e hoʻomaopopo ai i ke kauka? |
|---|---|
| Inā inu mau ʻoe i ka waiʻona | Hiki i ka waiʻona ke hoʻonui i nā hopena ʻaoʻao o ka lāʻau lapaʻau (ʻoi aku ka dizziness a me ka hiamoe). |
| Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole ke akepaʻa | ʻO kēia mau ʻōkana ke kuleana no ka wehe ʻana i nā lāʻau lapaʻau mai ke kino. Inā pilikia kā lākou hana, pono paha e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau. |
| Inā he haʻahaʻa kou koko | Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i ke koko i kekahi manawa. |
| Inā loaʻa iā ʻoe nā maʻi e pili ana i ka hiamoe (e.g. Narcolepsy, Sleep apnea) | Hiki ke piʻi aʻe ka pilikia o ka hiamoe koke ʻana ma muli o ka lāʻau lapaʻau. |
| Inā loaʻa iā ʻoe nā maʻi noʻonoʻo e like me ka schizophrenia | Hiki ke loli kekahi mau hōʻailona noʻonoʻo ma muli o kēia lāʻau lapaʻau. |
| Inā he maʻi ʻaleka kou i ka Opicapone a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā wai hoʻoluʻu. | He mea nui kēia no ka pale ʻana i nā maʻi allergies. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | He mea nui e hoʻomaopopo i kāu kauka e hōʻoia i ka palekana o kēia lāʻau lapaʻau i ka wā hāpai a me ka hānai ʻana. |
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai ka lāʻau lapaʻau, he mea nui loa ia e hoʻohana ia mea e like me ke kuhikuhi ʻana.
- E lawe me ke aniani wai: E ale i kēia papa me ke aniani wai.
- E lawe i ka ʻōpū ʻole: ʻO kēia ka mea nui loa. Pono ʻoe e lawe i kēia lāʻau lapaʻau ma ka liʻiliʻi he hola ma mua a ma hope paha o ka ʻai ʻana . ʻO kēia no ka mea ʻo ka lawe ʻana me ka meaʻai e hōʻemi i ka omo ʻana o ka lāʻau lapaʻau i loko o ke kino. No ka laʻana, inā ʻoe e ʻai i ka hola 8 pm, ʻoi aku ka maikaʻi o ka lawe ʻana i ka lāʻau lapaʻau ma hope o ka hola 9 pm.
- Mai hoʻōki a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe: ʻAʻohe mea pehea kou maikaʻi, mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: Inā poina iā ʻoe ke lawe i kahi lāʻau lapaʻau, e hōʻalo iā ia. E lawe i hoʻokahi wale nō pila i ka manawa i hoʻonohonoho ʻia aʻe. Mai lawe i ʻelua mau pila i ka manawa hoʻokahi e hana hou no kahi lāʻau lapaʻau i poina.
- Inā lawe nui ʻoe i ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. E kāhea koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe. He mea weliweli paha ia no lākou.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Opicapone
He mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Opicapone a hoʻoulu i nā kūlana weliweli.
| Mai lawe pū me kēia lāʻau lapaʻau! (WEHIWEHI LOA) | |
|---|---|
| Lāʻau lapaʻau ʻano MAOI | ʻO nā lāʻau lapaʻau e like me Marplan, Nardil, a me Parnate. He mau lāʻau lapaʻau kēia i hoʻohana ʻia no ka mālama ʻana i ke kaumaha. ʻO ka lawe ʻana i kēia me ka opicapone hiki ke hoʻoulu i ke koko kiʻekiʻe loa. |
| Hiki paha iā ʻoe ke pane me kēia - e haʻi i kāu kauka. | |
| ʻAila | Hoʻonui i ka hiamoe a me ka poniuniu. |
| Nā lāʻau lapaʻau no ke anu a me nā maʻi ʻaleka (Antihistamine) | Hiki ke hoʻonui i ka hiamoe. |
| Lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe | Hiki ke hiamoe nui. |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha | E like me: amitriptyline, fluoxetine, sertraline |
| ʻO kekahi mau lāʻau hopu | Laʻana: phenobarbital, primidone |
| ʻO kekahi mau anesthetics laulā a me nā lāʻau lapaʻau i hoʻohana ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana | E haʻi i ke kauka anesthesiologist e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei ma mua o ke ʻoki ʻana. |
| ʻO nā opioids (nā lāʻau hoʻopau ʻeha) | Hiki ke loaʻa ka hiamoe a me nā pilikia hanu. |
| Nā lāʻau lapaʻau e like me Dobutamine, Dopamine, Epinephrine, Norepinephrine | He mau lāʻau lapaʻau kēia i hoʻohana pinepine ʻia i nā haukapila i nā kūlana pilikia. |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai, me nā huaora, nā lāʻau lapaʻau kuʻuna (lāʻau lapaʻau Sinhala), a me nā mea hoʻohui .
Nā mea āu e makaʻala nui ai i ka wā e lawe ana i ka lāʻau lapaʻau
I ka wā e lawe ai i kēia lāʻau lapaʻau, aia kekahi mau mea āu e makaʻala ai no kou palekana a me kou olakino.
Hiamoe koke
He mea kupanaha paha kēia, akā hiki nō ia. Hiki i kekahi poʻe ke hiamoe me ka ʻole o ka ʻōlelo aʻo ʻana i ka wā e hana ana lākou i ka wā e lawe ana i kēia lāʻau lapaʻau. E noʻonoʻo i ka pōʻino inā ʻoe e hoʻokele ana i kahi kaʻa a kamaʻilio paha me kekahi.
- Inā hana kēia iā ʻoe: E haʻi koke aku i kāu kauka.
- No ka palekana: E hōʻalo i nā hana weliweli e like me ka hoʻokele kaʻa ʻana, ka hana ʻana ma nā wahi kiʻekiʻe, a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
Nā pilikia kaohi impulse
He hopena ʻaoʻao maʻamau ʻole kēia, akā he mea nui hoʻi, o kēia lāʻau lapaʻau. Hiki i kekahi poʻe ke ʻike i nā makemake nui i ka wā e lawe ai i kēia lāʻau lapaʻau i loaʻa ʻole iā lākou ma mua.
- Ka makemake nui e piliwaiwai.
- Ka hoihoi kūikawā i ka moekolohe.
- ʻAi nui ʻana.
- Ka hoʻolilo kālā me ke kumu ʻole a me ke kūʻai ʻana i nā mea.
ʻAʻole kēia kou hewa, he hopena ʻaoʻao paha kēia o ka lāʻau lapaʻau. Inā ʻike ʻoe a i ʻole kou ʻohana i kēia ʻano loli i kāu ʻano, mai hilahila a makaʻu paha, e haʻi koke aku i kāu kauka.
Pōʻino a me ka nawaliwali
Hiki paha iā ʻoe ke poniuniu a hiki ke uliuli kou mau maka, ʻoiai ke ala ʻoe mai kahi noho a i ʻole ke ala ʻoe mai kahi moe. ʻO kēia no ka mea e hāʻule koke ana kou koko.
- He aha e hana ai: Ke hoʻololi nei i nā kūlana , e hoʻololi mālie. Mai ala koke, e kali iki ma mua o ke ala ʻana.
- Hiki ke hoʻonui ʻia kēia kūlana inā ʻoe e inu i ka waiʻona.
Mai ho'ōki koke i ka lawe ʻana i ka lāʻau.
He mea nui loa kēia. Inā ʻoe e hoʻōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka, hiki iā ʻoe ke ʻike i nā hopena koʻikoʻi e like me ke kuni, ka ʻoʻoleʻa o nā ʻiʻo, a me nā loli o ka ʻike. Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau, e hoʻēmi mālie kāu kauka i ka nui.
Waha maloʻo
Hiki i kekahi poʻe ke loaʻa i ka waha maloʻo i ka wā e lawe ai i kēia lāʻau.
- Nā Lāʻau Lapaʻau: ʻO ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā kinikini kō ʻole, a me ka inu ʻana i kahi wai liʻiliʻi i ka lā a pau e kōkua paha. Inā hoʻomau kēia, e haʻi i kāu kauka.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Opicapone ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka āpau.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Hiamoe koke | Ke hiamoe nei i ka wā e hana ana i nā hana o kēlā me kēia lā. |
| Nā manaʻo hoʻokalakupua | Ke ʻike ʻana a i ʻole ka lohe ʻana i nā mea i ʻike ʻole ʻia. |
| Ke koko haʻahaʻa | Pōʻino nui, maule, ʻike pōwehiwehi. |
| Nā neʻe ʻana i hiki ʻole ke kāohi ʻia (Dyskinesia) | Nā neʻe hou a i ʻole e hoʻonui ana i nā neʻe kaohi ʻole ʻia o ka maka, ka waha, a i ʻole ke kino o luna. |
| Nā loli ʻano | Nā manaʻo hoʻoikaika ʻole, e like me ka piliwaiwai i ʻōlelo ʻia ma luna a me ka hoʻolilo kālā nui ʻana. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka paʻa ʻana o ka ʻōpū | - |
| Pōʻino | - |
| Waha maloʻo | - |
| Pilikia i ka hiamoe ʻana | - |
Pehea ʻoe e mālama ai a hoʻolei aku i nā lāʻau lapaʻau me ka palekana?
- Ka mālama ʻana: E mālama i ka lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona . E mālama ma ka mahana o ka lumi (ma lalo o 30 degere Celsius). Mai hoʻohana i ka lāʻau lapaʻau i pau ka lāʻau.
- Wehe ʻana:ʻO ke ala maikaʻi loa e hoʻopau ai i nā lāʻau lapaʻau i pau ka lā a i ʻole nā lāʻau lapaʻau i makemake ʻole ʻia, ʻo ia ke nīnau i kāu kauka e pili ana i kahi papahana kahi e hiki ai iā ʻoe ke hoʻihoʻi iā lākou. Inā ʻaʻole hiki kēlā, e wehe i nā pila mai ka ʻōmole, e kāwili iā lākou me nā lau kī i hoʻohana ʻia, nā ʻōpala kope, a i ʻole kekahi mea pala, e hoʻokomo iā lākou i loko o kahi ʻeke i hoʻopaʻa pono ʻia, a e hoʻolei iā lākou i loko o ka ʻōpala. Mai hoʻolei iā lākou i lalo o ka lua.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Opicapone i hāʻawi pū ʻia me Carbidopa/Levodopa e kōkua i ka kaohi ʻana i nā hōʻailona o ka maʻi Parkinson.
- E lawe mau i kēia lāʻau lapaʻau ma ka ʻōpū ʻole, ʻo ia hoʻi, hoʻokahi hola ma mua a i ʻole hoʻokahi hola ma hope o ka ʻai ʻana.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe a pau, nā huaora, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E makaʻala i nā hōʻailona ʻē e like me ka hiamoe koke a me nā makemake hiki ʻole ke kāohi. Inā ʻike ʻoe i kekahi o kēia mau mea, e haʻi koke aku i kāu kauka.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i ka lāʻau lapaʻau, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea.
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