He lāʻau lapaʻau e hoʻomaha ai i kou noʻonoʻo: E kamaʻilio kākou e pili ana iā Perphenazine; Nā papa Amitriptyline!

He kanaka paha ʻoe e ʻeha nei i ke kaumaha, a i ʻole ka hopohopo wale nō. I kekahi manawa lilo kēia mau mea i mea koʻikoʻi loa, a lilo ia i mea paʻakikī ke hana i kāu mau hana o kēlā me kēia lā, ʻeā? I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau a nā kauka e ʻōlelo pinepine ai e hiki ke kōkua iā ʻoe. He hui pū kēia o nā lāʻau ʻelua i kapa ʻia ʻo perphenazine a me amitriptyline.

He aha kēia lāʻau lapaʻau? (Perphenazine; Amitriptyline) He aha kāna hana?

I ka ʻōlelo maʻalahi, ʻo kēia ʻano pila i kapa ʻia ʻo Perphenazine; Hoʻohana ʻia ʻo Amitriptyline e mālama i nā kūlana noʻonoʻo e like me ke kaumaha a me ka hopohopo . I kekahi manawa, hiki ke hoʻohana ʻia no nā kūlana e like me ka schizophrenia .

E noʻonoʻo e pili ana i ia mea, loaʻa i ko kākou lolo nā kemika e kōkua i ka hoʻomalu ʻana i ko kākou ʻano, ʻano, a me nā manaʻo. Ua like ia me ka ʻenekini o ke kaʻa. Ua kapa ʻia kēia mau kemika ʻo Dopamine, Norepinephrine, a me Serotonin . ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ke kōkua i ka hoʻihoʻi ʻana i nā pae o kēlā mau kemika i loko o ka lolo i kekahi ʻano, e kōkua ana i ka hoʻomaikaʻi ʻana i kou ʻano. He hui pū ʻana ia o ʻelua mau lāʻau lapaʻau: ʻo kekahi he antipsychotic , a ʻo kekahi he tricyclic antidepressant (TCA) . Hoʻohana ʻia kēia mau lāʻau antipsychotic e mālama i nā ʻano maʻi noʻonoʻo like ʻole.

Hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau e kāu kauka no nā kūlana ʻē aʻe. No laila, inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.

Hiki ke loaʻa kēia lāʻau lapaʻau ma ka mākeke ma lalo o nā inoa e like me Etrafon, Etrafon-A, a me Triavil .

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 lawe i kēia lāʻau lapaʻau, aia kekahi mau mea āu e haʻi aku ai i kāu kauka a i ʻole ka hui lapaʻau. E kōkua kēia ʻike iā lākou e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole inā pono ʻoe e mālama pono.

Eia kēlā mau mea:

• Loaʻa iā ʻoe kahi maʻi noʻonoʻo e like me ka maʻi bipolar ?
• Ua loaʻa anei iā ʻoe, a i ʻole i kēia manawa, kahi ālai ʻana i loko o kou ʻōpū?
• Loaʻa iā ʻoe ka dementia , kahi maʻi o ka poina ʻana?
• He maʻi diabetes kou? Inā pēlā, ke hoʻomalu nei ʻoe iā ia?
• He pilikia paha kāu i ka ale ʻana i ka meaʻai?
• Loaʻa iā ʻoe ka glaucoma ?
• He pilikia anei kou i ka hoʻokele ʻana i kou mau ʻiʻo?
• Ua loaʻa anei iā ʻoe kahi ʻeha poʻo koʻikoʻi ma mua?
• He maʻi puʻuwai kou? (He mea nui loa kēia, no ka mea, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka helu o ka puʻuwai)
• Ke inu mau nei ʻoe i ka waiʻona?
• He maʻi puʻupaʻa kou?
• He maʻi akepaʻa kou?
• He haʻahaʻa anei kou helu koko, no ka laʻana, he haʻahaʻa nā keʻokeʻo koko, nā platelets, a i ʻole nā ​​ʻulaʻula koko?
• He haʻahaʻa kou koko?
• Loaʻa iā ʻoe kahi maʻi māmā a pilikia paha kou hanu ʻana, e like me ka hānō ?
• Loaʻa iā ʻoe ka maʻi ʻo Parkinson ?
• Aia kekahi maʻi i kapa ʻia ʻo pheochromocytoma ?
• Ua loaʻa anei iā ʻoe nā ʻōʻō ma mua?
• Ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā manaʻo, nā hoʻolālā a i ʻole nā ​​​​hoʻāʻo pepehi iā ʻoe iho?
• He maʻi thyroid kou?
• He pilikia anei kou i ka mimi ʻana?
• Loaʻa iā ʻoe kahi hopena maʻi i ka amitriptyline, perphenazine, 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?
• He makuahine hānai waiū ʻoe?

Inā pili kekahi o kēia mau mea iā ʻoe, e haʻi i kāu kauka me ka hūnā ʻole i kekahi mea .

Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

E lawe ʻia kēia lāʻau lapaʻau ma ka waha, me ke aniani wai. E lawe pono e like me ke kuhikuhi ʻana ma ka lepili kauoha, i ka manawa a me ka nui i kuhikuhi ʻia. Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana. He mea nui loa ka lawe ʻana i ka nui kūpono i ka manawa kūpono. Mai lawe ʻoi aku ma mua o ka mea a ke kauka e ʻōlelo ai iā ʻoe e lawe, a i ʻole e lawe pinepine.

ʻO ka mea nui loa: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena ʻaoʻao koʻikoʻi a i ʻole e hoʻonui i kou kūlana.

Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e loaʻa iā ʻoe kahi pepa kuhikuhi kūikawā (MedGuide) me ia. Pono ʻoe e heluhelu pono i kēia i kēlā me kēia manawa āu e loaʻa ai ka lāʻau lapaʻau a i ʻole ke loaʻa iā ʻoe kahi hoʻopihapiha, ʻae? Loaʻa iā ia ka nui o nā ʻike koʻikoʻi nāu.

Pono e mālama pono i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, no laila e kamaʻilio me kāu hui lapaʻau e pili ana i ia mea.

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 o ka haukapila.

ʻO kekahi mea ʻē aʻe: Nou wale nō kēia lāʻau lapaʻau. 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 lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina. ʻO ka hana ʻana pēlā e hiki ai ke hopena i nā hopena ʻaoʻao.

He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?

He mea nui loa kēia. Hiki i kekahi mau lāʻau lapaʻau, e like me ka perphenazine, ke hana i nā pilikia ke lawe pū ʻia me ka amitriptyline.

Mai lawe pū me kēia mau lāʻau lapaʻau:

• Linezolid
• nā lāʻau MAOI (e.g., Carbex, Marplan, Nardil, Parnate, a me Xadago)
• Polū Methylene
• ʻO Metoclopramide

Hiki i kēia lāʻau lapaʻau ke launa pū me kēia mau mea:

• ʻAila
• Kekahi mau lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine)
• ʻAtropine
• 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, ka hopohopo, a i ʻole nā ​​​​kūlana psychotic
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā puʻuwai puʻuwai kūpono ʻole (e.g. amiodarone, dofetilide, encainide, flecainide, propafenone, quinidine)
• Kekahi mau lāʻau hiamoe
• ʻO kekahi mau lāʻau lapaʻau no nā pilikia ʻōpū (e like me dicyclomine, hyoscyamine)
• ʻO kekahi mau lāʻau lapaʻau no ka maʻi neʻe (e.g., scopolamine)
• ʻO Cimetidine
• ʻEpinephrine
• ʻEthchlorvynol
• Nā lāʻau hoʻomaha maʻamau (e.g. halothane, isoflurane, methoxyflurane, propofol)
• ʻIpratropium
• ʻO Levodopa a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe no ka maʻi o Parkinson
• Litiuma
• Lāʻau lapaʻau koko
• Nā lāʻau lapaʻau anticonvulsant (e.g. phenobarbital, primidone, phenytoin)
• Nā mea hoʻomaha ʻiʻo no ke ʻoki kino
• Nā lāʻau lapaʻau Narcotic no ka ʻeha
• ʻO Topiramate

ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā mea kanu, nā lāʻau lapaʻau i kauoha ʻole ʻia, a me nā mea hoʻohui meaʻai āu e lawe nei. 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.

He aha kāu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?

E ʻike pinepine i kāu kauka no nā nānā mau ʻana i kou wā e lawe ana i kēia lāʻau. E haʻi i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino. E like me ka mea i ʻōlelo ʻia ma mua, mai hoʻōki i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i kahi hopena koʻikoʻi. E haʻi aku kāu kauka iā ʻoe i ka nui o ka lāʻau e lawe ai.

Ka nānā kūikawā: Pono nā mea maʻi a me ko lākou mau ʻohana e makaʻala no nā manaʻo pepehi kanaka hou a i ʻole ka ʻinoʻino. Eia kekahi, e makaʻala no nā loli koke o ke ʻano, e like me ka hoʻonāukiuki, ka hoʻomaha ʻole, ka makaʻu, ka huhū, ka ʻenemi, ka huhū, ka impulsiveness, ka hoʻomaha ʻole loa, ka pīhoihoi nui a me ka hyperactive, a i ʻole ka insomnia. Inā hana kēia, e kamaʻilio koke me kāu hui mālama ola, ʻoiai i ka hoʻomaka ʻana o ka lāʻau lapaʻau a i ʻole ma hope o ka hoʻololi ʻana i kāu lāʻau.

• Hiamoe/Pīni: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a i ʻole ka pīni. No laila, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea ʻē aʻe e pono ai ka noʻonoʻo ʻana a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. Mai kū koke a noho paha i luna, ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hōʻemi i ka manawa kūpono o ka pīni a i ʻole ka mae ʻana.
• ʻAila: Hiki i ka ʻaila ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau. No laila, e pale i ka inu ʻana i ka ʻaila.
• Nā lāʻau lapaʻau ʻē aʻe: Mai lawe i nā lāʻau lapaʻau no ke kuni, ke anu, a i ʻole nā ​​lāʻau lapaʻau no ka maʻi ʻaleka me ka nānā mua ʻole ʻana me kāu kauka. Hiki i kekahi o nā mea hoʻohui i loko o kēia mau lāʻau lapaʻau ke hoʻonui i nā hopena ʻaoʻao.
• Nā pae kō koko: 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.
• Waha maloʻo: E maloʻo paha kou waha. ʻO ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā kinika paʻakikī ʻaʻohe kō, a me ka inu ʻana i ka wai he nui e kōkua i ka hōʻoluʻolu ʻana i kēia. E haʻi i kāu hui mālama ola inā hoʻomau kēia pilikia a i ʻole e lilo i mea koʻikoʻi.
• Nā maka maloʻo a me ka ʻike maka pohihihi: Hiki i kēia lāʻau lapaʻau ke hana i nā maka maloʻo a me ka ʻike maka pohihihi. Inā ʻoe e komo i nā aniani hoʻopili, hiki iā ʻoe ke loaʻa i kahi ʻoluʻolu ʻole. Hiki i nā kulu maka lubrication ke kōkua. Inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e ʻike i kāu kauka maka.
• Paʻa ʻōpū: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. E ho'āʻo e neʻe i ka ʻōpū ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia ʻelua a ʻekolu lā. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o ʻekolu lā, e kelepona i kāu hui mālama ola.
• ʻIke i ka lā:Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou ʻike i ka lā. No laila, e pale i ka lā. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole pale a hoʻopili i ka sunscreen. Mai hoʻohana i nā kukui lā a i ʻole nā ​​​​moena tanning/booths.
• Nā pilikia kaohi mahana o ke kino: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka kaohi mahana o kou kino. Hiki iā ia ke hōʻemi i ka pane a kou kino i ke anuanu. E pale i ka hele ʻana i waho i ke anuanu i ka hiki. Inā pono ʻoe e hele i waho, e ʻaʻahu i nā lole mahana. Hiki iā ia ke hōʻemi i ka pane a kou kino i ka wela. No laila e pale i ka wela nui. Mai hoʻoikaika kino nui. E pale i ka lā i ka hiki. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole māmā a anuanu. E inu i ka wai nui. Inā pilikia ʻoe i ka kaohi ʻana i ka mahana o kou kino, e kamaʻilio koke me kāu hui mālama ola.
• ʻOki kino: Inā e hana ʻia kekahi ʻoki kino, e haʻi i kāu hui lapaʻau e lawe ana ʻoe i kēia lāʻau lapaʻau.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole koʻikoʻi kekahi, akā pono e hōʻike koke ʻia kekahi i kāu kauka.

Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka/hui lapaʻau:

• Nā hopena maʻi: ʻulaʻula o ka ʻili, ka maneʻo, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu.
• Nā loli o ke ʻano o ka puʻuwai: ka puʻuwai wikiwiki a ʻano ʻole paha, ka poniuniu, ka maule ʻana, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana.
• ʻO ka Neuroleptic Malignant Syndrome (NMS) paha e komo pū me: ke kuni nui, ka ʻoʻoleʻa o nā ʻiʻo, ka nui o ka hou ʻana, ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole, a me ka huikau.
• Ka pae prolactin kiʻekiʻe: Ka ulu ʻana o ka 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, ʻike maka pōwehiwehi.
• ʻEha koke ka maka a i ʻole nā ​​loli o ka ʻike: no ka laʻana, ka ʻike maka pōwehiwehi, ka ʻike ʻana i nā halo a puni nā kukui, a i ʻole ka nalowale ʻana o ka ʻike.
• Nā manaʻo no ka pepehi kanaka iā ia iho a i ʻole ka hōʻeha ʻana iā ia iho, ka ʻino ʻana o ke ʻano, nā manaʻo kaumaha.
• ʻO nā hōʻailona extrapyramidal (EPS) paha e komo pū me: nā neʻe kino i hiki ʻole ke kaohi ʻia a hana hou ʻia, ka ʻoʻoleʻa o nā ʻiʻo a i ʻole ka ʻūlū ʻana, nā haʻalulu, ka nalowale o ke kaulike a i ʻole nā ​​​​pilikia hoʻonohonoho, hoʻomaha ʻole, ka hele wāwae ʻana.

Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau (akā inā hoʻomau a hoʻopilikia paha, e hoʻomaopopo i kāu kauka/hui lapaʻau):

• Ka loli ʻana i ka makemake a i ʻole ka hana moekolohe
• Ka paʻa ʻana o ka ʻōpū
• Pōʻino
• Hiamoe
• Waha maloʻo
• 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.

Pehea ʻoe e mālama pono ai i kēia lāʻau lapaʻau?

E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki .

E mālama ma ka mahana o ka lumi (20 a 25 degere Celsius, 68 a 77 degere Fahrenheit). E pale mai ka mālamalama. E pani paʻa i ka ʻōmole/ʻeke. E hoʻolei i nā lāʻau lapaʻau i hala i kona lā palena pau.

E hoʻomanaʻo i ka mea nui loa! (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Perphenazine; ʻo Amitriptyline, ʻeā? E hoʻomanaʻo, he lāʻau lapaʻau koʻikoʻi kēia e hiki ke kōkua i kou olakino noʻonoʻo. Akā, ʻo ka mea nui loa, ʻo ia ka lawe ʻana e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe, ma ka nui āu e ʻōlelo ai iā ʻoe, a i ka manawa āu e ʻōlelo ai iā ʻoe.

Inā he mau nīnau a hopohopo paha kāu, e ʻoluʻolu e nīnau i kāu kauka, kauka lāʻau, a mea mālama ola kino paha. Mai kuhi hewa i kekahi mea.

He hōʻuluʻulu manaʻo wale nō kēia pepa liʻiliʻi. ʻAʻole paha e uhi i nā ʻike āpau. No laila, e kamaʻilio me kāu kauka a e hahai i kēia lāʻau lapaʻau e like me kou hiki. Ke makemake nei iā ʻoe e ho'ōla koke!

ʻO Perphenazine, amitriptyline, kaumaha, hopohopo, olakino noʻonoʻo, nā hopena ʻaoʻao o ka lāʻau lapaʻau, maʻi noʻonoʻo