Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi epilepsy, ʻo ia hoʻi ke ʻano e hoʻoulu ai i nā hopu ʻana, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Phenytoin. Hoʻohana ʻia kēia lāʻau i kekahi manawa e pale aku i nā hopu ʻana ma hope o ke ʻoki ʻana o ka lolo. He nui paha kāu mau nīnau e pili ana i kēia lāʻau. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma kēia ʻatikala ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka Phenytoin?
I ka ʻōlelo maʻalahi, ʻo ka phenytoin kahi lāʻau lapaʻau i hāʻawi ʻia i ka poʻe me ka maʻi epilepsy e kāohi a pale i nā hopu ʻana. I kekahi manawa lilo nā aʻalolo i loko o ko kākou lolo i mea hana nui. Hana kēia lāʻau lapaʻau ma ka hōʻoluʻolu ʻana i kēlā hana nui a me ka kaohi ʻana i ka hoʻomaka ʻana o nā hopu ʻana. Loaʻa pū kēia lāʻau lapaʻau ma lalo o nā inoa inoa ʻo Dilantin lāua ʻo Phenytek.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono iā ia ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
- Inā he ʻona waiʻona kou.
- Inā he mamo ʻAsia ʻoe (he mea nui kēia ma muli o ka pilikia o kekahi mau hopena ʻaoʻao).
- Inā he maʻi a hemahema paha i loko o ke koko.
- Inā he maʻi diabetes kou.
- Inā he maʻi puʻuwai kou a he mau pilikia puʻuwai paha.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo porphyria.
- Inā ʻoe e loaʻa ana i ka radiation therapy no ka maʻi ʻaʻai.
- Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā manaʻo, nā hoʻolālā, a i ʻole nā hoʻāʻo pepehi kanaka iā ʻoe iho.
- Inā he maʻi thyroid kou.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka phenytoin a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e hoʻohana pono.
- Pehea e lawe ai: E lawe i kēia capsule me ke aniani wai. Mai uhaʻi, kuʻi, a nau paha i ka capsule. E ale holoʻokoʻa i ka capsule.
- Ka manawa e lawe ai: E ho'āʻo e lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā , e like me ke kauoha a kāu kauka.
- Me ka meaʻai: Hiki iā ʻoe ke lawe i kēia ma mua a ma hope paha o ka ʻai ʻana. Akā ʻo ka mea nui loa, ʻo ia kou lawe ʻana ia mea ma ke ʻano like i kēlā me kēia lā . Eia kekahi laʻana, inā ʻoe e lawe ia mea ma hope o ka ʻaina kakahiaka i kēlā me kēia lā, e hana ia mea ma ke ʻano like i kēlā me kēia lā.
- Ke kū nei:E hoʻomau i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e "hoʻōki i kēia manawa." Mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau , no ka mea, ʻo ka hana ʻana pēlā e hoʻonui ai i ka pilikia o ka hoʻopā ʻana.
He aha kaʻu e hana ai inā e poina iaʻu 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 i kou hoʻomanaʻo ʻana, 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 no kekahi kumu.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, ʻo ia hoʻi, he overdose, he pilikia ia. E kāhea koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Phenytoin
He lāʻau lapaʻau ʻo Phenytoin e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Aia nā papa ʻelua ma lalo nei i ka ʻike e pili ana i ia mau lāʻau lapaʻau.
| MAI lawe pū me Phenytoin | |
|---|---|
| ʻAtemether, Lumefantrine | ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole Hepatitis |
| ʻIdelalisib, ʻIsavuconazonium | Lonafarnib, Lorlatinib, Lurasidone |
| ʻO Pacritinib, Praziquantel, Ranolazine | |
| Hiki i kēia mau lāʻau lapaʻau ke launa pū me Phenytoin - e haʻi i kāu kauka | |
|---|---|
| ʻAila | Nā lāʻau hoʻopau ʻeha e like me ka aspirin |
| Nā lāʻau lapaʻau anticancer (e.g. Bleomycin, Capecitabine) | Nā lāʻau lapaʻau no ke koko kiʻekiʻe a me nā maʻi puʻuwai |
| Nā lāʻau lapaʻau no nā maʻi noʻonoʻo e like me ke kaumaha a me ka hopohopo | Nā lāʻau hoʻohaʻahaʻa kolesterol (e.g. Atorvastatin) |
| Nā lāʻau lapaʻau no nā maʻi fungal | Nā lāʻau antiepileptic ʻē aʻe (e.g. Carbamazepine, Valproic acid) |
| Nā lāʻau antacid a me nā lāʻau gastritis (e.g. Omeprazole) | Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin, Apixaban) |
| ʻO nā hormones wahine, no ka laʻana, nā lāʻau hoʻomalu hānau | ʻO ka waikawa Folic a me ka wikamina D |
| Nā ʻano steroid (e.g. Prednisone) | Nā lāʻau lapaʻau e like me ka St. John's Wort |
ʻAʻole i piha kēia papa inoa. No laila, he mea nui loa ia no kou palekana ponoʻī e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā mau ʻana: E ʻike pinepine i kāu kauka e nānā i kou kūlana. Pono ʻoe e noho ma lalo o ka nānā ʻana o ke kauka i ka wā e lawe ana i kēia lāʻau. Pono paha ʻoe e loaʻa nā hoʻāʻo koko.
- Nā hopena ʻili weliweli:
- Ka hiamoe a me ka poniuniu: Hiki iā ʻoe ke hiamoe a poniuniu. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe. E pale i ka inu ʻana i ka waiʻona.
- Kaohi hānau: Inā ʻoe e lawe i nā pila kaohi hānau, hiki i kēia lāʻau lapaʻau ke hoʻemi i ko lākou hopena. No laila e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kekahi ʻano kaohi hānau ʻē aʻe.
- Pehu ʻāʻī: Hiki i kēia ke kumu i ka hypertrophy o ka ʻāʻī. No laila e ʻike pinepine i kāu kauka niho. E makaʻala i ka palaki ʻana a me ka flossing.
- Nā Antacids: Mai lawe i nā antacids no ka ʻeha puʻuwai i ka manawa like me kēia lāʻau lapaʻau. E waiho i kahi kaawale o 2-3 mau hola.
- Ola kino: E makaʻala i kou kūlana noʻonoʻo i ka wā e lawe ana i kēia lāʻau. Inā ʻoi aku kou hopohopo ma mua o ka mea maʻamau a i ʻole he mau manaʻo no ka pepehi kanaka, e haʻi koke i kāu kauka.
- E lawe mau i ka Phenytoin e like me ka ʻōlelo a kāu kauka iā ʻoe, a i ka manawa kūpono. Mai hoʻōki koke.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā lāʻau lapaʻau āu e lawe nei.
- Inā loaʻa nā ʻeha ʻili koʻikoʻi, nā pehu, a i ʻole nā hōʻailona ʻē aʻe me ke kuni, e ʻimi koke i ke kōkua lapaʻau.
- Mai hoʻololi i ka lama o ka lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- He mea nui loa ia e hana i nā hoʻokolohua lapaʻau maʻamau a me nā hoʻāʻo koko.
- Inā manaʻo ʻoe ua nui ka lāʻau lapaʻau, e hele koke i ke Kikowaena ʻIke ʻAi Poisons National a i ʻole ke Keʻena ʻOihana Hoʻopilikia (ETU) kokoke loa.
He mea nui loa kēia:Hiki i kēia lāʻau lapaʻau ke hoʻoulu i nā hopena ʻili koʻikoʻi i kekahi manawa. E haʻi koke i kāu kauka inā loaʻa iā ʻoe ke kuni, ʻeha kino, nā pehu ʻulaʻula/poni, a i ʻole nā ʻeha ma kou ʻili, ka ʻili ʻana, nā ʻeha i loko o kou waha, a i ʻole ka pehu ʻana o kou maka, lehelehe, ʻāʻī, a i ʻole nā armpits .
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Phenytoin ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, a me ke alelo. |
| Nā hopena ʻili koʻikoʻi | ʻO ke kuni, hele pū me nā pehu ʻulaʻula/poni ma ka ʻili, ka ʻili ʻili, a me nā ʻeha waha. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, melemele o ka ʻili a i ʻole nā maka (e like me ka jaundice), a me ka mimi ʻeleʻele. |
| ʻAʻai ʻino o ka phenytoin | Ka neʻe ʻana o nā maka i hiki ʻole ke kāohi ʻia, ka nalowale o ke kaulike i ka wā e hele ana, ka paʻakikī o ka ʻōlelo ʻana, ka luhi nui, ka nausea, a me ka luaʻi ʻana. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Puʻuwai lohi, poniuniu, paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, ʻeha pinepine a kahe paha ke koko, nā manaʻo e pepehi iā ia iho. |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao maʻamau | ʻEha ke poʻo, hiamoe, poniuniu, paʻakikī i ka noʻonoʻo ʻana a i ʻole ka hoʻomanaʻo. |
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