Inā loaʻa koke iā ʻoe kahi hopu ʻana, a i ʻole he maʻi epilepsy paha kāu, a i ʻole ua hana ʻia ʻoe i ke ʻoki lolo, ua hāʻawi paha kāu kauka iā ʻoe i kēia lāʻau lapaʻau e hoʻōki i kāu mau hopu ʻana. Ua kapa ʻia ʻo ia he inikini phenytoin. I ka ʻōlelo maʻalahi, hana ia ma ka hōʻoluʻolu a me ka kaohi ʻana i nā ʻāpana o ka ʻōnaehana nerve o kou kino e lilo i mea hana nui i kekahi manawa. No laila e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku, ʻeā?
He aha ka Phenytoin? E hoʻomaopopo pono kākou!
He lāʻau lapaʻau koʻikoʻi ka Phenytoin i hoʻohana ʻia e kāohi a pale i nā hopu ʻana . Hoʻohana pinepine ʻia ia i nā poʻe me ka maʻi epilepsy . Hāʻawi ʻia nō hoʻi ia e hōʻemi i ka pilikia o nā hopu ʻana i ka wā a ma hope o ke ʻoki ʻana o ka lolo.
E noʻonoʻo i nā aʻalolo i loko o ko kākou lolo e like me nā uea liʻiliʻi e lawe ana i nā leka uila. I kekahi manawa hiki i kēia mau "uea" ke loaʻa nā "kaapuni pōkole" liʻiliʻi. ʻO ia ka manawa e loaʻa ai nā hopu. No laila, ʻo ka mea a Phenytoin e hana ai, ʻo ia ka hoʻomālielie ʻana i kēlā mau aʻalolo hana nui a hoʻēmi i kēlā mau "kaapuni pōkole." ʻO ia hoʻi, hoʻomalu ia i nā aʻalolo hana nui.
Hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā mea ʻē aʻe i kekahi manawa, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
He aha nā mea e pono ai ʻoe e haʻi aku i ke kauka ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau?
He mea nui loa kēia. Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka Phenytoin, he mea nui e ʻike kāu hui mālama i kēia mau mea:
- Ua ʻona ʻoe i ka waiʻona? Hiki i ka waiʻona ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau.
- No ʻAsia ʻoe? Hiki i kekahi poʻe me nā ʻano genes ʻAsia ke ʻano hana ʻokoʻa i kēia lāʻau lapaʻau i loko o ko lākou kino, no laila he mea nui e makaʻala i kēia.
- Loaʻa iā ʻoe ka maʻi diabetes (Diabetes Mellitus)? Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā pae kō koko.
- He pilikia puʻuwai kou?
- He maʻi akepaʻa kou? Hoʻomaʻemaʻe ʻia kēia lāʻau lapaʻau mai ke kino e ke akepaʻa. No laila, inā he pilikia kou i ke akepaʻa, hiki iā ia ke hoʻopilikia iā ia.
- He haʻahaʻa kou koko?
- Ua loaʻa anei iā ʻoe nā manaʻo, nā hoʻolālā, a i ʻole nā hoʻāʻo pepehi kanaka iā ʻoe iho? A i ʻole ua loaʻa i kekahi o kou ʻohana kekahi? He mea nui kēia e haʻi aku no ka mea hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke ʻano o kekahi poʻe.
- He maʻi āpau paha ʻoe i ka phenytoin, hydantoin, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama?E ʻōlelo mai, ʻoiai inā he mea liʻiliʻi wale nō.
- Ke hāpai nei ʻoe a ke hoʻāʻo nei paha e hāpai?
- He makuahine hānai waiū ʻoe?
He mea nui loa ia no kou palekana ponoʻī e haʻi i ke kauka i kēia mau mea me ka hūnā ʻole ʻana iā lākou.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He inikini kēia i loko o kahi aa koko . ʻO ke ʻano kēia, ʻaʻole ia he mea hiki iā ʻoe ke hoʻohana ma ka home. Hāʻawi ʻia ia iā ʻoe e nā loea lapaʻau ma kahi haukapila a i ʻole kahi keʻena lapaʻau .**
Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i ka lāʻau lapaʻau a ke kauka i kuhikuhi ai iā ʻoe i kekahi kanaka ʻē aʻe, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
Inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki: I kekahi mau hihia i koho ʻia, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki. Eia nō naʻe, aia kekahi mau mea kūikawā e noʻonoʻo ʻia. E kamaʻilio me kāu hui lapaʻau e pili ana i kēia.
Overdose: ʻAʻole paha e hiki kēia no ka mea ua hāʻawi ʻia ma ka haukapila. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena kaohi lāʻau make a i ʻole ke keʻena pilikia.
He aha inā e hala wau i kahi lāʻau?: ʻOiai ua hāʻawi ʻia kēia ma ka haukapila, ʻaʻohe mea nui inā e hala ʻoe i kahi lāʻau. Na nā limahana lapaʻau e mālama ia.
He aha kāu e makaʻala nui ai i ka wā e lawe ai i kēia lāʻau?
Ke loaʻa iā ʻoe kēia lāʻau pale, e nānā pono nā limahana lapaʻau i kou kūlana. Akā, he mea maikaʻi iā ʻoe ke makaʻala i kēia mau mea:
- Nā hopena ʻili koʻikoʻi: He mea nui loa kēia. Hiki ke hana i kēia mau mea i nā pule a i ʻole nā mahina ma hope o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kahi ʻili ʻili me nā hōʻailona e like me ke kuni a me nā ʻeha kino. Hiki i kēia mau ʻili ke lilo i ʻulaʻula a poni paha a laila pehu a ʻili. A i ʻole, inā he mau ʻili ʻulaʻula kou me ka pehu ʻana o ka maka, nā lehelehe, a i ʻole nā kikowaena lymph pehu ma ka ʻāʻī a i ʻole nā armpits, e haʻi koke i kāu kauka . He pilikia paha kēia.
- Hiamoe, poniuniu: Hiki iā ʻoe ke hiamoe a poniuniu. No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i kekahi mea e pono ai ka noʻonoʻo a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe. E pale i ke ala ʻana a i ʻole ka noho ʻana i lalo me ka wikiwiki, ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hoʻonui i kou hiki ke poniuniu a hāʻule.
- ʻAila: Hiki i ka ʻaila ke hoʻololi i nā hopena o kēia lāʻau lapaʻau, no laila e pale i ka inu ʻana i ka waiʻona.
- Nā manaʻo pepehi kanaka:Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i kou pilikia o nā manaʻo a i ʻole nā hana pepehi kanaka. No laila e makaʻala pono i kou kūlana noʻonoʻo a me kou manaʻo. Inā ʻoi aku ka ʻino o kou ʻano, manaʻo ʻoe e make ana ʻoe, a i ʻole ʻoe e kaumaha a hopohopo paha ma mua o ka maʻamau , e haʻi koke i kāu hui mālama ola. Mai hūnā.
- Ka nele o ka wikamina D a me ka waikawa folic: Hiki i kēia lāʻau lapaʻau ke hoʻemi i ka nui o ka wikamina D a me ka waikawa folic i loko o ke kino. No laila, e kamaʻilio me kāu hui mālama ola e pili ana i nā meaʻai āu e ʻai ai, nā wikamina āu e lawe ai, a lawe i nā mea hoʻohui inā pono.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Phenytoin ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau, akā he mea maikaʻi ke makaʻala iā lākou.
Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka:
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e haʻi koke aku i kāu kauka:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu.
- Ke kō koko kiʻekiʻe (Hyperglycemia): Manaʻo nui i ka make wai, pono e mimi pinepine, manaʻo luhi ʻē, ʻike pōwehiwehi.
- Nā hōʻailona o ka maʻi: kuni, anuanu, ʻū, ʻeha ka puʻu.
- ʻEha o ke akepaʻa: ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale o ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, luhi ʻē.
- ʻEha, pehu, hoʻololi ke kala i ka polū/poni, a me ka laha ʻana ma kahi i inikini ʻia.
- ʻAkika Phenytoin: Nā neʻe ʻana o nā maka hiki ʻole ke kāohi ʻia, nalowale ke kaulike a paʻakikī paha i ka hele wāwae, paʻakikī i ka ʻōlelo ʻana, luhi ʻē, nausea, luaʻi.
- ʻŌhūhū, kuni, a me nā ʻōpuʻu lymph pehu.
- Hiki ke ʻulaʻula, pehu, ʻili, a i kekahi manawa aia i loko o ka waha.
- Ka puʻuwai lohi: Manaʻo poniuniu, maule, huikau, pōkole o ka hanu, luhi ʻē.
- Nā kīʻaha lymph pehu i ka ʻāʻī, ka ʻūhā, ka umauma, a i ʻole nā armpits.
- Nā manaʻo e like me nā manaʻo pepehi kanaka, ka hoʻonui ʻia ʻana o ke kūlana noʻonoʻo, a me ke kaumaha.
- ʻO ka palapū a i ʻole ke kahe koko ma ke ʻano ʻē.
ʻO nā hopena ʻaoʻao ʻaʻole ia he mea weliweli, akā pono e hōʻike i kāu kauka inā hoʻomau lākou:
E nalo pinepine kēia mau mea i loko o kekahi mau lā. Akā inā hoʻomau lākou, e haʻi i kāu kauka inā hoʻopilikia lākou iā ʻoe:
- Ka paʻakikī i ka noʻonoʻo ʻana, ka hoʻomanaʻo ʻana, a i ʻole ka ʻōlelo ʻana.
- Pōʻaiʻī.
- Hiamoe.
- ʻEha poʻo .
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i helu ʻole ʻia, e kamaʻilio me kāu kauka e pili ana i ia mea.
Hiki i kēia ke launa pū me nā lāʻau lapaʻau ʻē aʻe? (Nā Hana Pilikino Lāʻau Lapaʻau)
He mea nui loa kēia. Hiki i ka Phenytoin ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui, nā mea kanu, a me nā huaora. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai.
Mai lawe pū me kēia mau lāʻau lapaʻau ʻo Phenytoin:
Inā ʻoe e hoʻohana nei i kēia mau lāʻau lapaʻau, ʻaʻole pono e lawe i ka Phenytoin. No laila, pono ʻoe e kamaʻilio me kāu kauka e pili ana i kēia.
- ʻAtemeta
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole ka hepatitis
- ʻIdelalisib
- ʻIsavuconazonium
- ʻO Lonafarnib
- ʻO Lorlatinib
- ʻO Lumefantrine
- ʻO Lurasidone
- ʻO Pacritinib
- ʻO Praziquantel
- Ranolazine
Hiki i ka Phenytoin ke launa pū me nā lāʻau lapaʻau e hiki mai ana:
He lōʻihi iki kēia papa inoa, akā inā ʻoe e hoʻohana ana i kekahi o kēia mau mea, mai poina e haʻi i kāu kauka.
- ʻAlbendazole
- ʻAila
- ʻAspirin a me nā lāʻau lapaʻau e like me ka aspirin
- ʻO Bleomycin
- ʻO Capecitabine
- ʻO Carboplatin
- ʻO kekahi mau lāʻau lapaʻau no ke koko, ka maʻi puʻuwai, a me ka puʻuwai naʻau kūpono ʻole
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo ʻē aʻe
- Nā lāʻau hoʻohaʻahaʻa cholesterol e like me Atorvastatin, Fluvastatin, a me Simvastatin
- Nā lāʻau lapaʻau no nā maʻi fungal e like me Fluconazole, Itraconazole, Ketoconazole, Miconazole, Posaconazole, Voriconazole
- Nā lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia no nā hopu ʻana: Carbamazepine, Ethosuximide, Felbamate, Lacosamide, Lamotrigine, Methsuximide, Oxcarbazepine, Phenobarbital, Topiramate, Valproic acid, Vigabatrin
- Nā lāʻau lapaʻau no nā pilikia ʻōpū e like me nā antacids, cimetidine , omeprazole, a me ka sucralfate
- Nā lāʻau lapaʻau e pale ai a mālama paha i nā ʻūpā koko, e like me Warfarin, Apixaban, Dabigatran, Edoxaban, a me Rivaroxaban
- Chloramphenicol
- Chlorpropamide
- ʻO Cisplatin
- ʻO Cyclosporine
- ʻO Disulfiram
- ʻO Doxorubicin
- ʻO Doxycycline ( Doxycycline )
- ʻO nā hormones wahine, no ka laʻana estrogen a me nā lāʻau hoʻomalu hānau
- ʻO Fluorouracil
- ʻAkika Folic
- ʻIrinotecan
- ʻIsoniazid
- Nā mea hoʻomaha ʻiʻo i ka wā o ke ʻoki kino
- Methadone
- ʻO Methotrexate
- Methylphenidate
- Paclitaxel
- Nā Phenothiazines (e.g. chlorpromazine, mesoridazine, prochlorperazine, thioridazine)
- ʻO Rifampin
- ʻO St. John's Wort (he lau nahele kēia)
- nā lāʻau steroid (e like me prednisone, cortisone)
- Sulfadiazine
- ʻO Sulfamethoxazole
- ʻO Teniposide
- ʻO ka Theophylline
- ʻO Ticagrelor
- ʻO ka Ticlopidine
- Tolbutamide
- Wikamina D
ʻAʻole piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
Pehea e mālama ai? (ʻAʻole paha kēia e pili iā ʻoe)
ʻOiai ua hāʻawi ʻia kēia lāʻau pale ma kahi haukapila a i ʻole ke keʻena lapaʻau, ʻaʻole pono ʻoe e hopohopo e pili ana i ka mālama ʻana. Akā e makaʻala wale nō:
- Pono e mālama ʻia kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki.
- Pono e mālama ʻia ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius).
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
He mea pili kēia ʻike i nā limahana o ka haukapila.
ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)
ʻAe, ʻo ia nā mea nui e pono ai ʻoe e ʻike e pili ana i ka inikini Phenytoin. E hoʻomanaʻo, he lāʻau lapaʻau koʻikoʻi kēia no ka kaohi ʻana i nā hopu ʻana.
ʻO ka mea nui loa, inā he mau nīnau kāu, hopohopo, a i ʻole nā hōʻailona hou, e kamaʻilio me kāu kauka, kahu maʻi, a kauka lāʻau paha. Mai hūnā i kekahi mea iā ʻoe iho. Aia lākou ma laila e kōkua iā ʻoe.
Ke makemake nei iā ʻoe e ho'ōla koke!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ke ʻano o nā maʻi e hāʻawi ʻia ai ka Phenytoin Injection?
He inikini hoʻōla ola ikaika loa kēia i hāʻawi koke ʻia i loko o ke aʻa koko o ka mea maʻi (IV) ma kahi haukapila e kāohi i ka 'Seizures / Epilepsy', kahi maʻi lolo, ʻoiai ke mau ka hoʻopā ʻana ma mua o 5 mau minuke i ka manawa (Status Epilepticus). Hoʻomālielie kēia i nā aʻalolo i loko o ka lolo a hoʻōki i nā haʻalulu nui.
💬 Pehea e hoʻōki koke ai ka inikini Phenytoin i ka lolo kūpono?
Ke loaʻa kahi hopu ʻana, hoʻokuʻu koke nā aʻalolo i loko o ka lolo i nā hōʻailona uila (nā hiki ke hana). I ka hiki ʻana o kēia inikini phenytoin i ka lolo, pani loa ia (āpau) i nā 'sodium channels' i loko o kēlā mau aʻalolo. A laila e pau ke kahe ʻana o ke au a mālie ka lolo.
💬 He aha nā pilikia o ke komo ʻana i kēia lāʻau pale i loko o kahi aʻa (IV Injection)?
He ʻiniki kēia e pono e lawelawe ʻia me ke akahele loa! Hoʻokomo mālie ʻia kēia i loko o ke aʻa (ma ka wikiwiki o 50mg/min). Inā hoʻokomo koke ʻia, hiki i ke koko o ka mea maʻi ke hāʻule koke i ka ʻole, a hiki i ka puʻuwai ke kū (Cardiovascular collapse/Arrhythmias)! Eia kekahi, ʻoiai ʻaʻole hiki ke hoʻoheheʻe ʻia kēia lāʻau i ka wai, inā pohā ke aʻa i ka wā o ka iniki ʻana, aia kahi manawa kūpono e heheʻe a pala ka ʻiʻo a puni (Purple Glove Syndrome/Phlebitis).
Phenytoin , Phenytoin, nā hopu ʻana, ka maʻi epilepsy, ka lāʻau pale, nā hopena ʻaoʻao, ke ʻoki ʻana i ka lolo
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