Aia kekahi mau kūlana olakino i kekahi manawa ʻaʻole i kāohi maikaʻi ʻia e nā lāʻau lapaʻau maʻamau. ʻO ka maʻi Tourette kekahi o ia ʻano. No laila, i kēlā mau hihia, i ka wā ʻaʻole i hāʻawi mai nā lāʻau ʻē aʻe i nā hopena i manaʻo ʻia, ʻo kahi lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai ua kapa ʻia ʻo Pimozide. Loaʻa pū ia ma lalo o ka inoa inoa ʻo Orap. I kēia lā, e kamaʻilio kikoʻī mākou e pili ana i kēia lāʻau, kāna hana, a me nā mea e makaʻala ai.
He aha ke ʻano lāʻau lapaʻau ʻo Pimozide?
I ka ʻōlelo maʻalahi, ʻo Pimozide kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā hōʻailona o kahi maʻi i kapa ʻia ʻo Tourette's disorder. Hiki i ke kanaka me kēia maʻi ke loaʻa i nā tics leo hiki ʻole ke kāohi ʻia a me nā tics motor. E noʻonoʻo pehea e hiki ai i kēia ke hoʻopilikia i nā hana o kēlā me kēia lā.
No laila, ʻo ka hana a kēia Pimozide, ʻo ia ka hoʻopilikia ʻana i ke ʻano o ka hana ʻana o ka lolo a hōʻemi i kēlā mau leo a me nā neʻe ʻana i hiki ʻole ke kaohi ʻia. No kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo antipsychotics. Mai makaʻu i ka inoa, hoʻohana ʻia kēia papa o nā lāʻau lapaʻau e mālama i nā ʻano maʻi olakino noʻonoʻo like ʻole.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻoholo ʻana o kāu kauka e kuhikuhi iā Pimozide nou, he mea nui loa ia e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kou kūlana olakino | Wehewehena |
|---|---|
| Maʻi puʻuwai | ʻO kēlā me kēia ʻano maʻi puʻuwai a i ʻole ka mōʻaukala o ka puʻuwai puʻuwai kūpono ʻole. |
| Ke koko a me ka helu koko | Inā he haʻahaʻa kou koko, haʻahaʻa nā keʻokeʻo koko, nā platelets, a i ʻole nā keʻokeʻo koko ʻulaʻula (helu koko haʻahaʻa). |
| Nā minelala i loko o ke koko | Inā haʻahaʻa ka nui o ka potassium a i ʻole ka magnesium i loko o ke koko. |
| Nā kūlana olakino ʻē aʻe | ʻO ka maʻi diabetes, ka maʻi puʻupaʻa a i ʻole ke akepaʻa, ka maʻi o Parkinson, nā ʻōʻiliʻili, nā pilikia prostate, ke ālai ʻana o ka ʻōpū, ka paʻakikī i ka moni ʻana, nā pilikia kaohi ʻana i nā ʻiʻo, a i ʻole ka dementia. |
| Nā hana maʻamau a me nā maʻi allergies | Inā he mea inu pinepine ʻoe, he hopena maʻi ʻoe i ka Pimozide a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Hāpai keiki | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
Pono e lawe waha ʻia kēia lāʻau lapaʻau me ke aniani wai. E lawe i ka nui i kuhikuhi ʻia e kāu kauka i ka manawa i kuhikuhi ʻia. E hahai pono i nā kuhikuhi ma ka lepili lāʻau lapaʻau.
He mea nui loa: Mai lawe i kēia lāʻau lapaʻau me ka wai pomelo no kekahi kumu. Hiki iā ia ke hoʻopilikia nui i ka pono o ka lāʻau lapaʻau.
He mea nui e lawe i ka lāʻau i ka manawa kūpono. Eia kekahi, mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā pilikia ʻē aʻe.
He aha inā e hala 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, 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.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hoʻokaʻulua. E kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana Lāʻau Lapaʻau)
He lāʻau lapaʻau ʻo Pimozide nona ka hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora a me nā lāʻau lapaʻau lāʻau.
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Pimozide. | |
|---|---|
| Kekahi mau lāʻau antibiotic | E like me Azithromycin, Clarithromycin, Erythromycin |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (Antidepressants) | Nā lāʻau SSRI e like me Citalopram, Fluoxetine, Sertraline, Nefazodone |
| Nā lāʻau antifungal | E like me ke ʻano o ka lāʻau lapaʻau e like me ke Ketoconazole, Itraconazole, a me Fluconazole. |
| Nā lāʻau lapaʻau no nā maʻi o ka puʻuwai | E like me Amiodarone, Sotalol, Quinidine |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO Metoclopramide, Droperidol, Thioridazine, Ziprasidone, kekahi mau lāʻau lapaʻau no ka HIV/Hepatitis, a me nā lāʻau lapaʻau ʻē aʻe e hoʻolōʻihi i ka manawa QT o ka puʻuwai puʻuwai |
| Hiki i kēia mau mea ke hoʻopilikia i nā pilikia (e makaʻala) | |
| ʻAila | ʻO ka lawe ʻana me ka waiʻona e hoʻonui paha i ka hiamoe a me ka poniuniu. |
| Wai ʻāpala | Hoʻopilikia pololei kēia i ka pono o ka lāʻau lapaʻau. |
| Nā papa lāʻau ʻē aʻe | Nā lāʻau lapaʻau e like me ke kuni, ke anu, nā lāʻau allergy (antihistamine), nā lāʻau ʻeha, nā lāʻau hiamoe, nā lāʻau koko kiʻekiʻe, nā lāʻau epilepsy, a me Levodopa no ka maʻi Parkinson. |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā maʻamau: I ka wā e hoʻohana ai i kēia lāʻau lapaʻau, he mea nui loa ia e ʻike pinepine i kāu kauka e nānā i kou ʻano. E haʻi iā ia inā e ʻoi aku ka ʻino o kāu mau hōʻailona a i ʻole ʻaʻole lākou e hoʻomaikaʻi.
- Hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. E makaʻala i ke ala ʻana mai kahi noho a noho koke paha, ʻoiai inā he ʻelemakule ʻoe.
- ʻOna: Hiki i ka inu ʻana i ka ʻona ke hoʻonui i ka hiamoe a me ka poniuniu. No laila, ʻoi aku ka maikaʻi o ka pale ʻana i ka ʻona i ka wā e lawe ana i kēia lāʻau.
- Kō koko: Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pae kō koko. No laila, e kamaʻilio me kāu kauka e pili ana i ka pono e hoʻololi i kāu meaʻai a i ʻole ka lāʻau lapaʻau maʻi diabetes.
- Mahana kino: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke ʻano o kou kino e kāohi ai i kona mahana. ʻO ia hoʻi, ʻaʻole hiki i kou kino ke pane i ke anu nui a i ʻole ka wela nui. No laila, e ʻaʻahu i nā lole mahana i ka wā anu loa. Eia kekahi, e makaʻala i ka wela nui a me ka lā. E inu i ka wai nui. Inā manaʻo ʻoe e pilikia ana ʻoe i ka kāohi ʻana i kou mahana kino, e kamaʻilio koke me kāu kauka.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki i ka Pimozide ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau. He mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka/haukapila | |
|---|---|
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, maule, ʻeha ka umauma, paʻakikī ke hanu. |
| ʻO ka maʻi ʻino Neuroleptic (NMS) | Kuni nui loa, ʻoʻoleʻa nā ʻiʻo, ka hou nui, a me ka huikau. He kūlana weliweli loa kēia. |
| Nā Hōʻailona Extrapyramidal (EPS) | Nā neʻe ʻana o ke kino i hiki ʻole ke kāohi ʻia, ka ʻoʻoleʻa a i ʻole ka ʻūlū ʻana o nā ʻiʻo, ka haʻalulu, ka hoʻomaha ʻole, ka paʻakikī i ka hele wāwae. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, a pēlā aku. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka paʻa ʻana o ka ʻōpū | Waha maloʻo |
| Pōʻino | Hiamoe |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Pimozide no ka maʻi o Tourette. Hoʻohana ʻia ia ke ʻole e holo pono nā lāʻau lapaʻau ʻē aʻe.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai lawe pū i kēia lāʻau lapaʻau me ka wai pomelo.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke kuni nui, ka ʻoʻoleʻa o nā ʻiʻo, a i ʻole ka puʻuwai puʻuwai kūpono ʻole, e ʻimi koke i ke kōkua lapaʻau a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ke aʻo ʻole ʻia e kāu kauka.
- He mea nui loa e noho mau me kāu kauka e nānā i kāu holomua.
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