Hiki ke paʻakikī loa ka noho ʻana me ke kaumaha i kekahi manawa, ʻeā? ʻO Protriptyline kahi lāʻau lapaʻau a nā kauka e ʻōlelo nei e kōkua iā ʻoe e hoʻēmi i ke kaumaha a hoʻomaikaʻi i kou ʻano. Ma ke ʻano he mea hoʻohana i kēia lāʻau lapaʻau, he nui paha kāu mau nīnau e pili ana i ia mea. Mai hopohopo. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, pehea e hana ai, a me nā mea āu e pono ai e makaʻala i ka wā e hoʻohana ana.
He aha ke ʻano lāʻau lapaʻau ʻo Protriptyline?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Protriptyline i hoʻohana ʻia e mālama i ke kaumaha. No kahi papa lāʻau lapaʻau i kapa ʻia ʻo Tricyclic Antidepressants (TCAs) .
E noʻonoʻo penei: Aia nā ʻelele liʻiliʻi i loko o ko kākou lolo e kaohi ana i ko kākou ʻano. Kāhea mākou i kēia mau neurotransmitters. ʻO Serotonin a me norepinephrine ʻelua o nā ʻelele nui. I ka poʻe me ke kaumaha, hiki ke hoʻemi ʻia ka hana o kēia mau ʻelele i kekahi manawa. Hana ʻo Protriptyline ma ka hoʻonui ʻana i nā pae o kēia serotonin a me norepinephrine i loko o ka lolo, hiki ke hoʻomaikaʻi i kou ʻano.
I kekahi manawa, hiki i ke kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā pilikia olakino ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa i kāu kauka ke kiʻi piha o kou mōʻaukala olakino, no ka mea, e hoʻoholo kēia inā kūpono kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ʻia ai. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e hoʻomaopopo i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- Inā ʻoe e ʻona ana i ka waiʻona.
- Inā loaʻa iā ʻoe kahi maʻi noʻonoʻo e like me ka maʻi bipolar a i ʻole schizophrenia .
- Inā pilikia ʻoe i ka mimi ʻana a i ʻole nā pilikia prostate.
- Inā loaʻa iā ʻoe ka glaucoma.
- Inā he maʻi puʻuwai kou a i ʻole ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua.
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe nā maʻi māmā e like me ka hānō.
- Inā he overactive kou thyroid.
- Inā ua loaʻa iā ʻoe nā ʻūlū ma mua.
- Inā he moʻolelo kou no nā manaʻo pepehi kanaka, nā hoʻolālā, nā hoʻāʻo mua, a i ʻole ka moʻolelo ʻohana no nā manaʻo pepehi kanaka (he mea nui loa kēia).
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka protriptyline a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻomalu paha.
- 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 ʻia kēia lāʻau lapaʻau ma ka waha me ke aniani wai. He mea nui loa ia e lawe i ka lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka, i ka manawa kūpono. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
ʻO ka mea nui loa, ʻaʻole pono ʻoe e hoʻōki 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 hōʻeha ai i nā hōʻailona maikaʻi ʻole a i ʻole e hoʻonui i kou kūlana. Inā hoʻōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau, e hana mālie, e hahai ana i ke aʻo a kāu kauka.
He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau no kekahi kumu.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau, mai hoʻomāmā. E kelepona koke i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo. A i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. Eia kekahi, nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Protriptyline e 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 lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā huaora, a me nā huahana lāʻau.
| Māhele lāʻau lapaʻau | Ka wehewehe a me nā laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Protriptyline | |
| MAOIs (kahi ʻano antidepressant) | Nā lāʻau lapaʻau e like me Carbex, Eldepryl, Marplan, Nardil, Parnate. ʻAʻole hiki ke hoʻomaka ʻia ka Protriptyline a hiki i 2 mau pule ma hope o ka hoʻōki ʻana i kahi MAOI. |
| ʻO kekahi mau lāʻau lapaʻau e kaohi ai i ka helu o ka puʻuwai | Nā lāʻau lapaʻau e like me Thioridazine, Pimozide, Sparfloxacin, a me Cisapride. |
| ʻĒ aʻe | ʻO Linezolid, Methylene blue, Procarbazine. |
| Nā lāʻau lapaʻau ʻē aʻe e launa pū me Protriptyline (e haʻi i kāu kauka) | |
| Nā lāʻau lapaʻau e hoʻohiamoe ai ʻoe a i ʻole no nā hopu ʻana | ʻO nā barbiturates e like me Phenobarbital. |
| Nā lāʻau hoʻopau ʻeha | ʻO Tramadol. |
| ʻĒ aʻe | Cimetidine, Atropine, Scopolamine, Nā lāʻau anesthetic kūloko. |
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
E makaʻala i nā loli i kou manaʻo.
He mea nui loa kēia. Hiki i kekahi poʻe, ʻoiai ka poʻe ʻōpio, ke ʻike i ka hoʻonui ʻia o ke kaumaha a i ʻole nā manaʻo pepehi kanaka i nā pule mua o ka lawe ʻana i kēia mau lāʻau lapaʻau a i ʻole ke hoʻololi ʻia ka nui. No laila, inā ʻike ʻoe i kekahi mau loli i kou ʻano, e like me ka manaʻo hopohopo, huhū, hoʻomaha loa, a i ʻole ka pilikia hiamoe, e kamaʻilio koke me kāu kauka. He manaʻo maikaʻi nō hoʻi e hoʻomaopopo i kou ʻohana e pili ana i kēia a noi iā lākou e nānā i nā loli i kāu ʻano.
Hiamoe a me ka poniuniu
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. No laila, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, hiki iā ʻoe ke poniuniu a hāʻule i kou kū koke ʻana a i ʻole e ala aʻe mai kahi noho. No laila, e hoʻololi pono i nā kūlana. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia hopena, no laila e pale i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau.
Waha maloʻo, ʻike maka pōwehiwehi, a me ka paʻa ʻana o ka ʻōpū
- Inā maloʻo kou waha , hiki i ka nau ʻana i ka gum kō ʻole, ka omo ʻana i kahi ʻāpana lole ʻono ʻole, a me ka inu ʻana i ka wai nui i ka lā a pau ke kōkua.
- ʻIke pōwehiwehiA i ʻole inā maloʻo kou mau maka, ʻoiai inā ʻoe e kau ana i nā aniani hoʻopili, hiki iā ʻoe ke hoʻohana i nā kulu lubricating. Inā hoʻomau ka pilikia, e ʻike i ke kauka maka.
- Hiki ke loaʻa ka paʻa ʻana o ka ʻōpū . E ho'āʻo e mālama i ka neʻe ʻana o ka ʻōpū ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia 2-3 lā. Inā ʻaʻohe ou neʻe ʻana o ka ʻōpū no 3 lā, e haʻi i kāu kauka.
ʻIke i ka lā
Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou ʻili i ka lā. No laila, e pale i ka lā pololei i ka hiki. Inā ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi ana i kou ʻili a e hoʻohana i ka sunscreen.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka Protriptyline ke hana i nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau, akā he mea nui e makaʻala iā lākou.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena alerika | 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 Serotonin | Hoʻomaha ʻole, huikau, puʻuwai wikiwiki, ʻūmiʻi a ʻoniʻoni paha nā ʻiʻo, hou nui, kuni, ʻōhūhū, luaʻi, kahe koko. |
| Nā loli koke i nā maka | ʻEha koke nā maka, ʻike maka pohihihi, ʻike ʻana i nā apo a puni nā kukui, nalowale ka ʻike. |
| Ka hōʻino ʻana o ke kūlana noʻonoʻo | Nā manaʻo pepehi kanaka, hoʻonui ʻia ke kaumaha. |
| Nā hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou a hoʻopilikia paha | |
| Nā hopena ʻaoʻao maʻamau | Nā loli i ka makemake a i ʻole ka hana moekolohe, ka paʻa ʻana o ka ʻōpū, ka poniuniu, ka hiamoe, ka waha maloʻo, ka haʻalulu o nā lima. |
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Protriptyline no ka mālama ʻana i ke kaumaha. Mai hoʻōki koke i ka lawe ʻana a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
- E hōʻoia e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā huahana lāʻau lapaʻau.
- I ka wā mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, pono ʻoe a me kou ʻohana e makaʻala no kekahi ʻino ʻana o kou kūlana noʻonoʻo a i ʻole nā manaʻo e pepehi iā ʻoe iho. Inā hana kēia, e haʻi koke i kāu kauka.
- E pale i ka hoʻokele kaʻa a me nā hana ʻē aʻe e pono ai ka makaʻala no ka mea hiki ke hiamoe a me ka poniuniu. E pale loa i ka waiʻona i ka wā e lawe ana i ka lāʻau.
- Inā loaʻa ka overdose, e hele koke i ke Kikowaena ʻIke Poisons National a i ʻole ke Keʻena ʻOihana Hoʻopilikia (ETU) kokoke loa.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 ʻO nā papa Protriptyline (Vivactil) ke ala hope loa no ka maʻi hea?
He lāʻau ikaika loa kēia no ka hanauna kahiko (Tricyclic Antidepressant - TCA) i hoʻohana ʻia no ka mālama ʻana i ke 'Kaumaha'! ʻAʻole hāʻawi ʻia i nā kānaka a pau, hoʻohana pinepine ʻia no nā poʻe maʻi kūʻē i ka lāʻau lapaʻau ʻaʻole i pane i nā lāʻau hou (SSRIs) a palaualelo a hiamoe hoʻi ʻaʻole hiki iā lākou ke ala aʻe mai kahi moe i ke kakahiaka. (No ka mea, hāʻawi kēia lāʻau i ka ikaika/hoʻoulu i ke kino).
💬 Pehea e hele ai kēia lāʻau kahiko (Protriptyline) i ka lolo a hoʻohauʻoli/hoʻoulu i ka mea maʻi?
Hoʻokumu ʻia ke kaumaha e ka emi ʻana o nā kemika o ka lolo e hāʻawi ana i ka hauʻoli/ikaika. I ka hiki ʻana aku i ka lolo, ke ālai nei ia i ka pale ʻana o ka reuptake o nā kemika ʻelua i kapa ʻia ʻo 'Norepinephrine' a me 'Serotonin' 100%. A laila, ua piha koke ka lolo me kēlā mau kemika ʻelua a hoʻolapalapa, e nalowale ana ke kaumaha o ka mea maʻi, e nalowale ana ka luhi, a me ka manaʻo nui o ka makaʻala/ikaika e hiki mai ana.
💬 He aha nā pōʻino make e makaʻala ai i ka wā e lawe ai i kēia lāʻau antidepressant ikaika (TCA)?
Nui nā pōʻino! ʻO ka pōʻino nui loa, hiki i kēia ke hoʻololi nui i ka rhythm uila o ka puʻuwai (Arrhythmias/Heart block) a alakaʻi i ka hōʻeha puʻuwai koke. Eia kekahi, aia kahi manawa kūpono e hoʻonui ʻia/hoʻoulu ʻia ai nā manaʻo pepehi kanaka ma muli o ka maʻi noʻonoʻo. ʻO ka mea ʻē aʻe, inā lawe ʻia kēia mahele ma ke keu a i ʻole ma nā liʻiliʻi liʻiliʻi, hiki i ka mea maʻi ke komo i loko o ka coma/coma no ka wā pau ʻole (Toxicity)!











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