I kekahi manawa, manaʻo ko kākou mau ʻiʻo ua make lākou, ʻeā? Kūlou ko kākou mau lihilihi maka, paʻakikī iā kākou ke ʻōlelo a me ke ale ʻana, a manaʻo ko kākou mau lālā ua mae. I kēia lā, ke kamaʻilio nei kākou e pili ana i kahi lāʻau lapaʻau kūikawā e mālama ai i kahi maʻi i kapa ʻia ʻo Myasthenia Gravis, nona nā hōʻailona e like me kēia. ʻO Pyridostigmine kēlā lāʻau lapaʻau.
He aha ka Pyridostigmine?
I ka ʻōlelo maʻalahi, ʻo Pyridostigmine kahi lāʻau lapaʻau e kōkua i kou mau ʻiʻo e hoʻihoʻi i ka ikaika i nalowale. Hoʻopili nā aʻalolo a me nā ʻiʻo o ko mākou kino ma o kahi kemika. I ke ʻano o 'Myasthenia Gravis', ua hoʻopilikia ʻia kēia kamaʻilio ʻana. Hana ʻo Pyridostigmine ma ka lanakila ʻana i kēlā hoʻopilikia a me ka hoʻihoʻi ʻana i ke kamaʻilio ma waena o nā aʻalolo a me nā ʻiʻo.
Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me Mestinon a i ʻole Mestinon Timespan. ʻO 'Timespan' a i ʻole 'extended-release' e pili ana i ke ʻano i komo mālie ʻia i loko o ke kino a noho mau no ka manawa lōʻihi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻAe, i kēia manawa ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e ʻike pono kāu kauka i kou kūlana olakino. Inā loaʻa iā ʻoe kekahi o nā kūlana olakino ma lalo nei, e hōʻoia e haʻi iā lākou e pili ana i ia mea.
| Kūlana olakino/nā mea ʻē aʻe | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Asthma | Hiki i ka Pyridostigmine ke hoʻopili hou i nā alaloa a hoʻonui i ka paʻakikī o ka hanu ʻana. |
| Maʻi puʻuwai a i ʻole ka puʻuwai lohi | Hiki i kēia lāʻau lapaʻau ke hoʻolohi hou aku i ka helu o ka puʻuwai. |
| Ka paʻakikī a i ʻole ke ālai ʻana i ka mimi ʻana | E ʻoi aku paha ka ʻino o kēia kūlana. |
| Nā ʻōpū ʻōpū a i ʻole nā mea pale i loko o ka ʻōpū | Hiki ke hoʻonui ʻia ka ʻeha o ka ʻōpū a me nā pilikia gastrointestinal ʻē aʻe. |
| Maʻi puʻupaʻa | Ma muli o ka hoʻopau ʻia ʻana o ka lāʻau lapaʻau mai ke kino e nā puʻupaʻa, pono paha e hoʻoponopono ʻia ka nui. |
| Nā maʻi ʻōpū (e.g. Peritonitis) | Hiki ke maʻalea nā hōʻailona a hiki ke paʻakikī ke ʻike. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai | E hoʻoholo ke kauka inā pilikia ke keiki. |
| Ka hānai ʻana i ka waiū umauma | He mea nui e noʻonoʻo inā e hele ana ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | He mea nui kēia e loiloi i ka pilikia o ka loaʻa ʻana o kahi allergies i ka lāʻau. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
E hoʻomanaʻo i kēia mau mea i ka wā e hoʻohana ai i kēia lāʻau lapaʻau:
- E ale i kēia pila me ke aniani wai.
- Mai uhaʻi, kuʻi, a nau paha i ka pila, ʻoiai inā he ʻano 'hoʻokuʻu-hoʻolōʻihi' (Timespan), no ka mea hiki i kēia ke hoʻokomo koke i ka lāʻau i loko o ke kino a hoʻoulu i nā hopena ʻaoʻao.
- E lawe i ka nui kikoʻī, e like me ke kauoha a kāu kauka. E haʻi aku kāu kauka iā ʻoe i ka nui o nā manawa i ka lā a me ka nui e lawe ai.
- Mai ho'ōki koke i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui koke ai i nā hōʻailona (e laʻa me ka paʻakikī i ke ale ʻana, ka paʻakikī i ka hanu ʻana).
- Inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki, pono ka mālama kūikawā a pono e hana ʻia ma ke ʻōlelo aʻoaʻo a ke kauka wale nō.
Mea nui: Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i ʻōlelo ʻia, e kāhea koke i kāu kauka.E kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
E lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke i ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau no kekahi kumu!
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a me nā mea hoʻopihapiha meaʻai āu e lawe nei, no ka mea, hiki i ka Pyridostigmine ke launa pū me kekahi mau lāʻau lapaʻau.
| ʻAno o ke kuʻi ʻana | Nā laʻana (nā ʻano lāʻau lapaʻau) |
|---|---|
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Pyridostigmine. | |
| Ma muli o ke ʻano like o nā hana, hiki ke hoʻonui ʻia nā hopena ʻaoʻao. | Nā lāʻau lapaʻau ʻē aʻe no ka myasthenia gravis (e.g. neostigmine), Quinine. |
| E ʻoluʻolu e hoʻomaopopo i kāu kauka no ka mea hiki ke launa pū kēia me kāu lāʻau lapaʻau. | |
| Hiki i ka Pyridostigmine ke hoʻemi a hoʻonui paha i kona pono a i ʻole e hana i nā hopena ʻaoʻao. | ʻo atropine, bethanechol, disopyramide, edrophonium, guanethidine, mecamylamine, a me kekahi mau lāʻau lapaʻau e kaohi ai i ka ʻeha o nā ʻiʻo a i ʻole nā aʻalolo. |
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā mea āu e lawe nei.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E ʻike i kāu kauka i ka manawa i hoʻonohonoho ʻia e nānā i kou kūlana. Inā hoʻomau a ʻoi aʻe paha kou mau hōʻailona, e haʻi i kāu kauka.
- He mea nui loa ka lawe ʻana i kahi palapala hōʻoia lapaʻau e hōʻike ana he Myasthenia Gravis kou a me nā lāʻau lapaʻau āu e lawe nei a me kā lākou mau dosages. Hiki i kēia ke kōkua nui i ka wā pilikia.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Pyridostigmine ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E nānā kākou i kēia mau mea.
| Ka hopena ʻaoʻao | He aha e hana ai |
|---|---|
| Inā loaʻa kekahi o kēia mau mea, e haʻi koke aku i kāu kauka. | |
| Nā hopena maʻi (ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka/lehelehe/alelo) | E ʻimi koke i ke kōkua lapaʻau. |
| Paʻakikī ka hanu ʻana | |
| Nā loli o ka ʻike | |
| ʻEha nui o nā ʻiʻo, nā ʻūmiʻi, a i ʻole ka ʻōʻō ʻana | |
| Ka puʻuwai lohi loa a i ʻole ke ʻano ʻē | |
| ʻEha nui o ka ʻōpū, ka luaʻi ʻana | |
| Ka luhi a nāwaliwali paha ma ke ʻano maʻamau | |
| ʻAʻole pilikia kēia mau mea, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Ka maʻi kahe (ʻoi aku hoʻi i ka hoʻomaka ʻana o ka lāʻau lapaʻau) | Inā hoʻomau ke kūlana, e hoʻomaopopo i ke kauka. |
| Ka nui o ka salivation | |
| Hoʻonui ʻia ka hou ʻana, ka nausea | |
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
- E mālama iā ia ma kahi palekana i hiki ʻole i nā keiki ke loaʻa.
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 Celsius). E pale mai ka wela nui a i ʻole ke anu.
- E pale mai ka makū a me ka lā pololei. E pani pono i ka ʻōmole lāʻau.
- E hoʻolei i ka lāʻau lapaʻau i pau me ka hoʻohana ʻole ʻana.
Leka Lawe-Home
- ʻO Pyridostigmine kahi lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ka nāwaliwali o nā mākala myasthenia gravis.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa ai (ʻoiai ka hānō, ka maʻi puʻuwai, ka maʻi puʻupaʻa).
- E ale holoʻokoʻa i ka pila, me ka ʻole o ka haki ʻana a i ʻole ka wili ʻana. E lawe i ka manawa i kuhikuhi ʻia.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka paʻakikī o ka hanu ʻana, ka ʻeha nui o nā ʻiʻo, a i ʻole ka lohi o ka puʻuwai, e kelepona koke aku i kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. He mea nui loa kēia no kou palekana.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ʻo Pyridostigmine / Mestinon?
He pila koʻikoʻi loa kēia a he pila nui i hāʻawi ʻia no ka maʻi neuromuscular koʻikoʻi i kapa ʻia ʻo 'Myasthenia Gravis'! Ke pau nā hōʻailona mai ko kākou lolo i ka hiki ʻana i nā ʻiʻo, e lilo ko kākou mau ʻiʻo i mea lolo (ʻaʻole hiki iā kākou ke wehe i ko kākou mau maka, kamaʻilio, a hele paha). ʻO ka hana a kēia pila, ʻo ia ke hoʻihoʻi i ka ikaika o kēlā mau ʻiʻo e nalowale ana a hoʻihoʻi i ka mea maʻi i ke kūlana maʻamau.
💬 Pehea e hoʻoulu ai kēia lāʻau lapaʻau (Pyridostigmine / Mestinon) i nā ʻiʻo?
Hoʻouna ʻia ka leka i kahi ʻiʻo mai ko mākou lolo ma o nā aʻalolo e kahi kemika i kapa ʻia ʻo 'Acetylcholine'. Akā i nā poʻe maʻi me Myasthenia, ua luku koke ʻia kēia mau mea (e ka enzyme Cholinesterase). Ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, ua ālai ʻia ka enzyme luku (Cholinesterase inhibitor), a ʻae ʻia ka acetylcholine hou e hōʻiliʻili kokoke i nā ʻiʻo. A laila hiki i nā ʻiʻo ke hana/ʻaelike maʻamau/ikaika hou.
💬 He aha nā hopena ʻaoʻao hoʻonāukiuki e hiki ke hana i ka wā e lawe ai i kēia lāʻau?
ʻAʻole wale kēia e hoʻoulu hou i nā ʻiʻo, akā hoʻonui nui hoʻi i ka hana o nā ʻōpū kūloko e like me ka ʻōpū/ʻōpū mimi! No laila, ʻo ka inu ʻana i kēia hiki ke hana i nā hopena ʻaoʻao hoʻonāukiuki e like me ka 'diarrhea nui, ʻeha nui o ka ʻōpū, salivation/wawahi mai ka waha/maka, a me ka mimi pinepine'. (Eia kekahi, inā hoʻonui ʻia ka nui, hiki i nā ʻiʻo ke hiolo/lilo i mea hana ʻole!)
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