Ua haʻi aku kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi ʻo Parkinson? A laila ua lohe paha ʻoe i kahi lāʻau i kapa ʻia ʻo Rasagiline. He lāʻau kūikawā iki ia. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o Rasagiline, pehea e hoʻohana ai, a me nā mea āu e pono ai e makaʻala. E kamaʻilio maʻalahi kākou e pili ana i ia mea, e like me ke kamaʻilio ʻana me kahi hoaaloha.
He aha ke ʻano lāʻau lapaʻau ʻo Rasagiline?
I ka ʻōlelo maʻalahi, ʻo Rasagiline kahi mea hoʻopaʻa monoamine oxidase, nona ka papa o nā lāʻau i kapa ʻia ʻo Monoamine Oxidase Inhibitors (MAOIs). Hoʻohana nui ʻia ia e kāohi i nā hōʻailona o ka maʻi Parkinson . Hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Azilect. Eia nō naʻe, i kekahi manawa e kuhikuhi paha nā kauka i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. 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 iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe i ka Rasagiline, he mea nui e haʻi i kāu kauka e pili ana i kēia ʻike. He mea nui loa kēia no ka mea ma muli o kēia ʻike e hoʻoholo ai ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a me ka nui e hāʻawi iā ʻoe.
- Inā he koko kiʻekiʻe kou a he koko haʻahaʻa paha .
- Inā ua loaʻa iā ʻoe kahi hahau ma mua.
- Inā he ʻona lama ʻoe .
- Inā he maʻi kou i ke akepaʻa .
- Inā he maʻi noʻonoʻo kou, no ka laʻana, inā ua loaʻa iā ʻoe kahi ʻano e like me ke kaumaha ma mua.
- Inā loaʻa iā ʻoe ka narcolepsy, kahi maʻi hiamoe .
- Inā loaʻa iā ʻoe ka apnea hiamoe, kahi kūlana e hoʻōki ai ʻoe i ka hanu ʻana i ka wā hiamoe .
- Inā he maʻi allergy kou i ka rasagiline, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha, e hoʻomaopopo pono e haʻi i kēia.
He mea nui loa ia no kou olakino ponoʻī e haʻi i kāu kauka e pili ana i kēia mau mea me ka hūnā ʻole ʻana iā lākou.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻAe, e nānā kākou pehea e lawe ai i kēia lāʻau lapaʻau.
- Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha, me ke aniani wai .
- E hoʻohana i ka lāʻau lapaʻau a kāu kauka i kauoha ai e like me ke kuhikuhi ʻana ma ka lepili kauoha.
- E lawe i ka nui i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia. Mai lawe ʻoi aku ma mua o ka mea i kuhikuhi ʻia e ke kauka.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.ʻO ka hana ʻana pēlā e hoʻopilikia paha iā ʻoe.
- Pono ʻoe e kamaʻilio me ke kauka lapaʻau keiki e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki ʻōpio . I kekahi manawa pono paha ka mālama kūikawā.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
E noʻonoʻo ua poina iā ʻoe ke lawe i kahi mahele lāʻau. Inā hana ʻia kēia, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu mahele aʻe, e kāpae i ka mahele i hala ʻole a lawe i kāu mahele aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua a keu paha no kekahi kumu.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e kāhea koke i ka lumi pilikia o ka haukapila kokoke loa a i ʻole ke kikowaena kaohi lāʻau make . He mea nui loa kēia.
E hoʻomanaʻo: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe, no ka mea, he mea ʻino paha ia iā lākou.
He aha nā pilina hiki ke hana ʻia me kēia lāʻau lapaʻau? (Nā pilina)
He mea nui loa kēia. Hiki iā Rasagiline ke launa pū me kekahi mau lāʻau lapaʻau a me nā meaʻai ʻē aʻe. ʻO ke ʻano kēia, ke lawe pū ʻoe iā lākou, hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao koʻikoʻi a i ʻole e hoʻemi ʻia/hoʻonui ʻia ka pono o Rasagiline.
Mai lawe pū me Rasagiline i kēia mau lāʻau lapaʻau:
Eia kekahi mau lāʻau lapaʻau ʻaʻole pono ʻoe e hoʻohana inā ʻoe e lawe ana iā Rasagiline:
- ʻAtomoxetine
- Kekahi mau lāʻau lapaʻau no ke kaumaha - e nīnau i kāu kauka e pili ana i kēia.
- Cyclobenzaprine
- ʻO Dextromethorphan (loaʻa i loko o kekahi mau syrups cough)
- Linezolid
- Nā MAOI ʻē aʻe (e.g., Carbex, Eldepryl, Xadago, Marplan, Nardil, Parnate). E haʻi i kāu kauka inā ʻoe e lawe ana i kekahi MAOI ʻē aʻe.
- ʻO Meperidine
- Methadone
- Methylene Blue
- ʻO Propoxyphene
- Nā lāʻau hoʻoulu no nā maʻi nānā, ka pohō kaumaha, a i ʻole ka insomnia.
- ʻO St. John's Wort (he lāʻau kēia a kekahi poʻe e lawe ai no ka maikaʻi o ka noʻonoʻo)
- Tramadol
- ʻO ka Tryptophan
- Viloxazine
Hiki i kēia mau mea ke launa pū me Rasagiline:
Hiki i kēia mau mea ke hana i nā pilikia me Rasagiline, no laila e haʻi i kāu kauka inā ʻoe e lawe ana iā lākou:
- ʻAila
- ʻAmiodarone
- ʻO kekahi mau lāʻau antibiotic, e like me Ciprofloxacin, Norfloxacin
- Nā ʻano antihistamines no nā maʻi allergies, coughs, a me ke anu
- ʻO Carbamazepine
- ʻO kekahi mau lāʻau lapaʻau e kōkua iā ʻoe e hiamoe
- ʻO Cimetidine
- ʻO kekahi mau lāʻau lapaʻau no ka ʻūhū ihu a i ʻole ka ʻūhū maka (decongestants)
- Nā hormones wahine, e.g. estrogens
- ʻO Furazolidone
- ʻIsoniazid
- Nā lāʻau lapaʻau no ka hopohopo a i ʻole ka maʻi noʻonoʻo
- Nā mea hoʻomaha i ka wā o ke ʻoki kino
- Mekiletine
- Nā lāʻau lapaʻau Narcotic no ka ʻeha
- ʻO Procarbazine
- ʻO ka Theophylline
- ʻO Tizanidine
- ʻO Yohimbine
- ʻO Zileuton
ʻAʻole i hoʻokomo ʻia nā pilina āpau ma kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia, kūʻai ʻia ma luna o ke kauka, lāʻau lapaʻau, nā huaora), a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe.
He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
I ka wā e lawe ai iā Rasagiline, e makaʻala i kēia mau mea no kou palekana a e hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau.
- E ʻike pinepine i kāu kauka: E ʻike i kāu kauka e like me ke kauoha e ʻike ai inā e hoʻomaikaʻi ana kāu mau hōʻailona a i ʻole, a inā he mau pilikia hou.
- Ka hiamoe a me ka poniuniu: Hiki iā ʻoe ke hiamoe, poniuniu, a i ʻole ka ʻike maka ʻole i ka wā e lawe ai i kēia lāʻau. No laila, mai hoʻokele kaʻa, hana ma nā wahi kiʻekiʻe, a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ka hopena o kēia lāʻau iā ʻoe. E makaʻala i ke ala ʻana mai kahi noho a i ʻole kahi moe me ka koke, ʻoiai inā he ʻelemakule ʻoe. A i ʻole, hiki iā ʻoe ke poniuniu a hāʻule.
- E pale i ka waiʻona: Hiki i ka waiʻona ke hoʻohiamoe a hoʻopōʻino iā ʻoe. No laila e kamaʻilio me kāu kauka e pili ana i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau.
- Ka hiamoe koke: He mea nui loa kēia. Hiki i kekahi poʻe ke hiamoe koke me ka ʻole o ka ʻōlelo aʻo ʻana i ka wā e lawe ana iā Rasagiline. Hiki ke hana i kēia i kou wā e hoʻokele ana, e kamaʻilio ana, a i ʻole e ʻai ana. Hiki iā ʻoe ke hiamoe me ka ʻole o ka hiamoe. Inā hana kēia iā ʻoe , e haʻi koke i kāu kauka .
- Nā makemake hiki ʻole ke kāohi ʻia: Hiki i kekahi poʻe ke loaʻa nā makemake ikaika i ka wā e lawe ana i kēia lāʻau lapaʻau, e like me nā makemake moekolohe, nā makemake piliwaiwai, ka hoʻolilo kālā i kāohi ʻole ʻia, a me ka ʻai nui ʻana. Inā loaʻa iā ʻoe kekahi o kēia mau mea, mai hilahila a haʻi koke i kāu kauka .
- Nā meaʻai kiʻekiʻe i ka Tyramine: He mea nui loa kēia e noʻonoʻo ai. I ka lawe ʻana i ka RasagilinePono ʻoe e pale i nā meaʻai i loaʻa kahi kemika i kapa ʻia ʻo tyramine . Inā ʻoe e lawe i kēlā mau meaʻai me kēia lāʻau lapaʻau, hiki i kou koko ke piʻi koke i ka weliweli (Hypertensive Crisis) .
- He aha kēia mau meaʻai i kiʻekiʻe i ka tyramine? Loaʻa pinepine ka tyramine i nā meaʻai i hoʻomaʻamaʻa ʻia, hoʻoulu ʻia, puhi ʻia, hoʻōla ʻia, a hoʻomoʻa ʻia. Eia kekahi laʻana, ka tīhi i hoʻomaʻamaʻa ʻia, kekahi ʻano sausage, waina, a me ka pia.
- No ka ʻike hou aku e pili ana i kēia, e nīnau i kāu kauka, kauka lāʻau, a meaʻai meaʻai paha no ka papa inoa o nā meaʻai a me nā mea inu kiʻekiʻe i ka tyramine.
- Inā loaʻa iā ʻoe ka ʻoluʻolu ʻole (e like me ke poʻo, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana) ma hope koke iho o ka ʻai ʻana i ka meaʻai kiʻekiʻe i ka tyramine, e haʻi koke aku i kāu kauka .
- E makaʻala me nā lāʻau lapaʻau ʻē aʻe: E nīnau i kāu kauka ma mua o ka lawe ʻana i nā lāʻau lapaʻau ma luna o ke kūʻai ʻia, e like me nā lāʻau lapaʻau kuni a me ke anu, nā kulu ihu, a me nā kulu maka. Hiki i kēia mau lāʻau ke launa pū me nā antidepressants a me kekahi mau mea ʻeha.
- ʻO ke ʻoki kino a i ʻole ka mālama niho: Inā e loaʻa iā ʻoe kekahi hana lapaʻau a niho paha, e haʻi i ke kauka e lawe ana ʻoe i ka rasagiline, no ka mea, hiki ke launa pū me kekahi mau lāʻau lapaʻau i hoʻohana ʻia i ka wā o ke ʻoki kino.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Rasagiline ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi loa kekahi.
Inā loaʻa iā ʻoe kēia mau hopena ʻaoʻao , e hele koke i ke kauka a i ʻole ka haukapila :
- Nā hopena maʻi ʻaleka: ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo, a me ka maka.
- Nā loli i nā manaʻo a i ʻole ke ʻano o ka naʻau: Huhū koke a pihoihoi paha.
- Nā loli i ka ʻike.
- Ka hiamoe koke ʻana i ka wā e hana ana i nā hana maʻamau (e.g., i ka wā e hoʻokele ana).
- Hallucinations: Ke ʻike ʻana a lohe ʻana paha i nā mea i ʻike ʻole ʻia ma laila.
- Ke koko kiʻekiʻe.
- Nā makemake i kāohi ʻole ʻia, e like me ka piliwaiwai hou a i ʻole ka hoʻonui ʻia ʻana, nā makemake i ka moekolohe, ka hoʻolilo kālā i kāohi ʻole ʻia, a me ka ʻai nui ʻana.
- Nā hōʻailona o ka pilikia hypertensive: ʻeha poʻo nui, huikau, ʻike maka blurred, ʻeha nui o ka umauma, paʻakikī ka hanu ʻana, nausea, luaʻi, a me nā hopu ʻana.
- Nā hōʻailona o ke koko haʻahaʻa: poniuniu, māʻule, māʻule, manaʻo nāwaliwali loa a luhi paha.
- Nā manaʻo pepehi kanaka.
- Nā neʻe ʻana o nā lima, ka maka, ke poʻo, ka waha, ka ʻāʻī, a i ʻole ke kino o luna i hiki ʻole ke kāohi ʻia.
Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻomau lākou:
- Waha maloʻo
- Ka luaʻi
- Pilikia i ka hiamoe ʻana
- ʻŌpū ʻeha
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e nīnau i kāu kauka.
Pehea e mālama ai i kēia lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kāu lāʻau lapaʻau.
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi, kahi hiki ʻole iā lākou ke kiʻi.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius, ma waena o 59 a me 86 kekelē Fahrenheit).
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei aku iā lākou.
Pehea ʻoe e hoʻolei aku ai i nā lāʻau lapaʻau i pau a hoʻohana ʻole ʻia?
- ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke hāʻawi i kēia mau mea i kahi Polokalamu Lawe-Hoʻihoʻi Lapaʻau. Hiki iā ʻoe ke nīnau i kāu hale kūʻai lāʻau lapaʻau a i ʻole nā mākaʻi e pili ana i kēia mau wahi.
- Inā ʻaʻole, e nānā i ka ʻeke lāʻau lapaʻau a i ʻole ka pepa liʻiliʻi e ʻike ai inā pono e hoʻolei ʻia i loko o ka ʻōpala a hoʻolei ʻia paha i loko o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka.
- Inā hiki iā ʻoe ke hoʻolei i loko o ka ʻōpala, e lawe i ka lāʻau lapaʻau mai loko mai o ka pahu, e kāwili me kahi mea e like me ka ʻōpala pōpoki, ka lepo, a i ʻole ka lepo kope, e hoʻokomo i ka hui ʻana i loko o kahi ʻeke a pahu paha, e sila iā ia, a hoʻolei i loko o ka ʻōpala.
ʻO ka mea hope loa, e hoʻomanaʻo (Leka Lawe-Home)
He lāʻau koʻikoʻi ʻo Rasagiline no ka maʻi o Parkinson, akā pono ke akahele nui i ka wā e hoʻohana ʻia ai.
- E hahai mau i nā ʻōlelo a kāu kauka me ka pololei.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā maʻi āu e loaʻa ai.
- E makaʻala i nā hopena ʻaoʻao. Inā ʻike ʻoe i kekahi mea ʻē, e haʻi koke i kāu kauka .
- E hoʻomanaʻo ʻaʻole e lawe pū i kēia lāʻau me nā meaʻai kiʻekiʻe i ka tyramine .
- Inā he mau nīnau a kānalua paha kāu, mai hilahila e nīnau i kāu kauka a kauka lāʻau paha.
He mea nui kou olakino iā ʻoe, no laila he mea nui loa ka mālama ʻana i kēia mau mea.
ʻO Rasagiline, ka maʻi o Parkinson, MAOI, lāʻau lapaʻau, nā hopena ʻaoʻao, nā pilina lāʻau, tyramine, ʻōlelo aʻoaʻo lapaʻau, Azilect
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