ʻO Riluzole ke kiʻiʻoniʻoni: He kōkua i ka kaohi ʻana i ka maʻi ALS

Ua ʻike mākou a pau i ka paʻakikī o ke ola ʻana me ALS, a i ʻole Amyotrophic Lateral Sclerosis. He maʻi holomua ia e hoʻopilikia ana i ka ʻōnaehana nerve. Aia nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i ka holomua o ka maʻi, ʻo ia hoʻi, e hoʻolohi i ka holomua o nā hōʻailona. I kēia lā e kamaʻilio mākou e pili ana i kekahi lāʻau lapaʻau koʻikoʻi loa, ʻo Riluzole, ʻo ia hoʻi kona ʻili waha.

He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Riluzole?

I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Riluzole e hoʻolohi i ka holomua o ka Amyotrophic Lateral Sclerosis (ALS) , i ʻike ʻia hoʻi ʻo "ka maʻi ʻo Lou Gehrig."

ʻO ka mea nui, ʻaʻole hiki i kēia lāʻau ke ho'ōla loa i ka ALS. Eia nō naʻe, hiki iā ia ke hoʻolohi i ka pōʻino i hana ʻia e ka maʻi a kōkua i ka mea maʻi e ola i kahi ola maikaʻi no kekahi manawa lōʻihi.

Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe i kekahi manawa, no laila inā he mau nīnau kāu, e nīnau i kāu kauka.

Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau

Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka i kēia ʻike. Mai hūnā i kēia ʻike, no ka mea, he mea nui loa ia no kou palekana.

• Inā loaʻa iā ʻoe ka maʻi akepaʻa: Hoʻomaʻemaʻe ʻia ʻo Riluzole mai ke kino ma o ke akepaʻa. No laila, inā maikaʻi ʻole ka hana o kou akepaʻa, hiki ke hoʻopilikia i kēia lāʻau lapaʻau.
• Inā ua loaʻa iā ʻoe kahi hopena alerika iā Riluzole a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a kala paha: He mea nui loa kēia, no ka mea, hiki i nā alerika ke koʻikoʻi.
• Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai: ʻAʻole i hoʻokumu piha ʻia ka palekana o kēia lāʻau lapaʻau i ka wā hāpai, no laila he mea nui e kamaʻilio me kāu kauka e pili ana i kēia.
• Inā he makuahine hānai ʻoe: Pono ʻoe e hōʻoia inā hele ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma, no laila e hoʻomaopopo i kāu kauka e pili ana i kēia.

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Pehea maoli ʻoe e hoʻohana ai i kēia kiʻiʻoniʻoni?

ʻAʻole kēia he mea āu e ale ai e like me ka pila. He ʻili kēia e hoʻoheheʻe ʻia i loko o kou waha. No laila e hahai pololei i kēia mau ʻanuʻu.

1. ʻO ka mea mua, e holoi a hoʻomaloʻo pono i kou mau lima. Mai hoʻopā i ka ʻili me nā lima pulu.

2. E wehe wale i ka ʻeke i hoʻopaʻa ʻia i ka wā e lawe ai i ka lāʻau. Mai wehe mua.

3. E wehe pono i ke kiʻiʻoniʻoni mai loko mai o ka pūʻolo.

4. E paʻa pololei i kēlā ʻili ma kou alelo .

5. A laila e hoʻoheheʻe i loko o kou waha. E hoʻoheheʻe ʻia ia i loko o kekahi manawa. Ma hope o ka hoʻoheheʻe ʻia ʻana, e ale iā ia me ka lawai. ʻAʻohe pono e inu i ka wai.

6. Mai ʻoki, kuʻi, a nau paha i kēia ʻili i kēlā me kēia manawa.

7. ʻO ka mea nui loa: Pono e lawe ʻia kēia lāʻau lapaʻau ma ka ʻōpū ʻole . ʻO ia hoʻi, e lawe i hoʻokahi hola ma mua a ʻelua paha hola ma hope o ka ʻai ʻana. ʻO ka lawe ʻana me ka meaʻai e hōʻemi paha i ka omo ʻana o ka lāʻau lapaʻau i loko o ke kino.

8. E lawe i kāu lāʻau lapaʻau i nā manawa i kuhikuhi ʻia, e like me ke kauoha a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.

9. Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.

Inā ʻoe e hāʻawi i kēia lāʻau lapaʻau i nā keiki liʻiliʻi ...

ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau i nā mākua. Inā ʻoe e hāʻawi ana i nā keiki, pono ʻoe e kamaʻilio me ke kauka pediatric e pili ana i ia mea a hana wale ia ma kāna ʻōlelo aʻo.

He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?

Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e hele koke i ka haukapila kokoke loa ʻo Emergency Department (ETU) . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .

Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Ua kuhikuhi ʻia no kou kūlana olakino. No laila, mai kaʻana like me kekahi.

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 pālua i ka lāʻau lapaʻau.

Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau

Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Riluzole a hoʻopilikia i kona pono a i ʻole nā ​​hopena ʻaoʻao. Eia kekahi laʻana:

• ʻAllopurinol
• Nā lāʻau hoʻomalu hānau
• ʻO Ciprofloxacin
• ʻO Fluvoxamine
• ʻO Methoxsalen
• Methyldopa
• Mekiletine
• ʻO Sulfasalazine
• ʻO Thiabendazole
• ʻO Vemurafenib
• ʻO Zileuton

ʻAʻole i piha kēia papa inoa. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e hoʻohana ai (i kauoha ʻia e kāu kauka a i kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau), nā mea kanu, nā huaora, a me nā mea hoʻohui āu e lawe ai. Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.

Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau

• Nā nānā lapaʻau maʻamau: E hōʻoia e hele i nā manawa i koho ʻia e kāu kauka. E haʻi iā ia pehea ʻoe e hana nei me ka lāʻau lapaʻau a inā ua hoʻomaikaʻi a i ʻole ua ʻino aʻe paha kāu mau hōʻailona.
• E makaʻala no nā maʻi:Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, a i ʻole ke anu, mai hoʻōla ponoʻī a kāhea koke aku i kāu kauka. Hiki i kēia lāʻau lapaʻau ke hōʻemi iki i ka hiki o ke kino ke hakakā i nā maʻi (immunity). No laila, e hoʻāʻo e noho mamao aku mai ka poʻe maʻi.
• E makaʻala me nā lāʻau ʻeha: Mai lawe i nā lāʻau lapaʻau e like me ka aspirin, acetaminophen, a me ibuprofen me ke aʻo ʻole a kāu kauka. Hiki i kēia ke kāohi i kou kuni a paʻakikī ke ʻike inā he maʻi kou.
• Inā ʻoe e puhipaka: Hiki i ka puhipaka ke hoʻemi i ka hopena o kēia lāʻau lapaʻau. Inā he mea puhipaka ʻoe, a i ʻole ke noʻonoʻo nei e haʻalele, e kamaʻilio me kāu kauka e pili ana i ia mea.
• Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu iā ʻoe. No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i nā hana ʻē aʻe e pono ai ka noʻonoʻo a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai kū koke mai ka noho ʻana a i ʻole ke kū ʻana. E hana mālie i kēia mau mea.

He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?

E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, he mea maʻamau kekahi.

Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.