Ke ʻeha nei ʻoe i nā hōʻailona o ka maʻi Parkinson e like me ka haʻalulu a me ka ʻoʻoleʻa? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Selegiline me Levodopa. He lāʻau lapaʻau kēia i kuhikuhi pinepine ʻia. No laila, ma kēia ʻatikala, e kamaʻilio mākou e pili ana i ke ʻano o Selegiline, kāna hana maoli, a me nā mea āu e makaʻala nui ai i ka wā e hoʻohana ai i kēia lāʻau.
He aha ka Selegiline? He aha kāna hana?
I ka ʻōlelo maʻalahi, ʻo Selegiline kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi i nā hōʻailona o ka maʻi Parkinson. No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo MAOI. Loaʻa i ko mākou lolo kahi kemika i kapa ʻia ʻo dopamine . ʻO kēia ka mea e kōkua ai i ko mākou kino e neʻe a hoʻonohonoho pono. I ka poʻe me ka maʻi Parkinson, emi ka pae o kēia dopamine i loko o ka lolo.
Hana ʻo Selegiline ma ka hoʻonui ʻana i ka nui o ka dopamine i loko o ka lolo. Hiki i kēia ke kōkua i ka hōʻemi ʻana i nā hōʻailona e like me ka ʻoʻoleʻa a me ka haʻalulu, e ʻae ana iā ʻoe e hana i nā hana o kēlā me kēia lā me ka maʻalahi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
He mea nui loa e ʻike pono kāu kauka i kou kūlana olakino ma mua o ke kau ʻana iā Selegiline iā ʻoe. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e haʻi pono i kāu kauka e pili ana iā lākou.
- Inā he koko kiʻekiʻe kou.
- Inā he maʻi kou i ke akepaʻa.
- Inā he haʻahaʻa kou koko.
- Inā loaʻa iā ʻoe ka narcolepsy, kahi kūlana e hoʻomoe koke ai ʻoe i ke ao.
- Inā loaʻa iā ʻoe ka apnea hiamoe.
- Inā he maʻi allergy kou i ka selegiline a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Pehea pololei kaʻu e hoʻohana ai 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 i ka manawa kūpono, ma ke ana kūpono, e like me ke kauoha a kāu kauka. Mai hoʻonui, hoʻēmi, a hoʻōki paha i ka ana i ka makemake.
He mea nui loa: Mai ho'ōki 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 hiki ai ke hana i kahi hopena koʻikoʻi. Inā hoʻōki ʻoe, pono ʻoe e hana pēlā ma ka hoʻēmi mālie ʻana i ka nui e like me ka ʻōlelo a kāu kauka iā ʻoe.
He aha kāu e hana ai inā lawe ʻoe i ka lāʻau lapaʻau overdose?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. I kēia manawaE kelepona i ke Kikowaena ʻIke Lāʻau Make 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 inā poina iaʻu e lawe i kaʻu lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau a hoʻomanaʻo koke ma hope, e lawe koke iā ia i kou hoʻomanaʻo ʻana. 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.
Nā mea e hoʻohana ʻole ʻia me Selegiline (Nā Hana like ʻana)
He mea kēia e makaʻala nui ai. He lāʻau lapaʻau ʻo Selegiline i hiki ke launa pū me nā lāʻau lapaʻau a me nā meaʻai ʻē aʻe.
Nā pilikia me nā lāʻau lapaʻau
Inā ʻoe e hoʻohana nei i nā lāʻau lapaʻau ma lalo nei, mai lawe iki iā Selegiline.
- ʻAtomoxetine, Cyclobenzaprine, Dextromethorphan (aia i loko o kekahi mau syrups cough)
- ʻO nā lāʻau MAOI ʻē aʻe e like me Marplan, Nardil, Parnate
- Nā lāʻau hoʻopau ʻeha e like me Meperidine, Methadone, Tramadol
- Nā lāʻau lapaʻau ʻē aʻe i loaʻa iā Selegiline, e like me Emsam
- ʻO Rasagiline, Safinamide (he lāʻau lapaʻau nō hoʻi no ka maʻi o Parkinson)
- Nā lāʻau hoʻoulu no nā pilikia o ka nānā ʻana
- ʻO St. John's Wort (huahana lāʻau lapaʻau)
- Viloxazine
Eia kekahi, hiki i nā lāʻau lapaʻau no nā maʻi noʻonoʻo e like me ke kaumaha a me ka hopohopo, kekahi mau decongestants (phenylephrine, pseudoephedrine), a me nā lāʻau hoʻemi kaumaha ke launa pū me kēia.
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, nā huahana lāʻau lapaʻau, a me nā lāʻau ʻeha) .
Nā pilikia me ka meaʻai (Tyramine Interaction)
ʻO kēia ka mea nui e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau. ʻAʻole ia he manaʻo maikaʻi e ʻai i nā meaʻai i kiʻekiʻe i ka tyramine i ka wā e lawe ana iā Selegiline. ʻO ka hana ʻana pēlā e hiki ai ke piʻi koke kou koko, e hoʻoulu i nā ʻeha poʻo nui, a hoʻoulu i nā puʻuwai puʻuwai kūpono ʻole.
| Nā meaʻai e pale aku ai i ka wā e lawe ana iā Selegiline ma muli o ko lākou nui o ka Tyramine | |
|---|---|
| ʻAno meaʻai | Nā Laʻana |
| Nā tīhi kahiko | ʻO nā tīhi e like me Cheddar, Blue cheese, Gorgonzola, a me Parmesan. |
| ʻIʻo/iʻa i hana ʻia a puhi ʻia | Nā sausages, salami, pepperoni, iʻa maloʻo, jalapenos. |
| Nā mea inu ʻona | Pia (ʻoi aku ka pia draft), ka waina ʻulaʻula, sherry. |
| Nā huahana soya | Mea ʻono soy, sopa miso, tofu. |
| ʻĒ aʻe | ʻAvocados, maiʻa, hua waina maloʻo, nā hua i pala maikaʻi ʻia. |
E noi i kāu kauka no ka papa inoa piha o kēia mau mea.
Nā mea āu e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. 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 koke ʻana mai kahi noho a kū paha.
- ʻOna: Mai inu ʻona. Hiki iā ia ke hoʻopilikia i ka pono o ka lāʻau lapaʻau.
- Waha maloʻo: Inā maloʻo kou waha, hiki iā ʻoe ke hoʻomaha ma ka nau ʻana i ka gum kō ʻole a inu i ka wai nui.
- Nā maʻi ʻē aʻe: E nīnau i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau ponoʻī no nā mea e like me ke kuni, ke anu, a me ke kuni.
- Maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i kēia lāʻau ke hoʻopilikia i kou pae kō koko. No laila e kamaʻilio me kāu kauka ma mua o ka hoʻololi ʻana i kāu lāʻau lapaʻau diabetes a i ʻole ka papaʻai.
- Nā loli o ka ʻili: E makaʻala i nā loli i kou ʻili a i ʻole ke ʻano o nā kiko hou i ka wā e lawe ana i kēia lāʻau. E nānā mau i kou ʻili. Inā ʻike ʻoe i kekahi mau loli, e haʻi koke i kāu kauka.
Nā hopena ʻaoʻao e hiki ke loaʻa me kēia lāʻau lapaʻau
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Ke koko kiʻekiʻe loa | Hoʻomaka koke ka ʻeha poʻo nui, ka nausea, ka luaʻi, ka ʻoʻoleʻa o ka ʻāʻī, a me ka puʻuwai wikiwiki. |
| Nā loli noʻonoʻo a me ke ʻano | Hopohopo, hoʻonāukiuki, hallucinations, manaʻo pepehi kanaka, hoʻonui i ke kaumaha. |
| Nā neʻe ʻana i hiki ʻole ke kāohi ʻia | Nā neʻe hou a hoʻonui ʻia paha o ka maka, ka waha, a i ʻole ke kino o luna. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā ʻano hana hoʻohihi maʻamau ʻole e like me ka hiamoe koke ʻana i ka wā e hana ana i nā hana o kēlā me kēia lā, ka poniuniu a me ka ʻike maka pohihihi, ke koko haʻahaʻa, ka piliwaiwai, a me ka ʻai nui ʻana. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Selegiline e kōkua ai i ka mālama ʻana i nā hōʻailona o Parkinson a hoʻonui i nā pae dopamine i loko o ka lolo.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E pale loa i nā meaʻai kiʻekiʻe i ka tyramine (e like me ka tīhi i ho'ōla ʻia, nā ʻiʻo i hana ʻia, a me ka waina ʻulaʻula) i ka wā e lawe ana i kēia lāʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino e like me ke poʻo ʻeha nui, ka piʻi koke ʻana o ke koko, a i ʻole nā loli noʻonoʻo, e ʻimi koke i ke kōkua lapaʻau.
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