Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi Parkinson, ua kuhikuhi paha kāu kauka i kahi ʻano lāʻau hou nou. Ua kapa ʻia ʻo selegiline, he papa e hoʻoheheʻe ʻia ma ke alelo. He ʻokoʻa iki ia mai nā papa āu e moni mau ai me ka wai. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia lāʻau, pehea e hoʻohana ai, a me nā hana palekana kūikawā āu e pono ai ke lawe i ka wā e lawe ai.
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Selegiline?
I ka ʻōlelo maʻalahi, ʻo Selegiline kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi i nā hōʻailona o ka maʻi Parkinson. Hoʻohana pinepine ʻia ia i ka poʻe e lawe ana iā Levodopa. Loaʻa ka maʻi Parkinson i ka wā e emi ana ka dopamine kemika i loko o ko mākou lolo. Kōkua kēia dopamine i ka hoʻokele ʻana i ka neʻe ʻana a me ka hoʻonohonoho ʻana o ko mākou kino. No laila, ʻo ka hana a kēia pila Selegiline, ʻo ia ka hoʻonui ʻana i ka pae o ka dopamine i loko o ka lolo. A laila, emi mālie nā hōʻailona o ka maʻi Parkinson e like me ka ʻoʻoleʻa a me ka haʻalulu. No kahi hui o nā lāʻau lapaʻau i kapa ʻia ʻo MAOIs kēia lāʻau lapaʻau.
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i ka Selegiline, e nīnau aku kāu kauka iā ʻoe i kekahi mau nīnau. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, pono ʻoe e haʻi aku i kāu kauka .
- Inā he koko kiʻekiʻe kou.
- Inā he maʻi kou akepaʻa.
- Inā he haʻahaʻa kou koko.
- Inā loaʻa iā ʻoe ka narcolepsy (kahi kūlana e hoʻoulu ai i ka hiamoe i ke ao hiki ʻole ke hoʻomalu ʻia).
- Inā he maʻi genetic kou i kapa ʻia ʻo Phenylketonuria (PKU).
- Inā loaʻa iā ʻoe ka apnea hiamoe.
- Inā he maʻi allergy kou i 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 maoli kaʻu e hoʻohana ai i kēia pila?
He ʻokoʻa iki ke ʻano o ka hoʻohana ʻana i kēia, no laila e makaʻala pono.
1. E lawe i ke kakahiaka: Lawe pinepine ʻia kēia lāʻau lapaʻau i ke kakahiaka. E lawe i ka manawa kūpono e like me ke kauoha a kāu kauka.
2. Pehea e wehe ai i ka papa: Mai huki i ka papa ma ke kaomi ʻana i ka pepa alumini ma luna o ka papa. ʻO ka hana ʻana pēlā e hiki ai ke hiolo ka papa. Akā, e huki mālie i ka pepa alumini mai ke kihi a wehe pono i ka papa me nā lima maloʻo .
3. E waiho ma kou alelo: Ke lawe ʻoe i ka pila, e waiho ma kou alelo. E hoʻoheheʻe wale ia i loko o kekahi mau kekona. Mai ale me ka wai.
4. E kali i 5 mau minuke ma mua o ka ʻai ʻana: Ma hope o ka heheʻe ʻana o ka papa, mai ʻai a inu paha i kekahi mea no kahi o 5 mau minuke .
5.E lawe i ka lāʻau i ka manawa kūpono: E lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
6. Mai hoʻōki koke: E pale i ka hoʻōki koke ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
ʻO ka mea nui loa: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
He aha inā wau e lawe i ka overdose?
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e kelepona koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui . A i ʻole e hele i ka Emergency Treatment Unit (ETU) ma ka haukapila kokoke loa.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
He lāʻau lapaʻau ʻo Selegiline i hiki ke launa pū me nā lāʻau lapaʻau a me nā meaʻai ʻē aʻe. No laila, he mea nui e haʻi i kāu kauka inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe.
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Selegiline! | |
|---|---|
| ʻAtomoxetine | Nā lāʻau hoʻopau ʻeha e like me Meperidine, Methadone, Tramadol |
| Cyclobenzaprine (kahi mea hoʻomaha ʻiʻo) | Rasagiline, Safinamide (nā lāʻau lapaʻau ʻē aʻe no ka maʻi o Parkinson) |
| ʻO Dextromethorphan (aia i loko o kekahi mau syrups cough) | Nā lāʻau hoʻoulu no ka maʻi hemahema o ka nānā ʻana |
| ʻO nā MAOI ʻē aʻe e like me Marplan, Nardil, Parnate | ʻO St. John's Wort (lāʻau lapaʻau) |
| Viloxazine | Nā lāʻau lapaʻau ʻē aʻe e pili ana iā Selegiline, e like me Emsam a i ʻole Eldepryl |
| Hiki iā Selegiline ke launa pū me kēia mau mea, no laila e makaʻala. | |
|---|---|
| ʻO kekahi mau lāʻau lapaʻau no nā maʻi noʻonoʻo e like me ke kaumaha a me ka hopohopo | Nā lāʻau lapaʻau e like me Phenylephrine a me Pseudoephedrine no ka hoʻopau ʻana i ka ihu paʻa |
| ʻO nā lāʻau lapaʻau e like me Carbamazepine, Phenobarbital, Phenytoin, i hoʻohana ʻia no ka maʻi epilepsy (fits) | ʻO Metoclopramide (he lāʻau lapaʻau e pale ai i ka luaʻi) |
| ʻEphedrine, ʻEpinephrine, Norepinephrine | Nā lāʻau lapaʻau e like me Rifampin a me Nafcillin |
| ʻO kekahi mau mea hoʻomaha ʻeha ikaika | ʻO kekahi mau lāʻau hoʻoulu i lawe ʻia e hōʻemi i ke kaumaha a noho ala paha |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau lāʻau). E haʻi pū iā ia inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
Ka nānā pono ʻana i nā meaʻai i loaʻa ka Tyramine
He mea nui loa kēia. Inā ʻoe e lawe iā Selegiline a ʻai i nā meaʻai kiʻekiʻe i ka tyramine, hiki iā ʻoe ke ʻike i ka piʻi koke ʻana o ke koko, nā ʻeha poʻo nui, a me ka puʻuwai puʻuwai kūpono ʻole. No laila, e pale a kaupalena paha i nā meaʻai aʻe:
- Nā tīhi i mālama ʻia
- ʻIʻo a me iʻa i mālama ʻia, puhi ʻia, ʻaki ʻia (e.g. sausage, salami)
- Nā ʻano pia a me nā ʻale
- Waina (ʻoi aku ka waina ʻulaʻula)
- ʻAvokado, maiʻa, fiku, hua waina maloʻo
- Soy sauce, miso soup
- Hua pala loa
E noi i kāu kauka no ka papa inoa piha o kēia mau mea.
Nā mea nui ʻē aʻe
- Ka 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. Mai kū koke a noho paha i luna. Hiki i kēia ke hōʻemi i ka pilikia o ka hāʻule ʻana a me ka hāʻule ʻana, ʻoiai inā he ʻelemakule ʻoe.
- Hiamoe koke: Hiki i kekahi poʻe ke hiamoe koke me ka ʻole o ka ʻōlelo aʻo ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki ke hana kēia i ka wā e hoʻokele ana a i ʻole e kamaʻilio ana. Inā hana kēia iā ʻoe, e haʻi koke aku i kāu kauka.
- Nā makemake kūikawā: ʻOiai e lawe ana i kēia lāʻau lapaʻau, loaʻa paha i kekahi poʻe nā makemake ikaika e piliwaiwai, moe kolohe, ʻai nui, a hoʻolilo kālā paha ma nā ʻano maʻamau ʻole. Inā ʻike ʻoe i kekahi o kēia mau ʻano ʻokoʻa, mai hilahila a haʻi i kāu kauka.
- Waha maloʻo: He mea maʻamau ka waha maloʻo. Hiki iā ʻoe ke kāohi i kēia ma ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai he nui.
- ʻŪhū, anu: Mai lawe i kāu lāʻau ponoʻī no ke ʻūhū, anu, a i ʻole nā maʻi ʻaleka me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
| Inā ʻike ʻoe i kēia mau hōʻailona, e ʻike koke i ke kauka. | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke koko kiʻekiʻe | ʻEha poʻo nui koke, luʻi, luaʻi, ʻoʻoleʻa o ka ʻāʻī, puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā loli noʻonoʻo a me ke ʻano | Hopohopo, hoʻomaha ʻole, hoʻonāukiuki, hallucinations, manaʻo pepehi kanaka, kaumaha. |
| Nā neʻe ʻana i hiki ʻole ke kāohi ʻia | Nā neʻe hou a i ʻole e hoʻonui ana i nā neʻe hiki ʻole ke kaohi ʻia o ka maka, ka waha, a i ʻole ke kino o luna. |
| ʻĒ aʻe | Ke hiamoe nei i ka wā e hana ana i ke ao, e ʻike ana i nā makemake ʻē. |
| Inā hoʻomau kēia mau hōʻailona a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Pōʻino, hiamoe | Waha maloʻo |
| ʻEha poʻo, luaʻi | ʻAʻole hiki ke hiamoe |
| ʻEha a ʻeha paha kahi i kau ʻia ai ka pila (i loko o ka waha) | |
Leka Lawe-Home
- He papa lāʻau ʻo Selegiline e hoʻoheheʻe ʻia ma lalo o ke alelo. Mai ale me ka wai. Mai ʻai a inu paha i kekahi mea no 5 mau minuke ma hope o ka hoʻoheheʻe ʻana o ka papa lāʻau.
- Hiki paha iā ʻoe ke loaʻa kahi hopena koʻikoʻi i nā meaʻai i loaʻa ka Tyramine (ka tīhi kahiko, ka ʻiʻo, ka waina) i ka wā e lawe ana i kēia lāʻau. No laila, e pale i kēlā mau meaʻai.
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe koke a me ka poniuniu. No laila, e makaʻala loa i ka wā e hoʻokele ana a hana paha i kahi hana e pono ai ka noʻonoʻo pono.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ke ʻano maʻamau ʻole (e like me ka piliwaiwai), nā ʻeha poʻo nui, a i ʻole nā loli noʻonoʻo, e haʻi koke i kāu kauka.
- He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau āu e lawe ai a me kēlā me kēia kūlana olakino āu e loaʻa nei.




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