Loaʻa mau anei iā ʻoe ke poʻo i nā manawa a pau i kēia mau lā? I kekahi manawa, ʻaʻole ia he poʻo wale nō, hiki ke lilo i migraine. No laila, ʻo kahi lāʻau lapaʻau a nā kauka e hāʻawi ai i ka poʻe me ka migraines he pila i kapa ʻia ʻo Sumatriptan; Naproxen. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻae?
He aha maoli ka hoʻohana ʻia ʻana o kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ua kapa ʻia kēia lāʻau lapaʻau ʻo Sumatriptan; Hoʻohana ʻia ʻo Naproxen e kāohi i ka ʻeha o ka migraines. Loaʻa i kekahi poʻe kahi hōʻailona hōʻike ma mua o ka migraine, a mākou e kapa nei he aura. ʻO ia hoʻi, ʻike paha lākou i nā kukui i mua o ko lākou mau maka a manaʻo paha he mea ʻē. No laila, hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā migraines me a me ka ʻole o ka aura.
Akā, hoʻokahi mea e hoʻomanaʻo ai, ʻaʻole kēia he lāʻau pale migraine. ʻO ia hoʻi, ʻaʻole hiki iā ia ke pale i ka hoʻi hou ʻana mai o ka migraine. Hoʻohana wale ʻia ia e hōʻemi i ka ʻeha o ka migraine ke loaʻa.
Hiki i nā kauka ke hoʻohana 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. ʻO kahi inoa kaulana no kēia lāʻau lapaʻau ʻo 'Treximet'.
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 kēia lāʻau lapaʻau, he mea nui loa ia e haʻi i kāu kauka i kekahi ʻike. No ka mea, ma muli o kēlā ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole. I kēia manawa, e nānā kākou i kēlā mau mea:
- Inā he mea puhi paka ʻoe.
- Inā he pilikia kou me ke kahe koko ma kou mau manamana lima, manamana wāwae, a manamana wāwae paha (e like me ka uliuli ʻana o kou mau manamana lima i kekahi manawa i ke anu).
- Inā ua hana ʻia ʻoe i kēia manawa koke nei, ʻo ia hoʻi , i loko o ʻelua pule, i ke ʻoki ʻana i ka puʻuwai (Coronary Artery Bypass Graft (CABG) surgery) .
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā ʻoe e inu ma mua o ʻekolu mau mea inu ʻona i ka lā .
- Inā he maʻi puʻuwai kou .
- Inā he koko kiʻekiʻe kou.
- Inā kiʻekiʻe kou pae cholesterol koko .
- Inā ua loaʻa iā ʻoe kahi puʻuwai puʻuwai kūpono ʻole ma mua.
- Inā ua loaʻa iā ʻoe ke kahe koko o ka ʻōpū ma mua.
- Inā ua loaʻa iā ʻoe kahi hahau ma mua.
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe kahi maʻi māmā, no ka laʻana, ka hānō .
- Inā he mau pilikia ʻōpū kou.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi a i ʻole kahi hopena kūikawā i ka sumatriptan, naproxen, aspirin, nā NSAID ʻē aʻe (nā lāʻau anti-inflammatory non-steroidal), nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
ʻO ka haʻi ʻana aku i kāu kauka i kēia mau mea a pau e kōkua iā ʻoe e loaʻa ka lāʻau lapaʻau me ka palekana.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Pono e lawe ʻia kēia mau papa me ke aniani wai. E hoʻohana pono iā lākou e like me ke kuhikuhi ʻana ma ka lepili lāʻau i hāʻawi ʻia e kāu kauka. Hiki iā ʻoe ke lawe iā lākou me ka ʻai a me ka ʻole. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana iā lākou me ka meaʻai. Mai uhaʻi, kuʻi, a nau paha i ka papa. Mai lawe ʻoi aku ma mua o ka nui o kāu kauka e ʻōlelo ai iā ʻoe e lawe.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa kuhikuhi kūikawā (he `MedGuide`) . Pono ʻoe e heluhelu pono i kēlā me kēia manawa āu e loaʻa ai ka lāʻau lapaʻau, a i kēlā me kēia manawa āu e loaʻa ai kahi `refill`. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ʻoe e kamaʻilio me ke kauka pediatric e pili ana i ia mea. I kekahi mau hihia, hiki ke hāʻawi ʻia i nā keiki ma luna o 12 mau makahiki, akā pono e mālama ʻia nā hana palekana kūikawā.
Mea nui: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, ʻo ia hoʻi, he overdose, e kāhea koke i ke kikowaena kaohi lāʻau make a i ʻole ke keʻena pilikia.
ʻO kekahi mea ʻē aʻe, nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou ka pilikia like me ʻoe.
He aha kaʻu e hana ai inā e poina iaʻu kahi lāʻau?
ʻAʻole kēia he lāʻau lapaʻau e lawe pinepine ʻia i ka manawa like i kēlā me kēia lā. No ka mea, lawe ʻia ia i ka wā e loaʻa ai ka migraine, ʻaʻohe nīnau e pili ana i ka hala ʻana o kahi lāʻau.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
Aia kekahi mau lāʻau lapaʻau, e like me Sumatriptan; Naproxen, hiki ke hoʻopilikia inā lawe pū ʻia. No laila, inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, he mea nui e haʻi i kāu kauka e pili ana iā lākou.
Mai lawe pū me kēia mau lāʻau lapaʻau:
- ʻO kekahi mau ʻano lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia no ka migraines: no ka laʻana, `almotriptan`, `eletriptan`, `frovatriptan`, `naratriptan`, `rizatriptan`, `sumatriptan` (no ka mea, loaʻa nō hoʻi kēia), `zolmitriptan`.
- ʻO ke Cidofovir
- Nā alkaloids Ergot: e like me dihydroergotamine, ergonovine, ergotamine, a me methylergonovine.
- ʻO Ketorolac
- Nā `MAOI` (e.g. `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`)
Eia kekahi, hiki i kēia lāʻau lapaʻau ke launa pū (ʻo ia hoʻi, e hoʻopili kekahi i kekahi) me nā lāʻau lapaʻau e hiki mai ana:
- ʻAspirina
- ʻO kekahi mau lāʻau lapaʻau no ke koko, ka maʻi puʻuwai, a me ka puʻuwai kūpono ʻole.
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka maʻi noʻonoʻo.
- Nā lāʻau lapaʻau e pale ai a mālama paha i nā ʻūpā koko: No ka laʻana, `warfarin`, `enoxaparin`, `dalteparin`, `apixaban`, `dabigatran`, `rivaroxaban`.
- ʻO Cyclosporine
- ʻO ka Methotrexate
- ʻO nā NSAID (nā lāʻau anti-inflammatory non-steroidal), ʻo ia nā lāʻau lapaʻau no ka ʻeha a me ka pehu, e like me ka ibuprofen a i ʻole naproxen (e akahele loa me kēia mau lāʻau lapaʻau, no ka mea, aia pū kekahi i loko o lākou ka naproxen).
- ʻO Pemetrexed
- ʻO Probenecid
ʻAʻole piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau lapaʻau kūʻai ʻole ʻia), nā huahana lāʻau lapaʻau, nā huaora, a me nā mea hoʻohui meaʻai āu e lawe nei, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe . Hiki i kekahi o kēia mau mea ke launa pū me kēia lāʻau lapaʻau.
He aha kāu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, e ʻike pinepine i kāu kauka e nānā i kou ʻano. E haʻi i kāu kauka inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona, a inā paha e ʻoi aku ka ʻino.
- Nā hopena ʻili koʻikoʻi: Hiki ke loaʻa nā hopena ʻili koʻikoʻi i loko o kekahi mau pule a i ʻole mau mahina o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kahi ʻulaʻula e like me ke kuni a hele pū me ka manaʻo o ka nāwaliwali. Hiki i kēia mau ʻulaʻula ke lilo i ʻulaʻula a poni paha a laila pehu a ʻili. A i ʻole, hiki ke hele pū ka ʻulaʻula me ka pehu ʻana o ka maka, nā lehelehe, a i ʻole nā kikowaena lymph pehu ma ka ʻāʻī a i ʻole nā armpits. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona , e ʻimi koke i ke kōkua lapaʻau.
- I ka wā hāpai: Inā hāpai ʻoe, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kēia lāʻau. ʻO ka lawe ʻana i kēia lāʻau ma waena o 20 a me 30 mau pule o ka hāpai ʻana e hōʻeha paha i kāu pēpē i hānau ʻole ʻia. No laila, inā pono loa kēia lāʻau iā ʻoe, e nānā pono kāu kauka iā ʻoe. Mai lawe i kēia lāʻau ma hope o 30 mau pule o ka hāpai ʻana.
- ʻO ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i kekahi mea ʻē aʻe e pono ai ke makaʻala a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. Mai ala koke mai ka noho ʻana a i ʻole ke kū ʻana, ʻoiai inā he ʻelemakule ʻoe. ʻO ka hana ʻana pēlā e hōʻemi ai i ka manawa kūpono o ka poniuniu a me ka hāʻule ʻana.
- ʻAila: Hiki i ka ʻaila ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau. No laila, e pale i ka inu ʻana i ka ʻaila.
- Nā lāʻau ʻeha ʻē aʻe:Mai lawe i nā lāʻau lapaʻau ʻē aʻe i loaʻa ka aspirin, ibuprofen, a i ʻole naproxen (no ka mea, aia pū kekahi naproxen i loko o kēia lāʻau lapaʻau). ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao e like me ka ʻeha o ka ʻōpū, ka nausea, a i ʻole nā ʻōpū ʻōpū. Nui nā lāʻau lapaʻau i ʻole ke kauoha ʻia e loaʻa paha kēia mau mea hoʻohui. No laila e heluhelu pono i nā lepili.
- ʻO nā ʻōpū ʻeha a me ke kahe ʻana o ke koko: Hiki ke loaʻa nā ʻōpū ʻeha a me nā ʻōpū (nā ʻōpū ʻeha) a me ke kahe ʻana o ke koko (ke kahe ʻana o ke koko) i kēlā me kēia manawa āu e hoʻohana ai i kēia lāʻau lapaʻau. Hiki ke hana ʻia kēia me ka ʻole o ka hoʻomaopopo ʻana a hiki i kekahi manawa ke make. ʻO ka puhipaka, ka inu ʻana i ka waiʻona, ka ʻelemakule ʻana, a me ka loaʻa ʻole o ke olakino maikaʻi ʻole e hoʻonui i kou pilikia. E haʻi koke i kāu kauka inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū, ka luaʻi ʻana i ke koko, a i ʻole ke kahe ʻana o ke koko i loko o kou mau ʻōpala (ʻeleʻele a ʻeleʻele paha).
- Hoʻouka puʻuwai a hahau paha: ʻAʻole e pale kēia lāʻau i ka hoʻouka puʻuwai a hahau paha. ʻOiaʻiʻo, hiki i kēia lāʻau ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka hoʻouka puʻuwai a hahau paha. ʻO ka lōʻihi o kou hoʻohana ʻana i kēia lāʻau, a inā he maʻi puʻuwai kou, ʻoi aku ka kiʻekiʻe o kou pilikia. Inā ʻoe e lawe i ka aspirin e pale aku i ka hoʻouka puʻuwai a hahau paha, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kēia lāʻau.
- Ka pilikia o ke kahe koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia o ke kahe koko a i ʻole ka palapū. E haʻi i kāu kauka inā ʻike ʻoe i kekahi kahe koko ʻē.
- Nā loli o ka ʻike: Inā ʻike ʻoe i kekahi loli i kou ʻike, e haʻi koke aku i kāu kauka.
- Waha maloʻo: Hiki ke maloʻo kou waha. Hiki iā ʻoe ke hoʻokele i kēia ma ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā kinika kō ʻole, a me ka inu ʻana i ka wai he nui. Inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e ʻike i kāu kauka.
- ʻO nā poʻo ʻeha i hoʻoulu ʻia e ka lāʻau lapaʻau: Inā ʻoe e lawe i nā lāʻau migraine (me kēia mau mea a me nā lāʻau lapaʻau ʻē aʻe) no nā lā he 10 a ʻoi aku paha i ka mahina , e ʻoi aku ka ʻino o kou mau migraine. Ua kapa ʻia kēia he 'medication overuse headache.' E mālama i kahi puke moʻolelo o nā lā i loaʻa ai iā ʻoe kou mau poʻo ʻeha a pehea ʻoe e lawe ai i kāu mau lāʻau lapaʻau. E haʻi i kāu kauka inā e ʻoi aku ka ʻino o kou mau migraine.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi loa kekahi.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka :
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hele koke i ke kauka a i ʻole ka haukapila:
- Nā hopena maʻi: ʻulaʻula o ka ʻili, ka maneʻo, a i ʻole nā hives; ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo.
- Ke kahe koko ʻana:Koko i loko o ka noho a i ʻole nā noho ʻeleʻele, ʻeleʻele; mimi ʻulaʻula a ʻeleʻele paha; luaʻi me kahi mea ʻeleʻele e like me ke kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻokoʻa mai nā maka, nā ʻāʻī, a i ʻole ka ihu.
- ʻO ke koko paʻa: ʻEha ka umauma; paʻakikī ka hanu ʻana; ʻeha ka wāwae, pehu, a i ʻole kahi manaʻo mehana.
- Ka hāʻule ʻana o ka puʻuwai: Pōkole o ka hanu; puʻuwai wikiwiki a kūpono ʻole; piʻi koke ke kaumaha; pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a me nā lima; manaʻo nāwaliwali a luhi paha.
- ʻEha puʻupaʻa: Paʻakikī i ka mimi ʻana a i ʻole kahi loli i ka nui o ka mimi āu e hana ai.
- Noho noho māmā.
- ʻEha o ke akepaʻa: Mimi melemele ʻeleʻele a ʻeleʻele paha; maʻi ʻino a i ʻole ke kuni (nā hōʻailona like me ka maʻi palū); nalowale o ka makemake e ʻai, ʻeha ma ka ʻōpū ʻākau o luna; manaʻo nāwaliwali a luhi paha, melemele o nā maka a i ʻole ka ʻili.
- He haʻahaʻa ka helu o nā hunaola koko ʻulaʻula: Pōkole o ka hanu; nāwaliwali; poniuniu, nāwaliwali; manaʻo nāwaliwali loa a luhi paha.
- ʻŌhūhū, kuni, a me nā ʻōpuʻu lymph pehu.
- ʻUlaʻula, pehu, ʻili, a wehe paha o ka ʻili, me loko o ka waha.
- Hahau: Nā loli o ka ʻike; huikau; paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana; ʻeha poʻo nui; mae koke a nāwaliwali paha i ka maka, lima, a i ʻole ka wāwae; paʻakikī i ka hele wāwae; poniuniu; nalowale ke kaulike.
Nā hopena ʻaoʻao ʻaʻole pono ka lāʻau lapaʻau, akā pono e hōʻike i kāu kauka inā hoʻomau lākou:
ʻOiai inā ʻaʻole koʻikoʻi kēia mau mea, inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:
- Ka paʻa ʻana o ka ʻōpū
- Ka maʻi pākī
- Pōʻino
- ʻEha poʻo - ʻOiai he lāʻau lapaʻau kēia no ka migraines, hiki i ke poʻo ke hana i kekahi manawa ma ke ʻano he hopena ʻaoʻao.
- Ka luaʻi, ka luaʻi
- Ke kahe ʻana o ke kinoea
- Pilikia i ka hiamoe ʻana
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻike ʻole ʻia, e nīnau i kāu kauka.
Pehea ʻoe e mālama ai i nā lāʻau lapaʻau? He aha kāu e hana ai inā he koena kāu?
E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona.
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 ka lāʻau lapaʻau i pau ka lāʻau. Pono e hoʻolei ʻia nā lāʻau lapaʻau i koe a pau ka lāʻau.
Nā ala e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a pau ka lāʻau:
- E hāʻawi i kēia mau lāʻau lapaʻau i nā wahi i loaʻa nā 'papahana lawe-hoʻihoʻi lāʻau lapaʻau'. Hiki iā ʻoe ke ʻike e pili ana i ia mau wahi mai kāu hale kūʻai lāʻau lapaʻau a i ʻole nā mākaʻi.
- Inā ʻaʻohe ala e hoʻihoʻi ai, e nānā i ka lepili lāʻau a i ʻole ka ʻeke e ʻike ai inā pono e hoʻolei ʻia kēia lāʻau i loko o ka ʻōpala a hoʻolei ʻia paha i loko o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka a kauka lāʻau paha.
- Inā ʻōlelo ʻia he palekana ke hoʻolei i loko o ka ʻōpala, e lawe i ka lāʻau lapaʻau mai loko mai o ka ʻōmole a i ʻole ka ʻeke. E kāwili me kahi mea āu e hoʻohana ʻole ai, e like me ka ʻōpala pōpoki, ka lepo, a i ʻole ka lepo kope. E kau i kēia hui ʻana i loko o kahi ʻeke a i ʻole ka pahu, e sila pono, a hoʻolei i loko o ka ʻōpala.
ʻO ka mea nui loa iā ʻoe - e hoʻomanaʻo!
No laila, hiki iā ʻoe ke ʻike ʻoiai ʻo kēia lāʻau lapaʻau i kapa ʻia ʻo Sumatriptan; Naproxen he lāʻau lapaʻau maikaʻi no ka migraines, nui nā mea e makaʻala ai i ka wā e hoʻohana ai. Mai makaʻu, akā he mea nui e makaʻala.
Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole kekahi mea lawelawe olakino ʻē aʻe. E kōkua lākou iā ʻoe.
He hōʻuluʻulu manaʻo wale nō kēia pepa ʻike. ʻAʻole paha e loaʻa nā ʻike āpau. No laila, e hahai mau i nā ʻōlelo aʻoaʻo a kāu kauka. Ke makemake nei au iā ʻoe e ola koke!
Migraine , Sumatriptan, Naproxen, Treximet, lāʻau ʻeha poʻo, nā mea ʻeha ʻeha, nā hopena ʻaoʻao
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