Ua kuhikuhi anei kāu kauka iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe i ka lāʻau lapaʻau ʻo Thioridazine? Inā pēlā, e kamaʻilio pōkole kākou e pili ana i kēia lāʻau lapaʻau, kāna hana, a me nā mea āu e makaʻala ai i ka wā e hoʻohana ai. Ma hope o ka heluhelu ʻana i kēia, e ʻike maikaʻi ʻoe i kēia lāʻau lapaʻau.
I ka ʻōlelo maʻalahi, ʻo Thioridazine kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo e like me ka schizophrenia . Hoʻomaʻamaʻa pinepine nā kauka iā ia ke hāʻule nā lāʻau lapaʻau ʻē aʻe a paʻakikī paha ke ʻae. No kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo antipsychotics. Hana ia ma ke kaulike ʻana i nā pae o ka dopamine, kahi kemika i loko o ko mākou lolo e kōkua i ka hoʻomalu ʻana i ko mākou ʻano.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, pono ʻoe e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana olakino a pilikia paha. He mea nui loa kēia ʻike i ka hoʻoholo ʻana i ka lāʻau kūpono.
| Kūlana/Pilikia | Wehewehena |
|---|---|
| ʻŌnaehana lolo a me ke aʻalolo | ʻO ka puʻupuʻu lolo, ka dementia, ka ʻeha poʻo, nā maʻi hīkī, ka maʻi Parkinson, nā pilikia kaohi ʻana i nā ʻiʻo. |
| Puʻuwai a me ke koko | Maʻi puʻuwai, puʻuwai kū ʻole, koko haʻahaʻa, emi ʻana o nā hunaola koko (keʻokeʻo, ʻulaʻula, platelets). |
| Nā kūlana olakino ʻē aʻe | ʻO ka maʻi kō, ka maʻi akepaʻa, ka glaucoma, ka maʻi prostate, ka maʻi māmā a i ʻole ka maʻi hanu (e like me ka hānō), ka ʻōpū paʻakikī, ka paʻakikī i ka moni ʻana, ka paʻakikī i ka mimi. |
| ʻO ke ʻano o ka nohona a me nā maʻi allergies | Inā inu pinepine ʻoe i ka waiʻona, ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai, he makuahine hānai waiū, a i ʻole ua loaʻa iā ʻoe kahi hopena maʻi i ka Thioridazine a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha me ke aniani wai. E lawe i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ke kuhikuhi a kāu kauka a i ʻole ka mea i hoʻokomo ʻia ma ka pūʻolo. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia no kekahi kumu.
ʻO ka mea nui loa, ʻaʻole ʻoe e hoʻōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i ka hana ʻana pēlā ke hana i kahi hopena koʻikoʻi. Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau, e wehewehe kāu kauka pehea e hana ai.
Pono ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, no laila e kamaʻilio me kāu kauka e pili ana i ia mea.
He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
E ʻoluʻolu e hoʻomaopopo: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me nā poʻe ʻē aʻe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. 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 lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i ka Thioridazine ke launa pū me nā lāʻau lapaʻau ʻē aʻe, 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 a me nā huahana lāʻau.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Thioridazine | |
|---|---|
| ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi o ka puʻuwai (e like me Amiodarone, Quinidine) | ʻO Cisapride, Fluoxetine, Paroxetine, Pimozide |
| ʻO Propranolol, Pindolol, Saquinavir | Nā lāʻau lapaʻau ʻē aʻe e hoʻolōʻihi i ka wā QT |
| Nā mea ʻē aʻe e hiki ai ke hoʻopilikia i ka Thioridazine | |
| ʻAila | Nā lāʻau lapaʻau no ka maʻi ʻaleka a me ke kuni (Antihistamine) |
| Lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe | ʻO kekahi mau lāʻau lapaʻau no ke kaumaha |
| Lāʻau lapaʻau koko | Nā lāʻau antiepileptic (e like me Phenobarbital) |
| Nā lāʻau lapaʻau | Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻoulu ai i ka ʻike ʻole i ka wā o ke ʻoki ʻana |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huahana lāʻau lapaʻau, a me nā huaora āu e lawe nei. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ana i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau: E kipa aku i kāu kauka i nā lā i hoʻonohonoho ʻia e nānā i kou kūlana. E haʻi iā ia inā hoʻomau a ʻoi aʻe paha kou mau hōʻailona.
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe, poniuniu, a i ʻole ka ʻike maka ʻole. No laila, e pale i nā hana weliweli e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. Hiki ke poniuniu ke kū koke ʻoe a i ʻole e ala aʻe mai kahi noho. No laila, e hoʻololi mālie i nā kūlana. E pale i ka inu ʻana i ka waiʻona no ka mea hiki ke hoʻonui ʻia kēia kūlana.
- Mahana kino: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke ʻano o kou kino e kāohi ai i kona mahana. Hiki iā ʻoe ke manaʻo i ka emi ʻana o ke anu i ke anuanu, a hiki i kou kino ke wela koke i ka wā wela. No laila, e ʻaʻahu mehana i nā lā anuanu. I nā lā wela, e makaʻala i ka lā, e ʻaʻahu i nā lole māmā, a inu i ka wai nui.
- Lā:Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou ʻili i ka lā. No laila, inā ʻoe e hele ana i ka lā, e ʻaʻahu i nā lole e uhi ana i kou ʻili a hoʻohana i ka sunscreen.
- Waha maloʻo: Hiki ke loaʻa ka waha maloʻo. Hiki ke kāohi ʻia kēia ma ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai.
- Maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pae kō koko. No laila e nīnau i kāu kauka inā pono ʻoe e hana i kekahi hoʻololi i kāu meaʻai a lāʻau lapaʻau paha.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka Thioridazine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma, paʻakikī ke hanu. |
| ʻO ka maʻi ʻino Neuroleptic | Ke kuni nui, ka ʻoʻoleʻa o nā ʻiʻo, ka hou nui, a me ka huikau. |
| Nā Hōʻailona Extrapyramidal (EPS) | Nā neʻe ʻana o nā ʻāpana o ke kino i kāohi ʻole ʻia, nā haʻalulu, ka ʻoʻoleʻa o nā ʻiʻo, ka hoʻomaha ʻole, ka paʻakikī i ka hele wāwae. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā loli i ka ʻike, nā hōʻailona o ka maʻi (kuni, ʻū, ʻeha puʻu), poniuniu ma muli o ke koko haʻahaʻa, nā ʻūlū. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| Ka paʻa ʻana o ka ʻōpū | Pōʻino |
| Hiamoe | Waha maloʻo |
| Piʻi ke kaumaha | |
Pehea e mālama ai i ka lāʻau lapaʻau?
E mālama i nā lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona . E mālama ma ka mahana o ka lumi (ma lalo o 30 degere Celsius), me ke poʻi paʻa. Mai hoʻohana i nā lāʻau lapaʻau i pau ka lāʻau a e hoʻolei pono iā lākou.
Leka Lawe-Home
- Mai ho'ōki i ka lawe ʻana i nā papa Thioridazine a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, nā huahana lāʻau lapaʻau āu e lawe nei, a me nā kūlana olakino āu e loaʻa nei.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke kuni nui, ka ʻoʻoleʻa o nā ʻiʻo, a i ʻole nā loli o ka puʻuwai, e ʻimi koke i ke kōkua lapaʻau.
- E pale i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau. E akahele loa i ka hana ʻana i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa ʻana.
- Inā lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons National a i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) kokoke loa.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha nā mea e hoʻohana ʻia ai nā papa Thioridazine (Thioridazine / Mellaril)?
He lāʻau lapaʻau hanauna kahiko kēia (Typical antipsychotic / Phenothiazine) i hoʻohana ʻia e mālama i ka maʻi noʻonoʻo koʻikoʻi i kapa ʻia ʻo 'Schizophrenia'! ʻAʻole hāʻawi ʻia kēia i nā kānaka a pau i kēia mau lā, hoʻohana pinepine ʻia no nā poʻe maʻi paʻakikī loa (Treatment-resistant) ʻaʻole hiki ke lohe i nā leo ʻē a i ʻole ka hakakā/uwē ʻana ʻoiai ua hāʻawi ʻia i nā lāʻau lapaʻau ʻē aʻe (ma ka liʻiliʻi he 2 mau lāʻau).
💬 No ke aha i hoʻohana ʻia ai kēia lāʻau lapaʻau (Thioridazine) ma ke ʻano he 'koho hope loa' i kēia mau lā?
ʻO ke kumu nui o kēia ka hopena ʻino loa o kēia lāʻau! (ʻŌlelo Aʻo Pahu ʻEleʻele). Hiki i kēia ke hoʻololi nui i nā hōʻailona uila o ka puʻuwai o ka mea maʻi (QT prolongation / Arrhythmia / Torsades de pointes), e hana ana i ka puʻuwai wikiwiki / hopu puʻuwai a me ka hōʻeha puʻuwai make. No laila, ʻo ka poʻe e lawe ana i kēia lāʻau lapaʻau e pono e nānā mau ʻia nā hoʻokolohua ECG a me nā pae potassium koko.
💬 Ma waho aʻe o ka puʻuwai, he aha nā hopena ʻaoʻao weliweli ʻē aʻe e hiki ai i kēia mau pila (Thioridazine) ke hana?
Hiki i kēia ke hōʻeha nui a mau loa i nā maka. Inā hoʻonui ʻia ka nui, hiki i ka pigmentary retinopathy ke ulu i ka maka ʻeleʻele a me ke kua o ka retina, e alakaʻi ana i ka makapō a me ka nalowale o ka ʻike. Aia kekahi pilikia kiʻekiʻe o ka retrograde ejaculation, ka hiamoe hoʻomaha ʻole, a me ka ʻūlū ʻana o ke kino/alelo hiki ʻole ke kaohi ʻia (Tardive Dyskinesia).
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