Ua ʻike mākou he paʻakikī ke ola ʻana me ka maʻi Parkinson i kekahi manawa. ʻAʻole maʻalahi ke hele i ka lā me nā mea e like me ka haʻalulu a me ka hele lohi. No laila, kuhikuhi nā kauka i nā lāʻau lapaʻau like ʻole e kāohi i kēia mau hōʻailona. I kēia lā e kamaʻilio mākou e pili ana i hoʻokahi lāʻau lapaʻau kūikawā, ʻo Tolcapone. ʻAʻole kēia he lāʻau lapaʻau i hāʻawi wale ʻia. Hāʻawi ʻia me ka levodopa- carbidopa , ʻo ia ka lāʻau lapaʻau nui no ka maʻi Parkinson . I ka ʻōlelo maʻalahi, ua like ia me kahi "kōkua" e kōkua ana i ka lāʻau lapaʻau nui.
He aha ka Tolcapone?
ʻAe, e wehewehe maʻalahi kākou i kēia. Loaʻa ka maʻi Parkinson i ka wā e emi ai ka hana ʻana o kahi kemika i kapa ʻia ʻo dopamine i loko o ko kākou lolo. ʻO ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe, i kapa ʻia ʻo levodopa-carbidopa, hana ma ke komo ʻana i loko o ka lolo a hoʻololi iā ia i dopamine. Akā i kekahi manawa hiki ke emi mālie ka pono o kēia lāʻau.
ʻO kēia kahi e komo mai ai ka tolcapone. He lāʻau lapaʻau ʻo Tolcapone i loko o kahi papa o nā lāʻau i kapa ʻia ʻo COMT inhibitors. Hana ia ma ke kāohi ʻana i ke kino mai ka wāwahi ʻana i ka levodopa ma mua o kona hiki ʻana i ka lolo. ʻO ke ʻano kēia e ʻae ia i ka nui o kāu lāʻau lapaʻau nui e hiki i ka lolo, e ʻoi aku ka maikaʻi a me ka lōʻihi o ka manawa . ʻO ka inoa inoa no kēia lāʻau lapaʻau ʻo Tasmar.
Nā mea āu e haʻi aku ai 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, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou kūlana olakino piha. Hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻoluʻolu e haʻi i kāu kauka.
| Kūlana/ʻoiaʻiʻo olakino | No ke aha ʻoe e pono ai e haʻi aku i ke kauka? |
|---|---|
| Maʻi akepaʻa | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke akepaʻa, no laila he mea nui e ʻike inā he nāwaliwali o ke akepaʻa. |
| Maʻi puʻupaʻa | Hoʻoneʻe ʻia nā lāʻau lapaʻau mai ke kino e nā puʻupaʻa. No laila, pono ke kauka e makaʻala i ka hana o nā puʻupaʻa. |
| Maʻi noʻonoʻo | I kekahi manawa hiki i kēia mau lāʻau lapaʻau ke hoʻopilikia i ke kūlana noʻonoʻo, no laila he mea nui e ʻike i kēia ma mua. |
| ʻAneʻane hiamoe a i ʻole narcolepsy | Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe koke i kekahi poʻe, no laila he mea nui e hōʻike i kekahi o ia mau kūlana. |
| Inā ʻoe e ho'āʻo nei e hāpai, ua hāpai, a he makuahine hānai paha | E hōʻoia e haʻi i kēia, no ka mea, pono ʻoe e makaʻala loa i ka hoʻohana ʻana i nā lāʻau lapaʻau i kēia mau kūlana. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | E haʻi i kāu kauka e pili ana i kekahi mau maʻi allergies āu. |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau.
- E ale i ka pila me ke aniani wai.
- E lawe i ka nui i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia, e like me ke kauoha a ke kauka. Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana.
- Mai lawe ʻoe ma mua o ka mea a ke kauka e ʻōlelo ai.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i kahi hopena koʻikoʻi.
- Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, e kamaʻilio me ke kauka lapaʻau e pili ana i ia mea.
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 iā ia i kou hoʻomanaʻo ʻana. Akā 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 i ʻelua mau lāʻau i ka manawa hoʻokahi.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e kelepona koke aku i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo. A i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. E mālama i kēia me he pilikia lā.
E hoʻomanaʻo, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa 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 lapaʻau , no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka tolcapone.
| He aha ka mea e hiki ai ke hoʻopilikia? | Wehewehena |
|---|---|
| Mai lawe pū me kekahi mea kēia mau mea. | |
| Nā lāʻau lapaʻau ʻano MAOI | Nā lāʻau lapaʻau no ke kaumaha e like me Marplan, Nardil, a me Parnate. |
| E hoʻomaopopo i kāu kauka inā ʻoe e lawe pū ana i kēia mau mea. | |
| ʻAila | Hiki i ka waiʻona ke hoʻololi i nā hopena o ka lāʻau lapaʻau a hoʻonui i ka hiamoe. |
| Lāʻau lapaʻau no ka hiamoe a i ʻole ka hopohopo | Hiki ke piʻi aʻe ka hiamoe a me ka emi ʻana o ka nānā ʻana. |
| ʻApomorphine, dobutamine, dopamine, epinephrine, isoproterenol, norepinephrine | ʻO kēia nā lāʻau lapaʻau i hāʻawi ʻia no nā kūlana e like me ka maʻi puʻuwai a me ke koko kiʻekiʻe. |
| ʻO Warfarin | He lāʻau lapaʻau i hāʻawi ʻia e pale aku i nā ʻūpā koko. |
| ʻĒ aʻe | ʻO Desipramine, linezolid, methyldopa, nā lāʻau ʻeha narcotic. |
He aha nā mea e pono ai ʻoe e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau?
He mea nui loa ia e hoʻolohe i nā loli i kou kino i ka wā e lawe ana i kēia lāʻau.
- Pōʻino a me ke kaulike : ʻO ʻoeHiki paha iā ʻoe ke poniuniu a poʻo paha. 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 ʻana mai kahi noho ʻana, ʻoiai inā he ʻelemakule ʻoe.
- Ka hiamoe koke ʻana: He ʻoi aku ka koʻikoʻi o kēia. Hiki i kekahi poʻe ke hiamoe koke me ka ʻole o ka hiamoe, ʻoiai e kamaʻilio ana, e ʻai ana, a i ʻole e hoʻokele ana. Inā ʻike ʻoe i kēia, e haʻi koke aku i kāu kauka.
- Nā makemake hiki ʻole ke kāohi ʻia: Hiki i kekahi poʻe ke loaʻa nā makemake hiki ʻole ke kāohi ʻia e piliwaiwai, moe kolohe, hoʻolilo kālā me ke kumu ʻole, a ʻai nui paha i ka wā e lawe ana i kēia lāʻau. ʻAʻohe mea hilahila kēia, a he hopena ʻaoʻao paha ia o ka lāʻau. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e haʻi koke i kāu kauka.
- Mālama ʻili: ʻOiai e lawe ana i kēia lāʻau lapaʻau, e nānā mau i kou ʻili no nā loli i kāu mau mole e kū nei a i ʻole nā mole hou. Inā ʻike ʻoe i kekahi mau loli, e haʻi i kāu kauka .
- Waha maloʻo : Inā maloʻo kou waha, hiki i ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā lole ʻono ʻole, a me ka inu ʻana i ka wai nui ke kōkua.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka tolcapone ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nausea, nalowale o ka makemake e ʻai. |
| Nā hōʻailona o ka hōʻino ʻana o nā ʻiʻo | Mimi ʻeleʻele, paʻakikī ke mimi, nāwaliwali ʻē, ʻeha nā ʻiʻo. |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ka maʻi palahēhē nui, nā hihiʻo ʻino, ka hiamoe koke, ka nalowale o ka ʻike a me ka hāʻule ʻana, ka haʻalulu hiki ʻole ke kāohi ʻia o nā lālā e like me nā lima, nā wāwae, ka maka, a me ka ʻāʻī. |
| Ka maʻi pākī | Pōʻino |
| ʻEha poʻo | Ka nalowale o ka makemake |
| Ka luaʻi | Pilikia i ka hiamoe ʻana |
Ma hea ʻoe e mālama ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki .
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- E pani pono i ke poʻi o ka ʻōmole.
- E hoʻolei aku i nā lāʻau lapaʻau i koe ma hope o ka lā pau.
Leka Lawe-Home
- He hoa lāʻau lapaʻau ʻo Tolcapone e hoʻonui ai i ka pono o kāu lāʻau lapaʻau nui no ka maʻi Parkinson.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā kūlana olakino āpau āu a me nā lāʻau lapaʻau āpau āu e lawe nei.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- E makaʻala i ka hiamoe koke, nā makemake nui ʻole, a me nā hōʻailona o ka hōʻino ʻia o ke akepaʻa. Inā ʻike ʻoe i kekahi o kēia mau mea, e haʻi koke aku i kāu kauka.
- Inā manaʻo ʻoe ua nui ka lāʻau lapaʻau, e hele koke i ke Kikowaena ʻIke ʻAi Poisons National a i ʻole ke Keʻena ʻOihana Hoʻopilikia (ETU) kokoke loa.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
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