Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau no kahi maʻi e like me ke kaumaha a i ʻole ka ʻeha mau? Ua lohe anei ʻoe i ka inoa 'tricyclic antidepressants' i waena o kēlā mau lāʻau lapaʻau? ʻOiai he hanauna kahiko kēia o nā lāʻau lapaʻau, he mea pono loa lākou i kekahi mau hihia. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea āpau e pili ana i kēia mau tricyclic antidepressants, a i ʻole "TCAs" no ka pōkole.
I ka ʻōlelo maʻalahi, he aha kēia mau antidepressants tricyclic (TCAs)?
ʻO nā lāʻau lapaʻau Tricyclic antidepressants (TCAs) he papa lāʻau lapaʻau e kōkua i ka kaohi ʻana i nā hōʻailona o ka maʻi kaumaha nui. ʻOiai aia ka huaʻōlelo "antidepressant" ma ko lākou inoa, kuhikuhi pū nā kauka iā lākou no nā ʻano maʻi like ʻole.
Ua kapa ʻia kēia mau mea he "hanauna mua" antidepressants no ka mea ʻo lākou nā antidepressants mua i ʻike ʻia. Ua kapa ʻia lākou he "tricyclic" no ka mea he ʻekolu mau apo i loko o ko lākou ʻano kemika.
I kēia mau lā, no ka mea, ʻoi aku ka palekana o nā lāʻau lapaʻau hou no ke kaumaha a emi iho nā hopena ʻaoʻao (e like me SSRIs), ke kuhikuhi pinepine nei nā kauka i nā TCA no ke kaumaha. Eia nō naʻe, ʻoi aku ka maikaʻi o lākou no kekahi poʻe i pane ʻole i nā lāʻau lapaʻau ʻē aʻe. Hoʻohana pinepine ʻia lākou no nā kūlana ʻē aʻe.
He aha nā ʻano TCA? He aha nā ʻano maʻi a nā kauka e kuhikuhi ai iā lākou?
Aia kekahi mau ʻano nui o nā TCA i hoʻohana ʻia ma Sri Lanka a puni ka honua. E nānā e ʻike inā ʻo ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai kekahi o kēia.
| Inoa Laulā | Nā hihia i hoʻohana pinepine ʻia |
|---|---|
| ʻAmitriptyline | E pale i ke kaumaha, ka ʻeha mau loa, ka ʻeha aʻalolo, a me ka migraines |
| ʻImipramine | Kaumaha, ka moe ʻana i nā keiki liʻiliʻi |
| ʻO Nortriptyline | Kaumaha, ʻeha mau loa |
| ʻO Clomipramine | He mea kūpono loa ia no ka Obsessive-Compulsive Disorder (OCD), kahi kūlana i hōʻailona ʻia e nā manaʻo a me nā hana i makemake ʻole ʻia. |
| ʻO Doxepin | Kaumaha, hopohopo, hiamoe ʻole |
Ma waho aʻe o ke kaumaha a me ka OCD i ʻōlelo ʻia ma luna, ua kuhikuhi nā kauka i kēia lāʻau lapaʻau no kekahi mau kūlana ʻē aʻe. Ua kapa ʻia kēia ʻo "off-label use." ʻO ke ʻano kēia ua hāʻawi ʻia ka lāʻau lapaʻau no kahi kūlana ʻē aʻe ma mua o ka mea i ʻae ʻia ai, i ka wā i hōʻike ʻia ai e ka noiʻi he mea pono ia no kekahi kūlana ʻē aʻe.
- ʻEha mau loa: ʻOi aku ka ʻeha e pili ana i ke aʻalolo, e like me ka neuropathy diabetic a me ka neuralgia postherpetic.
- No ka pale ʻana i ka migraines: E kāohi i ka migraines pinepine.
- ʻIke ʻole: Hāʻawi ʻia kekahi poʻe i nā lāʻau haʻahaʻa e kōkua iā lākou e hiamoe.
- Nā maʻi hopohopo
- Fibromyalgia: ʻEha a me ka luhi ma ke kino holoʻokoʻa.
- Ka pulu ʻana i ka moe: Manaʻo ʻia kēia ʻano i kekahi manawa no nā keiki ʻōpio.
Pehea e hana ai kēia lāʻau lapaʻau ma ke kino?
I ka ʻōlelo maʻalahi, aia i loko o ko kākou lolo nā kemika e hoʻouna i nā leka ma waena o nā hunaola nerve. Kāhea mākou i kēia mau neurotransmitters . ʻO 'Norepinephrine' a me 'Serotonin' ʻelua mau neurotransmitters koʻikoʻi e kaohi ana i ko kākou ʻano, ka hauʻoli, a me ke ʻano.
Hiki ke haʻahaʻa kēia mau pae i nā kūlana e like me ke kaumaha. Hana nā TCA ma ka hoʻonui ʻana i nā pae o kēia mau neurotransmitters, "Norepinephrine" a me "Serotonin" i loko o ka lolo, e hoʻomaikaʻi ana i ka kamaʻilio ʻana ma waena o nā cell nerve.
I ke kāohi ʻana i ka ʻeha, ālai kēia mau lāʻau lapaʻau i nā hōʻailona ʻeha mai ke kaula spinal a i ka lolo.
Akā me kēia kaʻina hana, ua ālai ʻia nā mea loaʻa ʻē aʻe i loko o ke kino. ʻO ia ke kumu e loaʻa ai nā hopena ʻaoʻao e like me ka waha maloʻo a me ka paʻakikī o ka mimi.
He aha nā hopena ʻaoʻao a me nā pilikia o kēia mau lāʻau lapaʻau?
ʻOi aku ka nui o nā hopena ʻaoʻao o nā TCA ma mua o nā lāʻau lapaʻau hou. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Inā loaʻa, e emi ana lākou i ka hala ʻana o ka manawa ke maʻa ke kino i ka lāʻau lapaʻau.
Nā hopena ʻaoʻao maʻamau
- Waha maloʻo
- Ka paʻa ʻana o ka ʻōpū
- Pōʻino
- Hiamoe
- ʻIke pōwehiwehi
Nā hopena ʻaoʻao ʻē aʻe
- Ka paʻakikī o ka mimi ʻana a i ʻole ka paʻa ʻana o ka mimi
- Hoʻonui ʻia ka helu o ka puʻuwai (Tachycardia)
- ʻO ka hypotension Orthostatic (ke koko haʻahaʻa i ke kū ʻana a i ʻole ke ala ʻana)
- Hoʻonui ʻia ka makemake a me ka piʻi ʻana o ke kaumaha
Inā hoʻopilikia kēia mau hopena ʻaoʻao iā ʻoe, e kamaʻilio me kāu kauka ma mua o ka hoʻōki ʻana i ka lāʻau lapaʻau. Hiki paha iā ia ke hoʻoponopono i ka nui o ka lāʻau a i ʻole e hāʻawi i kahi hopena ʻē aʻe.
Nā hihia e pono ai ka nānā kūikawā
- Inā loaʻa iā ʻoe ka maʻi puʻuwai: Hiki i nā TCA ke hoʻopilikia i kekahi mau kūlana puʻuwai, no laila makemake paha kāu kauka e hana i kahi EKG ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
- Inā loaʻa iā ʻoe ka maʻi epilepsy/fits: Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i kou pilikia o ka hopu ʻana.
- Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai: ʻAʻole palekana loa nā TCA i ka wā hāpai, no laila he mea nui e kamaʻilio me kāu kauka e pili ana i kēia.
He mea nui: Ua piʻi iki ka pilikia o nā manaʻo pepehi kanaka i ka wā e hoʻomaka ai nā ʻōpio ma lalo o 25 mau makahiki e hoʻohana i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe a i ʻole kāu keiki kēia mau manaʻo, e haʻi koke aku i kāu kauka.
Pono ʻoe e hopohopo e pili ana i ka overdose?
ʻAe, he mea kēia e pono ai kākou e makaʻala. He papa lāʻau lapaʻau nā TCA e hiki ke hoʻoulu i ka ʻawaʻawa nui inā lawe ʻia i ka overdose.
Akā e hoʻomanaʻo, ʻaʻole e kū mai kēia pilikia inā ʻoe e lawe i ka nui o ka lāʻau i kuhikuhi ʻia e kāu kauka. Loaʻa wale ka overdose inā lawe ʻoe i ka nui o ka lāʻau lapaʻau ma ke kuhihewa, ka naʻaupō, a i ʻole ka manaʻo.
No laila, e lawe mau i kāu lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe. E mālama i kāu mau pila ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona.
Nā hōʻailona o ka overdose
- Nā ʻano ʻino o ka puʻuwai
- Haʻahaʻa loa ke koko
- Hiamoe nui
- Nā hopu ʻana
- Nā haʻalulu
- Dementia
- Kūlana koma
Inā ʻike ʻoe a i ʻole kekahi āu i ʻike ai i kekahi o kēia mau hōʻailona, mai hoʻokaʻulua. E kelepona koke iā 1990 no kahi kaʻa kaʻa, a i ʻole e hele i ka haukapila kokoke loa ʻo Emergency Department (ETU). Inā pono, hiki iā ʻoe ke kelepona i ke National Poison Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- He papa lāʻau lapaʻau kahiko nā TCA, akā he mea pono loa ia e mālama ai i nā ʻano maʻi like ʻole, me ke kaumaha, ka ʻeha mau loa, a me nā migraines.
- ʻOi aku ka nui o nā hopena ʻaoʻao o kēia ma mua o nā lāʻau lapaʻau hou, akā ʻaʻole i loaʻa i nā kānaka a pau. Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao hoʻopilikia, e kamaʻilio me kāu kauka.
- Mai hoʻololi i ka nui o ka lāʻau lapaʻau a i ʻole e hoʻōki koke i ka lawe ʻana me ka ʻole o ke aʻo ʻana a kāu kauka.
- E mālama mau i ka lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki.
- E makaʻala i nā hōʻailona o ka overdose. Inā kānalua ʻoe i kēlā mea, e hele koke i ka haukapila Emergency Department (ETU) kokoke loa.
- Inā he mau nīnau kāu e pili ana i kāu lāʻau lapaʻau, kona pono, a i ʻole nā hopena ʻaoʻao, mai makaʻu e nīnau i kāu kauka. Aia ʻo ia ma laila e kōkua iā ʻoe.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo