Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai ke kaumaha, ua kuhikuhi paha kāu kauka iā ʻoe i nā lāʻau lapaʻau like ʻole. ʻOiai ke hoʻohana pinepine ʻia nei nā lāʻau lapaʻau hou i kēia mau lā, i kekahi manawa pono ʻoe e hoʻohana i nā lāʻau lapaʻau kahiko, akā koʻikoʻi loa. Loaʻa i kekahi poʻe nā hopena mai kēia mau mea. I kēia lā, e kamaʻilio mākou e pili ana i kekahi papa lāʻau lapaʻau, ʻano kahiko, akā pono loa, nā antidepressants tricyclic a me tetracyclic.
He aha kēia mau antidepressants tricyclic a me tetracyclic?
I ka ʻōlelo maʻalahi, ʻo ia kekahi o nā lāʻau lapaʻau mua i ʻike ʻia e mālama i ke kaumaha. Ua hoʻohana ʻia lākou mai ka makahiki 1950. ʻO ka ʻokoʻa ma waena o kēia mau inoa ʻelua ko lākou ʻano kemika. ʻEkolu mau apo (tri = ʻekolu) ko Tricyclics i loko o ko lākou ʻano kemika, ʻoiai ʻehā mau apo (tetra = ʻehā) ko tetracyclics. Akā hana like lāua ʻelua i loko o ke kino.
ʻAʻole paipai nui nā kauka i kēia mau lāʻau lapaʻau i kēia mau lā. ʻO kēia no ka mea ua hiki mai nā lāʻau lapaʻau hou e like me SSRIs (Selective Serotonin Reuptake Inhibitors) i emi iho ka hopena. Akā, e noʻonoʻo ua hoʻāʻo ʻoe ma mua o hoʻokahi lāʻau lapaʻau hou a ʻaʻole i holo pono. I kēlā hihia, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi hoʻāʻo i kekahi o kēia mau lāʻau lapaʻau kahiko.
Pehea ka hopena o kēia mau lāʻau lapaʻau i ka lolo?
Aia nā kemika kūikawā i loko o ko kākou lolo e kāohi ana i ke ʻano. Kāhea mākou i kēia mau neurotransmitters. ʻO Serotonin a me norepinephrine ʻelua o nā neurotransmitters nui. Hiki ke haʻahaʻa nā pae o kēia mau mea i loko o ka lolo o kekahi kanaka me ke kaumaha.
Hana nā lāʻau antidepressants Tricyclic (TCAs) ma ka hoʻonui ʻana i nā pae o ka serotonin a me ka norepinephrine i loko o ka lolo. Eia nō naʻe, no ka mea, hoʻopilikia pū kēia mau lāʻau i nā neurotransmitters ʻē aʻe, ʻoi aku ka nui o ko lākou pilikia o nā hopena ʻaoʻao ma mua o nā lāʻau hou e like me SSRIs. Eia kekahi, he mea weliweli loa ka overdose.
| Nā lāʻau lapaʻau tricyclic antidepressants (TCAs) i hoʻohana pinepine ʻia |
|---|
| ʻAmitriptyline |
| ʻAmoxapine |
| ʻO Clomipramine |
| ʻO Desipramine |
| ʻO Doxepin |
| ʻImipramine |
| ʻO Nortriptyline |
| ʻO Protriptyline |
| ʻO Trimipramine |
He aha nā hopena ʻaoʻao o kēia lāʻau lapaʻau?
E like me kā mākou i kūkākūkā ai ma mua, he nui nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau. ʻO ia ke kumu i makemake ʻole ai ka poʻe he nui e hoʻohana iā lākou. Akā, ʻaʻole i loaʻa i nā kānaka a pau kēia mau hopena ʻaoʻao a pau.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i nā hopena ʻaoʻao āu e ʻike ai. Mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau.
Eia kekahi o nā hopena ʻaoʻao maʻamau:
- Hiamoe
- ʻIke pōwehiwehi
- Ka paʻa ʻana o ka ʻōpū
- Waha maloʻo
- Ka emi ʻana o ke koko ke kū koke ʻoe mai kahi kūlana kū (hiki i kēia ke hoʻopōʻino iā ʻoe)
- Puʻuwai wikiwiki a ʻano ʻole paha
- Ka huikau i ka poʻe ʻelemakule, ʻoiai inā lawe ʻia nā lāʻau kiʻekiʻe
- ʻAʻole hiki ke hoʻokahe loa i ka mimi (paʻa ʻana o ka mimi)
- Hoʻonui ʻia ka makemake a no laila ke kaumaha
- Ka hou ʻana
- Haʻalulu
- Hoʻoulu i ka moekolohe a i ʻole ka emi ʻana o ka makemake
- ʻOi aku ka nui o ka pilikia o ka poʻe me nā maʻi hopu .
ʻOi aku ka nui o ka hana ʻana o Amitriptyline, Doxepin, Imipramine, a me Trimipramine i ka hiamoe a me ka piʻi ʻana o ke kaumaha. Eia nō naʻe, ʻoi aku ka liʻiliʻi o nā hopena ʻaoʻao o Nortriptyline lāua ʻo Desipramine ma mua o nā mea ʻē aʻe.
Nā kūlana olakino ʻē aʻe a me nā lāʻau lapaʻau TCA
Inā loaʻa iā ʻoe kekahi o kēia mau maʻi olakino, pono ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau.
- ʻO ka glaucoma
- Ka prostate i hoʻonui ʻia
- Maʻi puʻuwai
- Maʻi diabetes
- Nā maʻi ate
- Inā ua hoʻokumu ʻia ka mesentery ma mua
A ʻo ʻoe pū kekahiInā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, e kamaʻilio pono me kāu kauka.
ʻO ka overdose a me kona mau pilikia
ʻO kēia ka mea nui loa e pono ai mākou e makaʻala me kēia mau lāʻau lapaʻau. ʻOiai ka liʻiliʻi o ka overdose o nā TCAs hiki ke lilo i mea weliweli loa i ke ola. No laila, hoʻokaʻulua pinepine nā kauka e hāʻawi i kēia mau lāʻau lapaʻau i kahi mea e manaʻo nei e pepehi iā ia iho. Inā paha lākou e hana pēlā, hāʻawi lākou iā lākou i nā dosis liʻiliʻi loa, e like me hoʻokahi manawa i ka pule.
| Nā hōʻailona o kahi overdose TCA | |
|---|---|
| Nā ʻano kūlike ʻole o ka puʻuwai | Ke koko haʻahaʻa (Hypotension) |
| Ka maloʻo nui o ka waha | ʻAʻole hiki ke mimi |
| Hanu lohi | Nā haʻalulu a me nā hopu ʻana |
| Koma | |
Hoʻolohe: Inā manaʻo ʻoe ua lawe nui kekahi i kēia lāʻau lapaʻau, he pilikia olakino ia. E kelepona koke i ka 1990 Ambulance Service, a i ʻole e lawe koke i ke kanaka i ka haukapila kokoke loa ʻo Emergency Department (ETU). Eia kekahi, inā hiki, e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo. I ka wā e hele ai i ka haukapila, mai poina e haʻi i ka inoa o ka lāʻau lapaʻau a ke kanaka i lawe ai.
He mea weliweli anei ke hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau?
ʻAe, ʻoiaʻiʻo nō. Inā ʻoe e ʻoluʻolu a hopohopo paha i nā hopena ʻaoʻao, mai hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.Inā ʻoe e hana pēlā, e ʻike paha ʻoe i ka nui o ka ʻoluʻolu ʻole ma muli o ka pane ʻana o kou kino iā ia (nā hōʻailona haʻalele).
ʻAʻole kēia no ka mea ua hoʻopilikia ʻia ʻoe e ka lāʻau lapaʻau. ʻAʻole hoʻopilikia kēia lāʻau lapaʻau. Akā, ua maʻa kou kino a me kou lolo i kēlā kemika, no laila ke nalowale koke ia, pono ka manawa no ke kino e hoʻomaʻamaʻa.
Nā hōʻailona e hiki ke kū mai ke hoʻopau ʻia ka lāʻau lapaʻau
- Ka huhū, ka huhū
- Ka luaʻi
- Ka hou ʻana
- ʻEha ke kino, me ke kuni
- ʻAʻole hiki ke hiamoe
- Kino make ʻole
- ʻEha poʻo
No laila, inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e hana pēlā ma ka hoʻēmi mālie ʻana i ka nui, e hahai ana i nā ʻōlelo a kāu kauka .
Leka Lawe-Home
- ʻO nā lāʻau lapaʻau Tricyclic antidepressants (TCAs) he papa kahiko ia o nā lāʻau lapaʻau no ke kaumaha, akā he kōkua nui lākou no kekahi poʻe.
- ʻOi aku ka nui o ka pilikia o kēia mau hopena ʻaoʻao ma mua o nā lāʻau lapaʻau hou. E kamaʻilio ākea me kāu kauka e pili ana i kēia.
- Inā loaʻa iā ʻoe nā maʻi ʻē aʻe (e like me ka maʻi puʻuwai, glaucoma), e hoʻomaopopo pono i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. ʻO ka hana ʻana pēlā e hōʻeha paha i kou kino.
- He mea weliweli loa ka overdose. He pilikia olakino ia. Inā kānalua ʻoe i kēlā mea, e hele koke i ka haukapila.
- E mālama i kou olakino noʻonoʻo. E kamaʻilio me kāu kauka inā he mau hopohopo kāu.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo