ʻO ke kaumaha, a i ʻole e like me kā mākou e ʻike nei, ʻaʻole ia he nāwaliwali o ka noʻonoʻo, he ʻano olakino ia e pono ai ka mālama ʻana. I ia mau hihia, me ka psychotherapy, i kekahi manawa pono pū kekahi lāʻau lapaʻau. ʻO kekahi ʻano lāʻau lapaʻau i kuhikuhi ʻia e mālama i kēlā ʻano kaumaha ʻo Trimipramine. Inā ua kuhikuhi kāu kauka i kēia lāʻau lapaʻau nou, he mea nui loa ia e ʻike piha ʻia e pili ana i ia mea. E kamaʻilio maʻalahi kākou e pili ana i kēia.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, no Trimipramine kahi papa o nā lāʻau i kapa ʻia ʻo tricyclic antidepressants (TCAs). Kōkua kekahi mau kemika i loko o ka lolo i ka hoʻoponopono ʻana i ko mākou ʻano. ʻO ke ʻano kikoʻī, ua kapa ʻia lākou ʻo serotonin a me norepinephrine. Hiki ke loli ke kaulike o kēia mau kemika i nā hihia o ke kaumaha.
ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ka hoʻonui ʻana i nā pae o kēlā mau kemika ʻelua i loko o ka lolo, kahi e hoʻomaikaʻi ai i kou ʻano. Ua like ia me ke hoʻohuli ʻana i ʻelua mau kuapo e kaohi ana i ka hauʻoli a me ka mālie.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau nāu, pono iā ia ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e hōʻoia e haʻi i kāu kauka me ka hūnā ʻole i kekahi mea. He mea nui loa kēia no kou palekana ponoʻī.
| Maʻi a i ʻole nā kumu ʻē aʻe | No ke aha ʻoe e pono ai e haʻi aku i ke kauka ? |
|---|---|
| Inā he ʻona waiʻona kou | ʻO ka hui pū ʻana o ka waiʻona a me kēia lāʻau lapaʻau e hoʻonui paha i nā hopena ʻaoʻao. |
| Nā maʻi noʻonoʻo e like me ka bipolar a i ʻole schizophrenia | Hiki i kēia lāʻau lapaʻau ke hoʻololi i kēlā mau hōʻailona. |
| Ka paʻakikī o ka mimi ʻana, nā pilikia prostate | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka paʻa ʻana o ka urinary. |
| Maʻi puʻuwai, nā ʻano hewa o ka puʻuwai, nā hōʻeha puʻuwai hou | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hana o ka puʻuwai. |
| Maʻi Glaucoma | Aia kahi hiki ke hoʻonui ʻia ke kaomi o nā maka. |
| Maʻi akepaʻa a maʻi puʻupaʻa paha | Hiki ke hoʻopilikia ʻia ke kaʻina hana o ka wehe ʻana i ka lāʻau lapaʻau mai ke kino. |
| Nā maʻi o ka māmā a i ʻole ka hanu e like me ka hānō | Hiki ke hoʻonui ʻia ka pilikia o kekahi mau hopena ʻaoʻao. |
| Nā hopu a i ʻole ka hahau ʻana | Hiki ke ʻokoʻa nā pilikia o kēia mau kūlana. |
| Nā maʻi thyroid | Aia paha he pilina ma waena o nā pae hormone a me ka pono o ka lāʻau lapaʻau. |
| Nā manaʻo pepehi kanaka, nā hoʻāʻo, a i ʻole kahi mōʻaukala ʻohana o ia ʻano | Hiki ke hoʻonui ʻia kēia mau manaʻo i ka hoʻomaka ʻana o ka lāʻau lapaʻau, no laila pono ka nānā pono ʻana. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Pono ʻoe e kamaʻilio me kāu kauka e pili ana i nā hopena hiki ke loaʻa i ke pēpē. |
| Inā hānai ʻia ka pēpē me ka waiū | Pono e noʻonoʻo ʻia inā hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a me nā kala | No ka ʻike ʻana inā he maʻi allergy i ka lāʻau lapaʻau a i ʻole nā mea hoʻohui. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
E lawe i kēia lāʻau lapaʻau me ke aniani wai. E lawe i ka nui i kuhikuhi ʻia e kāu kauka, i ka manawa i kuhikuhi ʻia. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia e kāu kauka.
He mea nui loa: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui ai i kou kūlana a i ʻole e hana i nā hopena ʻaoʻao koʻikoʻi ʻē aʻe. Inā hoʻōki ʻoe i ka lawe ʻana i kēia lāʻau lapaʻau, e hana pēlā e like me ke kuhikuhi a kāu kauka, e hoʻēmi mālie ana i ka nui.
He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, he pilikia ia. E kāhea koke i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. ʻAʻole kēia he pāʻani.
E hoʻomanaʻo, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi no ka mea ua like ko lākou mau hōʻailona me ʻoe.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa kēia. Ke lawe ʻoe i kēia lāʻau lapaʻau, hiki iā ia ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. Hiki i kēia ke hana i nā hopena ʻaoʻao weliweli. No laila e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, nā mea kanu, a me nā huaora āu e lawe ai.
| Mai lawe pū me kēia mau mea me Trimipramine. | |
|---|---|
| Nā MAOI (e.g. Marplan, Nardil, Parnate) | Linezolid |
| Polū Methylene (intravenous) | Pimozide |
| ʻO nā phenothiazines e like me Thioridazine | ʻO kekahi mau lāʻau lapaʻau e kaohi ai i ka helu o ka puʻuwai |
| ʻO Cisapride | ʻO St. John's Wort (mea kanu lāʻau) |
| Hiki ke loaʻa nā pilikia me kēia lāʻau lapaʻau (e haʻi i kāu kauka). | |
| Nā lāʻau lapaʻau koko kiʻekiʻe (e like me Clonidine) | Nā lāʻau lapaʻau no ka maʻi epilepsy (e like me Carbamazepine) |
| Nā Barbiturates (e.g. Phenobarbital) | ʻO Cimetidine |
| Nā hormones thyroid | Nā lāʻau ʻeha i kuhikuhi ʻia |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Nā loli o ke ʻano a me nā manaʻo pepehi kanaka
ʻO kēia ka mea nui loa. I kekahi manawa, ʻoi aku hoʻi i nā pule mua o ka lāʻau lapaʻau a i ʻole ke hoʻololi ʻia ka nui o ka lāʻau, e hoʻonui ʻia paha nā hōʻailona kaumaha a i ʻole e ʻike ʻia nā manaʻo pepehi kanaka hou. Inā ʻike ʻoe a i ʻole kou ʻohana i kēia mau mea , e kamaʻilio koke me kāu kauka.
- Inā ʻoe e hopohopo a hopohopo paha
- Inā ʻoe e hopohopo nui a huhū,
- Inā lilo koke ʻoe i mea hana nui loa
- Inā ʻaʻole hiki iā ʻoe ke hiamoe
- Inā manaʻo ʻoe e piʻi aʻe ana kou kaumaha
Hiamoe a me ka poniuniu
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a puni paha ʻoe. 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. Mai ala koke mai kahi noho ʻana, ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hoʻohiamoe iā ʻoe a hāʻule. E pale i ka inu ʻana i ka waiʻona. Hiki i kēia ke hoʻohiamoe hou aku iā ʻoe.
Waha maloʻo, paʻa paʻa a me nā mea ʻē aʻe
- Waha maloʻo:Hiki ke hoʻomalu ʻia kēia e nā mea e like me ka nau ʻana i ka gum me ke kō ʻole a me ka inu ʻana i ka wai hou aku.
- Paʻa ʻōpū: Inā ʻaʻole ʻoe e neʻe i ka ʻōpū no 2-3 mau lā, e kamaʻilio me kāu kauka. Hiki i ka ʻai ʻana i ka meaʻai fiber kiʻekiʻe a me ka inu ʻana i ka wai he nui ke kōkua.
- ʻIke i ka lā: Hiki i kou ʻili ke lilo i mea ʻike i ka lā i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, e ʻaʻahu i nā lole pale a hoʻohana i ka sunscreen i ka wā e hele ai i waho i ka lā.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. E nānā kākou i ke ʻano o lākou.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena maʻi (ka ʻili ʻana o ka ʻili, ka ʻeha, ka pehu ʻana o ka maka, nā lehelehe, ke alelo) | Nā manaʻo pepehi kanaka , nā loli o ka naʻau |
| Nā loli i ka helu o ka puʻuwai (ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana) | ʻEha koke nā maka , ʻike maka pōwehiwehi, ʻike ʻana i nā apo a puni nā kukui |
| ʻO ka Serotonin Syndrome: ʻO nā hōʻailona paha e pili ana: ka hoʻomaha ʻole, ka huikau, ka puʻuwai wikiwiki, ka ʻoʻoleʻa a i ʻole ka ʻūlū ʻana o nā ʻiʻo, ka hou nui, ke kuni, ka luaʻi ʻana, a me ka maʻi pākī. | |
| E haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. | |
| Waha maloʻo | Hiamoe |
| Pōʻino | Ke ālai ʻia |
| Nā loli i ka makemake a i ʻole ka hana moekolohe | Nā haʻalulu iki (Tremors) |
Leka Lawe-Home
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei. Hiki i kekahi o lākou ke launa pū me kēia lāʻau.
- E haʻi koke aku i kāu kauka inā loaʻa iā ʻoe kekahi mau loli koke i kou ʻano a i ʻole kou ʻano, a i ʻole nā manaʻo pepehi kanaka, ʻoiai i ka hoʻomaka ʻana o ka lāʻau lapaʻau.
- E hōʻalo i ka inu ʻona i ka wā e lawe ana i kēia lāʻau.
- E pale i ka hoʻokele kaʻa a i ʻole ka hana ʻana i nā hana e pono ai ka makaʻala a hiki i kou ʻike ʻana i ke ʻano o ka hopena o ka lāʻau lapaʻau iā ʻoe.
- He pilikia ka overdose. Inā hana ʻia kēia, e hele koke i ka haukapila Emergency Department (ETU) kokoke loa.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai nā capsules Trimipramine / Surmontil?
ʻO kēia kekahi o nā lāʻau lapaʻau psychiatric kahiko loa a ikaika loa i ka lāʻau lapaʻau (TCA - Tricyclic Antidepressant class) hiki ke hoʻohana ʻia e kāohi i ka 'Depression' koʻikoʻi! Hoʻohana ʻia ia no nā poʻe maʻi i kūʻē i ka lāʻau lapaʻau i ʻike ʻole i kekahi hoʻomaikaʻi / loli ʻoiai nā lāʻau lapaʻau psychiatric hou a pau (SSRI / SNRI) a ʻoi aku hoʻi no ka poʻe i loaʻa i ka 'insomnia koʻikoʻi me ke kaumaha nui'.
💬 Pehea e hōʻoluʻolu ai kēia lāʻau (Trimipramine) i ke kaumaha ke komo i loko o ka lolo?
Hoʻokumu ʻia ke kaumaha e ka emi ʻana o nā kemika hauʻoli/ikaika o ka lolo (Serotonin, Norepinephrine). ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ke ālai 100% i ka reuptake inhibition o nā kemika hauʻoli i hoʻokuʻu ʻia e ka lolo. A laila ua piha ka lolo i kēlā mau kemika, a ua ho'ōla loa ʻia ke kaumaha o ka mea maʻi. Eia kekahi, no ka mea, ke ālai nei ia i ka histamine, hāʻawi ia i kahi 'hopena sedative'.
💬 He aha nā hopena ʻaoʻao hoʻonāukiuki loa e hiki ke loaʻa inā ʻoe e hoʻomau i ka lawe ʻana i kēia mau pila (TCA)?
He lāʻau kahiko kēia (TCA) no laila he nui nā hopena ʻaoʻao! Loaʻa iā ia kahi hopena 'anticholinergic', kahi e maloʻo ai ka waha, ka paʻa ʻana o ka ʻōpū, ka ʻike maka pohihihi, a me ka paʻakikī o ka mimi ʻana. Eia kekahi, aia kahi pilikia kiʻekiʻe o ka loli ʻana o ka puʻuwai o ka mea maʻi a me ke kuʻi ʻana i ke ʻano ʻē (Arrhythmia/QT Prolongation), he maʻi make ia, no laila pono ke kauka e nānā pinepine i ka ECG.
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