Mea Kākau: William Ramirez
Lā O Ka Hana: 19 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
Anonim
Dementia and memantine: Treatment for a growing public health problem
Wikiō: Dementia and memantine: Treatment for a growing public health problem

Anter

Hoʻohana ʻia ʻo Memantine e mālama i nā hōʻailona o ka maʻi o Alzheimer (AD; kahi maʻi lolo e luku mālie i ka hoʻomanaʻo a me ka hiki ke noʻonoʻo, aʻo, kamaʻilio a mālama i nā hana o kēlā me kēia lā). Aia ʻo Memantine i ka papa o nā lāʻau i kapa ʻia ʻo NMDA receptor antagonists. Hana ia ma ka hoʻemi ʻana i ka hana maʻamau i ka lolo. Memantine hiki ke hoʻomaikaʻi i ka hiki ke noʻonoʻo a hoʻomanaʻo a lohi paha i ka nalo ʻana o kēia mau hiki i ka poʻe i loaʻa AD. Eia nō naʻe, ʻaʻole e hoʻōla ʻo memantine iā AD a pale paha i ka nalo ʻana o kēia mau hiki i kekahi manawa i ka wā e hiki mai ana.

Hele mai ʻo Memantine ma ke ʻano he papa, kahi hopena (wai), a me kahi capsule hoʻolōʻihi ʻia (hana lōʻihi) e lawe ma ka waha. Lawe pinepine ʻia ka hopena a me ka papa i hoʻokahi a i ʻole ʻelua mau manawa i ka lā me ka ʻai ʻole. Lawe ʻia ka capsule i hoʻokahi manawa i ka lā me ka ʻai ʻole. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. I mea e kōkua ai iā ʻoe e hoʻomanaʻo i ka lawe memantine, e lawe ma kahi o ka manawa like (s) i kēlā me kēia lā. Lawe i ka memantine e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.


E ale i nā capsule hoʻolōʻihi i hoʻonui ʻia a puni; mai nau, mahele, a wāwahi paha iā lākou. Inā hiki ʻole iā ʻoe ke ale i nā capsule hoʻolōʻihi ʻia, hiki iā ʻoe ke wehe pono i kahi capsule a kāpīpī i nā ʻike ma ka puna o ka ʻoma āpau. E ale koke i kēia hui me ka nau ʻole ʻana. Mai mālama i kēia hui ʻana e hoʻohana i kekahi manawa ma hope.

Inā ʻoe e lawe i ka hopena waha, e hāhai i nā kuhikuhi a ka mea hana e ana i kāu lāʻau ma ka hoʻohana ʻana i ka syringe waha i hoʻolako ʻia me ka lāʻau. E hoʻolohi i ka lāʻau mai ka syringe i kahi kihi o kou waha a ale iā ia. Mai kāwili i ka lāʻau me kekahi wai ʻē aʻe. Ma hope o kou lawe ʻana i kāu lāʻau lapaʻau, e hāhai i nā ʻōkuhi a ka mea hana e hoʻopaʻa hou i ka ʻōmole a hoʻomaʻemaʻe i ka syringe waha. E nīnau i kāu kauka lāʻau a kauka paha inā he nīnau kāu e pili ana i ka hoʻohana ʻana i kēia lāʻau.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka memantine a hoʻonui iki i kāu lāʻau, ʻaʻole ʻoi aku i hoʻokahi manawa i kēlā me kēia pule.

Kōkua ʻo Memantine e kaohi i nā ʻōuli o ka maʻi o Alzheimer akā ʻaʻole ia e hoʻōla. E hoʻomau i ka lawe memantine ʻoiai ʻoe e ʻoluʻolu. Mai hōʻoki i ka lawe ʻana i ka memantine me ke kamaʻilio ʻole ʻana me kāu kauka.


E noi i kāu kauka a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe memantine,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka memantine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa memantine, capsule, a me ka hopena waha. E noi i kāu kauka lāʻau a nānā paha i ka ʻike hoʻomanawanui o ka mea hana no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻowaiwai a me nā huahana lāʻau āu e lawe nei. E haʻi pono i kekahi o kēia mau mea: acetazolamide (Diamox); amantadine; dextromethorphan (Robitussin, kekahi); methazolamide (Nepatazane); potassium citrate a me citric acid (Cytra-K, Polycitra-K); sodium bicarbonate (Soda Mint, baking soda); a me ka sodium citrate a me ka waikawa citric (Bicitra, Oracit). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a loaʻa paha i kahi maʻi urinary tract i kēia manawa a i ʻole inā hoʻomohala ʻoe i hoʻokahi i kāu wā e mālama ai me ka memantine a inā i loaʻa iā ʻoe a i ʻole loaʻa paha ʻoe i ka hopu ʻana, paʻakikī i ka mimi, a i ʻole ka maʻi puʻuwai a i ʻole ate.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i memantine, e kāhea i kāu kauka.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka memantine.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.


E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala. Inā poina ʻoe e lawe i ka memantine no kekahi mau lā, e kāhea i kāu kauka ma mua o kou hoʻomaka ʻana e lawe hou i ka lāʻau.

Hoʻokumu ʻo Memantine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ʻūpā
  • huikau
  • hoʻouka kaua
  • kaumaha
  • ʻeha poʻo
  • hiamoe
  • pāhoehoe
  • kōpaʻa
  • nausea
  • ka luaʻi
  • loaʻa kaupaona
  • ʻeha ma nā wahi āpau o kou kino, keu hoʻi i kou kua
  • ʻūhā

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e loaʻa i ke kōkua olakino pilikia.

  • pokole o ka hanu
  • hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)

Hoʻokumu ʻo Memantine i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

  • hoʻomaha ʻole
  • hoʻoneʻe i nā neʻe
  • hoohaunaele
  • nāwaliwali
  • lohi kuʻi ka naʻau
  • huikau
  • ʻūpā
  • kūmau ʻole
  • hihio pālua
  • hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
  • hiamoe
  • nalowale o ka ʻike
  • ka luaʻi
  • nele i ka ikaika
  • ke ʻike nei ʻoe e wili nei ʻoe a i ʻole kou wahi

Mālama i nā manawa āpau me kāu kauka.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

  • Namenda®
  • Namenda® Pak Titration Pak
  • ʻO Namenda XR®
  • Namzaric®(ma ke ʻano he huahana hoʻohui me Donepezil, Memantine)

ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.

Nānā Hou - 04/15/2016

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