Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kahi maʻi i kapa ʻia ʻo 'Pulmonary Hypertension', ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Bosentan. ʻOiai paha he mea paʻakikī iki ka inoa, hana kēia lāʻau i kahi hana koʻikoʻi loa. I ka ʻōlelo maʻalahi, kōkua ia i kou puʻuwai a me kou mau māmā, e kōkua ana iā ʻoe e hana ikaika, hele, a hōʻemi i ka hanu pōkole. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Bosentan, pehea e hoʻohana ai, a me nā mea āu e pono ai e makaʻala.
He aha ke ʻano lāʻau lapaʻau ʻo Bosentan?
I ka ʻōlelo maʻalahi, ʻo Bosentan kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i kahi maʻi i kapa ʻia ʻo Pulmonary Hypertension . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka pulmonary hypertension. He kaomi kiʻekiʻe loa ia i loko o nā kīʻaha koko e lawe ana i ke koko mai ko mākou puʻuwai a i ko mākou mau māmā. E like me ka wā e ālai ʻia ai kahi paipu wai, lilo ia i mea paʻakikī no ke kahe ʻana o ka wai. Ke piʻi aʻe ke kaomi i loko o kēia mau kīʻaha koko, pono ka puʻuwai e hana ikaika e pamu i ke koko i nā māmā.
Hana ʻo Bosentan ma ka hoʻomaha ʻana i nā kīʻaha koko ma lalo o ke kaomi kiʻekiʻe, e maʻalahi ai ke kahe ʻana o ke koko. Hoʻemi kēia i ka ukana hana ma ka puʻuwai, e maʻalahi ai ka hanu ʻana, a hāʻawi iā ʻoe i ka ikehu hou aʻe e hana i kāu mau hana o kēlā me kēia lā.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i ka Bosentan, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. No laila, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe kahi maʻi genetic i kapa ʻia ʻo Phenylketonuria (PKU) (he maʻi laha ʻole kēia).
- Inā he maʻi ʻaleka kou i ka Bosentan a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai. (He mea nui loa kēia!)
- Inā he makuahine hānai waiū ʻoe.
He mea nui loa ia no kou palekana ponoʻī e kaʻana like i kēia ʻike me kāu kauka me ka hūnā ʻole.
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
I mea e loaʻa ai ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e hoʻohana e like me ke kuhikuhi ʻana.
- He lāʻau lapaʻau waha kēia. E hoʻomanaʻo e lawe iā ia i ka manawa like i kēlā me kēia lā , e like me ke kauoha a kāu kauka.
- E mālama i ka pila i loko o kona ʻeke paʻa a hiki i kou lawe ʻana. E hoʻomaloʻo i kou mau lima i ka wā e lawe ai i ka pila.
- E wehe pono i ka ʻeke a lawe i waho i ka pila. Mai ho'āʻo e hoʻokuke i ka pila ma o ka pepa kini. ʻO ka hana ʻana pēlā e haki ai ka pila. Inā haki a hiolo paha ka pila, e hoʻolei aku a kūʻai i kahi pila hou.
- He papa hoʻoheheʻe kēia lāʻau lapaʻau hiki iā ʻoe ke hoʻoheheʻe i ka wai a inu. Na ke kauka e wehewehe i kēia iā ʻoe.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a i ʻole me ka ʻole o ka meaʻai. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- Pono ʻoe e hoʻomau i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki koke i ka lawe ʻana.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
I kekahi manawa poina iā mākou ke lawe i kā mākou lāʻau lapaʻau. Inā hana ʻia kēlā, e lawe i ka lāʻau i hala ʻole i ka wā e hoʻomanaʻo ai ʻoe. Akā inā kokoke ka manawa no ka lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau no kekahi kumu.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, mai hopohopo. E kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole, e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, he mea nui loa kēia. Hiki i ka Bosentan ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui).
| ʻO Bosentan a me nā lāʻau ʻē aʻe | |
|---|---|
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Bosentan! | |
| ʻO Cyclosporine | He lāʻau lapaʻau e kaohi ai i ka ʻōnaehana pale maʻi. |
| ʻO Glyburide | He lāʻau lapaʻau no ka maʻi diabetes. |
| ʻO nā hormones Estrogen a me progestin | Nā lāʻau lapaʻau hormonal, me nā lāʻau hoʻomalu hānau. |
| Hiki ke loaʻa nā pilikia me kēia lāʻau lapaʻau - e haʻi i kāu kauka | |
| Lāʻau hoʻōla fungal | Eia kekahi laʻana: fluconazole, ketoconazole |
| Nā lāʻau hoʻohaʻahaʻa kolesterol | E.g.: atorvastatin, simvastatin |
| Nā lāʻau lapaʻau ʻē aʻe | E like me Amiodarone, Diltiazem, Erythromycin, Rifampin. |
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
ʻO ka hāpai ʻana a me ka kaohi hānau
ʻO kēia ka ʻōlelo aʻo koʻikoʻi a koʻikoʻi loa e pili ana i kēia lāʻau lapaʻau. Inā he wahine ʻoe, pono ʻoe e pale loa i ka hāpai ʻana i ka wā e lawe ana iā Bosentan. Hiki i kēia lāʻau lapaʻau ke hana i nā kīnā hānau koʻikoʻi i ka pēpē i hānau ʻole ʻia. No laila, e haʻi aku kāu kauka iā ʻoe e hoʻohana i ʻelua ʻano o ka kaohi hānau i ka manawa like. Inā manaʻo ʻoe ua hāpai ʻoe, e haʻi koke i kāu kauka.
Nā hoʻāʻo o ke akepaʻa a me ke koko
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke akepaʻa i kekahi manawa. No laila, e kauoha pinepine kāu kauka i nā hoʻokolohua koko e nānā i ka hana o kou akepaʻa. He mea nui loa ia e hana i kēia mau hoʻokolohua i ka manawa kūpono.
Nā hopena ʻili
ʻOiai he mea kakaikahi, hiki i kekahi poʻe ke loaʻa i nā hopena ʻili koʻikoʻi i kekahi mau pule ma hope o ka hoʻohana ʻana i kēia lāʻau lapaʻau.
- Inā he mau ʻeha ʻili kou me nā hōʻailona e like me ke kuni a me ke anu
- Inā ʻulaʻula a poni paha nā ʻeha, a laila e pehu a hoʻomaka e ʻili,
- Inā he mau ʻeha ʻili kou me ka pehu ʻana ma ka maka, nā lehelehe, ka ʻāʻī, a i ʻole nā armpits
Inā ʻike ʻoe i kekahi mea e like me kēia, e hoʻomaopopo koke i kāu kauka.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Bosentan ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao a me nā mea e hana ai | |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Melemele o nā maka a i ʻole ka ʻili, ka mimi ʻeleʻele, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ka nalowale o ka makemake e ʻai, a me ka palaualelo. |
| Nā hōʻailona o ke koko haʻahaʻa | Pōniuniu, maka polū, me he mea lā e hāʻule ana. |
| Ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a me nā wāwae | He hōʻailona paha ia o ka paʻa ʻana o ka wai i loko o ke kino. |
| Nā mea i maʻa mau ʻole i ka weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | ʻEha poʻo |
| Ka holoi ʻana | Ua wela ka maka a lilo i ʻulaʻula. |
| ʻEha hui | ʻEha hui. |
| ʻeha ka ʻāʻī | ʻEha ka ʻāʻī a i ʻole ka ʻoluʻolu ʻole. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Bosentan no ke koko kiʻekiʻe pulmonary. E lawe iā ia e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono, ma ka nui kūpono.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā mea no nā kūlana ʻē aʻe, nā huaora, a me nā mea kanu kuʻuna).
- ʻO ka mea nui loa: Mai hāpai loa i ka wā e lawe ana i kēia lāʻau lapaʻau. He mea ʻino loa kēia i ka pēpē. E kamaʻilio me kāu kauka e pili ana i nā ʻano hana hoʻomalu hānau hilinaʻi.
- E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona o ka hōʻino ʻia o ke akepaʻa (melemele o nā maka, mimi ʻeleʻele) a i ʻole nā ʻano ʻili koʻikoʻi (kuni a me ka ʻili ʻili).
- Mai hoʻōki i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka.
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