Ua kuhikuhi anei kāu kauka i kahi pila i kapa ʻia ʻo Bosentan nou a i ʻole kekahi o kou ʻohana? Inā pēlā, he mea maʻamau iā ʻoe ke loaʻa nā nīnau he nui e pili ana i ke ʻano o kēia lāʻau lapaʻau, no ke aha e hoʻohana ʻia ai, a me ka mea e hana ʻia ke lawe ʻoe. Mai hopohopo. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Bosentan ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ʻo Bosentan?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Bosentan i hoʻohana ʻia e mālama i kahi maʻi puʻuwai koʻikoʻi a me ka māmā i kapa ʻia ʻo Pulmonary Hypertension .
E noʻonoʻo e pili ana i ia mea, he mau kīʻaha koko ko kākou e lawe ana i ke koko mai ko kākou puʻuwai a i ko kākou mau māmā, ʻeā? Ke lilo kēlā mau kīʻaha koko i mea haiki a piʻi loa ke koko i loko o lākou, kapa mākou ia he Pulmonary Hypertension. ʻO kēia ke kumu o ka hana nui ʻana o ka puʻuwai e pamu i ke koko i nā māmā. I ka hala ʻana o ka manawa, hiki i kēia ke loaʻa ka hopena maikaʻi ʻole i ka puʻuwai.
No laila, ʻo ka mea a Bosentan e hana ai, ʻo ia ka hoʻonui (hoʻomaha) i kēlā mau kīʻaha koko i haiki ʻia, e maʻalahi ai ke kahe ʻana o ke koko. Hoʻemi kēia i ka ukana hana ma ka puʻuwai. ʻO ka hopena, kōkua kēia lāʻau lapaʻau iā ʻoe e hoʻonui i kou hiki ke hoʻoikaika kino a hoʻemi i kou hanu pōkole .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. Ma mua o ka hoʻomaka ʻana iā Bosentan, he mea nui e haʻi i kāu kauka i kēia ʻike.
- Inā loaʻa iā ʻoe ka maʻi akepaʻa: He mea nui loa kēia no ka mea hiki i ka Bosentan ke hoʻopilikia i ke akepaʻa.
- Inā ʻoe e hoʻāʻo nei e hāpai, hāpai, a hānai waiū paha: ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau i ka wā hāpai. Eia kekahi, inā ʻoe e hoʻolālā ana e loaʻa kahi pēpē, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka Bosentan a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a kala paha: ʻO ke ʻano kēia inā ua loaʻa iā ʻoe ka huhū o ka ʻili, ka maneʻo, a i ʻole ka pehu ʻana ma hope o ka lawe ʻana i kahi mea ma mua, e haʻi mai iā mākou e pili ana.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau lapaʻau (e like me nā lāʻau lapaʻau ma luna o ke kūʻai aku) āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Bosentan.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kahi lāʻau lapaʻau, he mea nui e hoʻohana pono.
1. E hahai i nā ʻōlelo a kāu kauka: E lawe i ka nui e like me ka ʻōlelo a kāu kauka iā ʻoe. Mai hoʻonui a hoʻēmi paha.
2. E lawe i ka manawa kūpono: E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā inā hiki. Inā he kakahiaka a me ke ahiahi, e lawe i nā manawa ʻelua.
3. Me ka ʻai a me ka ʻole o ka meaʻai: Hiki ke lawe ʻia kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
4.E lawe me ka wai: E ale i ka papa holoʻokoʻa me kahi aniani wai.
5. Mai ho'ōki: Mai ho'ōki i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. Pono ʻoe e hoʻomau i ka lawe ʻana iā ia inā paha e emi ana kāu mau hōʻailona.
Mea nui: Ke loaʻa iā ʻoe kāu lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e loaʻa iā ʻoe kahi pepa ʻike kūikawā (MedGuide) e pili ana i kēia lāʻau lapaʻau. E hōʻoia e heluhelu pono i kēlā me kēia manawa āu e loaʻa ai kāu lāʻau lapaʻau. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi.
He aha inā lawe koke wau i ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole, e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo .
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
E lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi.
Nā lāʻau ʻē aʻe e launa pū me Bosentan (Nā Hana Lāʻau)
He mea kēia e makaʻala nui ai. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Bosentan a hoʻoulu i nā hopena maikaʻi ʻole. No laila, he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| Nā lāʻau lapaʻau e hiki ke launa pū me Bosentan | |
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| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia: | |
| ʻO Cyclosporine | He lāʻau lapaʻau e kaohi ai i ka palekana. |
| ʻO Glyburide | He lāʻau lapaʻau no ka maʻi diabetes. |
| Nā hormones Estrogen a i ʻole progestin | Nā lāʻau lapaʻau hormonal, e like me nā pila hoʻomalu hānau. |
| Pono e hoʻohana me ke akahele,Nā lāʻau lapaʻau e hoʻomaopopo i ke kauka e pili ana i: | |
| ʻO kekahi mau lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol | Laʻana: Atorvastatin, Simvastatin |
| Nā lāʻau lapaʻau antifungal | Laʻana: Ketoconazole, Fluconazole |
| Nā lāʻau lapaʻau ʻē aʻe | Nā lāʻau lapaʻau e like me Amiodarone, Diltiazem, Rifampin, Ritonavir. |
ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, nā lāʻau lapaʻau lāʻau, a i ʻole nā mea hoʻohui āu e lawe nei, a inā ʻoe e puhipaka a inu waiʻona paha .
Nā mea e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
Nā hoʻokolohua lapaʻau i hoʻonohonoho ʻia
E nānā mau kāu kauka iā ʻoe i kou wā e lawe ana iā Bosentan. E hōʻoia e hele i ke keʻena lapaʻau i ka manawa kūpono. Pono ʻoe e loaʻa i nā hoʻāʻo koko maʻamau e nānā i kekahi hōʻino o ke akepaʻa mai ka lāʻau lapaʻau. He mea nui loa kēia no kou palekana.
Ka hāpai ʻana a me ka hānau keiki ʻana
He mea nui loa kēia.
- I ka wā hāpai: Hiki i ka Bosentan ke hana i nā kīnā hānau koʻikoʻi i kahi pēpē i hānau ʻole ʻia. No laila, pono ʻoe e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka kaohi hānau kūpono.
- No nā kāne: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka momona o nā kāne, ʻo ia hoʻi ko lākou hiki ke hānau keiki. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka.
Nā hopena ʻili hiki ke loaʻa
ʻOiai he mea kakaikahi, hiki i kekahi poʻe ke loaʻa i nā hopena ʻili koʻikoʻi i ka Bosentan. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- He ʻulaʻula a poni paha ma ka ʻili, me ke kuni a me ke anu. Ma hope aku, hiki ke pehu a ʻili paha.
- He ʻulaʻula ma ka ʻili me ka pehu ʻana o ka maka, nā lehelehe, a i ʻole nā kikowaena lymph ma ka ʻāʻī/armpits .
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Bosentan ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka |
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| Nā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou |
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Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Bosentan i hāʻawi ʻia no kahi maʻi koʻikoʻi i kapa ʻia ʻo Pulmonary Hypertension. Kōkua ia i ka hoʻēmi ʻana i ke kaomi ma kou puʻuwai a hoʻomaʻalahi i ke ola.
- He mea nui loa ia e pale aku i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau, no ka mea hiki ke hōʻeha nui i ka pēpē.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau Sinhala āu e lawe nei.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona o ka hōʻino ʻana o ke akepaʻa (melemele o nā maka, mimi ʻeleʻele) a i ʻole nā ʻano maʻi koʻikoʻi o ka ʻili.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka. E hele i nā hoʻokolohua koko a me nā keʻena lapaʻau i ka manawa kūpono.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi no kekahi kumu.
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