Ua kuhikuhi ʻia anei ʻoe e ke kauka no ka ʻeha o nā hono, ʻeha o ke kua, a i ʻole kahi maʻi e like me ka arthritis? He lāʻau hoʻopau ʻeha maʻamau kēia i hoʻohana ʻia e nā poʻe he nui ma ko mākou ʻāina. Akā aia kekahi mau mea e pono ai mākou e ʻike ma mua a i ka wā e hoʻohana ai. No ka mea, e like me nā lāʻau lapaʻau āpau, he mau pilikia a me nā hana palekana nō hoʻi. No laila e kamaʻilio kākou e pili ana i kēia lā.
He aha ke ʻano o ka lāʻau lapaʻau ʻo Celecoxib?
I ka ʻōlelo maʻalahi, ʻo Celecoxib kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ka ʻeha, ka pehu, a me ka rumatika. No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo NSAID (Non-steroidal anti-inflammatory drugs) . Ua lohe paha ʻoe i nā lāʻau lapaʻau e like me Ibuprofen, Naproxen, a me Diclofenac, nona kekahi ʻohana like, akā ma ke ʻano ʻokoʻa iki, i hoʻolālā kūikawā ʻia e hōʻemi i ka hopena ma ka ʻōpū. Eia naʻe, ʻaʻole kēia e hoʻopau loa i ka hiki ke hoʻopilikia i ka ʻōpū.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, he mea nui loa ia e ʻike i kāu mōʻaukala olakino piha. ʻAʻole kūpono paha kēia lāʻau lapaʻau no ka poʻe me kekahi mau maʻi olakino, a i ʻole pono e hoʻohana ʻia me ke akahele nui. Inā loaʻa iā ʻoe kekahi o nā maʻi i helu ʻia ma ka papa ma lalo nei, e hōʻoia e hoʻomaopopo i kāu kauka.
| Kūlana/maʻamau olakino | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Maʻi puʻuwai, koko kiʻekiʻe, hōʻeha puʻuwai, hahau ʻana, ʻoki puʻuwai (CABG) | Hiki paha i ka Celecoxib ke hoʻonui iki i ka pilikia o ka hōʻeha puʻuwai a me ka hahau ʻana, no laila he mea weliweli paha ia no ka poʻe i loaʻa mua i ka maʻi puʻuwai. |
| ʻO ke kahe koko ʻōpū a i ʻole ka ʻōpū, gastritis, nā ʻōpū ʻōpū | Hoʻonui kēia lāʻau lapaʻau i ka pilikia o ke kahe ʻana o ke koko a me nā ʻeha i loko o ka ʻōpū a me nā naʻau. |
| Maʻi puʻupaʻa a maʻi akepaʻa paha | Ma muli o ka hoʻokuʻu ʻia ʻana o nā lāʻau lapaʻau mai ke kino ma o kēia mau ʻōkana, inā pilikia kā lākou hana, hiki i ka lāʻau lapaʻau ke hōʻiliʻili i loko o ke kino a hoʻonui i nā hopena ʻaoʻao. |
| Asthma | No kekahi poʻe maʻi hānō, hiki i nā lāʻau NSAID ke hoʻonui i ko lākou kūlana. |
| ʻO ka lawe ʻana i nā lāʻau hoʻokahe koko, nā maʻi kahe koko | Hoʻonui pū ʻo Celecoxib i ka pilikia o ke kahe ʻana o ke koko, no laila he mea weliweli loa ka lawe pū ʻana i kēia lāʻau lapaʻau. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai, e hānai waiū ana | Hiki i kēia ke hōʻeha i ke pēpē, ʻoi aku hoʻi i nā mahina hope o ka hāpai ʻana. |
| ʻO ka inu ʻana i ka waiʻona, ka puhipaka | Hoʻonui hou kēia mau ʻano i ka pilikia o nā hopena ʻaoʻao e like me ke kahe koko ʻana o ka ʻōpū. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | Inā he maʻi ʻoe i ka aspirin a i ʻole nā NSAID ʻē aʻe, hiki paha iā ʻoe ke maʻi i ka Celecoxib. |
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
He lāʻau lapaʻau kēia e pono e lawe ʻia me ke aniani wai. E like me ka ʻōlelo a ke kauka, he mea nui loa ia e lawe i ka manawa kūpono. Mai uhaʻi, e kuʻi, a nau paha i ke kāpule. E ale holoʻokoʻa. I kekahi manawa, no ka poʻe i pilikia i ka ale ʻana i ke kāpule, hiki iā ʻoe ke wehe pono i ke kāpule, e hoʻohui i ka pauka lāʻau i kahi tīpune, e kāwili me kahi mea e like me ka applesauce, a ale koke. Akā naʻe, mai nau i ka pauka lāʻau. E ale koke.
Inā ʻoe ma luna o 65 mau makahiki, pono paha ʻoe i kahi mahele haʻahaʻa. ʻO kēia no ka mea hiki ke loli ke ʻano o ka pane ʻana o kou kino i nā lāʻau lapaʻau i kou wā ʻelemakule. E aʻo aku kāu kauka iā ʻoe e pili ana i kēia.
He aha inā lawe wau i ka nui o ka lāʻau lapaʻau?
Mai hoʻokaʻulua. E hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nou wale nō kēia lāʻau lapaʻau. Ua kuhikuhi ke kauka iā ia no kou kūlana a me kou kino. No laila, mai hāʻawi aku i kāu lāʻau lapaʻau i nā poʻe ʻē aʻe.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Celecoxib
He mea nui loa kēia. He lāʻau lapaʻau ʻo Celecoxib e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. I kēia hihia, hiki ke emi a hoʻonui paha ka mana o Celecoxib, a i ʻole e loli paha ka mana o nā lāʻau lapaʻau ʻē aʻe. ʻO ka mea weliweli loa, ʻo ia ka hoʻonui nui ʻia o ka pilikia o nā hopena ʻaoʻao.
No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā mea i kuhikuhi ʻia e nā kauka ʻē aʻe, nā lāʻau ʻeha i kūʻai ʻia mai ka hale kūʻai lāʻau lapaʻau, nā huaora, a me nā lāʻau lapaʻau kuʻuna) .
E makaʻala loa i nā lāʻau lapaʻau penei:
- Nā NSAID ʻē aʻe: Mai lawe i nā lāʻau lapaʻau e like me Ibuprofen, Naproxen, Diclofenac, a me Aspirin me kēia lāʻau. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o ka huhū ʻōpū, ka gastritis, a me nā ʻōpū ʻōpū.
- Nā lāʻau hoʻokahe koko: E hōʻoia e haʻi i kāu kauka inā ʻoe e lawe nei i nā lāʻau lapaʻau e like me Warfarin, Apixaban, Dabigatran, a i ʻole Clopidogrel, no ka mea, ʻo ka lawe pū ʻana i kēia mau mea hiki ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
- Nā lāʻau lapaʻau koko kiʻekiʻe: Hiki i ka Celecoxib ke hoʻopilikia i ka pono o kekahi mau lāʻau lapaʻau koko.
- Diuretics: Hiki ke hoʻopilikia i nā puʻupaʻa.
- Kekahi mau antidepressants
- Nā Steroid: Ke lawe pū ʻia me nā lāʻau lapaʻau e like me Prednisolone, piʻi aʻe ka pilikia o ka ʻōpū ʻeha.
- Nā lāʻau lapaʻau kūikawā ʻē aʻe e like me Methotrexate, Lithium, Digoxin .
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
ʻO nā ʻōpū ʻōpū a me ke kahe koko
ʻO kēia ka pilikia nui o nā NSAID. I kekahi manawa hiki ke kahe ke koko o ka ʻōpū me ka ʻole o ka ʻōlelo aʻo . Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e like me ka ʻeha o ka ʻōpū, ka ʻeha nui o ka ʻōpū, ka luaʻi ʻana i ke koko (ʻeleʻele, e like me ke kope kope), a i ʻole ka ʻeleʻele, nā ʻōpala tarry , e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau a ʻike i kāu kauka a hele paha i ka haukapila. ʻO ka puhipaka a me ka inu ʻana i ka waiʻona e hoʻonui i kēia pilikia.
Ka pilikia o ka hōʻeha puʻuwai a me ka hahau ʻana
ʻAʻole pale ʻo Celecoxib i ka hōʻeha puʻuwai a i ʻole ka hahau. Akā, hiki ke hoʻonui iki i ka pilikia ke hoʻohana ʻia no ka manawa lōʻihi a ma nā nui kiʻekiʻe. Kiʻekiʻe loa kēia pilikia i ka poʻe i loaʻa mua i ka maʻi puʻuwai. Inā ʻoe e lawe ana i ka aspirin e pale i nā hōʻeha puʻuwai, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea ma mua o ka hoʻomaka ʻana iā Celecoxib.
Ka Hāpai Keiki a me ka Momona
Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kēia lāʻau. Pono ʻoe e pale aku i ka lawe ʻana i kēia lāʻau ma hope o 30 mau pule o ka hāpai ʻana, no ka mea he mea hōʻino paha ia i ka pēpē i hānau ʻole ʻia.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Celecoxib ke hana i nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, a he ʻoluʻolu kekahi.
| Nā ʻano hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Nā hōʻailona koko | ʻŌpae ʻeleʻele, luaʻi koko a i ʻole kahi mea e like me ke kofe lepo, mimi ʻulaʻula/ʻeleʻele, nā kiko ʻulaʻula/poni ma ka ʻili. |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha a ʻūmiʻi paha ma ka umauma, poʻohiwi, lima, a i ʻole ka ʻauwae, ka luaʻi, ka paʻakikī o ka hanu ʻana. |
| Nā hōʻailona o ka hahau ʻana | Ka maneʻo koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka paʻakikī i ka hele ʻana, ka ʻeha poʻo nui. |
| Nā maʻi puʻupaʻa a i ʻole ke akepaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae a me nā wāwae, ka melemele ʻana o nā maka/ʻili, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. |
| Nā hopena ʻili koʻikoʻi | Kuni, ʻulaʻula, pehu, a me ka ʻili ʻana o ka ʻili. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | ʻAʻohe ʻono |
| Ka luaʻi | ʻO ka ʻeha o ka ʻōpū/ka mumū iki |
Leka Lawe-Home
- ʻO Celecoxib kahi NSAID i hoʻohana ʻia e mālama i ka ʻeha a me ka mumū, akā ʻaʻole kūpono ia no nā mea āpau.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau maʻi āpau (ʻoiai ka puʻuwai, ka ʻōpū, a me nā maʻi puʻupaʻa) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka ʻeha o ka ʻōpū, nā ʻōpala ʻeleʻele, a i ʻole ka ʻeha o ka umauma i ka wā e lawe ana i ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
- E hōʻalo i ka lawe ʻana i nā lāʻau ʻeha ʻē aʻe (e like me Ibuprofen, Aspirin) me kēia.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe. Inā he mau pilikia kou, e nīnau i kāu kauka.
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