Loaʻa pinepine iā ʻoe ka ʻāʻī? Manaʻo ʻoe he waikawa kou i loko o kou puʻu ke ʻai ʻoe a inu paha? He pilikia hoʻonāukiuki loa kēia no kekahi poʻe. ʻO ka hapa nui o ka manawa, kapa mākou i kēia "( GERD )" a i ʻole ka maʻi o ka waikawa o ka ʻōpū e hoʻi hou ana i loko o ka esophagus. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau i hāʻawi ʻia i nā nui palena loa no ia mau kūlana, akā i ka wā ʻaʻole i holomua nā lāʻau ʻē aʻe. ʻO ia ka lāʻau wai waha i kapa ʻia ʻo "Cisapride".
He aha ʻo Cisapride? No ke aha he mea kūikawā loa ia?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Cisapride i hoʻohana ʻia no ka mālama ʻana i ka ʻeha puʻuwai a me ka maʻi reflux gastroesophageal (GERD) . Eia nō naʻe, ʻo ka mea nui e hoʻomaopopo ma ʻaneʻi, ʻaʻole no nā kānaka āpau kēia lāʻau lapaʻau, i nā manawa a pau.
ʻO kaʻoiaʻiʻo, no ka mea hiki i kēia lāʻau lapaʻau ke loaʻa kekahi mau pilikia koʻikoʻi , hoʻoholo wale nā kauka e kuhikuhi iā ia inā ʻaʻole hiki i nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau ʻē aʻe ke hāʻawi i ka hōʻoluʻolu. E hoʻomanaʻo, hoʻohana wale ʻia kēia ma ke ʻano he koho hope loa .
ʻO kekahi ʻoiaʻiʻo kūikawā ʻaʻole i loaʻa kēia lāʻau lapaʻau ma nā hale kūʻai lāʻau mai ʻAukake 2000. Inā makemake ʻoe i kēia lāʻau lapaʻau, pono kāu kauka e hoʻopaʻa inoa me ka ʻoihana lāʻau lapaʻau a hoʻokō i nā kūlana kūikawā e hāʻawi iā ʻoe i kēia lāʻau lapaʻau. ʻO ke ʻano kēia, ʻaʻole kēia he lāʻau lapaʻau wale nō no kahi maʻi. Inā makemake ʻoe e ʻike hou aku e pili ana i kēia, ua hāʻawi ka mea hana i kahi helu kelepona manuahi ma (877) 795-4247 (he helu paha kēia no ka hoʻohana ʻana ma ʻAmelika Hui Pū ʻIa).
Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha .
ʻO kahi inoa kaulana no kēia lāʻau lapaʻau ʻo `(Propulsid)`.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau!
Ma mua o ke kau ʻana o kāu kauka iā Cisapride, he mea nui e ʻike i kāu mōʻaukala olakino piha. ʻO kēia no ka mea hiki ʻole i kekahi poʻe me kekahi mau kūlana olakino ke lawe i kēia lāʻau. No laila, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- ʻO nā maʻi ʻai, no ka laʻana, anorexia (ʻai pono ʻole ma muli o ka nele o ka makemake ) a i ʻole bulimia ( purging ma hope o ka ʻai ʻana).
- Maʻi puʻuwai a i ʻoleNā kūlana hāʻule puʻuwai .
- Nā pilikia o ka puʻuwai.
- Nā pilikia o ka valve puʻuwai.
- Inā ua loaʻa iā ʻoe nā pae haʻahaʻa o ka calcium, potassium, a i ʻole magnesium i loko o kou kino.
- Maʻi puʻupaʻa.
- Maʻi akepaʻa.
- Maʻi puʻupaʻa.
- Ke kahe ʻana o ke koko, ka palaka, a i ʻole ka ʻōpū.
- Inā ua loaʻa iā ʻoe kahi hopena ʻē aʻe a i ʻole kahi maʻi ʻaleka i Cisapride, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
He mea nui loa ia no kou palekana ponoʻī e haʻi aku i ke kauka me ka hūnā ʻole i kēia mau mea!
Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?
He wai hoʻokuʻu waha kēia. Inā kuhikuhi kāu kauka i kēia nāu, pono ʻoe e lawe e like me ke kuhikuhi ʻana ma ka lepili.
- E lulu maikaʻi i ka ʻōmole ma mua o ka hoʻohana ʻana.
- I ke ana ʻana i kāu lāʻau lapaʻau, pono ʻoe e hoʻohana i kahi puna a i ʻole ke kīʻaha me kahi kīʻaha ana kūikawā. Inā ʻaʻohe āu, e noi i kāu kauka lāʻau no hoʻokahi. Mai hoʻohana i nā puna maʻamau, ʻaʻole pololei.
- Pono e lawe ʻia kēia lāʻau lapaʻau ma ka ʻōpū ʻole . ʻO ia hoʻi, ma ka liʻiliʻi he 15 mau minuke ma mua o ka ʻai ʻana a i ʻole ma mua o ka hiamoe ʻana i ka pō.
- Mai lawe i nā lāʻau lapaʻau ma mua o ke kauoha a ke kauka, a mai lawe pinepine aku ma mua o ke kauoha.
Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
Pono ʻoe e kamaʻilio me kāu kauka keiki e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. Pono paha ka mālama kūikawā.
He aha inā lawe nui wau i ka lāʻau lapaʻau? (`Overdosage`)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke i ke kikowaena kaohi lāʻau make a i ʻole ka lumi pilikia haukapila kokoke loa.
Nā mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau lapaʻau pālua a i ʻole kahi lāʻau lapaʻau keu.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
He ʻāpana kēia āu e heluhelu pono ai. He lāʻau lapaʻau ʻo Cisapride hiki ke hoʻopilikia nui i ka wā e lawe ʻia ai me kekahi mau lāʻau lapaʻau ʻē aʻe.No laila, he mea nui e haʻi i kāu kauka i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
Mai lawe pū me kekahi o nā lāʻau lapaʻau aʻe ʻo Cisapride:
- ʻAlfuzosin `(alfuzosin)`
- Nā lāʻau lapaʻau antiviral no ka maʻi HIV a i ʻole AIDS
- ʻApomorphine `(apomorphine)`
- ʻApono
- ʻArsenic trioxide `(ʻArsenic trioxide)`
- ʻO kekahi mau lāʻau antibiotic: no ka laʻana, ciprofloxacin, clarithromycin, dalfopristin; quinupristin, erythromycin, gatifloxacin, gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, ofloxacin, pentamidine, sparfloxacin, telithromycin, troleandomycin
- ʻO kekahi ʻano lāʻau lapaʻau no ka maʻi kanesa: no ka laʻana, daunorubicin, doxorubicin
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo ʻē aʻe: no ka laʻana, clozapine, haloperidol, isoniazid, pimozide, risperidone, ziprasidone
- ʻO kekahi mau lāʻau lapaʻau no ka hana ʻino o ka moekolohe: No ka laʻana, sildenafil, tadalafil, vardenafil
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal: No ka laʻana, fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole
- ʻO kekahi mau lāʻau lapaʻau no ka puʻuwai kuʻi ʻole: no ka laʻana, amiodarone, bretylium, disopyramide, dofetilide, dronedarone, flecainide, ibutilide, procainamide, propafenone, quinidine, sotalol
- Chloroquine `(chloroquine)`
- ʻO Cimetidine `(cimetidine)`
- ʻO Conivaptan
- Cyclobenzaprine
- ʻO Cyclosporine
- Danazol `(danazol)`
- ʻO Diltiazem `(diltiazem)`
- ʻO Dolasetron `(dolasetron)`
- Droperidol `(droperidol)`
- Nā lāʻau anesthetics laulā a me nā mea hoʻomaʻamaʻa kūloko
- Wai huaʻai - He mea nui loa kēia!
- Halofantrine
- ʻO ka Hawthorn `(hawthorn)` (mea kanu lāʻau)
- ʻImatinib `(imatinib)`
- ʻO Isoniazid (he lāʻau lapaʻau no ka maʻi puʻupuʻu, i ʻōlelo ʻia ma ʻaneʻi)
- Methadone
- ʻO ka Mifepristone `(mifepristone)`
- ʻO Nicardipine `(nicardipine)`
- ʻOktreotide
- ʻO nā lāʻau lapaʻau ʻē aʻe e hoʻopilikia ai i ka ʻōʻō o ka puʻuwai (e hoʻoulu ai i ka puʻuwai puʻuwai kūpono ʻole - e hoʻolōʻihi i ka `QT interval`)
- Palonosetron `(palonosetron)`
- Nā Phenothiazines: No ka laʻana, chlorpromazine, fluphenazine, mesoridazine, perphenazine, prochlorperazine, promethazine, thioridazine, trifluoperazine
- Kuina
- Ranolazine
- Nā phosphates sodium
- ʻO Takrolimus
- ʻO Verapamil `(verapamil)`
- ʻO Zafirlukast `(zafirlukast)`
- Zileuton `(zileuton)`
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau penei:
- Nā Diuretics (nā lāʻau lapaʻau e hoʻonui ai i ka mimi)
- ʻInsulina (he lāʻau lapaʻau no ka maʻi diabetes)
ʻAʻole paha e komo pū kēia papa inoa me nā pilina āpau. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā mea kanu, nā huaora, a me nā mea hoʻohui āu e lawe nei. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.
He aha kaʻu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
E ʻike pinepine i kāu kauka e nānā i kou olakino a e hōʻoia i ka hana ʻana o ka lāʻau. He mea nui e hana i kekahi mau hoʻololi i kou nohona i mea e hana pono ai kēia lāʻau.
- Mai ʻai nui i ka manawa hoʻokahi, e ʻai i nā meaʻai liʻiliʻi .
- Ke hiamoe ʻoe, e hoʻokiʻekiʻe i kou poʻo ma kahi o 6 a 8 ʻīniha.
- E hōʻemi a hoʻopau paha i nā meaʻai momona, kokoleka, waiʻona, puhi paka, caffeine (e like me ke kofe), a me nā mea inu kalapona (e like me ka soda) . Hiki i kēia mau mea ke hoʻonui i kāu GERD.
ʻŌlelo aʻo wikiwiki! Inā ʻike ʻoe i nā manawa heʻe, ka puʻuwai wikiwiki, a i ʻole ka puʻuwai kūpono ʻole, e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau a e ʻike i kāu kauka.
ʻO kekahi mea nui: Mai inu i ka wai pomelo i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i ka wai pomelo ke hoʻonui i ka pilikia o nā hopena ʻaoʻao koʻikoʻi mai kēia lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
Aia kekahi mau hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka a kauka paha inā loaʻa lākou:
- Nā hopena maʻi: ka ʻili ʻulaʻula, ka maneʻo a i ʻole ka hives, ka pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo.
- Nā pilikia hanu.
- Ka nāwaliwali, ka manaʻo e hāʻule ana, a me ka hāʻule ʻana.
- Ka puʻuwai wikiwiki a kūpono ʻole paha.
- Nāwaliwali a luhi hoʻi.
- Ka luaʻi ʻana.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:
- Ka maʻi kahe a i ʻole ka paʻa ʻana o ka ʻōpū.
- ʻEha poʻo.
- Ka luaʻi.
- ʻEha ʻōpū.
- Ihu paʻa.
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. E kamaʻilio me kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau e pili ana i nā hopena ʻaoʻao. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (helu: 1-800-FDA-1088, he helu kēia ma ʻAmelika Hui Pū ʻIa).
Ma hea kahi e mālama ai i kēia lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius / 59 a me 86 kekelē Fahrenheit).
- E pale mai ka mālamalama.
- E hoʻolei aku i nā lāʻau lapaʻau i hoʻohana ʻole ʻia i hala kona lā palena pau.
Hoʻomaopopo: He hōʻuluʻulu manaʻo wale nō kēia ʻatikala. ʻAʻole paha i loko nā kikoʻī āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a mea lawelawe olakino paha.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
ʻAe, ua kamaʻilio nui mākou e pili ana iā Cisapride. ʻO ka mea nui loa, he lāʻau lapaʻau kūikawā loa kēia, i kaupalena ʻia. ʻAʻole ia he mea hiki iā ʻoe ke hele wale i kahi hale kūʻai lāʻau a loaʻa.
- E hoʻohana wale e like me ke kuhikuhi a kāu kauka.
- E haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau āu e lawe ai a me nā maʻi āpau āu e loaʻa nei.
- Nā loli o ke ʻano o ka nohona (he mea nui loa no GERD).
- Inā ʻike ʻoe i kekahi mau hopena koʻikoʻi, e haʻi koke aku i kāu kauka.
- Mai kaʻana like i kēia lāʻau lapaʻau me nā poʻe ʻē aʻe.
He mea nui kou olakino iā ʻoe e like me ia iā mākou. No laila, e makaʻala mau a e kuleana.
ʻO Cisapride, GERD, ʻeha puʻuwai, Propulsid, hoʻokuʻu waha, nā hopena ʻaoʻao o ka lāʻau lapaʻau, nā pilina lāʻau, ka mumū o ka ʻōpū, ka reflux gastroesophageal, nā hopena ʻaoʻao o ka lāʻau
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