He maʻi koʻikoʻi ka gout i hiki ke hoʻoweliweli i ke ola a hiki ke hoʻoulu i ka ʻeha hiki ʻole ke hoʻomanawanui, ka pehu ʻana, a me ka ʻulaʻula i nā hono, ʻoiai ka manamana wāwae nui. Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Colchicine e kāohi i kēia ʻeha a pale paha i kona hoʻi hou ʻana? No laila, i kēia lā e kamaʻilio wale mākou e pili ana i ke ʻano o ka hoʻohana ʻana i kēia lāʻau, nā mea hiki iā ia ke hana, a me nā mea e makaʻala ai.
He aha ka Colchicine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ka colchicine i hoʻohana ʻia e pale aku i ka hoʻāla ʻana o ka gout. Hoʻohana ʻia hoʻi i kekahi manawa e kāohi i nā hoʻouka ʻana o ka gout ke hoʻomaka lākou.
ʻO kēia ka mea e hana ʻia. Ke kūkulu ko mākou kino i kahi kemika i kapa ʻia ʻo uric acid, waiho kona mau kristal i loko o ko mākou mau hono. ʻO kēia ke kumu o ka mumū, ka pehu ʻana, a me ka ʻeha nui i nā hono. Hana ʻo Colchicine ma ka hōʻemi ʻana i kēlā mumū a me ka hōʻemi ʻana i ka waiho ʻana o nā kristal uric acid i loko o nā hono. Hoʻomalu ia i nā hōʻailona o ka gout.
ʻO ka mea nui, ʻaʻole kēia he lāʻau hoʻopau ʻeha. Hoʻomalu ia i ka mumū kūikawā i ka gout.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
No kou palekana, he mea nui loa e kūkākūkā pono i kēia mau mea me kāu kauka ma mua o kou hoʻomaka ʻana e hoʻohana i ka colchicine.
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka colchicine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe, a i ʻole e kali ana i kahi pēpē .
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ai.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
E hoʻomanaʻo i kēia mau mea i ka wā e hoʻohana ai i kēia lāʻau.
- E lawe i kēia lāʻau lapaʻau me ke aniani wai .
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, ma ka nui i kauoha ʻia . Mai hoʻonui a hoʻēmi paha i ka nui e like me kou ʻike he kūpono.
- Hiki iā ʻoe ke lawe i kēia ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole ka ʻāʻī ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e lawe pū me ka meaʻai.
- Inā ʻoe ma luna o 65 mau makahiki, ʻoi aku paha ka nui o nā hopena o ka lāʻau. No laila, hiki i kāu kauka ke kuhikuhi i kahi mahele haʻahaʻa. E hahai pono i nā kuhikuhi.
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i ka lāʻau lapaʻau i kuhikuhi ʻia nou i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu 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? (Overdose)
Inā manaʻo ʻoe ua lawe ʻoe i ka mea ʻoi aku ma mua o kou manaʻo, e hele koke i ka Emergency Treatment Unit (ETU) kokoke loa . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻo. Mai lawe māmā i kēia, no ka mea, ʻo ka lawe ʻana i ka colchicine he mea weliweli loa ia.
Nā mea ʻē aʻe e launa pū me ka colchicine (Nā Hana like ʻana)
He lāʻau lapaʻau ʻo Colchicine i hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe a me kekahi mau meaʻai. No laila, inā ʻoe e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e makaʻala loa i nā mea aʻe.
| Nā mea e hiki ke launa pū me ka colchicine | |
|---|---|
| Nā mea pono ʻole e lawe pū ʻia | |
| ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole ka hepatitis | Hiki i kēia ke hoʻonui i nā pae colchicine i loko o ke kino i nā pae weliweli. |
| Nā mea e hoʻohana me ke akahele a e hoʻomaopopo i ke kauka e pili ana | |
| Wai huaʻala a wai huaʻala paha | Hiki paha i kēia mau mea ke hoʻonui pono ʻole i nā hopena o ka colchicine. |
| Kekahi mau lāʻau antibiotic | E.g.: Erythromycin, Clarithromycin |
| ʻO kekahi mau lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol | Eia kekahi laʻana: ʻO nā Statins e like me Atorvastatin lāua ʻo Simvastatin |
| Nā lāʻau lapaʻau antifungal | E.g. Ketoconazole, Itraconazole |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi puʻuwai a me ke koko kiʻekiʻe | E haʻi i kāu kauka e pili ana i kēia mau mea. |
| ʻO Cyclosporine | He lāʻau lapaʻau e kaohi ai i ka palekana. |
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui) . Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā hopena ʻaoʻao e hiki mai ana i ka wā e lawe ai i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka colchicine ke hana i nā hopena ʻaoʻao. He mea liʻiliʻi kekahi, akā pono ka nānā koke ʻana i kekahi.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| ʻEha ʻiʻo | Ka nāwaliwali kūikawā, ka ʻeha o nā ʻiʻo, ka mimi melemele ʻeleʻele a ʻeleʻele paha. |
| Ke kahe koko ʻana a i ʻole ka ʻeha ʻana ma ke ʻano maʻamau | Ke kahe ʻana o ke koko ʻaʻole e pau mai kahi ʻeha liʻiliʻi, a me nā kiko polū e kū mai ana ma ka ʻili. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, nā ʻeha ʻaʻole e ho'ōla. |
| Nā pilikia aʻalolo | Ka mae, ka ʻeha, a i ʻole ka nalowale o ka ʻike ma nā lālā. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | ʻEha ka ʻōpū, nausea, luaʻi, diarrhea (diarrhea). |
Nā mea ʻē aʻe e noʻonoʻo ai
- Wikamina B12: ʻO ka hoʻohana lōʻihi ʻana i ka colchicine e hōʻemi paha i ka omo ʻana o ke kino i ka wikamina B12. No laila, e kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i nā meaʻai waiwai i ka wikamina B12 (iʻa, ʻiʻo, waiū) a me ka lawe ʻana i kahi mea hoʻohui wikamina inā pono.
- Nā hoʻokolohua maʻamau: E hele i nā keʻena lapaʻau i nā manawa maʻamau e like me ke kauoha a kāu kauka a nānā i kou kūlana.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Colchicine e kaohi ai i ka mumū o ka gout, ʻaʻole ia he lāʻau ʻeha maʻamau.
- E hahai mau i ka lāʻau a me nā kuhikuhi i kau ʻia e kāu kauka. Mai hoʻololi i ka lāʻau nou iho.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai hoʻi ka cholesterol, nā antibiotics, a me nā antifungals.
- E pale i ka inu ʻana i nā hua waina a i ʻole ka wai pomelo i ka wā e lawe ana i kēia lāʻau.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻeha o nā ʻiʻo, ka palapū ʻino, a i ʻole ke kuni, e ʻimi koke i ke kōkua lapaʻau.
- E mālama i kēia lāʻau lapaʻau ma kahi palekana, mai ka mālamalama a me ka makū, mai ka hiki ʻana aku o nā keiki a me nā holoholona.
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