ʻOi aku ka nui o ka hao i loko o kou kino ma mua o ka nui e pono ai. Kāhea mākou i kēia he hao nui. Ke hana ʻia kēia, hiki ke loaʻa nā pilikia olakino like ʻole. No laila, ʻo kekahi o nā lāʻau lapaʻau koʻikoʻi i kuhikuhi ʻia e nā kauka i ia mau hihia ʻo 'Deferasirox'. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, pehea e hoʻohana ai, nā hopena ʻaoʻao, a me nā mea e makaʻala ai.
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Deferasirox?
I ka ʻōlelo maʻalahi, ʻo Deferasirox kahi lāʻau lapaʻau e kōkua ai i ka wehe ʻana i ka hao keu mai kou koko. E noʻonoʻo iā ia e like me ka magnet, akā huki wale ia i ka hao. ʻO ka inoa inoa maʻamau no kēia lāʻau lapaʻau ʻo Exjade. Hiki iā ʻoe ke loaʻa iā ia ma lalo o nā inoa inoa ʻē aʻe.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe iā Deferasirox, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā loaʻa iā ʻoe ka maʻi kanesa.
- Inā he mau maʻi maka kou a i ʻole nā pilikia ʻike.
- Inā he mau pilikia lohe kou.
- Inā he moʻolelo kou no nā maʻi koko ma mua.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Inā ua ʻike ʻia nā hoʻokolohua he haʻahaʻa kou mau keʻokeʻo koko, nā platelets, a i ʻole nā keʻena koko ʻulaʻula (helu koko haʻahaʻa).
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau i kapa ʻia ʻo 'Deferasirox', i kekahi lāʻau ʻē aʻe, i ka meaʻai, i nā kala, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana, he "hāpai" ia, inā ʻoe e kali ana i kahi pēpē, he "hoʻāʻo nei e hāpai".
- Inā he makuahine hānai waiū ʻoe.
Ke haʻi aku ʻoe i kāu kauka i kēia mau mea, hiki iā ia ke hoʻoholo pono inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a me nā mea e pono ai ʻoe e hana.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa ka hoʻohana pono ʻana i kēia lāʻau.
- He pila kēia āu e lawe ai ma ka waha. E lawe pono e like me ke kuhikuhi ʻana ma ka lepili lāʻau a kāu kauka i hāʻawi ai iā ʻoe.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia lāʻau lapaʻau ma ka ʻōpū ʻole. ʻO ia hoʻi, ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻai ʻana, a i ʻole ʻelua hola ma hope o ka ʻai ʻana. Mai lawe i kēia lāʻau lapaʻau me ka meaʻai.
- E ho'āʻo e lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Ma kēlā ala, hiki iā ʻoe ke mālama i ka pono like o ka lāʻau lapaʻau.
- Mai inu ʻoe i ka nui a i ʻole ka nui e like me ka mea a kāu kauka i ʻōlelo ai.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi, a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki.
Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ʻōpiopio e like me ʻelua mau makahiki no kekahi mau kūlana i koho ʻia. Eia nō naʻe, pono e kūkākūkā ʻia me ke kauka pediatric a hahai pono ʻia. Aia kekahi mau manaʻo kūikawā i ka hāʻawi ʻana i nā keiki.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o kēia lāʻau lapaʻau, e kāhea koke i ka lumi pilikia o ka haukapila kokoke loa a i ʻole ke kikowaena kaohi lāʻau make. A i ʻole e hele koke i ka haukapila.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi, ʻoiai inā like ko lākou mau hōʻailona me kāu.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
I kekahi manawa e hala paha ʻoe i kahi mahele lāʻau. Inā pēlā:
- E lawe i ka lāʻau i hala ʻole i ka wā e hoʻomanaʻo ai ʻoe.
- Eia nō naʻe, inā kokoke ka manawa no kāu mahele aʻe (no ka laʻana, i loko o kekahi mau hola), e hōʻalo i ka mahele i hala ʻole a lawe i kāu mahele aʻe i ka manawa i hoʻonohonoho ʻia.
- Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi no kekahi kumu. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena ʻaoʻao.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana Lāʻau Lapaʻau)
Hiki iā Deferasirox ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, he mea nui loa e haʻi i kāu kauka inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe.
Mai hoʻohana ʻo Deferasirox me kēia mau lāʻau lapaʻau:
- ʻdasabuvir; ombitasvir, paritaprevir; ritonavir (he mau hui pū ʻana kēia o nā lāʻau lapaʻau i hāʻawi pinepine ʻia no nā maʻi akepaʻa e like me ka Hepatitis C)
- Nā mea hoʻohui hao (e noʻonoʻo: Hoʻopau ʻo Deferasirox i ka hao keu mai ke kino. No laila, inā ʻoe e lawe hou i nā pila hao, ʻaʻole ia e hana, ʻeā?)
- ʻombitasvir; paritaprevir; ritonavir (ua like nō hoʻi kēia me luna)
Hiki i ka Deferasirox ke launa pū me nā lāʻau lapaʻau e hiki mai ana:
Inā ʻoe e hoʻohana ana i kekahi o nā lāʻau lapaʻau i helu ʻia ma lalo nei, e haʻi i kāu kauka e pili ana iā lākou :
- Nā antacids no ka gastritis a me ka mumū o ka ʻōpū
- Nā lāʻau hoʻomalu hānau
- ʻO kekahi mau lāʻau hoʻohaʻahaʻa cholesterol (e.g., 'cholestyramine', 'colesevelam', 'colestipol', 'simvastatin')
- ʻO kekahi mau lāʻau lapaʻau no ka osteoporosis (e like me alendronate, risedronate)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā hopu / nā kū (e.g., phenobarbital, phenytoin)
- Nā lāʻau lapaʻau e kāohi ana i ke kāpili ʻana o ke koko (e like me 'warfarin')
- ʻO ka conivaptan
- `cyclosporine` (cyclosporine)
- ʻO nā NSAID kahi hui o nā lāʻau hoʻomaha ʻeha a me nā lāʻau anti-inflammatory (e.g. ibuprofen, naproxen)
- ʻO Paclitaxel (kahi lāʻau i hoʻohana ʻia e mālama i ka maʻi kanesa)
- ʻO ka lāʻau lapaʻau "repaglinide" (he lāʻau lapaʻau no ka maʻi diabetes)
- ʻO ka `rifampin` (he lāʻau lapaʻau i hāʻawi ʻia no nā maʻi e like me ka maʻi puʻupuʻu)
- ʻO ka ritonavir (ritonavir - kahi lāʻau i hoʻohana ʻia e mālama ai i ka maʻi HIV)
- nā lāʻau lapaʻau i loaʻa ka steroid (e like me prednisone, cortisone)
- ʻo 'theophylline' (he lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i nā maʻi hanu e like me ka hānō)
E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā mea kanu, nā huaora, nā lāʻau lapaʻau lāʻau, a i ʻole nā mea hoʻohui meaʻai āu e lawe nei, ʻoiai inā ʻaʻole lākou i helu ʻia ma ʻaneʻi. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe. Hiki i kēia mau mea ke launa pū me Deferasirox.
Nā mea kūikawā e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e makaʻala nui i kēia mau mea i ka wā e lawe ana i kēia lāʻau:
- Inā ʻaʻole e hoʻomaikaʻi kou mau ʻōuli, a inā paha e ʻoi aku ka ʻino, e haʻi koke aku i kāu kauka.
- Nā hopena ʻili koʻikoʻi: Hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻili koʻikoʻi i kekahi poʻe. Hiki ke hana i kēia mau mea i nā pule a i ʻole nā mahina ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau. E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, kahi ʻulaʻula (ʻoi aku ka ʻulaʻula a poni paha) e lilo i mau pehu a hemo, a i ʻole kahi ʻulaʻula me ka pehu ʻana o ka maka, nā lehelehe, a i ʻole nā kikowaena lymph pehu ma ka ʻāʻī a i ʻole nā armpits .
- Nā hoʻāʻo: E nānā mau kāu kauka i kou ʻike, lohe, a me nā pae hao koko, a me nā hoʻāʻo koko ʻē aʻe, ma mua a i ka wā o ka lawe ʻana i kēia lāʻau.
- Nā hōʻailona o ke kahe koko ʻana i loko: Inā he ʻeleʻele kou mau ʻōpala, ʻūlū, a luaʻi paha e like me ke ʻano o ka lepo kofe, he maʻi ʻōpū paha ia e kahe ana ke koko i loko o kou ʻōpū a i ʻole nā naʻau. Inā hana ʻia kēia, e haʻi koke i kāu kauka.
- Pōniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻomālielie iā ʻoe a hiamoe paha. No laila, pono ʻoe e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini kaumaha, a i ʻole ka hana ʻana i kekahi mea e pono ai ke makaʻala a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe. E pale i ke ala ʻana mai kahi noho a kū koke paha, ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hōʻemi i ka pilikia o ka pōniuniu.
- Ka maloʻo ʻana o ka wai i nā keiki: Inā e lawe ana kāu keiki i kēia lāʻau lapaʻau a loaʻa iā ia ka maʻi diarrhea mau, ka luaʻi ʻana, ka nausea, a i ʻole ka hou nui ʻana, e haʻi i kāu kauka. ʻO kēia no ka mea he mea weliweli paha ka lawe ʻana i kēia lāʻau lapaʻau ke nalowale ka nui o ka wai a me nā paʻakai mai ke kino (dehydration).
Nā hopena ʻaoʻao e hiki mai ana ma muli o kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau a pau, hiki iā Deferasirox ke hana i kekahi mau hopena ʻaoʻao.
Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana.
- Nā loli i ka ʻike (e.g. ʻike pōwehiwehi).
- Ka nalowale o ka lohe a i ʻole ke kani ʻana o nā pepeiao.
- Kuni, anu, a me ka ʻāʻī ʻeha.
- Ka ʻulaʻula o ka ʻili, ke kuni, a me nā ʻōpuʻu lymph pehu.
- ʻUlaʻula o ka ʻili, ka pehu ʻana, a me ka ʻili ʻana o ka ʻili (hiki ke hana i loko o ka waha).
- Nā hōʻailona o ke kahe ʻana o ke koko: Nā ʻōpala ʻeleʻele a koko paha; ka luaʻi ʻana i kahi mea ʻeleʻele e like me ke one kofe.
- Nā hōʻailona a me nā ʻōuli o ka hōʻeha ʻana o ke akepaʻa: Mimi melemele ʻeleʻele a ʻeleʻele paha; malaise maʻamau a kuni paha; noho keʻokeʻo; nalowale o ka makemake e ʻai; nausea; ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū; nāwaliwali a luhi paha; melemele o nā maka a i ʻole ka ʻili.
- Ka paʻakikī i ka mimi ʻana a i ʻole ka loli ʻana o ka nui o ka mimi.
- Ke kahe koko ʻana a i ʻole ka palapū maʻamau ʻole.
Nā hōʻailona e pono ʻole ai ke aʻo lapaʻau (akā e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha):
- Ka maʻi pākī
- Ka luaʻi, ka luaʻi
- ʻEha ʻōpū
- Pilikia i ka hiamoe ʻana
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e nīnau i kāu kauka e pili ana iā lākou.
Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?
- E mālama i kēia lāʻau lapaʻau ma kahi kiʻekiʻe loa mai ka hiki ʻana aku o nā keiki .
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 degere Celsius; ma waena o 59 a me 86 degere Fahrenheit). Mai hoʻokuʻu i ka wela nui a i ʻole ka makū.
- Mai hoʻohana i nā lāʻau lapaʻau i hala ka lā palena pau i ʻōlelo ʻia ma ka pūʻolo lāʻau. E hoʻolei pono iā lākou.
ʻO ka mea hope loa, leka lawe i ka home
No laila, he lāʻau lapaʻau koʻikoʻi loa ʻo 'Deferasirox' e kōkua ai i ka kaohi ʻana i ka hao keu i loko o kou kino.
Akā, e hoʻomanaʻo pono i kēia mau mea:
* He mea nui e lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka, i ka nui kūpono, i ka manawa kūpono.
* Mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā maʻi ʻē aʻe āu e loaʻa nei.
* E makaʻala mau i nā hopena ʻaoʻao. Inā ʻike ʻoe i kekahi mea ʻē, e ʻike koke i kāu kauka.
* Hāʻawi paha kēia ʻatikala iā ʻoe i kekahi manaʻo e pili ana i kēia lāʻau lapaʻau, akā ʻaʻole ia he wehewehe piha. Inā he mau nīnau hou aku kāu, e ʻoluʻolu e nīnau i kāu kauka, kauka lāʻau, a i ʻole kekahi mea lawelawe olakino ʻē aʻe.
Ke makemake nei iā ʻoe i ke olakino maikaʻi!
ʻO Deferasirox, deferasirox, hao nui loa, nā hopena ʻaoʻao, Exjade, hao nui loa, nā hopena ʻaoʻao, lāʻau lapaʻau
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