He lāʻau lapaʻau ʻo Diclofenac a nā kauka e kuhikuhi pinepine ai i ka wā e loaʻa ai iā mākou kahi maʻi e like me ka ʻeha o ke kino, ka ʻeha o nā hono, a i ʻole ka rumatika. Ua hoʻohana paha ʻoe i kēia lāʻau lapaʻau. Akā, ʻaʻole ia he lāʻau hoʻopau ʻeha wale nō. Aia kekahi mau mea e pono ai mākou e makaʻala loa i ka wā e hoʻohana ai. E kamaʻilio kākou e pili ana i kēlā i kēia lā.
He aha ka Diclofenac?
I ka ʻōlelo maʻalahi, ʻo diclofenac kahi lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka ʻeha iki a me ke kaumaha, ka pehu ʻana, a me nā kūlana e like me ka arthritis. No loko ia o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) . ʻO ke kikoʻī, hana ia ma ka hōʻemi ʻana i ka hana ʻana o nā kemika i loko o ko mākou kino e hoʻoulu ai i ka ʻeha a me ka pehu. Ma Sri Lanka, hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me Voltaren.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino ma mua o ka hoʻohana ʻana i ka diclofenac. ʻO kēia no ka mea he mea weliweli paha ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi mau kūlana olakino. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kou kūlana | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Nā pilikia e pili ana i ka puʻuwai: Nā mea e like me ke koko kiʻekiʻe, ka hōʻeha puʻuwai, ka hāʻule ʻana o ka puʻuwai, a me ke ʻoki bypass hou (CABG). | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ka hōʻeha puʻuwai a me ka hahau. |
| Nā pilikia o ke kahe ʻana o ke koko: ʻO ka lawe ʻana i nā lāʻau hoʻomāmā koko, ke kahe koko ʻōpū, a me nā maʻi kahe koko. | Hoʻonui ʻo Diclofenac i ka pilikia o ke kahe koko ʻana o ka ʻōpū a me ke koko ʻōpū. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Hiki ke piʻi aʻe ka pilikia o ka hōʻino ʻana i kēia mau ʻōkana. |
| Nā ʻano nohona: Ka inu pinepine ʻana a me ka puhipaka. | Hoʻonui hou kēia mau ʻano i ka pilikia o nā ʻōpū ʻeha. |
| Nā kūlana olakino ʻē aʻe: ʻAsthma, Anemia, Hoʻohana ʻana i nā steroid, Hoʻāʻo e hāpai, Hāpai keiki, Hānai waiū, Nā maʻi ʻaleka i ka Diclofenac a i ʻole nā lāʻau lapaʻau ʻē aʻe. | Pono paha kēlā me kēia o kēia mau kūlana i kahi hoʻololi i ke ʻano lapaʻau a i ʻole ka mālama kūikawā. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea nui loa e hahai pono i nā ʻōlelo a kāu kauka i ka wā e hoʻohana ai i kēia lāʻau.
- Mai uhaʻi, kuʻi, a nau paha i kēia papa. Loaʻa i kēia mau mea kahi uhi kūikawā i hoʻolālā ʻia e hoʻoheheʻe ʻia i loko o ka ʻōpū (Enteric-coated). No laila e ale i ka papa holoʻokoʻa me kahi aniani wai.
- Inā ʻeha kou ʻōpū i ka wā e lawe ai i kēia lāʻau lapaʻau, ʻo ka lawe ʻana me ka ʻai e hōʻemi paha i ka ʻeha.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka.
- Inā ʻoe ma luna o 65 mau makahiki, pono paha ʻoe i kahi mahele haʻahaʻa. Na kāu kauka e hoʻoholo.
- Inā lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole, e kelepona i ke Kikowaena ʻIke Lahui no nā Poisons ma ka Halemai Lahui ʻo Colombo .
- Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i ka Diclofenac ke launa pū me nā lāʻau lapaʻau ʻē aʻe, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau).
ʻO ka mea nui, ua pāpā loa ʻia ka lawe ʻana i ka diclofenac me nā lāʻau lapaʻau ʻo Cidofovir, Ketorolac, a me Methotrexate.
Eia kekahi, hiki ke loaʻa nā pilikia me nā mea i lalo:
- ʻAila
- ʻAspirin a me nā lāʻau lapaʻau ʻē aʻe
- Lāʻau lapaʻau koko
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin)
- Nā NSAID ʻē aʻe (e.g., Ibuprofen, Naproxen)
- Nā ʻano steroid (e.g. Prednisone)
- Litiuma
- ʻO Cyclosporine
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Ka pilikia o nā ʻōpū ʻōpū a me ke kahe koko
ʻO kēia ka pilikia nui me ka diclofenac. Hiki ke loaʻa nā ʻōpū ʻeha a me ke kahe koko me ka ʻole o ka ʻōlelo aʻo . ʻO ka puhipaka, ka inu ʻona, ka ʻelemakule, a me ke olakino maikaʻi ʻole e hoʻonui i kēia pilikia.
Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, e luaʻi i ke koko (ʻeleʻele, e like me ka lepo kofe), a i ʻole he ʻeleʻele a ʻālohilohi paha kou mau ʻōpala, he hōʻailona paha ia o ke kahe ʻana o ke koko o ka ʻōpū. Inā hana ʻia kēia, e ʻike koke i ke kauka.
Ka pilikia o ka hōʻeha puʻuwai a me ka hahau
ʻAʻole ʻo Diclofenac kahi lāʻau lapaʻau e pale ai i ka hōʻeha puʻuwai a i ʻole ka hahau. ʻO ka ʻoiaʻiʻo, ʻo ka hoʻohana lōʻihi ʻana i kēia lāʻau lapaʻau a i ʻole inā loaʻa iā ʻoe ka maʻi puʻuwai e hoʻonui paha i kou pilikia o ka hōʻeha puʻuwai a me ka hahau.
I ka wā hāpai
Inā hāpai ʻoe, pono ʻoe e noʻonoʻo ʻelua ma mua o ka lawe ʻana i kēia lāʻau. ʻO ka lawe ʻana i kēia lāʻau, ʻoiai ma waena o nā pule 20 a me 30 o ka hāpai ʻana, hiki ke hōʻeha i ka pēpē i hānau ʻole ʻia. Ma hope o ka pule 30, ua pāpā loa ʻia ka lawe ʻana i kēia lāʻau.
Nā hopena ʻili koʻikoʻi
Hiki ke loaʻa nā hopena ʻili koʻikoʻi i nā pule he nui ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona e like me ke kuni, nā ʻeha kino, nā pehu ʻulaʻula a poni paha ma ka ʻili, a i ʻole ka ʻili ʻili.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka diclofenac ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Ke kahe ʻana o ke koko | ʻŌpae ʻeleʻele/maloʻo, luaʻi ʻana i ke koko a i ʻole ka lepo kofe, a me ka mimi ʻulaʻula/ʻeleʻele ʻeleʻele. |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha a ʻūmiʻi paha ma ka umauma, poʻohiwi, a lima paha, luaʻi, paʻakikī ke hanu. |
| 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 hōʻailona o ka hōʻino ʻia o ka puʻupaʻa/akepaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, nā kuʻekuʻe wāwae pehu, ka melemele o ka ʻili a i ʻole nā maka, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | - |
| Ka luaʻi, ka ʻeha o ka ʻōpū | - |
| Makemake nui | - |
Leka Lawe-Home
- Ma mua o ka lawe ʻana i ka diclofenac, e haʻi pono i kāu kauka e pili ana i kou mau maʻi āpau a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E ale i kēia papa me ka wai me ka ʻole o ka haki ʻana, ka wili ʻana, a me ka nau ʻana. Inā loaʻa iā ʻoe ka ʻōpū ʻeha, e lawe pū me ka meaʻai.
- E makaʻala mau i nā hōʻailona o ke kahe ʻana o ke koko o ka ʻōpū, e like me ka ʻeha nui o ka ʻōpū, nā ʻōpala ʻeleʻele, a me ke koko i loko o ka luaʻi. Inā loaʻa kēia, e ʻimi koke i ke kōkua lapaʻau.
- E hoʻomanaʻo e hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ka hōʻeha puʻuwai a i ʻole ka hahau. ʻAʻole ia e pale i kēia mau maʻi.
- Mai lawe i kēia lāʻau lapaʻau i ka wā hāpai, ʻoiai i nā mahina ʻekolu i hala.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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