Ua kuhikuhi ʻia paha ʻoe e kāu kauka i nā papa Diclofenac no ka ʻeha kuli, ka ʻeha hope, a i ʻole nā ʻeha kino ʻē aʻe. He lāʻau hoʻopau ʻeha maʻamau kēia a ka poʻe he nui e hoʻohana ai. Eia nō naʻe, e like me nā lāʻau lapaʻau āpau, aia kekahi mau mea e pono ai mākou e makaʻala i ka wā e hoʻohana ai. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau papa Diclofenac, ʻoiai ke ʻano Extended-Release, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha.
He aha kēia diclofenac?
I ka ʻōlelo maʻalahi, ʻo diclofenac 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 NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) . ʻO ia hoʻi, nā lāʻau anti-inflammatory non-steroidal.
ʻO ke ʻano o ka "Extended-Release" (XR) ʻo ia hoʻi ka hoʻokuʻu ʻana o ka pila i ka lāʻau lapaʻau i loko o ke kino i loko o kekahi mau hola. ʻO ia hoʻi, hoʻokahi wale nō manawa e pono ai ʻoe e lawe i ka lāʻau i ka lā. Ua kuhikuhi paha kāu kauka iā ia ma lalo o ka inoa e like me "Voltaren-XR".
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e hoʻohana i ka diclofenac, he mea nui e haʻi i kāu kauka i kēia mau ʻike. Mai hūnā i kēia mau mea, no ka mea, he mea nui loa ia no kou palekana.
| Maʻi a i ʻole ke kūlana | Wehewehena |
|---|---|
| Maʻi puʻuwai | Loaʻa iā ʻoe nā maʻi e like me ka maʻi puʻuwai, ka hōʻeha puʻuwai, ka hāʻule ʻana o ka puʻuwai, ke koko kiʻekiʻe? Ua hana ʻia anei ʻoe i kēia manawa (i loko o 2 mau pule) i ke ʻoki bypass (CABG)? |
| Nā pilikia o ka ʻōpū a me ka naʻau | Ua loaʻa anei iā ʻoe nā ʻōpū ʻeha a i ʻole ke kahe ʻana o ke koko ma mua? |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | He maʻi puʻupaʻa a maʻi akepaʻa paha kou? |
| Nā pilikia e pili ana i ke koko | Loaʻa iā ʻoe kekahi mau maʻi kahe koko, nā pae potassium koko kiʻekiʻe, a i ʻole ka helu koko ʻulaʻula haʻahaʻa (anemia)? Ke lawe nei ʻoe i ka lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko? |
| Nā maʻi a me nā ʻano maʻamau ʻē aʻe | Nā maʻi hanu e like me ka hānō, ka hoʻohana ʻana i nā lāʻau steroid (e like me ka prednisone), ka puhipaka, a me ka inu pinepine ʻana i ka waiʻona. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Ke ho'āʻo nei ʻoe e hāpai? Ke hāpai nei ʻoe? A i ʻole ke hānai waiū nei ʻoe? |
| Nā maʻi ʻaleka | He maʻi ʻaleʻale paha ʻoe i ka diclofenac, aspirin, nā NSAID ʻē aʻe, a i ʻole kekahi lāʻau lapaʻau a meaʻai paha? |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
- E ale i ka pila: Mai uhaʻi a wili paha i kēia pila, a mai nau iā ia e like me ka gum nau . E ale holoʻokoʻa. ʻO kēia no ka mea ua hoʻolālā ʻia e hoʻokuʻu mālie i ka lāʻau lapaʻau. Inā ʻoe e wili iā ia, e komo koke nā lāʻau lapaʻau a pau i loko o kou kino i ka manawa hoʻokahi, kahi e hoʻonui ai i nā hopena ʻaoʻao.
- Me ke aniani wai: E lawe i kēia pila me ke aniani wai piha.
- Me ka meaʻai: I mea e hōʻemi ai i ka huhū o ka ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana i kēia me ka ʻai ʻana a ma hope paha o ka ʻai ʻana.
- E lawe i ka manawa kūpono: E ho'āʻo e lawe i ka manawa like i kēlā me kēia lā, e like me ke kauoha a kāu kauka. E kōkua kēia i ka mālama ʻana i ka pono o ka lāʻau lapaʻau.
- Ke kū nei: Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau ke ʻole ke aʻo ʻia e kāu kauka.
He aha inā e hala ana kāu lāʻau lapaʻau?
E noʻonoʻo ua poina iā ʻoe ke lawe i kāu pila kakahiaka. E lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā inā kokoke ka manawa no kāu mahele lāʻau aʻe (e.g., he mau hola wale nō ia), e kāpae i ka mahele lāʻau i hala ʻole a lawe i kāu mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua pila i ka manawa hoʻokahi.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me diclofenac
Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka wā e lawe ʻia ai me diclofenac, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau).
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia | |
|---|---|
| ʻO Cidofovir | ʻO Ketorolac (ʻano NSAID ʻē aʻe) |
| ʻO Methotrexate | |
| Nā mea ʻē aʻe a me nā lāʻau lapaʻau e hiki ai ke hoʻopilikia | |
| ʻAila | ʻAspirin a me nā NSAID ʻē aʻe (Ibuprofen, Naproxen) |
| Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin) | Lāʻau lapaʻau no ke koko kiʻekiʻe |
| Nā lāʻau diuretic (nā lāʻau e wehe ai i ka wai mai ke kino) | Lithium, Cyclosporine, Pemetrexed |
| Nā ʻano steroid (Prednisone, Cortisone) | Nā lāʻau lapaʻau no ka osteoporosis (ka lahilahi o nā iwi) |
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
Ke kahe ʻana o ke koko o ka ʻōpū
ʻO ka pilikia nui o ka hoʻohana ʻana i kēia mau lāʻau lapaʻau, ʻo ia ka hiki ʻana o nā ʻōpū a me ke kahe ʻana o ke koko.
ʻAʻohe ʻōlelo aʻo.Hiki ke hana ʻia kēia ʻano me ke kauka ʻole. ʻO ka puhipaka, ka inu ʻana i ka waiʻona, ka ʻelemakule, a me ke olakino maikaʻi ʻole e hoʻonui i ka pilikia. Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū, ka luaʻi e like me ke kope kope, a i ʻole nā ʻōpala ʻeleʻele, e ʻike koke i ke kauka.
Ka pilikia o ka hōʻeha puʻuwai a me ka hahau
Hiki i nā NSAID e like me diclofenac ke hoʻonui iki i kou pilikia o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana. ʻOi aku ke kiʻekiʻe o kēia pilikia inā ʻoe e hoʻohana i kēia lāʻau lapaʻau no ka manawa lōʻihi a inā paha ua loaʻa iā ʻoe ka maʻi puʻuwai. Inā ʻoe e lawe i ka aspirin e pale aku i nā hōʻeha puʻuwai, e kamaʻilio me kāu kauka e pili ana i ka lawe ʻana i ka diclofenac.
Nā hopena ʻili
I kekahi manawa, hiki i kēia lāʻau lapaʻau ke hoʻoulu i nā hopena ʻili koʻikoʻi. Hiki ke hana ʻia kēia mau mea i nā pule he nui ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau.
- Nā ʻulaʻula ma ka ʻili me ke kuni a me ka palaualelo.
- Hiki i kēia mau ʻeha ke lilo i mau pehu ma hope aku a i ʻole e hemo ka ʻili.
- Nā kiko ʻulaʻula me ka pehu ʻana o ka maka a me nā lehelehe.
Inā ʻike ʻoe i nā hōʻailona e like me kēia, e ʻike koke i ke kauka.
I ka wā hāpai
E makaʻala loa i kēia inā ʻoe e hāpai ana.
- Ma waena o 20 a me 30 mau pule: ʻO ka lawe ʻana i ka diclofenac i kēia manawa hiki ke hōʻeha i ka pēpē i loko o ka ʻōpū. No laila, e lawe wale inā pono loa, ma lalo o ka nānā pono ʻana a ke kauka.
- Ma hope o 30 mau pule: Mai lawe iki i kēia lāʻau lapaʻau i nā mahina 3 hope loa o ka hāpai ʻana.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona koko | ʻO ka ʻōpala ʻeleʻele a koko paha, ka luaʻi ʻana i ke koko e like me ke ʻano o ka lepo kofe, ka mimi ʻulaʻula/ʻeleʻele ʻeleʻele, nā kiko liʻiliʻi ʻulaʻula/poni ma ka ʻili, a me nā palapū i wehewehe ʻole ʻia. |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha/ʻūʻū ma ka umauma, poʻohiwi, lima, a i ʻole ka ʻauwae, ka luaʻi, ka paʻakikī o ka hanu ʻana, ke anu, ka maule. |
| Nā hōʻailona o ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae a i ʻole nā lima, piʻi koke ke kaumaha, luhi nui. |
| Ka hōʻino ʻana o nā puʻupaʻa/akepaʻa | Ua emi ka mimi i hoʻopuka ʻia, pehu nā kuʻekuʻe wāwae (nā puʻupaʻa). / ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, melemele o nā maka/ʻili, mimi melemele ʻeleʻele/ʻeleʻele (akepaʻa). |
| Nā hōʻailona o ka hahau ʻana | Ka mae/mamae koke ʻana o ka maka, ka lima a i ʻole ka wāwae (ʻoi aku hoʻi ma kekahi ʻaoʻao), ka paʻakikī o ka ʻōlelo ʻana, ka huikau, ka paʻakikī o ka hele ʻana, ka ʻeha poʻo nui. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā e haʻi i kāu kauka inā hoʻomau lākou) | |
| ʻEha poʻo | Makemake nui |
| Ka luaʻi | ʻO ka ʻōpū ʻeha |
Leka Lawe-Home
- He lāʻau lapaʻau maikaʻi ʻo Diclofenac no ka ʻeha a me ka pehu, akā pono e hoʻohana wale ʻia ma lalo o ke aʻo a ke kauka.
- Mai uhaʻi, kuʻi, a nau paha i kēia mau papa. E ale holoʻokoʻa iā lākou me ka wai.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino āu.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka ʻōpū, nā ʻōpala ʻeleʻele, ka ʻeha o ka umauma, a i ʻole nā ʻano ʻili koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau .
- Mai lawe i kēia lāʻau lapaʻau i ka wā hāpai, ʻoiai i nā mahina 3 i hala.
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