Ua haʻi aku kāu kauka iā ʻoe he haʻahaʻa kou mau platelets a ke pilikia nei ʻoe i ke kahe ʻana o ke koko ? Ua kuhikuhi ʻia paha ʻoe i kahi lāʻau i kapa ʻia ʻo Eltrombopag e mālama ai. ʻOiai he lāʻau lapaʻau kūikawā kēia, nui paha kāu mau nīnau e pili ana i ia mea. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau ma nā ʻōlelo maʻalahi, pehea e hoʻohana ai, a me nā mea e makaʻala ai.
I ka ʻōlelo maʻalahi, he aha ʻo Eltrombopag?
He wai hoʻokuʻu kēia, ʻo ia hoʻi, hele mai ia i loko o kahi ʻano wai. ʻO kāna hana nui ka hoʻonui ʻana i ka helu o nā platelets i loko o kou kino.
E noʻonoʻo pehea mākou e hoʻōki ai i ke kahe ʻana o ke koko ke loaʻa iā mākou kahi ʻeha ma kekahi wahi o ko mākou kino. Kōkua kēia mau ʻāpana liʻiliʻi i kapa ʻia ʻo platelets i kēlā. Hoʻopili pū lākou e hana i kahi ʻūpā koko a hoʻōki i ke kahe ʻana o ke koko. No laila, i ka wā e emi ai ka helu platelet, ʻoi aku ka nui o ka hiki ke hoʻoulu i ke kahe nui ʻana o ke koko inā he ʻeha liʻiliʻi.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no:
- ʻO nā kānaka me ka helu platelet haʻahaʻa ma muli o ka maʻi akepaʻa a i ʻole kahi maʻi i kapa ʻia ʻo immune thrombocytopenia ( ITP ), kahi pilikia me ka ʻōnaehana pale.
- Hoʻohana ʻia nō hoʻi ia e mālama i kahi maʻi i kapa ʻia ʻo 'aplastic anemia.' I kēia kūlana, hana ka iwi iwi i nā hunaola koko hou he nui loa (nā hunaola koko ʻulaʻula, nā hunaola keʻokeʻo, a me nā platelets).
I ka ʻōlelo maʻalahi, hoʻoulu kēia lāʻau lapaʻau i ka iwi iwi e hana i nā platelets hou aʻe, kahi e hōʻemi ai i ka pilikia o ke kahe koko pono ʻole.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, makemake kāu kauka e ʻike i kou mōʻaukala olakino piha. No laila, inā pili kekahi o kēia mau mea iā ʻoe, e hōʻoia e haʻi i kāu kauka.
- Nā kūlana olakino ʻē aʻe āu i loaʻa ai:
- Ka maʻi ʻaʻai
- Maʻi akepaʻa a maʻi puʻupaʻa paha
- Maʻi maka a i ʻole ka hemahema o ka ʻike
- Inā he moʻolelo kou o nā ʻōpū koko
- Inā ua wehe ʻia ka spleen ma ke ʻoki ʻana
- Nā kūlana olakino ʻē aʻe e hoʻemi ai i nā hunaola koko (nā hunaola keʻokeʻo, nā hunaola ʻulaʻula, nā platelets)
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i kēia lāʻau lapaʻau, ʻo Eltrombopag, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻomalu paha.
- Ka hāpai ʻana a me ka hānai ʻana i ka waiū:
- 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 e haʻi i ke kauka i kēia ʻike me ka hūnā ʻole.
Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He lāʻau lapaʻau kēia e pono e hoʻohana ʻia me ke akahele. He mea nui loa ka lawe ʻana i ka nui kūpono i ka manawa kūpono, e like me ka ʻōlelo a ke kauka.
1. Pehea e lawe ai: He lāʻau lapaʻau wai kēia. E lulu maikaʻi i ka ʻōmole ma mua o ka hoʻohana ʻana. E hāʻawi ʻia ʻoe i kahi syringe, nila, a puna paha i hōʻailona kūikawā ʻia e ana i ka lāʻau lapaʻau. Mai ana me nā punetēpē maʻamau o ka hale, no ka mea, ʻaʻole pololei lākou.
2. Ka manawa e lawe ai (he mea nui loa kēia!):
- Pono e lawe ʻia 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 2 mau hola ma hope o ka ʻai ʻana .
- ʻO kekahi koho ʻē aʻe, ʻo ia ka lawe ʻana i kēia me kahi ʻai haʻahaʻa i ka calcium .
3. Pilina me ka calcium a me nā minelala ʻē aʻe:
- ʻO ka lawe ʻana i nā meaʻai, nā mea inu, a i ʻole nā huaʻai i loaʻa ka calcium, ka hao, ka magnesium, a i ʻole ka zinc i ka manawa like me kēia lāʻau lapaʻau e hōʻemi i ka omo ʻana o ka lāʻau lapaʻau.
- I ka ʻōlelo maʻalahi, inā ʻoe e ʻai i kahi mea e like me ka waiū, ka yogurt, a i ʻole ka tīhi, lawe i nā papa hao, a lawe paha i kahi antacid (wai/papa no ka gastritis), pono ʻoe e waiho i kahi kaawale ma waena o ka manawa āu e lawe ai a me ka manawa āu e lawe ai i kēia lāʻau.
- ʻO ke kānāwai: Pono ʻoe e lawe i kēia lāʻau lapaʻau 2 mau hola ma mua a i ʻole 4 mau hola ma hope o ka lawe ʻana i nā mea hoʻohui calcium/hao i ʻōlelo ʻia ma luna.
E noʻonoʻo ʻoe e inu ana i ke aniani waiū i ka hola 8 am. A laila pono ʻoe e lawe i kēia lāʻau lapaʻau ma hope o ka hola 12 awakea. A i ʻole, inā ua lawe ʻoe i kēia lāʻau lapaʻau i ka hola 6 am, hiki iā ʻoe ke inu i ke aniani waiū ma hope o ka hola 8 am. E kamaʻilio me kāu kauka a hoʻolālā i kēia mau manawa kikoʻī.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, mai hopohopo. Mai hoʻopiha no ka lāʻau lapaʻau i poina. E lawe wale i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe ʻoi aku ma mua o ka lāʻau lapaʻau i kuhikuhi ʻia (ʻoi aku ma mua o hoʻokahi lāʻau lapaʻau) i ka lā.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Pilikia kokoke loa (ETU) . A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo .
Nā mea ʻē aʻe e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā lapaʻau maʻamau: E noi paha kāu kauka iā ʻoe e hana i nā hoʻāʻo koko maʻamau. E nānā kēia mau hoʻāʻo inā aia kāu helu platelet i ka pae i koi ʻia a inā paha e hana pono ana kou ake. Mai haʻalele i kēia mau hoʻāʻo.
- Nā loli o ka ʻike: Hiki i kekahi poʻe ke ʻike i nā loli o ka ʻike me kēia lāʻau lapaʻau. No laila, hiki i kāu kauka ke ʻōlelo aku e nānā ʻoe i ka maka ma mua o ka hoʻomaka ʻana a i ka wā e lawe ana i ka lāʻau lapaʻau. Inā ʻike ʻoe ua pōwehiwehi kou ʻike a ʻike paha ʻoe i nā apo a puni nā kukui, e haʻi koke i kāu kauka .
- Nā hopena o ke akepaʻa: Hiki i kēia lāʻau lapaʻau ke loaʻa kekahi hopena ma ke akepaʻa, ʻoi aku hoʻi i ka poʻe me ka Hepatitis C.
- Ke pale ʻana iā ʻoe iho mai nā ʻeha: ʻOiai inā hoʻi kāu helu platelet i ka maʻamau, he mea naʻauao nō hoʻi e noho mamao aku mai nā haʻuki weliweli a me nā hana e hiki ai ke hōʻeha.
- Hāpai a me ka hānai waiū: He mea nui e hoʻohana i ka kaohi hānau kūpono e pale aku i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 7 mau lā ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i kēia. Eia kekahi, e pale i ka hānai waiū i ka wā e lawe ana i kēia lāʻau lapaʻau.
- Hoʻohana ʻia ka lāʻau Eltrombopag e hoʻonui i ka helu o nā platelets i loko o ke koko a hōʻemi i ka pilikia o ke kahe ʻana o ke koko.
- Pono e lawe ʻia kēia lāʻau lapaʻau ma ka ʻōpū ʻole . Mai lawe pū me ka meaʻai a i ʻole nā lāʻau lapaʻau i loaʻa nā minelala e like me ka calcium a i ʻole ka hao. E waiho i kahi kaawale o 2 mau hola.
- E lawe i ka nui kikoʻī i ka manawa i kuhikuhi ʻia nou. Inā ʻoe e poina i kahi nui, e lawe wale i ka manawa i hoʻonohonoho ʻia aʻe.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e like me ka ʻili ʻana, ka melemele ʻana o nā maka, nā loli o ka ʻike, a i ʻole ka pehu ʻana o nā wāwae, e haʻi koke aku i kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka.
Hiki i ka hāʻule nui a i ʻole ka ulia pōpilikia ke hoʻoulu i ke kahe koko i loko i ʻike ʻole ʻia mai waho. E akahele loa i ka hoʻohana ʻana i nā mea ʻoi e like me nā pahi a me nā ʻokiʻoki. ʻOi aku ka maikaʻi inā hiki iā ʻoe ke hoʻohana i ka pahi ʻumiʻumi uila i ka wā e kahi ai. E palaki pinepine i kou mau niho. Inā loaʻa iā ʻoe kekahi mau palapū a i ʻole nā kiko ʻulaʻula ma kou ʻili, e haʻi i kāu kauka .
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E hāʻawi ka papa ma lalo nei iā ʻoe i kahi kiʻi maopopo o kēia mau mea.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ka hōʻeha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, ka melemele o nā maka a i ʻole ka ʻili, a me ka luhi nui. |
| Nā hōʻailona o ke koko koko | ʻEha wāwae, pehu a mehana paha, paʻakikī ka hanu ʻana, ʻeha umauma. |
| Nā loli o ka ʻike | ʻIke pōwehiwehi, ʻike ʻana i nā halo a puni nā kukui, nalowale ka ʻike. |
| ʻAʻohe mea e hopohopo ai (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Nā ʻeha liʻiliʻi | Kuke, luaʻi (diarrhea), luhi, kuni, ʻeha poʻo, nausea. |
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā huahana lāʻau āu e lawe nei, no ka mea, hiki i kekahi ke launa pū me kēia lāʻau.
| ʻAno o nā mea e hiki ai ke hoʻopilikia | Nā Laʻana |
|---|---|
| Nā lāʻau hoʻēmi ʻakika | Nā wai a i ʻole nā papa i hoʻohana ʻia no ka gastritis. |
| Nā mea hoʻohui mineral | Nā papa a i ʻole nā wai i loaʻa ka calcium, ka hao, ka magnesium, ka zinc, ka selenium. |
| ʻO kekahi mau lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol | ʻO nā statins e like me Atorvastatin a me Rosuvastatin. |
| Mea hoʻohuihui koko | Nā lāʻau lapaʻau e like me Warfarin, Apixaban, Rivaroxaban. |
| Nā lāʻau hoʻopau ʻeha | Nā lāʻau lapaʻau ma ka māhele 'NSAID', e like me Ibuprofen a me Naproxen. |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.











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