Ke ala aʻe nei ʻoe i kekahi manawa i waenakonu o ka pō me ka ʻeha nui o nā hono, ʻoi aku hoʻi ma ka manamana wāwae nui, me ka pehu ʻana? Kāhea pinepine mākou i kēia ʻano he Gout. He ʻike ʻeha loa kēia. ʻO kahi lāʻau lapaʻau kūikawā i hāʻawi ʻia ma ke ʻano he lāʻau lapaʻau no kēia ua kapa ʻia ʻo Febuxostat. No laila, inā ua kuhikuhi kāu kauka i kēia lāʻau lapaʻau nou, he mea nui loa ia e hoʻomaopopo piha ʻia e pili ana i ia mea. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau Febuxostat ma ke ʻano maʻalahi a aloha.
He aha maoli ka Febuxostat?
I ka ʻōlelo maʻalahi, loaʻa ka gout i ka wā e hōʻiliʻili nui ai ko mākou kino i kahi kemika i kapa ʻia ʻo uric acid. Ke hōʻiliʻili kēia uric acid i loko o ke kino, hana ia i nā kristal a i ʻole nā puʻupuʻu a waiho ʻia i loko o ko mākou mau hono, ʻoi aku hoʻi ma nā wahi e like me ka manamana wāwae nui, ke kuli, a me ka kuʻekuʻe wāwae. ʻO ia ka manawa e hiki mai ai ka ʻeha hiki ʻole ke hoʻomanawanui, ka pehu, a me ka ʻulaʻula.
ʻAʻole hōʻoluʻolu ʻo Febuxostat i ka ʻeha. Hoʻemi ia i ka hana ʻana o ka uric acid i loko o ko mākou kino. I ka hala ʻana o ka manawa, emi ka nui o ka uric acid i loko o ke kino, a ua kāohi ʻia ka hoʻi hou ʻana o nā hōʻeha gout ʻeha. ʻO ke ʻano kēia he lāʻau lapaʻau lōʻihi kēia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. ʻO ka nui o ka ʻike piha o kāu kauka i kou olakino, ʻoi aku ka palekana o ka mālama ʻia ʻana iā ʻoe. No laila, ma mua o ka hoʻomaka ʻana iā Febuxostat, e hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau maʻi.
- Maʻi puʻuwai: Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai a i ʻole ka hahau ma mua, a inā he maʻi puʻuwai ʻē aʻe kāu.
- Maʻi puʻupaʻa: Inā he pilikia me ka hana o nā puʻupaʻa.
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Nā lāʻau lapaʻau ʻē aʻe: Inā ʻoe e lawe ana i ka azathioprine a i ʻole mercaptopurine . He mea nui kēia e haʻi ʻia no ka mea ʻo ka lawe ʻana iā Febuxostat me kēia mau lāʻau lapaʻau hiki ke lilo i mea weliweli loa .
- Nā Allergies: Inā loaʻa iā ʻoe kahi maʻi allergy iā Febuxostat a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai keiki: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha.
No kou palekana ponoʻī ke kamaʻilio ʻana me ke kauka me ka hūnā ʻole ʻana i kēia mau mea.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
ʻO ka maʻamau, lawe ʻia kēia lāʻau i hoʻokahi manawa i ka lā. E lawe e like me ke kauoha a kāu kauka, i ka manawa kūpono.
- E ale i ka pila me ke aniani wai.
- ʻAʻohe pilikia o ka lawe ʻana ma mua a ma hope paha o ka ʻai ʻana, akā ʻoi aku ka maikaʻi o ka hoʻomaʻamaʻa ʻana i ka lawe ʻana iā ia ma ke ʻano like i kēlā me kēia lā.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ke aʻo ʻole a kāu kauka a i ʻole e lawe i ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
- ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o kēia lāʻau lapaʻau, mai hopohopo a hana koke. Inā hiki, e kelepona i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. ʻOi aku ka maikaʻi inā hiki iā ʻoe ke lawe pū me ʻoe i ka ʻeke lāʻau lapaʻau i kou hele ʻana.
ʻO ka mea nui loa: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi mea ʻē aʻe i loaʻa nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
E lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau pila i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i poina.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
ʻO ka lawe pū ʻana i kekahi mau lāʻau lapaʻau hiki ke hoʻololi i ko lākou pono a i ʻole e hoʻoulu i nā hopena ʻaoʻao weliweli.
Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia:
- ʻAzathioprine
- ʻO Mercaptopurine
Nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i nā pilikia:
- ʻO Theophylline / Aminophylline (kahi lāʻau lapaʻau i hoʻohana ʻia no nā maʻi e like me ka hānō)
- ʻO Pegloticase
- Lāpalapa
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi kanesa
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (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 mea e hoʻomanaʻo ai i ka wā e lawe ana i ka lāʻau lapaʻau
- Nā nānā maʻamau: E noi aku kāu kauka iā ʻoe e hele mai no nā nānā maʻamau. E kauoha pū ʻo ia i nā hoʻāʻo koko. Mai hōʻalo i kēia mau mea. He mea nui kēia e ʻike inā e hana pono ana ka lāʻau lapaʻau iā ʻoe a inā he mau pilikia.
- Hoʻonui ka ʻeha o ka gout i ka wā e hoʻomaka ai: ʻO kēia kahi e hopohopo ai ka poʻe he nui. E noʻonoʻo e hoʻonui iki ana kou ʻeha gout ke hoʻomaka ʻoe e lawe i ka lāʻau. Mai hopohopo, he mea maʻamau kēia. Ua kapa ʻia ʻo ia he 'gout flare'. Hana ʻia ia i ka wā e hoʻomaka ai nā kristal uric acid i waiho ʻia i loko o ke kino e heheʻe. Mai ho'ōki i ka lawe ʻana i ka lāʻau no kekahi kumu ke ʻole kāu kauka e haʻi iā ʻoe. Hiki iā ia ke kuhikuhi i kahi lāʻau ʻeha ʻē aʻe no kahi manawa pōkole e kāohi i ka ʻeha.
- Nā maʻi ʻili koʻikoʻi: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.
- E mālama i kahi hiki ʻole i nā keiki.
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius).
- E mālama i kahi maloʻo, mai ka lā pololei a me ka makū.
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
- ʻO ka Febuxostat kahi lāʻau lapaʻau e hoʻemi ana i nā pae uric acid, ʻo ia ke kumu o ka gout, ʻaʻole ia he lāʻau ʻeha e hōʻoluʻolu ai i ka ʻeha nui.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hoʻomaopopo pono e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai lawe pū me nā lāʻau lapaʻau ʻo Azathioprine a i ʻole Mercaptopurine ʻo Febuxostat.
- Hiki ke hoʻonui ʻia ka ʻeha o ka gout ke hoʻomaka mua ʻoe e lawe i ka lāʻau. He mea maʻamau kēia. Mai ho'ōki i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E makaʻala i nā maʻi ʻili koʻikoʻi, ka ʻeha umauma, a me nā hōʻailona o ka hahau ʻana. Inā kānalua, e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni a i ʻole ke anu , e like me nā kiko ʻulaʻula a poni paha ma kou ʻili e lilo ai i mau pehu a me he mea lā e ʻili ana ka ʻili , a inā ʻike ʻoe i ka pehu ʻana o kou maka, nā lehelehe, a i ʻole nā kikowaena lymph pehu i kou ʻāʻī a i ʻole nā armpits , e ʻike koke i ke kauka.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, aia kahi manawa e hiki ai iā Febuxostat ke hana i nā hopena ʻaoʻao. ʻOiai ʻo ka hapa nui o kēia mau mea he mea liʻiliʻi, aia kekahi mau mea e pono ai mākou e makaʻala nui.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
| Ka hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo. Paʻakikī ka hanu ʻana. E hele koke i ka ETU. |
| ʻEha umauma | ʻO ka paʻa o ka umauma, ka ʻeha, ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole. |
| Nā Hōʻailona o ka Stroke | Ka loli koke ʻana o ka ʻike, ka paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana, ka mae/nāwaliwali o ka maka, ka lima a i ʻole ka wāwae, ka paʻakikī i ka hele wāwae, ka poniuniu. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele/ʻeleʻele, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, luaʻi, nalowale o ka makemake e ʻai, luhi loa. |
| Nā hōʻailona ʻili koʻikoʻi | Nā kiko ʻulaʻula/poni ma ka ʻili, nā pehu, ka ʻili ʻili (a hiki i loko o ka waha), ke kuni, a me nā ʻōpū pehu. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka luaʻi/ka luaʻi ʻana | ʻO ka ʻeha o ka ʻōpū, ka nausea. |
| ʻEha hui | ʻEha iki o nā hono. |
| Nā loli i ka makemake | Ka nalowale ʻana o ka makemake e ʻai a i ʻole ka manaʻo nui ʻana i ka pōloli. |
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
No ka mālama ʻana i ka maikaʻi o nā lāʻau lapaʻau, pono e mālama pono ʻia.
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