Ua haʻi aku anei kāu kauka iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe e hoʻomaka ana ʻoe e lawe i kahi lāʻau i kapa ʻia ʻo Foscarnet? A i ʻole ua noʻonoʻo paha ʻoe e pili ana i kēia lāʻau? ʻAʻole kēia lāʻau lapaʻau kahi mea āu e kūʻai mau ai mai kahi hale kūʻai lāʻau a hoʻohana ma ka home. He lāʻau lapaʻau kūikawā kēia i hāʻawi ʻia ma kahi haukapila, ma lalo o ka nānā ʻana o ke kauka. No laila i kēia lā, e kamaʻilio pōkole kākou e pili ana i kēia lāʻau i kapa ʻia ʻo Foscarnet.
He aha ʻo Foscarnet?
I ka ʻōlelo maʻalahi, he lāʻau antiviral ʻo Foscarnet. Hana ia ma ke kāohi ʻana a me ka hoʻōki ʻana i ka laha ʻana o kekahi mau virus e komo i loko o ko kākou kino a hoʻoulu i ka maʻi.
Hoʻohana pinepine ʻia kēia lāʻau lapaʻau e mālama a pale aku paha i nā maʻi herpes virus a me nā maʻi cytomegalovirus (CMV). He mea nui loa kēia i nā poʻe me nā ʻōnaehana pale nawaliwali (e like me ka poʻe me ka maʻi HIV a i ʻole nā mea loaʻa i ka transplant), no ka mea, hiki i ka CMV ke hōʻeha nui i nā maka (retinitis) a i ʻole nā kiko ʻē aʻe. He mea nui loa kēia lāʻau lapaʻau i ia mau hihia.
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau no ke anu maʻamau. He lāʻau lapaʻau kēia i hāʻawi ʻia ma ke ʻano intravenous (infusion) no nā maʻi viral koʻikoʻi ma ka haukapila, ma lalo o ka nānā pono ʻana o nā kauka a me nā kahu maʻi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i ka mālama ʻana me Foscarnet, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha, no ka mea, pono kekahi mau kūlana olakino i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau.
Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻoluʻolu e haʻi i kāu kauka.
| Kūlana olakino | No ke aha he mea nui ka ʻike? (ʻAʻole maopopo) |
|---|---|
| Maʻi puʻupaʻa | Hoʻopau ʻia kēia lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa. Inā nāwaliwali nā puʻupaʻa, hiki i ka lāʻau lapaʻau ke hōʻiliʻili i loko o ke kino a hoʻonui i nā hopena ʻaoʻao. |
| Maʻi puʻuwai | Hiki i kēia lāʻau lapaʻau ke hana i nā ʻano ʻē o ka puʻuwai i kekahi manawa. |
| Nā pae koko haʻahaʻa o ka calcium, magnesium, phosphorus, a i ʻole potassium | Hiki iā Foscarnet ke hoʻololi hou i kēia mau pae mineral, no laila he mea nui e ʻike i kēia ma mua. |
| Nā hopu ʻana | Aia kahi pilikia kakaikahi o ka hopu ʻana me kēia lāʻau lapaʻau. |
| Helu koko haʻahaʻa | Pono ke kauka e makaʻala i kekahi helu koko keʻokeʻo haʻahaʻa, helu koko ʻulaʻula, a i ʻole ka helu platelet. |
| Ke hāpai nei a i ʻole e hoʻolālā ana e hāpai/hānai waiū | ʻOiai ʻaʻole i hoʻokumu ʻia ka palekana o kēia lāʻau lapaʻau i ka wā hāpai a me ka hānai ʻana, he mea nui e haʻi i kāu kauka e pili ana i kēia. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe | Inā he maʻi allergy kou iā Foscarnet a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a kala paha, e ʻoluʻolu e hoʻomaopopo mai iā mākou. |
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau. A i ʻole, e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . I ka wā pilikia, he mea nui e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā pilina me nā lāʻau ʻē aʻe
He lāʻau lapaʻau ʻo Foscarnet e hiki 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 (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka kūʻai, nā lāʻau lapaʻau kuʻuna, nā huaora, nā huahana lāʻau).
ʻAʻole pono e hoʻohana pū ʻia ʻo Foscarnet me nā lāʻau lapaʻau ma lalo nei.
- ʻO Cidofovir
- ʻO Cisapride
- ʻO Dronedarone
- Pimozide
- ʻO Thioridazine
Eia kekahi, hiki iā ia ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. Eia kekahi laʻana:
- Nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i nā puʻupaʻa (e like me Amphotericin B, Gentamicin, NSAIDs nā lāʻau ʻeha)
- Nā lāʻau lapaʻau e hoʻopilikia ai i ka helu o ka puʻuwai (nā lāʻau lapaʻau e hoʻolōʻihi i ka wā QT)
- ʻO nā lāʻau antiviral ʻē aʻe (e like me Acyclovir, Ganciclovir)
- Nā lāʻau lapaʻau
- ʻAspirina
ʻAʻole i piha kēia papa inoa. No laila, ʻoi aku ka palekana o ka hāʻawi ʻana i kāu kauka i kahi papa inoa piha ma ka ʻōlelo ʻana, "Ke lawe nei au i kēia lāʻau lapaʻau."
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
- Nā Hoʻāʻo i Hoʻonohonoho ʻia: E hele i kāu kauka i nā lā i hoʻonohonoho ʻia e like me ke kauoha. Pono e nānā mau ʻia kou mau pae mineral koko, ka hana o nā puʻupaʻa, a me ka helu o nā cell koko. Mai haʻalele i kēia mau hoʻāʻo.
- Ka maloʻo ʻana o ka wai: E haʻi i kāu kauka a kahu maʻi paha inā loaʻa iā ʻoe ka maʻi kahe nui, ka nausea, a i ʻole ka luaʻi ʻana, a inā ʻoe e hou nui ana. Hiki i ka maloʻo ʻana ke lilo i mea weliweli i ka wā e lawe ana i kēia lāʻau.
- ʻŌʻō: Inā ʻike ʻoe i ka ʻōʻō a i ʻole ke kani ʻana i kou waha, nā lehelehe, nā lima, a i ʻole nā wāwae, e haʻi koke aku i kāu kauka a kahu maʻi paha. Hiki i kēia ke lilo i hōʻailona koʻikoʻi o ka haʻahaʻa o ka calcium koko.
- Pōniuniu a me ka hiamoe: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iki iā ʻoe a pōniuniu paha. No laila, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i kou ʻike ʻana i ke ʻano o ka hopena o ka lāʻau lapaʻau iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai ala koke mai kahi noho a kū paha. Hiki i kēia ke hōʻemi i ka pilikia o ka pōniuniu a me ka hāʻule ʻana.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Foscarnet ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka/kahu hānai | |
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| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
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Leka Lawe-Home
- He lāʻau ikaika ʻo Foscarnet i hāʻawi ʻia ma o ka intravenous i loko o ka haukapila no nā maʻi viral koʻikoʻi.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i nā kūlana olakino āpau āu e loaʻa nei a me nā lāʻau lapaʻau āpau āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi i ka wā o ka mālama ʻana, e like me ka mae ʻana o nā lālā, ka paʻakikī o ka hanu ʻana, a i ʻole nā loli o ka puʻuwai, e hoʻomaopopo koke i nā limahana lapaʻau.
- Mai hōʻalo i nā hoʻokolohua koko i hoʻonohonoho ʻia a me nā hoʻokolohua ʻē aʻe i kauoha ʻia e kāu kauka.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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