Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Methotrexate ? A i ʻole ke hoʻohana nei kekahi āu i ʻike i kēia lāʻau? Ua manaʻo paha ʻoe i ka makaʻu iki a i ʻole ka hoihoi i kou lohe ʻana i ka inoa o kēia lāʻau. He mea maʻamau ka loaʻa ʻana o nā nīnau e pili ana i ia mea no ka mea he lāʻau ikaika loa ia. No laila, e kamaʻilio kākou e pili ana i kēia lāʻau me ka maʻalahi a me ka maopopo, e like me nā mea āpau.
He aha ka Methotrexate?
I ka ʻōlelo maʻalahi, ʻo Methotrexate kahi lāʻau lapaʻau i hoʻohana nui ʻia e mālama i kekahi mau hui o nā maʻi.
- Nā kūlana mumū: Kōkua kēia lāʻau lapaʻau i ka hōʻemi ʻana i ka mumū i loko o ke kino, ʻo ia hoʻi , ka pehu ʻana, ka ʻulaʻula, a me ka ʻeha, i nā maʻi hono e like me ka arthritis a me nā maʻi ʻili e like me ka psoriasis . Ma kēia ʻano , hiki ke kāohi ʻia ka maʻi a hiki ke pale ʻia ka hōʻino lōʻihi i nā hono a me ka ʻili.
- Kekahi ʻano maʻi kanesa : Hiki i kēia lāʻau lapaʻau ke hoʻolohi i ka ulu ʻana o nā hunaola kanesa , no laila hoʻohana nā kauka iā ia e mālama i kekahi ʻano maʻi kanesa.
Ma waho aʻe o nā mea i luna, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe. No laila, inā he mau nīnau kāu, e nīnau i kāu kauka e pili ana i ia mea.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Methotrexate e pono e hoʻohana ʻia me ke akahele nui. No laila, ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei.
| Kou kūlana | Nā mea e noʻonoʻo ai |
|---|---|
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | He mea nui loa kēia. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i loko o ka ʻōpū. |
| Inā hānai waiū ka makuahine i kāna keiki | Hiki ke hoʻoili ʻia ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma. |
| Inā inu pinepine ʻoe i ka waiʻona | Hiki ke koʻikoʻi loa ka hōʻino ʻana i ke akepaʻa. |
| Inā loaʻa iā ʻoe ka maʻi ate a i ʻole ka maʻi puʻupaʻa | Hiki ke keakea ʻia ka hoʻopau ʻana o ka lāʻau lapaʻau mai ke kino a hoʻonui paha nā hopena ʻaoʻao. |
| Inā he haʻahaʻa kou helu o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a i ʻole nā platelet i loko o kou koko | Hiki i kēia lāʻau lapaʻau ke hoʻonui i kēia kūlana. |
| Inā he maʻi māmā kou a i ʻole he wai i loko o kou ʻōpū/māmā | Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka hanu ʻana. |
| Inā loaʻa iā ʻoe nā pilikia o ka ʻōpū a i ʻole ka ʻōpū (e.g. ulcers) | Hiki i kēia mau kūlana ke lilo i mea koʻikoʻi. |
| Inā he maʻi ʻoe i kēia lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau/meaʻai ʻē aʻe | He mea nui kēia e pale aku ai i nā hopena allergies koʻikoʻi. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO kēia ka ʻāpana āu e pono ai e makaʻala nui aku.
He mea nui loa ka lawe ʻana i kēia lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka, ma ka nui i kuhikuhi ʻia, a i ka manawa i kuhikuhi ʻia. Inā hele mai kēia lāʻau lapaʻau ma ke ʻano he hopena, e hoʻohana wale i kahi puna ana kūikawā a i ʻole ke kīʻaha. Mai ana me nā puna tī a i ʻole nā punetēpē o ka hale, no ka mea, ʻaʻole hiki iā lākou ke ana i ka nui pololei.
ʻO ka mea nui loa: E ʻike pono i ka pinepine o kou lawe ʻana i kēia lāʻau. Hāʻawi pinepine ʻia kēia lāʻau i hoʻokahi manawa i ka pule, ʻaʻole i kēlā me kēia lā . ʻO ka lawe pinepine ʻana i kēia lāʻau ma mua o ka mea a kāu kauka e ʻōlelo ai hiki ke hana i nā hopena ʻaoʻao koʻikoʻi, a hiki i ka make. No laila e makaʻala loa i kēia.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
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 ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
He lāʻau lapaʻau ʻo Methotrexate hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, no laila he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
- Mai lawe pū me kēia lāʻau lapaʻau ʻo Acitretin .
Eia kekahi, hiki i nā lāʻau lapaʻau e hiki mai ana ke launa pū me ka methotrexate:
- Nā lāʻau hoʻopau ʻeha e like me ka aspirin
- ʻAzathioprine
- ʻO kekahi mau lāʻau antibiotic - e.g. penicillins, tetracycline
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko - e.g. warfarin, apixaban
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka gastritis - e.g. esomeprazole, omeprazole
- Nā lāʻau lapaʻau e kāohi ana i ka pale ʻana - e.g. Cyclosporine
- Nā lāʻau pale ola
- Nā NSAID no ka ʻeha a me ka mumū - e.g. ibuprofen, naproxen
- Nā lāʻau lapaʻau ʻano steroid - e.g. prednisone, cortisone
- Nā lāʻau lapaʻau i loaʻa ka sulfa
- Nā lāʻau lapaʻau anticancer ʻē aʻe
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (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 ai i ka lāʻau lapaʻau
- Nā hoʻāʻo koko maʻamau: E kauoha paha kāu kauka i nā hoʻāʻo koko maʻamau i kou wā e lawe ana i kēia lāʻau. E nānā kēia mau mea no nā hopena i kou mau hunaola koko, akepaʻa, a me nā puʻupaʻa. Mai haʻalele i kēia mau hoʻāʻo.
- E pale i ka waiʻona: E pale loa i ka inu ʻana i ka waiʻona i kēia manawa. Hiki iā ia ke hoʻonui nui i ka hōʻino ʻia o ke akepaʻa.
- E pale iā ʻoe iho mai ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou ʻili i mea maʻalahi loa i ka lā. No laila, inā ʻoe e hele ana i ka lā, e ʻaʻahu i nā lole e uhi ana i kou kino a hoʻohana i kahi sunscreen maikaʻi.
- E makaʻala i ka maloʻo ʻana o ka wai: E haʻi i kāu kauka inā loaʻa iā ʻoe ka maʻi diarrhea nui, ka luaʻi ʻana, a i ʻole ka hou nui ʻana. Hiki i ka nalowale nui o ka wai mai ke kino ke lilo i mea weliweli no kekahi e lawe ana i kēia lāʻau lapaʻau.
- E pale iā ʻoe iho mai nā maʻi: Hoʻemi kēia lāʻau i ka hiki o ke kino ke hakakā i nā maʻi (palekana). No laila, inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, a i ʻole ka ʻeha o ka puʻu , e haʻi koke i kāu kauka . Mai lawe wale i ka lāʻau. E pale i nā wahi i loaʻa ai ka poʻe maʻi.
- E makaʻala i ke kahe ʻana o ke koko: E makaʻala i ka palaki ʻana i kou mau niho a me ka hoʻohana ʻana i nā niho niho. Hiki ke kahe ke koko o kou mau ʻāʻī. Inā loaʻa iā ʻoe kekahi mau palapū ma kou kino, e haʻi i kāu kauka .
- E pale i ka hāpai ʻana (he mea nui loa):
- Nā wāhine: Mai hāpai loa i ka wā e lawe ana i kēia lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Nā Kāne: Inā ʻoe e lawe nei i kēia lāʻau lapaʻau, e pale i ka hānau ʻana i kahi keiki i ka wā e lawe ana i ka lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana.
- Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. No laila, e kamaʻilio me kāu kauka e pili ana i ka kaohi hānau kūpono.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka methotrexate ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Paʻakikī ka hanu ʻana | ʻŪhū maloʻo, paʻakikī ka hanu ʻana. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, nā ʻeha ʻaʻole e ho'ōla. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa a i ʻole nā puʻupaʻa | ʻEha ma ka ʻōpū ʻākau, nalowale ka makemake e ʻai, melemele o nā maka a i ʻole ka ʻili, emi ka mimi i hoʻopuka ʻia, a me ka pehu ʻana o ke kuʻekuʻe wāwae. |
| Ke kahe koko ʻana a i ʻole ka ʻeha ʻana ma ke ʻano maʻamau | ʻEha, kahe koko mai nā ʻāʻī a i ʻole ka ihu me ke kumu ʻole. |
| Nā pehu a i ʻole nā ʻeha ʻili | ʻUlaʻula o ka ʻili, pehu, ʻili o ka ʻili, nā ʻeha i loko o ka waha. |
| E haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. | |
| Nā hopena ʻaoʻao maʻamau | ʻAʻai ʻole/maʻi kahe, nausea, luaʻi, hāʻule ka lauoho, poniuniu, ʻeha waha. |
Leka Lawe-Home
- He lāʻau ikaika ʻo Methotrexate i hoʻohana ʻia no ka mālama ʻana i nā maʻi e like me ka arthritis, psoriasis, a me ke kanesa.
- ʻO ka mea nui loa: E lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka. ʻO ka maʻamau he lāʻau lapaʻau ia i hoʻokahi manawa i ka pule , ʻaʻole i kēlā me kēia lā.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino ʻē aʻe āu e loaʻa nei.
- E hōʻalo loa i ka waiʻona i ka wā e lawe ana i ka lāʻau.
- He mea nui loa: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no kekahi manawa ma hope o ka hoʻōki ʻana. Pili kēia i nā wahine a me nā kāne.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke kuni, ke kahe koko ʻole, a i ʻole ka paʻakikī o ka hanu ʻana, e hoʻomaopopo koke i kāu kauka.
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