Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Methotrexate? Malia paha no ka pilikia o nā hono a i ʻole ke ʻano o ka ʻili. ʻOiai inā makaʻu iki ʻoe i kou lohe ʻana i ka inoa, mai hopohopo. He lāʻau lapaʻau pono loa kēia i hoʻohana ʻia no nā ʻano maʻi he nui, a inā lawe pololei ʻia, he mea pono loa ia. I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka Methotrexate?
I ka ʻōlelo maʻalahi, ʻo Methotrexate kahi lāʻau lapaʻau e mālama nui ana i ʻelua mau pūʻulu maʻi.
1. Nā Kūlana Mumū: Inā loaʻa iā ʻoe kahi maʻi hui ʻeha a mumū e like me ka arthritis a i ʻole kahi maʻi ʻili e like me ka psoriasis, hana kēia lāʻau lapaʻau ma ka hoʻēmi ʻana i ka mumū makemake ʻole ʻia i loko o kou kino, hiki ke hoʻēmi i ka pehu a me ka mumū. Hiki i kēia ke kōkua i ka hoʻēmi ʻana i ka ʻeha a pale i ka hōʻino lōʻihi i kou mau hono a me ka ʻili.
2. Kekahi ʻAno o ke Kanesa: Hoʻohana ʻia kēia lāʻau lapaʻau e mālama i kekahi ʻano o ke kanesa. Maanei, hana ia ma ke kāohi ʻana i ka mahele wikiwiki a me ka ulu ʻana o nā hunaola kanesa.
He mea nui loa e kamaʻilio me kāu kauka e hōʻoia pono i ke kumu o kēia mau kumu ʻelua i kuhikuhi ʻia ai kēia lāʻau lapaʻau iā ʻoe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, pono ʻoe e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau maʻi. Mai hūnā i kēia mau mea, no ka mea, no kou palekana ponoʻī ia.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
- Inā he mea inu mau ʻoe.
- Inā he kūlana kahi i loaʻa ai ka wai i loko o nā māmā a i ʻole ka ʻōpū.
- Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole e hele ana ʻoe i ka hemodialysis.
- Inā he maʻi kou akepaʻa.
- Inā he pilikia koko kou, e like me ka emi ʻana o nā keʻokeʻo koko, nā keʻokeʻo koko ʻulaʻula, a i ʻole nā platelets.
- Inā he maʻi puʻupaʻa kou.
- Inā ʻoe e loaʻa ana i ka radiation therapy.
- Inā loaʻa iā ʻoe kahi maʻi e like me ka ʻōpū ʻōpū a i ʻole ka ulcerative colitis.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka methotrexate a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
Pehea e hoʻohana ai i kēia lāʻau lapaʻau? - He mea nui loa kēia!
He mea nui loa ke ʻano āu e hoʻohana ai i kēia lāʻau lapaʻau, ʻoiai hoʻi ka nui o ka lāʻau a me ka helu o nā lā āu e lawe ai.
ʻŌlelo Aʻo! Hoʻokahi wale nō manawa i ka pule e kuhikuhi ʻia ai kēia lāʻau no nā maʻi e like me ka arthritis a i ʻole psoriasis. Mai lawe i kēlā me kēia lā no kekahi kumu.Hiki i ka inu ʻana i kēlā me kēia lā ke hana i nā hopena koʻikoʻi loa, a hiki i ka hoʻoweliweli i ke ola.
E lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono, me ke aniani wai. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i ʻōlelo ʻia, 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.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Mai hopohopo, e kāhea i kāu kauka no ka ʻōlelo aʻo. Mai poina e lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi.
Nā lāʻau ʻē aʻe e launa pū me ka methotrexate (Nā Hana Lāʻau)
Inā ʻoe e lawe ana i ka methotrexate, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (ʻoiai nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui). Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ia a hana i nā hopena ʻaoʻao weliweli.
| ʻAno lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe ʻia | |
| ʻO Acitretin (kahi lāʻau i hoʻohana ʻia e mālama i nā maʻi ʻili) | ʻO ka lawe ʻana i kēia me ka methotrexate hiki ke hōʻeha nui i ke ake. |
| Nā lāʻau lapaʻau ʻē aʻe e pono e hoʻohana me ke akahele | |
| Nā lāʻau hoʻopau ʻeha (NSAID) | Nā lāʻau lapaʻau e like me Aspirin, Ibuprofen, Naproxen |
| Kekahi mau lāʻau antibiotic | Nā lāʻau lapaʻau e like me Penicillin a me Tetracycline |
| Lāʻau lapaʻau no ka mumū o ka ʻōpū | ʻEsomeprazole, ʻOmeprazole, Pantoprazole |
| Nā lāʻau pale ola | E pale i ka loaʻa ʻana o nā lāʻau pale ola i ka wā e lawe ana i kēia lāʻau. |
*ʻAʻole i piha kēia papa inoa. ʻOi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.*
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E hoʻōki loa i ka inu ʻana i ka waiʻona. ʻO ka hui pū ʻana o ka waiʻona a me ka methotrexate hiki ke hōʻino nui i 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. Inā ʻoe e hele ana i waho, e kau i ka sunscreen a uhi i kou poʻo.
- E makaʻala i nā maʻi. Hoʻemi iki kēia lāʻau i ka pale ʻana o ke kino. No laila, e pale i nā wahi i loaʻa ai ka poʻe maʻi. Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, a i ʻole ka ʻeha o ka puʻu, mai hoʻōla ponoʻī a kamaʻilio me kāu kauka.
- E makaʻala i ke kahe ʻana o ke koko. Hiki i kēia lāʻau lapaʻau ke hoʻonui i ke kahe ʻana o ke koko mai kahi ʻeha liʻiliʻi. E makaʻala i ka palaki ʻana i kou mau niho a me ka ʻai ʻana. E haʻi i kāu kauka inā loaʻa iā ʻoe nā ʻeha a i ʻole ke kahe ʻana o ke koko.
- Inā ʻoe e noʻonoʻo ana e loaʻa nā keiki: He mea nui loa kēia. Inā he wahine ʻoe, e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana. Inā he kāne ʻoe, e pale i ka loaʻa ʻana o kahi keiki i ka wā e lawe ana i kēia 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.
- Nā makuahine hānai waiū: Mai hānai waiū i kāu pēpē i ka wā e lawe ana i ka lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana.
E aʻo kākou e pili ana i nā hopena ʻaoʻao.
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He mea maʻamau kekahi a e nalo i loko o kekahi mau lā. Akā, pono kekahi mau mea e nānā koke ʻia.
| 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. |
| Paʻakikī ka hanu ʻana | ʻŪhū maloʻo, pōkole o ka hanu. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, melemele o nā maka a i ʻole ka ʻili, a me ka mimi ʻeleʻele. |
| Nā hōʻailona o ka hōʻino ʻana o ka puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a me nā wāwae. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻeha ka ʻāʻī, nā ʻeha ʻaʻole e ho'ōla. |
| Ke kahe koko ʻano ʻē | ʻO ka palapū o ka ʻili me ke kumu ʻole, ke kahe ʻana o ke koko e mau ana. |
| Nā mea e hiki ke hana maʻamau, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| Ka luaʻi/ka luaʻi ʻana | ʻŌpū ʻeha, luaʻi. |
| Pohō lauoho | Hiki i kekahi poʻe ke ʻike i ka lahilahi a i ʻole ka nalowale o ka lauoho no ka manawa pōkole. |
| ʻEha waha | ʻUlaʻula, ʻeha, a i ʻole nā ʻeha i loko o ka waha. |
Ke hoʻonui nei kēia lāʻau i ke kaumaha?
He lāʻau lapaʻau ʻo Methotrexate i loko o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo DMARDs (nā lāʻau antirheumatic hoʻololi maʻi). Hiki i kekahi poʻe me ka rheumatoid arthritis ke piʻi iki ke kaumaha ma muli o kēia lāʻau lapaʻau. Eia naʻe, ʻaʻole kēia e hana i nā mea āpau. Eia kekahi, ʻoi aku ka nui o ka poʻe kaumaha ʻole (BMI ma lalo o 18.5) i ka wā e hoʻomaka ai lākou i ka lāʻau lapaʻau.
He ʻano steroid kēia?
ʻAʻole. ʻAʻole kēia he steroid. Hoʻohana ʻia kēia lāʻau lapaʻau e kāohi i ka ʻōnaehana pale me ka ʻole o nā hopena ʻaoʻao o nā steroids (ka piʻi ʻana o ke kaumaha, ka lahilahi o ka ʻili, ke koko kiʻekiʻe a me ke kō).
Leka Lawe-Home
- He lāʻau koʻikoʻi ʻo Methotrexate i hoʻohana ʻia no ka mālama ʻana i ka maʻi ʻaʻai, psoriasis, a me kekahi mau maʻi kanesa.
- No nā maʻi e like me ka rumatika, hāʻawi ʻia kēia i hoʻokahi manawa wale nō i ka pule . He mea weliweli loa ka lawe ʻana i kēlā me kēia lā.
- E hōʻalo loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Pono nā wāhine hāpai, ka poʻe e hoʻāʻo ana e hāpai, a me nā makuahine hānai e pale i ka lawe ʻana i kēia lāʻau lapaʻau. Pono hoʻi nā kāne e makaʻala inā lākou e hāpai ana i kahi keiki.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (ʻū nui, melemele o ka ʻili, kahe koko ʻē), e ʻike koke i kāu kauka.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu. Mai makaʻu.
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