ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ka pila i hoʻohana ʻia e hoʻopau i ka hāpai ʻana (Mifepristone)

Maopopo iaʻu ke kaumaha, ke kānalua, a me ka mehameha paha āu e manaʻo nei i ke kūkākūkā ʻana i kahi kumuhana koʻikoʻi. ʻO ia ke kumu i manaʻo ai au e wehewehe pono i kēia lāʻau i kapa ʻia ʻo Mifepristone, me ka maopopo, me he mea lā ʻo ʻoe iho e ʻōlelo ana. He hoʻoholo koʻikoʻi loa kēia, no laila ʻo ka ʻike ʻana i nā mea āpau e pili ana i ia mea he ikaika nui ia nou.

I ka pōkole, he aha ka Mifepristone?

He lāʻau lapaʻau ʻo Mifepristone i hoʻohana ʻia e hoʻopau i ka hāpai mua ʻana. E nānā kākou pehea e hana ai. Loaʻa i ko mākou kino kahi hormone i kapa ʻia ʻo progesterone he mea nui ia no ka mālama ʻana i ka hāpai ʻana. ʻO ka hana a kēia pila Mifepristone, ʻo ia ka hōʻemi ʻana i ka hana o kēlā hormone. A laila ʻaʻole hiki ke hoʻomau ka hāpai ʻana.

Hāʻawi pinepine ʻia kēia me kekahi lāʻau ʻē aʻe, no laila he mea nui e kūkākūkā i kāu mau nīnau e pili ana i kēia me kāu kauka.

Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau

ʻO kou palekana ka mea mua. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi i kāu kauka me ka hūnā ʻole i kekahi mea .

• Ka maʻi kahe koko: Inā he pilikia kou i ke kahe koko a i ʻole kekahi maʻi kahe koko ʻē aʻe.
• Paʻakikī i ka loaʻa ʻana o ke kōkua lapaʻau ulia pōpilikia: Inā loaʻa iā ʻoe kahi ulia pōpilikia i loko o ʻelua pule o ka lawe ʻana i kēia lāʻau lapaʻau, e hele koke i ka haukapila (ETU) inā ʻaʻohe hale.
• Ka paʻakikī e hoʻi no kahi nānā olakino: Inā ʻaʻole hiki iā ʻoe ke hoʻi e ʻike i ke kauka i loko o hoʻokahi a ʻelua paha pule ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
• ʻO ka hāpai ʻana o ka ʻōpū hānau keiki (ectopic) a i ʻole ka hāpai ʻana o ka ʻōpū hānau keiki (tubal): Inā he kānalua ua hāpai ʻia ma waho o ka ʻōpū, e like me nā ʻōpū hānau keiki (fallopian tubes). He kūlana weliweli loa kēia.
• Inā he mea hana intrauterine kāu (IUD): Inā he mea hana intrauterine kāu (IUD) i hoʻokomo ʻia i loko o kou ʻōpū, pono e wehe ʻia ma mua o ka lawe ʻana i kēia lāʻau lapaʻau.
• Hāpai keiki: Inā ua hala ma mua o 70 mau lā (10 mau pule) mai ka hoʻomaka ʻana o kou menstruation hope loa.
• Hana haʻahaʻa o ke kelepa adrenal.
• Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo porphyria.
• Inā ʻoe e lawe nei i ka lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko: No ka laʻana, nā lāʻau lapaʻau e like me Warfarin lāua ʻo Apixaban.
• Inā ʻoe e lawe ana i nā steroids: Inā ʻoe e hoʻohana ana i nā lāʻau lapaʻau e like me Prednisone lāua ʻo Dexamethasone.
• Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i ka Mifepristone, Misoprostol a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
• Inā he makuahine ʻoe e hānai waiū ana.

Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?

He pila kēia lāʻau lapaʻau āu e lawe ai ma ka waha. E hahai pono i nā kuhikuhi a kāu kauka. He lāʻau lapaʻau hui pū kēia. No laila, e loaʻa iā ʻoe kahi pepa kuhikuhi kūikawā (MedGuide) e pili ana i kēia. He mea nui loa ia e heluhelu a hoʻomaopopo pono.

Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi no kekahi kumu.

He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?

Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Emergency Unit (ETU) o ka haukapila. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .

He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?

Hiki i kekahi mau lāʻau lapaʻau a me nā meaʻai ke launa pū me Mifepristone. No laila, inā ʻoe e hoʻohana nei i kēia mau mea, e haʻi aku i kāu kauka e pili ana iā lākou.

Mai lawe i ka Mifepristone me:

• ʻO kekahi mau lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e.g. enoxaparin, dalteparin, apixaban, dabigatran, rivaroxaban)
• Nā lāʻau steroid i lawe mau ʻia (e like me dexamethasone, prednisone, cortisone)

Hiki nō hoʻi ke kū mai nā pilikia me kēia mau mea:

• ʻO kekahi mau lāʻau antibiotic - e like me clarithromycin, erythromycin
• ʻO kekahi mau lāʻau lapaʻau no ka maʻi HIV a i ʻole ka Hepatitis
• Nā lāʻau lapaʻau no nā maʻi fungal - e.g. ketoconazole, itraconazole
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hopu ʻana - e.g. carbamazepine, phenytoin
• Wai ʻāpala
• ʻO Rifampin (he lāʻau lapaʻau no ka maʻi puʻupuʻu)
• ʻO ka wort ʻo St. John (kahi lāʻau lapaʻau a kekahi poʻe e lawe ai no ke olakino noʻonoʻo)

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 a me nā mea hoʻohui lāʻau lapaʻau) , inā ʻoe e puhipaka, a inā ʻoe e inu waiʻona.

Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau

He ʻāpana koʻikoʻi loa kēia.

1. Nānā kino: No kou palekana, pono ʻoe e hele i ka manawa o ke kauka i ka lā ma hope o ka lawe ʻana i ka lāʻau. Mai hōʻalo i kēia.

2. Nā hopena ʻē: Inā loaʻa iā ʻoe kekahi mea ʻē, e hoʻomaopopo koke i kāu kauka.

3. Inā hāʻule ke kaʻina hana: Inā ʻaʻole e hoʻopau loa kēia lāʻau lapaʻau i ka hāpai ʻana, hiki iā ia ke hana i nā kīnā hānau i loko o ka pēpē. I ia mau hihia, pono paha ke ʻoki ʻana e hoʻomaʻemaʻe i ka ʻōpū.

4. Ke kahe koko ʻana:He mea maʻamau ke kahe ʻana o ke koko ma hope o ka lawe ʻana i kēia lāʻau lapaʻau. Eia nō naʻe, inā kaumaha, he hōʻailona ia e makaʻala ai.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He mea maʻamau kekahi, aʻo nā mea ʻē aʻe e pono ai ka nānā koke ʻia.

ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e kamaʻilio me kāu kauka.