Ua loaʻa anei iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe kahi hoʻoili kino, e like me ka puʻupaʻa a i ʻole ke akepaʻa? Inā pēlā, ua haʻi aku paha kāu kauka iā ʻoe e lawe i kahi lāʻau lapaʻau kūikawā ma hope o ke ʻoki ʻana. ʻO Mycophenolate Mofetil kekahi o nā lāʻau lapaʻau i kuhikuhi pinepine ʻia. He nui paha kāu mau nīnau e pili ana i kēia lāʻau lapaʻau. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana iā ia me ka maʻalahi a me ka maopopo.
He aha ka mea e hana maoli me kēia lāʻau i kapa ʻia ʻo Mycophenolate?
I ka ʻōlelo maʻalahi, he lāʻau kēia e hōʻemi a kāohi paha i ka hana o ka ʻōnaehana pale o kou kino. Kāhea mākou i kēia he 'immunosuppressant'.
E noʻonoʻo i kēia ʻano. Ke loaʻa iā ʻoe kahi hoʻoili kino hou, ʻike nā "koa" o kou kino (ʻo ia hoʻi, nā pūnaewele pale) i ke kino hou ma ke ʻano he "ʻenemi." No laila, hoʻouka lākou i ke kino hou a hoʻāʻo e hōʻole iā ia (hōʻole kino). Hāʻawi nā kauka iā ʻoe i kēia lāʻau lapaʻau e hoʻōki i kēlā "hakakā" a kōkua i ke kino hou e hoʻololi i kou kino. I nā huaʻōlelo ʻē aʻe, he lāʻau lapaʻau koʻikoʻi loa kēia e pale aku i kāu kino hou.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou kūlana olakino piha. Inā pili kekahi o nā kūlana i helu ʻia ma ka papa ma lalo nei iā ʻoe, e hōʻoia e haʻi iā lākou.
| ʻIke e pono ai ʻoe e hoʻomaopopo |
|---|
| Inā ʻoe e hāpai ana , e hoʻāʻo ana e hāpai , a e hānai waiū ana paha. (He mea nui loa kēia) |
| Inā loaʻa iā ʻoe kekahi mau maʻi ʻaleka (i kēia lāʻau lapaʻau, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a pēlā aku). |
| Inā loaʻa iā ʻoe ka maʻi ʻaʻai a i ʻole kahi maʻi koko (e.g. anemia ). |
| Inā loaʻa iā ʻoe kahi maʻi (ʻoi aku ka maʻi viral e like me ka chickenpox a me ka herpes). |
| Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi puʻupaʻa , nā pilikia ʻōpū , a i ʻole ka maʻi pākī . |
| Inā ua loaʻa iā ʻoe kahi lāʻau pale i hala koke nei a i ʻole e hoʻonohonoho ʻia e loaʻa i hoʻokahi i ka wā e hiki mai ana. |
| Inā loaʻa iā ʻoe kahi maʻi genetic kakaikahi i kapa ʻia ʻo Phenylketonuria. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
E like me ka ʻōlelo a ke kauka, he mea nui loa ia e lawe i ka lāʻau lapaʻau i ka manawa kūpono.
- Inā hāʻawi ʻia kēia iā ʻoe ma ke ʻano he hoʻokuʻu, pono ʻoe e lulu maikaʻi i ka ʻōmole ma mua o ka hoʻohana ʻana .
- E hoʻohana wale i ka mea ana kūikawā (mea hoʻokaʻawale lāʻau) i hāʻawi ʻia me ka lāʻau lapaʻau e ana. Mai hoʻohana i nā tīpune o ka hale a i ʻole nā kīʻaha syrup.
- ʻOi aku ka maikaʻi o ka lawe ʻana i kēia lāʻau lapaʻau ma ka ʻōpū ʻole . ʻO ia hoʻi, hoʻokahi hola ma mua a ʻelua paha hola ma hope o ka ʻai ʻana. Inā ʻaʻole ʻōlelo kāu kauka iā ʻoe e lawe me ka meaʻai, e lawe iā ia ma ka ʻōpū ʻole i nā manawa ʻē aʻe a pau.
- E inu i ke aniani wai i ka wā e lawe ai i ka lāʻau.
- ʻO ka mea nui loa: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui ai i ka manawa e hōʻole ai kou kino i ke kino hou.
- Mai hoʻokuʻu i kēia lāʻau lapaʻau e pili i kou ʻili a i ʻole nā maka . Inā hana kēia, e holoi koke me ka wai nui.
Hoʻomaopopo Koʻikoʻi: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, 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?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i ka Mycophenolate ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau lapaʻau lāʻau. 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 mea kūʻai aku ma luna o ke kauka, nā huaora, nā lāʻau lapaʻau lāʻau).
Hiki i kēia lāʻau lapaʻau ke launa pū me kēia mau mea:
- Nā lāʻau pale ola:ʻAʻole hiki iā ʻoe ke loaʻa i kekahi mau lāʻau pale i ka wā e lawe ana i kēia lāʻau.
- Nā lāʻau hoʻomalu hānau: Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka pono o nā lāʻau hoʻomalu hānau.
- Kekahi mau lāʻau antibiotic (e.g. ciprofloxacin, penicillin).
- Nā lāʻau lapaʻau no ka gastritis (e.g. omeprazole, pantoprazole).
- Nā lāʻau hoʻohaʻahaʻa kolesterol (e.g. cholestyramine).
- Nā lāʻau lapaʻau ʻē aʻe e like me Acyclovir, Azathioprine, Cyclosporine.
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea e makaʻala nui ai i ka wā e lawe ana i ka lāʻau lapaʻau
1. Ka hāpai ʻana a me ka kaohi hānau (he mea nui loa!)
ʻO kēia ka ʻōlelo aʻo koʻikoʻi loa e pili ana i kēia lāʻau lapaʻau. Hiki i kēia lāʻau lapaʻau ke hana i nā kīnā hānau koʻikoʻi i loko o ka ʻōpū.
- No nā wāhine:
- Mai hāpai loa i ka wā e lawe ana i kēia lāʻau lapaʻau a no 6 mau pule ma hope o ka hoʻōki ʻana.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, pono ʻoe e lawe i kahi hoʻāʻo hāpai e hōʻoia ʻaʻole ʻoe hāpai.
- I loko o kēia manawa, pono ʻoe e hoʻohana pū i ʻelua mau ʻano hana hoʻomalu hānau hilinaʻi loa . ʻAʻole lawa ka hoʻohana ʻana i nā lāʻau hoʻomalu hānau wale nō. E kamaʻilio me kāu kauka e pili ana i kēia a nīnau i nā ʻano hana maikaʻi loa.
- No nā kāne:
- Inā ʻoe e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e hoʻohana i ka condom i kēlā me kēia manawa āu e moe ai me kahi wahine hiki ke hāpai i kahi keiki.
- ʻOiai ma hope o ka hoʻōki ʻana i ka pila, pono ʻoe e hoʻohana i nā condom ma kēia ʻano no 90 mau lā .
- E pale loa i ka hāʻawi ʻana i ka sperm i kēia manawa.
2. Ka palekana mai nā maʻi
No ka mea, hoʻonāwaliwali kēia lāʻau i kou ʻōnaehana pale, hiki iā ʻoe ke loaʻa maʻalahi i nā maʻi. ʻOiai ke anu a i ʻole ka maʻi palū liʻiliʻi hiki ke lilo i mea koʻikoʻi. No laila:
- Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi, e like me ke kuni, ka ʻeha kino, ka ʻāʻī ʻeha, a i ʻole ke kuni, e kāhea koke aku i kāu kauka.
- E noho mamao loa mai nā wahi piha kanaka e like me ka hiki.
- E holoi pinepine i kou mau lima.
3. Palekana lā
Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou ʻili i mea maʻalahi loa i ka lā. No laila, i ka wā e hele ai i waho i ka lā:
- E ʻaʻahu i nā lole e uhi ana i ka ʻili e like me ka hiki.
- E hoʻohana i kahi sunscreen maikaʻi.
- E ʻaʻahu i ka pāpale.
4. Nā hoʻokolohua lapaʻau
E noi aku kāu kauka iā ʻoe e hana i nā hoʻāʻo koko maʻamau. He mea nui loa kēia mau hoʻāʻo e ʻike ai pehea e hoʻopilikia ai kēia lāʻau i kou kino. No laila, mai poina i nā manawa i hoʻonohonoho ʻia ma ke keʻena lapaʻau.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau.
| Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Nā hōʻailona maʻi e like me ka ʻili ʻulaʻula, ka ʻūlū, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo | Kuni, ʻūlū , a i ʻole nā hōʻailona ʻē aʻe o ka maʻi |
| Ke kahe koko ʻana a i ʻole ka palapū o ka ʻili | Nā ʻōpala ʻeleʻele a koko paha |
| Luhi a luhi paha ma ke ʻano ʻē, poniuniu | Nā loli o ka ʻike |
| Nā mea e haʻi aku ai i kāu kauka inā hoʻomau a hoʻopilikia paha lākou | |
| Ka maʻi kahe a i ʻole ka paʻa ʻana o ka ʻōpū | Ka luaʻi, ka luaʻi |
| Ka nalowale o ka makemake | Pilikia i ka hiamoe ʻana |
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ka Mycophenolate e pale ai i kāu ʻōkana i hoʻoili ʻia a kaohi i kāu ʻōnaehana pale.
- Mai ho'ōki i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Pono nā wāhine a me nā kāne e hahai i nā ʻano kaohi hānau paʻa e pale aku i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi, e like me ke kuni a i ʻole ke anu, e hoʻomaopopo koke i kāu kauka.
- E hoʻohana i ka sunscreen a me nā lole e uhi ai e pale iā ʻoe iho mai ka lā.
- E hāʻawi i kāu kauka i ka wehewehe piha o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a hana i nā hoʻokolohua e pono ai.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi e hoʻohana ʻia ai ʻo Trandolapril (Trandolapril / Mavik)?
He lāʻau lapaʻau ikaika loa kēia (ACE Inhibitor) e kāohi ana i ke 'High Blood Pressure' a kōkua i nā poʻe maʻi i loaʻa i ka hōʻeha puʻuwai/myocardial infarction a ua nāwaliwali/nawaliwali ko lākou puʻuwai e hoʻi hou i ka hana maʻamau! ʻOiai aia ia i loko o ka ʻohana like me Enalapril, he lāʻau lapaʻau ia e noho ana i loko o ke kino no ka manawa lōʻihi a hāʻawi i ka palekana 24-hola.
💬 Pehea e hōʻoluʻolu ai ka lawe ʻana i kēia pila koko (Trandolapril) i ke koko a me ka ʻeha o ka puʻuwai?
ʻO ke kemika weliweli i kapa ʻia ʻo 'Angiotensin II' e hoʻohaiki/hoʻopaʻa i nā kīʻaha koko āpau i loko o ko kākou kino a hoʻokiʻekiʻe i ke kaomi! Hana ʻia kēlā kemika e kahi mīkini i kapa ʻia ʻo 'ACE' (Angiotensin-Converting Enzyme). Ke komo kēia pila i loko o ke kino, ua ālai ʻia/pani ʻia a laka ʻia kēlā mīkini ACE 100%. No ka mea, ʻaʻole i hana hou ʻia kēlā kemika weliweli, ua ākea/hoʻomaha nā kīʻaha koko (Vasodilation), hāʻule koke ke kaomi a emi ke kaumaha ma ka puʻuwai.
💬 He aha nā pōʻino hoʻonāukiuki a make hoʻi (Black Box Warning) o ka lawe ʻana i kēia pila koko (ACE Inhibitor)?
ʻO ka pōʻino nui loa, e like me nā pila koko ʻē aʻe, ua pāpā loa ʻia kēia no nā wahine hāpai (Pregnancy/Fetal toxicity)! Hiki i kēia ke hana i nā puʻupaʻa o ke pēpē e pala a make. ʻO kekahi hopena ʻaoʻao hoʻonāukiuki a maʻamau (ACE) ʻo ia ka 'cough mau loa' me ka ʻole o ka mucus. Eia kekahi, hiki i kekahi poʻe ke loaʻa koke ka pehu o nā lehelehe, ka maka a me ka puʻu a me ka paʻakikī o ka hanu ʻana (Angioedema - ʻoi aku ka nui o ka pilikia o ka poʻe ʻeleʻele).
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