Ke manaʻo nei ʻoe i kekahi manawa ua paʻa kou ʻōpū a ua paʻakikī ke ale ʻana ma hope o ka lawe ʻana i nā mea hoʻomaha ʻeha ikaika? He mea kēia e hana ʻia i nā poʻe he nui. No laila, i nā manawa e like me kēia, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau kūikawā e kāohi i kēia paʻa ʻōpū. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi o ia mau lāʻau lapaʻau, ʻo ia hoʻi ʻo Naloxegol.
He aha ke ʻano lāʻau lapaʻau ʻo Naloxegol?
I ka ʻōlelo maʻalahi, ʻo Naloxegol kahi lāʻau lapaʻau e kōkua ai i ka mālama ʻana i ka paʻa ʻana e kū mai ana ke lawe ʻoe i kekahi mau ʻeha painkiller ikaika, ʻoi aku hoʻi nā ʻeha painkiller opioid .
E noʻonoʻo e pili ana i ia mea, ʻaʻole wale kēia mau lāʻau hoʻomaha ʻeha opioid e hōʻemi i kou ʻeha, akā hoʻemi iki lākou i ka hana o kou ʻōpū. ʻO ia hoʻi, ʻoi aku ka lohi o nā ʻiʻo i loko o kou ʻōpū a hoʻokuke i ka ʻōpala i mua. ʻO Naloxegol ka mea a ka lāʻau e hana ai e hoʻoponopono i kēia. He lāʻau ia no ka papa o nā lāʻau i kapa ʻia ʻo Opioid Blockers. Akā ʻo ka mea kūikawā o kēia, ʻo ia ka hana nui ʻana i loko o kou ʻōpū. No laila, me ka ʻole o ka nui o ke keakea i ka hopena o ka lāʻau āu e hāʻawi nei i kou ʻeha, hele wale ia i nā ʻōpū a wehe i ka hopena o kēlā lāʻau hoʻomaha ʻeha, e kōkua ana i nā ʻiʻo i loko o nā ʻōpū e hana pono hou. A laila e maʻalahi ka hele ʻana i ka ʻōpala.
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 hāʻawi i kāu kauka i kahi kiʻi piha o kou olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei.
- Inā he maʻi kanesa kou a he puʻupuʻu paha i loko o kou ʻōpū, nā ʻōpū, a i ʻole nā ʻōpū.
- Inā loaʻa iā ʻoe kahi maʻi e like me Diverticulitis .
- Inā ua loaʻa iā ʻoe kahi ʻōpū paʻa ma mua.
- Inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi ʻōpū mumū ( e.g. maʻi Crohn, ulcerative colitis).
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā ua hana ʻia ʻoe i ke ʻoki kino ma kou ʻōpū a i ʻole nā mea ʻōpū.
- Inā ʻoe e lawe nei i kahi lāʻau lapaʻau maʻi kanesa e like me bevacizumab .
- Inā he maʻi ʻaleka kou iā Naloxegol a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ai.
Pehea e pono ai iaʻu e hoʻohana pono i ka lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kāu lāʻau lapaʻau, he mea nui e hoʻohana pono.
1. Manawa: Pono e lawe ʻia kēia pila i hoʻokahi wale nō manawa i ka lā. Pēlā nō hoʻi i ka wā ʻōpū ʻole.ʻO ia hoʻi, pono ʻoe e inu ia mea ma ka liʻiliʻi he hola ma mua o ka ʻai ʻana i ka ʻaina kakahiaka, a i ʻole ma ka liʻiliʻi he ʻelua hola ma hope o ka ʻai ʻana.
2. Pehea e lawe ai: E ale i ka papa me ke aniani wai. Mai uhaʻi, kuʻi, a nau paha i ka papa. Eia nō naʻe, inā pilikia ʻoe i ka ale ʻana i ka papa, hiki iā ʻoe ke kuʻi a lahilahi a hoʻoheheʻe iā ia i loko o 4 auneke (ma kahi o 120 ml) o ka wai, a inu koke. E nīnau i kāu kauka e pili ana i kēia.
3. Nā Laxatives ʻē aʻe: Mai hoʻohana i nā laxatives ʻē aʻe i ka wā e lawe ana i kēia lāʻau lapaʻau ke ʻole kāu kauka e haʻi iā ʻoe. Inā ʻaʻole ʻoe e ʻoluʻolu ma hope o ka lawe ʻana i kēia lāʻau lapaʻau no 3 mau lā, e haʻi i kāu kauka. Hiki iā ia ke kuhikuhi i kahi laxative ʻokoʻa.
4. He mea nui loa: Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau ʻeha opioid, pono ʻoe e hoʻōki i ka lawe ʻana iā Naloxegol . Hāʻawi wale ʻia kēia lāʻau no ka paʻa ʻana o ka ʻōpū i hoʻokumu ʻia e ka opioid. Ke hoʻōki ʻoe i ka opioid, ʻaʻole ʻoe e pono hou i kēia lāʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hopohopo a kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
He lāʻau lapaʻau ʻo Naloxegol e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| ʻAno lāʻau lapaʻau/mea hana | Wehewehena |
|---|---|
| Mai hoʻohana pū me kēia mau mea iā Naloxegol | |
| Lāʻau hoʻōla fungal | Nā lāʻau lapaʻau e like me Ketoconazole a me Itraconazole |
| Nā lāʻau lapaʻau | Nā lāʻau lapaʻau e like me Clarithromycin a me Telithromycin |
| Nā lāʻau lapaʻau no ka maʻi HIV/AIDS | ʻO kekahi mau lāʻau antiviral |
| E hōʻoia e haʻi i kāu kauka inā ʻoe e hoʻohana nei i kēia mau mea. | |
| Wai ʻāpala | Hiki i nā hua waina a i ʻole ka wai hua waina ke launa pū me kēia lāʻau lapaʻau. |
| Nā lāʻau lapaʻau ʻē aʻe | Nā mea e like me Diltiazem, Verapamil (no ka maʻi puʻuwai/ke koko kiʻekiʻe), Carbamazepine (no ka maʻi epilepsy), Rifampin (no ka maʻi puʻupuʻu), St. John's Wort (no ke olakino noʻonoʻo). |
| Nā mea pale Opioid ʻē aʻe | Nā lāʻau lapaʻau e like me Naloxone a me Naltrexone |
ʻAʻole i piha kēia papa inoa. Mai poina e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, mea kanu, a i ʻole ka wikamina āu e lawe ai.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Naloxegol ke hana i nā hopena ʻaoʻao i kekahi poʻe.
| Ka hopena ʻaoʻao | He aha e hana ai |
|---|---|
| Inā loaʻa kekahi o kēia mau mea, e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a e ʻike i ke kauka a i ʻole e hele koke i ka lumi pilikia. | |
| ʻEha nui, mau, a i ʻole ka ʻeha o ka ʻōpū. | Hiki i kēia ke lilo i hōʻailona koʻikoʻi o ka hōʻino ʻana i ka paia o ka ʻōpū (perforation). |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo a i ʻole ka maka, paʻakikī ke hanu. |
| Inā hoʻomau kēia mau mea a lilo paha i mea hoʻopilikia, e haʻi i kāu kauka. | |
| ʻEha ʻōpū, nausea, luaʻi | Hiki ke emi iho kēia mau mea i ka wā e hoʻomaʻamaʻa ai ke kino i ka lāʻau lapaʻau. |
| Ka maʻi pākī | He hopena ʻaoʻao maʻamau kēia. |
| Kinoea, ʻeha poʻo | ʻAʻole koʻikoʻi kēia mau mea maʻamau. |
| Nā hōʻailona o ka haʻalele ʻana o ka opioid | Ka hou ʻana, ke anu, ka maʻi kahe, ka ʻeha o ka ʻōpū, ka hoʻomaha ʻole, a me ka nāwaliwali. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi i kāu kauka. |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Naloxegol i hāʻawi wale ʻia no ka paʻa ʻana i hoʻokumu ʻia e nā lāʻau ʻeha opioid .
- E lawe mau i kēia lāʻau lapaʻau ma ka ʻōpū ʻole , hoʻokahi hola ma mua a ʻelua paha hola ma hope o ka ʻai ʻana.
- ʻO ka mea nui loa: Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau ʻeha, e hoʻōki pū i ka lawe ʻana iā Naloxegol.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū i ka wā e lawe ana i ka lāʻau lapaʻau, he pilikia paha ia. E hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau a hele i ka ʻOihana Pilikia o ka haukapila (ETU).
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā mea kanu āu e hoʻohana nei.
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