Loaʻa iā ʻoe kekahi ʻeha hui, ʻo ia hoʻi, kahi maʻi e like me ka 'Arthritis'? I kēlā mau manawa, he mea nui ka lāʻau ʻeha, ʻeā? Akā ʻo ka pilikia, ke lawe ʻoe i kekahi mau mea ʻeha, loaʻa iā ʻoe ka mumū o ka ʻōpū a me ka gastritis. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau e hiki ke kōkua i kēlā mau pilikia ʻelua. ʻO kēia lāʻau lapaʻau he hui pū ʻana o nā papa i kapa ʻia ʻo naproxen a me esomeprazole. Ua ʻike paha ʻoe iā ia ma ka inoa inoa ʻo '(Vimovo)'.
He aha kēia lāʻau lapaʻau? I ka pōkole...
He hui pū ʻana kēia o nā ʻano lāʻau ʻelua.
1. ʻO Naproxen ka mea mua. He lāʻau hoʻopau ʻeha kēia mai ka papa "NSAID", ʻo ia hoʻi ka Nonsteroidal Anti-Inflammatory Drug. I ka ʻōlelo maʻalahi, kōkua ia i ka hoʻēmi ʻana i ka ʻeha, ka pehu ʻana, a me ka ʻoʻoleʻa i kou mau hono.
2. ʻO ka lua, ʻo ia ʻo Esomeprazole . He lāʻau lapaʻau kēia i kapa ʻia ʻo "PPI", ʻo ia hoʻi he mea hoʻopale i ka pamu proton. Hana ia ma ka hoʻemi ʻana i ka nui o ka waikawa i hana ʻia e kou ʻōpū.
He aha ka mea e hana ʻia? ʻOi aku ka nui o ka loaʻa ʻana o nā ʻōpū ʻeha i kekahi poʻe i ka wā e lawe ai i nā NSAID e like me Naproxen. Hoʻohui ʻia kēia lāʻau lapaʻau i kapa ʻia ʻo Esomeprazole e hōʻemi i kēlā pilikia. No laila, ua hoʻemi ʻia ka ʻeha, a ua hoʻemi ʻia ka hiki ke hōʻino i ka ʻōpū.
Hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā mea ʻē aʻe. Inā he mau nīnau kāu e pili ana i ia mea, e nīnau i kāu kauka a mea kūʻai lāʻau paha.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
He mea nui loa ia e haʻi aku i kāu kauka a i ʻole ke kauka olakino e pili ana i kēia mau mea ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, ʻaʻole kūpono paha kēia lāʻau lapaʻau iā ʻoe, a i ʻole pono paha ʻoe e mālama pono.
Eia kēlā mau mea:
- Inā he maʻi kahe koko kou.
- Inā ua hana ʻia ʻoe i ke ʻoki puʻuwai, ʻo ia hoʻi ʻo Coronary Artery Bypass Graft (CABG) i loko o nā pule ʻelua i hala.
- Inā he mea inu mau ʻoe.
- Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai ma mua.
- Inā he maʻi puʻuwai kou.
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo 'Heart failure'.
- Inā he koko kiʻekiʻe kou.
- Inā he kiʻekiʻe ka nui o ka potassium i loko o kou koko.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Inā haʻahaʻa kou pae koko ʻulaʻula, ʻo ia hoʻi he maʻi kou i kapa ʻia ʻo anemia.
- Inā he maʻi kou a he maʻi hanu paha.
- Inā ʻoe e hoʻohana ana i nā steroid e like me Dexamethasone a i ʻole Prednisone.
- Inā he kahe koko kou ʻōpū.
- Inā he mau pilikia kou ma ka ʻōpū a i ʻole ka naʻau.
- Inā ʻoe e lawe nei i nā lāʻau lapaʻau e mālama ai a pale aku paha i nā ʻōpū koko.
- Inā he mea hoʻohana paka ʻoe.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka naproxen, esomeprazole, nā NSAID ʻē aʻe (e like me ka ibuprofen), nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea hoʻonaninani artificial, a i ʻole nā mea mālama.
- Inā ʻoe e hoʻāʻo nei e hāpai, a i ʻole ke hāpai nei i kēia manawa.
- Inā he makuahine hānai waiū ʻoe.
Inā pili kekahi o kēia mau mea iā ʻoe, he mea maikaʻi loa ia e haʻi aku i kāu kauka.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha me ke aniani wai. ʻOi aku ka maikaʻi o ka lawe ʻana i ka manawa like i kēlā me kēia lā , e like me ke kuhikuhi ʻana ma ka lepili lāʻau.
He mea nui loa: Mai uhaʻi, kuʻi, a nau paha i kēia papa. E ale holoʻokoʻa i ka papa.
Pono e lawe ʻia kēia lāʻau lapaʻau ma mua o ka ʻai ʻana, ma ka ʻōpū ʻole . E lawe iā ia ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻai ʻana. E hoʻomau i ka lawe ʻana i kēia lāʻau lapaʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e loaʻa pū iā ʻoe kahi pepa kuhikuhi kūikawā (he `MedGuide`). He mea nui e heluhelu pono me kēlā me kēia kauoha, i kēlā me kēia manawa āu e loaʻa ai ka lāʻau lapaʻau.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ma luna o 12 mau makahiki i kekahi mau hihia kūikawā. Akā aia nā hana palekana kūikawā. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, e kamaʻilio me kāu kauka e pili ana i ia mea a e kiʻi i ka ʻōlelo aʻo.
Pehea lā hoʻi nā kānaka ma luna o 65?
Ma keʻano laulā, hiki i ka poʻe ma luna o 65 mau makahiki ke manaʻo i nā hopena o kēia lāʻau lapaʻau i ʻoi aku ka ikaika. No laila, pono paha e hāʻawi ʻia iā lākou i kahi mahele haʻahaʻa.
He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdosage)
Inā lawe ʻoe i ka nui o kēia lāʻau lapaʻau, ʻo ia hoʻi, inā lawe ʻoe i ka overdose, e hele koke i ka keʻena pilikia o ka haukapila kokoke loa, a i ʻole e kelepona i kahi kikowaena kaohi lāʻau make.
Nā mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me nā poʻe ʻē aʻe, ʻoiai inā loaʻa iā lākou ke kūlana like me ʻoe.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. 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 i ʻelua mau lāʻau i ka manawa hoʻokahi.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
I kēia manawa, e nānā kākou, aia kekahi mau lāʻau lapaʻau ʻē aʻe i kūpono ʻole ke lawe pū ʻia me kēia lāʻau lapaʻau. ʻO ia hoʻi, ʻo ka lawe pū ʻana iā lākou he pilikia nui paha ia:
- ʻAtazanavir
- ʻO Cidofovir `(Cidofovir)`
- ʻO Ketorolac
- ʻO Mavacamten `(ʻO Mavacamten)`
- ʻO Nelfinavir
- ʻO Rilpivirine
Eia kekahi, aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke hana i nā hopena ʻaoʻao me kēia lāʻau lapaʻau a i ʻole e hoʻopilikia i kāna hana . Inā ʻoe e lawe ana i kekahi o kēia mau mea, pono ʻoe e haʻi i kāu kauka:
- ʻAila
- ʻAspirin a me nā lāʻau lapaʻau e like me ka aspirin
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole ka hepatitis
- ʻO kekahi mau lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko a mālama paha i nā kāpili koko, no ka laʻana: Warfarin, Clopidogrel, Enoxaparin, Dalteparin, Apixaban, Dabigatran, Rivaroxaban
- ʻO kekahi mau lāʻau lapaʻau no nā mea e like me ke koko, ka maʻi puʻuwai, a me nā puʻuwai puʻuwai kūpono ʻole
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi fungal, e like me ketoconazole, itraconazole, posaconazole, a me voriconazole
- ʻO Cilostazol `(Cilostazol)`
- ʻO Cyclosporine
- Diazepam `(Diazepam)`
- ʻO Digoxin
- Nā Diuretics (nā lāʻau lapaʻau e hoʻonui ai i ka mimi)
- ʻErlotinib
- Nā paʻakai hao (e like me nā ʻāpana hao)
- Litiuma
- ʻO Methotrexate
- ʻO ka mikofenolate
- ʻO nā ʻano ʻē aʻe o nā "NSAID", ʻo ia hoʻi, nā lāʻau lapaʻau no ka ʻeha a me ka mumū, e like me "Ibuprofen".
- ʻO Pemetrexed
- ʻO Rifampin
- ʻO nā SNRI, i hoʻohana ʻia e mālama i nā kūlana e like me ke kaumaha, e.g. Desvenlafaxine, Duloxetine, Levomilnacipran, Venlafaxine
- ʻO nā SSRI (nā mea hoʻopale serotonin reuptake koho) no ke kaumaha, e.g. Citalopram, Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, Sertraline
- ʻO St. John's Wort (kahi lāʻau lapaʻau i hoʻohana ʻia e kekahi)
- Nā lāʻau steroid, e like me prednisone a i ʻole cortisone
- ʻO Takrolimus
ʻAʻole paha i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (kauoha, kūʻai ʻole ʻia, lāʻau lapaʻau, huaora, a i ʻole nā mea hoʻohui meaʻai), a me ka hoʻohana ʻana i ka paka, inu waiʻona, a lawe paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai . Hiki i kekahi o kēia mau mea ke launa pū me kēia lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
E ʻike pinepine i kāu kauka e ʻike inā e hoʻomaikaʻi a i ʻole e ʻino ana kāu mau hōʻailona.Inā ʻaʻole e hoʻomaikaʻi kou maʻi, a i ʻole e ʻoi aku ka ʻino, e haʻi i kāu kauka .
Mai lawe i nā lāʻau lapaʻau ʻē aʻe i loaʻa ka aspirin, ibuprofen, a i ʻole naproxen i ka wā e lawe ana i kēia lāʻau. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao e like me ka ʻeha o ka ʻōpū, ka nausea, a me nā ʻōpū ʻōpū. Nui nā lāʻau lapaʻau i kūʻai ʻia ma ke kūʻai aku e loaʻa paha kēia mau mea. No laila e heluhelu pono i ka lepili.
ʻO kekahi mea ʻē aʻe, hiki i kēia lāʻau lapaʻau ke hoʻoulu i nā ʻōpū ʻeha a me ke kahe koko ʻana o ka ʻōpū. E hoʻomanaʻo, i kekahi manawa hiki ke hana koke ʻia kēia, me ka ʻole o nā hōʻailona a ʻeha paha i ka wā mua. No laila pono ʻoe e makaʻala loa. Kiʻekiʻe loa kēia pilikia inā he mea puhi paka ʻoe, he mea inu wai, he kanaka ʻelemakule, a i ʻole kekahi mea maʻi maʻamau. Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū, luaʻi koko, a manaʻo paha e kahe ana ke koko i loko o kou ʻōpala, pono ʻoe e kāhea koke i kāu kauka.
ʻAʻole kēia lāʻau lapaʻau e pale i ka hōʻeha puʻuwai a i ʻole ka hahau. ʻOiaʻiʻo, hiki i kēia lāʻau lapaʻau ke hoʻonui iki i kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau. Hoʻonui kēia pilikia i ka lōʻihi o kou hoʻohana ʻana i kēia lāʻau lapaʻau, a i ʻole inā loaʻa iā ʻoe ka maʻi puʻuwai. Inā ʻoe e lawe ana i ka aspirin e pale i ka hōʻeha puʻuwai a i ʻole ka hahau, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kēia lāʻau lapaʻau.
Hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻili koʻikoʻi i kekahi manawa ('Nā hopena ʻili koʻikoʻi'). Hiki ke hana ʻia kēia mau mea i nā pule a i ʻole nā mahina ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau. Inā loaʻa iā ʻoe kahi ʻili ʻili me nā hōʻailona e like me ke kuni a me nā ʻeha kino, e ʻike koke i kāu kauka. Hiki i ka ʻili ke lilo i ʻulaʻula a poni paha, a laila pehu a ʻili. A i ʻole he ʻulaʻula paha kou ma kou maka a i ʻole nā lehelehe, a i ʻole nā kikowaena lymph pehu ma kou ʻāʻī a i ʻole nā armpits.
Inā ʻoe e hoʻolālā ana e hāpai, a i ʻole manaʻo paha ʻoe e hāpai ana, e kamaʻilio me kāu kauka. ʻO ka lawe ʻana i kēia lāʻau lapaʻau i ka hopena o ka hāpai ʻana hiki ke hana i nā kīnā hānau koʻikoʻi i kāu pēpē . Inā pono ʻoe e lawe i kēia lāʻau lapaʻau ma waena o 20 a me 30 mau pule o ka hāpai ʻana, e nānā pono kāu kauka iā ʻoe. ʻAʻole ʻōlelo ʻia ka lawe ʻana i kēia lāʻau lapaʻau ma hope o 30 mau pule o ka hāpai ʻana.
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou kaulike, ka manawa pane, a me ka hiki ke hoʻoholo i ka pololei a me ka hewa . No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. No ka hōʻemi ʻana i ka poniuniu a me ka māʻule ʻana, e ala mālie mai kahi noho a i ʻole mai kahi moe. ʻO ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau e hoʻonui paha i kēia mau hopena ʻaoʻao.
E makaʻala i ka palaki ʻana i kou mau niho, ka flossing, a i ʻole ka hoʻohana ʻana i nā toothpick. Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ke kahe ʻana o ke koko a me nā maʻi. Inā ʻoe e hana ana i kekahi hana niho, e haʻi i kāu kauka niho e lawe ana ʻoe i kēia lāʻau lapaʻau.
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hānau keiki ʻana i kekahi poʻe. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
Aia kekahi mau hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka a i ʻole ka hui mālama ola inā loaʻa lākou. ʻO kēia mau mea:
- Nā hopena maʻi - ka ʻulaʻula o ka ʻili, ka maneʻo, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu.
- Ke kahe koko ʻana - Koko i loko o ka noho, nā noho ʻeleʻele ʻālohilohi, luaʻi ʻeleʻele a koko paha, mimi ʻulaʻula/ʻeleʻele ʻeleʻele, nā kiko ʻulaʻula/poni liʻiliʻi ma ka ʻili, ka palapū, a i ʻole ke kahe koko ʻano ʻē.
- Hoʻouka puʻuwai - ʻeha a ʻeha paha ma ka umauma, nā poʻohiwi, nā lima, a i ʻole ka ʻauwae, ka luaʻi, ka paʻakikī o ka hanu ʻana, ka hou anu, ka nāwaliwali, a me ka manaʻo poniuniu.
- Ka hāʻule ʻana o ka puʻuwai - Ka pōkole o ka hanu, ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima, ka piʻi koke ʻana o ke kaumaha, a me ka manaʻo luhi a nāwaliwali paha.
- Hoʻonui ʻia ke koko.
- ʻEha o ka puʻupaʻa - hoʻemi ʻia ka nui o ka mimi, pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae.
- ʻEha o ke akepaʻa - ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale o ka makemake, nausea, ʻōpala māmā, mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, luhi a nāwaliwali paha.
- Ka pae magnesium haʻahaʻa - ʻeha a ʻāʻī paha o nā ʻiʻo, nāwaliwali a luhi paha, puʻuwai wikiwiki a ʻano ʻole paha, haʻalulu.
- Ka pae haʻahaʻa o ka wikamina B12 - ʻEha, mae wale, a nalowale paha ka ʻike ma nā lima a i ʻole nā wāwae, nāwaliwali o nā ʻiʻo, poniuniu, paʻakikī i ka noʻonoʻo ʻana, huikau.
- Ka ʻulaʻula o ka ʻili, ke kuni, a me nā ʻōpuʻu lymph pehu.
- He ʻulaʻula e kū mai ana ma nā papālina a i ʻole nā lima a ʻoi aku ka ʻino ke kau ʻia i ka lā.
- ʻUlaʻula, pehu, ʻili, a ʻili paha o ka ʻili (hiki ke hana i loko o ka waha).
- Ka maʻi pākī nui, ke kuni.
- Hahau ʻana - Ka mae koke ʻana a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka huikau, ka paʻakikī i ka hele ʻana, ka nalowale o ke kaulike, ka poniuniu, ka ʻeha poʻo nui, nā loli i ka ʻike.
Nā hopena ʻaoʻao ʻaʻole pono e haʻi ʻia i ke kauka, akā pono e haʻi ʻia inā hoʻomau a hoʻopilikia paha lākou:
- Ka maʻi pākī
- ʻEha poʻo
- Ka nalowale o ka makemake
- Ka luaʻi
- ʻŌpū ʻeha
- Ka luaʻi ʻana
ʻAʻole hiki ke loaʻa nā hopena ʻaoʻao āpau ma kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē, e kamaʻilio me kāu kauka. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA ma 1-800-FDA-1088.
Pehea e mālama ai i kēia lāʻau lapaʻau?
E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku.
E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 degere Celsius, ma waena o 59 a me 86 degere Fahrenheit) kahi mamao aku mai ka makū. E pani pono i ka ʻōmole. Mai hoʻohana i nā lāʻau lapaʻau i hala i ko lākou "lā pau"; e hoʻolei aku iā lākou.
I ka wā e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a pau ka lāʻau:
- E lawe iā lākou i kahi i loaʻa kahi "papahana lawe-hoʻihoʻi lāʻau lapaʻau." Hiki iā ʻoe ke nīnau i kāu hale kūʻai lāʻau lapaʻau a i ʻole nā mākaʻi e pili ana i ia mau wahi.
- Inā ʻaʻohe ala e hoʻihoʻi ai, e nānā i ka lepili lāʻau a i ʻole ka ʻeke e ʻike ai inā pono e hoʻolei ʻia ka lāʻau i loko o ka ʻōpala a hoʻolei ʻia paha i loko o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka a kauka lāʻau paha.
- Inā hiki iā ʻoe ke hoʻolei i loko o ka ʻōpala, e lawe i ka lāʻau lapaʻau mai loko mai o ka ʻōmole, e kāwili me kahi mea e like me ka ʻōpala pōpoki, ka lepo, a i ʻole ka lepo kope, e hoʻokomo i ka hui ʻana i loko o kahi ʻeke a i ʻole kahi pahu, e sila iā ia, a hoʻolei i loko o ka ʻōpala.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
No laila, ʻo kēia nā mea nui loa e pono ai ʻoe e ʻike e pili ana i ka lāʻau lapaʻau ʻo Naproxen lāua ʻo Esomeprazole. E hoʻomanaʻo, he hōʻuluʻulu manaʻo wale nō kēia. Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino no ka ʻike hou aku. Mai hoʻomaka, hoʻōki, a hoʻololi paha i ka nui o ka lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka. He mea nui loa kou olakino iā ʻoe!
ʻNaproxen , Esomeprazole, ʻArthritis, Nā lāʻau hoʻopau ʻeha, Gastritis, ʻŌpū ʻōpū, Nā hopena ʻaoʻao
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