Malia paha ua loaʻa iā ʻoe kahi hoʻoili kino i hala koke aku nei, e like me ke puʻupaʻa a i ʻole ke akepaʻa. A i ʻole ua loaʻa paha iā ʻoe ka rheumatoid arthritis, kahi maʻi e hoʻoulu ai i ka mumū o nā hono, a i ʻole psoriasis, kahi maʻi ʻili. I kēlā hihia, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Cyclosporine. Pono mākou e makaʻala loa i ka hoʻohana ʻana i kēia lāʻau. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea nui e pono ai ʻoe e ʻike e pili ana i kēia lāʻau.
He aha ke ʻano o ka lāʻau lapaʻau ʻo Cyclosporine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Cyclosporine e hōʻemi a kāohi paha i ka hana o ka ʻōnaehana pale o ko mākou kino. Loaʻa pinepine kēia lāʻau lapaʻau ma lalo o nā inoa inoa ʻo Gengraf lāua ʻo Neoral.
E noʻonoʻo, ke loaʻa iā ʻoe kahi hoʻoili kino hou, ʻike ka ʻōnaehana pale o kou kino he "haole" a hoʻomaka e hoʻouka iā ia. ʻO kēia ka mea a mākou e kapa nei he hōʻole kino. No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ka hoʻolohi iki ʻana i kēlā ʻōnaehana pale a ʻae i ka kino hou e noho maikaʻi.
Pēlā nō, i nā maʻi e like me ka rheumatoid arthritis a me ka psoriasis, hoʻouka kā mākou ʻōnaehana pale i nā hunaola olakino o ko mākou kino. Kāohi pū kēia lāʻau i kēlā hana nui.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
- Inā loaʻa iā ʻoe ka maʻi kanesa i kēia manawa a i ʻole ua loaʻa iā ʻoe ma mua.
- Inā he koko kiʻekiʻe kou.
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā he maʻi i loaʻa.
- Inā ua loaʻa iā ʻoe ma mua ke kēpau lanahu, PUVA, kukui ultraviolet, a i ʻole ka radiation therapy.
- Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē .
- Inā he makuahine ʻoe e hānai waiū ana .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka Cyclosporine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, ka meaʻai (ʻoi aku ka ʻaila kulina i loko o Neoral), a i ʻole ka waihoʻoluʻu.
He mea nui loa ke kamaʻilio ākea e pili ana i kēia mau mea a pau me kāu kauka no kou palekana.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, pono ʻoe e hoʻohana pono.
- E ale loa i ke capsule me kahi aniani piha o ka wai.
- He mea nui loa: Mai lawe i kēia lāʻau lapaʻau me ka wai pomelo no kekahi kumu. Hiki i ka wai pomelo ke hoʻololi i ke ʻano o ka komo ʻana o ka lāʻau lapaʻau e ke kino, hiki ke hana i nā hopena ʻino.
- Mai nau, uhaʻi, a wili paha i ke capsule.
- E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Inā ʻoe e lawe iā ia i ka hola 8 am, e lawe iā ia i ka hola 8 am i kēlā me kēia lā.
- E lawe i kāu lāʻau lapaʻau e like me kāu lawe ʻana i kāu meaʻai. ʻO ia hoʻi, inā ʻoe e lawe i kāu lāʻau lapaʻau ma mua o ka ʻai ʻana, e lawe ma mua o ka ʻai ʻana i kēlā me kēia lā. Inā ʻoe e lawe ma hope o ka ʻai ʻana, e lawe ma hope o ka ʻai ʻana i kēlā me kēia lā. E mālama i kēia ʻano.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Mai hoʻololi i ka lama o ka lāʻau lapaʻau i kuhikuhi ʻia iā ʻoe me ka ʻole o ka ʻae ʻia e kāu kauka (no ka laʻana, ke hoʻololi ʻana mai Neoral a i Gengraf).
No nā keiki a me nā poʻe ma luna o 65
I ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki ʻōpio a me nā poʻe ma luna o 65 mau makahiki, akahele loa ke kauka e pili ana i ka nui, no ka mea, ʻokoʻa paha ke ʻano o ka hana ʻana o ka lāʻau lapaʻau i loko o ko lākou kino.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele a inu nui?
Inā ʻoe e poina i kahi lāʻau
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa maʻamau. Mai lawe i kahi lāʻau lapaʻau pālua e hoʻopiha ai i kahi lāʻau lapaʻau i poina. Inā ʻoe e poina pinepine i kahi lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea.
Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hoʻokaʻulua. E kāhea koke aku i ke Kikowaena ʻIke ʻAi 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 e hoʻomanaʻo ai i ka wā e lawe ana i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau maʻamau: E hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia e like me ke kuhikuhi ʻana a kāu kauka. He mea nui e hana i nā hoʻokolohua koko i ka manawa kūpono e nānā i nā mea e like me kou koko a me ka hana o nā puʻupaʻa.
- Ka palekana mai nā maʻi: Hoʻohaʻahaʻa kēia lāʻau i kou palekana, no laila ʻoi aku ka nui o kou maʻi ʻana, ʻoiai nā maʻi. No laila, e makaʻala loa i ka wā e hele ai i nā wahi lehulehu a i ka wā e launa pū ai me ka poʻe maʻi. Inā loaʻa iā ʻoe ke kuni, ka ʻū, ke anu, a i ʻole ka ʻāʻī ʻeha, mai hoʻōla ponoʻī a kāhea koke i kāu kauka.
- Ka hiamoe a me ka poniuniu:Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a me ka poniuniu. No laila, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ke makaʻala a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. ʻOi loa aku inā he ʻelemakule ʻoe, e makaʻala i ke kū koke ʻana a i ʻole ke ala ʻana mai kahi moe.
- Palekana i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou ʻili i mea maʻalahi loa i ka lā (photosensitive). No laila e pale iā ʻoe iho mai ka lā ikaika e like me ka hiki. Inā ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi pono i kou ʻili, a e hoʻohana i kahi sunscreen maikaʻi.
- Nā pilikia ʻāʻī: Hiki i kekahi poʻe ke loaʻa ke kahe koko a palupalu paha nā ʻāʻī ma muli o kēia lāʻau lapaʻau. No laila e mālama pono i kou mau niho a me ka hoʻomaʻemaʻe waha. E makaʻala i ka palaki ʻana a me ka flossing ʻana i kou mau niho. E ʻike pinepine i ke kauka niho e nānā i kou mau ʻāʻī.
- ʻAila: E pale i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
Nā hopena ʻaoʻao e hiki mai ana ma muli o kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Cyclosporine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, a he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka a i ʻole ETU | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Hoʻonui ʻia ke koko | Hiki ke ʻike ʻia i ka wā o ka hoʻokolokolo ʻana e ke kauka. |
| Nā pilikia puʻupaʻa | Hoʻonui a emi paha ke alapine (frequency) o ka mimi ʻana, loli i ka nui o ka mimi i hoʻopuka ʻia. |
| Nā pilikia o ka ʻōnaehana nerve | ʻO ka maneʻo o nā lālā, nā ʻūlū , nā loli o ka ʻike. |
| Nā pilikia o ke akepaʻa | Melemele o ka ʻili a i ʻole keʻokeʻo o nā maka (jaundice), ʻeha nui o ka ʻōpū, luaʻi. |
| Nā hopena ʻaoʻao maʻamau e pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou: | |
| ʻĀʻī pehu a kahe paha ke koko | Ka ulu nui ʻana o ka ʻāʻī. |
| Ka ulu ʻana o ka lauoho i makemake ʻole ʻia | Ma ka maka a i ʻole nā ʻāpana ʻē aʻe o ke kino. |
| ʻĒ aʻe | Ka maʻi kahe, ka luaʻi, ka haʻalulu. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana iā lākou.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana Lāʻau Lapaʻau)
Hiki i ka Cyclosporine ke launa pū me nā lāʻau lapaʻau ʻē aʻe, kekahi mau meaʻai, a me nā mea inu. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe nei (me nā mea i kuhikuhi ʻia e nā kauka ʻē aʻe), nā huaora, nā mea kanu, a me nā mea hoʻohui.
E pale i ka lawe ʻana i nā lāʻau lapaʻau e like me ka wort St. John a me ka tacrolimus me kēia lāʻau lapaʻau. Eia kekahi, hiki i kekahi mau lāʻau ʻeha (NSAID), nā lāʻau hoʻohaʻahaʻa cholesterol (statins), nā antifungals, nā antibiotics, a me kekahi mau lāʻau koko kiʻekiʻe ke hana i nā pilikia. No laila, ʻoi aku ka palekana o ka hāʻawi ʻana i kāu kauka i kahi wehewehe piha.
Leka Lawe-Home
- Mai lawe pū me ka wai pomelo a i ʻole ka Cyclosporine .
- E lawe i ka lāʻau lapaʻau i ka manawa like a ma ke ʻano like (e pili ana i ka meaʻai) i kēlā me kēia lā.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi e like me ke kuni a i ʻole ke anu, e hoʻomaopopo koke i kāu kauka.
- Inā manaʻo ʻoe ua nui ka lāʻau lapaʻau, e kelepona i ke Kikowaena ʻIke ʻAi Poisons National a i ʻole e hele koke i ka ETU .
- He mea pono ke hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a hana i nā hoʻokolohua e pono ai.
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