Inā ʻoe e hakakā nei me ka maʻi HIV, a inā paha kekahi āu i ʻike ai, he mea nui e ʻike pono i nā lāʻau lapaʻau a kāu kauka e kuhikuhi ai. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau wai i kapa ʻia ʻo Nevirapine, kahi e kōkua ai i ka kaohi ʻana i ka maʻi HIV. E kamaʻilio mākou e pili ana i kāna hana, pehea e hoʻohana pono ai, a me nā mea e makaʻala ai.
He aha ke ʻano lāʻau lapaʻau kēia?
I ka ʻōlelo maʻalahi, he lāʻau antiretroviral ʻo Nevirapine. Hoʻohana ʻia ia e hakakā i ka maʻi HIV. Akā hoʻokahi mea e hoʻomanaʻo ai, ʻaʻole kēia he lāʻau lapaʻau no ka HIV. Eia nō naʻe, kōkua kēia lāʻau i ka kaohi ʻana i ka laha ʻana o ka HIV i loko o ke kino a hōʻemi i ka pilikia o ka hoʻoili ʻana i ka maʻi i nā poʻe ʻē aʻe. Hāʻawi pinepine nā kauka i kēia lāʻau lapaʻau me kekahi mau lāʻau lapaʻau HIV ʻē aʻe. Hiki iā ʻoe ke kūʻai iā ia ma ka hale kūʻai lāʻau ma lalo o nā inoa inoa `(Viramune)` a i ʻole `(Viramune Suspension)`.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
ʻAe, e nānā kākou i nā mea āu e pono ai e haʻi aku i kāu kauka ma mua o kou hoʻomaka ʻana e lawe iā Nevirapine. He mea nui loa ia no kou palekana e haʻi aku iā lākou me ka hūnā ʻole i kēia mau mea.
- Inā he maʻi puʻupaʻa kou .
- Inā loaʻa iā ʻoe ka maʻi akepaʻa . Pono e mālama pono i ka hāʻawi ʻana i kēia lāʻau i ka poʻe me nā pilikia akepaʻa.
- Inā he maʻi ʻili a he ʻulaʻula paha kou.
- Inā loaʻa iā ʻoe kahi hopena maʻi i Nevirapine, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Ma ka haʻi ʻana aku i kēia ʻike i kāu kauka ma mua, hiki iā ia ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe, a pehea e hāʻawi palekana ai.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO ka hoʻohana ʻana i kēia lāʻau lapaʻau e like me ke kuhikuhi ʻana ke ala maikaʻi loa e loaʻa ai nā hopena.
- He lāʻau lapaʻau wai kēia āu e lawe ai ma ka waha . E lawe me ke aniani wai.
- E hahai i nā kuhikuhi ma ka lepili lāʻau lapaʻau i hāʻawi ʻia iā ʻoe e kāu kauka. Mai hoʻohuihui i nā manawa .
- Hiki ke lawe ʻia kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana . ʻAʻohe pilikia nui e pili ana i kēlā.
- E lulu maikaʻi i ka ʻōmole ma mua o ka hoʻohana ʻana. Akā, mai lulu ikaika loa, e lulu mālie wale nō.
- I ke ana ʻana i ka lāʻau lapaʻau, e hoʻohana mau i kahi syringe ana kūikawā.E hoʻohana i kahi syringe dosing waha. He mea nui loa kēia inā ʻoe e lawe ana i 5 milliliters (5 ml) a emi mai paha. E kōkua kēia iā ʻoe e loaʻa ka nui pololei.
- I kekahi manawa, inā hāʻawi ʻia ʻoe i kahi `kīʻaha dosing`, ma hope o kou pau ʻana i ka lawe ʻana i ka lāʻau lapaʻau, hoʻokomo ʻoe i kahi wai i loko o ke kīʻaha, holoi iā ia, a inu. Ma kēlā ʻano, komo nā lāʻau lapaʻau a pau i loko o kou kino.
- Mai ana i kēia lāʻau lapaʻau me nā punetēpē a i ʻole nā punetēpē o ka hale . ʻAʻole pololei lākou.
- E lawe i ka lāʻau lapaʻau i nā manawa maʻamau e like me ke kauoha a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia a lawe pinepine paha.
- I mea e holomua ai kāu lāʻau lapaʻau anti-HIV, he mea nui e lawe i nā dosis āpau o kāu lāʻau lapaʻau e like me ke kuhikuhi ʻana . ʻOiai inā maikaʻi kou manaʻo, mai hoʻokuʻu i nā dosis a i ʻole e hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka . ʻO ka hana ʻana pēlā e hiki ai i ka maʻi HIV ke kūʻē i kēia lāʻau lapaʻau wale nō akā i nā lāʻau lapaʻau ʻē aʻe. He mea weliweli loa kēia.
E hoʻomanaʻo: I kēlā me kēia manawa e hāʻawi ai ka hale kūʻai lāʻau iā ʻoe i kēia lāʻau, e hāʻawi lākou iā ʻoe i kahi pepa kuhikuhi kūikawā (`MedGuide`). E heluhelu pono i kēlā me kēia manawa. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi nāu.
Pono anei au e hāʻawi i kēia i nā keiki liʻiliʻi?
Paipai nā kauka i kēia lāʻau lapaʻau no nā pēpē e like me 15 mau lā ma kekahi mau hihia kūikawā. Akā aia nā mea e makaʻala ai i ka wā e hana ai pēlā. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, he mea nui e kamaʻilio me kāu pediatrician a e ʻimi i kāna ʻōlelo aʻo .
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
E noʻonoʻo ua poina iā ʻoe ke lawe i kahi mahele lāʻau. Inā hana ʻia kēia, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe . Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala ʻole a lawe i kāu mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua a keu paha.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia kokoke loa, a i ʻole e hele . Mai hoʻonele i ka manawa.
E hoʻomanaʻo hoʻi i kēia: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi.
He aha nā lāʻau lapaʻau ʻē aʻe e pono ʻole e hoʻohana pū ʻia me kēia lāʻau lapaʻau, a i ʻole hiki ke hoʻopilikia?
He mea nui loa kēia. Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka wā e lawe ʻia ai me Nevirapine. ʻAʻole pono e lawe ʻia kekahi o lākou.
Nā mea āu e pono ʻole ai e lawe pū me kēia lāʻau lapaʻau:
Inā ʻoe e hoʻohana nei i kēia mau lāʻau lapaʻau, pono ʻoe e pale i ka lawe ʻana iā lākou me Nevirapine.
- ʻItraconazole
- ʻO ke ketoconazole (he mau lāʻau antifungal kēia)
- ʻO ka `rifampin` (he lāʻau lapaʻau kēia no ka maʻi puʻupuʻu)
- ʻO ka rifapentin
- ʻO St. John's Wort (he lāʻau kēia a kekahi poʻe e lawe ai no ke olakino noʻonoʻo)
Nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i kēia lāʻau lapaʻau:
Hiki i nā lāʻau lapaʻau ma lalo nei ke hana i nā hopena ʻaoʻao ke lawe pū ʻia me Nevirapine, a i ʻole e hoʻopilikia i ke ʻano o ka hana ʻana o nā lāʻau lapaʻau ʻelua. No laila e haʻi pū i kāu kauka e pili ana i kēia mau mea.
- ʻO ka cisapride
- ʻO ka clarithromycin (he lāʻau antibiotic kēia)
- `cyclophosphamide` (he lāʻau lapaʻau no ke kanesa)
- `cyclosporine` (he lāʻau lapaʻau i hoʻohana ʻia e kāohi i ka ʻōnaehana pale)
- ʻErgotamine (he lāʻau lapaʻau no ka migraines)
- Nā lāʻau lapaʻau hormonal i loaʻa nā estrogens a i ʻole progestins (e like me nā pila hoʻomalu hānau)
- ʻO ka fentanyl (he lāʻau hoʻopau ʻeha narcotic)
- ʻO Fluconazole (he lāʻau antifungal)
- ʻO kekahi mau ʻano lāʻau lapaʻau koko: no ka laʻana ʻo `diltiazem`, `nifedipine`, `verapamil`
- Nā lāʻau lapaʻau no ka puʻuwai ʻano ʻole: no ka laʻana ʻo `amiodarone`, `disopyramide`, `lidocaine`
- Nā lāʻau lapaʻau no ka maʻi epilepsy/nā hopu ʻana: no ka laʻana, carbamazepine, clonazepam, ethosuximide
- Methadone
- Nā lāʻau lapaʻau ʻē aʻe no ka maʻi HIV
- ʻO ka rifabutin
- ʻO Sirolimus
- ʻO ka tacrolimus
- ʻO Warfarin (kahi lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko)
ʻAʻole paha e komo nā lāʻau lapaʻau āpau i loko o kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (kauoha, kūʻai ʻia ma luna o ke kauka, lāʻau lapaʻau, nā huaora), a me ka puhipaka ʻana, inu waiʻona, a lawe paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau.
He aha nā mea e pono ai kākou e makaʻala nui i ka wā e lawe ai i kēia lāʻau?
I ka wā e lawe ai iā Nevirapine, pono ʻoe e makaʻala iki aku i kou kino.
- E ʻike i kāu kauka no nā nānā maʻamau . E haʻi i kāu kauka inā loli kāu mau hōʻailona. Pono paha ʻoe e hana i kekahi mau hana koko koʻikoʻi i ka wā e lawe ana i kēia lāʻau.
E makaʻala i nā hopena ʻili koʻikoʻi!
He mea nui loa kēia. Hiki i kekahi poʻe ke loaʻa i nā hopena ʻili koʻikoʻi i kekahi mau pule a i ʻole mau mahina ma hope o ka hoʻomaka ʻana iā Nevirapine.
- Inā loaʻa iā ʻoe kahi ʻōhū me nā hōʻailona o ke anu, e like me ke kuni a me nā ʻeha kino, e haʻi koke i kāu kauka. Hiki i kēia mau ʻōhū ke lilo i ʻulaʻula a poni paha, a laila lilo i mau pehu a hoʻomaka e ʻili.
- A i ʻole, inā ʻike ʻoe i kekahi mea e like me nā kiko ʻulaʻula, ka pehu ʻana o ka maka a i ʻole nā lehelehe, a i ʻole nā kīʻaha lymph pehu i ka ʻāʻī a i ʻole nā armpits, e haʻi koke i kāu kauka .
Hiki ke hoʻopilikia ʻia ke akepaʻa!
No kekahi mau maʻi, ʻo kēia lāʻau lapaʻauHiki nō hoʻi ke loaʻa nā hopena koʻikoʻi o ke akepaʻa. ʻOi aku ka nui o kēia pilikia i loko o nā pule 18 mua o ka hoʻomaka ʻana o ka lāʻau. Eia nō naʻe, hiki ke loaʻa kēia ʻano i kēlā me kēia manawa. No laila e makaʻala i nā hopena ʻaoʻao e pili ana i ke akepaʻa.
Pono nō hoʻi kākou e noʻonoʻo e pili ana i ka laha ʻana o ka maʻi HIV.
ʻOiai ʻo Nevirapine ka mea e kāohi ai i ka maʻi HIV, hiki nō ke laha aku ka maʻi HIV i nā poʻe ʻē aʻe ma o ka moekolohe a me ke koko . No laila, e kamaʻilio me kāu kauka e pili ana i nā ala e pale aku ai i ka laha ʻana o ka maʻi HIV.
E makaʻala e pili ana i nā ʻano kaohi hānau.
Inā ʻoe e lawe ana i nā lāʻau hoʻomalu hānau i ka wā e lawe ana i kēia lāʻau lapaʻau, ʻaʻole paha lākou e hana maikaʻi . No laila, he mea nui e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kahi ʻano hoʻomalu hānau hou aʻe , e like me ka condom a i ʻole ke ʻano pale e like me ka diaphragm. Pono nā wahine o ka makahiki hānau keiki e makaʻala loa i kēia.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Nevirapine ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi loa kekahi.
Inā ʻike ʻoe i kēia mau hōʻailona, pono ʻoe e ʻike koke i ke kauka :
- Nā hōʻailona maʻi : ka ʻili ʻulaʻula, nā pehu, ka maneʻo a i ʻole nā hives, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo.
- Mimi ʻeleʻele.
- Kuni.
- Ka maʻi laulā a i ʻole nā hōʻailona e like me ka maʻi palū.
- Nā noho waihoʻoluʻu māmā.
- Ka nalowale o ka makemake, ka luaʻi.
- ʻEhaʻeha nā ʻiʻo a i ʻole nā hono.
- Ka ʻulaʻula o ka ʻili, ke kuni, a me nā ʻōpuʻu lymph pehu.
- Nā maka ʻulaʻula a pehu paha.
- ʻUlaʻula, pehu, ʻili a wehe paha o ka ʻili, me loko o ka waha.
- ʻEha ka ʻōpū ʻākau o luna (he pilikia paha kēia i ke akepaʻa).
- Manaʻo nāwaliwali a luhi paha.
- Melemele o nā maka a i ʻole ka ʻili (hiki i kēia ke lilo i pilikia o ke akepaʻa - e like me ka jaundice).
ʻAʻole kēia mau mea he mea weliweli, akā inā hoʻomau lākou, e haʻi i kāu kauka :
- Ka maʻi pākī.
- ʻEha poʻo.
- Nā loli i ke kaumaha o ke kino: piʻi ke kaumaha a puni ka pūhaka, ke kua, a i ʻole ka lahilahi o ka maka, nā lima, a me nā wāwae.
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e haʻi i kāu kauka. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA ma 1-800-FDA-1088.
Pehea e mālama ai i ka lāʻau lapaʻau? Pehea e hoʻolei aku ai i ke koena o ka lāʻau lapaʻau?
He mea nui loa ka mālama pono ʻana i ka lāʻau lapaʻau a me ka hoʻolei pono ʻana i ka lāʻau lapaʻau i hoʻohana ʻole ʻia.
- 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 20 a me 25 kekelē Celsius / 68 a me 77 kekelē Fahrenheit).
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā . E hoʻolei aku iā lākou.
Pehea e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i pau paha:
- ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke hele 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 ma ka ʻōmole lāʻau a i ʻole ka ʻeke e ʻike ai inā pono e hoʻolei ʻia i loko o ka ʻōpala a hoʻolei ʻia paha i loko o ka lua. Inā kānalua ʻoe, e nīnau i kāu kauka a kauka lāʻau paha .
- Inā hiki iā ʻoe ke waiho i loko o ka ʻōpala, e hana i kēia:
- E lawe i ka lāʻau lapaʻau mai loko mai o ka ʻōmole.
- E kāwili iā lākou me kahi mea pono ʻole e like me ka ʻōpala pōpoki, ka lepo, a i ʻole ke kofe lepo.
- E kau i kēia hui ʻana i loko o kahi ʻeke a i ʻole ka pahu a hoʻopaʻa pono.
- A laila e waiho i loko o ka ʻōpala.
Hāʻawi wale kēia ʻatikala i kahi ʻike pōkole o Nevirapine. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e kamaʻilio me kāu kauka, kauka lāʻau, a mea lawelawe olakino paha.
No laila, ʻo ka mea hope loa, nā mea nui e hoʻomanaʻo!
ʻAe, ua kamaʻilio nui mākou e pili ana i kēia lāʻau lapaʻau wai Nevirapine. Inā he mea hoʻohana ʻoe i kēia lāʻau lapaʻau, he mea nui e hoʻomanaʻo i kēia mau mea.
- E lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka, i ka manawa kūpono, i ka nui kūpono. ʻO kēia ka mea nui loa.
- Mai hōʻalo i nā lāʻau lapaʻau a i ʻole e hoʻōki i ka lawe ʻana me ka ʻole o ke aʻo ʻana a kāu kauka no kekahi kumu . ʻO ka hana ʻana pēlā e paʻakikī ai ke kāohi ʻana i ka maʻi HIV.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē i ka wā e lawe ana i ka lāʻau lapaʻau, ʻoiai nā pilikia ʻili a i ʻole nā pilikia akepaʻa, e haʻi koke i kāu kauka. Mai hopohopo, akā e makaʻala.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā maʻi ʻē aʻe āu e loaʻa nei.
- E mālama pono i ka lāʻau lapaʻau a hoʻolei pono iā ia ke pau kona lā.
- E akahele loa e pili ana i nā ʻano kaohi hānau.
Hiki ke paʻakikī ke ola me ka maʻi HIV, akā me ka mālama kūpono a me ka ʻike, hiki ke lanakila ʻia. Inā he mau nīnau kāu, mai kānalua e nīnau i kāu kauka. Aia mākou a pau me ʻoe!
ʻO Nevirapine, lāʻau lapaʻau HIV, lāʻau lapaʻau HIV, AIDS, antiretroviral, Viramune, nā hopena ʻaoʻao HIV, nā pilina lāʻau
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