Ua haʻi aku kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana he maʻi māmā e hoʻoulu ai i ka ʻeha? Hiki paha ke like me ka 'Idiopathic Pulmonary Fibrosis (IPF)', kahi kūlana i ʻike ʻole ʻia ai ke kumu. Ua lohe paha ʻoe i ka lāʻau lapaʻau 'Nintedanib' (i ʻike pinepine ʻia e ka inoa inoa ʻo 'Ofev'), kahi i hoʻohana ʻia i ia mau hihia. ʻOiai he lāʻau lapaʻau kēia e pono e hoʻohana ʻia me ke akahele, e kamaʻilio mākou e pili ana iā ia me ka maʻalahi a me ke ʻano aloha.
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Nintedanib?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Nintedanib e pale a hoʻolohi i ka ʻeha o kou ʻiʻo māmā. Hoʻohana nui ʻia ia e mālama i kekahi mau maʻi.
- ʻO Idiopathic Pulmonary Fibrosis (IPF): He maʻi kēia kahi e lilo mālie ai nā māmā i ʻoʻoleʻa a ʻeha me ke kumu ʻike ʻole ʻia.
- ʻO nā maʻi māmā interstitial fibrosing holomua mau loa: Pili kēia i kahi hui o nā maʻi e lōʻihi ana a ke kumu o ka ʻeha holomua o nā māmā.
- ʻO ka maʻi māmā interstitial e pili ana i ka sclerosis systemic: Hoʻohana ʻia kēia lāʻau lapaʻau no nā pilikia māmā e pili ana i ka maʻi 'systemic sclerosis'.
ʻAʻole hoʻōla loa kēia lāʻau i ka maʻi, akā , hoʻomalu a hoʻolohi i ka pōʻino i hana ʻia i nā māmā e ka maʻi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia 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 iā Nintedanib. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei.
| Ke kūlana olakino a i ʻole ka maʻamau | No ke aha he mea nui kēlā? |
|---|---|
| Nā maʻi koko a i ʻole ka mōʻaukala ʻohana o ia mau mea | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko. |
| He moʻolelo o ka maʻi puʻuwai a i ʻole nā ʻūpū koko | Pono ʻoe e makaʻala i ka pilikia o ka hōʻeha ʻana o ka puʻuwai a me nā ʻaʻa koko. |
| Maʻi akepaʻa | Hiki ke hoʻopilikia ʻia ka hana o ke akepaʻa, no laila pono e nānā pinepine ʻia. |
| Ka loaʻa ʻana o ka protein i loko o ka mimi | Pono ʻoe e makaʻala i nā hopena hiki ke loaʻa i nā puʻupaʻa. |
| Ma hope o ka hana ʻoki kino ʻana i hala koke aku nei | Hiki ke hoʻopilikia ʻia ke kaʻina hana ho'ōla ʻeha. |
| Puhi paka a i ʻole nā cigarettes | Hiki i ka puhipaka ke hōʻemi i ka pono o ka lāʻau lapaʻau. |
| Nā pilikia o ka ʻōpū a i ʻole ka ʻōpū | Aia kahi pilikia liʻiliʻi o ka haehae ʻana o ka ʻōpū. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai | He mea nui loa: Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. |
| Ka hānai ʻana i ka pēpē me ka waiū umauma | ʻAʻole ʻōlelo ʻia no ka mea hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a me nā kala | He mea nui kēia e hoʻoholo ai inā he maʻi āpau ʻoe i kēia lāʻau. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
- Pono e lawe waha ʻia kēia lāʻau lapaʻau me kahi aniani wai .
- ʻOi aku ka maikaʻi o ka lawe ʻana i ka lāʻau lapaʻau me ka ʻai . Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻeha o ka ʻōpū.
- E ale holoʻokoʻa i ke capsule. Mai uhaʻi, kuʻi, a nau paha.
- E hoʻomau i ka hoʻohana ʻana e like me ke kuhikuhi ʻana a hiki i ka wā e haʻi aku ai kāu kauka iā ʻoe e hoʻōki.
- Inā loaʻa iā ʻoe ka pauka lāʻau lapaʻau i loko o ke capsule ma kou mau lima, e holoi koke i kou mau lima me ke kopa a me ka wai.
- Inā kānalua ʻoe ua lawe ʻoe i kahi overdose, mai hoʻokaʻulua. E kāhea koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e hōʻalo iā ia. Mai lawe i ʻelua mau pila i ka manawa i hoʻonohonoho ʻia e hiki mai ana e uku no ka lāʻau i hala. E lawe wale i kāu lāʻau aʻe i kou manawa maʻamau.
Hiki paha ke loaʻa nā pilikia me nā lāʻau lapaʻau ʻē aʻe? (Nā Hana Pilikino Lāʻau Lapaʻau)
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Nintedanib. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui.
- ʻAspirin a me nā lāʻau lapaʻau like
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin, Apixaban, Rivaroxaban )
- Kekahi mau lāʻau antibiotic (e.g. Erythromycin, Clarithromycin )
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hopu ʻana (e like me Carbamazepine, Phenytoin )
- Ketoconazole (he lāʻau antifungal)
- ʻO Rifampin (he lāʻau lapaʻau no ka maʻi puʻupuʻu)
- ʻO St. John's Wort (kahi lāʻau i hoʻohana ʻia no ke olakino noʻonoʻo)
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 noʻonoʻo ai i ka wā e lawe ai iā Nintedanib
Ka nānā kūikawā ʻana i ka hāpai ʻana: ʻO kēia ka mea nui loa. Mai hāpai i ka wā e lawe ana iā Nintedanib. Pono ʻoe e hoʻohana i ka mea hoʻomalu hānau hilinaʻi no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau. Hiki i kēia lāʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Inā manaʻo ʻoe ua hāpai paha ʻoe, e haʻi koke i kāu kauka. Eia kekahi, mai hānai i ka waiū i ka wā e lawe ana i kēia lāʻau.
- Nā hoʻokolohua lapaʻau maʻamau: Pono kāu kauka e ʻike iā ʻoe i nā manawa a pau e nānā i kou ʻano. E kauoha pū ʻo ia i ka hana koko e nānā i ka hana o kou ake.
- Ka luaʻi ʻana a me ka maʻi kahe: Hiki i kēia lāʻau lapaʻau ke hoʻonāukiuki i ka ʻōpū, ka luaʻi ʻana, a me ka maʻi kahe. Inā hana kēia , e inu i ka nui o nā wai, e like me ka wai a me ka wai huaʻai. Hiki ke hoʻoweliweli ka nalowale nui o ka wai. Inā ʻaʻole hiki iā ʻoe ke kāohi i kēia kūlana, e haʻi i kāu kauka.
- Ka pilikia o ke koko:Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka palapū a hoʻonui i ka pilikia o ke kahe ʻana o ke koko. E haʻi i kāu kauka inā he kahe koko ʻē kou (e laʻa, mai nā ʻāʻī, ka ihu) a i ʻole ka palapū.
- Puhipaka: Inā ʻoe e puhipaka ana, e haʻi i kāu kauka inā manaʻo ʻoe ʻaʻole e hana pono ana ka lāʻau lapaʻau. Inā hoʻoholo ʻoe e haʻalele i ka puhipaka, e haʻi i kāu kauka .
He aha nā hopena ʻaoʻao koʻikoʻi e hiki ke loaʻa?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka. I kekahi mau hihia, pono paha ʻoe e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
| Ka hopena ʻaoʻao | Nā hōʻailona nui |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke kahe ʻana o ke koko | ʻO ka ʻōpala ʻeleʻele a koko paha, ka luaʻi e like me ke ʻano o ka lepo kofe, ka mimi ʻulaʻula a ʻeleʻele paha, nā kiko liʻiliʻi ʻulaʻula/poni ma ka ʻili, nā palapū ʻē. |
| ʻAʻa koko | ʻEha wāwae, pehu a mehana paha, paʻakikī ka hanu ʻana, ʻeha umauma. |
| Maʻi hohola | ʻEha/ʻūʻū ma ka umauma, nā poʻohiwi, nā lima, a i ʻole ka ʻauwae, ka luaʻi, ka paʻakikī o ka hanu ʻana, ke anu, ka maule. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale o ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele/ʻeleʻele, melemele o ka ʻili a i ʻole nā maka, luhi ʻē. |
| Hahau | Ka mae/nāwaliwali koke o ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka huikau, ka paʻakikī i ka hele ʻana, ka ʻeha poʻo nui. |
| Nā waimaka ʻōpū/ʻōpū | Kuni, ʻeha ʻōpū, loli koke o ka neʻe ʻana o ka ʻōpū. |
| Ka nui o ka maʻi pākī a i ʻole ka luaʻi ʻana | Ka maʻi pākī a i ʻole ka luaʻi ʻana i hiki ʻole ke kāohi ʻia. |
Nā hopena ʻaoʻao maʻamau, ʻaʻole koʻikoʻi e hiki mai ana
Hoʻemi pinepine kēia i ka hala ʻana o ka manawa, akā inā hoʻomau a hoʻopilikia paha lākou, e haʻi i kāu kauka.
- ʻEha poʻo
- Ka nalowale o ka makemake a me ka pohō kaumaha
- Nausea (manaʻo ʻeha i kou ʻōpū)
Pehea ʻoe e mālama ai a hoʻolei aku i ka 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 20-25 kekelē Celsius). E pale mai ka wela nui a me ka makū.
- E hoʻolei aku i nā lāʻau lapaʻau i pau ka manawa. ʻO ke ala maikaʻi loa e hana ai i kēia, ʻo ia ke noi aku i kahi haukapila a hale kūʻai lāʻau paha e lawe iā lākou i kahi papahana lawe-hoʻihoʻi lāʻau. Inā ʻaʻole hiki kēia, e nīnau i kāu kauka.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Nintedanib e kāohi ana i ka ʻeha o nā māmā. Ma kahi o ka ho'ōla ʻana i ka maʻi, hoʻolohi ia i ka holomua o ka maʻi.
- Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- He mea nui loa: Mai hāpai i ka wā e lawe ana i ka lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana. He mea ʻino loa ia i ka pēpē i loko o ka ʻōpū.
- E makaʻala i nā hōʻailona o nā hopena ʻino e like me ka hōʻino ʻana o ke ake, ke kahe ʻana o ke koko, a me ka hāʻule ʻana o ka puʻuwai. Inā kānalua, e ʻimi koke i ke kōkua lapaʻau.
- E hoʻomau i ka launa pū ʻana me kāu kauka. Mai makaʻu e kamaʻilio me lākou e pili ana i nā nīnau a hopohopo paha.
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