Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Obeticholic Acid? E hopohopo iki paha ʻoe ke lohe ʻoe i kēia inoa. He lāʻau lapaʻau kūikawā kēia i hāʻawi pinepine ʻia e mālama i kahi maʻi akepaʻa i kapa ʻia ʻo Primary Biliary Cholangitis (PBC). No laila, mai makaʻu. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, kāna hana, a me nā mea āu e pono ai e makaʻala i ka wā e hoʻohana ana.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ʻo ka Obeticholic Acid kahi waikawa bile synthetic. Hoʻopuka maoli ko mākou kino i nā waikawa bile i loko o ke akepaʻa e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai. Ma ke ʻano i kapa ʻia ʻo Primary Biliary Cholangitis (PBC), ua hōʻino ʻia nā ala bile liʻiliʻi i loko o ke akepaʻa, e hoʻoulu ai i ka bile e hōʻiliʻili a ʻaʻole e kahe pono. Hana kēia lāʻau lapaʻau ma ka pale ʻana i ke akepaʻa a me ka hoʻoponopono ʻana i ke kahe o ka bile i kekahi ʻano.
ʻOiai hoʻohana nui ʻia ia e mālama i ka PBC, hiki i kāu kauka ke kuhikuhi iā ia no nā kūlana ʻē aʻe. No laila, inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e nīnau i kāu kauka .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Pono kāu kauka e loaʻa i kahi kiʻi piha o kou olakino ma mua o ke kau ʻana i kēia lāʻau. ʻOiai he lāʻau lapaʻau kēia e hoʻopilikia pololei ana i ke akepaʻa, pono e mālama pono ʻia. No laila, inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e hōʻoia e haʻi i kāu kauka.
- Inā ua ālai loa ʻia nā ʻauwai bile i loko o kou ake a i ʻole ka gallbladder.
- Inā loaʻa iā ʻoe ka PBC a me kahi maʻi i kapa ʻia ʻo ka cirrhosis ate , ʻo ia hoʻi ka paʻakikī o ke ake. ʻOi loa aku inā loaʻa iā ʻoe nā hōʻailona e like me ke wai i loko o ka ʻōpū, ka huikau, a i ʻole nā hoʻokolohua hana ate kūpono ʻole.
- Inā loaʻa iā ʻoe kekahi ʻano maʻi ʻē aʻe o ke akepaʻa .
- Inā loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau lapaʻau Obeticholic Acid a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe, a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
ʻO ka hūnā ʻana i kēia ʻike mai kāu kauka mai hiki ke hōʻino nui i kou olakino. No laila e wehe i nā mea āpau.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa ke ʻano āu e hoʻohana ai i kēia lāʻau.
- Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha, me ke aniani wai.
- E lawe i ka lāʻau i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ke kauoha a ke kauka.
- Hiki iā ʻoe ke lawe i kēia ma mua a ma hope paha o ka ʻai ʻana, akā inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E hoʻomau i ka hoʻohana ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
Hoʻolaha Kūikawā:
Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe (i kapa ʻia ʻo bile acid-binding resins) e like me Cholestyramine, Colesevelam, a i ʻole Colestipol, mai lawe i ka Obeticholic Acid i ka manawa like me kēlā mau lāʻau lapaʻau. Pono e lawe ʻia ka Obeticholic Acid 4 mau hola ma hope a i ʻole 4 mau hola ma mua o ka lāʻau lapaʻau ʻē aʻe. Inā he mau hopohopo kāu, e kamaʻilio me kāu kauka.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā 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.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
E noʻonoʻo ua lawe hewa ʻoe i ka nui o kēia lāʻau lapaʻau. Inā hana ʻia kēia, mai hopohopo a e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) . A i ʻole, e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
I ka wā e lawe ai i kēia lāʻau lapaʻau, he mea nui loa ia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ia.
| ʻAno o ke kuʻi ʻana | Nā lāʻau lapaʻau/mea hana |
|---|---|
| Mai lawe pū me kēia mau mea. | |
| Hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi. | ʻElbasvir; grazoprevir (he mau lāʻau lapaʻau kēia no ka maʻi hepatitis C) |
| E hōʻoia e hoʻomaopopo i kāu kauka inā ʻoe e lawe ana i kēia mau mea. | |
| Hiki ke hoʻopilikia i ka pono o ka lāʻau lapaʻau |
|
ʻAʻole i piha kēia papa inoa, no laila e hoʻomaopopo pono e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
| Nā hōʻailona o ka hōʻeha o ke akepaʻa | Melemele o nā maka a i ʻole ka ʻili, ka mimi melemele/ʻeleʻele, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ka nalowale o ka makemake e ʻai, a me ka luhi nui. Hiki i kēia ke lilo i mau hōʻailona koʻikoʻi. |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo nui, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| ʻĒ aʻe | Nā noho keʻokeʻo. |
| Inā hoʻomau kēia mau hōʻailona a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao maʻamau | Paʻa ka ʻōpū, poniuniu, ʻeha nā hono, ʻeha ka ʻāʻī, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae a i ʻole nā lima, luhi, ʻeha ʻōpū. |
Pehea e mālama ai a hoʻolei aku i ka lāʻau lapaʻau?
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona , ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
- ʻO ke ala maikaʻi loa e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i pau paha ka lāʻau lapaʻau, ʻo ia ke hāʻawi aku iā lākou i kahi papahana lawe-hoʻihoʻi lāʻau lapaʻau ma ka haukapila a hale kūʻai lāʻau lapaʻau paha.
- Inā ʻaʻole hiki kēlā, e lawe i nā pila mai loko mai o ka ʻōmole, e kāwili iā lākou me kahi mea e like me ke kope kope i hoʻohana ʻia, ka lepo, a i ʻole ka ʻōpala pōpoki, e waiho i loko o kahi ʻeke i hoʻopaʻa pono ʻia, a e hoʻolei i loko o ka ʻōpala. Mai hoʻolei iā lākou i loko o ka lua.
Leka Lawe-Home
- ʻO ka Obeticholic Acid kahi lāʻau lapaʻau kūikawā i hāʻawi ʻia no ka maʻi akepaʻa i kapa ʻia ʻo PBC. Mai hoʻomaka a hoʻōki paha i ka lawe ʻana me ka ʻole o ke aʻo a kāu kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei (ʻoi aku ka maʻi ate), nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me nā maʻi allergies āu e loaʻa ai.
- Inā ʻike ʻoe i kekahi mau hōʻailona ʻē (e like me ka melemele o ka ʻili, ka mimi ʻeleʻele, ka ʻeha o ka ʻōpū) i ka wā e lawe ana i ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
- No ka mea hiki i kēia ke launa pū me kekahi mau lāʻau ʻē aʻe, e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei.
- Inā ʻoe e poina i kahi lāʻau lapaʻau, mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi. ʻO ka noho ʻana me kāu kauka a me ka hana ʻana i nā mea e like me nā hoʻāʻo koko i ka manawa kūpono he mea nui loa ia no kou olakino.











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo