Ua kauoha anei kāu kauka iā Obeticholic Acid (Ocaliva) ? E aʻo hou kākou e pili ana i kēia lāʻau lapaʻau.

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.

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.

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.