I kekahi manawa, manaʻo mākou i ka luaʻi a makemake e luaʻi, ʻeā? ʻOi aku ka maʻamau o kēia ʻano ma hope o kahi hana nui a i ʻole ke lawe nei mākou i nā lāʻau lapaʻau maʻi kanesa (e like me ka chemotherapy a i ʻole ka radiation therapy). No laila, aia kahi lāʻau lapaʻau kūikawā a nā kauka e hāʻawi mai ai iā mākou e kōkua iā mākou i nā manawa e like me kēia. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia mau lāʻau lapaʻau, ʻo Ondansetron.
He aha ke ʻano o ka lāʻau lapaʻau ʻo Ondansetron?
I ka ʻōlelo maʻalahi, ʻo Ondansetron kahi lāʻau lapaʻau e pale ai i ka nausea a me ka luaʻi. Kāhea mākou i kēia ma ke ʻano lapaʻau he papa lāʻau "Antiemetic" . E hoʻomanaʻo paha ʻoe no kekahi mau maʻi, he mea maʻamau ka loaʻa ʻana o ka nausea a me ka luaʻi ma hope o ka chemotherapy, radiation therapy, a i ʻole ke ʻoki ʻana. Hoʻohana nui ʻia kēia lāʻau lapaʻau e hōʻemi i kēlā ʻano ʻoluʻolu ʻole. E noʻonoʻo i kou huhū ke lawe ʻoe i ka chemotherapy, a i kēlā manawa, he kōkua nui kahi lāʻau lapaʻau e like me kēia.
Pehea e hana ai kēia lāʻau lapaʻau i loko o ko mākou kino?
He mea maʻalahi loa ia, akā he ʻepekema iki nō hoʻi. Aia kekahi mau kemika i loko o ko kākou kino e hoʻouna ana i nā hōʻailona i ko kākou lolo e ʻōlelo ana, "Ke manaʻo nei au i ka luaʻi, e mākaukau e luaʻi." ʻO ka mea a kēia lāʻau lapaʻau, ʻo Ondansetron, e hana ai , ʻo ia ke ālai i ka hana o kēlā mau kemika (ʻo ia hoʻi, kahi neurotransmitter i kapa ʻia ʻo serotonin) . I mea e pololei ai, ke kāohi nei ia i kēlā mau hōʻailona mai ka hele ʻana i ka lolo a me nā ʻōpū. A laila ua kāohi nui ʻia ka luaʻi a me ka nausea. Ua maopopo iā ʻoe?
Aia kekahi mau inoa ʻē aʻe no kēia lāʻau lapaʻau ma ka mākeke?
ʻAe, ua ʻike paha ʻoe i kēia lāʻau lapaʻau ma lalo o ka inoa inoa `(Zofran)`. He inoa maʻamau loa kēlā. Eia nō naʻe, e nānā i ke kauoha a kāu kauka e hāʻawi ai iā ʻoe, a laila hiki iā ʻoe ke ʻike maopopo. I kekahi manawa loaʻa paha kēia lāʻau lapaʻau ma lalo o nā inoa ʻē aʻe.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
He mea nui loa kēia, mai poina iā ia . Ma mua o kou hoʻomaka ʻana e lawe iā Ondansetron, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. No ka mea, ʻaʻole paha e kūlike kēia lāʻau me kekahi mau kūlana olakino, a i ʻole pono paha ʻoe e mālama pono.
Eia kēlā mau mea:
- He maʻi puʻuwai kou? (E laʻa, he hana puʻuwai nāwaliwali, e like me ka puʻuwai wikiwiki).
- Ua loaʻa anei iā ʻoe kahi puʻuwai puʻuwai kūpono ʻole ? ʻO ke ʻano kēia, ua kuʻi kou puʻuwai ma ke ʻano kūpono ʻole, i kekahi manawa wikiwiki, i kekahi manawa lohi, a i ʻole ma ke ʻano lele.
- He maʻi akepaʻa kou?
- Ua haʻi aku anei ke kauka iā ʻoe he haʻahaʻa kou pae o ka magnesium a i ʻole ka potassium ? He mau minelala koʻikoʻi kēia no ko mākou kino.
- Ua loaʻa anei iā ʻoe kahi maʻi allergy i kēia lāʻau lapaʻau, ʻo Ondansetron, Granisetron ( he lāʻau lapaʻau like nō hoʻi ia), kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha?
- Ua hāpai ʻoe? A i ʻole ke manaʻolana nei ʻoe e hāpai?
- He makuahine hānai waiū ʻoe?
Inā ʻoe e haʻi maopopo i kāu kauka e pili ana i kēia mau mea, hiki iā ia ke mālama iā ʻoe ma ke ʻano kūpono loa. No kou palekana ponoʻī kēia.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻO ka maʻamau, loaʻa kēia lāʻau lapaʻau ma ke ʻano he papa. Hiki ke hāʻawi ʻia ma ke ʻano he wai a i ʻole he papa hoʻoheheʻe waha.
- Pono e lawe ʻia kēia pila me ke aniani wai. (Inā he pila hoʻoheheʻe ia, e paʻa i loko o kou waha a e hoʻoheheʻe iā ia iho.)
- E hoʻomanaʻo e lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa like, a me ka nui like.
- E lawe i kāu lāʻau lapaʻau i ka manawa kūpono, i nā wā kūpono . Mai lawe ʻoe ma mua o ka mea a kāu kauka e ʻōlelo ai, a i ʻole e lawe pinepine. Eia kekahi laʻana, inā ʻōlelo ʻia ʻoe e lawe iā ia i ʻekolu manawa i ka lā, ʻoi aku ka maikaʻi o ka lawe ʻana ma kahi o 8 mau hola ka mamao.
I ka manawa hea e hāʻawi ai i kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻAe, i kekahi manawa ke ʻōlelo aku nei nā kauka i kēia lāʻau lapaʻau no nā keiki liʻiliʻi. Eia nō naʻe, pono ia i ka mālama kūikawā . Hoʻoholo ke kauka i ka nui ma muli o nā mea e like me ka makahiki a me ke kaumaha o ke keiki. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki, e kamaʻilio me ke kauka e pili ana i ia mea. Mai hāʻawi i kahi keiki liʻiliʻi i ka nui like me ka pākeke.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā hana ʻia kēlā, ʻo ia hoʻi, inā manaʻo ʻoe ua lawe ʻoe i ka lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka ʻoihana pilikia o ka haukapila kokoke loa a kāhea aku paha i kahi kikowaena ʻike lāʻau make (ma Sri Lanka, hiki iā ʻoe ke kāhea iā 1926). Mai hoʻonele i ka manawa.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kahi hoaaloha a ʻohana paha, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe. ʻOkoʻa paha ka lāʻau lapaʻau kūpono no kēlā me kēia kanaka.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā hana kēia, e lawe i ka lāʻau i hala i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke i ka manawa no kāu lāʻau aʻe (ʻo ia hoʻi i loko o ʻelua a ʻekolu mau hola), e kāpae i ka lāʻau i hala a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi ('double dose'). ʻO ka hana ʻana pēlā e hoʻonui ai i ka nui o ka lāʻau a hoʻoulu i nā hopena ʻaoʻao.
He aha nā mea ʻē aʻe e hiki ke launa pū (hakakā) me kēia lāʻau lapaʻau?
He mea kēia e makaʻala nui ai. Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka wā e hoʻohana ʻia me Ondansetron. No laila,He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (ʻaʻole wale nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, akā ʻo nā mea āu e kūʻai ai mai ka hale kūʻai lāʻau lapaʻau, nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā huahana lāʻau). Eia kekahi, e haʻi aku i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe i kū ʻole i ke kānāwai.
ʻAʻole i ʻōlelo ikaika ʻia e lawe pū me nā lāʻau lapaʻau aʻe ʻo Ondansetron:
- ʻO Apomorphine (kahi lāʻau lapaʻau no ka maʻi o Parkinson)
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (e.g., fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole)
- ʻO Cisapride
- ʻO Dronedarone (he lāʻau lapaʻau no ka maʻi puʻuwai)
- ʻO Pimozide (kahi lāʻau lapaʻau no ka maʻi noʻonoʻo)
- ʻO Thioridazine (kahi lāʻau lapaʻau no ka maʻi noʻonoʻo)
Eia kekahi, aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke hana i nā hopena ʻaoʻao me Ondansetron. Eia kekahi mau laʻana:
- ʻO Carbamazepine (he lāʻau lapaʻau no ka hopu ʻana)
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo ʻē aʻe
- ʻO Fentanyl (kahi lāʻau hoʻopau ʻeha ikaika)
- Linezolid (he lāʻau antibiotic)
- Nā lāʻau MAOI (e like me Carbex, Eldepryl) (kahi lāʻau lapaʻau kahiko i hoʻohana ʻia no ke kaumaha)
- Methylene blue (kahi lāʻau lapaʻau i hāʻawi ʻia ma ke kino)
- Nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻoulu i nā ʻano ʻino o ka puʻuwai (nā lāʻau lapaʻau e hoʻolōʻihi i ka wā QT - e.g. dofetilide, ziprasidone)
- ʻO Phenytoin (he lāʻau lapaʻau no ka hopu ʻana)
- ʻO Rifampicin (he lāʻau lapaʻau no ka maʻi puʻupuʻu)
- Tramadol (lāʻau hoʻopau ʻeha)
ʻAʻole i piha kēia papa inoa. ʻO ia ke kumu e paipai aku ai mākou iā ʻoe e haʻi i kāu kauka i nā mea āpau āu e lawe ai i hiki iā ia ke kuhikuhi palekana i ka lāʻau lapaʻau nāu.
He aha kā mākou e makaʻala nui ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
Inā ʻike ʻoe i kekahi mau hōʻailona o kahi hopena maʻi ʻaleka i ka wā e hoʻohana ai i kēia lāʻau lapaʻau, e like me ka ʻulaʻula o ka ʻili, ka maneʻo, ka ʻulaʻula o ka ʻili, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu, e ʻike koke i ke kauka. He pilikia paha kēia.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka ondansetron ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi loa kekahi.
Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e ʻimi koke i ke kōkua lapaʻau :
- Nā hopena maʻi: ka ʻili ʻana, ka ʻeha, ka pehu ʻana o nā lehelehe, ka maka, ke alelo, ka ʻāʻī, ka paʻakikī o ka hanu ʻana.
- Nā hōʻailona o ka ālai ʻana o ka ʻōpū ('Bowel blockage'): ʻEha nui o ka ʻōpū, pehu, hiki ʻole ke kinaki a hoʻokuʻu paha i ke kinoea, nalowale ka makemake e ʻai, luaʻi.
- ʻEha umauma (ʻAngina): He manaʻo o ka ʻeha, ka paʻa, a i ʻole ka ʻūmiʻi ma ka umauma, ka ʻāʻī, ke kua, a i ʻole nā lima.
- Nā loli o ke ʻano o ka puʻuwai: Puʻuwai wikiwiki a ʻano ʻole paha, poniuniu, maule, ʻeha ka umauma, a me ka paʻakikī o ka hanu ʻana.
- Hiki ke ʻike ʻia ka Serotonin Syndrome e: ka hoʻomaha ʻole, ka huikau, ka puʻuwai wikiwiki a i ʻole ka ʻano ʻole, ka ʻoʻoleʻa o nā ʻiʻo, ka ʻūlū ʻana o nā ʻiʻo, ka hou nui ʻana, ke kuni nui, ka ʻūlū ʻana, ke anu, ka luaʻi ʻana, a me ka maʻi pākī. Inā ʻoi aku ma mua o hoʻokahi o kēia mau hōʻailona i ka manawa like, he Serotonin Syndrome paha ia. He kūlana weliweli ia.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau lākou):
Maʻamau, e emi ana kēia mau mea i loko o kekahi mau lā. Eia nō naʻe, inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:
- Ke ālai ʻia
- Ka maʻi pākī
- ʻO ka ʻoluʻolu ʻole a me ka luhi
- ʻEha poʻo
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e mālama ai i kēia lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki liʻiliʻi a me nā holoholona . He mea nui loa kēia. ʻAʻole nā lāʻau lapaʻau he mea pāʻani.
- Pono e mālama ʻia kēia lāʻau lapaʻau ma waena o 2 a me 30 kekelē Celsius (36 a me 86 kekelē Fahrenheit). ʻO ia hoʻi, ma ka mahana o ka lumi, ʻaʻole wela loa a anu loa paha. Mai mālama iā ia ma nā wahi pulu, e like me ka lua.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā . E lawe iā lākou i ka hale kūʻai lāʻau a nīnau e pili ana i ka hoʻolei pono ʻana.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He lāʻau lapaʻau pono loa ʻo Ondansetron no ka kaohi ʻana i ka nausea a me ka luaʻi ʻana, ʻoi aku hoʻi no ka poʻe e mālama ʻia ana e like me ka chemotherapy, radiation therapy, a me ke ʻoki kino. Eia nō naʻe, he mea nui loa ka hahai pono ʻana i nā ʻōlelo a ke kauka i ka wā e hoʻohana ai i kēia lāʻau lapaʻau, a e haʻi aku i ke kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. A laila hiki iā ʻoe ke pōmaikaʻi me ka palekana a me ka holomua mai kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe kekahi mau pilikia a i ʻole nā hopena ʻaoʻao, mai kānalua e kamaʻilio me kāu kauka. Makemake wau iā ʻoe e ho'ōla koke!
ʻOndansetron , Ondansetron, nausea, luaʻi, lāʻau lapaʻau no ka maʻi ʻaʻai, chemotherapy, radiation therapy, ʻoki kino, nā hopena ʻaoʻao, Zofran, antiemetic, lāʻau lapaʻau
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