Loaʻa iā ʻoe kekahi manawa ka ʻeha o nā hono ke ala ʻoe i ke kakahiaka? A i ʻole ke manaʻo koke nei ʻoe i kahi ʻulaʻula, pehu, a me ka ʻeha hiki ʻole ke hoʻomanawanui ma kahi e like me kou manamana wāwae nui? Kāhea pinepine mākou i kēia ʻo Gouty Arthritis . No laila, i kēlā kūlana, ʻōlelo nā kauka i kekahi mau lāʻau lapaʻau no mākou. ʻO Probenecid lāua ʻo Colchicine kahi hui pū ʻana o ʻelua mau lāʻau lapaʻau e kāohi ana i kēlā ʻeha a me ka pehu. I kēia lā, e kamaʻilio mākou e pili ana iā Probenecid; Colchicine Oral Tablet.
He aha kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ʻo kēia hui pū ʻana o Probenecid a me Colchicine i hāʻawi nui ʻia e kāohi i ka ʻeha a me ka pehu ʻana i kou mau hono, ʻoi aku ka ʻeha i hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo Gouty Arthritis . Hoʻemi kēia i nā hōʻailona e like me ka ʻeha, ka ʻulaʻula, a me ka pehu ʻana i nā hono. Eia nō naʻe, i kekahi manawa hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. No laila, inā he mau nīnau kāu e pili ana i ke kumu i kuhikuhi ʻia ai kēia lāʻau lapaʻau iā ʻoe, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha .
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i ka 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 i kēia lāʻau lapaʻau. He mea nui loa kēia mau mea, no ka mea, ma muli o kēia ʻike e hoʻoholo ai ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole, a pehea e hāʻawi ai. E noʻonoʻo, ʻoiai kahi mea liʻiliʻi āu e loaʻa ai e kūʻē paha i kēia lāʻau lapaʻau. No laila, he mea nui e haʻi aku iā ia me ka hūnā ʻole i kekahi mea.
Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi mai iā mākou e pili ana iā lākou:
- He anemia kou?
- ʻO nā maʻi pili i ke koko, ʻo ia hoʻi, nā kūlana koʻikoʻi e like me ka leukemia a me ka lymphoma .
- Ke hele nei ʻoe i kahi maʻi gout ? ʻO ia hoʻi, ua lilo koke anei kahi hono i ʻeha, pehu, a ʻulaʻula?
- He maʻi puʻuwai kou?
- Aia kekahi pilikia me kāu ʻōnaehana pale maʻi ?
- He mau maʻi ʻōpū kou?
- He maʻi puʻupaʻa kou a he mau pōhaku puʻupaʻa paha?
- He maʻi akepaʻa kou?
- He haʻahaʻa anei nā platelets i loko o ke koko? (He ʻano cell kēia e kōkua ai i ke kāpili ʻana o ke koko)
- Loaʻa pinepine iā ʻoe nā pilikia ʻōpū a me nā maʻi e like me ka gastritis ?
- Ua loaʻa anei iā ʻoe kahi hopena maʻi i ka Probenecid, Colchicine, a i ʻole nā lāʻau lapaʻau ʻē aʻe, lactose i ka waiū, nā meaʻai, nā kala meaʻai, a i ʻole nā mea mālama?
- Ke hāpai nei ʻoe? A ke manaʻolana nei paha ʻoe e loaʻa kahi pēpē ?
- He makuahine hānai waiū anei ʻoe ?
Ke lohe ʻoe i kēia mau mea, e noʻonoʻo paha ʻoe, "Auē, pono anei iaʻu e haʻi aku iā ʻoe i kēia mau mea a pau?" ʻAe, he mea nui kēia mau mea a pau. No ka mea, ʻo ka piha o ke kauka e pili ana iā ʻoe, ʻo ka palekana hoʻi kāna hiki ke mālama iā ʻoe.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Pono e lawe ʻia kēia lāʻau lapaʻau me ke aniani wai . E lawe i ka lāʻau lapaʻau e like me ke kuhikuhi ʻana ma ka lepili lāʻau. Mai lawe ʻoi aku ma mua o ka mea a ke kauka e ʻōlelo ai iā ʻoe e lawe, a i ʻole e lawe pinepine. Eia kekahi, mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka . ʻO ka hana ʻana pēlā e hoʻonui ai i kou mau hōʻailona.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio , pono ʻoe e kamaʻilio me kāu kauka keiki a hahai i kāna mau kuhikuhi. Pono paha ia i ka mālama kūikawā.
Nānā: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, ʻo ia hoʻi, he overdose , e kelepona koke i ka lumi pilikia haukapila kokoke loa a i ʻole ke kikowaena kaohi lāʻau make. Mai hoʻonele i ka manawa.
ʻO kekahi mea ʻē aʻe, nou wale nō kēia lāʻau lapaʻau. No laila, mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou ka pilikia like me ʻoe. He ʻokoʻa ke kino o kēlā me kēia kanaka, no laila, ʻaʻole e hana ka lāʻau lapaʻau hoʻokahi no kēlā me kēia kanaka.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina koke ʻoe i ka lawe ʻana i kahi lāʻau lapaʻau, mai hopohopo. E lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe (no ka laʻana, i loko o kekahi mau hola), e kāpae i ka lāʻau lapaʻau i hala ʻole a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa kēia. Hiki iā Probenecid lāua ʻo Colchicine ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO ia hoʻi, i ka wā e lawe pū ʻia ai, hiki ke loaʻa nā pilikia, e hōʻemi ana i ka pono o ka lāʻau lapaʻau a i ʻole e hoʻonui ana i nā hopena ʻaoʻao.
Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau:
ʻAʻole ʻae ʻia e lawe pū me kēia mau lāʻau lapaʻau me Probenecid a me Colchicine:
- ʻAspirin a me nā lāʻau ʻē aʻe e hana like me ka aspirin.
- ʻO kekahi mau lāʻau antifungal, no ka laʻana , ʻo Itraconazole a i ʻole Ketoconazole .
- ʻO Clarithromycin (he lāʻau antibiotic kēia)
- ʻO Erythromycin (he lāʻau antibiotic nō hoʻi)
- ʻO Ketorolac (he lāʻau ʻeha ikaika kēia)
- ʻO Methotrexate (kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi e like me ke kanesa a me ka arthritis)
- ʻO Topiramate ( he lāʻau lapaʻau kēia no ka maʻi epilepsy a me ka migraines)
ʻO nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau:
Aia kekahi mau lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke hoʻopilikia i ka wā e lawe pū ʻia me Probenecid a me Colchicine. No laila, inā ʻoe e hoʻohana ana i kekahi o kēia mau mea, e haʻi aku i kāu kauka e pili ana iā lākou:
- ʻAcetaminophen (e.g. Panadol)
- ʻAila
- ʻO nā lāʻau antibiotics, e like me penicillins a me sulfonamides .
- Nā lāʻau lapaʻau antiviral, no ka laʻana ʻo Acyclovir , Famciclovir , Ganciclovir .
- Cyclosporine (he lāʻau lapaʻau kēia e kaohi ana i ka ʻōnaehana pale)
- ʻEpinephrine
- ʻO Lorazepam (he lāʻau lapaʻau kēia no ka hopohopo a me ka insomnia)
- ʻO Meclofenamate (he lāʻau hoʻopau ʻeha kēia)
- Lāʻau lapaʻau maʻi diabetes
- Nā lāʻau lapaʻau e hoʻoulu ai i ka hiamoe i ka wā o ke ʻoki ʻana
- ʻO Methenamine (he lāʻau lapaʻau kēia i hāʻawi ʻia no nā maʻi ʻōpū mimi)
- He mau lāʻau ʻeha nā NSAID , ʻo ia hoʻi nā lāʻau lapaʻau e hōʻemi i ka mumū, no ka laʻana , ibuprofen a i ʻole naproxen .
- Pyrazinamide (he lāʻau lapaʻau kēia i hāʻawi ʻia no ka maʻi puʻupuʻu)
- ʻO Rifampin (he lāʻau antibiotic nō hoʻi)
- Sodium bicarbonate
E hoʻomanaʻo i kēia: ʻAʻole i hoʻokomo ʻia nā mea āpau ma kēia papa inoa. 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, nā lāʻau lapaʻau ʻole i kauoha ʻia, a me nā mea hoʻohui meaʻai. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai . Hiki i kekahi mau mea ke launa pū me kāu mau lāʻau lapaʻau.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Aia kekahi mau mea āu e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau. Ma ka hahai ʻana i kēia mau mea, hiki iā ʻoe ke loaʻa ka mea nui loa mai ka lāʻau lapaʻau a hōʻemi i ka pilikia o nā hopena ʻaoʻao makemake ʻole ʻia.
- E ʻike pinepine i kāu kauka e nānā i kou ʻano. A laila hiki i kāu kauka ke ʻike inā e hana ana kāu lāʻau lapaʻau iā ʻoe a inā pono e hana i kekahi mau hoʻololi. Pono paha ʻo ia e hana i nā mea e like me nā hoʻāʻo koko.
- Hiki i nā lāʻau hoʻopau ʻeha e like me ka aspirin a me nā NSAID (e.g., ibuprofen) ke hōʻemi i ka pono o kēia lāʻau. No laila, inā loaʻa iā ʻoe ke poʻo a i ʻole kekahi ʻeha ʻē aʻe, mai lawe i ka lāʻau lapaʻau iā ʻoe iho. E noi i kāu kauka a kauka lāʻau paha no ka ʻōlelo aʻo.
- Mai inu i ka waiʻona. He mea nui loa kēia. Hiki i ka waiʻona ke hoʻonui i ka pilikia o ka ʻōpū ʻeha a me ka hōʻeha ʻana o ka gout. No laila, e pale loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
- Pono paha ʻoe e hahai i kahi papaʻai kūikawā i ka wā e lawe ana i kēia lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i kēia. Eia kekahi, e nīnau i ka nui o ka wai āu e inu ai i kēlā me kēia lā. Mai hoʻokuʻu i kou kino e maloʻo. He manaʻo maikaʻi e inu ma ka liʻiliʻi he 8 mau aniani wai i kēlā me kēia lā.
- Hiki i kēia lāʻau lapaʻau ke hoʻemi i kāu pae huaora B12. No laila, e hōʻoia i ka loaʻa ʻana o ka lawa o ka huaora B12 i ka wā e lawe ana i kēia lāʻau lapaʻau. E ho'āʻo e ʻai i nā meaʻai waiwai i ka huaora B12 (e laʻa me ka ʻiʻo, ka iʻa, nā hua manu, ka waiū). E kamaʻilio me kāu kauka e pili ana i nā meaʻai a me nā huaora āu e lawe nei.
- Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā hopena o kekahi mau hoʻāʻo glucose mimi . Inā loaʻa iā ʻoe ka maʻi diabetes a ke hoʻāʻo nei i kāu mimi ma ka home, e haʻi i kāu kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i nā papa Probenecid a me Colchicine ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao liʻiliʻi e nalowale ana iā lākou iho. Eia nō naʻe, aia kekahi mau hopena ʻaoʻao i ʻoi aku ka koʻikoʻi.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka :
Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e haʻi i kāu kauka a mea mālama ola paha i ka wā hikiwawe loa :
- ʻO nā hopena maʻi ʻaleka e komo pū me nā ʻōhū ʻili, ka maneʻo a i ʻole ka hives, ka pehu ʻana o ka maka, nā lehelehe, a me ke alelo.
- ʻEha kua a ʻeha puʻupaʻa paha.
- Paʻakikī ka hanu ʻana.
- Ka mimi ʻeleʻele (e like me ke kala o ka kola).
- Kuni, anu, ʻeha ka puʻu. (He mau hōʻailona paha kēia o kahi maʻi)
- ʻO ka mae a me ke ʻāʻī ʻana o nā lālā.
- Ka paʻakikī i ka mimi a i ʻole kahi loli i ka nui o ka mimi āu e hoʻokuʻu ai (emi a ʻoi aku paha ma mua o ka maʻamau).
- Ke kahe koko ʻana a i ʻole ka palapū maʻamau ʻole (e.g. ke kahe koko ʻana o ka ihu, nā ʻāʻī kahe koko, nā palapū liʻiliʻi e lilo ana i polū).
- Manaʻo luhi a nāwaliwali paha i ʻano ʻē.
Nā hopena ʻaoʻao ʻaʻole ia he mea nui, akā inā hoʻomau lākou, pono ʻoe e haʻi i kāu kauka :
ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao. Eia nō naʻe, inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:
- Ka maʻi pākī.
- Ka nalowale o ka lauoho.
- ʻEha poʻo.
- ʻAʻohe ʻono o ka meaʻai.
- Ka luaʻi, ka luaʻi.
- ʻO ke ʻeha o ka ʻōpū ke ʻano o ka manaʻo e like me ka ʻeha o ka ʻōpū.
E hoʻomanaʻo: ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e kamaʻilio me kāu kauka e pili ana iā lākou. Mai makaʻu e nīnau, "He mea maʻamau anei kēia, e ke kauka?"
Pehea e mālama ai i ka lāʻau lapaʻau?
E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki . He mea nui loa kēia.
E mālama ma ka mahana o ka lumi, ma waena o 20 a me 25 kekelē Celsius (68 a me 77 kekelē Fahrenheit). E pani pono i ka ʻōmole a i ʻole ka ʻeke. E hoʻolei i ka lāʻau lapaʻau i pau ka lā me ka hoʻohana ʻole ʻana.
E hoʻomanaʻo i ka mea nui loa.
ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai e pili ana i nā pila Probenecid a me Colchicine, he mea maikaʻi ke hoʻomanaʻo i kekahi o nā mea nui loa. Inā ʻoe e hahai pololei i kēia mau mea, hiki iā ʻoe ke kāohi pono i kou kūlana a ola i kahi ola olakino.
- E lawe mau i kāu lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka. E hahai pono i ka nui a me ka manawa. Mai hoʻololi iā ia ma kou manaʻo ponoʻī.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao , e haʻi i kāu kauka e pili ana iā lākou, ʻoiai inā he mau hopena liʻiliʻi.
- Ua hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe wale nō . Mai hāʻawi aku i kekahi.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me kāu mau ʻano olakino (ʻai, hoʻoikaika kino, waiʻona, puhipaka).
- Inā he mau nīnau a kānalua paha kāu e pili ana i kēia lāʻau lapaʻau, e nīnau i kāu kauka a kauka lāʻau paha no ka wehewehe ʻana. Mai makaʻu, aia lākou ma laila e kōkua iā ʻoe.
- E makaʻala loa i ka waiʻona a me kekahi mau mea ʻeha ʻeha no ka mea hiki iā lākou ke launa pū me kēia lāʻau lapaʻau.
- E inu i ka wai he nui a e hahai i kāu papaʻai e like me ke kauoha a kāu kauka.
Ke makemake nei iā ʻoe i ke olakino maikaʻi!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ke ʻano maʻi e hoʻohana ʻia ai ʻo Flucytosine (Flucytosine / Ancobon)?
He lāʻau antifungal ikaika loa kēia i hāʻawi wale ʻia ma ka haukapila no nā maʻi fungal koʻikoʻi a make! Hāʻawi ʻia i kēlā me kēia lā me kahi inikini ikaika ʻē aʻe i kapa ʻia ʻo Amphotericin B e mālama i nā maʻi fungal koʻikoʻi i hoʻokumu ʻia e Cryptococcus, ʻoiai ke komo ka fungus i kapa ʻia ʻo Cryptococcus i ka lolo a hoʻopili i nā membrane o ka lolo (Cryptococcal Meningitis) a me nā maʻi fungal koʻikoʻi i hoʻokumu ʻia e nā manu nūnū i laha ma ke kino/koko (Systemic Candidiasis).
💬 Pehea e pepehi ai kēia lāʻau lapaʻau (Flucytosine) i kēlā fungus?
Ua like kēia me ka Lio Trojan! Ke komo kēia lāʻau lapaʻau i loko o ka haʻiki, hoʻololi ʻia ia i ke kemika ʻawahia (5-Fluorouracil - kahi lāʻau lapaʻau maʻi kanesa). Hele kēlā kemika ʻawahia a hoʻopilikia loa i ka hale hana hana DNA a me RNA o kēlā haʻiki. Ke nalowale ka DNA, ʻaʻole hiki i kēlā haʻiki weliweli ke ola hou a make.
💬 He aha nā hopena ʻaoʻao make e hiki mai ana ke lawe ʻia i kēia lāʻau lapaʻau?
ʻO ka hopena ʻino loa o kēia (Bone marrow suppression)! Ma muli o ka hana ʻana o kēia lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau maʻi kanesa i loko o ke kino, aia kahi pilikia kiʻekiʻe o ka pau koke ʻana o ka hana a ko kākou iwi iwi a me ka hāʻule ʻana o nā 'keʻokeʻo koko a me nā platelets koko' i ka ʻole, e hoʻoulu ai i ke kahe koko a me nā maʻi ʻē aʻe (ʻo ia ke kumu e koi ʻia ai nā hoʻāʻo koko i kēlā me kēia lā). Eia kekahi, hiki ke hōʻino nui ʻia ke akepaʻa (Ate toxicity)!
ʻO Probenecid, Colchicine, Gout arthritis, ʻEha hui, Lāʻau lapaʻau, Nā hopena ʻaoʻao, ʻŌlelo aʻoaʻo lapaʻau











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