Loaʻa iā ʻoe ka gout ? A i ʻole kekahi āu i ʻike ai i loaʻa i kēia maʻi? A laila ua kamaʻāina paha ʻoe i kēlā ʻeha nui i nā hono. No laila, ʻo kekahi o nā lāʻau lapaʻau a nā kauka e ʻōlelo nei no ka kaohi lōʻihi o ka gout ʻo Probenecid. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kēia pila Probenecid, nā mea e hana ʻia me ia, a me nā mea e makaʻala ai i ka wā e lawe ana.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau Probenecid?
I ka ʻōlelo maʻalahi, hana kēia lāʻau i kapa ʻia ʻo Probenecid ma ka wikiwiki ʻana i ka hoʻokuʻu ʻia ʻana o ka uric acid keu i loko o ko mākou kino ma o ka mimi. E like me kou ʻike, loaʻa ka gout i ka wā e piʻi ai ka nui o ka uric acid i loko o ke kino a waiho ʻia i loko o nā hono ma ke ʻano he kristal. No laila, ma ka hoʻemi ʻana i ka pae o ka uric acid, hiki i kēia lāʻau ke pale i ka hoʻi hou ʻana o nā hōʻeha gout ʻeha.
He hana ʻē aʻe ko kēia lāʻau lapaʻau. Kōkua ia i kekahi mau antibiotics, e like me ka penicillin, e noho lōʻihi i loko o ke kino, e ʻoi aku ka maikaʻi o ka antibiotic.
Nā mea e haʻi aku i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana iā Probenecid, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā lākou e pili ana i kekahi o kēia mau kūlana āu e loaʻa nei:
- Inā ʻoe e loaʻa nei i kahi hoʻouka kaua gouty koʻikoʻi: Hoʻohana ʻia kēia lāʻau lapaʻau e pale i ka hiki ʻana mai o ka ʻeha, ʻaʻole e hōʻemi iā ia ke loaʻa mua. No laila, ʻaʻole hoʻomaka ʻia i kēlā manawa.
- Inā he maʻi koko a i ʻole nā pilikia koko kou.
- Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole nā pōhaku puʻupaʻa : ʻOiai ke hana nei kēia lāʻau lapaʻau ma o nā puʻupaʻa, inā loaʻa iā ʻoe kekahi pilikia puʻupaʻa, pono e ʻike kāu kauka.
- Inā ua loaʻa iā ʻoe ka radiation therapy i kēia manawa koke nei.
- Inā he maʻi ʻōpū kou.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka probenecid, nā lāʻau sulfa, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine ʻoe e hānai waiū ana.
Ma muli o kēia ʻike, e hoʻoholo kāu kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole pono e hoʻololi i ka dosage.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He mea maʻalahi loa ke ʻano e hoʻohana ai, akā he mea nui loa.
- ʻO kēia pila me kahi aniani wai nuiInu. He mea nui loa hoʻi e inu i ka wai he nui i ka lā a pau.
- E lawe i ka nui kikoʻī, e like me ke kuhikuhi a kāu kauka. E lawe i kāu lāʻau lapaʻau i nā manawa i hoʻonohonoho ʻia, me ka ʻole o ka haʻalele ʻana i nā manawa i koho ʻia.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. E hoʻomau i ka lawe ʻana iā ia ʻoiai inā ua maikaʻi kou manaʻo.
- Inā hāʻawi ʻia i nā keiki: ʻAʻole hāʻawi pinepine ʻia kēia lāʻau lapaʻau i nā keiki ma lalo o 2 mau makahiki. Inā hāʻawi ʻia i nā keiki ma mua o kēlā, e kamaʻilio me ke kauka keiki e pili ana i ia mea a e hahai i kāna mau kuhikuhi.
- Overdose: Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi mea ʻē aʻe i loaʻa nā hōʻailona like me ʻoe. ʻOkoʻa paha ka lāʻau lapaʻau kūpono no kēlā me kēia kanaka.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki iā Probenecid ke launa pū me nā lāʻau lapaʻau ʻē aʻe. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻoiai nā huaora. E wehewehe pono ana ka papa ma lalo nei i kēia.
| Nā pilina kūpono me Probenecid | |
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| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia | |
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| Nā lāʻau lapaʻau e pono e hoʻohana me ke akahele a hōʻike i ke kauka | |
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ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, inā ʻoe e puhipaka, a inā ʻoe e inu waiʻona.
Nā mea kūikawā e pono ai ʻoe e makaʻala i ka wā e lawe ai iā Probenecid
- He manawa ka lōʻihi e ʻike ai i nā hopena: Hiki ke hala i kekahi mau mahina e ʻike ai i nā hopena piha o kēia lāʻau. No laila, inā he ʻeha gout kou a ʻaʻole paha, e hoʻomau i ka lawe ʻana i ka lāʻau no ka lōʻihi e like me ka ʻōlelo a kāu kauka iā ʻoe. Inā loaʻa iā ʻoe ka ʻeha koke, e kuhikuhi kāu kauka i kahi lāʻau ʻokoʻa no kēlā.
- E makaʻala me nā lāʻau hoʻomaha ʻeha:
- ʻAʻohe waiʻona: Hiki i ka waiʻona ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau. No laila, e pale i ka inu ʻana i ka waiʻona.
- E inu i ka wai nui: He mea nui loa e inu ma ka liʻiliʻi he 8-10 mau aniani wai i ka lā e kōkua i ka hoʻokuke ʻana i ka uric acid mai ke kino a pale i nā pōhaku puʻupaʻa. Mai hoʻokuʻu iā ʻoe iho e maloʻo.
- Nā hopena ma kekahi mau hoʻokolohua: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā hopena o kekahi mau hoʻokolohua e nānā ana i ke kō i loko o ka mimi. Inā ʻoe e loaʻa ana i kēlā hoʻokolohua, e haʻi mua i kāu kauka.
- ʻO ka huhū o ka ʻili, ka maneʻo, ka hives (nā hopena alerika)
- Ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo
- Paʻakikī ka hanu ʻana
- Kuni, ʻūlū, nā hōʻailona o ka maʻi
- Koko i loko o ka mimi
- ʻEha ma ka ʻōpū lalo a i ʻole ka ʻaoʻao (e pili ana i ka puʻupaʻa)
- ʻEha a paʻakikī paha ka mimi ʻana
- ʻO ka pehu a me ka ʻeha o nā hono
- Ke kahe koko ʻana a i ʻole ka ʻeha ʻana ma ke ʻano maʻamau
- Luhi a luhi paha ma ke ʻano ʻē
- Pōʻino
- Ka holoi ʻana
- Mimi pinepine
- Pohō lauoho
- ʻEha poʻo
- Makemake nui
- Ka luaʻi, ka luaʻi
- ʻEha ʻāʻī
- He lāʻau lapaʻau ʻo Probenecid i hoʻohana ʻia e kāohi i ka gout i ka wā lōʻihi, ʻaʻole no nā hoʻouka koke.
- I ka wā e lawe ai i kēia lāʻau lapaʻau, he mea nui loa ia e inu i ka wai nui i ka lā a pau.
- Mai lawe i ka aspirin a i ʻole nā lāʻau ʻeha ʻē aʻe (ʻoi aku hoʻi nā NSAID) me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- E hāʻawi i kāu kauka i ka wehewehe piha o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā mea hoʻopihapiha āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino (e like me ka ʻulaʻula o ka ʻili, ka paʻakikī o ka hanu ʻana, ka ʻeha nui), e ʻimi koke i ke kōkua lapaʻau.
Hiki i nā lāʻau ʻeha NSAID e like me ka aspirin a me ka ibuprofen ke hōʻemi i ka pono o kēia lāʻau. No laila, mai lawe i nā lāʻau ʻeha ma luna o ke kauka no ka ʻeha poʻo a i ʻole nā ʻeha ʻē aʻe. E nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau ʻeha.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Probenecid ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, a he akahai kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
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| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
Leka Lawe-Home
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai nā papa Probenecid?
He lāʻau lapaʻau ikaika loa kēia no ka maʻi ʻāʻī koʻikoʻi i kapa ʻia ʻo 'Gout' (Uricosuric agent)! Loaʻa i nā maʻi Gout ka ʻeha hiki ʻole ke hoʻomanawanui a me ka pehu ʻana ma muli o nā kristal 'Uric Acid' e pipili ana e like me nā nila i loko o nā hono. ʻO ka hana a kēia pila, ʻo ia ka holoi ʻana i kēlā uric acid weliweli a pau i loko o ke kino a hoʻolei aku i waho.
💬 Ke komo kēia lāʻau lapaʻau (Probenecid) i loko o ke kino, pehea lā e wehe ai i ka 'uric acid' e hoʻoulu ai i ka ʻeha gout?
ʻO ka maʻamau, ma hope o ka hoʻokuʻu ʻana o ko mākou kino i ka uric acid ma o nā puʻupaʻa i loko o ka mimi, hoʻihoʻi hou nā puʻupaʻa i kekahi o ia mea i loko o ke kino/koko (Reabsorption/URAT1). ʻO ka hana a kēia pila (Probenecid) ʻo ia ka pale ʻana i kēlā 'hale hana reabsorption'. No ka mea, ʻaʻole hiki ke omo ʻia, kahe nā uric acid a pau i loko o kou koko mai loko mai o kou kino e like me ka muliwai (Excretion) me ke keakea ʻole.
💬 No ke aha ʻoe e pono ai e inu i ka nui o ka wai i ka wā e lawe ai i kēia mau lāʻau? He aha nā pilikia?
Hoʻokuke kēia pila i ka uric acid āpau i loko o ke kino i loko o nā puʻupaʻa/mimi, no laila inā ʻaʻole ʻoe e inu i '2-3 lita o ka wai i ka lā', e hōʻiliʻili kēlā uric acid i loko o nā puʻupaʻa a hana i nā 'pōhaku (nā pōhaku kidney acid Uric)'. He mea make kēlā! ʻO kekahi mea kūikawā, inā ʻoe e lawe i kahi antibiotic e pepehi i nā bacteria (e like me Penicillin) i ka wā e lawe ana i kēia pila, hiki i kēia ke hoʻonui i ka nui o kēlā antibiotic e noho ana i loko o ke kino (a hiki i ka lilo ʻana i mea ʻawahia) a hoʻonui i nā hopena ʻaoʻao o ka lāʻau lapaʻau (nā pilina lāʻau).
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