I kekahi manawa, hiki paha iā ʻoe ke manaʻo i ka hanu pōkole, ʻoiai ke piʻi ʻana i nā alapiʻi a i ʻole ke hele wāwae ʻana i kahi mamao pōkole. ʻO kekahi kumu no kēia, ʻo ia ka hoʻonui ʻia o ke kaomi i loko o nā kīʻaha koko e lawe ana i ke koko i kou mau māmā. Ua kapa nā kauka i kēia maʻi "pulmonary hypertension." No laila, inā ua kuhikuhi kāu kauka iā Riociguat (kūʻai ʻia ʻo Adempas) ma ke ʻano he lāʻau lapaʻau no kēia maʻi, he mea nui loa iā ʻoe ke ʻike maopopo i nā mea āpau e pili ana i kēia lāʻau lapaʻau. E kamaʻilio kākou e pili ana.
He aha ke ʻano lāʻau lapaʻau ʻo Riociguat?
I ka ʻōlelo maʻalahi, hana kēia lāʻau lapaʻau ma ka hoʻonui ʻana i nā kīʻaha koko i loko o kou mau māmā (e hoʻonui ana iā lākou), e maʻalahi ai ke kahe ʻana o ke koko ma o lākou. E noʻonoʻo e like me ka hoʻonui ʻana i kahi alanui haiki i hiki iā ʻoe ke hele maʻalahi me ka ʻole o ke kaʻa.
Hoʻemi kēia i ke koko i loko o kou mau māmā, ʻo ia hoʻi, pono kou puʻuwai e hana ikaika e pamu i ke koko. ʻO ka hopena, ʻoi aku ka maʻalahi o kou hanu ʻana a ʻaʻole ʻoe e luhi i ka wā e hana ana i nā hana māmā a i ʻole e hoʻoikaika kino.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe iā Riociguat, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| Kou kūlana | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | He mea nui loa kēia! Hiki i kēia ke hana i nā kīnā hānau koʻikoʻi i ka pēpē i hānau ʻole ʻia. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ka hoʻopau ʻia ʻana o ka lāʻau lapaʻau mai ke kino ma o kēia mau ʻōkana, pono paha e hoʻololi ʻia ka dosage. |
| Ke koko haʻahaʻa | Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa hou i ke koko, kahi e hiki ai ke hoʻoulu i ka poniuniu. |
| Nā maʻi koko a i ʻole ka lawe ʻana i nā lāʻau lapaʻau e hoʻokahe koko | Hiki paha i ka Riociguat ke hoʻonui iki i ka pilikia o ke kahe ʻana o ke koko. |
| Maʻi puʻuwai | Na kāu kauka e hoʻoholo inā kūpono ka lāʻau lapaʻau no kou maʻi puʻuwai. |
| Puhipaka | Hiki i ka puhipaka ke hoʻololi i ke ʻano o ka hana ʻana o ka lāʻau lapaʻau. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | He mea nui kēia e ʻike inā he maʻi ʻoe i ka Riociguat a i ʻole kekahi o kāna mau mea hoʻohui. |
| Nā kūlana kikoʻī o ka māmā (e.g. PVOD, idiopathic interstitial pneumonias) | ʻAʻole paha kūpono kēia lāʻau lapaʻau no nā poʻe maʻi me kēia mau kūlana kūikawā. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea maʻalahi loa kēia.
- E lawe i ka nui i kuhikuhi ʻia e kāu kauka, e like me ke kauoha. E ale i ka pila me ke aniani wai.
- Hiki ke lawe ʻia kēia lāʻau lapaʻau me ka meaʻai a me ka ʻole . ʻAʻole ia he pilikia.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Ma kēlā ʻano, hiki ke mālama ʻia ka pono o ka lāʻau lapaʻau ma ka pae like i loko o ke kino.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka . ʻO ka hana ʻana pēlā e hoʻonui hou ai i kou mau hōʻailona.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e kāpae i ka lāʻau i poina a lawe i ka lāʻau aʻe i ka manawa maʻamau. Mai lawe i kahi lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina .
Eia nō naʻe, inā ʻaʻole hiki iā ʻoe ke lawe i ka lāʻau lapaʻau no ʻekolu lā a ʻoi aku paha, e kamaʻilio me kāu kauka no ka ʻōlelo aʻo ma mua o ka hoʻomaka hou ʻana i ka lāʻau lapaʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui , a i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.
E hoʻomanaʻo, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi mea ʻē aʻe i loaʻa nā hōʻailona like me ʻoe.
Nā mea pono ʻole e hoʻohana pū ʻia me Riociguat a me nā mea e hiki ai ke hoʻopilikia
He lāʻau lapaʻau ʻo Riociguat e hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui).
| Mai lawe pū me kēia me Riociguat! (Pōʻino loa) | |
|---|---|
| Nā lāʻau lapaʻau ʻano nitrate | Nā lāʻau lapaʻau no ka hāʻule ʻana o ka puʻuwai (e like me GTN). No ka laʻana: (isosorbide dinitrate, isosorbide mononitrate, nitroglycerin) |
| Nā mea hoʻopaʻa PDE5 | Nā lāʻau lapaʻau no ka hoʻoikaika ʻana i ke kāne a i ʻole ke koko kiʻekiʻe pulmonary. Eia kekahi laʻana: (sildenafil, tadalafil, vardenafil) |
| Nā lāʻau lapaʻau ʻē aʻe | Nā lāʻau lapaʻau e like me (Dipyridamole) a me (Theophylline). |
| Kumu: Ke lawe pū ʻia kēia mau lāʻau me Riociguat, hiki i ke koko ke hāʻule nui, e alakaʻi ana i ka nalowale o ka ʻike a i ʻole ka make. | |
| E akahele loa inā ʻoe e hoʻohana i kēia mau mea. | |
| Nā lāʻau lapaʻau no ka gastritis ʻōpū | Hiki i nā antacids (e.g., wai a i ʻole nā papa) ke hōʻemi i ka pono o Riociguat. E lawe i hoʻokahi hola ma mua a ma hope paha. |
| Nā lāʻau lapaʻau no ka maʻi HIV a i ʻole AIDS | ʻO kekahi mau lāʻau antiviral. |
| Nā lāʻau lapaʻau no nā hopu ʻana | Laʻana: (carbamazepine, phenobarbital, phenytoin) |
| Nā lāʻau antifungal a me nā antibiotics | Laʻana: (itraconazole, ketoconazole, rifampin) |
Nā mea kūikawā e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Mai hāpai!
ʻO kēia ka mea nui loa a koʻikoʻi hoʻi e hoʻomaopopo . Inā hāpai ʻoe i ka wā e lawe ana iā Riociguat, aia kahi pilikia kiʻekiʻe loa o nā kīnā hānau koʻikoʻi i kāu pēpē i hānau ʻole ʻia.
- No nā wahine: Inā he wahine ʻoe i ka wā hānau keiki, pono ʻoe e loaʻa i kahi hoʻāʻo hāpai e hōʻoia ʻaʻole ʻoe e hāpai ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, i kēlā me kēia mahina i ka wā e lawe ana, a no hoʻokahi mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Pono ʻoe e hoʻohana i ʻelua ʻano kaohi hānau hilinaʻi i ka manawa like ʻoiai ʻoe e lawe ana i ka pila a no hoʻokahi mahina ma hope o ka hoʻōki ʻana. E kamaʻilio me kāu kauka e pili ana i kēia a hoʻoholo i nā ʻano hana kūpono iā ʻoe.
- Inā he kānalua iki kou ua hāpai ʻoe, e hoʻomaopopo koke i kāu kauka.
- Ma muli o kēia pilikia, ma kekahi mau ʻāina, loaʻa wale kēia lāʻau lapaʻau ma lalo o kahi papahana kūikawā. E hāʻawi kāu kauka iā ʻoe i ka ʻike āpau āu e pono ai. (ʻAʻole pili kēia papahana i nā kāne).
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Riociguat ke hana i kekahi mau hopena ʻaoʻao.
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana, ʻeha ka umauma | He mau hōʻailona paha kēia o ka maʻi e ʻoi aku ana. |
| Pōʻino nui, maule, hāʻule | He hōʻailona paha ia o ke koko haʻahaʻa loa. |
| Ke kahe koko ʻana a i ʻole ka ʻeha ʻana ma ke ʻano maʻamau | Ke kahe ʻana o ke koko mai nā ʻāʻī, ka ihu, a i ʻole ka palapū ma lalo o ka ʻili. |
| ʻAʻole pilikia kēia mau mea, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| ʻEha poʻo | Hoʻemi pinepine kēia i ka wā e hoʻomaʻamaʻa ai ke kino i ka lāʻau lapaʻau. |
| Ka maʻi kahe, ka nausea, ka luaʻi | Hiki iā ʻoe ke hoʻomaha ma ka ʻai ʻana i nā meaʻai palaka. |
| Ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, nā lima | Hiki ke hana ʻia ma muli o ka paʻa ʻana o ka wai i loko o ke kino. |
Mai makaʻu e kamaʻilio me kāu kauka e pili ana i kekahi mau hōʻailona ʻē aʻe e hoʻopilikia nei iā ʻoe ʻaʻole ma kēia papa inoa.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama iā ia ma kahi palekana i hiki ʻole i nā keiki ke loaʻa .
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius). E mālama ʻia mai ka wela nui a me ka makū.
- E hoʻolei aku i kekahi lāʻau lapaʻau i hala i kona lā palena pau me ka hoʻohana ʻole ʻana.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Riociguat no ka mālama ʻana i ke koko kiʻekiʻe o ka pulmonary.
- ʻO ka mea nui loa: Mai hāpai loa i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi mahina ma hope o ka hoʻōki ʻana. E hoʻohana i ʻelua mau ʻano hana hoʻomalu hānau hilinaʻi i ka manawa like.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (ʻoi aku ka nitrates a me ka sildenafil).
- Mai hoʻōki i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe ka poniuniu nui, ka ʻeha o ka umauma, a i ʻole ke kahe koko ʻē, e ʻimi koke i ke kōkua lapaʻau.
- E kamaʻilio ākea me kāu kauka e pili ana i nā pilikia a hopohopo paha āu e loaʻa ai.
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