Ke manaʻo nei ʻoe i kekahi manawa he pōkole iki ka hanu, a i ʻole he luhi iki paha i ka wā e hele ana? A i ʻole ke manaʻo nei ʻoe i ke kaumaha ma kou umauma a me ka luhi iki i ka wā e kuʻi ana kou puʻuwai? Hiki i kēia mau mea ke kumu o kekahi mau kumu. Eia nō naʻe, i kekahi manawa ʻo ke kumu o kēia he piʻi wale nō o ke koko i loko o nā kīʻaha koko i loko o kou mau māmā. Kāhea nā kauka i kēia ʻano ʻo 'Pulmonary Arterial Hypertension' (PAH). I ia mau hihia, ʻo kahi injection kūikawā a nā kauka e hoʻohana ai e kōkua iā ʻoe ua kapa ʻia ʻo Sildenafil Injection. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī hou aku i kēia lā, ea?
He aha ka mea e hana maoli ai me kēia lāʻau lapaʻau i kapa ʻia ʻo Sildenafil Injection?
I ka ʻōlelo maʻalahi, ʻo Sildenafil kahi lāʻau lapaʻau i hāʻawi ʻia i nā poʻe me ke koko kiʻekiʻe pulmonary arterial (PAH). I kēia manawa e noʻonoʻo ʻoe ua like nā kīʻaha koko liʻiliʻi i loko o kou mau māmā me nā paipu e lawe ana i ka wai. Ma kēia kūlana PAH, ʻo ka mea e hana ʻia, ʻo ia ka lilo ʻana o kēlā mau kīʻaha koko i mea haiki a paʻakikī. A laila pono ka puʻuwai e hana ikaika loa e pamu i ke koko ma o kēia mau kīʻaha koko haiki i nā māmā. Ua like ia me ka hoʻokuke ʻana i ka wai ma o kahi paipu paʻa i loko o kahi pamu wai. Hoʻoluhi kēia i ka puʻuwai, hoʻopaʻakikī i ka hanu ʻana, a hoʻoluhi koke iā ʻoe.
ʻO kēia kahi e komo mai ai ʻo Sildenafil. Hana kēia lāʻau lapaʻau ma ka hoʻomaha ʻana i nā kīʻaha koko i haiki i loko o kou mau māmā. ʻO ia hoʻi, hoʻonui iki ia iā lākou. ʻAe kēia i ke koko e kahe maʻalahi ma o lākou. Hoʻemi pū ia i ke kaomi i loko o kou mau māmā. ʻO kēia ka mea e maʻalahi ai i kou puʻuwai ke pamu i ke koko, e maʻalahi ai ka hanu ʻana, a hāʻawi iā ʻoe i ka ikaika e neʻe iki aʻe. Ua lohe paha ʻoe i kēia lāʻau lapaʻau me ka inoa inoa ʻo `(Revatio)`.
He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau?
He mea nui loa kēia. Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka inikini Sildenafil, pono e makaʻala kāu hui lapaʻau, me nā kauka a me nā kahu maʻi, i kēia mau mea. No ka mea, ʻaʻole kūpono kekahi mau kūlana olakino me kēia lāʻau lapaʻau a i ʻole pono paha ka mālama kūikawā.
Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻoluʻolu e haʻi mai iā mākou:
- Inā he ʻano kīnā hānau kou o kāu penis, a i ʻole kahi kūlana e like me ka maʻi Peyronie.
- Ua ʻike anei ʻoe i kahi maʻi i kapa ʻia ʻo priapism, ʻo ia hoʻi kahi kūkulu ʻeha o ka penis no ka manawa lōʻihi me ke kumu ʻole?
- Inā he mau maʻi kahe koko kou.
- Inā he maʻi maka kou a i ʻole ka hemahema o ka ʻike.
- Inā loaʻa iā ʻoe nā maʻi puʻuwai (e like me nā pilikia valve puʻuwai, hōʻeha puʻuwai).
- Inā kiʻekiʻe loa a haʻahaʻa paha kou koko, ʻo ia hoʻi ke kaomi.
- Inā ua loaʻa iā ʻoe kahi maʻi e pili ana i ke koko, no ka laʻana, ka anemia cell sickle a i ʻole ka leukemia.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo ka maʻi veno-occlusive pulmonary (PVOD).
- Inā he ʻōpū ʻeha kou.
- Inā he maʻi ʻoe iā Sildenafil, i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu, nā mea mālama, a i ʻole kekahi mea ʻē aʻe, ʻo ia hoʻi, inā he maʻi ʻoe.
- Inā ʻoe e hāpai ana a i ʻole e kali ana i kahi pēpē, he mea kēia e haʻi aku ai.
- Inā he makuahine hānai ʻoe, e hoʻomaopopo i kāu kauka e pili ana i kēia.
Ma ka haʻi ʻana aku i kēia mau mea me ka ʻoiaʻiʻo a me ka hūnā ʻole ʻana iā lākou e hiki ai iā ʻoe ke loaʻa ka lāʻau lapaʻau me ka palekana.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He lāʻau lapaʻau ʻo Sildenafil i hāʻawi ʻia ma ke ʻano he inikini i loko o kahi aʻa. ʻAʻole kēia he mea hiki iā ʻoe ke lawe ma ka home. Hāʻawi ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana a ke kauka.
He mea nui: ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki ʻōpio. No laila, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i nā keiki.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau (overdose)?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, a i ʻole ua lawe hewa ʻoe i kahi overdose, e kāhea koke i kahi Poison Control Center a i ʻole ka lumi pilikia haukapila kokoke loa.
ʻO kekahi mea ʻē aʻe: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi no kekahi kumu . He ʻokoʻa ke olakino o kēlā me kēia kanaka, no laila ʻo ka mea e pono ai iā ʻoe ʻaʻole paha e pono no kekahi, a he mea weliweli paha.
He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?
ʻOiai ʻo ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila, ʻaʻole paha ʻoe e poina i kahi mahele lāʻau. Eia nō naʻe, inā no kekahi kumu ʻaʻole hiki iā ʻoe ke lawe i kāu lāʻau lapaʻau i ka manawa kūpono, e hoʻomaopopo koke i kāu hui mālama ola. E haʻi lākou iā ʻoe i ka mea e hana ai ma hope.
He aha nā lāʻau ʻē aʻe e pono ʻole e hoʻohana pū ʻia me kēia lāʻau (hiki ke launa pū)?
He mea kēia e makaʻala nui ai. Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻoulu i nā hopena ʻino ke lawe pū ʻia me Sildenafil. No laila, inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau, mai lawe iā Sildenafil:
- ʻO Cisapride
- ʻO Cobicistat
- Nitrates - ʻO nā laʻana e like me ka amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, a me ka nitroglycerin. Hoʻohana pinepine ʻia kēia mau mea no ka mālama ʻana i ka ʻeha o ka umauma (angina).
- ʻO Riociguat
- ʻO Telaprevir
Eia kekahi, aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Sildenafil, ʻo ia hoʻi hiki iā lākou ke hoʻopilikia iā ia. ʻO kēia mau mea:
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole AIDS
- Bosentana
- ʻO kekahi mau lāʻau lapaʻau no ka Benign Prostatic Hyperplasia (BPH)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e kāohi i ke koko
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal - e.g. Ketoconazole, Itraconazole
- ʻO Cimetidine
- ʻEritromisina
- ʻO Rifampin
ʻAʻole piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e kāu kauka, ma luna o ke kūʻai aku), me nā lāʻau lapaʻau lāʻau, nā mea kanu, a me nā mea hoʻohui meaʻai, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe i kū ʻole i ke kānāwai. Hiki i kekahi o kēia mau mea ke launa pū me kēia lāʻau lapaʻau.
He aha kaʻu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
E hoʻolohe i nā loli i kou kino i ka wā e lawe ana iā Sildenafil.
- Inā ʻaʻole e hoʻomaikaʻi iki kāu mau hōʻailona (e like me ka pōkole o ka hanu, ka luhi), a i ʻole e ʻano ʻino ana, e haʻi i kāu hui lapaʻau.
- Inā ʻike koke ʻoe i kekahi mau loli i kou ʻike a i ʻole ka lohe ʻana, e haʻi koke aku i kāu kauka .
- Hiki paha iā ʻoe ke poniuniu i ka wā e lawe ai i kēia lāʻau. No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i kekahi mea e pono ai ka makaʻala a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau iā ʻoe.
- Mai kū koke mai kahi noho ʻana, a mai noho koke i lalo mai kahi kū ʻana. E akahele loa inā ʻelemakule ʻoe. Hiki i kēia ke hōʻemi i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
- E pale i ka inu ʻana i ka waiʻona. Hiki i ka waiʻona ke hoʻonui i ka poniuniu.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Sildenafil ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau, akā he mea maikaʻi ke makaʻala iā lākou.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka :
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e ʻimi koke i ke kōkua lapaʻau:
- Nā hopena maʻi: ʻŌhūhū ʻili, hives, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, a me ka ʻāʻī.
- Ka nalowale o ka lohe a i ʻole ke kani ʻana o nā pepeiao.
- Nā hōʻailona o ka hōʻeha puʻuwai: ʻEha a ʻūlū paha ka umauma, ʻeha e pālahalaha ana i nā poʻohiwi, nā lima, a i ʻole ka ʻauwae, ka nausea, ka paʻakikī o ka hanu ʻana, ka hou anu, a me ka nāwaliwali.
- Nā loli o ke ʻano o ka puʻuwai: Manaʻo e like me ka wikiwiki o ka puʻuwai a i ʻole ke kuʻi ʻano ʻē, ka poniuniu, ka maule ʻana, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana.
- Ke koko haʻahaʻa: poniuniu, nāwaliwali, ʻike maka pōwehiwehi.
- Ka pōkole o ka hanu hou a i ʻole ka ʻino ʻana.
- Ke kūkulu ʻana i ka wā lōʻihi a ʻeha paha.
- Nā Hōʻailona o ka hahau ʻana: Ka mae koke ʻana a i ʻole ka nāwaliwali o ka maka, ka lima, a i ʻole ka wāwae (ʻoi aku hoʻi ma kekahi ʻaoʻao o ke kino), ka paʻakikī o ka ʻōlelo ʻana, ka huikau, ka paʻakikī o ka hele ʻana, ka nalowale o ke kaulike, ka poniuniu, ka ʻeha poʻo nui, nā loli o ka ʻike.
- Ka nalowale koke ʻana o ka ʻike ma kekahi a i ʻole nā maka ʻelua.
ʻO nā hopena ʻaoʻao ʻaʻole ia he mea weliweli, akā pono e hōʻike i kāu kauka inā hoʻomau lākou:
ʻAʻole koʻikoʻi kēia mau mea, akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka e pili ana iā lākou:
- ʻUlaʻula a ʻulaʻula paha ka maka
- ʻEha poʻo
- Kahe ke koko
- Ihu wai a ihu paʻa paha, e like me ke anu
- Pilikia i ka hiamoe ʻana
- ʻŌpū ʻeha, manaʻo e like me ka indigestion
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e nīnau i kāu kauka e pili ana i ia mea.
Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia inikini Sildenafil ma kahi haukapila a i ʻole ke keʻena lapaʻau, ʻaʻole pono ʻoe e lawe iā ia i ka home. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka mālama ʻana i ka lāʻau lapaʻau.
Leka Lawe-Home
ʻAe, e hoʻomanaʻo kākou i nā mea nui loa mai nā mea a kākou i kamaʻilio ai.
- ʻO ka Sildenafil Injection kahi lāʻau lapaʻau intravenous e mālama mua ana i ka hypertension arterial pulmonary (PAH).
- Hoʻomaha kēia i nā kīʻaha koko i loko o nā māmā, e maʻalahi ai i ka puʻuwai ke pamu i ke koko, a hoʻomaikaʻi i ka hanu ʻana.
- Pono ʻoe e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, a me nā mea maʻi allergies āu e loaʻa ai.
- Hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole ʻae ʻia no nā keiki ʻōpio.
- He mea weliweli loa ka lawe ʻana i kēia me kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā nitrates).
- E makaʻala i nā mea e like me ka poniuniu a me nā loli o ka ʻike. Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e haʻi koke i kāu kauka .
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi.
Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, mai kānalua e nīnau i kāu kauka a mea kūʻai lāʻau paha. E kōkua lākou iā ʻoe. E noho olakino!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau malaria anei ʻo Atovaquone lāua ʻo Proguanil (Atovaquone; Proguanil / Malarone)?
ʻAe! ʻO kēia ka pila malaria 'maikaʻi loa a palekana loa' ma ka honua! ʻO ka poʻe e hele ana i nā ʻāina e like me ʻApelika a me India kahi i nui ai nā makika malaria, hāʻawi ʻia lākou i ka hui pū ʻana o kēia mau lāʻau lapaʻau ʻelua e pale aku i ka malaria (Prevention / Prophylaxis), a ʻo ka poʻe i loaʻa mua i ka malaria, hāʻawi ʻia lākou i ka hui pū ʻana o kēia mau lāʻau lapaʻau ʻelua e ho'ōla loa iā ia (Treatment).
💬 Pehea e hana pū ai kēia mau lāʻau ʻelua e pepehi i ka parasite malaria i loko o ko kākou koko?
Hoʻouka kēia i ka parasite mai nā ʻaoʻao ʻelua! Hoʻopau loa ʻo Atovaquone i nā hale hana hanu/hana ikehu o ka parasite malaria (Mitochondria). Ma ka ʻaoʻao ʻē aʻe, hoʻōki ʻo Proguanil i ka hana ʻana o ka 'DNA' (Folic acid synthesis') o ka parasite. Ke hui pū ʻia kēia mau mea ʻelua, make koke ka parasite malaria koʻikoʻi, ʻaʻole hiki ke ola.
💬 He aha nā hopena ʻaoʻao nui o ka lawe ʻana i kēia mau pila malaria (Malarone)?
He pila palekana loa kēia (ʻaʻole ia e hoʻonāukiuki i nā maka/psychosis e like me ka Chloroquine ma mua). Eia nō naʻe, ʻo ka lawe ʻana i kēia hiki ke hana i ka 'ʻeha ʻōpū, ka luaʻi nui a me ka maʻi diarrhea' (GI upset). No laila, pono e lawe ʻia kēia pila me ka 'ʻai maikaʻi a i ʻole ke kīʻaha waiū/mea momona' (ʻo ia ka manawa e komo maikaʻi ai i ke kino). Hiki iā ʻoe ke ʻike i nā moeʻuhane ʻē.
sildenafil , ke koko kiʻekiʻe o ke aʻa pulmonary, revatio, ke koko kiʻekiʻe o ke aʻa pulmonary, olakino puʻuwai, nā hopena ʻaoʻao, injection
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