Aloha! Ua kuhikuhi anei kāu kauka iā Sildenafil iā ʻoe a i ʻole kekahi o kou ʻohana? E makaʻu iki paha ʻoe ke lohe ʻoe i ka inoa, no ka mea, ua ʻike ʻia kēia lāʻau lapaʻau no nā maʻi ʻē aʻe. Akā, mai makaʻu. He lāʻau lapaʻau ʻo Sildenafil i hoʻohana ʻia e mālama i kekahi mau maʻi like ʻole. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i nā mea e pono ai ʻoe e ʻike e pili ana iā Sildenafil, ʻoiai i ka wā e pili ana i ka mālama ʻana i ke koko kiʻekiʻe i loko o nā māmā, a i ʻike ʻia ma ke ʻano lapaʻau ʻo Pulmonary Arterial Hypertension (PAH).
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
ʻAe, e hoʻomaopopo mua kākou i ke ʻano o ke koko kiʻekiʻe o ka puʻuwai (PAH). E noʻonoʻo he mau kīʻaha koko lahilahi kou e lawe ana i ke koko i kou mau māmā. ʻO ka mea e hana ʻia ma kēia kūlana, ʻo ia ka emi mālie ʻana o kēlā mau kīʻaha koko, a piʻi nui ke koko i loko o lākou me ke kumu ʻole. A laila paʻakikī i kou puʻuwai ke kaomi i ke koko ma o kēia mau kīʻaha koko i emi iho i kou mau māmā. He kaumaha nui kēia ma ka puʻuwai.
ʻO kēia kahi e komo mai ai ʻo Sildenafil . Hana ia ma ka hoʻomaha ʻana i nā kīʻaha koko i hoʻopaʻa ʻia a ua piʻi aʻe ke kaomi. Hoʻemi kēia i ke kaomi i loko o nā māmā, e ʻae ana i ka puʻuwai e pamu i ke koko me ka maʻalahi. ʻO ka hopena, hiki iā ʻoe ke hanu maʻalahi, hele wāwae iki, a hana i nā hana o kēlā me kēia lā me ka ʻoi aku ka maikaʻi. Ua lohe paha ʻoe i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo 'Revatio'.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Sildenafil e pono e hoʻohana ʻia me ke akahele loa. No laila, he mea nui e hāʻawi kāu kauka iā ʻoe i kahi kiʻi piha o kou olakino ma mua o ke kau ʻana i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma ka papa ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana iā lākou.
| Loaʻa iā ʻoe kēia mau kūlana? | No ke aha he mea nui e hoʻomaopopo e pili ana i ia mea? |
|---|---|
| Maʻi puʻuwai, ka moʻolelo o nā hōʻeha puʻuwai, ke koko kiʻekiʻe a haʻahaʻa paha | Ma muli o ka hoʻopilikia ʻana o ka sildenafil i ke koko, hiki i kēia ke lilo i mea pilikia no ka poʻe me ka maʻi puʻuwai. |
| Nā maʻi maka, nā pilikia ʻike | ʻAʻole hiki iā Sildenafil ke hoʻopilikia pinepine i ka ʻike, no laila inā loaʻa iā ʻoe nā pilikia ʻike, pono ʻoe e hoʻomaopopo i kāu kauka. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | ʻO nā puʻupaʻa a me ke akepaʻa nā ʻōkana e wehe i nā lāʻau lapaʻau mai ke kino. Inā ʻaʻole hana pono kēia mau ʻōkana, pono paha e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau. |
| Nā maʻi koko a i ʻole nā ʻōpū ʻōpū | He mea nui e makaʻala i kēia mau kūlana, ʻoiai hiki i ka sildenafil ke hoʻonui iki i ka pilikia o ke kahe ʻana o ke koko. |
| Nā maʻi e pili ana i ke koko (e like me ka anemia Sickle cell, Leukemia) | Aia kahi pilikia o nā pilikia mai Sildenafil me kēia mau kūlana. |
| Nā maʻi ʻaleka i ka sildenafil a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā wai hoʻoluʻu | Inā he mau maʻi allergies kou, pono e ʻike kāu kauka iā lākou. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | I ia mau hihia, he mea nui ka ʻōlelo aʻoaʻo lapaʻau e noʻonoʻo ai i ka hopena kūpono i ke keiki. |
| Nā pilikia penile (e like me ka maʻi Peyronie, ka mōʻaukala o ka priapism) | He mea nui kēia e hoʻoholo ai inā he piʻi aʻe ka pilikia o ka moekolohe ʻeha a lōʻihi hoʻi, kahi hopena ʻaoʻao paha o kēia lāʻau lapaʻau. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau, akā he mea nui loa e hahai pololei i nā kuhikuhi.
- E ale i ka pila me ke aniani wai.
- Hiki iā ʻoe ke lawe i kēia ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E lawe i ka lāʻau lapaʻau i ka manawa i kuhikuhi ʻia (ʻo kēlā me kēia 4-6 hola) e like me ke kauoha a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E noʻonoʻo ua lawe ʻoe i nā lāʻau lapaʻau ma mua o ka mea i kuhikuhi ʻia. Inā hana ʻia kēlā, mai hoʻokaʻulua. E kelepona i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui i ka hikiwawe loa, a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
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 lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau no kekahi kumu.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki iā Sildenafil ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe, hiki ke alakaʻi i nā hopena ʻino . No laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Sildenafil! | |
|---|---|
| Nā ʻano Nitrates Laʻana: Isosorbide dinitrate, Isosorbide mononitrate, Nitroglycerin | He mau lāʻau lapaʻau kēia i hoʻohana pinepine ʻia e mālama i ka ʻeha o ka umauma i nā maʻi puʻuwai. ʻO ka lawe ʻana iā lākou me Sildenafil hiki ke hoʻohaʻahaʻa i ke koko. |
| ʻO Riociguat | He lāʻau lapaʻau ʻē aʻe kēia no ke koko kiʻekiʻe pulmonary. ʻO ka lawe pū ʻana i kēia mau mea ʻelua hiki ke hana i kahi koko haʻahaʻa loa. |
| ʻO Cisapride, Cobicistat, Telaprevir | ʻO kēia nā lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana ʻē aʻe a hiki ke launa pū me Sildenafil. |
| Inā ʻoe e hoʻohana nei i kēia mau lāʻau lapaʻau, e ʻōlelo pono i kāu kauka. | |
| Nā lāʻau antiretroviral no ka maʻi HIV a i ʻole AIDS | Bosentana |
| ʻO kekahi mau lāʻau lapaʻau koko | ʻO kekahi mau lāʻau lapaʻau no ka benign prostatic hyperplasia (BPH) |
| Nā lāʻau lapaʻau no nā maʻi fungal (e.g. Ketoconazole, Itraconazole) | ʻErythromycin, Cimetidine, Rifampin |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā mea kanu, a me nā mea hoʻohui āu e lawe ai. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Sildenafil ke hana i kekahi mau hopena ʻaoʻao. ʻOiai he mea liʻiliʻi ka hapa nui o kēia mau mea, aia kekahi mau mea e pono ai mākou e makaʻala nui.
| Hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka a i ʻole e hele i ka haukapila. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli i ka ʻike a i ʻole ka lohe ʻana | Ka nalowale koke ʻana o ka ʻike ma kekahi a i ʻole nā maka ʻelua, ka emi ʻana o ka lohe, a i ʻole ke kani ʻana o nā pepeiao. |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha a ʻūmiʻi paha ma ka umauma, poʻohiwi, lima, a i ʻole ka ʻauwae, ka luaʻi, ka paʻakikī o ka hanu ʻana. |
| Nā Hōʻailona o ka Stroke | Ka maneʻo koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka huikau. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Ke piʻi nei ka paʻakikī o ka hanu ʻana | ʻO ka hanu pōkole hou a i ʻole ka ʻino aʻe ma hope o ka lawe ʻana i ka lāʻau. |
| ʻO nā hopena ʻaoʻao ʻaʻohe mea e hopohopo ai, akā inā hoʻomau lākou, pono ʻoe e haʻi i kāu kauka. | |
| ʻEha poʻo | ʻUlaʻula o ka maka, ʻeha ʻōpū, kahe koko o ka ihu, paʻa ka ihu, hiamoe ʻole. |
Hiki i kēia lāʻau lapaʻau ke hoʻopōʻino iki iā ʻoe . No laila, mai hana i kekahi mea e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i kou ʻike ʻana i kona hopena iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai ala koke a noho paha . E hana mālie. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia pōʻino , no laila e pale aku.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Sildenafil no ke koko kiʻekiʻe pulmonary. E lawe mau iā ia e like me ke kauoha a kāu kauka, ma ka nui kūpono, a i ka manawa kūpono.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu (ʻoiai ka puʻuwai, ka maka, ka puʻupaʻa, a i ʻole ka maʻi akepaʻa) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai lawe pū me Sildenafil i ka nitrates, hiki iā ia ke hoʻohaʻahaʻa i ke koko.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka ʻeha o ka umauma, ka nalowale koke o ka ʻike, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi. E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona.
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