Malia paha ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kahi hoʻoili kino, e like me ka puʻupaʻa. A i ʻole ke mālama ʻia nei ʻoe no kahi maʻi māmā kakaʻikahi loa. I kēia mau hihia, hiki i kāu kauka ke kuhikuhi i kahi lāʻau i kapa ʻia ʻo Sirolimus e kōkua i ka kaohi ʻana i ka hana o kāu ʻōnaehana pale. No laila, ʻoiai he lāʻau paʻakikī kēia, e kamaʻilio kākou e pili ana i ia mea me ka maʻalahi a me ka maopopo, ʻeā?
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He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ʻo Sirolimus kahi lāʻau lapaʻau e hōʻemi a kāohi paha i ka hana o ka ʻōnaehana pale o kou kino. E noʻonoʻo i kēia ʻano: ke loaʻa i kekahi kahi hoʻoili kino hou, ʻike ko mākou kino iā ia he "haole." No laila, hoʻāʻo ka ʻōnaehana pale kūlohelohe o ke kino e hoʻouka i ka ʻōkana hou, a hōʻole paha iā ia. Hoʻōki ʻo Sirolimus i kēlā hōʻole ʻana. Kōkua pū ia i ka kaohi ʻana i ka ulu ʻana o nā cell i loko o nā māmā, kahi maʻi māmā kakaikahi i kapa ʻia ʻo lymphangioleiomyomatosis.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou kūlana olakino piha. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Maʻi diabetes
- Maʻi puʻuwai
- Hoʻonui ʻia ka nui o ka cholesterol a i ʻole triglycerides i loko o ke koko
- Kekahi maʻi lele o kēia manawa
- Nā maʻi ate
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka sirolimus a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana
He mea nui ka hāʻawi ʻana i kēia ʻike i kāu kauka no ka hāʻawi ʻana iā ʻoe i ka lāʻau kūpono a palekana loa.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He lāʻau lapaʻau kēia i loaʻa i ke ʻano wai, no laila pono ʻoe e hahai pono i kēia mau ʻanuʻu i ka wā e hoʻohana ai.
1. E hoʻohana i ka syringe kūpono: E hoʻohana wale i ka syringe ʻalani e hele mai me ka lāʻau lapaʻau. Mai ana me nā puna kīhini, no ka mea, ʻaʻole lākou e hāʻawi iā ʻoe i kahi mahele pololei. E hoʻohana i kahi syringe hou no kēlā me kēia mahele a hoʻolei aku ma hope o ka hoʻohana ʻana.
2. Ke kāwili ʻana i ka lāʻau lapaʻau: E kau i ka nui o ka lāʻau lapaʻau i ana ʻia i loko o ke aniani a i ʻole ke kīʻaha palakiko. E hoʻohui i 60 milliliters (ma kahi o 2 auneke) o ka wai a i ʻole ka wai ʻalani i loko. Mai kāwili pū me ka wai pomelo a i ʻole kekahi wai ʻē aʻe.
3. Inu ʻana: E hoʻowali maikaʻi a inu koke.E inu. A laila, e hoʻohui i 120 mililita hou (ma kahi o 4 auneke) o ka wai a i ʻole ka wai ʻalani i ke kīʻaha hoʻokahi, e hoʻoulu hou, a inu pū i kēlā. E kōkua kēia i ka hoʻokahe ʻana i kekahi lāʻau lapaʻau i koe mai ke kīʻaha.
4. E lawe i ka manawa kūpono: E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Hiki iā ʻoe ke lawe me ka ʻai a me ka ʻole paha, akā e pili i hoʻokahi ʻano. Eia kekahi laʻana, inā ʻoe e lawe ma hope o ka ʻai ʻana i kēlā me kēia lā, e hana pēlā.
5. Inā lawe ʻia me Cyclosporine: Inā ʻoe e lawe pū ana iā Cyclosporine, pono ʻoe e lawe iā Sirolimus 4 mau hola ma hope o ka lawe ʻana.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau.
Nā lāʻau lapaʻau ʻaʻole pono e hoʻohana pū ʻia me Sirolimus a pono ʻoe e makaʻala
He lāʻau lapaʻau ʻo Sirolimus e hiki ke launa pū me nā 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.
| Nā ʻano lāʻau lapaʻau a me ko lākou hopena | |
|---|---|
| ❌ Nā mea āu e pono ʻole ai e lawe pū me Sirolimus | |
| Nā lāʻau lapaʻau | E like me Clarithromycin, Erythromycin, Telithromycin |
| Nā lāʻau antifungal | E like me Itraconazole, Ketoconazole, Voriconazole |
| ʻĒ aʻe | Wai huapalaoa, Mifepristone, Rifampin, Rifabutin |
| ⚠️ Nā lāʻau lapaʻau e pono e hoʻohana me ke akahele, ma hope o ka hoʻomaopopo ʻana i ke kauka | |
| Cyclosporine, Diltiazem, Verapamil (no ke koko kiʻekiʻe), Carbamazepine, Phenytoin (no nā maʻi ʻeha), St. John's wort (he lāʻau lapaʻau lāʻau), nā lāʻau pale like ʻole, a me nā lāʻau lapaʻau ʻē aʻe he nui. | |
He mea nui: ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai, me nā huaora, nā lāʻau lapaʻau, a me nā lāʻau lapaʻau i kūʻai ʻia ma ke kūʻai ʻole ʻia.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau maʻamau: E hoʻomau i ka hele ʻana i nā keʻena lapaʻau e like me ke kauoha a kāu kauka. Pono paha ʻoe e hana i nā hoʻāʻo koko maʻamau e nānā i kou kūlana.
- Palekana mai nā maʻi: Hoʻohaʻahaʻa kēia lāʻau i kou palekana, no laila hiki iā ʻoe ke loaʻa maʻalahi i nā maʻi e like me ke anu a me ka maʻi palū. No laila, e noho mamao aku mai nā wahi lehulehu a me nā poʻe maʻi. Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi (kuni, ʻeha puʻu), mai hoʻōla ponoʻī a kāhea koke i kāu kauka.
- Nā pae kolesterol a me ke kō: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou cholesterol koko a me nā pae kō. E nānā kāu kauka i kēia a kuhikuhi i kahi lāʻau lapaʻau ʻokoʻa inā pono.
- Palekana i ka lā: E ʻike nui ʻia kou ʻili i ka lā (photosensitive) i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, inā ʻoe e hele ana i waho i ka lā, e ʻaʻahu i nā lole lōʻihi a hoʻohana i kahi sunscreen maikaʻi.
- Ka pilikia o ke kanesa: Ma muli o ka hoʻopau ʻana o ka pale ʻana i ka maʻi no ka manawa lōʻihi, aia paha kahi piʻi iki o ka pilikia o kekahi mau ʻano kanesa (ʻoi aku ka maʻi kanesa ʻili). Mai hopohopo e pili ana i kēia, akā e kamaʻilio me kāu kauka e pili ana i ia mea.
- Kāohi ʻana i ka hāpai keiki: Inā he wahine ʻoe o ka makahiki hānau keiki, pono ʻoe e hoʻohana i kahi ʻano kaohi hānau kūpono loa i ka wā e lawe ana i kēia lāʻau lapaʻau a no 12 mau pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau .
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki iā Sirolimus ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo nā mea ʻē aʻe he mea maʻamau.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hōʻailona alerika | ʻO ka ʻili ʻulaʻula, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻeha ka puʻu |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻO ka mimi ʻeleʻele, ka puʻuwai wikiwiki a ʻano ʻole paha, ka nāwaliwali, ke koko kiʻekiʻe, ʻulaʻula, nā kiko lahilahi ma ka ʻili, ka pehu ʻano ʻē, ka paʻakikī o ka mimi ʻana, ke kahe ʻana o ke koko a i ʻole ka palapū ʻano ʻē, ka luhi nui. |
| Nā hōʻailona o ke kiʻekiʻe o ke kō | ʻO ka makewai nui a i ʻole ka pōloli, ka mimi pinepine ʻana, ka luhi nui, ka ʻike maka pohihihi. |
| Nā mea e hōʻike ai inā hoʻomau a hoʻopilikia paha | |
| ʻEha kino, ʻākeʻakeʻa, pehu, nausea, luaʻi, ʻeha ʻōpū, haʻalulu nā lima, hiamoe ʻole. | |
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku 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.
Pehea e mālama pono ai i ka lāʻau lapaʻau?
- E mālama i ka ʻōmole lāʻau lapaʻau i loko o ka pahu hau (ma waena o 2 a me 8 kekelē Celsius). Mai mālama i loko o ka pahu hau. E pale mai ka mālamalama.
- E hoʻolei i nā lāʻau lapaʻau i koe i loko o 30 mau lā o ka wehe ʻana i ka ʻōmole.
- Inā pono kahi ʻōmole i wehe ʻia, hiki ke mālama ʻia ma ka mahana o ka lumi (ma lalo o 25 Celsius) a hiki i 15 mau lā.
- E hoʻohana i kahi mahele lāʻau i huki ʻia i loko o ka syringe i loko o 24 mau hola. Hiki ke mālama ʻia i loko o ka pahu hau a i ʻole ma ka mahana o ka lumi. E hoʻolei aku inā ʻaʻole hoʻohana ʻia i loko o 24 mau hola.
- E mālama i kahi hiki ʻole i nā keiki.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Sirolimus. E lawe e like me ka ʻōlelo a kāu kauka iā ʻoe, ma ke ʻano kūpono, i ka manawa kūpono.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi no kekahi kumu.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā kūlana olakino āpau āu e loaʻa nei.
- E pale iā ʻoe iho mai nā maʻi. E makaʻala i ka lā.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
- Mai poina i nā manawa i hoʻonohonoho ʻia e kāu kauka. He mea nui loa ia no kou olakino.
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