Ua loaʻa iā ʻoe kekahi hoʻoili kino, e like me ke puʻupaʻa, ke akepaʻa, a i ʻole ka puʻuwai, a ua hāʻawi ke kauka iā ʻoe i kahi lāʻau lapaʻau kūikawā e pale aku i ke kino hou mai ka hōʻole ʻia e kou kino. ʻO ka hapa nui o ka manawa, ua kapa ʻia kēlā lāʻau lapaʻau ʻo Tacrolimus. He lāʻau lapaʻau koʻikoʻi loa kēia, a he lāʻau lapaʻau ia e pono e hoʻohana ʻia me ke akahele. No laila, ma ke ʻano he hoaaloha nou, eia wau e haʻi aku iā ʻoe i nā mea āpau e pono ai ʻoe e ʻike e pili ana i kēia lāʻau lapaʻau ma ka ʻōlelo maʻalahi, Sinhala hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ʻo Tacrolimus?
E noʻonoʻo i ka ʻōnaehana pale o ko kākou kino e like me ka pūʻali koa e pale ana i kahi ʻāina. Hoʻopau kēia pūʻali koa i nā ʻenemi e like me nā germs a me nā virus e hele mai ana mai waho. I kēia manawa, ke loaʻa iā ʻoe kahi hoʻoili kino hou, ʻike kēia "pūʻali koa" i loko o ko kākou kino i kēlā kino hou he "ʻenemi." No ka mea, he mea hou ia i ke kino. No laila hoʻomaka kēia pūʻali koa e hoʻouka i ka kino hou. ʻO kēia ka mea a mākou e kapa nei he "hōʻole kino."
He lāʻau lapaʻau ʻo Tacrolimus e hoʻomālielie i ka hana o kēlā "pūʻali koa." I ka lāʻau lapaʻau, kapa mākou i kēia mau immunosuppressants . I ka ʻōlelo maʻalahi, haʻi kēia lāʻau i kā mākou ʻōnaehana pale, "Mai hopohopo, ʻo kēia ʻōkana hou ko mākou hoaaloha, mai hoʻouka iā ia." No laila hoʻomaka ka ʻōkana i hoʻoili hou ʻia e hana ma ke ʻano he ʻāpana o kou kino me ka ʻole o nā pilikia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
He mea nui loa e ʻike pono kāu kauka i kou kūlana olakino ma mua o ke kau ʻana i kēia lāʻau lapaʻau iā ʻoe. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka.
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā he maʻi puʻuwai kou .
- Inā he koko kiʻekiʻe kou.
- Inā he pilikia ʻē aʻe me ka ʻōnaehana pale.
- Inā loaʻa iā ʻoe kahi maʻi (ʻoiai kekahi mea e like me ke kuni, ke anu, ka ʻū).
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā ua hoʻonohonoho ʻia ʻoe e loaʻa i kahi lāʻau pale i ka wā e hiki mai ana a i ʻole ua loaʻa iā ʻoe i hoʻokahi i hala koke nei.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka tacrolimus a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hoʻāʻo nei e hāpai a hāpai paha .
- Inā he makuahine ʻoe e hānai waiū ana .
He mea nui loa no kou palekana ke ʻōlelo i kēia mau mea me ka hūnā ʻole ʻana.
He aha ke ala kūpono e lawe ai i ka lāʻau lapaʻau?
I mea e loaʻa ai ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, pono ʻoe e lawe e like me ke kuhikuhi ʻana.
- E ale i ka lāʻau lapaʻau me ke aniani wai.
- Mai lawe i kēia lāʻau lapaʻau me ka wai pomelo a i ʻole ka wai pomelo no kekahi kumu. He mea nui loa kēia. Hiki i ka wai pomelo ke hoʻoulu i nā pae kiʻekiʻe o Tacrolimus i loko o ke kino.
- E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Inā ma ka hola 8 am, e lawe iā ia ma ka hola 8 am i kēlā me kēia lā. E kōkua kēia i ka mālama ʻana i nā pae o ka lāʻau lapaʻau i loko o kou kino i kūlike.
- Mai uhaʻi, kuʻi, a nau paha i ka lāʻau. E ale holoʻokoʻa.
- Hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, pono ʻoe e hoʻomaʻamaʻa i ka lawe ʻana iā ia i ka manawa like i kēlā me kēia lā. Inā ʻoe e lawe ia mea ma mua o ka ʻai ʻana, e lawe ia mea i kēlā me kēia lā ma mua o ka ʻai ʻana. Inā ʻoe e lawe ia mea ma hope o ka ʻai ʻana, e lawe ia mea i kēlā me kēia lā ma hope o ka ʻai ʻana.
- E hoʻomau i ka hoʻohana ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki. Mai hoʻōki koke.
E hoʻomanaʻo, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kāu lāʻau lapaʻau i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i ka lāʻau lapaʻau ma mua o ka nui i kuhikuhi ʻia, mai hopohopo a e hana koke.
- Inā hiki, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
- A i ʻole, e kelepona i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo.
He aha inā poina iaʻu e lawe i kaʻu lāʻau lapaʻau?
Poina iā kākou a pau nā mea. Inā poina iā ʻoe ke lawe i kāu lāʻau lapaʻau, eia ka mea e hana ai:
- E lawe i ka lāʻau i hala ʻole i ka wā e hoʻomanaʻo ai ʻoe.
- Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe ke hoʻomanaʻo ʻoe (e.g., he mau hola wale nō ia), e kāpae i ka mahele lāʻau i hala ʻole a lawe i kāu mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.
- Mai lawe i ka mahele pālua e hana no ka mahele i hala ʻole a me ka mahele aʻe.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Tacrolimus
Hiki iā Tacrolimus ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau hoʻopau ʻeha ma luna o ke kauka, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui lāʻau lapaʻau, e like me ka wort ʻo St. John). Hiki iā ʻoe ke loaʻa ka ʻike hou aku e pili ana i kēia ma ka papa ma lalo nei.
| ʻAno lāʻau lapaʻau/meaʻai | Nā memo kūikawā |
|---|---|
| Mai lawe pū me Tacrolimus i kēia! | |
| ʻO ka hua waina a me kona wai | Hoʻonui weliweli i ka pae o Tacrolimus i loko o ke kino. |
| ʻO Cyclosporine | ʻO ka lawe pū ʻana i kēia mau lāʻau ʻelua hiki ke hōʻino i nā puʻupaʻa. |
| Nā lāʻau pale ola | Ma muli o ka haʻahaʻa o ka palekana, hiki i ka lāʻau pale ke hoʻoulu i ka maʻi. |
| Nā lāʻau lapaʻau e like me Fluconazole, Ketoconazole, Cidofovir, Dronedarone, Pimozide | Hiki i kēia mau mea ke hoʻopilikia nui i nā pae Tacrolimus. |
| Inā ʻoe e lawe ana i kēia mau mea, e ʻōlelo pono i kāu kauka. | |
| Kekahi mau lāʻau antibiotic | Laʻana: Clarithromycin, Rifampin |
| Nā lāʻau lapaʻau no ke koko a me ka maʻi puʻuwai | Ex: Diltiazem, Enalapril, Losartan |
| Nā lāʻau antifungal | Laʻana: Itraconazole, Voriconazole |
| ʻO ka wort o St. John | Hoʻemi kēia i ka pono o Tacrolimus. |
| Nā lāʻau antiviral no ka maʻi HIV a i ʻole ka Hepatitis | Hiki i kēia mau mea ke hoʻopilikia i nā pae Tacrolimus. |
Nā mea e pono ai ʻoe e makaʻala nui i ka wā e lawe ai i kēia lāʻau lapaʻau:
Pono ʻoe e hana i kekahi mau hoʻololi liʻiliʻi i kou nohona i ka wā e lawe ana i ka tacrolimus. He mea nui loa kēia no kou palekana.
Nā hoʻokolohua lapaʻau i hoʻonohonoho ʻia
Pono kāu kauka e ʻike iā ʻoe i nā manawa a pau. E kauoha pū ʻo ia i nā hoʻokolohua koko maʻamau e nānā i kāu mau pae Tacrolimus a me ka hana o nā puʻupaʻa. Mai poina i kēia mau manawa a me nā hoʻokolohua koko.
E pale iā ʻoe iho mai nā maʻi
Ma muli o ka hōʻemi ʻana o kēia lāʻau lapaʻau i ka hana o kāu ʻōnaehana pale kino, ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi, ʻoiai nā maʻi ʻē aʻe.
- E ho'ēmi i ka hele ʻana i nā wahi i piha i nā kānaka i ka hiki.
- E noho mamao aku mai ka poʻe i loaʻa i nā maʻi e like me ke kuni a me ke anu.
- E holoi pinepine i kou mau lima me ke kopa.
- Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi e like me ke kuni, ka ʻūlū, ka ʻeha o ka puʻu, ke kuni, a i ʻole ke kuni i ka wā e mimi ai, mai hoʻōla ponoʻī a kāhea koke aku i kāu kauka.
ʻO ka hāpai ʻana a me ka kaohi hānau
- Nā Wahine: ʻO ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau hiki ke hana i nā kīnā hānau koʻikoʻi i ka pēpē. No laila, he mea nui e hoʻohana i ka kaohi hānau hilinaʻi ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau a i ka manawa āpau āu e lawe ai. E kamaʻilio me kāu kauka e pili ana i kēia.
- Nā Kāne: Inā ʻoe e lawe ana i kēia lāʻau lapaʻau, he mea nui e hoʻohana i ka condom i ka wā e moe ai. Inā hāpai kāu hoa, e hoʻomaopopo koke i kāu kauka.
E makaʻala i ka lā.
Hiki iā Tacrolimus ke hoʻonui i kou ʻili i ka lā a hiki ke hoʻonui iki i kou pilikia o ka maʻi ʻili.
- E pale i ka hele ʻana i waho i ka lā i ka hiki.
- Inā e hele ana i waho i ka lā, e ʻaʻahu i nā lole lima lōʻihi, ka pāpale, a e hoʻohana i kahi pale lā maikaʻi.
Pae kō koko
Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ke kiʻekiʻe o ke kō koko (hyperglycemia) . He kiʻekiʻe loa kēia pilikia inā loaʻa iā ʻoe ka maʻi diabetes. E makaʻala i nā hōʻailona e like me ka makewai pinepine, ka mimi pinepine, a me ka ʻike pohihihi.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Tacrolimus ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, a he akahai kekahi. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau hōʻailona a hana koke inā pono.
| Nā hōʻailona o nā 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! | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻeha ka ʻāʻī, nā ʻeha ʻaʻole e ho'ōla. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Hoʻonui ʻia ke koko | ʻEha poʻo nui, poniuniu. |
| Hoʻonui ʻia ke kō koko (Hyperglycemia) | Makewai nui, mimi pinepine, luhi nui, ʻike maka pōwehiwehi. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma. |
| Nā pilikia o ka ʻōnaehana nerve (PRES) | ʻEha poʻo nui koke, huikau, loli ka ʻike, a me nā maʻi hū. |
| Nā hopena ma nā hunaola koko (TTP/HUS) | Nā kiko poni ma ka ʻili a i loko paha o ka waha, ʻili keʻokeʻo, melemele o nā maka, luhi nui, kuni. |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Ka maʻi kahe a i ʻole ka paʻa ʻana o ka ʻōpū | Hoʻopau pinepine kēia i loko o kekahi mau lā. |
| Nā haʻalulu | E haʻalulu paha ʻoe, ʻoiai ma nā lima. |
| Pilikia i ka hiamoe ʻana | Hiki ke pilikia ka hiamoe ʻana. |
| ʻO ka maneʻo a i ʻole ka ʻeha ma nā lālā | Hiki paha iā ʻoe ke manaʻo i kahi ʻano ʻūlū ma kou mau lima a me kou mau wāwae. |
Pehea ʻoe e mālama pono ai a hoʻolei aku i ka lāʻau lapaʻau?
- E mālama i ka lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona .
- E mālama ma ka mahana o ka lumi maʻamau (ma waena o 20-25 kekelē Celsius). Mai mālama ma nā wahi haʻahaʻa kiʻekiʻe e like me ka lua.
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
- No ka hoʻolei ʻana i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i ʻole nā lāʻau lapaʻau i pau ka lā, ʻoi aku ka maikaʻi o ka hāʻawi ʻana iā lākou i kahi haukapila a i ʻole hale kūʻai lāʻau. Inā ʻaʻole hiki kēlā, e wehe i nā capsules lāʻau lapaʻau mai loko mai o ka pahu, e kāwili iā lākou me kahi mea e like me ke kope kope, ka lepo, a i ʻole ka ʻōpala pōpoki i hoʻohana ʻia, e waiho iā lākou i loko o kahi ʻeke i sila pono ʻia, a e hoʻolei iā lākou i loko o ka ʻōpala.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Tacrolimus e pale ana i kou ʻōkana hou. E lawe pono e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono, ma ka nui kūpono.
- Mai lawe i kēia lāʻau lapaʻau me ka wai pomelo no kekahi kumu.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau Ayurvedic).
- ʻOiai ua haʻahaʻa kou palekana, e pale iā ʻoe iho mai nā maʻi. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni a me ke kuni, e haʻi koke aku i kāu kauka.
- E nānā i nā hōʻailona o nā hopena ʻaoʻao koʻikoʻi (ʻeha poʻo nui, pehu, paʻakikī ka hanu ʻana). Inā manaʻo ʻoe ua hewa kekahi mea, e kāhea i kāu kauka.
- He mea koi ʻia ke hele ʻana i nā manawa i hoʻonohonoho ʻia e ke kauka a me nā hoʻāʻo koko i nā lā i hoʻonohonoho ʻia.











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