Ua like ka hoʻoili kino me ke ola ʻelua, ʻeā? He hana mana maoli nō ia o ka lāʻau lapaʻau. Eia nō naʻe, aia kahi manawa kūpono e ʻike ai kou kino i ke kino hou (ka puʻuwai, nā puʻupaʻa, ke akepaʻa, a i ʻole ka māmā) i hoʻoili ʻia ma kēia ʻano he "ʻē" a hoʻouka iā ia. He lāʻau koʻikoʻi loa ʻo Tacrolimus e hoʻōki i kēlā hopena (hōʻole ʻia) a kōkua i ke kino e ʻae i ke kino hou ma ke ʻano he ʻāpana nona iho. Loaʻa pinepine ia ma lalo o ka inoa inoa ʻo Prograf. No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai e hāʻawi ʻia ana i kēia lāʻau pale, he mea nui loa ia e hoʻomaopopo piha ʻia e pili ana i ia mea.
He aha ka mea e hana nei me Tacrolimus?
I ka ʻōlelo maʻalahi, he immunosuppressant ʻo Tacrolimus. E noʻonoʻo i kou kino me he ʻāina lā, a ʻo kou ʻōnaehana pale kino ka pūʻali koa o ia ʻāina. ʻO nā mea a pau e komo mai ana mai waho mai - e like me ka germ - ua hoʻouka ʻia a luku ʻia e kēia pūʻali koa. He mea maikaʻi loa kēia.
Eia nō naʻe, ʻike ʻia ke kino he ʻano "ʻē" ke kino i hoʻoili hou ʻia. No laila, hoʻomaka ka ʻōnaehana pale ponoʻī o ke kino (ka ʻōnaehana pale) e hoʻouka i ke ʻano hou a waiwai nui. ʻO kēia ka mea a mākou e kapa nei he hōʻole ʻana o ke ʻano. Hana ʻo Tacrolimus ma ka hoʻomalu iki ʻana i ka hana o kāu ʻōnaehana pale a me ka hoʻōki ʻana iā ia mai ka hoʻouka ʻana i ke ʻano hou. Ma kēia ʻano, hana ʻia ke ʻano hou i loko o ke kino a me ke kaiapuni e pono ai e ulu maikaʻi a hana pono i kāna hana.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i ka tacrolimus, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā ʻōnaehana he nui i loko o ke kino. E hōʻoia e haʻi i kāu kauka e pili ana i:
- Nā maʻi ʻē aʻe āu i loaʻa ai:
- ʻO ka maʻi diabetes a i ʻole ke kiʻekiʻe o ke kō koko.
- Maʻi puʻuwai a i ʻole nā kūlana ʻino o ka puʻuwai.
- Ke koko kiʻekiʻe.
- Maʻi puʻupaʻa a i ʻole ke akepaʻa.
- Kekahi maʻi lele i kēia manawa (kuni, anu, ʻū, a pēlā aku).
- Nā nāwaliwali ʻē aʻe o ka ʻōnaehana pale.
- Ka hāpai ʻana a me ka hānai ʻana i ka waiū:
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha, he mea nui e haʻi i kāu kauka e pili ana i kēia.
- Nā maʻi ʻaleka:
- E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi allergies i ka tacrolimus a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Nā lāʻau pale:
- Inā ua loaʻa iā ʻoe kahi lāʻau pale i hala koke aku nei a i ʻole e hoʻonohonoho ʻia ana e loaʻa i hoʻokahi i ka wā e hiki mai ana, e haʻi mai iā mākou e pili ana i ia mea.
ʻO ka haʻi ʻana i kēia ʻike i kāu kauka me ka hūnā ʻole ʻana he mea nui loa ia no kou palekana a me ka holomua o kāu lāʻau lapaʻau.
Pehea e hāʻawi ai i ka lāʻau pale ʻo Tacrolimus a me nā mea ʻē aʻe
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia ʻo Tacrolimus ma ke ʻano intravenous (IV). Hāʻawi ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a i ʻole kahi kahu maʻi i aʻo ʻia. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana o kahi lāʻau.
Inā manaʻo ʻoe ua lawe hewa ʻoe i ka lāʻau lapaʻau, na nā limahana o ka haukapila e mālama. A i ʻole, inā kū mai kekahi mau pilikia ʻē aʻe, he mea nui e hoʻomaopopo koke i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui a i ʻole ka Emergency Treatment Unit (ETU) o ka haukapila.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
He lāʻau lapaʻau ʻo Tacrolimus e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e nā kauka ʻē aʻe, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā huahana lāʻau).
E wehewehe hou aku kākou i kēia me nā papa ma lalo nei.
| Mai hoʻohana pū me kēia mau mea iā Tacrolimus! | |
|---|---|
| ʻO Cidofovir, Cisapride | ʻO Mesoridazine, Mifepristone |
| ʻO Cyclosporine, Dronedarone | Pimozide, Saquinavir |
| ʻO Fluconazole | ʻO Thioridazine, Ziprasidone |
| Wai ʻāpala | Nā lāʻau pale ola |
| E akahele loa hoʻi i kēia mau mea. | |
|---|---|
| Kekahi mau lāʻau antibiotic | E like me Clarithromycin, Erythromycin, Rifampin. |
| Nā lāʻau lapaʻau no ka maʻi HIV a i ʻole ka Hepatitis | Nā lāʻau lapaʻau antiviral. |
| Nā lāʻau antifungal | ʻO nā mea e like me "Ketoconazole", "Itraconazole", "Voriconazole" a i ʻole "Itraconazole". |
| Lāʻau lapaʻau no ke koko kiʻekiʻe | ʻO nā lāʻau lapaʻau e like me Diltiazem, Nifedipine, Verapamil. |
| Nā lāʻau lapaʻau no ka gastritis | ʻO nā lāʻau lapaʻau e like me Omeprazole, Lansoprazole, Famotidine. |
| Nā huahana lāʻau lapaʻau | Nā mea e like me ka wort o St. John. |
| Nā lāʻau lapaʻau ʻē aʻe | ʻAila, Steroids (e like me Prednisone), Sirolimus, Diuretics. |
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
- E pale iā ʻoe iho mai nā maʻi: Hoʻonāwaliwali ʻo Tacrolimus i kou ʻōnaehana pale, no laila hiki iā ʻoe ke loaʻa maʻalahi i nā maʻi i loaʻa ʻole i ke kanaka maʻamau. No laila, e noho mamao mai nā wahi lehulehu, e noho mamao mai ka poʻe maʻi, a holoi pinepine i kou mau lima. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha kino, ka ʻāʻī ʻeha, a i ʻole ke kuni, mai hoʻōla ponoʻī a e hoʻomaopopo koke i kāu kauka.
- Kāohi ʻana i ka hāpai ʻana: E pale loa i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau.Pono nā wāhine a me nā kāne e hoʻohana i kahi ʻano kaohi hānau kūpono loa. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i loko o ka ʻōpū.
- Ka pilikia o ke kanesa: ʻO ka lawe ʻana i kēia mau lāʻau lapaʻau e kāohi ana i ka pale ʻana i ka maʻi no ka manawa lōʻihi e hoʻonui iki i kou pilikia o kekahi mau ʻano kanesa, e like me ke kanesa ʻili a me ka lymphoma. E kamaʻilio me kāu kauka e pili ana i kēia.
- Palekana i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou ʻili i ka lā. No laila, inā ʻoe e hele ana i ka lā, e hoʻohana i kahi pale lā maikaʻi, e ʻaʻahu i ka pāpale, a e ʻaʻahu i nā lole e uhi ana i kou kino.
- Nā pae kō koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui i nā pae kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā mau i kou pae kō koko.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Tacrolimus ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea a pono e hōʻike koke ʻia.
| Hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia o ka puʻuwai | ʻEha ka umauma, paʻakikī ka hanu ʻana, puʻuwai wikiwiki a ʻano ʻole paha, poniuniu. |
| Hoʻonui ʻia ke kō koko | ʻO ka pōloli nui loa, ka make wai, ka mimi pinepine ʻana, ka ʻike maka pohihihi. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻeha ka ʻāʻī, maʻi ʻōpū mimi. |
| Hopena ma nā puʻupaʻa | Ka emi ʻana o ka mimi a i ʻole ka paʻakikī o ka mimi ʻana. |
| Nā pilikia o ka ʻōnaehana nerve | ʻEha poʻo nui, nā ʻūlū, nā loli o ka ʻike, nā loli o ke ʻano, ka maneʻo o nā lālā. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | ʻEha ʻōpū, paʻa paʻa, maʻi kahe. |
| ʻAʻole hiki ke hiamoe | Pilikia hiamoe. |
| Pehu kino (Edema) | Ka pehu ʻana o nā lima, nā wāwae, nā kuʻekuʻe wāwae, a i ʻole ka piʻi koke ʻana o ke kaumaha. |
Leka Lawe-Home
- He lāʻau koʻikoʻi loa ʻo Tacrolimus i hāʻawi ʻia e pale i ke kino mai ka hōʻole ʻana i kahi ʻōkana ma hope o ka hoʻoili ʻana o kahi ʻōkana.
- Hāʻawi wale ʻia kēia ma ka haukapila, ma lalo o ka mākaʻikaʻi ʻana a ke kauka.
- He mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā huahana lāʻau lapaʻau.
- Ma muli o ka hoʻohaʻahaʻa ʻana i ka palekana o ke kino, e mālama pono iā ʻoe iho mai nā maʻi. Inā loaʻa iā ʻoe nā hōʻailona e like me ka maʻi palū, e hoʻomaopopo koke i kāu kauka.
- Pono nā wāhine a me nā kāne e hoʻohana i ka kaohi hānau kūpono i ka wā o ka mālama ʻana.
- Inā loaʻa kekahi pilikia a kānalua paha, e kamaʻilio me kāu kauka a e hahai pono i kā lākou ʻōlelo aʻo.
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