Ua kuhikuhi anei kāu kauka iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Tenofovir e mālama i ka maʻi HIV a i ʻole Hepatitis B? Inā pēlā, he mea nui e ʻike piha e pili ana i kēia lāʻau lapaʻau. Mai hopohopo, e kamaʻilio mākou e pili ana i ke kumu o ia mea, pehea e hoʻohana ai, a me nā mea āu e pono ai e ʻike.
He aha ka Tenofovir?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Tenofovir no ka papa antiretroviral. Hoʻohana nui ʻia ia e mālama i ʻelua mau maʻi:
1. Maʻi HIV: Hāʻawi ʻia kēia me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe e kāohi i ka maʻi HIV i loko o ke kino.
2. Maʻi Hepatitis B: Hoʻohana ʻia kēia lāʻau lapaʻau e kāohi i kēia maʻi e hoʻopilikia ana i ke akepaʻa.
He mea nui e hoʻomanaʻo ʻaʻole kēia lāʻau lapaʻau e ho'ōla i ka maʻi HIV a i ʻole ka hepatitis B. Akā, ke kāohi nei ia i ka nui o ka maʻi i loko o ke kino a hoʻemi i ka pōʻino i hana ʻia. Eia kekahi, ʻo ka hoʻohana ʻana i kēia lāʻau lapaʻau ʻaʻole ia e hoʻopau loa i ka pilikia o ka hoʻopili ʻana i nā poʻe ʻē aʻe, akā hoʻemi nui ia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, e kamaʻilio pono i kēia mau mea me kāu kauka. He mea nui loa kēia no kou palekana.
- Nā kūlana olakino ʻē aʻe āu i loaʻa ai: Inā loaʻa iā ʻoe kekahi mau kūlana olakino ʻē aʻe e like me kēia, e ʻoluʻolu e haʻi mai iā mākou e pili ana iā lākou.
- Nā pilikia e pili ana i ka iwi (e.g., osteoporosis)
- Kekahi maʻi puʻupaʻa
- Kekahi maʻi akepaʻa
- Nā hopena aleri: Inā ua loaʻa iā ʻoe kahi hopena aleri i Tenofovir a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Nā ʻano hana ʻē aʻe: Inā ʻoe e inu i ka waiʻona, e haʻi mai iā mākou e pili ana i ia mea.
- Hāpai keiki: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha, he mea nui e hoʻomaopopo i kāu kauka.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka.
- Pono e ale ʻia kēia pila ma ka waha me ke aniani wai.
- Hiki iā ʻoe ke lawe iā ia i kēlā me kēia manawa, ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, ʻo ka hoʻomaʻamaʻa ʻana i ka lawe ʻana iā ia i ka manawa like i kēlā me kēia lā e hoʻonui ai i ka pono o ka lāʻau lapaʻau.
- Mai lawe i nā lāʻau lapaʻau ma mua o ka mea i kauoha ʻia e ke kauka.
- ʻO ka mea nui loa: ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hōʻole paha i ka lawe ʻana i nā lāʻau me ka ʻole o ke aʻo a kāu kauka.Inā ʻoe e hana i kēlā, hiki i ka maʻi ke kū i kēia lāʻau lapaʻau. He mea weliweli loa ia.
He aha inā hāʻawi ʻia i nā keiki liʻiliʻi?
I kekahi manawa, ua kuhikuhi ʻia kēia lāʻau lapaʻau no nā keiki ma luna o 2 mau makahiki. Eia nō naʻe, pono ia i nā hana akahele kūikawā. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio me kāu kauka pediatric e pili ana i ia mea.
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 kou manaʻo, mai hopohopo. E hele koke i ka ETU (Emergency Treatment Unit) o ka haukapila kokoke loa . A i ʻole e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
He aha inā e hala iaʻu 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 i ʻelua mau lāʻau i ka manawa hoʻokahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau kuʻuna), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.
| ʻAno lāʻau lapaʻau | Wehewehena / Nā Laʻana |
|---|---|
| Mai lawe pū i kēia lāʻau lapaʻau. | |
| ʻAdefovir | ʻO kekahi lāʻau lapaʻau ʻē aʻe no ka maʻi hepatitis B. |
| ʻO kekahi mau lāʻau lapaʻau i hui pū ʻia no ka maʻi HIV a i ʻole AIDS | ʻOiai ua loaʻa i kēia mau mea ka tenofovir, ʻo ka lawe pū ʻana i ʻelua hiki ke hopena i ka overdose. (e.g. emtricitabine; tenofovir, rilpivirine; tenofovir) |
| Hiki ke loaʻa nā pilikia me kēia lāʻau lapaʻau - e nīnau i ke kauka | |
| Nā lāʻau lapaʻau HIV ʻē aʻe | atazanavir, didanosine (ddI), lopinavir; ritonavir, saquinavir |
| Nā lāʻau antiviral ʻē aʻe | cidofovir, acyclovir, valacyclovir, ganciclovir, valganciclovir |
| Nā lāʻau lapaʻau no ka maʻi hepatitis C | ledipasvir; sofosbuvir |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā lapaʻau maʻamau: He mea nui e ʻike i kāu kauka i nā manawa maʻamau i ka wā e lawe ana i kēia lāʻau. Pono paha ʻoe e loaʻa nā hoʻāʻo koko e nānā i ka hana o kou puʻupaʻa a me ke akepaʻa.
- Ola kino o ka iwi: Aia paha kahi pilikia o ka haʻahaʻa o ka iwi i ka wā e lawe ai i kēia lāʻau lapaʻau no ka manawa lōʻihi. No laila e kamaʻilio me kāu kauka e pili ana i ke olakino o kou iwi.
- Ke kāohi ʻana i ka laha ʻana o ka maʻi: Hoʻolaha ʻia ka maʻi HIV a me ka hepatitis B ma o ka moekolohe a i ʻole ke koko. E kamaʻilio ākea me kāu kauka e pili ana i nā ala palekana e pale aku ai i ka laha ʻana o ka maʻi.
Inā ʻoe e lawe ana i kēia lāʻau lapaʻau no ka maʻi hepatitis B, mai hoʻōki i ka lawe ʻana no kekahi kumu me ke aʻo ʻole a kāu kauka. Inā hana ʻoe pēlā, e ʻoi koke aʻe paha kou mau hōʻailona hepatitis B.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao. He mea nui e makaʻala i kēia mau mea.
| Ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Paʻakikī ka hanu ʻana, ka poniuniu | Paʻakikī ka hanu ʻana, ka poniuniu. |
| Nā hōʻailona o ka hōʻino ʻana o ka puʻupaʻa | Hoʻololi i ke alapine (frequency) a i ʻole ka nui o ka mimi ʻana, paʻakikī i ka mimi ʻana. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Melemele o nā maka a i ʻole ka ʻili, ka mimi melemele/ʻeleʻele, ka lepo keʻokeʻo, ka nele o ka makemake e ʻai, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ka luhi nui. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha iwi, ʻeha ʻiʻo, puʻuwai wikiwiki a ʻano ʻole paha, nausea, luaʻi. |
| Inā hoʻomau kēia mau mea a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao liʻiliʻi | ʻEha poʻo, luhi, ʻū. |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Tenofovir e kaohi ai i ka maʻi HIV a me ka hepatitis B, akā ʻaʻole ia he lāʻau lapaʻau.
- ʻAʻole loa ʻoe e hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hōʻalo paha i nā lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā pilikia olakino ʻē aʻe āu e loaʻa ai.
- Inā ʻike ʻoe i kekahi mau hōʻailona e hōʻike ana i nā pilikia o nā puʻupaʻa a i ʻole ke akepaʻa (e like me nā loli o ka nui o ka mimi, ka melemele o nā maka), e ʻimi koke i ke kōkua lapaʻau.
- Inā ʻoe e mālama ʻia nei no ka hepatitis B, e hoʻomanaʻo e hiki i ka hoʻōki ʻana i ka lāʻau ke hoʻonui i ka maʻi.
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