Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Tolmetin no ka ʻeha o nā hono, ka pehu ʻana, a i ʻole ka rumatika? He lāʻau lapaʻau kēia i hāʻawi ʻia i nā poʻe he nui ma ko mākou ʻāina no nā ʻeha like ʻole. No laila, ma ke ʻano he mea hoʻohana i kēia lāʻau lapaʻau, he mea nui loa ia no kou palekana e ʻike i nā mea āpau e pili ana i ia mea. I kēia lā, e kamaʻilio wale mākou e pili ana i kēia lāʻau lapaʻau a me nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ana.
He aha maoli ka Tolmetin?
I ka ʻōlelo maʻalahi, he lāʻau hoʻopau ʻeha ʻo Tolmetin. Ma ke ʻano lapaʻau, pili ia i kahi papa o nā lāʻau i kapa ʻia ʻo NSAID (Non-Steroidal Anti-Inflammatory Drug) . ʻO kēia ʻano lāʻau lapaʻau ke kāohi nui i ka ʻeha, ka pehu, a me ka mumū i loko o ke kino. Hiki i kēia lāʻau lapaʻau ke hāʻawi i ka hōʻoluʻolu mai nā mea e like me ka ʻeha o nā hono, ka ʻeha o nā ʻiʻo, a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e ka arthritis.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. Ma mua o ke kuhikuhi ʻana iā Tolmetin iā ʻoe, he mea nui e ʻike pono kāu kauka i kou kūlana olakino. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Maʻi puʻuwai a i ʻole nā pilikia o ka ʻōnaehana kahe koko: Inā loaʻa iā ʻoe ke koko kiʻekiʻe, ka hōʻeha puʻuwai, ka hāʻule ʻana o ka puʻuwai, a i ʻole ua loaʻa koke nei ʻoe i ke ʻoki bypass (Coronary Artery Bypass Graft - CABG).
- Nā maʻi koko: Inā he maʻi koko koko a i ʻole nā pilikia koko ʻē aʻe.
- Nā pilikia o ka ʻōpū a me ka ʻōpū: Inā ua loaʻa mua iā ʻoe nā ʻōpū ʻōpū a i ʻole ke kahe koko ʻana o ka ʻōpū.
- Maʻi puʻupaʻa a maʻi akepaʻa paha: Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a maʻi akepaʻa paha.
- Nā pilikia hanu: Inā loaʻa iā ʻoe nā maʻi māmā e like me ka hānō.
- Nā kumu ʻē aʻe: Inā he kanaka inu nui ʻoe, puhi paka , haʻahaʻa ka helu o nā hunaola koko ʻulaʻula, ua maloʻo loa kou wai, a i ʻole ke lawe nei i nā steroids (e.g., prednisone).
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou iā Tolmetin, nā lāʻau ʻeha NSAID ʻē aʻe (e like me aspirin, ibuprofen), nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea mālama.
- Hāpai a me ka hānai waiū: He mea nui loa e hoʻomaopopo i kāu kauka inā ʻoe e hoʻāʻo nei e hāpai, ua hāpai, a i ʻole e hānai waiū ana .
ʻO ke kamaʻilio ʻana me kāu kauka me ka hūnā ʻole ʻana i kēia ʻike, ʻaʻole ia e kōkua wale iā ʻoe e noho palekana, akā e kōkua pū iā ʻoe e loaʻa ka hapa nui o kāu lāʻau lapaʻau.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
I mea e hana pono ai ka lāʻau lapaʻau, pono e hoʻohana pono ʻia.
- E hahai i nā ʻōlelo a kāu kauka: E lawe i ka nui i kuhikuhi ʻia e kāu kauka, i ka manawa i kuhikuhi ʻia. E hahai pono i ke kauoha e like me ka mea i ʻōlelo ʻia.
- E ale holoʻokoʻa i ke kāpule: Mai uhaʻi, kuʻi, a nau paha i kēia kāpule. E ale holoʻokoʻa me ke aniani wai.
- Ma mua a ma hope paha o ka ʻai ʻana: ʻOi aku ka maikaʻi o ka lawe ʻana i kēia lāʻau lapaʻau ma ka ʻōpū ʻole . ʻO ia hoʻi, ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻai ʻana, a i ʻole 2 mau hola ma hope o ka ʻai ʻana .
- Inā loaʻa iā ʻoe kahi ʻōpū huhū: Hiki i kekahi poʻe ke ʻeha i ka ʻōpū a i ʻole ka ʻoluʻolu ʻole i ka wā e lawe ai i kēia lāʻau. Inā hana kēia, hiki iā ʻoe ke nīnau i kāu kauka e pili ana i ka lawe ʻana me kahi antacid kūpono.
- Inā ʻoe ma luna o 65 mau makahiki: Hiki i ka poʻe ʻelemakule ke manaʻo i nā hopena o kēia lāʻau lapaʻau i ʻoi aku ka ikaika. No laila, pono paha lākou i kahi mahele haʻahaʻa. Na kāu kauka nō hoʻi e hoʻoholo i kēia.
- No nā keiki: ʻOiai hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau i nā keiki ma luna o 2 mau makahiki i kekahi mau hihia kūikawā, pono nā hana akahele kūikawā.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau a lawe nui paha?
Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau.
Overdose: He pilikia kēia. Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka ʻOihana Pilikia kokoke loa (ETU). A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo .
Nā lāʻau lapaʻau ʻē aʻe ʻaʻole pono e hoʻohana pū ʻia me kēia lāʻau lapaʻau a hiki ke launa pū me ia
Inā ʻoe e lawe ana iā Tolmetin, pono ʻoe e makaʻala loa i ka hoʻohana ʻana i nā lāʻau lapaʻau ʻē aʻe. Hiki iā ia ke loaʻa nā pilina koʻikoʻi me kekahi mau lāʻau lapaʻau.
| Nā Hana Lāʻau Lapaʻau me Tolmetin | |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia | |
| ʻO Cidofovir | ʻO Methotrexate |
| ʻO nā lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ai ke hoʻoulu i nā hopena a pono e hōʻike ʻia i ke kauka | |
| ʻAila | ʻAspirin a me nā lāʻau lapaʻau ʻē aʻe i loaʻa ka aspirin |
| Nā NSAID ʻē aʻe (e.g., Ibuprofen, Naproxen) | Lāʻau lapaʻau koko |
| Nā lāʻau diuretic (nā lāʻau e wehe ai i ka wai mai ke kino) | Litiuma |
| Nā ʻano steroid (Prednisone, Cortisone) | Nā lāʻau lapaʻau e pale ai i nā ʻūpā koko (e like me Warfarin) |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau) .
Nā mea e makaʻala nui ai i ka wā e lawe ana i ka lāʻau lapaʻau
E makaʻala i nā ʻōpū ʻeha a me ke kahe ʻana o ke koko.
Hiki i kēia lāʻau lapaʻau ke hōʻino i ka ʻili o ka ʻōpū, e hoʻoulu ai i nā ʻōpū ʻōpū a me ke kahe ʻana o ke koko. I kekahi manawa hiki ke hana ʻia kēia me ka ʻole o ka ʻōlelo aʻo . ʻO ka puhipaka, ka inu ʻana i ka waiʻona, ka ʻelemakule, a me ka loaʻa ʻole o ke olakino maikaʻi e hoʻonui i kou pilikia. Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, e luaʻi i ke koko (e like me ke kope kope), a i ʻole e hele i nā ʻōpala ʻeleʻele a koko paha , e ʻimi koke i ke kōkua lapaʻau .
Ka pilikia o ka hōʻeha puʻuwai a me ka hahau
ʻO ka hoʻohana lōʻihi ʻana i nā NSAID e like me Tolmetin e hoʻonui iki i kou pilikia o ka hōʻeha puʻuwai a me ka hahau. ʻOi aku ke kiʻekiʻe o kēia pilikia inā loaʻa iā ʻoe ka maʻi puʻuwai. Inā ʻoe e lawe ana i ka aspirin e pale aku i nā hōʻeha puʻuwai, e kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana iā Tolmetin.
Hiki ke loaʻa nā hopena ʻili koʻikoʻi
Hiki i kekahi poʻe ke loaʻa i kahi hopena ʻili koʻikoʻi i kekahi mau pule ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E haʻi koke i kāu kauka inā loaʻa iā ʻoe ke kuni, ʻeha kino, ʻulaʻula a poni paha ka ʻili e pehu a ʻili ma hope, a pehu paha o ka maka a i ʻole nā lehelehe, me nā ʻōpū lymph pehu.
Inā hāpai ʻoe a ke kali nei i kahi pēpē
ʻO ka lawe ʻana i kēia lāʻau lapaʻau ma waena o nā pule 20 a me 30 o ka hāpai ʻana e hōʻeha paha i ka pēpē i hānau ʻole ʻia. No laila, inā ʻoe e lawe i kēia lāʻau lapaʻau i loko o ia manawa, pono ʻoe e noho ma lalo o ka nānā pono ʻana a ke kauka. Mai lawe i kēia lāʻau lapaʻau ma hope o ka pule 30 o ka hāpai ʻana. Eia kekahi, hiki i kēia lāʻau lapaʻau ke loaʻa kekahi hopena i ka hānau keiki.
Hiamoe a me ka poniuniu
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o ka lāʻau lapaʻau iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai ala koke mai kahi noho. E ala mālie.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Tolmetin ke hana i nā hopena ʻaoʻao. Hiki i kekahi o lākou ke koʻikoʻi, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao hiki ke loaʻa iā Tolmetin | |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo; pehu ʻana o ka maka, nā lehelehe, a me ke alelo. |
| Nā hōʻailona koko | ʻEleʻele a koko paha ka lepo; mimi ʻulaʻula a ʻeleʻele paha; luaʻi e like me ke kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻano ʻē mai nā ʻāʻī a i ʻole ka ihu. |
| Nā hōʻailona o ke koko koko | ʻEha ka umauma; paʻakikī ka hanu ʻana; ʻeha, pehu, a mehana paha i ka wāwae. |
| Maʻi puʻuwai / hāʻule puʻuwai | Paʻakikī ka hanu ʻana; ʻeha a ʻūlū paha ma ka umauma, ka ʻāʻī, a i ʻole nā lima; luhi ʻē; puʻuwai wikiwiki a ʻano ʻole paha; piʻi koke ke kaumaha; pehu ʻana o nā kuʻekuʻe wāwae a me nā wāwae. |
| Nā Hōʻailona o ka Stroke | Nā loli o ka ʻike; huikau; paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana; ʻeha poʻo nui; maneʻo koke a nāwaliwali paha o ka maka, ka lima, a i ʻole ka wāwae. |
| Nā hōʻailona o ka hōʻino ʻia o ka puʻupaʻa/akepaʻa | Paʻakikī i ka mimi a i ʻole ka loli ʻana o ka nui o ka mimi; mimi melemele/ʻeleʻele; melemele o nā maka a i ʻole ka ʻili; ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū; nalowale o ka makemake. |
| Nā hopena ʻaoʻao i maʻa mau, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Pōʻino, ʻeha poʻo | Ke kahe ʻana o ke kinoea |
| ʻEha puʻuwai, ʻeha ʻōpū | Ke kani nei i nā pepeiao |
| Ka maʻi kahe, ka nausea, ka luaʻi | |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Tolmetin e pono e lawe ʻia ma lalo o ke aʻo a ke kauka. E lawe i ka nui i kuhikuhi ʻia, e like me ke kauoha.
- E haʻi i kāu kauka e pili ana i nā kūlana olakino āpau āu e loaʻa nei (ʻoiai ka puʻuwai, nā puʻupaʻa, nā pilikia o ka ʻōpū) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe ai.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻeha nui o ka ʻōpū, nā ʻōpala ʻeleʻele, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole nā ʻōhū nui o ka ʻili.
- I ka wā e lawe ai i kēia lāʻau lapaʻau, mai lawe i nā lāʻau ʻeha ʻē aʻe e like me Aspirin lāua ʻo Ibuprofen me ka ʻae ʻole ʻia e kāu kauka.
- Mai inu i ka waiʻona i ka wā e lawe ana iā Tolmetin. Hoʻonui ia i ka pilikia o ke kahe ʻana o ke koko o ka ʻōpū.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū paha, e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kēia lāʻau.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau ikaika loa nā papa/kapsula Tolmetin / Tolectin no ke aha maʻi?
ʻAʻole kēia ʻo kāu Panadol (Paracetamol) maʻamau! He lāʻau anti-inflammatory nonsteroidal (NSAID) ikaika loa kēia e hāʻawi ana i ka 100% kaohi o ka pehu hiki ʻole ke hoʻomanawanui, ka mumū a me ka ʻeha o ka iwi i hoʻokumu ʻia e ka osteoarthritis, rheumatoid arthritis a me ka juvenile rheumatoid arthritis (JIA).
💬 Ke pehu a ʻeha kou mau hono, pehea e hiki ai iā ʻoe ke hoʻopau loa i ka ʻeha ma ka lawe ʻana i kēia mau pila (Tolmetin)?
Ke hōʻeha ʻia kahi hono, hana ko mākou kino i kahi kemika i kapa ʻia ʻo 'Prostaglandins' e hoʻoulu ai i ka ʻeha a me ka pehu/ʻulaʻula ma ia wahi. Hana ʻia kēlā kemika e kahi enzyme/mīkini i kapa ʻia ʻo 'COX (Cyclooxygenase)'! I ka wā e komo ai kēia lāʻau lapaʻau i loko o ke kino, e ālai/pani loa ia a laka i kēlā mau mīkini COX āpau (COX-1 a me COX-2). A laila, ʻaʻole hiki i ke kino ke hana i nā Prostaglandins, a hoʻōla koke ʻia ka pehu a me ka ʻeha i loko o nā hono i ka manawa pōkole.
💬 He aha nā 'pōʻino make' (ʻŌlelo Aʻo Pahu ʻEleʻele) e pono ai i ka poʻe e lawe ana i kēia lāʻau hoʻopau ʻeha ikaika (Tolmetin) ke makaʻala?
Ua hala ka ʻeha, akā ua koʻikoʻi loa nā pōʻino! ʻO ka pōʻino nui loa, ke inu ʻoe i kēia, hiki i kou ʻōpū/ʻōpū ke puka i waho me ka ʻole o ka ʻōlelo aʻo mua, hiki iā ʻoe ke luaʻi i ke koko (Gastrointestinal bleeding/ulcers) a make! ʻO kekahi mea weliweli loa, ʻo ia ka piʻi ʻana o ka pilikia o nā 'hōʻeha puʻuwai koke' a me nā hahau (Cardiovascular thrombotic events) ma 100%, ʻoiai ʻaʻole pono e inu nā poʻe maʻi puʻuwai i kēia mau mea!











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