Ua kuhikuhi anei kāu kauka iā ʻoe i kahi pila i kapa ʻia ʻo Toremifene ma ke ʻano he lāʻau lapaʻau no ka maʻi ʻaʻai umauma? Ke lohe ʻoe e pili ana i kēia lāʻau lapaʻau, nui paha kāu mau nīnau i loko o kou manaʻo. Nā mea e like me, 'He aha ka hana a kēia?', 'He aha nā hopena ʻaoʻao?', 'He aha kaʻu mea e hopohopo ai?' Mai hopohopo. E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maʻalahi a me ka maopopo.
He aha ke ʻano lāʻau lapaʻau ʻo Toremifene?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia e ālai ana i ka hana o kahi hormone i kapa ʻia ʻo estrogen i loko o kou kino. Hoʻopilikia kēia hormone estrogen i ka ulu ʻana o kekahi mau ʻano maʻi ʻaʻai umauma. No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ke kāohi i ka hoʻoulu ʻana e ulu ai nā hunaola kanesa. ʻO ia ke kumu e hoʻohana ʻia ai e mālama i kekahi mau ʻano maʻi ʻaʻai umauma.
Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu, e nīnau i kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka 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 mōʻaukala olakino piha. E hōʻoia e haʻi iā ia inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
- ʻO kēlā me kēia ʻano maʻi puʻuwai.
- Kiʻekiʻe o ka calcium i loko o ke koko.
- He moʻolelo o nā ʻūpā koko.
- Puʻuwai kūpono ʻole.
- Maʻi akepaʻa.
- ʻO nā kūlana e like me ka emi ʻana o ka helu o nā hunaola koko keʻokeʻo, nā platelets, a i ʻole nā hunaola koko ʻulaʻula i loko o ke koko.
- Nā pae haʻahaʻa o ka magnesium a i ʻole ka potassium i loko o ke koko.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka toremifene, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
E lawe i kēia pila me ke kīʻaha wai. E lawe pono e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono. Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana. Mai lawe ʻoi aku a emi mai paha ma mua o ka ʻōlelo a kāu kauka iā ʻoe. Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
Pono paha nā keiki i ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau i kāu keiki, e kamaʻilio me kāu kauka lapaʻau e pili ana i ia mea.
He aha inā wau e lawe i ka overdose?
, (National Poisons Information Centre) , (ETU) .
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi mea ʻē aʻe i loaʻa nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
E lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
He mea nui loa ia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui). Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Toremifene a hoʻoulu i nā hopena ʻaoʻao. Ua papa inoa ka papa ma lalo nei i kekahi o kēia mau lāʻau lapaʻau.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Toremifene. | |
| Nā lāʻau lapaʻau like ʻole | cisapride, dronedarone, fluconazole, pimozide, posaconazole, saquinavir, thioridazine, ziprasidone |
| Hiki i kēia mau mea ke launa pū me Toremifene - e hoʻomaopopo i kāu kauka | |
| ʻO kekahi mau lāʻau lapaʻau i lawe ʻia no ka maʻi HIV a i ʻole AIDS | (Nā lāʻau lapaʻau antiviral no ka maʻi HIV a i ʻole AIDS) |
| Kekahi mau lāʻau antibiotic | clarithromycin, telithromycin |
| ʻO kekahi mau diuretics | hydrochlorothiazide |
| Nā lāʻau lapaʻau antifungal | ʻItraconazole, ketoconazole, voriconazole |
| Nā lāʻau lapaʻau no ka hopu ʻana | carbamazepine, phenobarbital, phenytoin |
| Nā lāʻau anticoagulant | warfarin |
| Nā lāʻau lapaʻau a me nā mea hoʻohui ʻē aʻe | dexamethasone, rifabutin, rifampin, St. John's Wort, tolbutamide |
| Nā hormones wahine | Nā Estrogens, nā lāʻau hoʻomalu hānau |
| Meaʻai a me ka mea inu | Wai ʻāpala |
ʻAʻole i piha kēia papa inoa. Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, a inā ʻoe e puhipaka, inu waiʻona, a lawe paha i nā lāʻau lapaʻau ʻē aʻe.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau maʻamau: E ʻike pinepine i kāu kauka e nānā i kou olakino. Pono ʻoe e hana i nā hoʻokolohua umauma maʻamau , nā mammograms, a me nā hoʻokolohua pelvic.
- Nā ʻŌpū Iwi: Inā he mau ʻōpū kanesa kou i loko o kou mau iwi, hiki i kēia lāʻau lapaʻau ke hōʻeha i ka iwi a i ʻole ke kiʻekiʻe o ka calcium i ke koko. E nīnau i kāu kauka e pili ana i kēia mau hōʻailona a me ka mea e hana ai inā loaʻa.
- Ka hāpai ʻana a me ka hānai ʻana i ka waiū:
Mai hāpai no kekahi kumu i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ʻoe e hāpai ana, e haʻi koke aku i kāu kauka. Eia kekahi, mai hānai i ka waiū i ka wā e lawe ana i kēia lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki iā Toremifene ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.
| Inā ʻike ʻia kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka. | |
|---|---|
| Nā hōʻailona alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā hōʻailona koko | ʻEleʻele, ʻeleʻele ka lepo; mimi ʻulaʻula a ʻeleʻele paha; luaʻi ʻana i nā mea e like me ke kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻano ʻē mai nā maka, nā ʻāʻī, a i ʻole ka ihu. |
| Nā hōʻailona o nā ʻōpū koko | Paʻakikī ka hanu ʻana; Nā loli o ka ʻike; ʻEha umauma; ʻEha poʻo koke a koʻikoʻi; ʻEha wāwae, pehu, mehana; Paʻakikī ke ʻōlelo ʻana; Manumanu koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae. |
| Nā loli i ka helu o ka puʻuwai | ʻEha umauma; poniuniu; puʻuwai wikiwiki a ʻano ʻole paha; maule, poniuniu; pilikia ka hanu ʻana. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha; melemele o nā maka a i ʻole ka ʻili; kuni; nalowale o ka makemake e ʻai; nausea; ʻeha ma ka ʻaoʻao ʻākau o ka ʻōpū; luhi ʻē. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā loli o ka ʻike; ʻeha iwi; kahe ʻana o ka ʻōpū a i ʻole ke kahe koko. |
| Inā hoʻomau kēia mau hopena ʻaoʻao a lilo paha i mea hoʻopilikia, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao maʻamau | Pōniuniu; wela wela; nalowale o ka makemake e ʻai; nausea, luaʻi; hou; luhi kūikawā. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē aʻe ma waho o kēia mau mea, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki .
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 Celsius).
- E mālama mai ka lā ikaika a me ka wela nui.
- E pani pono i ke poʻi o ka ʻōmole.
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Toremifene e mālama ai i kekahi ʻano maʻi ʻaʻai umauma ma ke kāohi ʻana i ka hormone estrogen i loko o ke kino.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai hāpai no kekahi kumu i ka wā e lawe ana i kēia lāʻau. Eia kekahi, e pale i ka hānai waiū.
- E makaʻala i nā hopena ʻino koʻikoʻi e like me nā hōʻailona o ke koko ʻana, ke kahe koko ʻana, a me nā loli o ka ʻike. Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha, i ka manawa kūpono. Mai kaʻana like me nā poʻe ʻē aʻe.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka.
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