Ke manaʻo nei ʻoe i kekahi manawa he pōkole iki ka hanu? A i ʻole ke manaʻo nei ʻoe i ka luhi loa a me ka poniuniu ʻoiai ke hele iki nei a i ʻole ke piʻi ʻana i kahi alapiʻi? ʻAʻole kēia mau mea e hana wale nei. He mau hōʻailona paha kēia o ka hoʻonui ʻia o ke kaomi i loko o nā kīʻaha koko i loko o kou mau māmā, ʻo ia ka mea a nā kauka e kapa nei he '(Pulmonary Arterial Hypertension)'. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi pila i kapa ʻia ʻo 'Treprostinil' i hoʻohana ʻia e mālama i kēia ʻano. He lāʻau lapaʻau kēia e hiki ke kōkua i ka hoʻomaikaʻi ʻana i kou hiki ke hoʻoikaika kino a hoʻomaʻalahi iki i ke ola.
He aha maoli kēia lāʻau i kapa ʻia ʻo 'Treprostinil'?
I ka ʻōlelo maʻalahi, ʻo 'Treprostinil' kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia no ka mālama ʻana i ke koko kiʻekiʻe i loko o nā kīʻaha koko i loko o nā māmā, a i ʻole 'Pulmonary Arterial Hypertension'. Hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo 'Orenitram'.
E nānā kākou i ke ʻano o ka Pulmonary Arterial Hypertension.
E noʻonoʻo, he mau aʻa koko ko kākou e lawe ana i ke koko mai ko kākou puʻuwai a i ko kākou mau māmā. He aha ka mea e hana ai inā e emi ana kēlā mau aʻa koko a piʻi aʻe paha ke kaomi i loko o lākou? A laila, paʻakikī ka puʻuwai i ka pamu ʻana i ke koko i nā māmā. ʻO ia ka mea a mākou e kapa nei he `(Pulmonary Arterial Hypertension)` a i ʻole ke koko kiʻekiʻe i loko o nā māmā. Ua like kēia me kahi paipu wai i ālai ʻia a lilo i mea paʻakikī no ka wai ke kahe. ʻO kēia ke kumu o ka pilikia hanu a me ka luhi.
Pehea e kōkua ai ʻo Treprostinil?
No laila, ʻo ka hana a kēia lāʻau lapaʻau ʻo 'Treprostinil', ʻo ia ke hoʻonui i nā kīʻaha koko i loko o kēlā mau māmā i paʻa a kiʻekiʻe ke kaomi a hoʻomaʻalahi i ke kahe ʻana o ke koko. A laila e emi ana ka ukana ma ka puʻuwai, e maʻalahi kou hanu ʻana, a e piʻi aʻe kou hiki ke hoʻoikaika kino. ʻO ia hoʻi, loaʻa iā ʻoe ka ikaika hou aʻe e hana i kāu mau hana o kēlā me kēia lā , a e hoʻomaikaʻi pū ʻia kou ʻano ola.
He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia pila `Treprostinil`, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. Aia kekahi mau mea e pono ai ʻoe e maopopo. No ka mea, ʻaʻole kūpono kēia lāʻau lapaʻau no nā kānaka āpau.
E hōʻoia e haʻi i kāu kauka e pili ana i kēia mau mea:
- Loaʻa iā ʻoe kahi maʻi ʻōpū e like me ka diverticulosis? (ʻO kēia ka wā e hana ʻia ai nā ʻeke liʻiliʻi ma nā paia o kou ʻōpū).
- He mea inu mau ʻoe?
- He maʻi akepaʻa kou?
- Ua loaʻa paha iā ʻoe kahi hopena maʻi i ka Treprostinil, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama?
- Ua hāpai ʻoe? A i ʻole ke manaʻolana nei ʻoe e hāpai?
- He makuahine hānai waiū ʻoe?
Inā pololei kēia mau ʻoiaʻiʻo, hiki i ke kauka ke hoʻoholo pololei inā kūpono kēia lāʻau lapaʻau iā ʻoe, ʻaʻole paha, a pehea e hāʻawi ai.
Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
Inā makemake ʻoe i kahi lāʻau lapaʻau e kūleʻa, pono ʻoe e hoʻohana pono, ʻeā? Aia kekahi mau mea e pono ai ʻoe e makaʻala i ka wā e lawe ai iā 'Treprostinil'.
Pehea ʻoe e lawe ai i ka pila?
Pono ʻoe e lawe i kēia pila me ke aniani wai . E lawe i ka lāʻau lapaʻau i ka manawa i kuhikuhi ʻia e like me ka ʻōlelo a kāu kauka iā ʻoe. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia pila me ka ʻai.
E hoʻomanaʻo pono: Mai uhaʻi, kuʻi, a nau paha i kēia pila!
He pila "hoʻokuʻu lōʻihi" kēia. ʻO ke ʻano kēia, hoʻokuʻu mālie ʻia ka lāʻau i loko o ke kino i ka lā a pau. Inā ʻoe e uhaʻi, kuʻi, a nau paha, hiki i ka lāʻau ke komo i loko o ke kino i ka manawa hoʻokahi a hoʻoulu i nā pilikia makemake ʻole ʻia. No laila, e ale holoʻokoʻa i ka pila.
E lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia, a i ʻole e lawe pinepine. Mai hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio, pono ʻoe e kamaʻilio me ke kauka keiki e pili ana i ia mea a hahai i kā lākou ʻōlelo aʻo. Pono paha ia i ka mālama kūikawā.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
I kekahi manawa, poina paha ʻoe e lawe i kāu lāʻau lapaʻau. Inā hana ʻia kēia, e lawe i ka lāʻau i hala ʻole i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke i ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi. Inā e poina ʻoe i ʻelua a ʻoi aku paha nā lāʻau i ka lālani, e kamaʻilio me kāu kauka e ʻike inā pono e hoʻololi i kāu lāʻau.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe ʻoe i ka lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka lumi pilikia haukapila kokoke loa, a i ʻole e kelepona i kahi kikowaena kaohi lāʻau make.
E hoʻomanaʻo, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
Ke lawe mākou i hoʻokahi lāʻau lapaʻau, hiki iā ia ke launa pū me nā lāʻau lapaʻau ʻē aʻe, me ka meaʻai, a i ʻole me nā mea ʻē aʻe a mākou e lawe ai. ʻO ia hoʻi, hiki ke loli kona hopena. Hiki ke hana ʻia kēlā me ka 'Treprostinil'.
Eia kekahi mau mea e launa pū paha me ka 'Treprostinil':
- ʻO kekahi mau lāʻau lapaʻau koko
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (no ka laʻana, warfarin, enoxaparin, dalteparin, apixaban, dabigatran, a me rivaroxaban)
- Nā lāʻau lapaʻau e hoʻonui ai i ka nui o ka mimi (diuretics)
- ʻO ka lāʻau lapaʻau 'gemfibrozil'
- He lāʻau lapaʻau i kapa ʻia ʻo `rifampin` (he lāʻau lapaʻau kēia i hāʻawi pinepine ʻia no ka maʻi puʻupuʻu)
ʻAʻole i hoʻokomo ʻia nā pilina āpau ma kēia papa inoa. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi o kēia mau mea ke hoʻopilikia i ka hana o kāu lāʻau.
Nā mea ʻē aʻe e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
Aia kekahi mau mea e pono ai ʻoe e makaʻala i ka wā e lawe ana iā 'Treprostinil'.
- Inā ʻaʻole e hoʻomaikaʻi a i ʻole e ʻino aʻe paha kāu mau hōʻailona (e like me ka luhi a me ka nāwaliwali) , e haʻi i kāu kauka.
- He mea ʻē paha kēia, akā he mea nui ia: Ma hope o kou lawe ʻana i kēia pila, e ʻike paha ʻoe e puka mai ana ka pūpū papa me kou ʻōpala. He mea maʻamau kēia, mai hopohopo. No ka mea, ʻo ke ʻano o ka hana ʻana o kēia mau pila "hoʻokuʻu lōʻihi", hiki i ka pūpū hakahaka ke puka mai me ka ʻole o ka hoʻoheheʻe ʻana ma hope o ka komo ʻana o ka lāʻau i loko o ke kino. ʻAʻole kēia e hoʻopilikia i ka maikaʻi o ka lāʻau lapaʻau ma kekahi ʻano.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Treprostinil ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
- Nā hopena maʻi ʻaleka: Inā ʻike ʻoe i nā hōʻailona e like me ka ʻulaʻula o ka ʻili, ka maneʻo a i ʻole ka hives, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo, e ʻimi koke i ke kōkua lapaʻau.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha):
- Ka maʻi pākī
- ʻUlaʻula o ka maka, ʻulaʻula
- ʻEha poʻo
- Ka luaʻi
ʻAʻole kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Pehea e mālama ai i ka lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kāu lāʻau lapaʻau.
- E mālama iā ia mai ka hiki ʻana aku o nā keiki liʻiliʻi.
- Hiki ke mālama ʻia ma ka mahana o ka lumi, ma kahi o 25 kekelē Celsius (77 kekelē Fahrenheit). (E hana pēlā ke ʻole kāu kauka a kauka lāʻau paha i hāʻawi iā ʻoe i nā ʻōlelo kūikawā.)
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei pono iā lākou.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
No laila, he lāʻau lapaʻau ʻo `Treprostinil` i kōkua nui i ka poʻe me ke koko kiʻekiʻe pulmonary. Akā, pono ʻoe e makaʻala loa i ka wā e hoʻohana ai.
Hāʻawi kēia ʻatikala iā ʻoe i kahi manaʻo laulā o kēia lāʻau lapaʻau, akā ʻaʻole ia he wehewehe piha. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole kekahi mea lawelawe olakino ʻē aʻe. E hiki iā lākou ke wehewehe iā ʻoe me nā kikoʻī.
ʻO ka mea nui loa, ʻo ia ke lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono, a me ka nui kūpono. A laila e hiki iā ʻoe ke loaʻa ka mea nui loa mai kēia lāʻau lapaʻau a e maʻalahi ai kou ola. Ke makemake nei au iā ʻoe i ke olakino maikaʻi!
ʻO Treprostinil, Ke koko kiʻekiʻe o ke koko o ka puʻuwai, ʻOrenitram, Ke koko kiʻekiʻe o ka puʻuwai, Maʻi puʻuwai, Nā pilikia hanu, Nā kikoʻī lāʻau lapaʻau
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