E aʻo e pili ana i ka Treprostinil Injection: He lāʻau lapaʻau no kahi maʻi e hoʻopilikia ai i ka puʻuwai a me nā māmā

Hiki iā ʻoe ke noʻonoʻo i nā kīʻaha koko e lawe ana i ke koko mai ko kākou puʻuwai a i ko kākou mau māmā e emi mālie ana, e hoʻonui nui ana i ke koko? Ua like ia me ke kaomi ʻana i kahi paipu wai a piʻi ka wikiwiki o ka wai. ʻO kēia ka mea a mākou e kapa nei ʻo ' Pulmonary Arterial Hypertension' a i ʻole 'PAH' i ka lāʻau lapaʻau. He ʻano ʻokoʻa iki kēia mai ke koko kiʻekiʻe maʻamau a pono e nānā pono ʻia. Hiki i kēia ke hana i nā hōʻailona e like me ka pōkole o ka hanu, ka ʻeha o ka umauma, a me ka luhi nui. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau kūikawā i hoʻohana ʻia e mālama ai i kēia ʻano, ʻo ia ka inikini Treprostinil.

He aha ke ʻano lāʻau lapaʻau ʻo Treprostinil?

I ka ʻōlelo maʻalahi, ʻo Treprostinil (inoa inoa: Remodulin) kahi lāʻau lapaʻau i hāʻawi ʻia i nā poʻe me ka maʻi hypertension arterial pulmonary (PAH) aʻu i ʻōlelo ai ma mua. Hana kēia lāʻau lapaʻau ma ka hoʻonui iki ʻana i nā kīʻaha koko i haiki ʻia, e maʻalahi ai ke kahe ʻana o ke koko. Hoʻemi kēia i ka ukana hana ma ka puʻuwai a kōkua i ka kaohi ʻana i nā hōʻailona. Hoʻomaʻalahi hoʻi ia i ka hana ʻana i nā hana o kēlā me kēia lā. He lāʻau lapaʻau koʻikoʻi loa kēia e kōkua ai i ka hoʻomaikaʻi ʻana i ke ʻano o ke ola.

Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu e pili ana i kēia, e ʻoluʻolu e nīnau i kāu kauka.

Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau

Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi i kēia mau mea:

• Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi e pili ana i ka puʻupaʻa.
• Maʻi akepaʻa: Inā he pilikia me ka hana akepaʻa.
• Nā maʻi ʻaleka: E hōʻoia e haʻi i kāu kauka inā ua loaʻa iā ʻoe kahi maʻi ʻaleka iā Treprostinil, Epoprostenol, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
• Hāpai: Inā hāpai ʻoe, e ho'āʻo ana e hāpai, a hānai waiū paha, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.

Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?

ʻAʻole kēia e like me ka pila a i ʻole ka capsule a mākou e lawe mau ai. Hāʻawi ʻia ka inikini Treprostinil i loko o kou kino ma o kahi pamu liʻiliʻi e holo mau ana (infusion hoʻomau) . Komo ka lāʻau lapaʻau i loko o kou kino ma o kahi ʻōmole lahilahi, i kapa ʻia he catheter, i hoʻopili ʻia i kēia pamu. Hiki ke hana ʻia kēia ma nā ʻano ʻelua:

1. Subcutaneous: Hoʻokomo ʻia ke catheter ma lalo o ka ʻili a hāʻawi ʻia ka lāʻau lapaʻau.

2. Ma o kahi aa koko (Intravenous):Hoʻokomo pololei ʻia ke catheter i loko o kahi kīʻaha koko (vein) a lawelawe ʻia ka lāʻau lapaʻau.

E hāʻawi ʻia ʻoe i ke aʻo piha loa ma ka haukapila no ka hoʻohana ʻana i kēia, pehea e hoʻomākaukau ai i ka pamu, a pehea e hoʻokomo ai i ka catheter. He mea nui loa e hahai pono i nā ʻōlelo kuhikuhi i hāʻawi ʻia e ke kauka a me nā limahana kahu maʻi .

He aha kāu e hana ai me nā nila a me nā syringe i hoʻohana ʻia?

Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Pono e waiho ʻia i loko o kahi pahu kūikawā (pahu ʻoi) i hāʻawi ʻia. Inā ʻaʻohe āu, e noi i kāu kauka a i ʻole ka haukapila no hoʻokahi.

Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?

Pono paha nā keiki i ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau, no laila he mea nui e kūkākūkā i kēia me ke kauka pediatric no ka ʻōlelo aʻo.

He aha inā lawe nui wau i ka lāʻau lapaʻau?

Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.

Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)

Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me Treprostinil, no laila 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).

Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau

• Nā nānā maʻamau: E hoʻomau i ka launa pū me kāu kauka i nā manawa a pau e nānā i ka holomua o kou kūlana. E hele pinepine i nā keʻena lapaʻau.
• ʻIli a puni ke catheter: E nānā pinepine i ka ʻili a puni ke catheter. Inā he ʻulaʻula ʻē, ʻeha, pehu, a i ʻole ka wai e like me ka pus, e hoʻomaopopo koke i kāu hui mālama ola. He hōʻailona paha kēia o ka maʻi.
• Inā e ʻoi aku ka ʻino o kou kūlana: I kekahi manawa e ʻoi aku ka ʻino o kou kūlana ma hope o ka lawe ʻana i kēia lāʻau lapaʻau. Inā manaʻo ʻoe i kēia ʻano, e like me ka paʻakikī o ka hanu ʻana a i ʻole ka ʻeha o ka umauma, e kāhea koke i kāu kauka. Pono paha e hoʻololi ʻia kāu mahele lāʻau.

Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau

E like me nā lāʻau lapaʻau āpau, hiki iā Treprostinil ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo kekahi he mea maʻamau.

Pehea e mālama ai i ka lāʻau lapaʻau?

No ka mālama ʻana i ka maikaʻi o ka lāʻau lapaʻau, he mea nui loa ia e mālama pono.

• E mālama ʻia mai nā keiki a me nā holoholona.
• Nā ʻōmole i wehe ʻole ʻia: E mālama ma kahi mahana ma waena o 15 a me 25 degere Celsius.
• Ma hope o ka wehe ʻana i kahi ʻōmole: Ma hope o ka lawe ʻana i ka mahele mua o ka lāʻau lapaʻau, pono e hoʻohana ʻia ka ʻōmole i loko o 30 mau lā.
• Lāʻau lapaʻau i pau ka lāʻau: Mai hoʻohana no kekahi kumu ma hope o ka lā pau.
• Nā lāʻau lapaʻau i loko o ka pamu:
• Inā hāʻawi ʻia ma lalo o ka ʻili: Hiki ke hoʻohana ʻia ka lāʻau lapaʻau i loko o hoʻokahi syringe a hiki i 72 mau hola. Ma hope o 72 mau hola, e hoʻolei i ke koena o ka lāʻau.
• Inā hāʻawi ʻia ma ke ʻano intravenous: Hiki ke hoʻohana ʻia ka lāʻau lapaʻau i loko o hoʻokahi syringe a hiki i 48 mau hola. E hoʻolei i ke koena o ka lāʻau lapaʻau ma hope o 48 mau hola.