Ua kuhikuhi ʻia ʻo Valganciclovir e ke kauka? A i ʻole ke lawe nei kekahi lālā o ka ʻohana a i ʻole hoaaloha iā ia? Inā pēlā, he mea nui iā ʻoe e aʻo hou aʻe e pili ana i ia mea. He mea maikaʻi mau ka loaʻa ʻana o kahi ʻike iki o kekahi lāʻau lapaʻau ma mua o ka lawe ʻana.
He aha ka Valganciclovir?
I ka ʻōlelo maʻalahi, he lāʻau antiviral ʻo Valganciclovir. ʻO ia hoʻi, kōkua ia i ke kaua ʻana i kekahi mau ʻano virus e komo i loko o ko kākou kino a kāohi i ka pōʻino a lākou e hana ai. Ua ʻike paha ʻoe i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo "Valcyte".
ʻO ka mea kūikawā, aia kekahi ʻano maʻi i kapa ʻia ʻo Cytomegalovirus (CMV) . Hiki i kēia maʻi ke hoʻoulu i nā maʻi i ko mākou mau maka (CMV retinitis), a me nā maʻi ma nā wahi ʻē aʻe o ke kino (no ka laʻana, nā māmā, nā ʻōpū). Hoʻohana pinepine ʻia ʻo Valganciclovir e mālama i ia mau maʻi a e pale aku i nā maʻi hou.
Āhea e hāʻawi ʻia ai kēia lāʻau lapaʻau?
E like me kaʻu i ʻōlelo ai ma mua, hoʻohana nui ʻia kēia lāʻau lapaʻau no nā maʻi CMV.
- E mālama i nā maʻi maka (CMV retinitis) i hoʻokumu ʻia e CMV.
- No ka pale ʻana a i ʻole ka mālama ʻana i ka laha ʻana o ka maʻi CMV i nā ʻāpana ʻē aʻe o ke kino.
- I kekahi mau hihia, hāʻawi ʻia kēia lāʻau lapaʻau i ka poʻe i loaʻa kahi hoʻoili kino e hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka maʻi CMV.
Eia nō naʻe, hiki i ke kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kumu lapaʻau ʻē aʻe ma waho aʻe o nā mea i ʻōlelo ʻia ma luna. No laila, inā he mau nīnau kāu e pili ana i ke kumu i kuhikuhi ʻia ai kēia lāʻau lapaʻau iā ʻoe, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
He aha nā mea e pono ai ʻoe e haʻi aku i ke kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe iā Valganciclovir, he mea nui e haʻi i kāu kauka a i ʻole ke kauka lāʻau lapaʻau nāna e hāʻawi i ka lāʻau lapaʻau i kēia mau mea . ʻO kēia no ka mea e hoʻohana ke kauka i kēia ʻike e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe, ka nui e hāʻawi iā ʻoe, a me nā mea ʻē aʻe āu e pono ai e makaʻala.
- Inā loaʻa iā ʻoe ka maʻi puʻupaʻa: ʻO kou mau puʻupaʻa nā mea e kōkua i ka kānana ʻana i nā huahana ʻōpala a mālama i kou kino i ka maʻemaʻe. Inā nāwaliwali kou mau puʻupaʻa a i ʻole he maʻi paha, ʻaʻole paha e hoʻokuʻu pono ʻia nā mea e like me kēia lāʻau mai kou kino aku. A laila hiki ke hōʻiliʻili ka lāʻau i loko o kou kino a hoʻoulu i nā pilikia. No laila he mea nui e haʻi i kāu kauka e pili ana i kēia.
- Inā he haʻahaʻa kou mau pae o nā keʻokeʻo koko, nā platelets, a i ʻole nā keʻokeʻo koko ʻulaʻula i loko o kou koko (helu koko haʻahaʻa):Hiki i kēia lāʻau lapaʻau ke hōʻemi hou i ka helu o kēia mau hunaola i loko o ke koko. No laila, inā loaʻa iā ʻoe kēia maʻi, he mea nui loa ia e ʻike kāu kauka.
- E haʻi i kāu kauka inā ua loaʻa iā ʻoe kahi hopena maʻi i ke ganciclovir, valganciclovir, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana, a i ʻole e hoʻāʻo ana e hāpai. He mea nui loa kēia, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī hou aku ma hope.
- Inā ʻoe e hānai waiū ana.
ʻO ke kūkākūkā ʻana i kēia mau mea me kāu kauka e kōkua nui iā ʻoe e loaʻa ka lāʻau lapaʻau me ka palekana.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
I ka hoʻohana ʻana i kēia lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka hahai pono ʻana i nā kuhikuhi e like me ke kuhikuhi ʻana. A laila wale nō e hiki ai iā ʻoe ke loaʻa ka pōmaikaʻi piha mai ka lāʻau lapaʻau a hōʻemi i nā hopena ʻaoʻao.
- Pono e lawe ʻia kēia mau lāʻau me ke aniani wai .
- E hahai pono i nā kuhikuhi ma ka lepili lāʻau lapaʻau a ke kauka .
- Pono e lawe ʻia kēia lāʻau me ka meaʻai . A i ʻole, mai lawe i ka ʻōpū ʻole.
- Mai nau a wili paha i kēia mau papa. E ale holoʻokoʻa i ka papa. ʻO ka hana ʻana pēlā e hoʻopilikia paha i ka pono o ka lāʻau lapaʻau.
- Inā haki hewa kahi papa, mai hoʻopā aku me kou mau lima ʻole . Inā pili kēlā mau papa haki i kou ʻili, e holoi koke i ka wahi me ke kopa a me ka wai . Hiki i kēia lāʻau lapaʻau ke hōʻino i ka ʻili i kekahi manawa.
- E ho'āʻo e lawe i kāu mau lāʻau lapaʻau i ka manawa kūpono, i ka manawa like i kēlā me kēia lā .
- Mai lawe ʻoe i nā lāʻau lapaʻau ma mua o ka mea a ke kauka e ʻōlelo ai.
- ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, e lawe i ka lāʻau lapaʻau no ka manawa piha i kuhikuhi ʻia e kāu kauka . Mai hoʻōki i ka lawe ʻana iā ia i ka hapalua. ʻO ka hana ʻana pēlā e hoʻi hou mai ai ka maʻi.
- Mai hōʻalo i nā dosis .
Pono anei iaʻu e makaʻala loa inā hāʻawi wau i kēia lāʻau lapaʻau i nā keiki?
ʻAe, aia kekahi mau hihia kahi e hāʻawi ʻia ai kēia lāʻau lapaʻau i nā keiki liʻiliʻi. Hiki ke ʻōlelo ʻia no nā pēpē e like me hoʻokahi mahina, ma lalo o nā kūlana kūikawā . Eia nō naʻe, aia kekahi mau mea e makaʻala ai i ka hāʻawi ʻana i nā keiki. No laila, e kamaʻilio me kāu kauka pediatric e pili ana i kēia a e hahai pololei i kāna mau kuhikuhi. E hāʻawi i ka lāʻau lapaʻau i ke keiki e like me ka ʻōlelo a ke kauka, ma ka nui āna i ʻōlelo ai.
He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe nui ʻoe a i ʻole kekahi i kēia lāʻau lapaʻau, e kāhea koke i ke kikowaena hoʻomalu lāʻau make kokoke loa a i ʻole ke keʻena pilikia . He mea nui loa ia.
Memo koʻikoʻi:Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kāu lāʻau lapaʻau i kekahi poʻe ʻē aʻe , ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe. Hiki paha ke hōʻeha iā lākou.
He aha inā e hala wau i kahi lāʻau?
ʻAuē, i kekahi manawa e poina ʻoe i kahi lāʻau. Inā hana ʻia kēlā, e lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe . Eia nō naʻe, inā kokoke loa ia i kāu lāʻau aʻe ke hoʻomanaʻo ʻoe (no ka laʻana, he mau hola wale nō ia), e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia . Mai lawe i ka lāʻau pālua , ʻo ia hoʻi ka lawe ʻana i ka lāʻau i poina a me ka lāʻau aʻe i ka manawa like. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena ʻaoʻao.
Ke launa pū nei kēia lāʻau me nā lāʻau ʻē aʻe? (He aha ka mea e launa pū ai me kēia lāʻau?)
ʻAe, hiki i kēia lāʻau lapaʻau i kapa ʻia ʻo Valganciclovir ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei. ʻO ke ʻano kēia e hoʻololi paha i ke ʻano o ka hana ʻana o nā lāʻau lapaʻau ʻē aʻe, hoʻololi i ke ʻano o ka hana ʻana o Valganciclovir, a hoʻonui paha i nā hopena ʻaoʻao.
ʻo kahi laʻana:
- ʻAmphotericin B
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi kanesa (e.g., adriamycin, doxorubicin, vinblastine, vincristine)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi HIV (e like me didanosine, zidovudine)
- ʻO Cyclosporine
- ʻO Dapsone
- ʻO Flucytosine `(flucytosine)`
- ʻO ka Hydroxyurea `(hydroxyurea)`
- Imipenem; cilastatin `(imipenem; cilastatin)`
- ʻO ka Mycophenolate mofetil `(mycophenolate mofetil)`
- Pentamidine `(pentamidine)`
- ʻO Probenecid `(probenecid)`
- ʻO Sulfamethoxazole; trimethoprim `(sulfamethoxazole; trimethoprim)`
- ʻO Takrolimus
ʻAʻole piha kēia papa inoa. Aia paha kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e kāu kauka, i kūʻai ʻia ma luna o ke kūʻai aku, nā lāʻau lapaʻau lāʻau, nā huaora, nā mea hoʻohui meaʻai), a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe i kū ʻole i ke kānāwai . Hiki i kekahi o kēia mau mea ke launa pū me kēia lāʻau lapaʻau.
He aha nā mea ʻē aʻe e pono ai mākou e makaʻala i ka wā e lawe ai i kēia lāʻau?
Aia kekahi mau mea e pono ai ʻoe e makaʻala i ka wā e lawe ai i kēia lāʻau.
Nā hoʻokolohua lapaʻau a me nā hoʻokolohua maka...
- ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono kāu kauka e ʻike iā ʻoe i nā manawa a pau (nā nānā maʻamau) . Pono nō hoʻi lākou e hana i kekahi mau hana koko koʻikoʻi. E nānā kēia i ke ʻano o ka hopena o ka lāʻau lapaʻau i kou kino a inā paha ua hoʻopilikia ia i kāu mau hunaola koko.
- Inā loaʻa iā ʻoe kahi maʻi maka (CMV retinitis) i hoʻokumu ʻia e CMV, pono ʻoe e nānā i kou mau maka ma ka liʻiliʻi i kēlā me kēia 4 a 6 mau pule .
Mai poina e inu i ka wai he nui...
ʻOiai e lawe ana i kēia lāʻau lapaʻau, e inu i ka liʻiliʻi he 6 a 8 mau aniani wai i ka lā . ʻO ka inu ʻana i ka nui o nā wai e hiki ke kōkua i ka pale ʻana i kekahi o nā hopena ʻaoʻao e hiki mai ana me ka lāʻau lapaʻau.
E makaʻala i ka 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 ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i kekahi mea e pono ai ka noʻonoʻo a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- E makaʻala i kou ala ʻana mai kahi noho a i ʻole ke kū ʻana mai kahi kū . Hiki i kēia ke hōʻemi i ka pilikia o ka poniuniu a i ʻole ka maule ʻana, ʻoiai inā he ʻelemakule ʻoe.
Ka ʻike kūikawā e pili ana i ka hāpai ʻana (no nā wahine a me nā kāne)
He mea nui loa kēia, no laila e hoʻolohe pono.
- No nā wāhine:
- Inā ʻoe e hāpai ana i kahi pēpē, a inā manaʻo ʻoe ua hāpai paha ʻoe, pono ʻoe e haʻi koke i kāu kauka .
- Mai hāpai ʻoe i ka wā e lawe ana i kēia lāʻau lapaʻau.
- Inā he wahine ʻoe o ka hiki ke hānau keiki, pono ʻoe e hoʻohana i ka kaohi hānau kūpono i ka wā e lawe ana i kēia lāʻau lapaʻau a no ka liʻiliʻi he 30 mau lā ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Hiki i kēia lāʻau lapaʻau ke loaʻa nā hopena koʻikoʻi i kahi keiki i hānau ʻole ʻia . E nīnau i kāu kauka a mea kūʻai lāʻau paha no ka ʻike hou aku.
- No nā kāne:
- Pono hoʻi nā kāne e makaʻala i kēia. ʻAʻole kūpono ke hānau keiki i ka wā e lawe ana i kēia lāʻau lapaʻau .
- Inā ʻoe e moe me kahi hoa e hiki ke hāpai, pono ʻoe e hoʻohana i ka condom i ka wā e lawe ana i ka pila a no 90 mau lā ma hope o ka hoʻōki ʻana i ka pila.
- ʻO kēia ke pale aku i ka hiki ke hōʻeha i ke keiki i hānau ʻole ʻia. E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.
He aha nā hopena ʻaoʻao e ʻike paha wau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Valganciclovir ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Aia kekahi mau hopena ʻaoʻao, a inā ʻike ʻoe iā lākou, pono ʻoe e hele koke i kāu kauka a i ʻole ka haukapila.
Nā hopena ʻino koʻikoʻi e pono e hōʻike koke ʻia i ke kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau .
- Nā hopena alerikaNā mea 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.
- Nā pilikia hanu.
- Nā loli i ka ʻike.
- Ke manaʻo nei i ka nāwaliwali a i ʻole ke poʻo māmā, hāʻule.
- Kuni a ʻūlū paha, ʻeha ka puʻu.
- Nā hallucinations, ka nalowale o ka pilina me ka ʻoiaʻiʻo.
- ʻEha, ʻūlū, maeʻele i nā lima a i ʻole nā wāwae.
- Nā ʻōʻili.
- Nā hōʻailona a me nā ʻōuli o ka ʻeha o ka puʻupaʻa: pilikia i ka mimi a i ʻole kahi loli i ka nui o ka mimi.
- Nā manaʻo pepehi kanaka a i ʻole nā loli ʻē aʻe o ka naʻau.
- Ke kahe koko ʻana a i ʻole ka palapū maʻamau ʻole.
- Manaʻo nāwaliwali a luhi paha.
Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i ke kauka inā hoʻomau lākou:
ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao, akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka.
- Ka paʻa ʻana o ka ʻōpū
- Kuke
- Ka maʻi pākī
- Ka nalowale o ka makemake
- Ka luaʻi, ka luaʻi
- ʻEha ʻōpū
- ʻO ka hiamoe ʻole (pilikia hiamoe)
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e kamaʻilio me kāu kauka e pili ana i ia mea. Inā makemake ʻoe, hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (1-800-FDA-1088).
Ma hea kahi e mālama ai i kaʻu lāʻau lapaʻau?
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a mai ko lākou hiki ʻana aku . He mea nui loa kēia.
- E mālama ma ka mahana o ka lumi, ma waena o 15 a me 30 kekelē Celsius (59 a 86 kekelē F). Mai hoʻokuʻu i ka wela nui, ke anu, a i ʻole ka makū.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā . E hoʻolei pono iā lākou.
Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, i kēia manawa ua maopopo iā ʻoe ka lāʻau Valganciclovir a mākou i kamaʻilio ai. ʻO ka mea hope loa, e hoʻomanaʻo hou i kēia mau manaʻo:
- E hahai pono i nā ʻōlelo a kāu kauka. E lawe i ka lāʻau lapaʻau e like me ke kuhikuhi ʻana, i ka manawa, a no ka lōʻihi i kuhikuhi ʻia.
- He aha kāu?E hōʻoia e haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe a i ʻole nā lāʻau lapaʻau āu e lawe nei.
- I ka wā e lawe ai i ka lāʻau lapaʻau , e lawe me ka meaʻai a inu i ka wai nui.
- E hahai pono i nā ʻōlelo aʻoaʻo no ka hāpai ʻana (no nā wāhine a me nā kāne). He mea nui loa kēia.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka a mea kūʻai lāʻau paha .
E hoʻomanaʻo he ʻike laulā wale nō kēia ʻatikala. ʻAʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo lapaʻau. ʻO ka ʻōlelo aʻoaʻo a kāu kauka ka mea nui loa.
Ke makemake nei iā ʻoe e ho'ōla koke!
` valganciclovir, cytomegalovirus, CMV, antiviral, nā hopena ʻaoʻao, lāʻau lapaʻau, Valcyte
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