ʻO ka nausea a me ka luaʻi e kū mai ana i nā mahina mua o ka hāpai ʻana ua kapa ʻia ʻo ' Morning Sickness '. ʻOiai ke kuhikuhi nei ka inoa i ka maʻi kakahiaka, hiki ke hana ʻia i kēlā me kēia manawa o ka lā. No kekahi mau makuahine, hiki ke koʻikoʻi loa. Hiki iā ʻoe ke luaʻi nui a hiki ʻole iā ʻoe ke mālama i kekahi mea i lalo. No laila, i nā manawa e like me kēia, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau i kapa ʻia ʻo Zofran. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o Zofran, pehea ka palekana, a me nā mea āu e pono ai e ʻike e pili ana i ia mea.
He aha ka Zofran (Ondansetron)?
I ka ʻōlelo maʻalahi, ʻo Zofran ka inoa inoa no ka lāʻau ʻo Ondansetron. Ua hoʻolauna mua ʻia e kāohi i ka nausea a me ka luaʻi i hoʻokumu ʻia e ka chemotherapy i nā maʻi maʻi kanesa. Hana ia ma ke kāohi ʻana i ka hana o kahi ʻelele kemika (neurotransmitter) i loko o ko mākou lolo i kapa ʻia ʻo serotonin . ʻO kēia serotonin ka mea e kōkua ai i ka hoʻomalu ʻana i nā mea e like me ko mākou makemake, ka ʻai ʻana, a me ke ʻano.
Ma waho aʻe o ka mālama ʻana i ka maʻi kanesa, hoʻohana nā kauka i kēia lāʻau lapaʻau ma kekahi mau kūlana ʻē aʻe.
- Ka luaʻi ʻana ma muli o ka anesthesia
- No ka luaʻi ʻana i hoʻokumu ʻia e ka radiation therapy
- Ma hope o kekahi mau ʻoki kino
I kēia manawa, ua lilo ka hoʻohana ʻana i kēia lāʻau lapaʻau no ka luaʻi nui ʻana i ka wā hāpai, i ʻike ʻia hoʻi ʻo 'Morning Sickness', i mea kaulana loa. Wahi a kekahi mau hōʻike, ua ʻōlelo ʻia kēia lāʻau lapaʻau i kahi o hoʻokahi o nā makuahine hāpai ʻehā. Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka pilikia o ka maloʻo a me ka pohō kaumaha ke luaʻi nui.
Hiki ke hāʻawi ʻia ʻo Zofran ma ʻekolu mau ʻano. ʻO ka mea maʻamau, hāʻawi ʻia ia ma ke ʻano he papa liʻiliʻi e hoʻoheheʻe ʻia ma lalo o ke alelo. Eia kekahi, hiki ke hāʻawi ʻia ma ke ʻano he injection i loko o kahi ʻiʻo a i ʻole intravenously (IV) me ka saline inā pono.
He palekana anei ka hoʻohana ʻana iā Zofran i ka wā hāpai?
ʻO kēia ka pilikia nui loa i loaʻa i nā poʻe he nui. ʻOiai ua ʻāpono ka US Food and Drug Administration (FDA) i kēia lāʻau no ka luaʻi ʻana i nā maʻi kanesa, ʻaʻole i ʻāpono kūhelu ʻia no ka luaʻi ʻana i ka wā hāpai . Akā, mai makaʻu. ʻOiai inā ʻaʻole ʻāpono ke kauka no kekahi ʻano, ua ʻike maikaʻi ʻo ia i nā pono o kēlā lāʻau a paipai iā ia no kekahi ʻano ʻē aʻe, i kapa ʻia ʻo "off-label use."
Ua hōʻike ʻia nā haʻawina he nui ʻaʻole e hoʻonui ka lawe ʻana i kēia lāʻau lapaʻau i ka trimester mua o ka hāpai ʻana i ka pilikia o nā kīnā hānau nui .
- Ua hōʻike ʻia kahi noiʻi i mālama ʻia e ka CDC ma ʻAmelika Hui Pū ʻIa ʻaʻole i nui ka pilikia o nā makuahine i lawe iā Zofran i nā kīnā hānau koʻikoʻi.
- Ua hōʻike ʻia kahi noiʻi nui i mālama ʻia ma Denemaka i ka makahiki 2013 ʻaʻole kēia lāʻau lapaʻau e hoʻonui i ka pilikia o kēia mau mea:
- Kaumaha hānau haʻahaʻa
- Ka hānau mua ʻana
- Ke lohi nei ka ulu ʻana o ka pēpē.
- Nā kīnā hānau koʻikoʻi
- Hānau make
- Ka hāʻule ʻana o ka hāpai keiki
Akā, aia kekahi mea liʻiliʻi. Hōʻike kēia mau haʻawina i kahi pilikia liʻiliʻi loa. ʻO ia hoʻi, aia paha he pilikia liʻiliʻi loa, ʻaʻole hiki ke hoʻopilikia ʻia e ka palale māwae a me kekahi mau kīnā puʻuwai i nā keiki i hōʻike ʻia iā Zofran. Ma ke ʻano he helu helu, ʻoi aku ka liʻiliʻi o kēia pilikia ma mua o 3 i loko o 10,000 mau keiki i hānau ʻia e nā makuahine e lawe ana iā Zofran. No laila, he mea kakaikahi loa kēia. Wahi a kēia mau haʻawina, pono ka noiʻi hou aku ma kēia.
ʻO kekahi mea nui ʻē aʻe, i ka makahiki 2011, ua ʻōlelo ka FDA e hiki iā Zofran ke hoʻoulu i kekahi mau pilikia puʻuwai makuahine. ʻO ke ʻano kikoʻī, nā kūlana i kapa ʻia ʻo QT prolongation a me torsade de pointes . ʻO kēia nā kūlana e hoʻoulu ai i nā puʻuwai puʻuwai kūpono ʻole. He liʻiliʻi loa kēia pilikia, akā inā he maʻi puʻuwai kou, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea ma mua o ka lawe ʻana i kēia lāʻau lapaʻau.
He aha nā hopena ʻaoʻao o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Zofran ke loaʻa kekahi mau hopena ʻaoʻao liʻiliʻi. E nānā kākou i ke ʻano o lākou. Hiki iā ʻoe ke hoʻomaopopo maopopo i kēia mau mea mai ka papa ma lalo nei.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao maʻamau (ʻaʻole koʻikoʻi pinepine) |
|
| Nā hopena ʻaoʻao koʻikoʻi (e ʻimi koke i ke kōkua lapaʻau!) |
Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao koʻikoʻi, e kāhea koke aku i kāu kauka . Inā hiki, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa. He mea nui loa kēia.
ʻAʻohe ala maʻalahi ʻē aʻe e kōkua ai i ka luaʻi ʻana?
ʻAe, aia nō. Ma mua o kou hoʻohana ʻana i kahi lāʻau lapaʻau e like me Zofran, e aʻo aku kāu kauka iā ʻoe e hoʻāʻo i kēia mau mea maʻalahi.
Hoʻololi i ka ʻai
I nā manawa he nui, e luaʻi paha ʻoe ma muli o kekahi mau meaʻai. ʻO ka noho mamao ʻana mai nā meaʻai ʻaila, ʻala, a me nā meaʻai ʻala loa hiki ke hāʻawi i ka hōʻoluʻolu nui. Ua hōʻike ʻia nā noiʻi he 9 o 10 mau makuahine hāpai e hiki ke kāohi i ka luaʻi ma ka kaohi ʻana i kā lākou ʻai wale nō.
Wikamina B6
ʻO ka Vitamin B6 kekahi mea e kōkua ai i ka hoʻēmi ʻana i ka nausea. Akā, pono ʻoe e lawe wale ia ma ka nui i ʻōlelo ʻia e kāu kauka. ʻAʻole maikaʻi ka lawe ʻana ma mua o 100 milligrams (100mg) i kēlā me kēia lā. No ka mea, ʻo ka hana ʻana pēlā e hiki ai ke hōʻino i nā aʻalolo no ka manawa pōkole.
Kinika
He maikaʻi nō hoʻi ke kinika no ka nausea. ʻO ka inu ʻana i ke kī kinika a i ʻole ka hoʻohana ʻana i kahi huahana kūlohelohe i loaʻa ke kinika hiki ke hāʻawi i ka hōʻoluʻolu.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Zofran (Ondansetron) e pono e kuhikuhi ʻia e ke kauka. Mai lawe i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- ʻOiai ua hōʻoia ka nui o nā haʻawina i kona palekana, e makaʻala i nā pilikia liʻiliʻi akā koʻikoʻi i ka pēpē a me ka makuahine. E kamaʻilio ākea me kāu kauka e pili ana i kēia.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa ai (ʻoiai ka maʻi puʻuwai) a i ʻole nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau no ka luaʻi nui, e hoʻāʻo i nā ʻano maʻalahi e like me nā hoʻololi ʻana i ka meaʻai, ka huaora B6, a me ke kinika ma lalo o ke alakaʻi a kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
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