He uaua ki a koe te manawa i ētahi wā, he taumaha te uma, he ngoikore rānei ahakoa he paku ngenge koe? Ahakoa he maha ngā take mō tēnei, i ētahi wā ko te pikinga o te pēhanga i roto i ngā oko toto i roto i ngā pukahukahu te take. I tēnei rā ka kōrero tātou mō tētahi rongoā e whakamahia ana hei rongoā i tētahi mate pēnei.
He aha te Treprostinil?
He kupu whakarāpopoto, he rongoā a Treprostinil e whakamahia ana hei rongoā i tētahi mate e kiia nei ko te Pulmonary Arterial Hypertension (PAH). He rongoā wai e hongia ana hei kohu.
Tērā pea kei te whakaaro koe he aha te toto toto tiketike pūkahukahu (PAH), he rerekē tēnei i te toto toto noa? Ae, he rerekē. Whakaarohia kua purua, kua whaiti hoki ngā paipa wai i roto i tō whare. He aha te uaua o te papu wai ki te pupuhi i te wai mā roto i ngā paipa? Me kawe e te papu he taumaha nui, tika? Waihoki, ina whaiti ngā oko toto e kawe ana i te toto mai i tō tātou ngākau ki ngā pukahukahu, me kaha ake te mahi a te ngākau ki te pupuhi toto ki ngā pukahukahu. Koinei te mea e kiia nei e tātou ko te 'Pulmonary Arterial Hypertension (PAH)'.
Mā te Treprostinil ka whakangāwari, ka whānui hoki ngā oko toto kua whaiti i roto i ngā pukahukahu. Ka whakaitihia te pēhanga i roto i ngā pukahukahu. Ka whakaitihia te mahi a te ngākau, ka ngāwari ake te pupuhi toto ki te toenga o te tinana. Mā tēnei ka māmā ake te manawa, ka māmā ake hoki te mahi i ō mahi o ia rā. Kei te wātea tēnei rongoā i raro i ngā ingoa waitohu Tyvaso me ētahi atu.
Ngā mea me kōrero e koe ki tō tākuta i mua i te tango i tēnei rongoā
I mua i te tīmatanga o tēnei rongoā, he mea nui kia hoatu e koe he whakamārama katoa ki tō tākuta mō tō āhua hauora. Kia mahara kia whakahuatia ngā mea e whai ake nei:
- Mate ate: Mena he mate ate tōu, me whakahua e koe, nā te mea he whai wāhi tika te ate ki te tukanga tango i tēnei rongoā mai i te tinana.
- Te toto toto iti: Mena he toto toto iti tōu, ka taea e tēnei rongoā te whakaheke ake i tōna toto. Ka pāngia pea koe e te whanoke. Kōrerotia ki tō tākuta.
- Ētahi atu mate manawa: Mena kei a koe ētahi atu mate manawa pēnei i te mate huango, te mate puku rānei, kōrero mai hoki ki a mātou.
- Te whewhe: Ki te rongo koe i te tangi whiowhio ina manawa koe, he tohu pea tēnei kei te āraihia tō ara manawa. Kōrerotia atu hoki ki tō tākuta.
- Mate pāwera: Mena he mate pāwera koe ki tēnei rongoā, ki a Treprostinil, ki tētahi atu rongoā, kai, tae rānei, tena koa whakamōhio mai ki a mātou.
- Te haputanga me te whāngai ū:Mena kei te hapu koe, kei te ngana rānei kia hapu, kei te whāngai u rānei, he mea nui kia whakamōhio atu koe ki tō tākuta i mua i te tīmatanga o tēnei rongoā.
Me pēhea te whakamahi i te rongoā?
Ka mahia tēnei mā te whakamahi i te nebulizer , he taputapu e hanga ana i te kohu. Ka hurihia e te nebulizer te rongoā wai hei kohu iti (aerosol). Kātahi ka taea e koe te hongi i te kohu mā tō waha, mā tō ihu rānei, ka tukuna tika atu ki roto i ō pukahukahu.
He mea tino nui: Me whakamahi noa i tēnei rongoā me te `Tyvaso Inhalation System` motuhake. Kaua rawa e whakaranua tēnei rongoā ki ētahi atu rongoā i roto i te Nebulizer.
Whakamahia tēnei rongoā kia rite ki te tohutohu a tō tākuta, mō te roanga o te wā kua whakaritea. Kaua e mutu te tango i tēnei rongoā me te kore he tohutohu a tō tākuta. Pānuihia ngā tohutohu kei roto i tēnei rongoā me te āta. Mena he mea kāore koe e mārama, pātai atu ki tō tākuta kia mōhio ai koe kua mārama koe.
A, mehemea ka whakanuia te horopeta , ka warewarehia rānei?
Mena ka nui atu tāu horopeta i te horopeta kua tohua, waea atu tonu ki te National Poisons Information Centre i te Colombo National Hospital , haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
Ki te wareware koe ki te tango i tētahi horopeta, me tango tonu i te wā e mahara ana koe. Engari ki te tata te wā mō tō horopeta e whai ake nei, pekehia te horopeta i ngaro, ka tango i tō horopeta e whai ake nei i te wā kua whakaritea. Kaua rawa e tango i te horopeta takirua hei whakakapi i te horopeta i warewarehia.
Ētahi atu mea ka taunekeneke pea me tēnei rongoā
Ka taea e ētahi rongoā te taunekeneke me Treprostinil, nō reira me kōrero ki tō tākuta mō ngā mea katoa e tangohia ana e koe.
- Ko ētahi rongoā mō te toto toto tiketike, te mate ngakau rānei
- `Gemfibrozil` (he rongoā whakaheke cholesterol)
- `Rifampin` (he rongoā paturopi e hoatu ana mō te mate kohi)
Kāore tēnei rārangi i te oti. Nō reira, hoatu ki tō tākuta he rārangi katoa o ngā rongoā katoa (kua tohua me ngā rongoā kore-tohu), ngā otaota, ngā huaora, me ngā tāpiringa e tangohia ana e koe. Me kōrero hoki ki tō tākuta mēnā he kaipaipa koe, he inu waipiro rānei.
Ngā pānga taha me ngā mea hei mōhio
He mea nui kia aro nui koe ki ngā huringa o tō tinana i te wā e tango ana i tēnei rongoā.
Ngā mea hei mōhio whānuitia
- Ngā tirotiro hauora auau: Kaua e wareware ki ngā wā tirotiro a tō tākuta. He mea nui tēnei kia mōhio ai koe ki tō āhua maimoatanga.
- Te ripoata i ngā tohu:Ki te kore ō tohu e pai ake, e ahua kino haere rānei, me kōrero tonu atu ki tō tākuta.
- Te mōrearea toto: Tērā pea ka paku whakanui ake tēnei rongoā i te mōrearea o te marō me te toto. Nō reira, ki te kite koe i te marō rerekē, te toto o ngā kapia i te wā e parai ana i ō niho, te toto rānei i te kore e taea te whakaaro, whakamōhio atu ki tō tākuta.
Ngā pānga taha
Me wehewehe ngā pānga taha pea o tēnei rongoā kia rua ngā wāhanga. Ko ētahi he kino, ā, me rapu awhina hauora tonu. Ko ētahi he mea noa, engari me pūrongo mēnā ka roa tonu.
| Pānga taha | Whakaahuatanga |
|---|---|
| Ngā pānga kino nui me ripoata tonu ki te tākuta | |
| Ngā uruparenga mate pāwera | He ponana kiri, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero, o te korokoro rānei. |
| Te toto rerekē | He toto i roto i te tūtae, he tūtae mangu rānei, he ruaki e rite ana ki te paura kawhe, he mimi whero/parauri pouri, he ira whero/papura iti i runga i te kiri, he marō rerekē. |
| Te toto toto iti | Te whanoke nui, te māuiui, te tirohanga pōuri. |
| Te whewhe, te uaua rānei o te manawa | Te whiowhio, te uaua rānei ki te manawa. |
| Ngā pānga taha e kitea whānuitia ana, engari me whakamōhio atu ki te tākuta mēnā ka mau tonu | |
| Maremare | He maremare iti i puta mai i te hongi i te rongoā. |
| Korere | Te pupuhi o te puku. |
| Te ānini me te whanoke | He ānini iti, he pōuri rānei. |
| Te whero o te mata | Ka wera, ka whero te mata. |
| Te korokoro mamae me te ihu | He korokoro mamae, he ihu pupuhi, he korokoro mamae rānei. |
| Whakapairuaki | Te āhua e hiahia ana koe ki te ruaki. |
Me pēhea te penapena me te whakakore i te rongoā?
- Rokiroki: Puritia kia kore e taea e ngā tamariki me ngā mōkai te toro atu. Rokirokihia te putea konumohe kāore anō kia whakatuwheratia o ngā ampoule ki te pāmahana rūma (20-25 nekehanga Celsius). Kia whakatuwheratia te putea konumohe, me whakamahi ngā ampoule i roto i ngā rā e 7. Tiakina mai i te mārama. Kaua e whakatuwheratia te ampoule kia rite rā anō ki te whakamahi.
- Rongoā i roto i te Nebulizer: Kia tukuna te rongoā ki roto i te Nebulizer, kaua e waiho i roto i te mīhini mō ngā haora neke atu i te 24. Tangohia ngā rongoā e toe ana i roto i te mīhini i te mutunga o te rā.
- Te Whakakorenga: Ko te huarahi pai ki te whakakore i ngā rongoā kua pau te wā, kāore rānei e hiahiatia ana, ko te tuku atu ki ngā kaupapa tango rongoā e wātea ana i ngā hōhipera, i ētahi whare rongoā rānei. Pātai atu ki tō tākuta, ki tō hōhipera rānei mō tēnei. Ki te kore e taea, pātai atu ki tō tākuta me pēhea te whakakore haumaru i tēnei rongoā.
Karere Tangohia ki te Kāinga
- He rongoā motuhake a Treprostinil mō te toto toto tiketike pūkahukahu (PAH). Ka hongia mā roto i te mīhini whakapūngao.
- Me whakamahi noa i tēnei rongoā me te Tyvaso Inhalation System kua tohua mōna. Kaua e whakaranua ki ētahi atu rongoā.
- Kōrerotia ki tō tākuta ngā rongoā katoa, ngā huaora, me ngā tāpiringa e tangohia ana e koe.
- Mena ka pāngia koe e te toto rerekē, te whanoke nui, ngā tohu mate pāwera rānei, me whakamōhio tonu atu ki tō tākuta.
- Māu anake tēnei rongoā i tohua. Kaua rawa e tohaina ki ētahi atu.
- Mena he āwangawanga, he ruarua rānei āu, kōrero tonu atu ki tō tākuta.
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