Exemestane
Anter
- Ma mua o ka exemestane,
- Hiki i ka Exemestane ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi.Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:
Hoʻohana ʻia ʻo Exemestane e mālama i ka maʻi ʻaʻai mua i nā wahine i ʻike i ka menopause ('ka loli o ke ola'; ka hopena o ka manawa o ka menstrual) a ʻo nā mea i mālama ʻia me kahi lāʻau i kapa ʻia ʻo tamoxifen (Nolvadex) no 2 a 3 mau makahiki. Hoʻohana ʻia kēia lāʻau lapaʻau e mālama ai i ka maʻi ʻaʻai o ka umauma i nā wahine i ʻike i ka menopause ka mea i ʻoi loa ka maʻi ʻaʻai o ka umauma i ka wā e lawe ana lākou i ka tamoxifen. Aia ʻo Exemestane i kahi papa o nā lāʻau i kapa ʻia nā mea kāohi aromatase. Hana ia ma ka hoʻemi ʻana i ka nui o ka estrogen i hana ʻia e ke kino. Hiki i kēia ke hoʻolohi a hoʻopau paha i ka ulu ʻana o kekahi mau ʻōpū o ka umauma e pono ai e ulu ʻo estrogen.
Hele mai ʻo Exemestane ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā ma hope o ka pāʻina ʻana. Lawe i ka exemestane ma kahi o ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pono i exemestane e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
Pono ʻoe e lawe i exemestane no kekahi mau makahiki a ʻoi aku paha. E hoʻomau i ka exemestane ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka exemestane me ke kamaʻilio ʻole ʻana me kāu kauka.
Hoʻohana ʻia kekahi Exemestane i kekahi manawa e mālama i kekahi ʻano o ka maʻi ʻaʻai umauma i nā wahine i ʻike ʻole i ka menopause. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.
Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka exemestane,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka exemestane a i ʻole nā lāʻau ʻē aʻe.
- e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, a me nā mea hoʻopihaʻai pono ʻole āu e lawe nei a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: carbamazepine (Carbatrol, Epitol, Tegretol); nā lāʻau i loaʻa ka estrogen e like me ka hoʻowalewale hōmona a me nā mea pale hormonal (nā lāʻau kaohi hānau, nā pāhoʻi, nā apo, a me nā inikoni); phenobarbital; phenytoin (Dilantin); a me rifampin (Rifadin, ma Rifater, ma Rifamate). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St John.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a ua loaʻa paha ʻoe i ka osteoporosis (ke ʻano palupalu nā iwi a haki maʻalahi), ka ate a me nā maʻi puʻupaʻa.
- e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Pono ʻoe i kahi hōʻoia hāpai maikaʻi ʻole ma waena o 7 mau lā ma mua o kou hoʻomaka ʻana e exemestane. Pono ʻoe e hoʻohana i ka kaohi hānau e pale i ka hāpai ʻana i ka wā o kāu mālama ʻana me exemestane a no 1 mahina ma hope o kāu hopena hope loa. Inā hāpai ʻoe i ka lawe ʻana i exemestane, e kāhea koke i kāu kauka. Hoʻopilikia paha ka Exemestane i ka fetus.
- e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. ʻAʻole pono ʻoe e hānai i ka wā o kāu mālama ʻana me exemestane a no 1 mau mahina ma hope o kāu hopena hope loa.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.
Hiki i ka Exemestane ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- flushes wela
- ka houʻu ʻana
- ʻehaʻeha a ʻeha pū paha
- luhi
- ʻeha poʻo
- ʻūpā
- hopohopo a hopohopo paha
- kaumaha
- paʻakikī e hiamoe a hiamoe paha
- nausea
- ka luaʻi
- māhuahua ka makemake
- pāhoehoe
- poho lauoho
- ʻulaʻula, ʻili ʻili
- nā hoʻololi i ka hihiʻo
- ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a i nā wāwae lalo
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi.Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:
- pokole o ka hanu
- ʻeha ka umauma
Hiki ke hōʻemi ʻia ka nui o kou iwi iwi (BMD; kahi ana o ka ikaika o nā iwi) ʻoiai ʻoe e lawe ana i ka exemestane. Hiki i kēia ke hoʻonui i ka manawa kūpono e hoʻomohala ʻoe i ka osteoporosis (ke ʻano palupalu nā iwi a haki maʻalahi). E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i exemestane.
Hiki i ka Exemestane ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka exemestane.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
- Aromasin®