Etravirine
Anter
- Ma mua o ka lawe ʻana i ka etravirine,
- Hiki i ka Etravirine ke hana 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 hōʻoki i ka lawe ʻana i ka etravirine a kāhea koke aku i kāu kauka:
Hoʻohana ʻia ʻo Etravirine me nā lāʻau ʻē aʻe e mālama ai i ka maʻi maʻi maʻi (HIV) kanaka i loko o nā mākua a me nā keiki ʻo 2 mau makahiki a ʻoi aku ka poʻe i loaʻa ka pono hou ʻole mai ka lawe ʻana i nā lāʻau HIV. Aia ʻo Etravirine i loko o ka papa o nā lāʻau i kapa ʻia nā non-nucleoside reverse transcriptase inhibitors (NNRTI). Hana ia ma ka hoʻemi ʻana i ka nui o ka maʻi HIV i loko o ke koko. ʻOiai ʻaʻole e hoʻōla ka etravirine iā HIV, hoʻoliʻiliʻi paha ia i kou manawa o ka hoʻomohala ʻia ʻana o ka maʻi maʻi maʻi (AIDS) a me nā maʻi e pili ana i ka maʻi HIV e like me nā maʻi nui a i ʻole ke kanesa. ʻO ka lawe ʻana i kēia mau lāʻau a me ka hoʻomaʻamaʻa ʻana i ka moekolohe ʻoi aku ka maikaʻi a me ka hoʻololi ʻana i nā ʻano nohona ʻē aʻe e hōʻemi paha i ka lawe ʻana (hoʻolaha) i ka maʻi HIV i kekahi poʻe ʻē aʻe.
Hele mai ʻo Etravirine ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia ma hope o ka ʻai ʻana ʻelua mau manawa o ka lā. Lawe i ka etravirine ma nā 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 ka etravirine 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.
E ale i nā papa i ka wai, e like me ka wai; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.
Inā loaʻa iā ʻoe kahi pilikia e ale i nā papa, e hoʻoheheʻe ʻia paha lākou i ka wai. No ka hoʻomākaukau ʻana, hoʻohui i nā papa i hoʻokahi teaspoon (5 ml) o ka wai (ʻo ka wai wale nō, mai hoʻohana i kekahi ʻano wai) a i ʻole ma ka liʻiliʻi e hoʻopiha ai i ka lāʻau, a hoʻowali a hiki i ka hui ʻana o ka waiū. A laila hoʻohui i hoʻokahi punetune (15 ml) o kahi wai e like me ka wai a i ʻole hiki iā ʻoe ke hoʻohana i kahi mea inu e like me ka wai ʻalani a i ʻole ka waiū e hoʻomaikaʻi ai i ka ʻono. Hana ʻaʻole e kāwili i nā papa me kahi wai mehana a wela paha a i ʻole inu inu carbonated e like me ka soda. Inu koke ka hui ʻana. E holoi i ke aniani me ka wai, wai ʻalani, a waiū paha a ale i nā mea āpau. E hana hou i ke kaʻina hana o ka holoi ʻana a me ka ale ʻana i ka wai holoi i nā manawa he nui e hōʻoia i ka lawe ʻia ʻana o ka lāʻau holoʻokoʻa.
Kōkua ʻo Etravirine i ka mālama ʻana i ka maʻi HIV akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka etravirine ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka etravirine me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū ʻoe i ka lawe ʻana i ka etravirine a i ʻole e nalo i nā lāʻau, e lilo i kou ʻano i paʻakikī e mālama. Ke hoʻomaka haʻahaʻa kāu lako o etravirine, e kiʻi i nā mea hou aʻe mai kāu kauka a kauka paha.
E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea 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 lawe ʻana i ka etravirine,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka etravirine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa etravirine. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
- 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 kēia mau mea: anticoagulants ('nā mea lahilahi o ke koko') e like me warfarin (Coumadin, Jantoven); antiarrhythmics (nā lāʻau e mālama i nā puʻuwai puʻuwai) me amiodarone (Nexterone, Pacerone), bepridil (Vascor), disopyramide (Norpace), flecainide (Tambocor), tutupocaine (Xylocaine), mexiletine (Mexitil), propafenone (Rythmol), a me quinidine ); kekahi mau lāʻau e mālama ai i ka hopu ʻana e like me ka carbamazepine (Carbatrol, Tegretol, Teril), phenobarbital (Luminal), a me phenytoin (Dilantin, Phenytek); clarithromycin (Biaxin, i Prevpac); nā lāʻau hoʻohaʻahaʻa kolesterol (statins) me atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Advicor, Altoprev, Mevacor), rosuvastatin (Crestor), a me simvastatin (Vytorin, Zocor); clopidogrel (Plavix); diazepam (Valium); dexamethasone; kekahi mau lāʻau e kāohi i ka ʻōnaehana pale e like me cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune), a me tacrolimus (Prograf); nā lāʻau e mālama ai i ka hana erectile me sildenafil (Viagra), tadalafil (Cialis), a me vardenafil (Levitra); nā lāʻau e mālama ai i nā maʻi fungal e like me fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), a me voriconazole (Vfend); methadone (Dolophine); nā lāʻau ʻē aʻe e mālama iā HIV e like me amprenavir (Agenerase), atazanavir (Reyataz), delavirdine (Rescriptor), efavirenz (Sustiva, i Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (i Kaletra), nelfinavir (Viraceptept) and nevirapine (Viramune) ritonavir (Norvir, in Kaletra), and tipranavir (Aptivus); rifabutin (Mycobutin); rifampin (Rifadin, Rifater, Rifamate); a me rifapentine (Priftin). Nui paha nā lāʻau ʻē aʻe e launa pū paha me etravirine, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa. Mai hoʻomaka i ka lawe ʻana i nā lāʻau hou ke lawe nei ʻoe i ka etravirine me ka ʻole o ke kamaʻilio mua ʻana me kāu kauka a kauka paha.
- e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
- e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi ate, me ka maʻi hepa.
- e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka lawe ʻana i ka etravirine, e kāhea i kāu kauka.
- ʻAʻole pono ʻoe e hānai i ka hānai inā loaʻa ʻoe i ka maʻi HIV a i ʻole ke lawe nei ʻoe i ka etravirine.
- pono ʻoe e ʻike e hoʻonui a neʻe paha kou momona o ke kino i nā wahi like ʻole o kou kino e like me kou umauma, ʻāʻī, umauma, ʻōpū, a me luna ma hope. Loaʻa paha ka nalowale o ka momona mai kou mau wāwae, lima, a me kou alo.
- pono ʻoe e ʻike ʻoiai ʻoe e lawe nei i nā lāʻau e mālama ai i ka maʻi HIV, e ikaika paha kou ʻōnaehana pale a hoʻomaka e hakakā i nā maʻi ʻē aʻe i loko o kou kino. Hiki iā ʻoe ke hoʻomohala i nā ʻōuli o kēlā mau maʻi. Inā loaʻa iā ʻoe nā hōʻailona hou a pōʻino paha ma hope o ka hoʻomaka ʻana o ka mālama ʻana me etravirine, e ʻike pono i kāu kauka.
E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻulu a me ka inu ʻana i ka wai momona i ka wā e lawe ana i kēia lāʻau.
Inā hoʻomanaʻo ʻoe ua nalo ʻoe i ka lawe ʻana i kahi lāʻau ma loko o 6 mau hola o ka manawa e lawe mau ai ʻoe i ka etravirine, e lawe i ka lāʻau i hala ma hope o ka pāʻina ke hiki, a lawe i ka mahele lāʻau aʻe i ka manawa i hoʻonohonoho pinepine ʻia. Eia naʻe, inā ʻoe e hoʻomanaʻo ma mua o 6 mau hola ma hope o ka manawa āu e maʻa mau ai i kāu lāʻau, kali a lawe i ka lāʻau o etravirine hou aʻe e like me kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.
Hiki i ka Etravirine ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nausea
- ka luaʻi
- abdominal eha
- pāhoehoe
- ʻeha poʻo
- hoʻonui i ke kahe o ke koko
- ʻeha, puhi ʻana, numbness, a ʻūlū paha i nā lima a me nā wāwae
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana i ka etravirine a kāhea koke aku i kāu kauka:
- hūwī
- ʻulaʻula, puʻupuʻu, a hū paha i ka ʻili a i ʻole ma ka waha
- ʻulaʻula a pehu paha o nā maka
- pehu o ka maka
- ʻeha ka ʻāʻī, ka ʻū, ka fiva, ka haʻalulu, a i ʻole nā hōʻailona ʻē aʻe o ka maʻi
- manaʻo maʻi nui
- luhi
- ʻeha a ʻeha pū paha
- melemele o ka ʻili a me nā maka
- mimi ʻeleʻele
- noho humuhumu keʻokeʻo
- ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
- nalo ʻai ʻole
Hiki i ka Etravirine ke hana i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
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. E mālama i nā ʻeke desiccant (maloʻo) ʻekolu i loko o ka hue o ka lāʻau e hoʻomaloʻo i nā papa. Mai ʻai i nā pou desiccant.
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
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.
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 etravirine.
Ma mua o ka hoʻāʻo ʻana o kahi hale hana, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e lawe nei i ka etravirine.
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.
E mālama i kahi papa inoa o kāu mau lāʻau a hōʻike iā ia i kāu kauka a me kāu kauka lāʻau ke loaʻa iā ʻoe kahi lāʻau hou.
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.
- ʻO Intelence®