Everolimus
![Everolimus - Transplant Medication Education](https://i.ytimg.com/vi/6Xxx9qNjPwo/hqdefault.jpg)
Anter
- Ma mua o ka lawe ʻana i everolimus,
- Hiki i Everolimus 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 ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
ʻO ka lawe ʻana i everolimus e hōʻemi ai i kou hiki ke hakakā i ka maʻi mai nā koʻohune, nā mea hoʻomaʻi, a me nā fungi a hoʻonui i ka makaʻu e loaʻa ʻoe i kahi maʻi koʻikoʻi a weliweli paha i ke ola. Inā loaʻa iā ʻoe ka maʻi hepitis B (kahi ʻano o ka maʻi ate) i ka wā i hala, hiki i kou maʻi ke hele a hana a hoʻomohala paha ʻoe i nā ʻōuli i kou wā e mālama ai me everolimus. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole he hepatitis B paha a i ʻole inā he manaʻo ʻeha paha kāu i kēia manawa. E haʻi i kāu kauka a me kāu kauka inā ʻoe e lawe i nā lāʻau ʻē aʻe e kaomi i ka ʻōnaehana pale e like me azathioprine (Imuran), cyclosporine (Gengraf, Neoral, Sandimmune), dexamethasone (Decadron, Dexpak), methotrexate (Rheumatrex, Trexall), prednisolone (Orapred, Pediapred, Prelone), prednisone (Sterapred), sirolimus (Rapamune), a me tacrolimus (Prograf). Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ka luhi nui loa; melemele o ka ʻili a i ʻole nā maka; lilo o ka makemake ʻole; nausea; ʻeha pū; mimi ʻeleʻele; noho humuhumu; ʻeha ma ka ʻaoʻao ʻākau i luna o ka ʻōpū; ʻehu; paʻakikī, ʻeha, a i ʻole ka urination pinepine; ʻeha ka pepeiao a i ʻole ke kahawai wai; ʻeha sinus a me ke kaomi; a ʻeha ʻeha paha, uā, kuni, haʻalulu, ʻano maikaʻi ʻole a i ʻole nā hōʻailona ʻē aʻe o ka maʻi.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua e nānā i ka pane o kou kino iā everolimus.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Guide Medication [Zortress] a i ʻole leaflet ʻikepili hoʻomanawanui [Afinitor, Afinitor Disperz]) ke hoʻomaka ʻoe i ka lapaʻau me everolimus a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.
E kamaʻilio me kāu kauka e pili ana i ka makaʻu i ka lawe ʻana i everolimus.
No nā mea maʻi e lawe nei iā everolimus e pale aku ai i ka hōʻole transplant:
Pono ʻoe e lawe i ka everolimus ma lalo o ka nānā a ke kauka i ʻike i ka mālama ʻana i nā mea transplant a hāʻawi i nā lāʻau e kāohi i ka ʻōnaehana pale.
ʻO ka makaʻu āu e hoʻomohala ai i ka maʻi ʻaʻai, ʻo ka lymphoma hoʻi (ka maʻi ʻaʻai o kahi ʻāpana o ka ʻōnaehana pale) a i ʻole ka maʻi ʻaʻai ʻili i hoʻonui ʻia i kāu mālama ʻana me everolimus. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana i loaʻa i ka maʻi ʻaʻai ʻili a i ʻole inā he ʻili maikaʻi kou. I mea e hōʻemi ai i kāu makaʻu o ka maʻi ʻaʻai ʻili, e hoʻolālā e hōʻalo i kahi kūpono ʻole a hoʻolōʻihi ʻia paha i ka lā a i ʻole ke kukui ultraviolet (nā moena ʻili a me nā sunlamp) a e komo i nā lole pale, nā aniani aniani, a me nā pale pale lā i kāu wā e lapaʻau ai. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: kahi ʻulaʻula, hāpai ʻia, a wīwī paha ma ka ʻili; nā ʻeha hou, nā puʻupuʻu, a i ʻole ka hoʻoliʻiliʻi o ka ʻili; nā ʻeha e hoʻōla ʻole ai; nā puʻupuʻu a i ʻole nā lehulehu i nā wahi āpau o kou kino; loli kaʻili; sweats po; ʻōhū hāhā i ka ʻāʻī, nā ʻāpana lima, a i ʻole ke auwaha; pilikia hanu; ʻeha ka umauma; aiʻole ka nāwaliwali a luhi paha i hele ʻole.
Lawe ʻo everolimus i mea e hoʻonui ai i ka makaʻu e hoʻomōhala aʻe ʻoe i kekahi mau maʻi liʻiliʻi a koʻikoʻi hoʻi, e like me ka maʻi me ka maʻi BK, kahi maʻi ʻino e hoʻopōʻino paha i nā puʻupaʻa a e holo pono ʻole kahi hakuʻala transplanted), a me ka leukoencephalopathy multifocal holomua (PML; kahi laha ʻole maʻi o ka lolo hiki ʻole ke mālama ʻia, pale ʻia, a hoʻōla ʻia paha a ʻo ka mea maʻamau ka make a i ʻole ke kīnā koʻikoʻi). Kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli o PML: ka nāwaliwali ma kekahi ʻaoʻao o ke kino e ʻino ana i ka hala ʻana o ka manawa. clumsiness o nā lima a mau wāwae paha; nā hoʻololi i kou noʻonoʻo, ka hele wāwae, ke kaulike, ka ʻōlelo, ka maka, a me ka ikaika i hala mau mau lā; ʻeha poʻo poʻo; ka hopu ʻana; huikau; a i ʻole hoʻololi i ke ʻano.
Hiki i Everolimus ke kumu i ke kōkō ʻana o ke koko i nā kīʻaha koko o kou puʻuwai transplanted. Kūpono paha kēia i loko o nā lā he 30 ma hope o ka hoʻoiho ʻana o kāu puʻupaʻa a i ʻole e kūleʻa ka transplant. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ʻeha ma kou aʻa, lalo, ʻaoʻao, a ʻōpū paha; hoʻemi i ka urination a i ʻole ka urination; ke koko i kou mimi; mimi ʻeleʻele; kuni; nausea; aiʻole ka luaʻi.
Lawe ʻo everolimus i hui pū ʻia me cyclosporine hiki ke hōʻeha i kāu mau puʻupaʻa. I mea e hōʻemi ai i kēia pilikia, e hoʻoponopono kāu kauka i ka lāʻau o cyclosporine a nānā i nā pae o nā lāʻau a me ka hana a kāu mau puʻupaʻa. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka: hoʻemi i ka urination a i ʻole ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo.
I nā noiʻi maʻi, ua nui ka poʻe i lawe i everolimus i make i loko o nā mahina mua ma hope o ka loaʻa ʻana o kahi naʻau hoʻoliʻiliʻi ma mua o ka poʻe i lawe ʻole i everolimus. Inā ua loaʻa iā ʻoe kahi kuʻi naʻau, e kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i everolimus.
Hoʻohana ʻia ʻo Everolimus (Afinitor) e mālama i ka carcinoma kōkō ʻoi loa (RCC; maʻi ʻaʻai e hoʻomaka i nā puʻupaʻa) i mālama mua ʻia me nā lāʻau ʻē aʻe. Everolimus (Afinitor) hoʻohana pū ʻia e mālama i kekahi ʻano o ka maʻi ʻaʻai umauma holomua i mālama mua ʻia me hoʻokahi lāʻau ʻē aʻe. Hoʻohana ʻia ʻo Everolimus (Afinitor) e mālama i kekahi ʻano maʻi ʻaʻai o ka pancreas, ʻōpū, ʻōpū, a i ʻole nā ake māmā i pālahalaha a holomua a hiki ʻole ke mālama ʻia me ke ʻoki kino. Hoʻohana pū ʻia ʻo Everolimus (Afinitor) e mālama i nā puʻuwai puʻuwai i nā poʻe me ka complex tuberous sclerosis complex (TSC; kahi ʻano genetics e ulu ai nā tumors i nā mea he nui). Everolimus (Afinitor and Afinitor Disperz) hoʻohana pū ʻia e mālama i ka subositymal nunui cell astrocytoma (SEGA; kahi ʻano tumo lolo) i nā mākua a me nā keiki ʻo 1 mau makahiki a ʻoi paha i loaʻa ka TSC. Hoʻohana pū ʻia ʻo Everolimus (Afinitor Disperz) me nā lāʻau ʻē aʻe e mālama ai i kekahi ʻano o ka hopu ʻana i nā mākua a me nā keiki he 2 mau makahiki a ʻoi paha i loaʻa iā TSC. Hoʻohana ʻia ʻo Everolimus (Zortress) me nā lāʻau ʻē aʻe e pale aku ai i ka hōʻole ʻana i ke transplant (hoʻouka kaua ʻana o ka mea i hoʻoulu ʻia e ka ʻōnaehana pale o ka mea i loaʻa ka ʻōpala) i kekahi mau mākua i loaʻa i nā transplants kidney. Aia ʻo Everolimus i ka papa o nā lāʻau i kapa ʻia nā kinase inhibitors. Mālama ʻo Everolimus i ka maʻi ʻaʻai e ka hoʻokū ʻana i nā hunaola maʻi ʻaʻai mai ka hana kope ʻana a me ka hoʻemi ʻana i ka hāʻawi o ke koko i nā hunaola maʻi ʻea. Pale ʻo Everolimus i ka hōʻole transplant e ka hoʻēmi ʻana i ka hana o ka ʻōnaehana pale.
Hele mai ʻo Everolimus ma ke ʻano he papa e lawe ma ka waha a ma ke ʻano he papaha e kāpae ai i ka wai a lawe ma ka waha. Ke lawe ʻia ʻo everolimus e mālama i nā tumors kidney, SEGA, a i ʻole ka hopu ʻana i ka poʻe i loaʻa iā TSC; RCC; a i ʻole ka umauma, pancreatic, ʻōpū, ʻōpū, a i ʻole ka maʻi ʻaʻai māmā, lawe mau ʻia hoʻokahi ia i ka lā. Ke lawe ʻia ʻo everolimus e pale i ka hōʻole transplant, lawe pinepine ʻia ia i ʻelua mau lā i kēlā me kēia lā (i kēlā me kēia 12 hola) i ka manawa like me cyclosporine. E lawe mau ʻia ʻo Everolimus me ka meaʻai a i ʻole me ka ʻole o ka meaʻai. Lawe iā everolimus ma kahi o ka manawa like (s) 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. E lawe iā everolimus 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.
Hele mai nā papa ʻo Everolimus i loko o nā ʻūlū pālulu pākahi i hiki ke wehe ʻia me nā ʻāpala. Mai wehe i kahi pack blister a hiki i kou mākaukau e ale i ka papa i loko.
Pono ʻoe e lawe i nā papa everolimus a i ʻole everolimus papa no ka hoʻolōʻihi waha. Mai lawe i kahi hui o kēia mau huahana ʻelua.
E hoʻopau piha i nā papa me ke kīʻaha wai piha; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou. Mai lawe i nā papa i wāwahi ʻia a haki paha. E haʻi i kāu kauka a kauka paha inā ʻaʻole hiki iā ʻoe ke ale i nā papa āpau.
Inā ʻoe e lawe i nā papa no ka hoʻolōʻihi ʻia o ka waha (Afinitor Disperz), pono ʻoe e kāwili iā lākou me ka wai ma mua o ka hoʻohana. Mai ale i kēia mau papa holoʻokoʻa, a mai hui pū me ka wai a i ʻole kekahi wai ʻē aʻe ma mua o ka wai. Mai hoʻomākaukau i ka hui ma mua o 60 mau minuke ma mua o kou hoʻolālā e hoʻohana iā ia, a hoʻolei i ka hui inā ʻaʻole hoʻohana ʻia ma hope o 60 mau minuke. Mai hoʻomākaukau i ka lāʻau i kahi papa e hoʻohana ai ʻoe e hoʻomākaukau ai ʻai paha i ka meaʻai. Inā ʻoe e hoʻomākaukau ana i ka lāʻau no kekahi mea ʻē aʻe, pono ʻoe e komo i nā mīkina lima e pale ai i ka launa ʻana me nā lāʻau. Inā hāpai ʻoe a hoʻolālā paha ʻoe e hāpai, pono ʻoe e hōʻalo i ka hoʻomākaukau ʻana i ka lāʻau no kekahi mea ʻē aʻe, no ka mea, ʻo ka pili ʻana me everolimus e hōʻeha paha i kāu pēpē i hānau ʻole ʻia.
Hiki iā ʻoe ke kāwili i nā papa no ka hoʻolōʻihi ʻia ʻana o ka waha i kahi syringe waha a i ʻole i loko o ke aniani liʻiliʻi. No ka hoʻomākaukau ʻana i ka hoʻohuihui i loko o ka ʻekena nui, e hemo i ka plunger mai kahi syringe waha he 10-mL a kau i ka helu i kuhikuhi ʻia o nā papa i loko o ka pahu o ke ʻākiʻako me ka haki ʻole a haki ʻana i nā papa. Hiki iā ʻoe ke hoʻomākaukau a 10 mg o everolimus i kahi syringe i hoʻokahi manawa, no laila inā ʻoi aku ka nui o kāu mahele ma mua o 10 mg, pono ʻoe e hoʻomākaukau iā ia i ka syringe ʻelua. E kuapo i ka plunger i ka syringe a huki e pili ana i 5 mL o ka wai a me 4 mL o ka ea i loko o ka syringe a waiho i ka syringe i loko o kahi pahu me ke kiko e kuhikuhi ana i luna. E kali i 3 mau minuke e ʻae i nā papa e hele i loko o ka hoʻomaha. a laila e ʻohi i ke āheo a huli mālie i luna a i lalo i ʻelima mau manawa. E hoʻokau i ka syringe i loko o ka waha o ka mea maʻi a pahu i ka plunger e lawelawe i ka lāʻau. Ma hope o ka ale ʻana o ka mea maʻi i ka lāʻau, hoʻopiha hou i ka syringe like me 5 mL o ka wai a me 4 mL o ka ea a hoʻowili i ke ʻume e holoi i nā ʻāpana e waiho mau ana i ka syringe. E hāʻawi i kēia hui ʻana i ka mea maʻi e ʻike pono ua loaʻa iā ia nā lāʻau āpau.
E hoʻomākaukau i ka hui i loko o ke kīʻaha, kau i ka helu i kau ʻia o nā papa i loko o kahi kīʻaha inu inu liʻiliʻi e paʻa ana ma mua o 100 mL (ma kahi o 3 auneke) me ka ʻole o ka haki ʻana a haki ʻana i nā papa. Hiki iā ʻoe ke hoʻomākaukau a 10 mg o everolimus i loko o ke kīʻaha i hoʻokahi manawa, no laila inā ʻoi aku ka nui o kāu lāʻau ma mua o 10 mg, pono ʻoe e hoʻomākaukau iā ia i ka lua o ke aniani. E hoʻonui i 25 mL (ma kahi o 1 auneke) o ka wai i ke aniani. E kali i 3 mau minuke a laila e hoʻonoe mālie i ka hui me kahi puna. E inu ka mea maʻi i ka hui holoʻokoʻa i ka manawa koke. Hoʻohui i kahi 25 mL hou o ka wai i ke kīʻaha a hoʻowali me ka puna like e holoi i nā huna i loko o ke kīʻaha. E inu ka mea maʻi i kēia hui ʻana e ʻike pono ua loaʻa iā ia nā lāʻau āpau.
Hiki paha i kāu kauka ke hoʻoponopono i kāu mahele lāʻau o everolimus i ka wā o kāu mālama ʻana e like me nā hopena o kāu hoʻokolohua koko, kāu pane i ka lāʻau, nā hopena ʻē aʻe āu e ʻike ai, a me nā loli i nā lāʻau ʻē aʻe āu e lawe ai me everolimus.Inā ʻoe e lawe iā everolimus e mālama iā SEGA a i ʻole ka hopu ʻana, e hoʻomaʻamaʻa kāu kauka i kāu lāʻau ma mua o hoʻokahi manawa i kēlā me kēia 1 a i 2 mau pule, a inā ʻoe e lawe ana iā everolimus e pale ai i ka hōʻole transplant, e hoʻomaʻamaʻa kāu kauka i kāu lāʻau ma mua o hoʻokahi manawa. i kēlā me kēia 4 a 5 mau lā. Hiki paha i kāu kauka ke hōʻoki i kāu mālama ʻana no kekahi manawa inā ʻike ʻoe i nā hopena ʻino loa. E kamaʻilio me kāu kauka e pili ana i kou ʻano ma kāu mālama ʻana me everolimus.
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 everolimus,
- e haʻi i kāu kauka a me kāu kauka inā he maʻi ʻoe i everolimus, sirolimus (Rapamune), temsirolimus (Torisel), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa everolimus. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, a me nā mea hoʻopihaʻaiʻai āu e lawe nei a hoʻolālā paha e lawe. E hoʻomaopopo pono i nā lāʻau i helu ʻia i ka ʻĀINA WAIWAI nui a me kekahi o kēia mau mea: nā mea hoʻopaneʻe enzyme angiotensin (ACE) e like me benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril ( Prinivil, Zestril), moexipril (Univasc) perindopril (Aceon), quinapril (Accupril), ramipril (Altace), a i ʻole trandolapril (Mavik); amprenavir (Agenerase), atazanavir (Reyataz), aprepitant (Emend), carbamazepine (Carbatrol, Epitol, Tegretol), clarithromycin (Biaxin, i Prevpac), digoxin (Digitek, Lanoxicaps, Lanoxin), diltiazem (,izem) efavirenz (i Atripla, Sustiva), erythromycin (EES, E-Mycin, Erythrocin), fluconazole (Diflucan), fosamprenavir (Lexiva), indinavir (Crixivan), itraconazole (Sporanox), ketoconazole () Nzoralz) , nevirapine (Viramune), nicardipine (Cardene), phenobarbital (Luminal), phenytoin (Dilantin, Phenytek), rifabutin (Mycobutin), rifampin (Rifadin, ma Rifamate, ma Rifater), rifapentine (Priftin), ritonavir (Norvir, ma Kaletra ), saquinavir (Invirase), telithromycin (Ketek), verapamil (Calan, Covera, Isoptin, Verelan) .a me voriconazole (Vfend). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me everolimus, no laila e ʻike pono e haʻi aku 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.
- 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 diabetes a i ʻole ke kō i ke koko kiʻekiʻe. kiʻekiʻe o nā kolesterol a i ʻole triglycerides i loko o kou koko; ka maʻi kōpaʻa a me ke akepaʻa; a i ʻole kekahi ʻano mea e pale aku iā ʻoe mai ka ʻai ʻana i nā meaʻai i loaʻa ka kō, starch, a i ʻole nā huahana waiū maʻamau.
- e haʻi i kāu kauka inā hāpai ʻoe a hoʻolālā paha e hāpai. Inā he wahine ʻoe i hiki i ka hāpai ʻana, pono ʻoe e hoʻohana i ka kaohi hānau pono i kāu mālama ʻana a no 8 mau pule ma hope o kāu hopena hope loa. Inā he kāne ʻoe me kāu hoa wahine i hiki ke hāpai, pono ʻoe e hoʻohana i ka kaohi hānau pono i kou wā e mālama ai a no 4 mau pule ma hope o kāu hopena hope loa. E kamaʻilio me kāu kauka e pili ana i nā ʻano hana o ka kaohi hānau e holo pono nāu. Inā hāpai ʻoe a ʻo kāu hoa paha i ka lawe ʻana iā everolimus, e kāhea i kāu kauka. E hōʻeha paha ʻo Everolimus i ka fetus. Haʻi aku i kāu kauka inā ʻoe e hānai ana i ka waiū. Mai hānai i ka wā o kāu mālama ʻana a no 2 mau pule ma hope o kāu hopena hope loa.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha ʻoe e lawe nei i everolimus.
- ʻaʻohe o nā lāʻau āpau ke kamaʻilio ʻole ʻia me kāu kauka. I ka wā o kāu mālama ʻana me everolimus, pono ʻoe e hōʻalo i ka pili pili ʻana me nā poʻe ʻē aʻe i wīwī ʻia.
- e kamaʻilio me kāu kauka o kāu keiki e pili ana i nā lāʻau āpau e pono ai i kāu keiki e loaʻa ma mua o ka hoʻomaka ʻana i kāna lāʻau me everolimus.
- pono ʻoe e ʻike hiki iā ʻoe ke hoʻomohala i nā ʻeha a i ʻole ka huʻi ʻana i kou waha i kou wā e mālama ai me everolimus, ʻo ia hoʻi i loko o nā hebedoma 8 mua o ka mālama ʻana. Ke hoʻomaka ʻoe i ka mālama ʻana me everolimus, hiki i kāu kauka ke kuhikuhi i kahi holoi waha e hoʻoliʻiliʻi i ka loaʻa ʻana iā ʻoe ka maʻi maʻi a me nā ʻeha a hoʻemi i ko lākou koʻikoʻi. E hāhai i nā ʻōkuhi a kāu kauka e pili ana i ka hoʻohana ʻana i kēia holoi waha. E haʻi i kāu kauka inā ulu ʻoe i nā ʻeha a ʻehaʻeha paha i kou waha. ʻAʻole pono ʻoe e hoʻohana i kekahi holoi waha me ke kamaʻilio ʻole ʻana me kāu kauka a kauka paha no ka mea hiki i kekahi ʻano o ka holoi waha i piha me ka waiʻona, peroxide, iodine, a i ʻole thyme ke hōʻeha i nā ʻeha a me ka ʻōhū.
- pono ʻoe e ʻike ʻo nā ʻeha a ʻoki paha, e like me ka ʻoki ʻana o ka ʻili i hana ʻia i ka wā o kahi transplant kidney hiki ke hoʻōla me ka mālie ma mua o ka maʻamau a ʻaʻole paha e hoʻōla pono i kāu mālama ʻana me everolimus. Kāhea koke aku i kāu kauka inā ʻokiʻoki i ka ʻili mai kāu transplant hakuʻala a i ʻole nā ʻeha ʻē aʻe i mahana, ʻulaʻula, ʻeha, a pehu paha; hoʻopiha i ke koko, loli, a i ʻole nū; a i ʻole hoʻomaka e wehe.
Mai ʻai i ka hua waina a i ʻole inu i ka wai huaʻulu i ka wā e lawe ana i kēia lāʻau.
Inā hoʻomanaʻo ʻoe i ka lāʻau i hala ʻole i loko o 6 mau hola o ka manawa āu i hoʻonohonoho ʻia ai e lawe, lawe koke i ka lāʻau i nalo ʻia. Eia nō naʻe, inā ua hala ma mua o 6 mau hola mai ka manawa i hoʻopaʻa ʻia, 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 Everolimus ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- pāhoehoe
- kōpaʻa
- hoʻololi i ka hiki ke ʻono i ka meaʻai
- Kaumaha emi
- waha maloo
- nāwaliwali
- ʻeha poʻo
- paʻakikī e hiamoe a hiamoe paha
- ihu ihu
- ʻili maloʻo
- huehue
- nā pilikia me nā kui
- poho lauoho
- ʻeha ma nā lima, nā wāwae, hoʻi a me nā hono
- ʻūpē mākala
- hala a i ʻole kūleʻa nā wā o ka menstrual
- kahe nui ke haehae
- pilikia i ka loaʻa ʻana a i ʻole ke mālama ʻana i kahi kūkulu
- hopohopo
- ka huhū a i ʻole nā hoʻololi ʻē aʻe i ka lawena
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
- hives
- ʻūlili
- pehu o nā lima, ka wāwae, ka lima, ka wāwae, ka maka, ka maka, ka waha, ka lehelehe, ke alelo, a me ka ʻāʻī
- hulahula
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- ʻūhā
- ʻōhinu
- ʻeha ka umauma
- make wai loa a pololi paha
- kahe koko ʻole ʻana a palapū paha
- ʻili mae
- wikiwiki a i ʻole kuʻi puʻuwai puʻuwai
- ʻūpā
- ka hopu ʻana
Hiki i ka Everolimus ke hoʻemi i ka momona i nā kāne a me nā wahine. E kamaʻilio me kāu kauka e pili ana i ka makaʻu i ka lawe ʻana i everolimus.
Hiki i Everolimus ke hana i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe 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).
Mālama i kēia lāʻau i loko o ka ʻeke pelele i komo mai ai, pani paʻa loa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela a mai ka mālamalama a me ka nui o ka wela a me ka makū (ʻaʻole i loko o ka lua. E mālama i nā ʻūlū palu a me nā papa i maloʻo.
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.
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.
- Luna Hoʻokele®
- ʻO Afinitor Disperz®
- Zortress®
- RAD001