ʻO Elbasvir lāua ʻo Grazoprevir
Anter
- Ma mua o ka lawe ʻana i elbasvir a me grazoprevir,
- Hiki iā Elbasvir a me grazoprevir 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 a i ʻole kēlā mau mea i ka ʻARlelo Aʻo PONO, e kāhea koke i kāu kauka:
Ua hele a maʻi paha ʻoe i ka maʻi hepatitis B (kahi maʻi i hoʻopili ʻia i ke akepaʻa a e hōʻeha paha i ka ate) akā ʻaʻohe o nā ʻōuli o ka maʻi. I kēia hihia, hiki i ka lawe ʻana i ka elbasvir a me grazoprevir ke hoʻonui i ka makaʻu e lilo i kou maʻi a ʻoi aku paha ka weliweli a e hoʻomohala ʻoe i nā ʻōuli. E haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe i ka maʻi maʻi maʻi hepatitis B. E kauoha aku kāu kauka i kahi hoʻokolohua koko e ʻike inā loaʻa a loaʻa paha iā ʻoe i ka maʻi hepitis B. E nānā pū kāu kauka iā ʻoe no nā hōʻailona o ka maʻi hepatitis B i ka manawa a no kekahi mau mahina ma hope o kāu lapaʻau. Inā pono, hiki i kāu kauka ke hāʻawi iā ʻoe i lāʻau e mālama ai i kēia maʻi ma mua a i kou wā o ka mālama ʻana me ka hui ʻana o elbasvir a me grazoprevir. Inā ʻoe e ʻike i kekahi o nā ʻōuli ma hope a i ʻole a ma hope paha o kāu lapaʻau ʻana, e kāhea koke i kāu kauka: ka luhi nui loa; melemele o ka ʻili a i ʻole nā maka; lilo o ka makemake ʻole; nausea a i ʻole ka luaʻi; noho humuhumu; ʻeha ma kaʻaoʻao ʻākau o luna o ka ʻōpū; aiʻole mimi ʻeleʻele.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. Hiki paha i kāu kauka ke kauoha i kekahi mau hoʻokolohua ma mua, i ka wā, a ma hope o kāu mālama ʻana e nānā i ka pane o kou kino i ka hui ʻana o elbasvir a me grazoprevir.
E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka hui o elbasvir a me grazoprevir.
Hoʻohana hoʻokahi ʻia ka hui ʻana o elbasvir a me grazoprevir a i ʻole me ka hui pū ʻana me ribavirin (Copegus, Rebetol, Ribasphere, Virazole) e mālama ai i kekahi ʻano maʻi maʻi hepatitis C mau loa (wā lōʻihi) e hoʻōla ʻia ana. Aia ʻo Elbasvir i loko o ka papa o nā lāʻau antiviral i kapa ʻia nā mea kūpale HCV NS5A. Hana ia ma ka hoʻōki ʻana i ka maʻi nāna i hoʻokumu i ka maʻi hepitis C mai ka hoʻolaha ʻana i loko o ke kino. Aia ʻo Grazoprevir i kahi papa o nā lāʻau i kapa ʻia nā protease inhibitors. Hana ia ma ka hoʻemi ʻana i ka nui o ka maʻi hepitis C (HCV) i ke kino. ʻAʻole ʻike ʻia inā elbasvir a me grazoprevir e pale i ka hoʻolaha ʻana o ka maʻi hepatitis C i kekahi poʻe ʻē aʻe.
ʻO ka hui pū ʻana o elbasvir a me grazoprevir e hele mai ma ke ʻano he papa e lawe ʻia e ka waha. Lawe ʻia ia me ka ʻole o ka meaʻai i kēlā me kēia lā no 12 a 16 mau pule. Lawe iā elbasvir a me grazoprevir 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 iā elbasvir a me grazoprevir 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 hoʻomau i ka lawe iā elbasvir a me grazoprevir ʻoiai ʻoe e manaʻo maikaʻi. Pili ka lōʻihi o kāu lapaʻau i kou ʻano, pehea kou pane ʻana i ka lāʻau, a inā ʻoe e ʻike i nā hopena ʻino. Mai hōʻoki i ka lawe ʻana iā elbasvir a me grazoprevir me ke kamaʻilio ʻole ʻana me kāu kauka.
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 elbasvir a me grazoprevir,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka elbasvir, grazoprevir, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa elbasvir a me grazoprevir. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka inā lawe ʻoe i atazanavir (Reyataz), carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), cyclosporine (Gengraf, Neoral, Sandimmune), darunavir (Prezista, i Prezcobix), efavirenz (Sustiva, i Atripla), lopina ma Kaletra), phenytoin (Dilantin, Phenytek), rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater), saquinavir (Invirase), St. John's wort, a i tipranavir (Aptivus). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i elbasvir a me grazoprevir inā ʻoe e lawe i hoʻokahi a ʻoi paha o kēia mau lāʻau.
- e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E ʻike pono i kekahi o kēia mau mea: bosentan (Tracleer); lawe ʻia ʻo cobicistat me elvitegravir, emtricitabine, a me tenofovir (Genvoya, Stribild); etravirine (Intelence); nā lāʻau e mālama ai i ke kolamu kiʻekiʻe e like me atorvastatin (Lipitor, i Caduet), fluvastatin (Lescol XL), lovastatin (Altoprev), rosuvastatin (Crestor), a me simvastatin (Zocor, i Vytorin); ketoconazole; modafinil (Provigil); nafcillin; tacrolimus (Astagraf, Envarsus, Prograf, nā mea ʻē aʻe); a me warfarin (Coumadin, Jantoven). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki paha i nā lāʻau ʻē aʻe ke launa pū me elbasvir a me grazoprevir, 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.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa kekahi ʻano maʻi maʻi akepē ma mua o ka hepatitis C. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i elbasvir a me grazoprevir.
- e haʻi i kāu kauka inā ua loaʻa a i ʻole ke kali nei no ka neʻe ʻana o ke ake a i ʻole inā loaʻa iā ʻoe kahi maʻi pale maʻi (HIV) kanaka.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana iā elbasvir a me grazoprevir, e kāhea i kāu kauka.
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 iā Elbasvir a me grazoprevir ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- pāhoehoe
- ʻeha poʻo
- paʻakikī e hiamoe a hiamoe paha
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole kēlā mau mea i ka ʻARlelo Aʻo PONO, e kāhea koke i kāu kauka:
- hiamoe
- huikau
- pehu o ka ʻōpū wahi
- luaʻi i ke koko a i ʻole mea e like me nā papa kope
- ʻūlū pouli, ʻeleʻele, a i ʻole ke koko
Hiki iā Elbasvir a me grazoprevir 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. Mai wehe i nā papa mai ka hoʻopili a hiki i ka hoʻohana pono ʻana.
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.
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.
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