Penicillamine
Anter
- Ma mua o ka lawe ʻana i ka penicillamine,
- Hiki i ka Penicillamine 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 e kāhea koke i kāu kauka:
Hoʻohana ʻia ʻo Penicillamine e mālama i ka maʻi o Wilson (kahi ʻano hoʻoilina e hoʻoulu ai ke keleawe i loko o ke kino a e hopena paha i nā ʻōuli koʻikoʻi) a me cystinuria (kahi ʻano hoʻoilina e hiki ai i nā pōhaku hakuʻala). Hoʻohana ʻia ia me ka hui pū ʻana me nā ʻano lāʻau ʻē aʻe e mālama i nā rheumatoid arthritis koʻikoʻi (kahi ʻano e hoʻouka ai ke kino o ke kino i kāna mau hui ponoʻī, e hōʻeha ai i ka ʻeha, ka pehu ʻana, a me ka nalo ʻana o ka hana) ʻaʻole maikaʻi ma hope o ka lapaʻau ʻana me nā lāʻau ʻē aʻe. Aia ʻo Penicillamine i kahi papa o nā lāʻau i kapa ʻia nā antagonists metala kaumaha. Hana ia e mālama i ka maʻi o Wilson ma ka hoʻopaʻa ʻana i ke keleawe keu i loko o ke kino a haʻalele iā ia i ke kino ma o ka mimi. Hana ia e mālama iā cystinuria ma o ka hoʻopaʻa ʻana i ka mea hana i nā pōhaku kōkō a pale iā ia mai ke kūkulu ʻana a hana ʻana i nā pōhaku. Hana ia e mālama i ka rheumatoid arthritis ma ka hōʻemi ʻana i kekahi mau hana o ka ʻōnaehana pale.
Hele mai ʻo Penicillamine ma ke ʻano he capsule a ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia ma ka ʻōpū hakahaka ma ka liʻiliʻi ma 1 hola ma mua a i ʻole 2 mau hola ma hope o ka pāʻina ʻana, a ma ka liʻiliʻi he 1 hola ma mua a ma hope paha o kekahi meaʻai a waiū paha. No ka mālamaʻana i ka maʻi o Wilson a me cystinuria, lawe pinepine ʻia ka penicillamine ʻehā mau manawa i ka lā. No ka hoʻomaʻamaʻa ʻana i ka rheumatoid arthritis he mea maʻa mau ia i hoʻokahi lā i ka lā, akā ma ka hoʻonui ʻia ʻana o nā lāʻau, lawe ʻia ia i ʻehā mau manawa i ka lā. Paipai kāu kauka i ka lōʻihi e loaʻa ai iā ʻoe ka lāʻau e pili ana i kou ʻano, ka maikaʻi o ka pane ʻana o kou kino i ka lāʻau, a me nā hopena ʻē aʻe āu e ʻike ai. Lawe i ka penicillamine 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. Lawe pololei i ka penicillamine 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 hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka penicillamine a hoʻonui iki i kāu lāʻau.
No ka mālama ʻana i ka maʻi o Wilson a me ka rheumatoid arthritis e hana ʻia i hoʻokahi a ʻekolu mau mahina a ʻoi paha o ka lōʻihi ma mua o kou ʻike ʻana i ka pono piha o ka penicillamine. No nā hoʻohana āpau e hoʻomau i ka lawe i ka penicillamine ʻoiai inā ʻoluʻolu ʻoe. Mai hooki i ka lawe ʻana i ka penicillamine me ka walaʻau ʻole ʻana me kāu kauka, ʻoiai inā e ʻoi aku ka maikaʻi o kāu mau ʻōuli. Inā kū ʻoe i ka lawe ʻana i ka penicillamine aia ʻoe i ka nui o ka makaʻu o ka loaʻa ʻana i kahi hopena maʻi maʻi ke hoʻomaka hou ʻoe e lawe i ka lāʻau.
E pono e haʻi aku i kāu kauka i kou ʻano i kou wā e mālama ai me ka penicillamine. Hiki i kāu kauka ke mālama iā ʻoe me nā lāʻau ʻē aʻe, a hoʻolohi paha i kāu mālama ʻana, hōʻemi i kāu mea hana, a i ʻole hoʻokū i kāu lāʻau i ka hopena o kāu hopena.
Hoʻohana pū ʻia ka Penicillamine ma ke ʻano he ukali no ka lāʻau make kēpau ma hope o ka mālama ʻia ʻana me nā lāʻau ʻē aʻe. Hoʻohana ʻia ia i kekahi manawa e mālama i kekahi ʻano o nā maʻi ate. 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 lawe ʻana i ka penicillamine,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻino ʻoe i ka penicillamine, penicillin, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā capsule penicillamine a i ʻole nā papa. 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, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E ʻōlelo pono i kekahi o kēia mau mea: nā hui gula e like me auranofin (Ridaura) a me ka aurothioglucose (Solganol); nā lāʻau antimalarial e like me chloroquine, hydroxychloroquine (Plaquenil); a me kekahi mau immunosuppressants e like me azathioprine (Azasan, Imuran), a me methotrexate (Otrexup, Rasuvo, Trexall, Xatmep). 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 ka penicillamine, 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.
- inā ʻoe e lawe i kahi hao i loko o ka huahana, lawe iā 2 mau hola ma mua a ma hope paha inā lawe ʻoe i ka penicillamine. Inā ʻoe e lawe i nā lāʻau ʻē aʻe, antacid, a i ʻole kiniki i loaʻa ka huahana, lawe iā lākou i 1 mau hola ma mua a ma hope paha o kou lawe ʻana i ka penicillamine.
- e haʻi i kāu kauka inā ua mālama ʻia ʻoe me ka penicillamine i ka wā i hala a ua hoʻomohala i kahi hopena ʻino e pili ana i ke koko. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe hou i ka penicillamine.
- e haʻi i kāu kauka inā ua loaʻa ʻoe i kahi hopena koʻikoʻi i nā hui gula, a i ʻole inā ua loaʻa a loaʻa paha iā ʻoe i kahi maʻi maʻi konohiki.
- E haʻi i kāu kauka inā hāpai ʻoe, a inā ʻoe e hoʻolālā e hāpai. Inā hāpai ʻoe i ka lawe ʻana i ka penicillamine, e kāhea koke i kāu kauka.
- e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. ʻAʻole pono ʻoe e hānai i ka wā e loaʻa ana iā ʻoe ka lāʻau me ka penicillamine.
- inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka penicillamine.
- e haʻi paha kāu kauka iā ʻoe e lawe i ka pyridoxine (wikamina B6) hoʻopiha i kāu mālama ʻana me ka penicillamine.
Inā mālama ʻia ʻoe no ka maʻi o Wilson e koi paha kāu kauka i kahi papaʻai kūikawā nāu e haʻahaʻa i ke keleawe. Hōʻalo kēia papaʻai i nā cereal a me nā mea hoʻopihapiha hoʻopihapiha e waiwai me ke keleawe, kokoleka, nā nati, nā pūkini, nā ʻalalā, nā ake, nā molake, nā broccoli, a me nā keleawe kiʻekiʻe e piha nā meaʻai. Hiki paha i kāu kauka ke koi aku iā ʻoe e inu i ka wai distill a demineralized paha, ma kahi o ka wai piula mau. E mālama pono i nā ʻōlelo papaʻai āpau i hana ʻia e kāu kauka.
Inā mālama ʻia ʻoe no cystinuria hiki i kāu kauka ke koi aku i kahi papaʻai kūikawā nāu e haʻahaʻa i ka methionine (kahi ʻano protein. Eia naʻe inā he keiki ʻoe a inā hāpai ʻoe ʻaʻole e koi aku kāu kauka i kēia papaʻai. E paipai paha kāu kauka e inu ʻoe i nā wai lawa.
Inā mālama ʻia ʻoe no ka rheumatoid arthritis, e hoʻomau i kāu papaʻai maʻamau ke ʻōlelo ʻole kāu kauka iā ʻoe.
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 Penicillamine ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nalo ʻai ʻole
- hoʻololi i ke ʻano o ka ʻono o nā mea
- nausea
- ka luaʻi
- pāhoehoe
- abdominal eha
- ʻili o ka ʻili
- loli ke kui
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli e kāhea koke i kāu kauka:
- ʻehu, ʻimi, hives, hoʻokahe i ka ʻili, kuni, ʻeha pū, a i ʻole nā pulu lymph pehu
- ʻeha a ʻeha ka huehue a me nā ʻeha ma ka ʻili, waha, a me nā genital
- ke kuni, ka ʻāʻī ʻeha, ka haʻalulu, ka kahe ʻana o ke kōkō a ʻeha hoʻi
- pōkole o ka hanu, batukū i wehewehe ʻole ʻia a i ʻole ka hū ʻana
- hue ʻulaʻula a ʻulaʻula paha, ʻulaʻula, ʻeleʻele, a i ʻole mimi koko
- nāwaliwali o nā mākala, nā lihilihi maka, a i ʻole ka ʻike lua
Hiki i ka Penicillamine ke kumu 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.
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 kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka penicillamine.
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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