ʻO Nifurtimox
Anter
- Ma mua o ka lawe ʻana i nifurtimox,
- Hoʻokumu paha ʻo Nifurtimox 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 a i ʻole e kiʻi i ka lāʻau olakino olakino.
Hoʻohana ʻia ʻo Nifurtimox e mālama i ka maʻi Chagas (kahi maʻi i hoʻokumu ʻia e kahi parasite) i nā keiki mai ka hānau ʻana a 18 mau makahiki i kaupaona ma kahi o 5.5 paona (2.5 kg). Aia ʻo Nifurtimox i kahi papa o nā lāʻau i kapa ʻia antiprotozoals. Hana ia ma ka luku ʻana i nā meaola i hiki ke kumu i ka maʻi Chagas.
Hele mai ʻo Nifurtimox ma ke ʻano he papa e lawe ma ka waha. Lawe pinepine ʻia me ka meaʻai ʻekolu manawa i ka lā no 60 mau lā. Lawe i ka nifurtimox 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 nifurtimox 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.
Kuhi ʻia nā papa nifurtimox i hiki ai iā lākou ke mahele maʻalahi i mau hapalua. Inā ua haʻi aku kāu kauka iā ʻoe e lawe i kahi ʻāpana o ka papa wale nō, e hoʻopaʻa i ka papa ma waena o kou manamana nui a me nā manamana lima kokoke i ka laina i helu ʻia a kau i ka kaomi e hoʻokaʻawale i ka lāʻau ma ka laina i helu ʻia Mai uhaʻi i nā papa me ka hoʻokaʻawale ʻana i ka papa.
Inā hiki ʻole iā ʻoe ke ale i nā papa, hiki paha iā ʻoe ke hoʻonā iā lākou i ka wai. Hoʻohui i hoʻokahi hapalua teaspoon (2.5 ml) o ka wai i loko o ka puna. E kau i ka helu i kau ʻia o nā papa (a i ʻole nā ʻāpana o nā papa) ma luna o ka puna me ka wai. E kali i 30 kekona e ʻae i nā papa e hemo i ka puna. Lawe koke i ka hui ʻana me ka meaʻai.
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 nifurtimox,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka nifurtimox, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa nifurtimox. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka inā inu ʻoe i nā mea inu ʻona a lawe paha i nā huahana i loaʻa ka ʻalekohola. E ʻōlelo paha kāu kauka iā ʻoe ʻaʻole e inu i nā mea inu ʻona a lawe paha i nā huahana i loaʻa ka waiʻona i ka wā e lawe ana i kēia 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. 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 inā loaʻa ʻoe i ka ʻeha o ka lolo, ka hopu ʻana, a i ʻole kahi maʻi olakino noʻonoʻo a i ʻole nā hoʻololi koʻikoʻi i ka lawena. E haʻi aku i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa iā porphyria (kahi maʻi maʻi hoʻoilina e hiki ai ke hōʻeha i ka ʻili a i ʻole nā ʻōnaehana nūhou) a i ʻole ka maʻi ate a me nā puʻupaʻa.
- e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, hiki i ka hāpai ʻana, a i ʻole makuakāne i kahi keiki. ʻO nā wahine i hiki ke hāpai e pono e lawe i kahi hōʻike hāpai ma mua o ka hoʻomaka ʻana i kēia lāʻau. Pono ʻoe e hoʻohana i ka kaohi hānau e pale ai i ka hāpai ʻana i kāu wā mālama a no 6 mau mahina ma hope o kāu hopena hope loa. ʻO nā kāne me nā hoa wahine hiki ke hāpai paha e hoʻohana i nā condom i ka wā e mālama ai a no 3 mau mahina ma hope o kāu hopena hope loa. Inā hāpai ʻoe i ka lawe ʻana i nifurtimox, e kāhea i kāu kauka. Hiki i ka Nifurtimox ke hōʻeha i ka fetal.
- e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. Inā ʻoe e lawe i ka nifurtimox ʻoiai ʻoe e hānai ana i ka waiū, loaʻa i kāu pēpē kekahi nifurtimox i ka waiū umauma. E nānā pono i kāu pēpē no ka luaʻi, kahe, pau ka makemake ʻole, ka fiva, a me ka huhū paha. Kāhea i ke kauka inā loaʻa i kāu pēpē kekahi o kēia mau ʻōuli.
- pono ʻoe e ʻike i kēia lāʻau i hoʻemi ai i ka momona i nā kāne. E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka lawe ʻana i ka nifurtimox.
- pono ʻoe e ʻike ʻo ka nifurtimox ke kumu o ka nāwaliwali o nā mākala a haʻalulu paha. Mai hoʻokele kaʻa, paikikala, a hoʻohana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
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 me ka meaʻai. Eia nō naʻe, inā aia i loko o 3 mau hola o 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.
Hoʻokumu paha ʻo Nifurtimox i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ka luaʻi
- ʻeha ka ʻōpū
- nalo ʻai ʻole
- Kaumaha emi
- nausea
- pāhoehoe
- ʻeha poʻo
- ʻūpā
- fiva
- ʻili mae a i ʻole pōkole o ka hanu
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- ʻehu, hives, ʻume, ʻōhū o ka ʻāʻī a me ka maka, a i ʻole ka pōkole o ka hanu
Hoʻokumu paha ʻo Nifurtimox 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 ka desiccant (ʻāpana ʻuʻuku e loaʻa ka mea i omo i ka wai e hoʻomau i ka maloʻo o ka lāʻau).
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.
Mālama i nā manawa āpau me kāu kauka.
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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