Ka mālama ʻana i ka lāʻau lapaʻau

Anter
- He aha ka nānā ʻana o ka lāʻau lapaʻau (TDM)?
- No ke aha ia e hoʻohana ai?
- No ke aha e pono ai iaʻu iā TDM?
- He aha ka hana ma TDM?
- Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
- Aia kekahi mau pilikia i ka TDM?
- He aha ke ʻano o nā hopena?
- Nā kūmole
He aha ka nānā ʻana o ka lāʻau lapaʻau (TDM)?
Ke hoʻāʻo nei ʻo ka lāʻau lapaʻau Therapeutic (TDM) e ana i ka nui o kekahi mau lāʻau i kou koko. Hana ʻia e hōʻoia i ka nui o nā lāʻau āu e lawe nei me ka palekana a me ka maikaʻi.
Hiki ke dosed pololei ka hapa nui o nā lāʻau me ka ʻole o ka hoʻokolohua kūikawā. Akā no kekahi ʻano o nā lāʻau, hiki i ka paʻakikī ke hoʻomaopopo i kahi lāʻau e hāʻawi ana i ka lāʻau e lawa ai ke mālama i kou ʻano me ka ʻole o nā hopena ʻaoʻao weliweli. Kōkua ʻo TDM i kāu mea lawelawe e ʻike inā e lawe ana ʻoe i ka lāʻau kūpono o kāu lāʻau.
Nā inoa ʻē aʻe: nā pae lapaʻau e hōʻoia ai i ke koko, nā pae lāʻau lapaʻau therapeutic
No ke aha ia e hoʻohana ai?
Hoʻohana ʻia ka lāʻau lapaʻau Therapeutic monitoring (TDM) e hoʻoholo ai i nā lāʻau ʻoi loa no ka poʻe e lawe nei i kekahi ʻano o nā lāʻau ʻoʻoleʻa. Ma lalo iho nei kekahi o nā lāʻau lapaʻau maʻamau e nānā ponoʻia.
Nā ʻano lapaʻau | Nā Inoa Lapaʻau |
---|---|
Nā Antibiotics | vancomycin, gentamycin, amakacin |
Nā lāʻau puʻuwai | digoxin, procainamide, lidocaine |
Nā lāʻau lapaʻau kūpale | phenytoin, phenobarbital |
Mālama nā lāʻau i nā maʻi autoimmune | cyclosporine, tacrolimus |
Nā lāʻau e mālama pono i ka maʻi bipolar | lithium, waikawa valproic |
No ke aha e pono ai iaʻu iā TDM?
Pono paha ʻoe e hoʻāʻo ke hoʻomaka mua ʻoe i ka lāʻau. Kōkua kēia i kāu mea hāʻawi e koho i ka mahele lāʻau kūpono loa nau. Ke hoʻoholo ʻia kēlā mahele, e hoʻāʻo pinepine ʻia ʻoe e ʻike pono i ka lāʻau me ka ʻole o ka hōʻino. Pono paha ʻoe e hoʻāʻo inā loaʻa nā ʻōuli o kahi hopena koʻikoʻi. Hoʻololi nā hopena ʻē aʻe i ka lāʻau. E hōʻike kāu mea mālama ola iā ʻoe i nā hōʻailona e kiaʻi ai.
He aha ka hana ma TDM?
E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.
Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
Kaukaʻi ʻia i ke ʻano o ka lāʻau e lawe nei, pono paha ʻoe e hoʻonohonoho i kāu hoʻokolohua ma mua a ma hope paha o kou lawe ʻana i kāu lāʻau maʻamau.
Aia kekahi mau pilikia i ka TDM?
ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.
He aha ke ʻano o nā hopena?
E hōʻike ʻia kāu mau hopena inā loaʻa nā pae i loko o kou koko i kahi pae i kōkua maikaʻi akā ʻaʻole weliweli. Kapa ʻia kēia inoa ʻo ka laulā therapeutic. Hoʻololi ka pae i ka ʻano o ka lāʻau a me kāu pono olakino ponoʻī. Inā ʻaʻole kāu hopena ma kēia pae, pono paha kāu mea lawelawe e hoʻoponopono i kāu mau kau. Inā hoʻololi ʻia kāu mau dosages, loaʻa paha iā ʻoe nā hoʻokolohua hou a hiki i ka hāʻule ʻana o kāu pae lāʻau i loko o ka laulā therapeutic.
Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.
E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.
Nā kūmole
- DoveMed [Pūnaewele]. ʻO DoveMed; c2019. Ka nānā ʻana i ka lāʻau lapaʻau; 2014 Mar 8 [hōʻano hou ʻia 2018 Apr 25; helu ʻia 2020 Mar 27]; [ma kahi o 3 pale]. Loaʻa mai: https://www.dovemed.com/common-procedures/procedures-laboratory/therapeutic-drug-monitoring-tdm
- ʻO Kang JS, ʻo Lee MH. Overview o ka lāʻau lapaʻau therapeutic monitoring. ʻO Korean J Intern Med. [Pūnaewele]. 2009 Mar [helu ʻia 2020 Mar 27]; 24 (1): 1-10. Loaʻa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2687654
- Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2020. Ka nānā ʻana i ka lāʻau lapaʻau; [hōʻano hou ʻia 2018 Dec 16; helu ʻia 2020 Mar 27]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/therapeutic-drug-monitoring
- National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko; [i helu ʻia 2020 Mar 27]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
- UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2020. Nā pae lāʻau lāʻau lapaʻau: Overview; [hōʻano 2020 Mar 27; helu ʻia 2020 Mar 27]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/therapeutic-drug-levels
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Nā pae lapaʻau i ke Koko: Nā hopena; [hoʻohou 2019 Dec 8; helu ʻia 2020 Mar 27]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/medisin-levels-in-blood/abq4055.html#abq4062
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Nā pae lapaʻau i ke Koko: Hōʻike Manaʻo hōʻike; [hoʻohou 2019 Dec 8; helu ʻia 2020 Mar 27]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/medisin-levels-in-blood/abq4055.html#abq4056
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Nā pae lapaʻau i ke Koko: No ke aha e hana ʻia ai; [hoʻohou 2019 Dec 8; helu ʻia 2020 Mar 27]; [ma kahi o 3 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/medisin-levels-in-blood/abq4055.html#abq4057
ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.