Efavirenz (ma ka waha)
Nā mea hōʻailona e loaʻa ana
Sustiva
E pili ana i kēia lāʻau
Hoʻohana ʻia ka Efavirenz me nā lāʻau lapaʻau ʻē aʻe e mālama ai i ka maʻi huakini immunodeficiency kanaka (HIV). ʻO ka HIV ka mea hoʻopōʻino e hoʻokumu ai i ka maʻi maʻi pale ʻole (AIDS). ʻAʻole e ho'ōla kēia lāʻau i ka maʻi HIV a i ʻole AIDS. Hana ia ma ke hoʻoemi ʻana i ka nui o ka HIV i loko o ke koko a kōkua i ka ʻōnaehana pale. Hiki paha kēia ke kōkua i ka hoʻopaneʻe ʻana i kekahi o nā kūlana olakino e hopena pinepine mai ka AIDS a i ʻole ka maʻi HIV. ʻAʻole ia e pale aku iā ʻoe mai ka hoʻolaha ʻana o ka HIV i nā poʻe ʻē aʻe. Loaʻa wale kēia lāʻau me ka palapala kauoha a kāu kauka. Loaʻa kēia huahana ma nā ʻano helu helu e like me kēia:
Ma mua o ka hoʻohana ʻana i kēia lāʻau
I ka hoʻoholo ʻana e hoʻohana i kahi lāʻau lapaʻau, pono e kaulike i nā pilikia o ka lawe ʻana i ka lāʻau lapaʻau me ka pono e hana ai. He hoʻoholo kēia āu a me kāu kauka e hana ai. No kēia lāʻau lapaʻau, pono e noʻonoʻo i kēia mau mea: E haʻi aku i kāu kauka inā ua loaʻa iā ʻoe kekahi hopena maʻamau ʻole a i ʻole nā hopena ʻē aʻe i kēia lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau ʻē aʻe. E haʻi aku pū i kāu limahana mālama ola inā loaʻa iā ʻoe nā ʻano ʻē aʻe o nā maʻi ʻiliʻili, e like me nā meaʻai, nā kala, nā mea mālama, a i ʻole nā holoholona. No nā huahana ʻole i kauoha ʻia, e heluhelu pono i ka lepili a i ʻole nā mea hoʻohui pūʻolo. ʻAʻohe mau haʻawina kūpono i hana ʻia ma ka pilina o ka makahiki i nā hopena o ka efavirenz i nā keiki ʻoi aku ka liʻiliʻi ma mua o 3 mau mahina o ka makahiki a i ʻole ke kaumaha ma lalo o 3.5 kilokani (kg). ʻAʻohe palekana a me ka pono i hoʻokumu ʻia. ʻAʻohe mau haʻawina kūpono i hana ʻia a hiki i kēia lā i hōʻike i nā pilikia geriatric-kūikawā e kaupalena ai i ka pono o ka efavirenz i nā ʻelemakule. Eia naʻe, ʻoi aku ka nui o nā poʻe ʻelemakule i loaʻa nā pilikia o ka puʻupaʻa, ate, a i ʻole naʻau pili i ka makahiki, ka mea e pono ai ke akahele a me ka hoʻoponopono ʻana i ka nui no nā mea maʻi e loaʻa ana i ka efavirenz. ʻAʻohe mau haʻawina lawa i nā wāhine no ka hoʻoholo ʻana i ka pilikia o ka pēpē i ka wā e hoʻohana ana i kēia lāʻau lapaʻau i ka wā hānai. E kaulike i nā pono hiki ke loaʻa me nā pilikia hiki ke loaʻa ma mua o ka lawe ʻana i kēia lāʻau lapaʻau i ka wā hānai. ʻOiai ʻaʻole pono e hoʻohana pū ʻia kekahi mau lāʻau lapaʻau, i nā hihia ʻē aʻe, hiki ke hoʻohana pū ʻia ʻelua mau lāʻau lapaʻau like ʻole ʻoiai inā hiki ke loaʻa kahi pilina. I kēia mau hihia, makemake paha kāu kauka e hoʻololi i ka nui, a i ʻole nā ʻano palekana ʻē aʻe paha e pono ai. I ka wā e lawe ana ʻoe i kēia lāʻau lapaʻau, he mea nui loa ia i kāu limahana mālama ola e ʻike inā ke lawe nei ʻoe i kekahi o nā lāʻau lapaʻau i helu ʻia ma lalo nei. Ua koho ʻia nā pilina aʻe ma muli o ko lākou koʻikoʻi hiki ke loaʻa a ʻaʻole pono nā mea āpau. ʻAʻole ʻōlelo ʻia ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi o nā lāʻau lapaʻau aʻe. Hiki i kāu kauka ke hoʻoholo ʻaʻole e mālama iā ʻoe me kēia lāʻau lapaʻau a hoʻololi paha i kekahi o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. ʻAʻole ʻōlelo ʻia ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi o nā lāʻau lapaʻau aʻe, akā hiki ke koi ʻia i kekahi mau hihia. Inā kuhikuhi ʻia nā lāʻau lapaʻau ʻelua, hiki i kāu kauka ke hoʻololi i ka nui a i ʻole ka pinepine o kāu hoʻohana ʻana i hoʻokahi a i ʻole nā lāʻau lapaʻau ʻelua. Hiki i ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi o nā lāʻau lapaʻau aʻe ke hoʻonui i ka pilikia o kekahi mau hopena ʻaoʻao, akā ʻo ka hoʻohana ʻana i nā lāʻau lapaʻau ʻelua paha ka mālama maikaʻi loa no ʻoe. Inā kuhikuhi ʻia nā lāʻau lapaʻau ʻelua, hiki i kāu kauka ke hoʻololi i ka nui a i ʻole ka pinepine o kāu hoʻohana ʻana i hoʻokahi a i ʻole nā lāʻau lapaʻau ʻelua. ʻAʻole pono e hoʻohana ʻia kekahi mau lāʻau lapaʻau i ka wā a i ʻole kokoke i ka wā e ʻai ai i ka meaʻai a i ʻole ka ʻai ʻana i kekahi mau ʻano meaʻai ʻoiai hiki ke loaʻa nā pilina. Hiki i ka hoʻohana ʻana i ka waiʻona a i ʻole ka paka me kekahi mau lāʻau lapaʻau ke hoʻokumu pū i nā pilina. E kūkākūkā me kāu limahana mālama ola i ka hoʻohana ʻana i kāu lāʻau lapaʻau me ka meaʻai, ka waiʻona, a i ʻole ka paka. Hiki i ka loaʻa ʻana o nā pilikia olakino ʻē aʻe ke hoʻopilikia i ka hoʻohana ʻana i kēia lāʻau lapaʻau. E hōʻoia e haʻi aku i kāu kauka inā loaʻa iā ʻoe nā pilikia olakino ʻē aʻe, ʻoiai:
Pehea e hoʻohana ai i kēia lāʻau
E lawe pono i kēia lāʻau e like me ke kauoha a kāu kauka. Mai lawe pinepine aku, a mai lawe lōʻihi aku ma mua o ka mea i kauoha ʻia e kāu kauka. Mai hoʻololi i ka nui o ka lāʻau a mai hoʻōki i ka hoʻohana ʻana i kēia lāʻau me ka nānā mua ʻole ʻana me kāu kauka. I ka wā e emi mai ai kāu lako o kēia lāʻau, e hoʻokaʻaʻike mua i kāu kauka a i ʻole ka lāʻau lapaʻau. Mai ʻae iā ʻoe iho e pau kēia lāʻau. Hiki mai kēia lāʻau me kahi palapala ʻike no nā mea maʻi a me nā ʻōlelo aʻo no nā mea maʻi. E heluhelu a hahai pono i nā ʻōlelo aʻo. E nīnau i kāu kauka inā he nīnau kāu. E heluhelu hou i kēlā me kēia manawa āu e hoʻopiha hou ai i kāu kuhikuhi inā he ʻike hou. E kamaʻilio ʻoe me kāu kauka inā he nīnau kāu. E hoʻomau i ka lawe ʻana i ka efavirenz no ka manawa holoʻokoʻa o ka mālama ʻana, ʻoiai inā hoʻomaka ʻoe e ʻoluʻolu. He mea nui nō hoʻi e hoʻomau ʻoe i ka lawe ʻana i nā lāʻau ʻē aʻe āpau no ka maʻi HIV i kauoha mai kāu kauka iā ʻoe e lawe. ʻAʻole e hana ka Efavirenz inā lawe wale ʻia. Pono e lawe pū ʻia me nā lāʻau HIV ʻē aʻe. Hana maikaʻi loa kēia lāʻau i ka wā e mau ana ka nui i loko o ke koko. No ke kōkua ʻana i ka mālama ʻana i nā pae koko mau, mai poina i kekahi mau mahele. Eia kekahi, ʻoi aku ka maikaʻi o ka lawe ʻana i nā mahele i nā manawa kūlike i ka lā. No ka laʻana, inā lawe ʻoe a i ʻole kāu keiki i hoʻokahi mahele i ka lā, e ho'āʻo e lawe i ia mea i ka manawa hoʻokahi i kēlā me kēia lā. Inā pono ʻoe i ke kōkua i ka hoʻolālā ʻana i nā manawa maikaʻi loa e lawe ai i kāu lāʻau, e nānā me kāu kauka. E lawe i kēia lāʻau ma ka ʻōpū ʻole i ka wā moe. E ʻaila i ka kapsula a i ʻole ka papa holoʻokoʻa me ka wai. Mai uhaʻi, haki, a ʻai paha i ka papa. Inā hiki ʻole iā ʻoe a i ʻole kāu keiki ke ʻaila i ka kapsula holoʻokoʻa: E haʻi aku i kāu kauka inā lawe ʻoe i ka rifampin (Rifadin®, Rifamate®, Rifater®) a i ʻole voriconazole (Vfend®). Pono paha e hoʻololi ʻia kāu mahele. E ʻokoʻa ka mahele o kēia lāʻau no nā mea maʻi like ʻole. E hahai i nā kauoha a kāu kauka a i ʻole nā kuhikuhi ma ka lepili. ʻO ka ʻike ma lalo nei e komo wale i nā mahele awelika o kēia lāʻau. Inā ʻokoʻa kāu mahele, mai hoʻololi inā ʻaʻole i haʻi aku kāu kauka iā ʻoe e hana pēlā. ʻO ka nui o ka lāʻau āu e lawe ai e hilinaʻi ana i ka ikaika o ka lāʻau. Eia kekahi, ʻo ka nui o nā mahele āu e lawe ai i kēlā me kēia lā, ka manawa i ʻae ʻia ma waena o nā mahele, a me ka lōʻihi o ka manawa āu e lawe ai i ka lāʻau e hilinaʻi ana i ka pilikia olakino āu e hoʻohana ai i ka lāʻau. Inā poina ʻoe i kahi mahele o kēia lāʻau, e lawe koke iā ia. Eia naʻe, inā kokoke i ka manawa no kāu mahele aʻe, e skip i ka mahele i poina a hoʻi i kāu papa hana mahele maʻamau. Mai pālua i nā mahele. E mālama i ka lāʻau i loko o kahi pahu pani ʻia ma ka mahana o ka lumi, mamao aku i ka wela, ka pulu, a me ka mālamalama pololei. E mālama mai ka hau. E mālama mamao aku i nā keiki. Mai mālama i ka lāʻau kahiko a i ʻole ka lāʻau ʻaʻole pono hou. E nīnau i kāu limahana olakino pehea ʻoe e hoʻolei ai i kekahi lāʻau āu ʻaʻole e hoʻohana.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
Hana ʻia i India, no ka honua