Created at:1/13/2025
Question on this topic? Get an instant answer from August.
He lāʻau lapaʻau i kauoha ʻia ʻo Naldemedine e kōkua i ka mālama ʻana i ka paʻa ʻana o ka ʻōpū i hana ʻia e nā lāʻau ʻeha opioid. Inā ʻoe e lawe ana i nā opioids no ka ʻeha mau a e hakakā nei me ka paʻa ʻana o ka ʻōpū, hana ʻo naldemedine ma ka pale ʻana i nā mea loaʻa opioid i loko o kāu ʻōnaehana digestive me ka ʻole e pili ana i ka hōʻoluʻolu ʻeha. ʻO kēia ala i manaʻo ʻia e hiki ai i kāu neʻe ʻana o ka ʻōpū ke hoʻi i kahi ʻano maʻamau aʻe i ka wā e hoʻomau ana kāu lāʻau ʻeha e hana pono.
No ka papa o nā lāʻau lapaʻau i kapa ʻia ʻo opioid antagonists ʻo Naldemedine. Ua hoʻolālā ʻia e kūʻē i nā hopena paʻa o nā lāʻau opioid me ka ʻole e hoʻopilikia i kā lākou mau pōmaikaʻi e hōʻoluʻolu ai i ka ʻeha. E noʻonoʻo iā ia he mea pale koho e hana wale ana i kāu ʻōpū digestive.
Ua hoʻomohala ʻia ka lāʻau lapaʻau no ka mea e pili ana ka paʻa ʻana o ka ʻōpū i hoʻokomo ʻia e ka opioid i ka poʻe a pau e lawe mau ana i nā lāʻau ʻeha opioid. ʻAʻole like me ka paʻa ʻana o ka ʻōpū maʻamau, ʻaʻole maʻamau kēia ʻano i nā lāʻau lapaʻau maʻamau e like me nā mea hoʻohui fiber a i ʻole nā laxatives ma luna o ka pā.
Hoʻomaʻamaʻa ʻo Naldemedine i ka paʻa ʻana o ka ʻōpū i hoʻokomo ʻia e ka opioid i nā pākeke me ka ʻeha maʻi ʻole. E kauoha maʻamau kāu kauka iā ia ke lawe mau nei ʻoe i nā lāʻau opioid a ke ʻike nei ʻoe i ka paʻa ʻana o ka ʻōpū ma ke ʻano he hopena.
No ka poʻe wale nō ka lāʻau lapaʻau nona ka paʻa ʻana o ka ʻōpū i hoʻomaikaʻi ʻole ʻia me nā lāʻau lapaʻau ʻē aʻe e like me nā loli meaʻai, ka hoʻonui ʻana i ka wai, a i ʻole nā laxatives ma luna o ka pā. He mea nui e hoʻomaopopo ʻaʻole hana wale ʻo naldemedine no ka paʻa ʻana o ka ʻōpū i hana ʻia e nā opioids, ʻaʻole nā ʻano ʻē aʻe o ka paʻa ʻana o ka ʻōpū.
Hana ʻo Naldemedine ma ka pale ʻana i nā mea loaʻa opioid i loko o kāu ʻōnaehana digestive. Ke lawe ʻoe i nā lāʻau ʻeha opioid, hoʻopaʻa lākou i nā mea loaʻa ma kou kino, me kou ʻōpū, e lohi ana i ka ʻai ʻana a me ka paʻa ʻana o ka ʻōpū.
He hana kēia lāʻau lapaʻau e like me ke kī e komo ai i loko o nā mea hoʻokipa like i loko o kou ʻōpū, e pale ana i nā opioids mai ka paʻa ʻana ma laila. Eia naʻe, ʻaʻole e hele ʻo naldemedine i loko o kou lolo a i ʻole ke kuamoʻo, no laila ʻaʻole ia e hoʻopilikia i ka hōʻoluʻolu ʻeha. ʻO kēia hana koho e lilo ia i mea hoʻonā maikaʻi no ka mālama ʻana i ka mālama ʻeha i ka wā e hoʻihoʻi ana i ka hana ʻōpū maʻamau.
E lawe i ka naldemedine e like me ke kauoha a kāu kauka, maʻamau hoʻokahi manawa i ka lā me ka ʻole o ka meaʻai. ʻO ka maʻamau o ka makua he 0.2 mg (hoʻokahi papa) i lawe ʻia i ka manawa like i kēlā me kēia lā. E ale i ka papa holoʻokoʻa me ka wai a mai ʻoki, wāwahi, a nau paha.
Hiki iā ʻoe ke lawe i ka naldemedine me nā meaʻai inā e hoʻopilikia ia i kou ʻōpū, ʻoiai ʻaʻole pili nui ka meaʻai i ka hana ʻana o ka lāʻau. E hoʻāʻo e hoʻokumu i kahi hana ma ka lawe ʻana iā ia i ka manawa like i kēlā me kēia lā e kōkua iā ʻoe e hoʻomanaʻo a mālama i nā pae kūlike i kāu ʻōnaehana.
Inā pilikia ʻoe i ka ale ʻana i nā papa, e kamaʻilio me kāu kauka e pili ana i nā koho ʻē aʻe. Mai hooki i ka lawe ʻana i kāu lāʻau ʻeha opioid ke hoʻomaka ʻoe i ka naldemedine ke ʻole ke kauoha kūikawā a kāu kauka iā ʻoe e hana pēlā.
E lawe maʻamau ʻoe i ka naldemedine no ka lōʻihi o kou lawe ʻana i nā lāʻau ʻeha opioid a me ka ʻike ʻana i ka constipation. Nui ka poʻe e hoʻomau i ka lawe ʻana iā ia i loko o kā lākou manawa lapaʻau opioid, hiki ke mau pule, mahina, a i ʻole ka lōʻihi e pili ana i kāu pono mālama ʻeha.
E nānā kāu kauka i kāu pane ʻana i ka lāʻau a hiki ke hoʻoponopono i kāu hoʻolālā lapaʻau e pili ana i ka maikaʻi o kāna hana ʻana. ʻIke kekahi poʻe i ka hoʻomaikaʻi ʻana i kā lākou neʻe ʻana o ka ʻōpū i loko o kekahi mau lā, ʻoiai ʻo nā mea ʻē aʻe e lawe a hiki i hoʻokahi pule e ʻike i nā pōmaikaʻi piha.
Mai hooki i ka lawe ʻana i ka naldemedine me ka ʻole e kamaʻilio mua me kāu kauka. Inā pono ʻoe e hooki i ka lāʻau, e alakaʻi kāu kauka iā ʻoe ma ke kaʻina hana a kūkākūkā i nā lāʻau lapaʻau ʻē aʻe no ka mālama ʻana i ka constipation i hoʻokomo ʻia e ka opioid.
E like me nā lāʻau lapaʻau a pau, hiki i ka naldemedine ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole e ʻike nā kānaka a pau iā lākou. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a maʻa mau e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau.
ʻO nā hopena ʻaoʻao maʻamau e ʻike ai ʻoe, ʻo ia ka ʻeha o ka ʻōpū, ka maʻi maʻi, ka nausea, a me ka gastroenteritis (nā hōʻailona e like me ka maʻi flu o ka ʻōpū). He mea kūpono kēia mau hopena digestive i ka hana ʻana o ka lāʻau e hoʻihoʻi i ka hana ʻōpū maʻamau.
Eia nā hopena ʻaoʻao maʻamau e ʻike ai:
He manawa pōkole a maʻalahi kēia mau hōʻailona. Eia naʻe, inā lilo ka maʻi maʻi i mea koʻikoʻi a mau loa, e kelepona i kāu kauka no ka mea pono ʻoe e hoʻoponopono i kāu mahele a i ʻole e hooki i ka lāʻau no kekahi manawa.
Hiki ke hana ʻia nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi, ʻoiai he mea maʻamau lākou. ʻO kēia mau mea, ʻo ia ka ʻeha nui o ka ʻōpū, nā hōʻailona o ka pale ʻana o ka ʻōpū, a i ʻole nā hopena maʻi. Inā ʻike ʻoe i ka ʻeha nui o ka ʻōpū, ka luaʻi mau, a i ʻole nā hōʻailona o ka hopena maʻi e like me ka ʻulaʻula, ka pilikia o ka hanu ʻana, a i ʻole ka pehu ʻana, e ʻimi koke i ka lāʻau lapaʻau.
ʻAʻole kūpono ʻo Naldemedine no nā mea a pau. ʻAʻole pono ʻoe e lawe i kēia lāʻau inā loaʻa iā ʻoe kahi pale a i ʻole ka ālaina ʻōpū i ʻike ʻia, no ka mea, hiki iā ia ke hoʻonui i kēia mau kūlana.
E loiloi pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana iā naldemedine. Pono paha nā kānaka me kekahi mau maʻi digestive i ka nānā kūikawā a i ʻole ʻaʻole paha he moho no kēia lāʻau.
Eia nā kūlana e pale ai iā ʻoe mai ka lawe ʻana iā naldemedine:
Pono nā wāhine hāpai a hānai i nā pēpē e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kā lākou kauka, no ka mea, ʻaʻole i hoʻokumu ʻia ka palekana o ka naldemedine i ka wā hāpai a me ka hānai ʻana i nā pēpē. E ana kāu kauka i nā pōmaikaʻi e hiki mai ana i nā pilikia e hiki mai ana.
Loaʻa ka Naldemedine ma lalo o ka inoa inoa ʻo Symproic ma ʻAmelika Hui Pū ʻIa. ʻO kēia ke ʻano i kauoha pinepine ʻia o ka lāʻau lapaʻau a loaʻa i nā papa 0.2 mg.
Hiki ke loaʻa ka mana generic o naldemedine i ka wā e hiki mai ana, akā i kēia manawa, ʻo Symproic ka inoa inoa mua āu e hālāwai ai. E hoʻohana mau i ka lāʻau lapaʻau pololei i kauoha ʻia e kāu kauka a mai hoʻololi me nā inoa inoa ʻē aʻe me ka ʻae ʻole o ka lāʻau lapaʻau.
Inā ʻaʻole hana maikaʻi ka naldemedine iā ʻoe a i ʻole e hana i nā hopena ʻaoʻao pilikia, hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke mālama i ka constipation i hoʻokumu ʻia e ka opioid. Hiki i kāu kauka ke noʻonoʻo i ka methylnaltrexone (Relistor) a i ʻole naloxegol (Movantik), e hana like ana ma ka pale ʻana i nā mea hoʻokipa opioid i loko o ka ʻōnaehana digestive.
Loaʻa i kekahi poʻe ka holomua me nā laxatives kuʻuna e like me ka polyethylene glycol (MiraLAX) a i ʻole nā laxatives stimulant, ʻoiai ʻaʻole maikaʻi kēia mau mea no ka constipation i hoʻokumu ʻia e ka opioid. Hiki i kāu kauka ke ʻōlelo aku i nā loli o ke ola e like me ka hoʻonui ʻana i ka lawe ʻana i ka fiber, ʻoi aku ka hana kino, a me ka hydration kūpono e like me nā ala hoʻohui.
Aia ke koho o ka ʻokoʻa i kāu kūlana kikoʻī, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me ka pane ʻana o kou kino i nā lāʻau lapaʻau like ʻole. Mai hoʻololi i nā lāʻau lapaʻau me ka ʻole e kūkākūkā mua me kāu mea mālama ola.
Hoʻomaʻamaʻa maikaʻi ʻo Naldemedine a me methylnaltrexone i ka constipation i hoʻokumu ʻia e ka opioid, akā he mau mea maikaʻi ʻokoʻa ko lākou. Lawe ʻia ʻo Naldemedine ma ka waha i hoʻokahi manawa i ka lā, e maʻalahi ai no ka nui o nā kānaka, ʻoiai hāʻawi pinepine ʻia ʻo methylnaltrexone ma ke ʻano he injection.
ʻO ke koho ma waena o kēia mau lāʻau lapaʻau e hilinaʻi pinepine ʻia i kāu mau makemake, ke ʻano o ke ola, a me ke ʻano o ka pane ʻana o kou kino i kēlā me kēia. Makemake kekahi poʻe i ka maʻalahi o ka lāʻau lapaʻau i kēlā me kēia lā, a pane maikaʻi paha kekahi i ke ʻano injection.
E noʻonoʻo kāu kauka i nā mea e like me kāu mau lāʻau lapaʻau ʻē aʻe, ka hana o ka puʻupaʻa, a me nā makemake pilikino i ka wā e hoʻoholo ai i ke koho maikaʻi loa no ʻoe. Loaʻa i nā lāʻau lapaʻau ʻelua nā helu maikaʻi like, no laila e pili pinepine ka hoʻoholo i nā manaʻo kūpono a me ka pane pilikino.
Hiki i ka poʻe me nā pilikia puʻupaʻa maʻalahi a kūpono ke lawe palekana iā naldemedine, akā pono paha kāu kauka e nānā pono iā ʻoe. Inā loaʻa iā ʻoe ka maʻi puʻupaʻa koʻikoʻi, e noʻonoʻo pono kāu kauka i nā pōmaikaʻi a me nā pilikia ma mua o ke kau ʻana i kēia lāʻau lapaʻau.
Hoʻopilikia ka hana o kou puʻupaʻa i ke ʻano o ka hana ʻana o kou kino i ka naldemedine, no laila pono paha nā hoʻoponopono dosage. E hoʻomaopopo mau i kāu kauka e pili ana i nā pilikia puʻupaʻa ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, a hele i nā koho ukali a pau i ʻōlelo ʻia no ka nānā ʻana.
Inā lawe hewa ʻoe i ka nui o naldemedine ma mua o ka mea i kauoha ʻia, e hoʻokaʻaʻike koke i kāu kauka a i ʻole ke kikowaena mana. ʻO ka lawe ʻana i ka nui hiki ke alakaʻi i ka maʻi maʻi koʻikoʻi, ka maloʻo ʻana, a i ʻole nā pilikia digestive koʻikoʻi.
Mai ho'āʻo e mālama iā ʻoe iho i ka overdose. ʻOiai e kali ana i ka ʻōlelo aʻo lapaʻau, e noho hydrated a nānā iā ʻoe iho no nā hōʻailona e like me ka ʻeha o ka ʻōpū nui, ka luaʻi mau, a i ʻole nā hōʻailona o ka maloʻo ʻana. E mālama i ka hue lāʻau lapaʻau me ʻoe i ka wā e ʻimi ai i ke kōkua lapaʻau i ʻike pono nā mea mālama ola i ke ʻano a me ka nui o kāu i lawe ai.
Inā ʻoe e poina i ka lāʻau naldemedine, e lawe koke ʻoe i ka wā e hoʻomanaʻo ai ʻoe, ke ʻole kokoke ka manawa no kāu lāʻau i hoʻonohonoho ʻia e hiki mai ana. I kēlā hihia, e lele i ka lāʻau i poina a lawe i kāu lāʻau e hiki mai ana i ka manawa maʻamau.
Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi e hoʻopiha ai i ka lāʻau i poina, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao. Inā poina pinepine ʻoe i nā lāʻau, e noʻonoʻo e hoʻonohonoho i kahi ʻōhua i kēlā me kēia lā a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila e kōkua iā ʻoe e hoʻomanaʻo.
Hiki iā ʻoe ke hooki i ka lawe ʻana iā naldemedine i ka wā e pono ʻole ai ʻoe i nā lāʻau ʻeha opioid a i ʻole i ka wā e hoʻoholo ai kāu kauka ʻaʻole pono hou. ʻO ka hapa nui o nā kānaka e hooki i ka naldemedine i ka wā e pau ai kā lākou lapaʻau opioid a i ʻole e hoʻololi i ka mālama ʻeha non-opioid.
E kūkākūkā mau me kāu kauka ma mua o ka hooki ʻana iā naldemedine, ʻoiai inā ʻoe e maikaʻi ana. E noʻonoʻo kāu kauka i kāu hoʻolālā mālama ʻeha holoʻokoʻa a makemake paha e nānā iā ʻoe no ka hoʻi ʻana mai o nā hōʻailona constipation ma mua o ka hooki ʻana i ka lāʻau.
Ma keʻano laulā, ʻaʻole pono ʻoe i nā laxatives ʻē aʻe i ka wā e lawe ana iā naldemedine, no ka mea, ua manaʻo ʻia no ka constipation i hoʻokumu ʻia e ka opioid. Eia naʻe, hiki i kāu kauka ke ʻōlelo i ka hui pū ʻana i nā lapaʻau inā he mau kumu constipation hou aʻe.
Mai hoʻohui i nā laxatives ʻē aʻe i kāu hana maʻamau me ka ʻole e kamaʻilio mua me kāu kauka, no ka mea, hiki i kēia ke alakaʻi i nā neʻe ʻana o ka ʻōpū nui a i ʻole nā pilikia ʻē aʻe. Inā ʻaʻole hāʻawi wale ʻo naldemedine i ka hoʻomaha kūpono, e kūkākūkā i kēia me kāu mea mālama ola ma mua o ka mālama ʻana iā ʻoe iho me nā lāʻau lapaʻau hou.