Odevixibat (ma ka waha)
Nā mea hōʻailona e loaʻa ana
Bylvay
E pili ana i kēia lāʻau
Hoʻohana ʻia ka Odevixibat no ka mālama ʻana i ka pruritus (ka ʻili ʻili) i nā mea maʻi me ka progressive familial intrahepatic cholestasis (PFIC) a me ka alagille syndrome (ALGS). Loaʻa wale kēia lāʻau lapaʻau me ke 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 ke kaumaha 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 mea ʻē aʻe paha i kēia lāʻau lapaʻau a i nā lāʻau lapaʻau ʻē aʻe paha. E haʻi pū aku i kāu limahana mālama ola inā loaʻa iā ʻoe nā ʻano ʻē aʻe o nā mea ʻē aʻe, e like me nā meaʻai, nā mea kala, nā mea mālama, a i ʻole nā holoholona paha. No nā huahana ʻole-prescription, 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 odevixibat i nā keiki ʻoi aku ka liʻiliʻi ma mua o 3 mau mahina o ka makahiki me ka progressive familial intrahepatic cholestasis (PFIC) a i nā keiki ʻoi aku ka liʻiliʻi ma mua o 12 mau mahina o ka makahiki me ka alagille syndrome (ALGS). ʻAʻole i hoʻokumu ʻia ka palekana a me ka pono. ʻAʻohe mau haʻawina kūpono i hana ʻia ma ka pilina o ka makahiki i nā hopena o ka odevixibat i nā poʻe makua. ʻAʻole i hoʻokumu ʻia ka palekana a me ka pono. ʻAʻohe mau haʻawina lawa i nā wāhine no ka hoʻoholo ʻana i ka pilikia o ka pēpē ke hoʻohana ʻia 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 ʻokoʻa inā loaʻa paha kahi pilina. I kēia mau hihia, makemake paha kāu kauka e hoʻololi i ka nui, a i ʻole nā mea palekana ʻē aʻe paha e pono ai. E haʻi aku i kāu limahana mālama ola inā ke lawe nei ʻoe i kekahi lāʻau lapaʻau ʻē aʻe a i ʻole lāʻau lapaʻau ʻole (over-the-counter [OTC]). ʻAʻole pono e hoʻohana ʻia kekahi mau lāʻau lapaʻau ma a kokoke paha i ka manawa o ka ʻai ʻana i ka meaʻai a i ʻole ka ʻai ʻana i kekahi mau ʻano meaʻai ʻoiai hiki ke loaʻa nā pilina. ʻO ka hoʻohana ʻana i ka waiʻona a i ʻole ka paka me kekahi mau lāʻau lapaʻau hiki ke hoʻokumu 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
Lawe pono i kēia lāʻau e like me ke kauoha a kāu kauka. Mai lawe hou aku, mai lawe pinepine aku, a mai lawe lōʻihi aku ma mua o ka kauoha a kāu kauka. E lawe i kēia lāʻau i ke kakahiaka me ka ʻai. No ka hoʻohana ʻana i ka kapu: Hiki iā ʻoe ke kāwili i nā pellets waha i loko o ka ʻai palupalu a i ʻole ka wai. Mai ʻai nui i ka pūpū kapu. No ka hoʻohana ʻana i nā pellets waha me ka ʻai palupalu: No ka hoʻohana ʻana i nā pellets waha me ka wai: E lawe i kēia lāʻau ma kahi o 4 mau hola ma mua a i ʻole 4 mau hola ma hope o ka hoʻohana ʻana i nā mea hoʻopaʻa wai ʻakika (e.g., cholestyramine, colesevelam, colestipol). E ʻokoʻa ka nui 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 nō i nā nui awelika o kēia lāʻau. Inā ʻokoʻa kāu nui, mai hoʻololi inā ʻaʻole i kauoha mai 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 nui āu e lawe ai i kēlā me kēia lā, ka manawa i ʻae ʻia ma waena o nā nui, a me ka lōʻihi o ka manawa āu e lawe ai i ka lāʻau e hilinaʻi ana i ka pilikia olakino āu e hoʻohana nei i ka lāʻau. Inā nalowale ʻoe i kahi nui o kēia lāʻau, e lawe koke iā ia. Eia naʻe, inā kokoke i ka manawa no kāu nui aʻe, e haʻalele i ka nui i nalowale a hoʻi i kāu papa hana hoʻohana maʻamau. Mai pāpālua i nā nui. E mālama i ka lāʻau i loko o ka pahu pani ʻia ma ka mahana o ka lumi, mamao aku mai ka wela, ka pulu, a me ka mālamalama pololei. E mālama mai ka hau. E mālama mamao aku mai nā keiki. Mai mālama i ka lāʻau i hala ka lā 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