Ke hopohopo iki nei hoʻi ʻoe e pili ana i ka nāwaliwali o kou mau iwi me ka ʻelemakule? A i ʻole ua kuhikuhi kāu kauka iā ʻoe i kekahi lāʻau lapaʻau e hoʻoikaika i kou mau iwi? Inā pēlā, he mea nui loa kēia ʻatikala iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau he mea nui loa no nā iwi, ʻoi aku hoʻi no nā kūlana e like me
ka osteoporosis . He hui pū ʻana ia o ʻelua mau lāʻau lapaʻau i kapa ʻia ʻo `(Alendronate)` a me `(Cholecalciferol)`.
He aha kēia lāʻau lapaʻau? I ka pōkole...
ʻO kēia lāʻau lapaʻau, i kapa ʻia ʻo `(Alendronate; Cholecalciferol), he ʻelua ʻano lāʻau lapaʻau nui. 1.
`(Alendronate)` (Alendronate): Hoʻohana ʻia kēia e hōʻemi i ka nalowale o ka calcium (`
Calcium` ) mai kou mau iwi. I ka pololei, kōkua ia i ka mālama ʻana i kou mau iwi i ka ikaika. Hāʻawi pinepine ʻia ia ma ke ʻano he lāʻau lapaʻau no kahi maʻi i kapa ʻia ʻo
osteoporosis , kahi maʻi e nāwaliwali ai nā iwi a palupalu. 2.
`(Cholecalciferol)` (Cholecalciferol): ʻO kēia ka mea a mākou i ʻike ai he
wikamina D3 `( wikamina D3)` . Kōkua
ka wikamina D i ke kino e omo i ka calcium i loko o ka meaʻai a mākou e ʻai ai. No laila, he mea nui ka calcium a me ka wikamina D no nā iwi ikaika. No laila, ʻo ka hui pū ʻana o kēia mau lāʻau lapaʻau ʻelua hiki ke kōkua i ka pale ʻana i kou
olakino iwi . I kekahi manawa hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā poʻe ʻē aʻe i pilikia i ka nāwaliwali o ka iwi. Eia kekahi, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no kekahi maʻi ʻē aʻe. Inā he mau nīnau kāu e pili ana i ia mea, e nīnau i kāu kauka a kauka lāʻau paha. ʻO kahi inoa kaulana no kēia lāʻau lapaʻau ʻo `(Fosamax Plus D)`.
He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau,
pono ʻoe e haʻi aku i kāu kauka a kahu maʻi paha inā loaʻa iā ʻoe kekahi o kēia mau kūlana. No ka mea, a laila hiki iā lākou ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a pehea e hāʻawi ai.
- Nā maʻi kahe koko : ʻO ia hoʻi, inā maʻalahi kou kahe koko a i ʻole he pilikia me ke kāpili koko .
- Kanesa: Ua maikaʻi ke mālama ʻia no kahi maʻi kanesa, inā loaʻa iā ʻoe kekahi.
- Nā pilikia niho: Nā mea e like me ka ʻeha niho a me ka maʻi ʻāʻī.
- Nā pilikia i ke ale ʻana: Inā pilikia ʻoe i ke ale ʻana i ka meaʻai a me nā mea inu.
- Ke kiʻekiʻe o ka wikamina D i loko o ke kino: Inā ʻoi aku ka nui o ka wikamina D i loko o ke koko ma mua o ka nui i ʻōlelo ʻia.
- Maʻi kino: Inā loaʻa iā ʻoe kahi maʻi me nā hōʻailona e like me ke kuni, ke anu, ke kuʻi, ka ʻeha ʻāʻī, a me ka ʻeha i ka wā e mimi ai.
- Maʻi puʻupaʻa : Inā he pilikia me nā puʻupaʻa.
- Nā pae haʻahaʻa o ka calcium a i ʻole nā minelala ʻē aʻe i loko o ke koko: Nā kūlana e like me ka nele o ka calcium.
- Ua emi ka nui o nā hunaola koko ʻulaʻula i loko o ke koko (anemia).
- Ke lawe nei i nā steroid: No ka laʻana, inā ʻoe e hoʻohana nei i nā lāʻau lapaʻau e like me Dexamethasone a i ʻole Prednisone.
- Nā pilikia o ka ʻōpū a i ʻole ka ʻōpū: Nā mea e like me ka gastritis, nā ʻōpū ʻōpū.
- Ka paʻakikī e noho a kū paha no 30 mau minuke i ka manawa: Inā ʻaʻole hiki iā ʻoe ke hana i kēlā.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau lapaʻau (Alendronate, Cholecalciferol) a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha.
- Inā hāpai ʻoe, a i ʻole ke manaʻolana nei e loaʻa kahi pēpē i ka wā e hiki mai ana.
- Inā he makuahine ʻoe e hānai waiū ana i kahi pēpē.
Mai hilahila i ka ʻōlelo ʻana i kēia mau mea, no ka mea, ʻo kou palekana ka mea nui loa.
Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea kēia e pono e hana ʻia me ke akahele nui. No ka mea, inā ʻoe e hoʻohana hewa i kēia lāʻau lapaʻau, nui ka manawa kūpono o kekahi mau hopena ʻaoʻao. No laila e hoʻomanaʻo i kēia.
- Pono e lawe ʻia kēia pila ma ka waha. E inu pū me ke aniani wai piha .
- E hoʻomau i ka lawe ʻana i kēia i ka lā hoʻokahi o ka pule, i ka manawa like, e like me ka ʻōlelo a kāu kauka.
- He mea maikaʻi ke inu i kēia i kou ala ʻana i ke kakahiaka , ma mua o ka ʻai ʻana a inu ʻana paha i kekahi mea ʻē aʻe.
- Mai inu i kekahi mea ʻē aʻe ma mua o ka lawe ʻana i kēia lāʻau lapaʻau. Mai lawe pū me ke kī, ke kofe, ka waiū, ka wai huaʻai, a pēlā aku. ʻO ka wai wale nō.
- Mai nau a wili paha i ka papa. E ale holoʻokoʻa.
- Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, mai ʻai i ka ʻaina kakahiaka, mai inu i kekahi mea ʻē aʻe (koe wale nō ka wai), a i ʻole e lawe i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā wikamina no 30 mau minuke ma ka liʻiliʻi.
- ʻO ka mea nui loa: Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e noho a kū pololei paha no 30 mau minuke ma ka liʻiliʻi. Mai kūlou a moe paha. Kōkua kēia i ka lāʻau lapaʻau e hiki pono i ka ʻōpū a pale iā ia mai ke paʻa ʻana i loko o kou puʻu.
- E hoʻomau i ka hoʻohana ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi lākou iā ʻoe i kahi pepa kuhikuhi kūikawā (he `MedGuide`). E hōʻoia e heluhelu pono i kēlā pepa i kēlā me kēia manawa āu e loaʻa ai kāu lāʻau lapaʻau a i ʻole e loaʻa iā ʻoe kahi `refill`. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi nāu.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki: Pono e mālama pono i ka wā e hoʻohana ai i kēia lāʻau lapaʻau i nā keiki. No laila, e kamaʻilio me kāu kauka e pili ana i kēia a loaʻa ka ʻōlelo aʻoaʻo.
He aha ka mea e hana ai inā lawe nui ʻoe? Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau,
e hele i ka ʻoihana pilikia o ka haukapila kokoke loa a kāhea koke i kahi kikowaena kaohi lāʻau make. Manaʻo koʻikoʻi: Ua kuhikuhi ʻia kēia lāʻau lapaʻau
nou wale nō. Mai hāʻawi aku i kou mau hoaaloha a ʻohana paha, ʻoiai inā manaʻo ʻoe e loaʻa ana iā lākou ka pilikia like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
- Lawe ʻoe i kēia lāʻau lapaʻau i hoʻokahi manawa i ka lā, no laila inā poina iā ʻoe: E hōʻalo i ka lāʻau i hala ʻole i kēlā lā. Mai hopohopo. E lawe i ka lāʻau aʻe i ka manawa maʻamau i ke kakahiaka aʻe. Mai lawe i ʻelua lāʻau i ka lā hoʻokahi.
- Lawe ʻoe i kēia lāʻau lapaʻau i hoʻokahi manawa i ka pule, a inā poina iā ʻoe ke lawe: E lawe i ka mahele i hala i ke kakahiaka ma hope o kou hoʻomanaʻo ʻana. A laila e lawe i kāu mahele aʻe i kou lā maʻamau o ka pule. Akā , mai lawe i ʻelua mau mahele i ka lā hoʻokahi.
Nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau ('Interactions`)
ʻAe, hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe, nā meaʻai, a me nā mea hoʻohui. ʻO ke ʻano o kēia, ʻo ka lawe pū ʻana iā lākou e hoʻololi paha i ka hana maikaʻi o kēia lāʻau lapaʻau a hoʻonui paha i kona mau hopena ʻaoʻao. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā mea kanu, nā huaora, a i ʻole nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu
kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Eia kekahi mau mea e launa pū me kēia lāʻau lapaʻau:
- Nā lāʻau lapaʻau no ka mumū o ka ʻōpū a me ka gastritis ('Antacids')
- ʻAspirin a me nā lāʻau lapaʻau e like me ka aspirin
- Nā mea hoʻohui calcium, ʻoiai nā mea e hele mai me ka huaora D
- ʻO kekahi mau lāʻau hoʻohaʻahaʻa cholesterol (e.g., Cholestyramine, Colestipol)
- Nā lāʻau lapaʻau e hoʻemi i ka waikawa o ka ʻōpū (e.g. Cimetidine, Ranitidine)
- `(Corticosteroids)` (lāʻau lapaʻau ʻano steroid)
- Nā mea hoʻohui hao
- Nā mea hoʻohui magnesium
- `(ʻAila mineral)`
- Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory (NSAIDs - e.g. Ibuprofen, Naproxen)
- `(Orlistat)` (he lāʻau hoʻemi kaumaha)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi epilepsy (e.g., `(Phenobarbital)`, `(Phenytoin)`)
- Nā mea hoʻohui phosphorous
- ʻO kekahi lāʻau lapaʻau no ka maʻi epilepsy (`(Primidone)`)
- Nā lāʻau steroid (e like me Prednisone, Cortisone)
- ʻO kekahi mau lāʻau lapaʻau e hoʻoulu ai i ka mimi ('Thiazide diuretics')
- ʻO nā wikamina e hele mai me nā minelala, ʻoi aku hoʻi nā mea i loaʻa ka wikamina D.
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
He aha nā hana palekana kūikawā e pono e hana ʻia i ka wā e lawe ai i kēia lāʻau lapaʻau?
- E hoʻomau i ka launa pū me kāu kauka i kēlā me kēia manawa. E lawe lākou iā ʻoe no nā nānā ʻana e ʻike ai pehea ʻoe e hana nei me ka lāʻau lapaʻau.
- He lōʻihi paha ka manawa e ʻike ai i nā hopena o kēia lāʻau lapaʻau. No laila, mai hopohopo, e hoʻomau wale i ka hoʻohana ʻana e like me ke kuhikuhi a kāu kauka.
- Hiki i kekahi poʻe ke ʻeha nui i ko lākou mau iwi, nā hono, a i ʻole nā ʻiʻo i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i kēia lāʻau lapaʻau ke hoʻoulu i nā pilikia ʻauwae a hoʻonui paha i ka pilikia o ka iwi ʻūhā haki . Inā ʻike ʻoe i ka ʻeha nui i kou ʻauwae, nā iwi, nā hono, a i ʻole nā ʻiʻo, e haʻi koke i kāu kauka . Eia kekahi, e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi ʻeha ʻaʻole e nalo a i ʻole e ʻoi aku ka ʻino.
- Inā ʻoe e hele ana e ʻike i ke kauka niho, e haʻi iā ia e lawe ana ʻoe i kēia lāʻau lapaʻau. Pono ʻoe e pale i ka hana ʻoki niho nui i ka wā e lawe ana i kēia lāʻau lapaʻau. He manaʻo maikaʻi e ʻike i ke kauka niho e nānā i kou mau niho a hoʻoponopono i nā pilikia ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E mālama i kou mau niho i ka maʻemaʻe i ka wā e lawe ana i kēia lāʻau lapaʻau. E ʻike pinepine i kāu kauka niho no ka hahai ʻana.
- Pono ʻoe e hōʻoia i ka loaʻa ʻana o ka calcium a me ka wikamina D i ka wā e lawe ana i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i nā meaʻai a me nā wikamina āu e lawe nei. Hiki ke aʻo ʻia ʻoe e lawe i nā papa calcium a me ka wikamina D.
- I kekahi manawa makemake paha kāu kauka e hana i ka hana koko i kou wā e lawe ana i kēia lāʻau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā hiki i kekahi poʻe.
Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka :
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke aku i kāu
kauka a i ʻole ka haukapila kokoke loa.
- Nā hopena maʻi: ka ʻili ʻana, ka maneʻo, ka pehu ʻana (ʻoi aku hoʻi o ka maka, nā lehelehe, ke alelo).
- ʻEha iwi.
- ʻŌhūhū: Hana pinepine kēia ma hope o ka ʻai ʻana a i ka wā e moe ana paha.
- ʻEha ʻāwae: ʻOi aku hoʻi ma hope o ka mālama ʻana i nā niho.
- ʻEha hui.
- Nā hōʻailona o ka haʻahaʻa o ka calcium i loko o ke koko:Ka puʻuwai wikiwiki; ka ʻūlū ʻana a i ʻole ka ʻeha o nā ʻiʻo; ka mae ʻana a i ʻole ka ʻeha ma nā lālā; nā ʻōhū.
- ʻEha ʻiʻo.
- ʻEha a paʻakikī paha ke ale ʻana.
- ʻUlaʻula, pehu, ʻili ʻana o ka ʻili, a me nā hōʻailona like i loko o ka waha.
- Nā hōʻailona o ke kahe ʻana o ke koko ma ka ʻōpū: ʻEleʻele, ʻeleʻele; e luaʻi ana i ke koko me ke ʻano like me ka lepo kofe.
Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:
ʻAʻole maʻamau kēia mau mea he mea koʻikoʻi a e nalo aku i loko o kekahi mau lā. Akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i
kāu kauka .
- Ka paʻa ʻana o ka ʻōpū.
- Ka maʻi pākī.
- Ka luaʻi.
- ʻEha ʻōpū.
ʻAʻole kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e nīnau i kāu kauka.
Ma hea kahi e mālama ai i kēia lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona . He mea nui loa kēia.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius / 59 a me 86 kekelē Fahrenheit). E pale mai ka mālamalama a me ka makū. ʻO ia hoʻi, mai mālama ma nā wahi pulu e like me ka lua.
- E mālama i ka lāʻau lapaʻau i loko o ka pūʻolo kumu i hoʻokomo ʻia ai a hiki i kou loaʻa ʻana.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei pono iā lākou.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana i kēia lāʻau `(Alendronate; Cholecalciferol)`, ʻeā? I ka hōʻuluʻulu ʻana:
- He lāʻau lapaʻau kēia e hoʻoikaika ai i kou mau iwi , e hōʻemi ana i ka nalowale ʻana o ka calcium, a hāʻawi i ka wikamina D.
- I ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e hahai pono i nā kuhikuhi. ʻOi aku ka lawe ʻana i ke kakahiaka ma ka ʻōpū hakahaka me ka wai a noho pololei no 30 mau minuke.
- Mai poina e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei .
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao hou, ʻoiai ka ʻeha nui, nā pilikia ʻāwae, a i ʻole ka paʻakikī i ka moni ʻana, e haʻi koke i kāu kauka .
- E mālama pono hoʻi i ke olakino o kou mau niho.
- E hōʻoia i ka loaʻa ʻana o ka calcium a me ka wikamina D i ka wā e lawe ana i kēia lāʻau.
Mai hopohopo, ua kuhikuhi kāu kauka i kēia lāʻau no kou olakino. Inā he mau nīnau a hopohopo paha kāu, e ʻoluʻolu e kamaʻilio me lākou. E kōkua kēia lāʻau iā ʻoe e mālama i ke olakino o kou iwi!
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