Inā loaʻa iā ʻoe ka maʻi puʻupaʻa mau loa, ua haʻi aku paha kāu kauka iā ʻoe he hana nui iki kāu mau kelepa parathyroid. Ua kapa ʻia kēia ʻano he hyperparathyroidism. Ua kuhikuhi ʻia paha ʻoe i kahi lāʻau i kapa ʻia ʻo Calcifediol ma ke ʻano he lāʻau lapaʻau no kēia. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau ma ke ʻano maʻalahi a aloha hoʻi, i kāna hana i kou kino, a me nā mea āu e makaʻala ai i ka wā e hoʻohana ai.
I ka ʻōlelo maʻalahi, he aha ʻo Calcifediol?
He ʻano kūikawā ʻo Calcifediol o ka wikamina D. I kekahi manawa, lilo nā kelepa parathyroid ʻehā i loko o ko kākou ʻāʻī i mea hana nui loa i nā poʻe me ka maʻi puʻupaʻa. Ke hana ʻia kēia, hana ʻia kahi kemika i kapa ʻia ʻo Parathyroid Hormone (PTH) i loko o ko kākou koko me ka nui. ʻAʻole maikaʻi kēia pae kiʻekiʻe o ka PTH no ko kākou mau iwi, ʻo ia hoʻi, no nā iwi. I ka hala ʻana o ka manawa, hiki i nā iwi ke lilo i mea nāwaliwali.
No laila, ʻo ka hana a kēia lāʻau lapaʻau Calcifediol , ʻo ia ke kāohi i ka piʻi ʻana o ka nui o ka hormone PTH . Ma o kēia, kōkua ia i ka pale ʻana i ke olakino o kou iwi a mālama iā lākou i ikaika.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou kūlana olakino holoʻokoʻa. E hōʻoia e haʻi i kēia mau mea:
- Inā ua haʻi aku kāu kauka iā ʻoe he kiʻekiʻe kou mau pae o ka calcium, phosphorus, a i ʻole ka huaora D i loko o kou koko.
- Inā ʻoe e hana ana i ka hemodialysis .
- Inā ua loaʻa iā ʻoe kahi maʻi allergy ma mua iā Calcifediol, nā ʻano huaora D ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau.
- E ale i kēia capsule me kahi aniani wai.
- E lawe i ka lāʻau i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ke kauoha a kāu kauka.
- Hiki ke lawe ʻia kēia ma mua a ma hope paha o ka ʻai ʻana, akā inā loaʻa iā ʻoe kekahi ʻeha o ka ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā e like me ka hiki. Ma kēlā ala, ʻaʻole ʻoe e poina i ka lāʻau lapaʻau a e maʻa maikaʻi kou kino iā ia.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a ke kauka.
He aha inā lawe hewa wau i ka nui o ka lāʻau lapaʻau?
E noʻonoʻo ua inu hewa ʻoe ma mua o ka nui i kuhikuhi ʻia. Inā hana ʻia kēlā, mai hopohopo, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. A i ʻole, e kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Hiki i kēia lāʻau lapaʻau, i kapa ʻia ʻo Calcifediol, ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei.
| ʻAno lāʻau lapaʻau/mea hana | Ka wehewehe a me nā laʻana |
|---|---|
| ʻAʻole pono e lawe ʻia i nā mea a pau | E hōʻalo i ka lawe ʻana i ka lāʻau lapaʻau ʻo Burosumab me kēia. |
| Nā mea hoʻohui huaora a me nā minelala | ʻO nā ʻano ʻē aʻe o ka huaora D, nā mea hoʻopihapiha calcium, nā mea hoʻopaʻa phosphate. |
| Nā lāʻau lapaʻau no nā maʻi fungal | Nā lāʻau lapaʻau e like me Ketoconazole a me Itraconazole. |
| ʻO kekahi mau lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol | Nā lāʻau lapaʻau e like me Cholestyramine. |
| Nā lāʻau lapaʻau | ʻO kekahi mau lāʻau antibiotic e like me Clarithromycin a me Telithromycin. |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO Digoxin (no ka maʻi puʻuwai), nā diuretics e like me Hydrochlorothiazide, nā lāʻau epilepsy e like me Phenobarbital, a me kekahi mau lāʻau lapaʻau no ka HIV (Protease inhibitors). |
Nā hopena ʻaoʻao hiki ke loaʻa i ka wā e lawe ana i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| 🚨 Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke i kāu kauka | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Pae Kalipuna Kiʻekiʻe | ʻOi aku ka make wai ma mua o ka maʻamau, ka mimi pinepine ʻana, ka nausea, ka luaʻi ʻana, ka huikau, ka nāwaliwali kūikawā, a me ka ʻeha o ka iwi. |
| Ka pae kiʻekiʻe o ka Phosphorus i loko o ke koko | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, ʻeha o ka iwi a i ʻole nā hono, mae a puni ka waha. |
| 🙂 Inā hoʻomau ia, pono ʻoe e haʻi i kāu kauka. Nā hopena ʻaoʻao maʻamau | |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻakikī e hele i ka lua. |
| Kuke, anu | ʻUmi pinepine a i ʻole ka ihu wai, ka ihu paʻa. |
Nā mea ʻē aʻe e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
- He manawa iki paha kou e ʻike ai i nā pono piha o kēia lāʻau lapaʻau, no laila e hoʻomanawanui a hoʻomau i ka hoʻohana ʻana e like me ka ʻōlelo a kāu kauka.
- E hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia e like me ke kuhikuhi ʻana a kāu kauka a e hana i nā hoʻāʻo koko . Penei ke ʻano e nānā ʻia ai kāu mau pae calcium, phosphorus, a me PTH a hiki ke hoʻololi ʻia ka nui o kāu lāʻau lapaʻau inā pono.
- Pono paha ʻoe e hahai i kahi papaʻai kūikawā . E nīnau i kāu kauka no nā kikoʻī.
- He mea nui loa: Mai lawe i nā mea hoʻohui, nā huaora, a i ʻole nā antacids i loaʻa ka huaora D, phosphorus, magnesium, a i ʻole calcium mai ka hale kūʻai lāʻau lapaʻau me ka ʻae ʻole o kāu kauka.
Leka Lawe-Home
- He ʻano kūikawā ʻo Calcifediol o ka wikamina D e kaohi ana i ka hyperparathyroidism i nā maʻi puʻupaʻa a pale i ke olakino o ka iwi.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me kou mau kūlana olakino āpau.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha, i ka manawa kūpono. Mai ho'ōki i ka lawe ʻana me ke aʻo ʻole ʻia e ke kauka.
- Inā loaʻa iā ʻoe nā hōʻailona o ke kiʻekiʻe o ka calcium a i ʻole ka phosphorus i loko o ke koko (makewai nui, ʻeha iwi, mae wale) a i ʻole nā hōʻailona maʻi ʻaleka, e hoʻomaopopo koke i kāu kauka.
- E hōʻalo i ka lawe ʻana i nā mea hoʻopihapiha waho i loaʻa ka huaora D a i ʻole calcium me ka ʻae ʻole o kāu kauka.
- He mea nui ka hele ʻana i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a me ka loaʻa ʻana o nā hoʻāʻo koko no ka holomua o kāu lāʻau lapaʻau.
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