He pilikia kou i nā puʻupaʻa? A i ʻole ua haʻi aku kāu kauka iā ʻoe ua haʻahaʻa kou pae calcium? A laila ua kuhikuhi ʻia paha ʻoe i kēia lāʻau i kapa ʻia ʻo 'Calcitriol'. He pilikia iki ka poʻe he nui ke lohe lākou i kēia inoa, "He aha kēia lāʻau? No ke aha i hāʻawi ʻia mai ai kēia iaʻu?" No laila e kamaʻilio kākou i kēia lā e ʻimi i nā pane i kēia mau nīnau āu. Ma ka maʻalahi loa, e kamaʻilio mākou e pili ana i nā mea āpau e pili ana i kēia lāʻau lapaʻau ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha kēia Calcitriol?
I ka ʻōlelo maʻalahi, he ʻano kūikawā a ikaika hoʻi ka calcitriol o ka wikamina D. ʻAʻole hiki ke hoʻohana pololei ʻia ka wikamina D a mākou e lawe mau ai e ke kino. Pono ko mākou mau puʻupaʻa e hoʻololi iā ia i kona ʻano ikaika, ʻo calcitriol.
Eia nō naʻe, i loko o ke kanaka me ka maʻi puʻupaʻa, no ka mea, ʻaʻole hana pono ko lākou mau puʻupaʻa, ʻaʻole hana pono kēia kaʻina hana. A laila e emi ana ka pae calcium i loko o ke kino. ʻO ia ka manawa e hāʻawi pololei ai nā kauka iā ʻoe i kēia huaora D ikaika, he lāʻau lapaʻau i kapa ʻia ʻo calcitriol.
ʻO nā mea nui e loli mai kēia:
- ʻO ka hoʻonui ʻana i nā pae calcium haʻahaʻa i loko o kou kino.
- Kōkua ia i nā poʻe me nā maʻi ʻōpū parathyroid. Kōkua pū kēia lāʻau lapaʻau i ka kaohi ʻana i nā pae o nā hormones i hoʻopuka ʻia e kēia mau ʻōpū.
Hiki paha iā ʻoe ke ʻike pinepine i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo 'Rocaltrol'.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. Pono ʻoe e haʻi kūikawā i kēia mau mea.
| Ke kūlana āu e pono ai e hōʻike | No ke aha he mea nui kēlā? |
|---|---|
| Ua loaʻa iā ʻoe ka maʻi puʻupaʻa. | ʻOiai ʻo kēia lāʻau lapaʻau ka mea nui i hāʻawi ʻia no nā maʻi puʻupaʻa, pono e hoʻoholo ʻia ka nui ma muli o ke ʻano o kou maʻi. |
| Loaʻa i kahi maʻi o ka ʻōpū parathyroid. | Ma muli o ka hopena o kēia lāʻau lapaʻau i nā pae hormone parathyroid, he mea nui e ʻike kāu kauka i kou kūlana. |
| Inā ʻoe e loaʻa nei i ka lāʻau dialysis. | Ma muli o ka loli pinepine ʻana o ka pae calcium a me ka phosphorus i nā poʻe maʻi dialysis, pono e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau e like me ia. |
| Loaʻa kahi maʻi allergy i kekahi mea. | E hōʻoia e haʻi mai iā mākou inā he mau maʻi ʻaleka kou i ka calcitriol, ka wikamina D, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea hoʻomalu, a i ʻole nā mea hoʻoluʻu. |
| Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai. | Pono e lawe ʻia nā lāʻau lapaʻau me ke akahele loa i ka wā hāpai. No laila, he mea nui e hoʻomaopopo i ke kauka e pili ana i kēia. |
| Inā he makuahine hānai waiū ʻoe. | Ma muli o ka hiki i nā mea hoʻohui i loko o ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma, e kamaʻilio pū me kāu kauka e pili ana i kēia. |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He maʻalahi loa ke ʻano e hoʻohana ai i kēia.
- E ale i kēia lāʻau lapaʻau me ke aniani wai.
- E hahai pono i nā kuhikuhi ma ka lepili o ka lāʻau lapaʻau i kuhikuhi ʻia iā ʻoe .
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. E hōʻemi kēia i ka manawa kūpono o ka hala ʻana o kahi lāʻau.
- Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia e kāu kauka.
Inā hāʻawi ʻoe i kēia lāʻau lapaʻau i nā keiki ...
Hiki i ke kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā keiki, ʻoiai hoʻi ka poʻe ma luna o hoʻokahi makahiki, no kekahi mau maʻi i koho ʻia. Akā, pono e hana ʻia me ke akahele nui a ma ke ʻōlelo aʻoaʻo a ke kauka wale nō. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio pono me kāu kauka a e ʻike i nā kikoʻī.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i kēia lāʻau lapaʻau ma mua o ka mea e pono ai, mai hoʻokaʻulua . ʻElua mau mea āu e hana koke ai.
1. Kāhea aku i ke Kikowaena ʻIke Mea ʻawahia Lahui ma ka Halemai Lahui ʻo Colombo .
2. E hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
ʻO ka mea nui loa: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi mea ʻē aʻe i loaʻa nā hōʻailona like me ʻoe. He mea weliweli paha ia.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Hiki i kekahi ke hana i ka hala ʻana o kahi lāʻau lapaʻau. Inā hala ʻoe i kahi lāʻau, e lawe koke iā ia ke hoʻomanaʻo ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe ke hoʻomanaʻo ʻoe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia . Mai lawe pālua i ka lāʻau no kekahi kumu.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
He lāʻau lapaʻau ʻo Calcitriol e hiki ke launa pū me kekahi mau lāʻau lapaʻau a me nā mea hoʻopihapiha ʻē aʻe, no laila he mea nui e ʻike i kēia.
| Mai lawe pū me kēia mau mea iā Calcitriol. | |
|---|---|
| ʻO Burosumab | Nā mea hoʻohui huaora D |
| Inā ʻoe e lawe nei i kēia mau lāʻau lapaʻau, e hoʻomaopopo i kāu kauka. | |
|---|---|
| Nā mea hoʻohui kalipuna | ʻO Cholestyramine |
| Nā Corticosteroids - e.g. Prednisolone | ʻO Digoxin |
| ʻO Ketoconazole | Nā mea hoʻohui magnesium |
| Phenobarbital, Phenytoin | Nā mea hoʻopaʻa phosphate |
| Kekahi mau antacids | Nā diuretics Thiazide - (nā pila wai) |
ʻAʻole paha i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā mea kanu āu e lawe ai. Mai poina e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
He mea nui loa ia e ʻike i kāu kauka i nā manawa maʻamau i ka wā e lawe ana i kēia lāʻau lapaʻau. E kauoha pinepine kāu kauka i nā hoʻokolohua koko e nānā i nā pae calcium a me phosphorus i loko o kou koko. Mai haʻalele i kēia mau hoʻokolohua.
E aʻo pū lākou iā ʻoe e hahai i kahi papaʻai kūikawā.
Mai lawe i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā mea hoʻohui i loaʻa ka huaora D, phosphorus, magnesium, a i ʻole calcium me ka ʻole o ke aʻo ʻana a kāu kauka. Loaʻa paha i kekahi mau antacids (nā lāʻau lapaʻau no ka heartburn) kēia mau mea. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka calcitriol ke hana i nā hopena ʻaoʻao i kekahi poʻe. Pono kekahi o kēia mau mea i ka nānā koke ʻia, aʻo kekahi he emi iki ka koʻikoʻi.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, maule, ʻeha ka umauma, paʻakikī ke hanu. |
| Ka pae calcium kiʻekiʻe i loko o ke koko | ʻO ka make wai a i ʻole ka mimi ʻana ma mua o ka maʻamau, ka nausea, ka luaʻi ʻana, ka huikau, ka luhi ʻē aʻe, a me ka ʻeha o ka iwi. |
| Ka nui o ka phosphorus i loko o ke koko | ʻEha i nā ʻiʻo a i ʻole nā hono, mae a puni ka waha. |
| ʻAʻole pilikia kēia mau mea, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Waha maloʻo | ʻEha poʻo |
| Makemake nui | He ʻono metala i loko o ka waha |
| ʻO ka ʻeha o ka ʻōpū | |
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius).
- E pale mai ka mālamalama.
- E pani paʻa i ka ʻōmole/papa lāʻau lapaʻau.
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
He hōʻuluʻulu manaʻo wale nō kēia pepa ʻike. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e kamaʻilio me kāu kauka.
Leka Lawe-Home
- He ʻano hana nui ʻo Calcitriol o ka wikamina D. Hāʻawi nui ʻia ia i ka poʻe i loaʻa ka pae calcium haʻahaʻa i ke kino ma muli o ka maʻi puʻupaʻa a i ʻole nā pilikia me nā kelepa parathyroid.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā mea hoʻopihapiha, a me nā kūlana olakino āu e lawe nei.
- E lawe i ka nui i kuhikuhi ʻia e kāu kauka e like me ke kuhikuhi ʻana, i ka manawa kūpono. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
- E makaʻala i nā hōʻailona o ke kiʻekiʻe o ka calcium koko (makewai nui, nausea, luaʻi, ʻeha iwi). Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi koke i kāu kauka.
- He mea nui e hana i nā hoʻokolohua koko maʻamau. Eia kekahi, mai lawe i nā mea hoʻopihapiha calcium a i ʻole vitamin D me ka ʻole o ke aʻo ʻana a ke kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ʻo Calcitriol (Calcitriol / Rocaltrol)?
ʻAʻole kēia he 'Vitamin D' wale nō hiki iā ʻoe ke kūʻai ma kahi hale kūʻai lāʻau maʻamau! ʻO kēia ke 'ʻano hana o ka Vitamin D3', i hana ʻia e ko mākou mau puʻupaʻa. ʻOi loa aku no ka poʻe me ka hōʻino nui o nā puʻupaʻa (CKD/Dialysis), ʻoiai ʻaʻole hiki i nā puʻupaʻa ke hana i kēia huaora D hana, pono lākou e lawe i kēia pila calcitriol e kūkulu i ka calcium i loko o ko lākou kino a pale i ka nalowale o ka iwi.
💬 Pehea e omo ai kēia pila (Calcitriol) i ka calcium mai loko mai o nā ʻōpū a hoʻoikaika i nā iwi?
ʻO ka maʻamau, he mea paʻakikī loa i ke kino ke omo i ka calcium i loko o ka meaʻai a mākou e ʻai ai mai nā ʻōpū. Akā i ka wā e komo ai kēia 'vitamin D ikaika (Calcitriol)' i loko o nā ʻōpū, koi ia i nā cell i loko o nā ʻōpū e 'wehe i nā puka āpau e ʻae ai i ka calcium' (Hoʻoulu i ka omo ʻana o ka calcium). A laila, nui ka calcium i loko o ka meaʻai e komo i ke koko, mai laila e hele ai i loko o nā iwi a paʻakikī, e hoʻoikaika ana i nā iwi.
💬 He aha ka hopena ʻaoʻao nui loa a weliweli loa (ʻawahia) o kēia huaora D synthetic?
ʻAʻole like ia me ka huaora maʻamau! Inā hoʻonui iki ʻia ka nui o kēia lāʻau lapaʻau (Calcitriol), e piʻi ka nui o ka calcium i loko o kou koko i kahi pae hiki ʻole ke hoʻomanawanui ʻia (Hypercalcemia)! A laila e hele kēlā calcium a waiho i loko o ka puʻuwai a me nā kīʻaha koko a hana i nā pōhaku (Vascular calcification), hiki ke pepehi koke i ka mea maʻi. Aia kekahi manawa kiʻekiʻe o ka ʻōpū nui, ka nausea, nā pōhaku mimi, a me ka huikau noʻonoʻo.
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