Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau wai i kapa ʻia ʻo Calcitriol? Hiki paha no kekahi nāwaliwali o kou mau puʻupaʻa a i ʻole kahi pilikia me kou kelepa parathyroid. E makaʻu iki paha ʻoe ke lohe ʻoe i kēia inoa. Akā, mai hopohopo. I kēia lā, e kamaʻilio maʻalahi a me ke akahai mākou e pili ana i ke ʻano maoli, ka mea e hoʻohana ʻia ai, a me nā hana palekana kūikawā e pono ai mākou e lawe i ka wā e hoʻohana ai i kēia lāʻau.
I ka ʻōlelo maʻalahi, he aha ʻo Calcitriol?
He ʻano kūikawā a hana nui ʻo Calcitriol o ka wikamina D. E noʻonoʻo i kēia ʻano, ʻo ka wikamina D maʻamau a mākou e loaʻa ai mai ka meaʻai a i ʻole ka lā, ua like ia me ka palaoa. Pono ko mākou kino, ʻoiai ko mākou mau puʻupaʻa, e 'wili a hoʻomoʻa' i kēia palaoa i loko o kahi 'berena' hiki ke hoʻohana ʻia. A laila wale nō e pōmaikaʻi ai ke kino mai ia mea.
Eia nō naʻe, ʻaʻole hiki i ke kino o kekahi me ka maʻi puʻupaʻa ke hana pono i kēia 'berena', ʻo ia hoʻi, ka huaora D ikaika. ʻO ia ka manawa e kuhikuhi ai nā kauka i kahi lāʻau lapaʻau i kapa ʻia ʻo Calcitriol. ʻO ia hoʻi, hāʻawi pololei mākou i ka huaora D ikaika i paʻakikī i ke kino ke hana .
Hana kēia i ʻelua mau mea nui:
1. Hoʻonui ia i nā pae calcium i loko o kou kino a kōkua i ka hoʻoikaika ʻana i kou mau iwi.
2. Kōkua nō hoʻi ia i ka kaohi ʻana i nā pae hormone parathyroid.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e hoʻohana i kēia lāʻau lapaʻau, he mea nui loa ia e kamaʻilio maopopo a pololei e pili ana i kēia mau pilikia me kāu kauka.
ʻO ka wehewehe piha ʻana o kou kūlana olakino āu e hāʻawi ai i kāu kauka, ʻo ka ʻoi aku ka holomua a me ka palekana o kāu lāʻau lapaʻau.
- E pili ana i nā maʻi puʻupaʻa ʻē aʻe āu i loaʻa ai i kēia manawa.
- E pili ana i ka maʻi parathyroid .
- Inā ʻoe e hana nei i ka dialysis i kēia manawa, e ʻoluʻolu e hoʻomaopopo mai iā mākou.
- Inā he maʻi ʻaleka kou i ka wikamina D, i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole nā mea hoʻomalu, e haʻi mai iā mākou.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a e hānai waiū paha, pono ʻoe e haʻi aku i kāu kauka .
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau, akā he mea nui loa e hahai pololei i nā kuhikuhi.
- E lawe i kēia lāʻau lapaʻau me ke aniani wai. ʻAʻole ia he mea nui inā ʻoe e lawe ia mea ma mua a ma hope paha o ka ʻai ʻana.
- ʻO ka mea nui loa: e ana i ka lāʻau lapaʻau.E hoʻohana wale i ka puna kūikawā, ke kīʻaha, a i ʻole ka mea hoʻoheheʻe wai i hāʻawi ʻia no kēia kumu. Mai hoʻohana i nā tīpune o ka hale a i ʻole nā kīpune kofe, no ka mea, ʻaʻole paha lākou e ana pololei a hiki ke hopena i kahi mahele lāʻau pololei ʻole.
- E lawe i ka lāʻau lapaʻau i ka manawa i kuhikuhi ʻia a ma nā manawa i kuhikuhi ʻia e like me ke kauoha a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
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 i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, 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.
He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdose)
Hiki i kēia ke lilo i mea weliweli loa. Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Hiki iā Calcitriol ke launa pū me kekahi mau lāʻau lapaʻau a me nā mea hoʻopihapiha ʻē aʻe, no laila he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
| Nā mea ʻaʻole pono e lawe pū me Calcitriol | |
|---|---|
| ʻO Burosumab | ʻO kekahi ʻano ʻē aʻe o ka wikamina D a i ʻole ka mea hoʻohui |
| E hōʻoia e haʻi i kāu kauka inā ʻoe e hoʻohana nei i kēia mau mea. | |
| Nā mea hoʻohui kalipuna | ʻO Cholestyramine |
| Nā ʻano corticosteroids | ʻO Digoxin |
| ʻO Ketoconazole | Nā mea hoʻohui magnesium |
| Phenobarbital, Phenytoin | Nā mea hoʻopaʻa phosphate |
| Kekahi mau antacids | Nā lāʻau diuretic Thiazide |
ʻAʻole piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā lāʻau lapaʻau lāʻau, nā huaora, a me nā mea hoʻohui lāʻau lapaʻau āu e lawe nei, a me ka puhipaka a inu waiʻona paha ʻoe.
Nā hopena ʻaoʻao hiki ke loaʻa i ka wā e lawe ana i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Calcitriol ke hana i nā hopena ʻaoʻao i kekahi poʻe. Hiki i kekahi o kēia mau mea ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
| 🚨 Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke 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. |
| Hoʻonui ʻia nā pae calcium | ʻOi aku ka makewai a i ʻole ka mimi ʻana ma mua o ka maʻamau, ka nausea, ka luaʻi ʻana, ka huikau, ka nāwaliwali kūikawā, ka ʻeha o ka iwi. |
| Hoʻonui ʻia nā pae phosphorus | ʻEha nā ʻiʻo a i ʻole nā hono, nāwaliwali, mae a puni ka waha. |
| 🙂 E haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. | |
| Waha maloʻo | ʻEha poʻo |
| Makemake nui | Ke manaʻo nei i kahi ʻono metala i loko o ka waha |
| ʻeha ka ʻōpū | |
Nā mea nui ʻē aʻe e hoʻomanaʻo i ka wā e lawe ana i ka lāʻau lapaʻau
- E hele i nā keʻena lapaʻau i hoʻonohonoho ʻia: E kauoha kāu kauka i nā hoʻokolohua koko maʻamau e nānā i kāu holomua a nānā i kāu mau pae calcium a me phosphorus. Mai hōʻalo i kēia mau hoʻokolohua a me nā lā keʻena lapaʻau.
- ʻAi kūikawā: Pono paha ʻoe e hahai i kahi ʻai kūikawā i ka wā e lawe ana i kēia lāʻau. Mai lawe i nā mea hoʻohui ʻē aʻe a i ʻole nā lāʻau lapaʻau i loaʻa ka calcium, phosphorus, magnesium, a i ʻole ka wikamina D me ka ʻole o ke aʻo ʻana a kāu kauka.
Pehea e mālama pono 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 lā pololei a me ka mālamalama.
- E pani pono i ke poʻi o ka ʻōmole ma hope o ka hoʻohana ʻana.
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- He ʻano kūikawā a hana nui ʻo Calcitriol o ka wikamina D i hāʻawi ʻia no nā hemahema calcium i hoʻokumu ʻia e nā maʻi puʻupaʻa a me nā pilikia me nā kelepa parathyroid.
- E hoʻohana wale i ka mea ana kūikawā e hele mai me ka lāʻau lapaʻau. Mai hoʻohana i nā puna o ka hale.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā mea hoʻopihapiha āu e lawe nei.
- E hahai pono i nā hoʻokolohua koko a me nā kapu meaʻai i kauoha ʻia e kāu kauka.
- Inā ʻike ʻoe i kahi hopena koʻikoʻi e like me ka loli o ka helu o ka puʻuwai, ka huikau, a i ʻole ke kānalua nei i kahi overdose, e hele koke i ka Emergency Department (ETU) o ka haukapila.
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