ʻO kahi pilikia i loaʻa i nā kānaka he nui i kēia mau lā, ʻo ia ka piʻi ʻana o nā pae cholesterol i loko o ke kino. No laila, ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau e like me ka pila e kāohi i kāu cholesterol? A i ʻole ua loaʻa iā ʻoe kēia lāʻau lapaʻau no ka ʻili ʻili i hoʻokumu ʻia e kahi maʻi akepaʻa? I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Cholestyramine. E kamaʻilio maʻalahi a me ke akahai e pili ana i ke ʻano o ka hoʻohana ʻana, nā mea e makaʻala ai, a me nā mea e makaʻala ai.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ʻo Cholestyramine kahi lāʻau lapaʻau e hoʻohaʻahaʻa i nā pae kolesterol i loko o kou kino. Hoʻopuka ko mākou ake i kahi mea i kapa ʻia ʻo 'bile acid' e kōkua iā mākou e hoʻoheheʻe i ka meaʻai a mākou e ʻai ai. Hoʻohana ke ake i ka cholesterol e hana i kēia waikawa bile.
E noʻonoʻo i kēia lāʻau Cholestyramine e like me ka huʻahuʻa. Ke lawe ʻoe i kēia lāʻau, hoʻopaʻa ia i ka bile i loko o nā ʻōpū a hoʻopau iā ia mai ke kino me nā feces. A laila, pono ke akepaʻa e hana i ka bile hou. Hoʻohana ke akepaʻa i ka cholesterol i loko o kou koko e hana i kēlā. Ma kēia ʻano, ua hoʻemi ʻia ke kiʻekiʻe o ka LDL (Low-Density Lipoprotein) i loko o ke koko, ʻoiai ka cholesterol maikaʻi ʻole .
Eia kekahi, ʻike kekahi poʻe me nā maʻi akepaʻa i ka hōʻiliʻili nui ʻana o ka waikawa bile i loko o ko lākou kino, e hoʻoulu ai i ka maneʻo hiki ʻole ke hoʻomanawanui. Hoʻomalu pū kēia lāʻau i ka maneʻo ma ka wehe ʻana i ka bile keu mai ke kino.
E hoʻomanaʻo, ua kuhikuhi pinepine ʻia kēia lāʻau lapaʻau me ka ʻai kūpono a me ka hoʻoikaika kino . Loaʻa nā hopena maikaʻi loa ke hui pū ʻia nā mea ʻekolu.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono iā ia ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā pili kekahi o kēia mau mea iā ʻoe, e hōʻoia e hoʻomaopopo i kāu kauka.
- Inā ʻoe kekahi e ʻeha pinepine nei i ka paʻa ʻana o ka ʻōpū .
- Inā he pilikia kou e pili ana i ka puʻupaʻa .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau Cholestyramine, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā mea mālama i hoʻohui ʻia i ka meaʻai.
- Inā hāpai ʻoe a ke manaʻo nei paha e hāpai koke .
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO kēia ka ʻāpana koʻikoʻi loa. He mea nui e ʻike i ke ala kūpono e hoʻohana ai i kēia lāʻau lapaʻau.
He mea nui loa: Mai ale i kēia lāʻau lapaʻau me he pauka maloʻo lā ma lalo o nā kūlana āpau . ʻO ka hana ʻana pēlā e hiki ai ke hoʻopaʻa i ka pauka i loko o ka puʻu a me ka esophagus, e pilikia ai ka hanu ʻana.
Penei ke ʻano o ka hoʻomākaukau ʻana i ka lāʻau lapaʻau:
1. E kau i ka nui i kuhikuhi ʻia o ka pauka lāʻau lapaʻau (ʻo ka maʻamau hoʻokahi ʻeke) i loko o ke aniani a i ʻole ke kīʻaha.
2. A laila, e hoʻohui i 60 a 180 ml (ma kahi o ka hapalua kīʻaha o ka wai maʻamau) o kahi wai e like me ka wai, ka waiū, ka wai huaʻai pulpy, a i ʻole ka sopa lahilahi.
3. I kēia manawa, e hoʻowali maikaʻi i kēia pauka a hiki i ka wā e heheʻe maikaʻi ai, a laila inu loa.
4. E ho'āʻo e lawe i ka mahele lāʻau i kuhikuhi ʻia i ka manawa like i kēlā me kēia lā, e like me ke kauoha a kāu kauka.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hopohopo. E kāhea koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole, e hele i ka Halemai Pilikia (ETU) kokoke loa i ka hikiwawe loa.
He aha inā e hala iaʻu 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 hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi, me kahi lāʻau i hala ʻole.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa kēia. Hiki i ka Cholestyramine ke hōʻemi i ka omo ʻana o kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei. No laila, pono ʻoe e makaʻala e pili ana i kēia e loaʻa ai nā pono piha o ka lāʻau lapaʻau.
ʻOi aku ka maikaʻi o ka lawe ʻana i kēia pauka Cholestyramine i hoʻokahi (1) hola ma mua a i ʻole ʻehā (4) hola ma hope o kekahi lāʻau lapaʻau ʻē aʻe āu e lawe nei.
Aia ma ka papa ma lalo nei kekahi mau lāʻau lapaʻau e hiki ke launa pū me kēia lāʻau.
| Māhele lāʻau lapaʻau | Nā laʻana a me nā memo |
|---|---|
| Nā pila wai (Diuretics) | Nā lāʻau lapaʻau i hāʻawi ʻia e wehe i ka wai mai ke kino. |
| Nā ʻano o nā hormones | Nā hormones Estrogen a i ʻole progestin, nā hormones thyroid. |
| Nā lāʻau lapaʻau no ka maʻi puʻuwai | Laʻana: Digoxin, Digitoxin, Propranolol |
| Mea hoʻohuihui koko | Laʻana: Warfarin |
| Nā lāʻau lapaʻau | Laʻana: Penicillin G, Tetracycline |
| Nā huaora | ʻO nā wikamina momona-hoʻoheheʻe ʻia ʻo ia nā wikamina A, D, E, a me K. |
| Nā lāʻau lapaʻau ʻē aʻe | Nā lāʻau lapaʻau e like me Phenobarbital a me Phenylbutazone. |
ʻAʻole i piha kēia papa inoa, no laila he mea nui loa e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a i ʻole lāʻau lapaʻau āu e lawe nei.
Nā hopena ʻaoʻao hiki
E like me nā lāʻau lapaʻau āpau, hiki i ka Cholestyramine ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole koʻikoʻi kekahi o kēia mau mea, akā pono kekahi e nānā koke ʻia.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo, ka maka a i ʻole ka puʻu. |
| Ke kahe koko ʻano ʻē | Nā ʻōpala ʻeleʻele a ʻālohilohi paha, ka luaʻi ʻana i nā mea e like me ke kofe, ka mimi ʻulaʻula a ʻeleʻele paha, nā kiko liʻiliʻi ʻulaʻula/poni ma ka ʻili, a me ke kahe nui ʻana o ke koko mai kahi ʻeha liʻiliʻi. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Paʻa ka ʻōpū, pehu (kinoea), ʻeha ka ʻōpū, nausea, luaʻi, diarrhea. |
ʻO ka mea nui loa, ʻo ka paʻa ʻana ka hopena nui a maʻamau o kēia lāʻau lapaʻau. No laila, inā ʻaʻole ʻoe i neʻe i ka ʻōpū no 3 mau lā, e kamaʻilio me kāu kauka .
Pehea ʻoe e mālama ai a hoʻolei aku i ka lāʻau lapaʻau?
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona .
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā .
- ʻO ke ala maikaʻi loa e hoʻolei aku ai i nā lāʻau lapaʻau i pau ka lā a i ʻole nā lāʻau lapaʻau i makemake ʻole ʻia, ʻo ia ke hāʻawi aku iā lākou i ka haukapila a i ʻole ka hale kūʻai lāʻau lapaʻau aupuni kokoke loa. Inā ʻaʻole hiki kēia, e wehe i ka pauka mai loko mai o ka ʻeke, e kāwili me kahi mea e like me nā lau kī i hoʻohana ʻia a i ʻole nā ʻōpala kope, e waiho i loko o kahi ʻeke polythene i hoʻopaʻa pono ʻia a hoʻolei i loko o ka ʻōpala. Mai hoʻolei i lalo i ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka.
Leka Lawe-Home
- Mai ale mau i ka pauka Cholestyramine a maloʻo. E hoʻoheheʻe maikaʻi iā ia i loko o kahi wai ma mua o ka inu ʻana.
- E lawe i nā lāʻau ʻē aʻe āu e lawe nei i hoʻokahi hola ma mua a i ʻole ʻehā hola ma hope o ka lawe ʻana i kēia lāʻau.
- He hopena maʻamau ka paʻa ʻana o ka ʻōpū. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū no nā lā ʻekolu a ʻoi, e haʻi i kāu kauka.
- Inā ʻike ʻoe i nā hōʻailona o kahi maʻi alerika a i ʻole ke kahe koko ʻē, e ʻimi koke i ke kōkua lapaʻau.
- Hoʻokahi wale nō ʻāpana o kāu papahana kaohi cholesterol kēia lāʻau lapaʻau. He mea nui like ka ʻai kūpono a me ka hoʻoikaika kino.











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