Ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Cinacalcet. He ʻoiaʻiʻo kēia inā ʻoe e dialysis ma muli o ka maʻi puʻupaʻa mau, a inā he kiʻekiʻe kou pae calcium koko ma muli o kahi pilikia me kāu mau kelepa parathyroid. No laila, e kamaʻilio pōkole kākou e pili ana i ke ʻano o kēia lāʻau lapaʻau, pehea e hoʻohana ai, a me nā mea āu e pono ai e makaʻala.
He aha ke ʻano lāʻau lapaʻau ʻo Cinacalcet?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Cinacalcet e kōkua i ka hoʻomalu ʻana i ka pae o ka calcium i loko o ko mākou kino. Hoʻopuka nā kelepa parathyroid i loko o ko mākou ʻāʻī i kahi hormone i kapa ʻia ʻo ka hormone parathyroid. Hoʻomalu kēia hormone i ka pae o ka calcium i loko o ko mākou koko.
E noʻonoʻo, i kekahi mau kūlana olakino, no ka laʻana, i ka wā e hana pono ʻole ai nā puʻupaʻa, lilo kēia mau kelepa parathyroid i mea hana nui, a nui ka calcium e hōʻiliʻili i loko o ke koko. Kāhea mākou i kēia ʻo Hypercalcemia. ʻO kēia ka manawa e kōkua ai ka lāʻau Cinacalcet. ʻO ka hana a kēia lāʻau, ʻo ia ka hoʻonui ʻana i ka ʻike o nā kelepa parathyroid, e hāʻawi ana iā lākou i kahi hōʻailona e ʻōlelo ana, "ʻAe, ua lawa ka calcium i loko o ke kino i kēia manawa, mai hana hou." ʻO ka hopena, emi ka hana ʻana o ka hormone, a hoʻi ka pae calcium i loko o ke koko i ka maʻamau. Loaʻa pinepine kēia lāʻau lapaʻau ma lalo o ka inoa inoa `(Sensipar)`.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. Ma mua o kou hāʻawi ʻia ʻana i kēia lāʻau lapaʻau, he mea nui e haʻi aku i kāu kauka e pili ana i kou mōʻaukala olakino piha. Mai hūnā i kekahi mea. E hōʻoia e haʻi aku iā lākou e pili ana i kēia mau mea:
- Inā he moʻolelo kou o ka maʻi puʻuwai a i ʻole ka puʻuwai puʻuwai kūpono ʻole.
- Inā he maʻi kou i ke akepaʻa .
- Inā ua ʻike mua ʻia ʻoe me nā pae calcium haʻahaʻa i loko o kou koko.
- Inā ua loaʻa iā ʻoe nā ʻūlū ma mua.
- Inā he mau pilikia kou me kou ʻōpū a i ʻole nā naʻau (e.g. ulcers).
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka cinacalcet a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a, inā pēlā, he aha ka nui e hāʻawi ai.
ʻO ke ala kūpono e hoʻohana ai i ka lāʻau lapaʻau
No ka loaʻa ʻana o ka hopena maikaʻi loa mai ka lāʻau lapaʻau, pono ʻoe e hoʻohana pono.
- E ale i ka pila me ke aniani wai.
- ʻO ka mea nui loa: E lawe i kēia lāʻau me ka ʻai a ma hope koke iho paha o ka ʻai.E lawe. Mai lawe i ka ʻōpū ʻole. ʻOi aku ka maikaʻi o ka hoʻopili ʻia ʻana o ka lāʻau lapaʻau e ke kino ke lawe ʻia me ka meaʻai.
- Mai uhaʻi, nau, a wili paha i ka papa. E ale holoʻokoʻa i ka papa.
- E lawe i ka lāʻau i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia e ke kauka. Mai hōʻalo i nā lāʻau.
- Mai ho'ōki koke i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka no ka mea ua maikaʻi kou manaʻo.
He aha kāu e hana ai inā lawe ʻoe i ka lāʻau lapaʻau overdose?
Inā manaʻo ʻoe ua lawe ʻoe i ka mea ʻoi aku ma mua o kou manaʻo, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻo. Mai lawe māmā i kēia, no ka mea, hiki i ka hāʻule koke ʻana o nā pae calcium ke lilo i mea weliweli.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau pila i ka manawa hoʻokahi e hoʻopiha ai i ka lāʻau lapaʻau i poina.
Nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻopilikia i nā pilikia me Cinacalcet
ʻO ia ke kumu he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Cinacalcet a hoʻoulu i nā pilikia.
| ʻAno lāʻau lapaʻau / mea hana | Nā mea e makaʻala nui ai |
|---|---|
| ʻO Thioridazine | He lāʻau lapaʻau kēia no ka maʻi noʻonoʻo. Mai hoʻohana pū me Cinacalcet no kekahi kumu. |
| Nā lāʻau antifungal (e.g. ketoconazole, itraconazole) | Hiki i kēia ke hoʻololi i ke ʻano hana a Cinacalcet. |
| Nā lāʻau antibiotic e like me Erythromycin | Hiki i kēia ke hoʻopilikia i ka pono o ka lāʻau lapaʻau. |
| Nā lāʻau lapaʻau puʻuwai (e like me flecainide) | He mea nui e hoʻomaopopo i ke kauka. |
| Nā lāʻau lapaʻau no ke kaumaha a me ka hopohopo | E haʻi aku i ke kauka e pili ana i kēia mau mea. |
| Wai ʻāpala | E pale i ka ʻai ʻana i ka pomelo a i ʻole ka inu ʻana i kona wai i ka wā e lawe ana i kēia lāʻau. |
ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā huaora, nā huahana lāʻau lapaʻau, a i ʻole nā mea hoʻohui āu e lawe nei.
Nā hopena ʻaoʻao e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Cinacalcet ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau hōʻailona a hana koke inā pono.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā hōʻailona alerika | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo a i ʻole ka maka, paʻakikī ke hanu. |
| Nā hōʻailona o nā pae calcium haʻahaʻa | ʻO ka maneʻo ma nā lālā a i ʻole a puni ka waha, ka ʻoni ʻana o nā ʻiʻo, ka wikiwiki o ka puʻuwai, a me nā maʻi hū. |
| Nā hōʻailona o ke koko haʻahaʻa | Pōniuniu, māmā ke poʻo, maule, hāʻule. |
| Nā hōʻailona o ke kahe koko i loko | ʻEleʻele, ʻālohilohi ka lepo, ka luaʻi ʻana i ke koko a i ʻole kekahi mea e like me ke kofe lepo. |
| Nā loli noʻonoʻo | ʻAno kaumaha nui. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka luaʻi, ka maʻi pākīkī, ka nele o ka makemake. |
| ʻEha kino | ʻEha iwi, ʻeha hono. |
Pehea e mālama pono ai i ka lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki.
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius). E pale mai ka wela nui a me ka makū.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā . E hoʻolei pono iā lākou.
Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi no ka mea ua hana ia nou. Hiki ke lilo i mea weliweli.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Cinacalcet i hoʻohana ʻia no ka mālama ʻana i nā pae calcium i loko o ke koko i nā maʻi puʻupaʻa a me nā pilikia o ka ʻōpū parathyroid.
- E lawe mau i kēia lāʻau lapaʻau me ka ʻai a ma hope paha . Mai uhaʻi a nau paha i nā papa.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā maʻi ʻē aʻe āu e loaʻa ai, ʻoiai hoʻi ka maʻi puʻuwai a me ka maʻi akepaʻa.
- Inā ʻike ʻoe i kekahi mau hōʻailona o ka haʻahaʻa o ka calcium i loko o kou kino (ka mae ʻana o kou mau lima a me kou mau wāwae, ka ʻūlū ʻana o nā ʻiʻo), ke koko haʻahaʻa, a i ʻole nā maʻi ʻaleka, e haʻi koke aku i kāu kauka.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka. E hana i kāu mau hoʻāʻo koko i ka manawa kūpono.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo