I kekahi manawa, kuhikuhi nā kauka i nā lāʻau lapaʻau kikoʻī loa no ko kākou mau maʻi, ʻeā? I kēia lā, e kamaʻilio kākou e pili ana i kekahi o ia mau lāʻau lapaʻau kūikawā. He ʻūpā ihu kēia. Akā, ʻaʻole kēia he ʻūpā wale nō. He mana synthetic kēia o kahi hormone i loko o ko kākou kino. No laila, e nānā kākou i nā mea a pau e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Desmopressin.
I ka ʻōlelo maʻalahi, he aha ka Desmopressin?
He kope synthetic ʻo Desmopressin o kahi hormone i hana kūlohelohe ʻia i loko o ko kākou kino. ʻO kāna hana nui ka hoʻomalu ʻana i ka nui o ka wai i loko o ke kino a me ka hoʻomalu ʻana i ka nui o ka mimi i hana ʻia. Kōkua pū ia i ka hoʻomalu ʻana i ka makewai.
Hoʻohana nui nā kauka i kēia lāʻau lapaʻau no kekahi mau kūlana olakino.
- ʻO ka Central Diabetes Insipidus: ʻOiai he inoa like kona me Diabetes Mellitus, ʻaʻole ia e pili iā ia. Hōʻike ʻia kēia e ka mimi nui a me ka makewai nui. No laila, hāʻawi ʻia kēia lāʻau lapaʻau e kāohi iā ia.
- Ma hope o nā ʻeha poʻo a i ʻole nā ʻoki kino: I kekahi manawa, ma hope o kahi ʻeha poʻo a i ʻole ke ʻoki ʻana o ka lolo, e nalowale paha kou kaohi ʻana i ka mimi. Hoʻohana ʻia kēia i ia mau hihia.
- No ke kāohi ʻana i ke kahe koko: Hāʻawi ʻia kēia lāʻau lapaʻau i nā poʻe me kekahi mau maʻi koko, e like me ka hemophilia A a me ka maʻi von Willebrand, e hoʻōki a pale paha i ke kahe koko.
- Nocturia: He ʻano kēia e ala ai nā pākeke i ka pō e mimi pinepine. Hoʻohana ʻia kēia lāʻau lapaʻau e kāohi i kēia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. No kou palekana, he mea nui e kūkākūkā i kēia mau mea me kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e haʻi pono iā lākou.
- Inā ua loaʻa iā ʻoe nā ʻōpū koko i loko o ke kino ma mua
- Inā he ihu paʻa kou, he ʻeha a he pehu paha i kou ihu,
- Inā loaʻa iā ʻoe ka cystic fibrosis
- Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ke koko kiʻekiʻe
- Inā he maʻi puʻupaʻa kou
- Inā ua haʻi ʻia iā ʻoe ua haʻahaʻa kou pae sodium koko
- Inā ʻoe e hoʻohana ana i nā lāʻau diuretic loop a i ʻole nā lāʻau steroid
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha
- Inā he maʻi allergy kou i ka desmopressin, vasopressin, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He ʻaila pīpī ihu kēia. E hoʻohana pono e like me ka ʻōlelo a kāu kauka iā ʻoe, e like me nā kuhikuhi ma ka lepili lāʻau. E lawe i ka nui i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia.Mai hoʻohana ma mua o ka mea a ke kauka e ʻōlelo ai.
Mai hoʻohana i kekahi ʻano ʻūpā ihu ʻē aʻe a i ʻole nā kulu i ka wā e hoʻohana ana i kēia ʻūpā. Inā kānalua, e nīnau i kāu kauka.
Mea nui: Inā ʻoe e poina i kahi lāʻau, e lawe wale ia i ka wā e kokoke ana i ka manawa no kāu lāʻau aʻe. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
He aha inā hoʻohana nui ʻia ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻokaʻulua. E kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka desmopressin. E nānā i kēia papa, a e hiki iā ʻoe ke hoʻomaopopo maʻalahi.
| ʻAno lāʻau lapaʻau | Wehewehena |
|---|---|
| Mai lawe pū i kēia lāʻau me kekahi lāʻau ʻē aʻe . | |
| Nā lāʻau diuretic loop | Nā lāʻau lapaʻau e wehe ai i ka wai mai ke kino (hoʻonui i ka mimi). |
| Nā steroid | Nā laʻana: Nā lāʻau lapaʻau e like me Prednisolone a me Cortisone. |
| Inā ʻoe e lawe ana i kēia lāʻau lapaʻau, e ʻōlelo pono i kāu kauka. | |
| Nā lāʻau lapaʻau no ka maʻi noʻonoʻo | ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ke kaumaha a me ka hopohopo. |
| Nā lāʻau lapaʻau no ka maʻi epilepsy (fits) | Nā laʻana: Carbamazepine, Lamotrigine. |
| Nā lāʻau ʻeha ikaika (narcotics) | ʻO kekahi mau lāʻau lapaʻau no ka ʻeha nui. |
| Nā lāʻau ʻeha ʻano NSAIDS | Nā lāʻau lapaʻau e like me ka ibuprofen a me ka naproxen no ka pehu a me ka ʻeha. |
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Ka nui o ka wai i hoʻopau ʻia: He mea nui loa kēia.
- Nā maʻi ʻē aʻe: Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū e like me ka luaʻi ʻana, ka maʻi pākī, ke kuni, a i ʻole kekahi maʻi ʻē aʻe, e hoʻōki i ka hoʻohana ʻana i kēia lāʻau lapaʻau a kāhea koke aku i kāu kauka no ka ʻōlelo aʻo.
- Nā hoʻāʻo: ʻOiai e lawe ana i kēia lāʻau lapaʻau, e noi paha kāu kauka iā ʻoe e hana i nā hoʻāʻo koko. Mai hōʻalo iā lākou.
- ʻŌpī Ihu DDAVP®: E mālama pololei i ka mahana o ka lumi (ma waena o 20-25 Celsius).
- ʻO ka Stimite® Nasal Spray: E mālama i loko o ka pahu hau (ma waena o 4-8 degere Celsius). Eia nō naʻe, inā ʻoe e huakaʻi ana, hiki iā ʻoe ke mālama iā ia ma ka mahana o ka lumi (22 degere Celsius) a hiki i 3 mau pule.
- ʻO ka Noctiva® Nasal Spray: E mālama pololei i loko o ka pahu hau (0-15 Celsius) ma mua o ka wehe ʻana. Ke wehe ʻia, e mālama pololei i ka mahana o ka lumi (20-25 Celsius). E hoʻolei ma hope o 60 mau lā o ka wehe ʻana.
- He lāʻau lapaʻau kūikawā ʻo Desmopressin e hoʻohana wale ʻia ma ke ʻōlelo aʻo a ke kauka.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā kūlana olakino āpau āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hahai i nā ʻōlelo a kāu kauka e pili ana i ka nui o ka wai e inu ai. Mai inu nui a liʻiliʻi paha.
- E makaʻala i nā hōʻailona o nā hopena ʻaoʻao koʻikoʻi (ʻoi aku hoʻi nā hōʻailona o nā pae sodium haʻahaʻa). Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
- E mālama pono i kāu lāʻau lapaʻau e like me kona inoa inoa.
E kamaʻilio me kāu kauka e pili ana i ka nui o ka wai āu e inu ai i kēlā me kēia lā. Mai inu ʻoi aku a emi mai paha ma mua o ka nui i ʻōlelo ʻia. ʻO nā loli i ka nui o ka wai i loko o kou kino hiki ke hoʻoulu i nā pilikia olakino koʻikoʻi.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| 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. |
| Paʻakikī ka hanu ʻana | Manaʻo o ka ʻūmiʻi a me ka ʻeha ma ka umauma. |
| Nā loli i ka helu o ka puʻuwai | Hoʻonui ʻia ka nui o ka puʻuwai, ka puʻuwai kūpono ʻole, a me nā loli i ke koko. |
| Nā hōʻailona o ka sodium haʻahaʻa | ʻEha nui, hiamoe, huikau, nausea, luaʻi, ʻoniʻoni o nā ʻiʻo, hoʻomaha ʻole, kūlou. |
| Ka piʻi koke ʻana o ke kaumaha o ke kino | Ka pehu ʻana o nā wāwae a i ʻole nā kuʻekuʻe wāwae. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ke kahe koko ʻana ma ke ʻano ʻē, ka ʻeha, ka luhi nui. |
| Inā hoʻomau kēia mau hōʻailona a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā ʻano laulā | ʻEha poʻo, ʻeha ihu, kahe ke koko o ka ihu, ihu paʻa a wai paha , kihe ʻana, ʻili ʻulaʻula. |
Pehea ʻoe e mālama pono ai i kēia lāʻau lapaʻau?
Aia nā inoa lama like ʻole no kēia lāʻau lapaʻau. He ʻokoʻa ke ʻano mālama o kēlā me kēia lama. No laila e nānā i ka inoa ma kāu ʻōmole lāʻau lapaʻau a hahai i nā kuhikuhi.
ʻO kēia mau ʻano a pauE mālama ʻia mai ka hiki ʻana aku o nā keiki. Mai hoʻohana inā ua pau ka lā.
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