Ala pinepine ʻoe i ka pō e mimi? E aʻo kākou e pili ana i ka pila Desmopressin.

I kekahi manawa, ua like ia me ka moeʻuhane ke hiamoe maikaʻi i ka pō, ʻeā? ʻO kekahi o nā kumu nui o kēia, ʻo ia ke ala pinepine ʻana e mimi i ka pō. ʻO kēia ʻano hoʻonāukiuki e hoʻoluhi iā ʻoe i ka lā a pau a ʻaʻole hiki ke hana pono i kekahi mea. Ua kapa ʻia kēia ʻano he 'nocturnal polyuria' ma nā ʻōlelo lapaʻau. I ka ʻōlelo maʻalahi, hana ke kino i ka mimi ma mua o ka mea e pono ai i ka pō. No laila, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Desmopressin no kēia pilikia. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, kāna hana, a me nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ana.

He aha ke ʻano lāʻau lapaʻau ʻo Desmopressin?

ʻAe, e nānā mua kākou i ka hana maoli a kēia lāʻau. He lāʻau synthetic ʻo Desmopressin e hana ana e like me ka hormone kūlohelohe i loko o ko kākou kino. ʻO kāna hana nui ka hoʻopilikia ʻana i ko kākou mau puʻupaʻa a kaohi i ka nui o ka mimi a kākou e hana ai i ka pō.

E noʻonoʻo i kēia ʻano. ʻO ka maʻamau, hoʻemi ke kino o ke kanaka olakino i ka nui o ka mimi i hana ʻia i ka pō, no laila hiki iā mākou ke hiamoe i ka pō. Akā, ʻaʻole ia e hana i kahi kanaka me ka polyuria nocturnal. Ua like ia me ka waiho ʻana i kahi piula wai e wehe ana no kekahi manawa, a hoʻomau nā puʻupaʻa i ka hana ʻana i ka mimi. No laila, hana kēia lāʻau desmopressin e like me ka pani ʻana i kēlā piula wai no kekahi manawa. ʻO ia hoʻi, hōʻailona ia i nā puʻupaʻa e hoʻemi i ka nui o ka mimi i hana ʻia i ka pō. A laila ala ʻoe e mimi i ka pō me ka emi pinepine ʻana, a loaʻa iā ʻoe ka hiamoe maikaʻi i ka pō.

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. Ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau, pono i kāu kauka ke loaʻa kahi kiʻi piha o kou olakino. A laila hiki iā ʻoe ke hoʻoholo inā palekana ka lāʻau lapaʻau iā ʻoe. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, ʻoi aku hoʻi ma mua o ka hoʻomaka ʻana i ka desmopressin.

Pehea maoli kaʻu e hoʻohana ai i kēia pila?

ʻAʻole ʻo Desmopressin he pila āu e ale ai me ka wai e like me ka pila maʻamau. He ʻano ia e hoʻoheheʻe ʻia ma lalo o ke alelo. Ua kapa ʻia ʻo ia he "papa sublingual". No laila, e hahai pono i kēia mau ʻanuʻu i ka wā e hoʻohana ai.

1. E lawe iā ia i ka manawa kūpono:E lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, e like me ka ʻōlelo a kāu kauka iā ʻoe. ʻO ka maʻamau, ua kuhikuhi ʻia kēia ma kahi o hoʻokahi hola ma mua o kou hiamoe ʻana i ka pō.

2. Mai lawe pū me ka wai: ʻO kēia ka mea nui loa. Mai lawe i kēia pila me ka wai.

3. E lawe i ka pila me nā lima maloʻo: E hōʻoia i ka maloʻo loa o kou mau lima ma mua o ka lawe ʻana i ka pila. E lawe i ka pila mai loko mai o ka ʻeke pila. Inā ua haki a ua ʻūlū ʻia paha ka pila, mai hoʻohana a kūʻai i mea hou.

4. E kau ma lalo o ke alelo: E lawe i ka papa a kau pololei ma lalo o ke alelo.

5. E hoʻoheheʻe: Mai nau, kuʻi, a ale paha i ka papa. E hoʻoheheʻe loa ia ma lalo o ke alelo.

6. E ale ma hope o ka hoʻoheheʻe ʻana: E ale i ka papa ma hope o kona hoʻoheheʻe loa ʻia ʻana.

E loaʻa iā ʻoe kahi pepa kuhikuhi kūikawā "MedGuide" me kēia lāʻau lapaʻau. E heluhelu pono i kēlā me kēia manawa. Eia kekahi, e hoʻomau i ka hoʻohana ʻana i ka lāʻau lapaʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.

He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?

Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e hele koke i ka ʻOihana Hoʻopilikia o ka haukapila kokoke loa (ETU). A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo. No kāu hoʻohana ponoʻī wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.

Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau

Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka wā e lawe ʻia ai me ka desmopressin, no laila he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.

ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a mea kanu paha āu e lawe ai.

Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau

He mea nui e nānā pono i kou kino i ka wā e lawe ai i ka desmopressin.

• E ʻike pinepine i kāu kauka: Ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hōʻoia e hele i nā manawa o kāu kauka. Ma kēlā ala, hiki iā ia ke nānā i ke ʻano o ka hopena o ka lāʻau lapaʻau iā ʻoe.
• E nānā i kou pae sodium koko: ʻO ka mea nui e hiki ke hana me kēia lāʻau lapaʻau , ʻo ia ka hiki ke hāʻule nā ​​​​pae sodium (paʻakai) i loko o kou koko. Ua kapa ʻia kēia he hyponatremia. He kiʻekiʻe loa kēia pilikia inā inu ʻoe i ka nui o ka wai, lawe i nā lāʻau lapaʻau ʻē aʻe e hoʻohaʻahaʻa i ka sodium, a i ʻole he mau maʻi e like me ka luaʻi a i ʻole ka diarrhea.
• E hahai i nā kuhikuhi no ka nui o ka wai e inu ai: E aʻo aku kāu kauka iā ʻoe i ka nui o ka wai e inu ai i kēlā me kēia lā i ka wā e lawe ana i kēia lāʻau. E noi ʻia paha ʻoe e pale i ka inu ʻana i ka wai nui, ʻoiai i ka pō ma hope o ka lawe ʻana i ka lāʻau. E hahai pono i kēlā mau kuhikuhi.

Aia kekahi mau hopena ʻaoʻao?

E like me nā lāʻau lapaʻau āpau, hiki i ka desmopressin ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole i loaʻa i nā mea āpau.

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 20-25 kekelē Celsius). E mālama ʻia mai ka wela nui a me ka makū.
• He mea maikaʻi ke mālama i ka lāʻau lapaʻau i loko o ka pūʻolo kumu i hāʻawi ʻia ai.
• Mai hoʻohana i ka lāʻau lapaʻau i pau ka lāʻau. E nīnau i kāu kauka i ka mea e hana ai me ke koena a i ʻole ka lāʻau lapaʻau i pau ka lāʻau.