Ke loaʻa iā ʻoe kahi hiamoe maikaʻi i ka pō, ʻaʻohe mea hoʻonāukiuki ma mua o ke ala ʻana e mimi ʻaʻole hoʻokahi a ʻelua paha manawa, akā i nā manawa he nui i ka lā. I kekahi lā aʻe, manaʻo ʻoe i ka luhi a me ka hiamoe. Ma nā ʻōlelo lapaʻau, ʻo kēia ʻano e hoʻopilikia ai i ka hiamoe i ka pō i nā pākeke ua kapa ʻia ʻo `(Nocturia)`. No laila, ma ke ʻano he hopena no kēia, ʻo kahi lāʻau lapaʻau a nā kauka e ʻōlelo pinepine ai ʻo `Desmopressin`. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau a me nā mea e pono ai mākou e makaʻala i ka wā e hoʻohana ana me ka maʻalahi.
He aha ka Desmopressin?
I ka ʻōlelo maʻalahi, he kope hana kanaka ʻo Desmopressin o kahi hormone a ko mākou kino e hana maoli ai. ʻO ka hormone `(vasopressin)`, i hana ʻia i loko o ko mākou lolo, ʻo ia ka mea e haʻi aku i ko mākou mau puʻupaʻa "ʻAe, ua lawa, e hoʻēmi i ka nui o ka mimi āu e hana ai." Hana like ʻo Desmopressin.
Ke lawe ʻia, hoʻopilikia kēia lāʻau lapaʻau i ko mākou mau puʻupaʻa a kāohi i ka nui o ka mimi i hana ʻia, ʻoiai i ka pō. Hoʻemi kēia i ka pono e mimi pinepine i ka pō a kōkua iā mākou e hiamoe maikaʻi i ka pō. Hoʻohana nui ʻia ia e mālama i ke ʻano `(Nocturia)` i nā pākeke.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻAʻole hiki ke lawe ʻia ʻo 'Desmopressin' i ka manawa e makemake ai. Ma mua o ke kau ʻana o kāu kauka iā ia, pono ʻo ia e ʻike i kāu mōʻaukala olakino piha. He mea nui loa ia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kou kūlana olakino | No ke aha ʻoe e hoʻomaopopo ai i ke kauka? |
|---|---|
| Maʻi puʻuwai a i ʻole ke koko kiʻekiʻe | Hiki i kēia lāʻau lapaʻau ke hoʻopili i ka nui o ka wai i loko o ke kino, hiki ke hoʻopili i ka hana o ka puʻuwai a me ke koko. |
| Maʻi puʻupaʻa | Ma muli o ka hana ʻana o ka lāʻau lapaʻau ma o nā puʻupaʻa, hiki i nā hopena o ka lāʻau lapaʻau ke lilo i mea weliweli inā ʻaʻole hana pono nā puʻupaʻa. |
| Ua emi nā pae sodium i loko o ke koko | (He mea nui loa) ʻO kekahi o nā hopena ʻaoʻao nui o Desmopressin, ʻo ia ka hiki ke hoʻohaʻahaʻa hou i nā pae sodium. No laila, he mea weliweli loa ke hāʻawi ʻana iā ia i kahi mea i haʻahaʻa mua i ka sodium. |
| Ka hoʻohana ʻana i nā diuretics loop a i ʻole nā lāʻau steroid | Hoʻopilikia pū kēia mau lāʻau lapaʻau i ke kaulike sodium a me ka wai o ke kino, no laila he mea weliweli ke lawe pū ʻia me Desmopressin. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | He mea nui kēia e ʻike inā he maʻi ʻoe i ka desmopressin a i ʻole kekahi o kāna mau mea hoʻohui. |
| Ke hāpai nei a i ʻole ke kali nei i kahi pēpē/hānai waiū | I kēia mau hihia, he mea nui e hoʻomaopopo i ke kauka e hōʻoia i ka palekana o ka lāʻau lapaʻau. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he pila āu e ale ai me ka wai e like me ka pila maʻamau. He pila "sublingual" kēia, ʻo ia hoʻi, e hoʻoheheʻe ʻia ma lalo o ke alelo. Eia pehea e hoʻohana ai:
1. E lawe i ka manawa kūpono: E lawe e like me ke kauoha a kāu kauka, i ka manawa i kauoha ʻia. Lawe pinepine ʻia kēia ma kahi o hoʻokahi hola ma mua o ka hiamoe ʻana.
2. Mai uhaʻi i ke sila a hiki i ka manawa e lawe ai i ka pila: E uhaʻi wale i ka ʻeke blister i loko o ka pila ke mākaukau ʻoe e hoʻohana.
3. E hoʻomaloʻo i kou mau lima: E wehe i ka pūʻolo me nā lima ʻelua i maloʻo maikaʻi a lawe mālie i ka papa.
4. E kau ma lalo o ke alelo: E lawe i ka papa a kau pololei ma lalo o ke alelo .
5. E hoʻoheheʻe: E kali a hoʻoheheʻe loa. A laila e ale. Mai lawe i kēia pila me ka wai. Pono e lawe ʻia me ka wai ʻole.
6. Mai hoʻololi i ka nui o ka lāʻau: Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia a i ʻole e hoʻōki koke i ka lawe ʻana me ka ʻole o ke aʻo ʻana a kāu kauka.
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka ETU (Emergency Treatment Unit) o ka haukapila kokoke loa.
He aha kāu e hana ai inā e poina ʻoe i 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 lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Desmopressin
Hiki i kekahi mau lāʻau lapaʻau ke hana i nā hopena ʻino ke lawe pū ʻia me Desmopressin. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā lāʻau lapaʻau kuʻuna, nā huaora, a me nā huahana lāʻau.
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Desmopressin! | |
|---|---|
| ʻO Loop Diuretics (nā lāʻau lapaʻau e hoʻonui ai i ka mimi) | Nā lāʻau steroid (e like me Prednisone, Cortisone) |
| E akahele loa i ka wā e lawe ai i kēia lāʻau. | |
| ʻO kekahi mau lāʻau lapaʻau no nā kūlana e like me ke kaumaha a me ka hopohopo | ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana (e like me Carbamazepine, Lamotrigine) |
| ʻO kekahi mau lāʻau lapaʻau narcotic | Nā lāʻau hoʻopau ʻeha mai ka māhele NSAIDS (e.g. Ibuprofen, Naproxen) |
Nā mea e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
- E makaʻala i ka nui o ka wai āu e inu ai: ʻO kēia ka mea nui loa. ʻOiai ʻo 'Desmopressin' e hōʻemi ana i ka mimi ʻana, inā inu ʻoe i ka nui o ka wai e like me ka maʻamau, hiki i kēlā wai ke hōʻiliʻili i loko o ke kino a hiki i ka pae sodium i loko o ke koko ke hāʻule haʻahaʻa loa. Kāhea mākou i kēia '(Water Intoxication)'. No laila, e hahai pono i nā ʻōlelo a kāu kauka e pili ana i ka nui o ka wai āu e inu ai i kēlā me kēia lā.Hiki ke aʻo ʻia ʻoe e kaupalena i kāu lawe ʻana i ka wai, ʻoiai hoʻokahi hola ma mua a no 8 mau hola ma hope o ka lawe ʻana i ka lāʻau.
- Inā e nalowale ana kou wai ma nā ʻano ʻē aʻe: Inā loaʻa iā ʻoe ka maʻi pākī, ka luaʻi ʻana, a i ʻole e hou nui ana, e haʻi i kāu kauka. ʻO kēia no ka mea hiki ke loli ke kaulike wai a me ka paʻakai o ke kino i kēia manawa, e hoʻoweliweli ai i ka lawe ʻana iā Desmopressin.
- Nā hoʻokolohua lapaʻau maʻamau: Ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hana i nā hoʻāʻo koko (e nānā pono i nā pae sodium) a me nā hoʻokolohua lapaʻau e like me ke kuhikuhi a kāu kauka.
He aha nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i ka Desmopressin ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hōʻailona o ka sodium haʻahaʻa | ʻEha poʻo, hiamoe, poniuniu, huikau, nausea, luaʻi, ʻoniʻoni o nā ʻiʻo, hoʻomaha ʻole, a me nā hopu ʻana . |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Paʻakikī ka hanu ʻana, ʻeha a ʻūmiʻi paha ka umauma, nā loli o ke koko, ka puʻuwai wikiwiki a ʻano ʻole paha, ka piʻi koke ʻana o ke kaumaha, ka pehu ʻana o nā wāwae a i ʻole nā kuʻekuʻe wāwae, ka luhi nui. |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Waha maloʻo | ʻEha iki ka ʻeha, nausea iki. |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Desmopressin e hana ana e like me ka hormone a hāʻawi ʻia i nā pākeke e mālama i ke ʻano o ka mimi pinepine ʻana i ka pō (nocturia).
- ʻO ka pilikia nui a koʻikoʻi loa o kēia, ʻo ia ka haʻahaʻa o ka sodium i ke koko. No laila e makaʻala pono i nā hōʻailona e like me ke poʻo ʻeha, ka nausea, a me ka poniuniu.
- E hahai pono i nā ʻōlelo aʻoaʻo a kāu kauka e lawe i ka wai. Hiki ke hoʻoweliweli ka inu ʻana i ka wai nui.
- I ka wā e hoʻohana ai i kēia lāʻau lapaʻau, he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai ale i ka papa. E kau ma lalo o kou alelo a hoʻoheheʻe. Mai hoʻohana i ka wai.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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