ʻIke mākou i ke ʻano paʻakikī o ke ola ʻana me ka maʻi puʻupaʻa. I waena o lākou, ʻoi aku hoʻi no ka poʻe e hana ʻia ana i ka hemodialysis ma muli o ka maʻi puʻupaʻa mau loa, ʻo ka pilikia nui a hoʻonāukiuki loa kēia ʻano maneʻo. I kekahi manawa aia kēia maneʻo i ka lā a pau, ʻaʻole hiki iā ʻoe ke hiamoe i ka pō, a ʻūlū ʻoe a uhi ʻia kou kino i loko. Hiki i kēia ke lilo i mea hoʻoweliweli i ke ola. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi inikini hou i hoʻohana ʻia e mālama i kēia maneʻo hiki ʻole ke hoʻomanawanui. ʻO ka inoa o kēia lāʻau lapaʻau ʻo Difelikefalin (Die-feli-kefa-lin). Loaʻa ia ma ka mākeke ma lalo o ka inoa ʻo Korsuva .
He aha ka inoa o kēia lāʻau pale ʻo Difelikefalin?
I ka ʻōlelo maʻalahi, he inikini kūikawā kēia i hāʻawi ʻia e kāohi i ka pruritus waena a koʻikoʻi i nā poʻe maʻi e hana ana i ka hemodialysis ma muli o ka maʻi puʻupaʻa lōʻihi. ʻAʻole kēia he lāʻau lapaʻau no ka maneʻo maʻamau. Hana iki aʻe ka paʻakikī. Aia kekahi mau ala neural i loko o ko mākou kino e hoʻoulu ai i ka maneʻo. ʻO ka hana a kēia inikini, ʻo ia ke kuhikuhi ʻana i kēlā mau ala neural a kāohi i ka manaʻo maneʻo e hele ana i ka lolo. No laila, ʻaʻole ia e like me ka lāʻau lapaʻau āu e hāʻawi ai no nā maʻi allergies maʻamau, hana ʻokoʻa ia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, pono ʻoe e kūkākūkā i kēia mau mea me kāu kauka. Mai hūnā i kekahi mea, no ka mea, he mea nui loa ia no kou palekana.
- Inā he mau maʻi ʻē aʻe kou: ʻOi loa aku inā he maʻi ate kou, pono ʻoe e haʻi aku.
- Nā maʻi ʻaleka: E haʻi i kāu kauka inā he maʻi ʻaleka kou, ʻaʻole wale i kēia lāʻau pale Difelikefalin, akā, i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Hāpai keiki: Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai , e haʻi pono i kāu kauka.
- Ka hānai waiū ʻana: Inā he makuahine ʻoe e hānai waiū ana i kāu keiki , pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i kēia.
Pehea e hoʻohana ʻia ai kēia lāʻau pale?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home a hoʻāʻo iā ʻoe iho.
Hāʻawi wale ʻia kēia lāʻau pale ma kahi haukapila a i ʻole ke keʻena lapaʻau e kekahi loea lapaʻau i aʻo ʻia. Hāʻawi ʻia nō hoʻi ia ma ke ʻano he inikini intravenous.
ʻO ka hapa nui o ka manawa, e hāʻawi ʻia kēia inikini iā ʻoe i ka hopena o kāu kau dialysis. No laila, ʻaʻole pono ʻoe e hele kaʻawale i ka haukapila. He mea nui loa ia e hele i kāu mau manawa dialysis i ka manawa kūpono. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele mai, e hoʻomaopopo mua i ka haukapila a i ʻole ke keʻena lapaʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Ma muli o ka hāʻawi ʻia ʻana o kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, pono ʻoe e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
I ka wā e lawe ai i ka lāʻau pale Difelikefalin, hiki ke loli kona hopena me kekahi mau lāʻau lapaʻau ʻē aʻe a me nā mea āu e hoʻohana nei. ʻOi aku ka nui, hiki ke hoʻonui ʻia ka hiamoe a me ka poniuniu e hiki ai i kēia lāʻau pale ke hana me kekahi mau lāʻau lapaʻau. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e hoʻohana nei, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui .
Aia ma ka papa ma lalo nei kekahi mau mea e pono ai ke nānā pono ʻia.
| ʻAno mea/lāʻau lapaʻau | Ka wehewehe a me nā mea e makaʻala ai |
|---|---|
| ʻAila | Hiki i ka waiʻona ke hoʻonui nui i ka hiamoe a me ka poniuniu i hoʻokumu ʻia e kēia lāʻau lapaʻau. No laila, e pale loa i ka waiʻona i ka wā o ka mālama ʻana. |
| Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine) | Hiki i nā lāʻau lapaʻau e like me ka piritan ke hoʻohiamoe iā ʻoe. ʻO ka lawe ʻana iā lākou me kēia lāʻau pale hiki ke hoʻolilo i ka hiamoe i mea hiki ʻole ke hoʻomanawanui. |
| Nā lāʻau hoʻomaha a me nā lāʻau hiamoe | Hiki i nā lāʻau lapaʻau no ka hopohopo a i ʻole ka insomnia ke hoʻoulu i ka hiamoe. ʻO ka hoʻohana pū ʻana i kēia mau mea hiki ke hōʻemi nui i ka makaʻala. |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha | E haʻi i kāu kauka inā ʻoe e lawe nei i nā lāʻau lapaʻau e like me amitriptyline, fluoxetine, a i ʻole sertraline. |
| Nā lāʻau lapaʻau no nā hopu ʻana | E hoʻomaopopo hoʻi i ke kauka inā ʻoe e lawe ana i nā lāʻau lapaʻau e like me Phenobarbital. |
| Nā lāʻau hoʻomaha ʻiʻo a me nā mea hoʻomaha ʻiʻo no ke ʻoki kino | Inā ua hoʻonohonoho ʻia ʻoe e hana i ke ʻoki kino, e hoʻomaopopo pono i ke kauka anesthesiologist e lawe ana ʻoe iā Difelikefalin. |
| Nā Narcotics (nā lāʻau lapaʻau no ka ʻeha nui a i ʻole ke kuni) | Inā ʻoe e lawe i nā mea ʻeha ʻeha e like me tramadol a me morphine, hoʻonui lākou i ka hiamoe. |
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau pale ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. Eia nō naʻe, he mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka a i ʻole ka haukapila | |
|---|---|
| Nā hopena maʻi koʻikoʻi | ʻŌhūhū ʻili, maneʻo nui, pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu (hiki ke pilikia i ka hanu ʻana). |
| ʻO ka poniuniu nui a i ʻole ka nalowale o ka ʻike | Ke poniuniu nei ʻoe a hiki ʻole iā ʻoe ke kū, ke polū nei kou mau maka, a nalowale kou ʻike a hāʻule. |
| Ka huikau | Ka nalowale koke ʻana o ka noʻonoʻo pono, ka poina ʻana i kou wahi, ka ʻōlelo ʻino ʻana, a pēlā aku. |
| Nā pae potassium kiʻekiʻe i loko o ke koko | ʻEha ka umauma, ka puʻuwai wikiwiki a ʻano ʻē paha, nāwaliwali o nā ʻiʻo. |
| ʻO nā hopena ʻaoʻao ʻaʻohe mea e hopohopo ai, akā inā hoʻomau lākou, pono ʻoe e haʻi i kāu kauka. | |
| Hiamoe / Pōʻino | He hopena ʻaoʻao maʻamau kēia, ʻo ia ke kumu e ʻōlelo ʻia ai e pale i ka hoʻokele kaʻa. |
| Ka maʻi pākī | Hiki ke loaʻa kahi manaʻo o ka pehu ʻana. |
| ʻEha poʻo | Hiki ke loaʻa kahi ʻeha poʻo iki. |
| Ka luaʻi | Makemake paha ʻoe e luaʻi. |
| Luhi | E luhi a luhi paha ke kino. |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Difelikefalin (Korsuva) i hāʻawi ʻia e mālama i ka maneʻo nui i nā poʻe maʻi puʻupaʻa e hana ʻia ana i ka hemodialysis. ʻAʻole kēia he lāʻau lapaʻau maʻamau i hāʻawi ʻia i nā kānaka a pau.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi pono i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā mea hoʻopihapiha, a me nā kūlana olakino ʻē aʻe āu e lawe nei.
- Hiki i kēia lāʻau pale ke hoʻoulu i ka hiamoe a me ka poniuniu . No laila, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i ka pau ʻana o nā hopena o ka lāʻau.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino e like me ka pehu ʻana o ka maka, ka paʻakikī o ka hanu ʻana, a i ʻole ka poniuniu nui, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Mai poina i kāu mau lā dialysis a me ka lāʻau pale. Inā ʻaʻole hiki iā ʻoe ke hele no kekahi kumu, e ʻoluʻolu e hoʻomaopopo i ka ʻoihana pili ma mua.
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