Inā ʻoe e ʻeha nei i ka maʻi puʻupaʻa, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Doxercalciferol. He mea paʻakikī paha ke kani ʻana o ka inoa, ʻeā? Akā, mai hopohopo. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau ma ke ʻano maʻalahi a aloha hoʻi, i kāna hana maoli, a me nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ai.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
ʻAe, e nānā mua kākou i ke ʻano o kēia. Ma hope o ke kelepa thyroid i loko o ko kākou ʻāʻī he ʻehā mau kelepa liʻiliʻi loa i kapa ʻia he parathyroids. I kekahi manawa i nā poʻe me ka maʻi puʻupaʻa, hoʻomaka kēia mau kelepa e lilo i mea hana nui. Kāhea mākou i kēia ma ke ʻano lapaʻau he 'hyperparathyroidism'.
Ke hana ʻia kēia, hoʻonui ʻia ka hormone parathyroid i hoʻokuʻu ʻia e kēia mau kelepa i loko o ke koko. Hoʻolalelale kēia i ka omo ʻana o ka calcium a me ka phosphorus mai nā iwi i loko o ke koko. I ka hala ʻana o ka manawa, hiki i kēia ke hoʻonāwaliwali i nā iwi, hana i nā haki, a alakaʻi i nā pilikia ʻē aʻe.
I ka ʻōlelo maʻalahi, he ʻano kūikawā a ikaika hoʻi ʻo Doxercalciferol o ka huaora D. Hana kēia lāʻau lapaʻau ma ka kaohi ʻana i ka hana o kēlā mau kelepa parathyroid hana nui. A laila hoʻemi kēia i ka pae o ka hormone parathyroid i loko o ke kino, kahi e kōkua ai i ka mālama ʻana i ke olakino o kou mau iwi. ʻO ia hoʻi, kōkua kēia lāʻau lapaʻau i ka kaohi ʻana i ka pōʻino e hiki ai i ka maʻi puʻupaʻa ke hana i kou mau iwi.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka i kēia ʻike, no ka mea hiki iā ia ke hoʻopilikia pololei i kāu lāʻau lapaʻau.
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe nā pae kiʻekiʻe o ka calcium, phosphorus, a i ʻole ka huaora D i loko o kou koko (e ʻike kāu kauka i kēia mai kāu mau hopena hoʻāʻo koko, akā maikaʻi ke makaʻala).
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka Doxercalciferol, ka huaora D, 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 waiū ʻoe.
He mea nui loa ia no kou palekana ponoʻī e kamaʻilio me ke kauka me ka hūnā ʻole i kēia mau mea.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau.
- E inu i kēia me ke aniani wai.
- E lawe i ka lāʻau i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ke kauoha a ke kauka.Ua ʻōlelo ʻia kekahi poʻe e lawe i kēlā me kēia lā, a ʻo kekahi poʻe e lawe iā ia ma kahi o ʻekolu manawa i ka pule. E hahai pono i kēlā mau kuhikuhi.
- Mai inu ʻoe ma mua o ka mea a kāu kauka e ʻōlelo ai.
- Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua a ʻoi aku paha.
He aha inā lawe wau i ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻokaʻulua. E kāhea koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa nō hoʻi kēia. Hiki i ka lāʻau Doxercalciferol ke launa pū me nā lāʻau lapaʻau ʻē aʻe. No laila, pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau āu e lawe ai. E nānā kākou i kēia papa e hoʻomaopopo pono ai i kēia.
| ʻAno lāʻau lapaʻau | He aha e uku nui ʻia ai |
|---|---|
| Mai lawe pū me kēia mau mea me ka Doxercalciferol. | |
| ʻO Burosumab | ʻO ka lawe pū ʻana i kēia mau lāʻau lapaʻau ʻelua hiki ke hoʻonui i ka nui o ka phosphate koko. |
| ʻO nā ʻano ʻē aʻe o ka huaora D a i ʻole nā mea hoʻohui | ʻOiai ʻoe e lawe nei iā Doxercalciferol, ʻo ka lawe ʻana i nā huaora D ʻē aʻe e hoʻonui paha i nā pae calcium o kou koko me ke kumu ʻole. |
| E hōʻoia e haʻi i kāu kauka inā ʻoe e lawe ana i kēia lāʻau. | |
| Nā mea hoʻohui calcium a magnesium paha | ʻO ka lawe ʻana me ka ʻole o ke aʻoaʻo lapaʻau e hoʻololi paha i ka pae o nā minelala i loko o ke koko. |
| ʻO Cholestyramine, Colestipol (lāʻau hoʻohaʻahaʻa cholesterol) | Hiki i kēia ke hōʻemi i ka omo ʻana o Doxercalciferol i loko o ke kino. |
| ʻO Digoxin (he lāʻau lapaʻau no ka maʻi puʻuwai) | Inā piʻi aʻe ka nui o ka calcium i ke koko, e piʻi aʻe paha nā hopena ʻaoʻao o Digoxin. |
| ʻO nā lāʻau lapaʻau e like me Ketoconazole a me Erythromycin | Hiki i kēia ke hoʻololi i ke ʻano hana a Doxercalciferol. |
| Phenobarbital, Phenytoin (nā lāʻau lapaʻau no ka maʻi epilepsy) | Hiki paha i kēia ke hōʻemi i ka pono o Doxercalciferol. |
| ʻO kekahi mau antacids a me nā diuretics thiazide | Hiki i kēia mau mea ke hoʻopilikia i ka nui o ka calcium a me ka magnesium i loko o ke koko. |
ʻAʻole paha kēia papa inoa nā mea āpau, no laila ʻoi aku ka maikaʻi a me ka palekana e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā mea kanu, a me nā huaora āu e lawe ai.
Nā hopena ʻaoʻao hiki ke loaʻa i ka wā e lawe ana i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Doxercalciferol ke hana i nā hopena ʻaoʻao i kekahi poʻe. He mea nui e makaʻala i kēia mau mea.
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka a i ʻole e hele i ka haukapila. | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ke kino, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Nā hōʻailona o ke kiʻekiʻe o ka calcium i loko o ke koko | ʻOi aku ka makewai ma mua o ka maʻamau, ka mimi pinepine, ka nausea, ka luaʻi ʻana, ka huikau, ka nāwaliwali kūikawā, a me ka ʻeha o ka iwi. |
| Nā hōʻailona o ke kiʻekiʻe o ka phosphorus i loko o ke koko | ʻEha i nā ʻiʻo a i ʻole nā hono, mae wale ke kino, mae wale a puni ka waha. |
| Nā mea i maʻa mau ʻole i ka weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e kamaʻilio me kāu kauka.
Pehea e mālama pono ai i ka lāʻau lapaʻau?
- E mālama pono iā ia mai ka hiki ʻana aku o nā keiki liʻiliʻi .
- E mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius). E pale mai ka wela nui a me ka makū.
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lāʻau a e hoʻolei aku me ka maluhia.
ʻAe, no laila ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka Doxercalciferol. E hoʻomanaʻo, no ka ʻike wale nō kēia ʻatikala. ʻAʻole ia he ʻōlelo aʻoaʻo lapaʻau. Inā he mau nīnau kāu, mai makaʻu e nīnau i kāu kauka.
Leka Lawe-Home
- ʻO Doxercalciferol kahi ʻano kūikawā o ka wikamina D e kōkua ai i ka kaohi ʻana i ka hyperparathyroidism i nā maʻi puʻupaʻa a pale i nā iwi.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau maʻi āpau a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E lawe i ka lāʻau i kuhikuhi ʻia e kāu kauka, i ka manawa kūpono. Mai hoʻonui i ka lāʻau a i ʻole e lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i poina.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona o ke kiʻekiʻe o ka calcium koko (makewai nui, luaʻi, nāwaliwali) a i ʻole nā hopena alerika koʻikoʻi.
- Mai lawe i nā mea hoʻohui ʻē aʻe e like me ka calcium a me ka wikamina D me ka ʻae ʻole o kāu kauka. Mai poina i nā hoʻāʻo koko i hoʻonohonoho ʻia.
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