Ke ʻeha nei ʻoe i ka maʻi puʻupaʻa? Inā pēlā, ua kamaʻilio paha kāu kauka iā ʻoe e pili ana i ka hana o kāu kelepa parathyroid. ʻO Doxercalciferol kahi inikini kūikawā i hāʻawi ʻia e mālama i kahi kūlana e kū mai ana i ka wā e lilo ai kēia kelepa i mea hana nui. ʻOiai ke kani iki nei ka inoa, i kēia lā e kamaʻilio maʻalahi a maopopo mākou e pili ana i kāna hana a me nā mea āu e makaʻala ai i ka wā e hoʻohana ai.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he ʻano kēia o ka huaora D. I ka poʻe me ka maʻi puʻupaʻa, hoʻomaka nā kelepa parathyroid e hana nui loa. E noʻonoʻo iā ia e like me kahi kuapo liʻiliʻi e hoʻā mau ana. Kāhea mākou i kēia ma ke ʻano lapaʻau he hyperparathyroidism.
Hana kēia lāʻau lapaʻau ma ke kāohi ʻana i nā pae o ka hormone parathyroid, ka mea i hoʻokuʻu ʻia e kahi gland overactive. Ke kāohi ʻia kēia pae hormone, ua kaulike nā pae o ka calcium a me ka phosphorus i loko o kou koko. Kōkua kēia i ka mālama ʻana i ke olakino o kou mau iwi. No ka mea, i ka wā e piʻi ai nā pae hormone parathyroid, hiki i nā iwi ke lilo i nāwaliwali.
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 i kāu kauka ke ʻike i kou mōʻaukala olakino piha ma mua o ke kau ʻana i kēia lāʻau lapaʻau. No laila, inā pili kekahi o kēia mau mea iā ʻoe, e haʻi pono iā lākou e pili ana.
- Inā he maʻi kou i ke akepaʻa .
- Inā ua haʻi aku kāu kauka iā ʻoe ua kiʻekiʻe loa kou pae calcium, phosphorus, a i ʻole ka huaora D i loko o ke koko.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka doxercalciferol, ka huaora D, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea mālama, a i ʻole nā mea hoʻoluʻu.
- Inā ʻoe e hāpai ana, a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
He mea nui loa ia no kou palekana e kamaʻilio me ke kauka me ka hūnā ʻole i kēia ʻike.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau pale iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau. Hoʻokomo ʻia ia i loko o kahi aa koko a i ʻole kahi ʻiʻo. Hāʻawi pinepine ʻia ia i ka manawa like me ka dialysis.
Pono paha ʻoe e hoʻohana i kēia ma ka home. Inā pēlā, e aʻo aku ke kahu maʻi a kauka paha iā ʻoe pehea e hoʻomākaukau ai a hoʻokomo pono ai. E hoʻohana pono e like me ke kuhikuhi ʻana, a i nā manawa i kuhikuhi ʻia.Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia.
E hoʻomanaʻo nui!
- Nā nila a me nā syringe: Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Akā, e waiho iā lākou i loko o kahi pahu ʻoi kūikawā. Inā ʻaʻohe āu, e noi i kāu kauka a i ʻole ke keʻena lapaʻau no hoʻokahi.
- Inā hāʻawi ʻia i nā keiki: Pono paha nā keiki i ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau, no laila e kūkākūkā pono i kēia me ke kauka o kāu keiki.
- Inā ʻoe e lawe nui i ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hopohopo. 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) kokoke loa.
- Mai kaʻana like: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau pale a hoʻoulu i nā pilikia, no laila he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| Nā mea e launa pū me kēia lāʻau lapaʻau | |
|---|---|
| Mai lawe pū me kēia mau lāʻau lapaʻau: | |
| ʻO Burosumab | Nā ʻano ʻē aʻe o ka Vitamin D a i ʻole nā mea hoʻohui |
| Hiki ke loaʻa nā pilikia me kēia mau mea (e haʻi i kāu kauka): | |
| Nā mea hoʻohui kalipuna | ʻO Digoxin |
| ʻEritromisina | ʻO Ketoconazole |
| Nā mea hoʻohui magnesium a i ʻole nā antacids | Phenobarbital |
| ʻO Phenytoin | ʻO kekahi mau diuretics (Thiazide diuretics) |
ʻAʻole i hoʻokomo ʻia nā mea āpau ma kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā mea kanu, a me nā mea hoʻohui āu e lawe ai. E hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea ʻē aʻe e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā maʻamau: Mai poina i kāu mau manawa i hoʻonohonoho ʻia e ke kauka. ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e hana i kekahi mau hana lab koʻikoʻi e nānā i kou pae koko o ka calcium, phosphorus, a me ka hormone parathyroid. Penei e hoʻoholo ai kāu kauka inā kūpono kāu dosage iā ʻoe.
- ʻAi kūikawā: E ʻōlelo ʻia paha ʻoe e hahai i kahi ʻai kūikawā i ka wā e lawe ana i kēia lāʻau lapaʻau. E ʻōlelo ʻia paha ʻoe e kaupalena i nā meaʻai kiʻekiʻe i ka phosphorus (e like me ka waiū, ka tīhi, nā pī, nā nati). Mai lawe i nā lāʻau lapaʻau i loaʻa i ka wikamina D, phosphorus, magnesium, a i ʻole calcium (me kekahi mau antacids no ka heartburn) me ka ʻole o ke aʻo a kāu kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, aia kahi manawa liʻiliʻi o nā hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o lākou, aʻo kekahi ʻaʻole koʻikoʻi loa.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Inā loaʻa iā ʻoe kekahi o kēia mau mea , e haʻi koke aku i kāu kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Ka pae calcium kiʻekiʻe i loko o ke koko | Hoʻonui ʻia ka make wai a i ʻole ka mimi pinepine ʻana, ka nausea, ka luaʻi ʻana, ka huikau, ka nāwaliwali ʻē, ka ʻeha o ka iwi. |
| Ka nui o ka phosphorus i loko o ke koko | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, ʻeha o ka iwi a i ʻole nā hono, mae a puni ka waha. |
| Inā hoʻomau kēia mau mea a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao maʻamau | Paʻa ka ʻōpū, poniuniu, waha maloʻo, ʻeha poʻo, nalowale ka makemake e ʻai, ʻono metala i loko o ka waha, nausea, luaʻi. |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e ʻoluʻolu e kelepona i kāu kauka no ka ʻōlelo aʻo.
Leka Lawe-Home
- ʻO Doxercalciferol kahi ʻano inikini wikamina D i hāʻawi ʻia e kāohi i ka hyperparathyroidism i nā maʻi puʻupaʻa.
- Ma mua o ka lawe ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, nā maʻi allergies, a me nā lāʻau lapaʻau āpau āu e lawe nei.
- E hahai i ka papaʻai kūikawā e like me ke kauoha a ke kauka. E hana i kāu mau hoʻāʻo koko i ka manawa kūpono.
- Inā loaʻa iā ʻoe ka make wai nui, ka luaʻi ʻana, ka ʻeha o ka iwi, a i ʻole nā hōʻailona maʻi ʻaleka, e ʻimi koke i ke kōkua lapaʻau.
- Inā ʻoe e poina i kahi lāʻau lapaʻau, mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi. Inā kānalua, e nīnau i kāu kauka.
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