Inā ʻoe e ʻeha nei i nā pilikia o nā puʻupaʻa, ʻoiai inā ʻoe e hana ana i ka dialysis, i kekahi manawa hiki i kou kino ke loaʻa kahi pae kiʻekiʻe iki o ka hormone i kapa ʻia ʻo ka parathyroid hormone. I kēlā mau hihia, hiki i kāu kauka ke kuhikuhi i kahi injection o kahi lāʻau i kapa ʻia ʻo etelcalcetide e kōkua. No laila, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau ma nā ʻōlelo maʻalahi i kēia lā.
He aha ka Etelcalcetide? He aha kāna hana?
I ka ʻōlelo maʻalahi, ʻo Etelcalcetide kahi lāʻau lapaʻau e kōkua i ka kaohi ʻana i nā pae o ka hormone parathyroid i loko o kou kino. Loaʻa pinepine ia ma lalo o ka inoa inoa ʻo Parsabiv.
I kēia manawa ke noʻonoʻo nei paha ʻoe, "He aha kēia hormone parathyroid?"
He mea maʻalahi loa ia. Loaʻa iā mākou ʻehā mau kelepa liʻiliʻi ma ko mākou ʻāʻī kokoke i ka kelepa thyroid, i kapa ʻia ʻo nā kelepa parathyroid. Hoʻopuka kēia mau kelepa i ka hormone parathyroid. ʻO ka hana nui o kēia hormone ka hoʻomalu ʻana i ka nui o ka calcium i loko o ko mākou koko.
No laila, no ke aha e hoʻonui ai kēia hormone i ke kino o kekahi mea i loaʻa i ka maʻi puʻupaʻa a ke hana ʻia nei i ka dialysis?
ʻIke ʻoe, ua like nā puʻupaʻa me nā kānana o ko kākou kino. Ke hana pono ʻole nā puʻupaʻa, ʻo ia hoʻi ka wā e loaʻa ai iā ʻoe ka 'Maʻi Puʻupaʻa Mau', ʻaʻole hiki i nā puʻupaʻa ke mālama i nā mea e like me ka 'calcium' a me ka 'phosphate' i loko o ke kino i ke kaulike. ʻAʻole hiki iā lākou ke hoʻāla i ka huaora D. No laila, manaʻo kēlā mau kelepa parathyroid, "ʻAuē, ʻaʻole lawa ka calcium i loko o ke kino," a hana nui lākou iā lākou iho a hoʻokuʻu i ka nui o ka hormone parathyroid i loko o ke koko.
He aha ka mea e hana ai ke piʻi aʻe ka hormone parathyroid e like me kēia?
Ke hana ʻia kēia, hiki i nā iwi ke lilo i nāwaliwali, hiki i nā iwi ke ʻeha, a i kekahi manawa hiki ke loaʻa nā mea e like me ka maneʻo. Kōkua kēia lāʻau lapaʻau, ʻo Etelcalcetide, i ka hōʻemi ʻana i ia mau pilikia.
He mea nui: Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kūlana ʻē aʻe e nā kauka. No laila, inā he mau nīnau kāu, e nīnau i kāu kauka a mea kūʻai lāʻau paha.
He aha nā mea āu e pono ai e haʻi aku i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?
Ma mua o kou hoʻomaka ʻana e lawe iā Etelcalcetide, he mea nui loa ia e hāʻawi i kāu hui mālama ola (ʻo ia hoʻi ke kauka a me ke kahu maʻi) i ka mōʻaukala piha o kou olakino . E hōʻoia e haʻi iā lākou e pili ana i:
- Ua loaʻa anei iā ʻoe ka maʻi puʻuwai a i ʻole kekahi pilikia e pili ana i ka puʻuwai?
- Ua loaʻa anei iā ʻoe kahi ʻōpū ʻōpū a i ʻole ke kahe koko (mōʻaukala o ke kahe koko ʻōpū) ma mua?
- Ua haʻi aku nā kauka iā ʻoe he haʻahaʻa kou pae o ka calcium i loko o kou koko ?
- Ua loaʻa anei iā ʻoe nā ʻōʻō ma mua?
- Loaʻa iā ʻoe kahi hopena maʻi ʻaleka i kēia lāʻau lapaʻau i kapa ʻia ʻo 'Etelcalcetide', i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā mea mālama?
- Ke hāpai nei ʻoe? A i ʻole ke kali nei ʻoe i kahi pēpē?
- He makuahine hānai waiū ʻoe?
Ma ka maopopo ʻana i kēia mau mea, me ka hūnā ʻole ʻana iā lākou, hiki i ke kauka ke mālama pono a palekana iā ʻoe. E hoʻomanaʻo, no kou pono ponoʻī kēia.
Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe?
ʻAʻole kēia ʻEtelcalcetide he lāʻau lapaʻau āu e ale ai e like me ka pila. He ʻōkuhi ia i hāʻawi ʻia i loko o kahi aa . ʻO ia hoʻi, ke hele ʻoe no ka Dialysis, ʻo ka maʻamau ke pau ka Dialysis, hāʻawi ʻia kēia ʻōkuhi.
ʻAʻole kēia he lāʻau pale hiki iā ʻoe ke hāʻawi iā ʻoe iho ma ka home. Hāʻawi wale ʻia e ke kauka, kahi kahu maʻi i aʻo ʻia, ma ka haukapila, a i ʻole ma ke keʻena lapaʻau kahi āu e loaʻa ai ka dialysis.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
E hoʻomanaʻo, inā manaʻo ʻoe ua hāʻawi nui ʻia kēia lāʻau lapaʻau iā ʻoe, a inā paha ʻoe e kānalua ua lawe hewa ʻoe i ka overdose, pono ʻoe e hele koke i ka lumi pilikia o ka haukapila kokoke loa. A i ʻole e kelepona i kahi kikowaena kaohi lāʻau make. ʻAʻole kēia he mea hoʻohenehene, no laila e hana koke.
He memo koʻikoʻi loa: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. ʻOiai inā he pilikia like kou me kāu hoaaloha a ʻohana paha, mai hāʻawi i kēia lāʻau lapaʻau iā lākou. He ʻokoʻa ka pane ʻana o ke kino o kēlā me kēia kanaka i nā lāʻau lapaʻau like ʻole.
He aha kaʻu e hana ai inā e poina iaʻu kahi mahele o ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma ke keʻena lapaʻau, ʻo ka mea nui loa āu e hana ai, ʻo ia ke hele i kāu mau manawa dialysis a me ka lāʻau pale i ka manawa kūpono. He mea nui loa ka lawe ʻana i kēia mau lāʻau lapaʻau me ka pololei a ʻaʻole e haʻalele i nā manawa.
Inā ʻaʻole hiki iā ʻoe ke hele mai i ka manawa kūpono, e kāhea koke aku i kāu kauka a kahu maʻi paha a e hoʻomaopopo iā lākou. E haʻi aku lākou iā ʻoe i ka mea e hana ai ma hope.
He aha nā mea ʻē aʻe e kūlike ʻole me kēia lāʻau lapaʻau a i ʻole hiki ke hana i nā hopena ʻaoʻao?
Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka wā e lawe pū ʻia me Etelcalcetide. ʻO ke ʻano kēia, hiki ke loli ka pono o kēia lāʻau lapaʻau a i ʻole e hoʻonui paha nā hopena ʻaoʻao.
- ʻO `Cinacalcet` : Aia kekahi lāʻau ʻē aʻe me kēia inoa, kahi i hoʻohana ʻia no ka kaohi ʻana i nā pae hormone parathyroid. Inā ʻoe e hoʻohana nei i kēia lāʻau `Cinacalcet`, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea. No ka mea, ʻaʻole paha e kūpono ke lawe pū ʻana i kēia mau lāʻau ʻelua.
ʻAʻole paha kēia papa inoa nā mea āpau. No laila, no kēlā me kēia lāʻau lapaʻau āu e lawe nei (e laʻa, i kuhikuhi ʻia e ke kauka, i kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau, lāʻau lapaʻau kuʻuna, lāʻau lapaʻau Ayurvedic), pono ʻoeE akaka e pili ana i nā mea āpau āu e lawe ai me kāu kauka, e like me nā huaora, nā mea kanu, a me nā mea hoʻohui meaʻai.
He mea nui hoʻi e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe i kū ʻole i ke kānāwai , no ka mea, hiki i kekahi o kēia mau mea ke hoʻopilikia i ke ʻano o ka hana a etelcalcetide.
He aha kā mākou e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau?
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau ʻo "Etelcalcetide", e haʻi aku kāu kauka iā ʻoe e hana i kekahi mau hana koko . Hana ʻia kēia mau mea e nānā i kou pae calcium koko a me ka pae hormone parathyroid. No laila, he mea nui loa ia e hana mau ʻia kēia mau hoʻokolohua e like me ka ʻōlelo a kāu kauka iā ʻoe.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau "Etelcalcetide" ke hana i nā hopena ʻaoʻao liʻiliʻi. Akā, mai hopohopo i kēia. ʻAʻole loaʻa i nā kānaka a pau kēia mau hopena ʻaoʻao. Akā, he mea maikaʻi ke ʻike. E nānā kākou i ke ʻano o ia mau mea.
Nā hopena ʻaoʻao e pono ai ʻoe e hōʻike koke i kāu kauka a i ʻole kekahi loea lapaʻau:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi koke aku i kāu kauka a i ʻole ke kahu maʻi e mālama ana iā ʻoe , me ka hoʻokaʻulua ʻole .
- Nā hōʻailona o kahi hopena maʻi: ʻōhū ʻili, ʻōhū e like me ka ʻōhū, ka maneʻo ma ke kino holoʻokoʻa, nā hives, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo.
- Nā hōʻailona o kahi loli weliweli o ka helu o ka puʻuwai a i ʻole ke ʻano o ka puʻuwai: ʻeha koke ka umauma, ka manaʻo poniuniu, ka manaʻo e like me ka wikiwiki o ka puʻuwai, ʻano ʻē, a i ʻole ke kūlana ʻole, ka lohe ʻana i ka puʻuwai o kou puʻuwai (palpitations), ka manaʻo palupalu, ka poniuniu, ka manaʻo e hiolo ana ʻoe, a me ka paʻakikī o ka hanu ʻana.
- ʻO nā hōʻailona o ka haʻahaʻa o ka calcium koko: ka wikiwiki o ka puʻuwai, nā ʻehaʻeha o nā ʻiʻo, ka ʻeha o nā lima a me nā wāwae, ka mae ʻole a i ʻole ka nalowale o ka ʻike ma ia mau wahi, a me nā hopu ʻana.
- Nā hōʻailona o ka ʻoi aku ka maikaʻi ʻole o ka puʻuwai: Hoʻonui i ka paʻakikī o ka hanu ʻana, pehu o nā wāwae a me nā kapuwaʻi.
Inā ʻike ʻoe i kekahi mea e like me kēia, mai hoʻokaʻulua. E haʻi koke aku i kāu kauka . No ka mea, hiki i kēia mau mea ke lilo i mea koʻikoʻi loa.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, pono ʻoe e haʻi i kāu kauka ):
ʻAʻole maʻamau kēia mau mea i koʻikoʻi loa. I ka hapa nui o ka manawa e nalowale lākou i loko o kekahi mau lā. Eia nō naʻe, inā hoʻomau lākou, a manaʻo ʻoe i ka nui o ka ʻoluʻolu ʻole ma muli o lākou,E haʻi aku i ke kauka .
- Ka maʻi kahe: Ke hele ʻana o ka ʻōpala.
- ʻEha poʻo: He ʻeha poʻo.
- Nausea: He manaʻo o ka maʻi, me he mea lā e luaʻi ana.
- Ka luaʻi ʻana
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mau hōʻailona ʻē aʻe a hou paha, e haʻi i kāu kauka . Hiki iā ʻoe ke hōʻike i kēia mau hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma ke kelepona ʻana i ka 1-800-FDA-1088.
Pehea ʻoe e mālama ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he mea āu e hopohopo ai. No ka mea, ʻaʻole ʻoe e ʻae ʻia e lawe i kēia inikini Etelcalcetide i ka home. Mālama ʻia ia ma ka haukapila a i ʻole ma ke keʻena lapaʻau kahi āu e loaʻa ai ka mālama dialysis. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i nā mea e like me ka pala o ka lāʻau a i ʻole kahi e mālama ʻia ai.
I ka pōkole, nā mea nui e hoʻomanaʻo
ʻAe, e hōʻuluʻulu kākou i nā kumu koʻikoʻi mai nā mea a mākou i kamaʻilio ai:
- He inikini ʻo Etelcalcetide i hāʻawi ʻia i nā poʻe me ka maʻi puʻupaʻa mau loa a ke hana nei i ka dialysis e kāohi i ka hormone parathyroid keu i loko o ke kino.
- Hāʻawi wale ʻia kēia e ke kauka, kahi kahu maʻi i aʻo ʻia, a i ʻole ma ka haukapila a i ʻole ke keʻena lapaʻau.
- E haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, a me nā maʻi allergies āu e loaʻa ai.
- E hele mai no ka dialysis a me kēia lāʻau pale i ka manawa kūpono, i nā lā i hoʻonohonoho ʻia. Mai hōʻalo.
- E makaʻala i nā hopena ʻaoʻao. E haʻi koke aku i kāu kauka , ʻoiai inā loaʻa iā ʻoe kekahi o nā hopena ʻaoʻao koʻikoʻi a mākou i kūkākūkā ai.
- E hana i kāu hana koko e like me ka ʻōlelo a kāu kauka.
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi.
Hāʻawi wale kēia ʻatikala i kahi hōʻuluʻulu manaʻo o Etelcalcetide. ʻAʻole i loko nā kikoʻī āpau. Inā he mau nīnau hou aku kāu, hopohopo, a hopohopo paha e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e nīnau i kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe. E hiki iā lākou ke kōkua iā ʻoe.
Ke makemake nei iā ʻoe e ho'ōla koke!
ʻEtelcalcetide , hormone parathyroid, maʻi puʻupaʻa mau, dialysis, nā hopena ʻaoʻao, lāʻau lapaʻau
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