Ua kuhikuhi anei kāu kauka iā ʻoe i kahi inikini waikawa folic? Malia paha ua hāpai ʻoe, a ua kuhikuhi ʻia paha ʻoe no kekahi pilikia olakino ʻē aʻe. ʻO ka lohe ʻana i kēia inoa e hāpai paha i nā nīnau he nui. He mea maʻamau ia no nā mea e like me "No ke aha kēia?", "He aha ka mea e hiki mai ana iā ia?", "Palekana anei?" e noʻonoʻo ai. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia inikini, kona koʻikoʻi, a me nā mea e makaʻala ai i ka wā e hoʻohana ana, ma ke ʻano maʻalahi a aloha hoʻi.
ʻO ka mea mua, e nānā kākou, he aha ka waikawa folic?
I ka ʻōlelo maʻalahi, ʻo ka waikawa folic kahi huaora B e pono ai no ko mākou kino. I ka pololei, ʻo ia ke ʻano synthetic o ka huaora B9 . E noʻonoʻo i ko mākou kino e like me kahi hale. Pono mākou i nā ʻano piliki like ʻole e kūkulu i kēia hale, ʻeā? Pēlā nō, pono kēia mau huaora e kūkulu a mālama i nā mea nui loa i loko o ko mākou kino.
Hana ka waikawa Folic i kekahi mau hana koʻikoʻi i loko o ko mākou kino:
- Ka hana ʻana i nā hunaola koko ʻulaʻula: He mea nui ka waikawa Folic no ka hana ʻana i nā hunaola koko ʻulaʻula, ka mea e lawe ana i ka oxygen ma o ko kākou kino. Ke pau kēia mau mea, loaʻa iā kākou kahi maʻi i kapa ʻia ʻo anemia.
- Ola kino o ka lolo: Kōkua pū kēia i ka mālama ʻana i ka hana maikaʻi o ka lolo.
- I ka wā hāpai: He mea nui ka waikawa Folic no ka makuahine a me ke keiki i hānau ʻole ʻia. He mea nui loa ia no ka ulu ʻana o ka lolo a me ke kaula kuamoʻo o ka pēpē. ʻO ka nele o ka waikawa Folic e hōʻemi nui i ka pilikia o nā kīnā hānau koʻikoʻi i loko o ka ʻōnaehana nerve.
Loaʻa pinepine iā mākou kēia ma ke ʻano pila. Akā i kekahi mau hihia, ke hiki ʻole i ke kino ke omo pono iā ia ma o ka meaʻai, a i ʻole ke pono ʻoe e hoʻonui koke i nā pae folic acid o kou kino, paipai nā kauka iā ia ma ke ʻano he injection.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale
ʻOiai he huaora kēia, he mea nui e hoʻomaopopo pono i kāu kauka e pili ana i kou olakino, ʻoiai kēia mau mea:
| Kou kūlana | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi puʻupaʻa | Ma muli o ka hoʻopau ʻia ʻana o ka lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa, pono paha e hoʻoponopono ʻia ka dosage. |
| ʻO ka anemia pernicious a i ʻole ka nele o ka huaora B12 | He mea nui loa kēia. Hiki i ka waikawa Folic ke kāohi i nā hōʻailona o ka nele o ka wikamina B12. Akā, hoʻomau ka pōʻino o ke aʻalolo ma lalo. No laila, he mea nui kēia ʻike no ke kauka e hana i kahi hōʻailona pololei. |
| Nā maʻi ʻaleka | E haʻi i kāu kauka inā he mau maʻi ʻaleka kou i ka waikawa folic, nā huaora B ʻē aʻe, nā mea hoʻohui ʻē aʻe i loko o ka lāʻau pale (e like me ka benzyl alcohol), a i ʻole nā lāʻau lapaʻau a meaʻai paha ʻē aʻe. |
| Hāpai a i ʻole e hoʻāʻo ana e hāpai | ʻOiai ua ʻōlelo pinepine ʻia kēia i ka wā hāpai, he mea nui e ʻike kāu kauka i kou kūlana. |
| Ka hānai ʻana i ka waiū umauma | He mea nui e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka lāʻau lapaʻau i ka wā e hānai ai i ka waiū. |
Pehea e hoʻohana ʻia ai kēia lāʻau pale?
ʻO ka maʻamau, hāʻawi ʻia ka lāʻau pale folic acid ma kahi haukapila a i ʻole ke keʻena lapaʻau. Hāʻawi ʻia e ke kauka a kahu maʻi paha. Aia kekahi mau ala e loaʻa ai ka lāʻau pale:
- ʻO ke komo ʻana i loko o ke aʻa (IV) - `(I loko o ke aʻa)`
- ʻO ke komo ʻana o nā ʻiʻo (IM)
- Ma lalo o ka ʻili - `(Subcutaneous a i ʻole SC)`
I kekahi manawa, e kuhikuhi paha kāu kauka iā ʻoe i ke ʻano o ka hāʻawi ʻana i ka lāʻau pale ma ka home. Inā pēlā, e hahai pololei i nā kuhikuhi . He mea nui loa ka lawe ʻana i ka nui kūpono i ka manawa kūpono.
He mea nui loa: Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Hiki iā lākou ke hoʻoweliweli i nā poʻe ʻē aʻe. Aia kahi pahu ʻoi kūikawā no lākou. Inā ʻaʻohe āu, e nīnau i kāu kauka e pili ana i ia mea.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo .
He aha inā e hala wau i kahi manawa hoʻonohonoho lāʻau lapaʻau?
E lawe i ka lāʻau i ka wā e hoʻomanaʻo ai ʻoe. Akā 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 i ʻelua lāʻau i ka manawa hoʻokahi.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hoʻopilikia i ke ʻano o ka hana ʻana o ka folic acid, a hiki i ka folic acid ke hoʻopilikia i kēlā mau lāʻau lapaʻau. Eia kekahi mau laʻana:
- Chloramphenicol (he lāʻau antibiotic)
- ʻO Cholestyramine (he lāʻau hoʻohaʻahaʻa cholesterol)
- ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana
- ʻO Methotrexate (he lāʻau lapaʻau i hoʻohana ʻia no ke kanesa a me nā maʻi ʻē aʻe)
- Nitrofurantoin (he lāʻau antibiotic)
- ʻO Pyrimethamine (kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi e like me ka malaria)
ʻAʻole piha kēia papa inoa. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, nā lāʻau lapaʻau lāʻau, a i ʻole nā mea hoʻohui meaʻai āu e lawe nei. Eia kekahi, e haʻi i kāu kauka inā puhipaka ʻoe a inu waiʻona paha.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i nā inikini folic acid ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, ʻaʻole maʻamau kēia mau mea. E nānā kākou i kēia mau hopena ʻaoʻao.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, pōkole ka hanu, a pēlā aku. |
| Nā hōʻailona neurological | ʻEha, mae, a nalowale paha ka ʻike ma nā lālā. |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| ʻO ka ʻoluʻolu ʻole maʻamau | Manaʻo make a luhi hoʻi. |
| ʻAʻohe ʻono | Ua emi ka makemake. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe ʻaʻole ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He mea nui ka waikawa Folic (wikamina B9) no ko mākou kino, ʻoi aku hoʻi no ka hana ʻana o nā hunaola koko ʻulaʻula, ka hana o ka lolo, a me ka ulu ʻana o ka pēpē i ka wā hāpai.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā maʻi olakino ʻē aʻe āu e loaʻa nei (ʻoi aku ka maʻi puʻupaʻa, ka nele o ka wikamina B12).
- Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Pōpilikia (ETU).
- Inā ʻike ʻoe i nā hōʻailona o kahi hopena maʻi (ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka/ʻāʻī, ka paʻakikī o ka hanu ʻana), e ʻimi koke i ke kōkua lapaʻau.
- ʻOiai he huaora kēia, e hoʻohana wale ia ma lalo o ke aʻo a ke kauka, ma ke ʻano i kuhikuhi ʻia. E kamaʻilio ākea me kāu kauka e pili ana i kou mau hopohopo.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau ikaika loa nā papa/kapsula Dofetilide (Dofetilide / Tikosyn) i hoʻohana ʻia no ka maʻi hea?
ʻAʻole kēia he lāʻau lapaʻau maʻamau! ʻO kēia ka lāʻau lapaʻau ikaika loa a hope loa (Class III Antiarrhythmic) a nā kauka e hoʻohana ai e hoʻihoʻi i ka puʻuwai i ka 'Normal Sinus Rhythm' ke kuʻi koke nā keʻena o luna o ka mea maʻi me ka wikiwiki ʻole (Atrial Fibrillation / Atrial Flutter), kahi kūlana weliweli loa kahi e kuʻi koke ai nā keʻena o luna o ka puʻuwai me ka wikiwiki ʻole!
💬 Ke kuʻi nui nei ka puʻuwai, pehea lā e hiki ai i kēia lāʻau lapaʻau (Dofetilide) ke hoʻoponopono i ke kuʻina o ka puʻuwai?
Hoʻokuʻi ka puʻuwai ma o nā hōʻailona uila (Action Potentials). Ke kuʻi ikaika ia, hoʻopiʻi koke nā ʻāpana uila! ʻO ka hana a kēia pila (Potassium channel blocker) ke komo i loko o ka puʻuwai, ʻo ia ke hoʻolōʻihi a hoʻopaneʻe i ka manawa e pono ai no nā ʻāpana uila o ka puʻuwai e hoʻopiʻi a hoʻonohonoho hou/hoʻomaha (Repolarization phase / QT interval)! A laila, ʻaʻole hiki i ka puʻuwai ke kuʻi koke i ka manawa aʻe a hoʻi koke ka helu o ka puʻuwai i ka maʻamau (lohi).
💬 No ke aha i ʻōlelo ʻia ai 'Pono ʻoe e noho i ka haukapila no 3 mau lā (ʻŌlelo Aʻo Pahu ʻEleʻele)' ke hoʻomaka ʻoe e lawe i kēia lāʻau lapaʻau (Tikosyn)?
ʻO ia ka pōʻino nui loa a me ka make! Ua like kēia me ka hoʻokumu ʻana i kahi mele puʻuwai, a i ka manawa koke e lawe ai ʻoe i kekahi mau pila, hiki ke hana ʻia kahi 'mele puʻuwai make hou (Torsades de pointes / Proarrhythmia)' a hiki i ka mea maʻi ke make koke / komo i loko o ka coma! No laila, no nā lā 3 mua, e hoʻopaʻa pono nā kauka i ka mea maʻi ma kahi ECG a nānā i nā puʻupaʻa ma mua o ka hoʻoponopono ʻana i ka dosage.
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