Ua ʻōlelo anei kāu kauka iā ʻoe e lawe i kahi pana i kapa ʻia ʻo Pamidronate? A i ʻole ke hāʻawi ʻia nei kēia pana i kekahi o kou ʻohana? He mea ʻē paha ke kani ʻana o ka inoa. Akā, mai hopohopo. He lāʻau lapaʻau koʻikoʻi loa kēia. I kēia lā, e kamaʻilio pōkole kākou e pili ana i ke kumu o kā mākou hāʻawi ʻana i kēia lāʻau, pehea e hana ai i loko o ke kino, a me nā mea e pono ai mākou e makaʻala.
I ka ʻōlelo maʻalahi, he aha ka Pamidronate?
He inikini ka Pamidronate i hāʻawi ʻia i loko o ke kino ma o kahi aa koko. Hāʻawi nui ʻia ia no kekahi mau kumu.
- Hiki i ke kanesa ke hoʻonui i nā pae calcium i loko o ke koko: Hiki i kekahi mau ʻano kanesa ke hoʻokuʻu i ka calcium keu mai ko mākou mau iwi a i loko o ke koko. ʻAʻole kēia he kūlana maikaʻi. Hana ʻo Pamidronate ma ke kāohi ʻana i ka hoʻokuʻu ʻia ʻana o ka calcium mai nā iwi. A laila hoʻihoʻi kēia i nā pae calcium i loko o ke koko i ka maʻamau.
- Nā iwi nāwaliwali ma muli o ke kanesa: ʻO kekahi mau ʻano kanesa (no ka laʻana, ka myeloma maha a i ʻole ke kanesa umauma i pālahalaha i nā iwi) hiki ke hoʻonāwaliwali i nā iwi a haki maʻalahi (haʻihaʻi). Hoʻoikaika kēia lāʻau lapaʻau i nā iwi a hōʻemi i ka pilikia o ia mau haki.
- ʻO ka maʻi o Paget o ka iwi: He kūlana kēia kahi i kū ʻole ai ke kaʻina hana o ka hoʻokumu ʻana a me ka haki ʻana o ka iwi. Kōkua kēia lāʻau lapaʻau i ka kaohi ʻana i kēlā kaʻina hana.
I ka ʻōlelo maʻalahi, pili kēia lāʻau i kahi papa o nā lāʻau i kapa ʻia ʻo bisphosphonates . ʻO kāna hana nui ka pale a me ka hoʻoikaika ʻana i nā iwi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻoholo ʻana e hāʻawi iā ʻoe i kēia lāʻau pale, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka .
| Kou kūlana | No ke aha he mea nui e haʻi aku i ke kauka ? |
|---|---|
| Maʻi puʻupaʻa | Hoʻopau ʻia kēia lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa. Inā he pilikia me nā puʻupaʻa, pono paha ke kauka e hoʻololi i ka nui o ka lāʻau a i ʻole e hana i nā hana ʻē aʻe. |
| Nā pilikia niho a i ʻole ka ʻāʻī (maʻi niho) | I mea e pale ai i kahi pilikia kakaikahi (osteonecrosis) o ka ʻāwae e hiki mai ana i ka wā e lawe ai i kēia lāʻau lapaʻau, he mea nui e mālama i ke olakino niho maikaʻi ma mua o ka mālama ʻana. |
| Nā pae haʻahaʻa o ka calcium a i ʻole nā minelala ʻē aʻe i loko o ke koko | Hiki i ka Pamidronate ke hoʻohaʻahaʻa hou i nā pae calcium koko, no laila he mea nui e hoʻoponopono i nā pae haʻahaʻa ma mua o ka hoʻomaka ʻana o ka lāʻau. |
| Inā ʻoe e ho'āʻo nei e hāpai, ua hāpai, a he makuahine hānai paha | Hiki i kēia lāʻau lapaʻau ke hōʻeha i ka pēpē i hānau ʻole ʻia, no laila he mea nui loa e kamaʻilio me kāu kauka e pili ana i kēia. |
| Inā he maʻi ʻoe i ka Pamidronate a i ʻole nā lāʻau lapaʻau a meaʻai paha | Hiki ke pale ʻia nā hopena i makemake ʻole ʻia ma ka hoʻomaopopo ʻana i ke kauka ma mua e pili ana i kekahi mau maʻi allergies. |
Pehea ʻoe e loaʻa ai kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He inikini kēia i loko o kahi aa koko. No laila e hāʻawi ʻia iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana a nā limahana lapaʻau. Hiki ke ʻokoʻa ka manawa infusion ma muli o kou kūlana.
E hāʻawi ʻia iā ʻoe nā lā kikoʻī e lawe ai i kāu lāʻau lapaʻau. He mea nui loa ka hele ʻana i ka haukapila i kēlā mau lā. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele, e hoʻomaopopo mua i kāu kauka a i ʻole ke keʻena lapaʻau.
Inā manaʻo koke ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo a hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Nā mea e pono ai ʻoe e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
Aia kekahi mau mea nui e pono ai ʻoe e makaʻala i ka wā e lawe ai i kēia lāʻau.
Ka nānā pono ʻana i nā niho a me nā ʻāʻī
He mea nui loa kēia. Hiki i kahi poʻe liʻiliʻi e lawe ana i nā lāʻau lapaʻau e like me Pamidronate ke loaʻa i kahi pilikia iwi i kapa ʻia ʻo "Osteonecrosis o ka ʻauwae." ʻOiai he mea kakaikahi kēia, he mea maikaʻi ke makaʻala i ia mea.
- E haʻi aku i ke kauka niho:E hōʻoia e haʻi i kāu kauka niho e lawe ana ʻoe i kēia lāʻau lapaʻau.
- E hōʻalo i ke ʻoki kino nui: I ka hiki, e pale i ke ʻoki niho nui, e like me ka unuhi ʻana i nā niho, ʻoiai e lawe ana i kēia lāʻau lapaʻau.
- E hoʻomaʻemaʻe i kou mau niho ma mua o ka mālama ʻana: ʻOi aku ka maikaʻi o ka ʻike ʻana i kahi kauka niho a hoʻoponopono i kāu mau pilikia niho a pau ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
- Ola kino waha: E palaki pono i kou mau niho i kēlā me kēia lā a mālama i ke olakino maikaʻi o ka waha.
ʻEha iwi, hono a me nā ʻiʻo
Hiki i kekahi poʻe ke ʻeha nui i ko lākou mau iwi, nā hono, a i ʻole nā ʻiʻo i ka wā e lawe ana i kēia lāʻau lapaʻau. Aia kekahi pilikia liʻiliʻi o ka haki ʻana o ka iwi ʻūhā. Inā ʻike ʻoe i ka ʻeha nui i kou ʻauwae, nā iwi, a i ʻole nā hono āu e hiki ʻole ai ke hoʻomanawanui , mai hoʻowahāwahā iā ia a haʻi koke i kāu kauka.
Kalikima a me ka wikamina D
He mea nui e hōʻoia i ka loaʻa ʻana o ka calcium a me ka wikamina D i kou kino i ka wā e lawe ana i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i nā meaʻai a me nā wikamina āu e lawe nei a lawe i nā mea hoʻohui hou inā pono.
Nā hoʻāʻo koko a me ka hāpai ʻana
ʻOiai ʻoe e lawe ana i ka lāʻau lapaʻau, e kauoha ana kāu kauka i nā hoʻāʻo koko i kēlā me kēia manawa e nānā i kāu hana puʻupaʻa a me nā pae mineral koko.
ʻO ka mea nui loa, inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ua hāpai ʻoe, e haʻi koke aku i kāu kauka. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Pamidronate ke hana i nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau, akā he mea nui e makaʻala iā lākou.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Ka haʻahaʻa o ka calcium i loko o ke koko | ʻŪmiʻi a ʻeha paha nā ʻiʻo, mae wale, huikau. |
| ʻO ka osteonecrosis o ka ʻāwae | ʻEha ma ka waha a i ʻole ka ʻāwae, ka pehu ʻana, ka ʻulaʻula, ka mae ʻana o ka ʻāwae, a i ʻole ka hiki ʻole ke ho'ōla ma kahi i unuhi ʻia ai ka niho. |
| ʻEha nui o ka iwi a i ʻole nā hono | He ʻeha hoʻomanawanui ʻole, hoʻomau. |
| ʻO nā hōʻailona ʻaʻole ia he mea e hopohopo ai, akā inā hoʻomau lākou, pono ʻoe e haʻi i kāu kauka. | |
| kuni | Hiki ke loaʻa kahi kuni iki i ka lā mua a ʻelua paha ma hope o ka hāʻawi ʻana i ka lāʻau. |
| Luhi | Manaʻo o ke ola ʻole. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
| Makemake nui | Ua emi ka makemake. |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻakikī e hele i ka lua. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻokoʻa a ʻano ʻē paha, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻO ka Pamidronate kahi inikini intravenous e mālama ai i nā kūlana e like me ke kiʻekiʻe o ka calcium koko a me ka nāwaliwali o ka iwi i hoʻokumu ʻia e ka maʻi kanesa.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka e pili ana i kou mau maʻi āpau (ʻoiai nā pilikia o ka puʻupaʻa a me nā niho) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E mālama pono i ke olakino o kou niho i ka wā e lawe ana i ka lāʻau lapaʻau. E pale i nā ʻoki niho nui.
- Inā ʻike ʻoe i kekahi mea e like me ka ʻeha nui o ka iwi, ka ʻeha o ka ʻāwae, nā hōʻailona allergy, a i ʻole ka emi ʻana o ka mimi, e hoʻomaopopo koke i kāu kauka.
- ʻAʻole kūpono kēia lāʻau lapaʻau inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. E kamaʻilio me kāu kauka e pili ana i kēia.
- Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka.
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