Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Paricalcitol e mālama i kahi pilikia o ka maʻi puʻupaʻa? Loaʻa paha iā ʻoe nā nīnau e pili ana i ke ʻano o ia lāʻau lapaʻau, pehea e hoʻohana ai, a me nā hana palekana kūikawā āu e pono ai e lawe. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia mau mea a pau me ka maʻalahi a me ka maopopo i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Paricalcitol?
He lāʻau lapaʻau kūikawā ʻo Paricalcitol e like me ka huaora D. ʻO ka maʻamau, ke loaʻa ka maʻi puʻupaʻa no ka manawa lōʻihi, lilo ka ʻōpū parathyroid i loko o ko mākou kino i mea hana nui. Kāhea mākou i kēia kūlana he "hyperparathyroidism". Ma muli o kēia, piʻi ka pae o ka hormone parathyroid i loko o ke kino, nāwaliwali nā iwi, a hoʻomaka ka pae calcium a me ka phosphorus e lilo i mea kaulike ʻole.
No laila, ʻo ka hana a Paricalcitol, ʻo ia ke kāohi i ka ʻōpū parathyroid hana nui a hoʻihoʻi i nā pae hormone i ka maʻamau. Kōkua kēia i ka mālama ʻana i kou mau iwi i ikaika.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Kiʻekiʻe o ke kalakiuma koko, ka phosphorus, a i ʻole ka nui o ka huaora D: Inā ʻoi aku ke kiʻekiʻe o kou kalakiuma koko, ka phosphorus, a i ʻole ka nui o ka huaora D ma mua o ka maʻamau.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i ka Paricalcitol, ka wikamina D, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Hāpai: Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai.
- Ka hānai waiū ʻana: Inā he makuahine ʻoe e hānai waiū ana i kāu keiki.
He mea nui loa ka hāʻawi pololei ʻana i kēia ʻike i kāu kauka no kou palekana a me ka holomua o kāu lāʻau lapaʻau.
Pehea e pono ai iaʻu e hoʻohana pono i ka lāʻau lapaʻau?
He mea nui loa e lawe i kēia lāʻau lapaʻau e like me ke kauoha a ke kauka, ma ka nui i kauoha ʻia, a ma ka manawa i kauoha ʻia.
- E ale i kēia me ke aniani wai.
- Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana, akā inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā.
- Mai lawe i nā lāʻau lapaʻau ma mua o ka mea a kāu kauka e ʻōlelo ai.
- I kekahi manawa, ua kuhikuhi ʻia kēia lāʻau lapaʻau no nā keiki (ma luna o 10 mau makahiki), akā pono ia i nā hana palekana kūikawā. E kamaʻilio me kāu kauka e pili ana i kēia.
Overdose
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻokaʻulua. E kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Paricalcitol e hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui).
| Māhele lāʻau lapaʻau | Ka wehewehe a me nā laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Paricalcitol | |
| Nā ʻano ʻē aʻe o ka wikamina D | E hōʻalo i ka lawe ʻana i nā mea hoʻopihapiha ʻē aʻe o ka wikamina D a i ʻole ka wikamina D. |
| ʻO Burosumab | He lāʻau lapaʻau kēia i hāʻawi ʻia no kahi kūlana olakino kūikawā. |
| Nā lāʻau lapaʻau a me nā meaʻai ʻē aʻe e launa pū me Paricalcitol | |
| Nā lāʻau lapaʻau antifungal | Laʻana: `(ketoconazole)`, `(itraconazole)` |
| Nā lāʻau lapaʻau | E laʻana: `(clarithromycin)`, `(telithromycin)` |
| Nā lāʻau hoʻohaʻahaʻa kolesterol | Laʻana: `(cholestyramine)`, `(colestipol)` |
| Nā lāʻau lapaʻau a me nā mea ʻē aʻe | Nā lāʻau lapaʻau no ka maʻi HIV/AIDS, Digoxin, Diuretics, lāʻau Epilepsy, kekahi mau wikamina a me nā antacids. |
| Meaʻai | Mai inu i ka wai pomelo . |
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 Paricalcitol ke hana i nā hopena ʻaoʻao i kekahi poʻe. Hiki i kekahi o kēia mau mea ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
| Ka hopena ʻaoʻao | He aha e hana ai |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena maʻi: ka ʻili ʻana, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu. | E ʻimi koke i ka lāʻau lapaʻau. |
| Hoʻonui ʻia ka nui o ka calcium koko: make wai nui, urination pinepine, nausea, luaʻi, huikau noʻonoʻo, nāwaliwali ʻē, ʻeha iwi. | E hoʻomaopopo koke i ke kauka. |
| Nā pae phosphorus kiʻekiʻe i ke koko: ka ʻūlū ʻana o nā ʻiʻo a i ʻole ka ʻeha, ka ʻeha o ka iwi a i ʻole nā hui, ka maneʻo a puni ka waha. | E hoʻomaopopo koke i ke kauka. |
| Hoʻonui ʻia ke koko. | E hoʻomaopopo koke i ke kauka. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻomau lākou: | |
| Paʻa ka ʻōpū, ka maʻi pākī, ka nausea, ka luaʻi | E haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. |
| Pōniuniu , nalowale o ka makemake e ʻai, ihu wai a i ʻole ka ihu paʻa. | E haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. |
Nā mea nui ʻē aʻe e hoʻomanaʻo i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua maʻamau: ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e loaʻa i nā hoʻokolohua koko maʻamau (nā hoʻokolohua lab) e like me ke kauoha a kāu kauka. E nānā kēia i nā pae calcium, phosphorus, a me ka parathyroid hormone o kou kino.
- ʻAi kūikawā: Hiki i kāu kauka ke haʻi aku iā ʻoe e hahai i kahi ʻai kūikawā. Hiki iā lākou ke haʻi aku iā ʻoe e kaupalena i nā meaʻai kiʻekiʻe i ka phosphorus (e.g., waiū, tīhi, nati, pī). E hahai pololei i kēlā mau kuhikuhi.
- Nā mea hoʻohui ʻē aʻe: Mai lawe i nā mea hoʻohui ma luna o ke kūʻai aku a i ʻole nā antacids i loaʻa ka huaora D, calcium, phosphorus, a i ʻole magnesium me ka ʻōlelo aʻoaʻo a kāu kauka.
Pehea ʻoe e mālama pono ai i kāu lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki.
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius). E mālama ʻia mai ka wela nui a me ka makū.
- E hoʻolei i ka lāʻau lapaʻau i pau me ka hoʻohana ʻole ʻana.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Paricalcitol e kaohi ai i nā kaulike ʻole o ka hormonal a me nā mineral e kū mai ana me nā maʻi puʻupaʻa.
- E lawe mau i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, ma ke ʻano kūpono.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā mea hoʻopihapiha āu e lawe nei.
- E hōʻoia e hele i nā hoʻokolohua koko a me nā keʻena lapaʻau i kauoha ʻia e kāu kauka.
- Inā ʻike ʻoe i kekahi mau hōʻailona o kahi hopena koʻikoʻi (makewai nui, ʻūlū ʻana o nā ʻiʻo, hopena maʻi), e ʻimi koke i ke kōkua lapaʻau.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kūkākūkā me kāu kauka.
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