Inā ʻoe e ʻeha nei i ka maʻi puʻupaʻa, ua ʻike paha ʻoe mai ka ʻike ʻana e hiki i ke kūlana ke hoʻopilikia i nā ʻōnaehana ʻē aʻe o ke kino. Hiki i kēia ke hoʻopilikia nui i ke olakino o kā mākou ʻōnaehana iwi. I ia hihia, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi inikini i kapa ʻia ʻo 'Paricalcitol'. No laila, ʻoiai he mea hou kēia inoa i nā poʻe he nui, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, kāna hana maoli, a me nā mea e makaʻala ai i ka wā e hoʻohana ai.
He aha ke ʻano lāʻau lapaʻau ʻo Paricalcitol?
I ka ʻōlelo maʻalahi, he ʻano kūikawā ʻo Paricalcitol o ka huaora D. Akā, ʻaʻole kēia e like me ka pila huaora D a mākou e lawe mau ai. ʻO kāna hana nui ka hoʻomalu ʻana i ka hana o nā kelepa parathyroid i loko o ko mākou kino.
I nā poʻe me ka maʻi puʻupaʻa, ʻoiai ka poʻe ma ka dialysis, lilo nā kelepa parathyroid i mea hana nui i kekahi manawa. Kāhea mākou i kēia maʻi ma ke ʻano lapaʻau he "hyperparathyroidism." Ke lilo nā kelepa i mea hana nui, hoʻokuʻu lākou i ka nui o ka hormone parathyroid "hormone parathyroid" i loko o ke koko. Ke piʻi aʻe kēia hormone, lawe ia i ka calcium mai ko mākou mau iwi a hoʻohui iā ia i ke koko. I ka hala ʻana o ka manawa, hiki i kēia ke hoʻonāwaliwali i nā iwi, palupalu, a haki maʻalahi.
No laila, ʻo ka hana a ka inikini `Paricalcitol` e hōʻemi a kāohi i nā pae o ka hormone parathyroid i kiʻekiʻe loa, a pale i kāu ʻōnaehana iwi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, pono i kāu kauka ke ʻike i kou mōʻaukala olakino piha. No laila, e hōʻoia e haʻi iā ia e pili ana i kēia mau mea. ʻO ka hūnā ʻana i kēia mau mea e hōʻino wale iā ʻoe.
| Ke kūlana āu e pono ai e hōʻike | Wehewehena |
|---|---|
| Nā pae koko | Inā ua haʻi aku kāu kauka iā ʻoe ua kiʻekiʻe mua kou nui o ka calcium, phosphorus, a i ʻole ka wikamina D i loko o kou koko, e haʻi aku iā lākou. |
| Nā maʻi ʻaleka | E hōʻoia e haʻi mai iā mākou inā he maʻi allergy kou i kēia lāʻau Paricalcitol, ka wikamina D, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, mea mālama, a i ʻole kala. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | He mea nui loa e hoʻomaopopo i kāu kauka inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole ʻo Paricalcitol kahi lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He inikini ia i loko o kahi aa. No laila, hāʻawi wale ʻia e nā limahana lapaʻau i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau . Hāʻawi pinepine ʻia kēia inikini i ka wā o ka mālama ʻana i ka dialysis.
Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi a ʻōlelo aku paha i kekahi.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau a i ʻole inā ʻike ʻoe i kekahi mau hōʻailona e pili ana iā ia, e hoʻomaopopo koke i nā limahana. A i ʻole, e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . I kahi pilikia, ʻoi aku ka maikaʻi o ka hele ʻana i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau, nā meaʻai, a me nā mea hoʻohui ke launa pū me Paricalcitol. No laila, he mea nui e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau lapaʻau no nā kūlana ʻē aʻe, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā lāʻau Ayurvedic).
| ʻAno lāʻau lapaʻau/meaʻai | Mea e hopohopo ai |
|---|---|
| ʻO Burosumab, nā lāʻau lapaʻau ʻē aʻe i loaʻa ka huaora D | ʻO ka lawe pū ʻana i kēia mau mea hiki ke hoʻonui i ka nui o ka calcium a me ka wikamina D i loko o ke kino. |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi HIV/AIDS, nā maʻi fungal, cholesterol, a me nā hopu ʻana | Hiki i kēia ke hoʻopilikia i ke ʻano hana a Paricalcitol, no laila pono e hoʻoponopono ʻia kāu mahele lāʻau a i ʻole pono paha ʻoe e hoʻāʻo pinepine ʻia. |
| ʻO Digoxin, diuretics (nā pila wai), kekahi mau lāʻau antibiotic (e like me clarithromycin) | Pono ka nānā pono ʻana e ke kauka no ka mea hiki ke loaʻa nā hopena ma waena o kēia mau lāʻau lapaʻau. |
| Wai ʻāpala | E hōʻalo i ka inu ʻana i ka wai jambola, no ka mea hiki ke hoʻonui i ka nui o kēia lāʻau lapaʻau i loko o ke kino. |
| ʻO kekahi mau antacids a me nā huaora | Mai lawe i kēia me ke aʻo ʻole ʻia e ke kauka. Loaʻa paha iā lākou ka calcium, magnesium, a i ʻole phosphorus. |
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
1. Nā hoʻokolohua lapaʻau maʻamau: E nānā mau kāu kauka iā ʻoe e ʻike i kou ʻano. Pono nō hoʻi ʻoe e loaʻa i nā hoʻokolohua koko maʻamau (nā hoʻokolohua lab) e nānā i kāu calcium, phosphorus, a me nā pae hormone parathyroid . Mai haʻalele i kēia mau hoʻokolohua.
2. ʻAi kūikawā: E noi ʻia ʻoe e hahai i kahi ʻai kūikawā i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki ke noi ʻia ʻoe e kaupalena i nā meaʻai i loaʻa ka phosphorus (waiū, tīhi, nati, pī, a me nā mea inu e like me ke kola). E hahai pono i nā kuhikuhi a kāu kauka a i ʻole ka meaʻai meaʻai.
3. E hōʻalo i ka lawe ʻana i nā lāʻau lapaʻau hou aʻe: Me ka ʻae ʻole o ke kauka.Mai lawe i nā mea hoʻohui a i ʻole nā antacids i loaʻa ka wikamina D, phosphorus, magnesium, a i ʻole calcium. ʻO ka hana ʻana pēlā e hiki ai ke hoʻonui i nā pae kiʻekiʻe o kēia mau mea i loko o ke kino a hoʻoulu i nā hopena ʻaoʻao koʻikoʻi.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Paricalcitol ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, a he akahai kekahi. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau hōʻailona a hana koke inā pono.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo nui, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Nā hōʻailona o ka nui o ka calcium | ʻO ka make wai nui, ka mimi pinepine ʻana, ka nausea, ka luaʻi ʻana, ka huikau, ka luhi ʻē, a me ka ʻeha o ka iwi. |
| Nā hōʻailona o ka hoʻonui ʻia o ka phosphorus | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, ʻeha o ka iwi a i ʻole nā hono, mae a puni ka waha. |
| Nā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka luaʻi, ka paʻa ʻana o ka ʻōpū, ka ʻeha o ka ʻōpū, ka nele o ka makemake. |
| Nā hiʻohiʻona ʻē aʻe | ʻEha ke poʻo, pehu o nā kuʻekuʻe wāwae, lima, a i ʻole nā wāwae. |
Leka Lawe-Home
- He ʻano kūikawā ka Paricalcitol o ka inikini wikamina D i hāʻawi ʻia e kāohi i ka hyperparathyroidism i nā maʻi puʻupaʻa.
- Hāʻawi wale ʻia kēia lāʻau lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau.
- Ma mua o kou hoʻomaka ʻana e lawe i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kāu mau maʻi allergies āpau, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a inā ʻoe e hāpai/hānai waiū ana.
- He mea nui e hana i nā hoʻokolohua koko i ka manawa a e hahai i ka papaʻai i kauoha ʻia e ke kauka.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona maʻi a i ʻole nā hōʻailona o ke kiʻekiʻe o ka calcium a i ʻole ka phosphorus (e like me ka make wai nui, ka ʻeha o ka iwi), e hoʻomaopopo koke i kāu kauka.
- Mai lawe i nā mea hoʻopihapiha i loaʻa ka calcium, ka huaora D, a i ʻole ka phosphorus me ka ʻole o ke aʻo ʻana a ke kauka.
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