Ua ʻōlelo anei kāu kauka iā ʻoe e lawe i kahi lāʻau i kapa ʻia ʻo 'Phosphate Binders'? A i ʻole ua ʻike ʻoe ua kiʻekiʻe kou pae phosphate koko? He mea ʻē paha kēia inoa iā ʻoe. Akā, mai hopohopo. He lāʻau lapaʻau kēia i kuhikuhi pinepine ʻia i ka poʻe me ka maʻi puʻupaʻa. I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia mau mea hoʻopaʻa phosphate?
He mea maʻalahi loa. ʻO nā mea hoʻopaʻa phosphate kahi ʻano lāʻau lapaʻau i hāʻawi ʻia e hoʻohaʻahaʻa i ka pae o ka phosphate i loko o kou kino. He mineral ka phosphate e pono ai ko kākou kino. Akā e like me nā mea āpau, ʻo ka nui o ia mea hiki ke hoʻopilikia. ʻO ia ka manawa e kuhikuhi ai ke kauka i kēia lāʻau lapaʻau.
ʻOiai hiki ke kūʻai ʻia kekahi o kēia mau lāʻau lapaʻau ma luna o ke kūʻai aku, ʻaʻole loa ʻoe e hoʻohana iā lākou me ke kamaʻilio ʻole ʻana me kāu kauka. He mea nui loa kēia.
No ke aha e pono ai ka phosphate i ko mākou kino?
He electrolyte ka Phosphate i loko o ko kākou kino. I ka ʻōlelo maʻalahi, he mineral ia e pono ai no ko kākou kino e hana. E noʻonoʻo e pili ana i ia mea, kōkua ka phosphate i ka hoʻoikaika ʻana i ko kākou mau iwi a me nā niho. ʻAʻole wale ia, akā he mea nui nō hoʻi ka phosphate no ka hana ʻana i ka ikehu o nā ʻāpana o ko kākou kino, ke kūkulu ʻia ʻana o nā membrane cell, a me ke kūkulu ʻia ʻana o ka DNA (Deoxyribonucleic acid), nona ka ʻike genetic.
Loaʻa iā mākou kēia phosphate mai ka meaʻai a mākou e ʻai ai a inu ai. Lawe wale ke kino o ke kanaka olakino i ka nui e pono ai, a hoʻokuʻu ʻia ke koena i loko o ka mimi a me nā ʻōpala. Akā no kekahi kumu, ʻoiai ke hana pono ʻole nā puʻupaʻa, ʻaʻole hiki i ke kino ke hoʻokuʻu i ka phosphate keu ma kēia ʻano. ʻO ia ka manawa e hōʻiliʻili ai ka phosphate i loko o ke koko a hoʻoulu i nā pilikia.
ʻO wai ka mea e pono ai kēia mea hoʻopaʻa phosphate?
ʻO ka hapa pinepine, e kuhikuhi ke kauka i kēia lāʻau lapaʻau inā ʻoi aku ka kiʻekiʻe o ka pae phosphate i loko o kou koko ma mua o ka maʻamau. Ua ʻike ʻia kēia ʻano ma ke ʻano lapaʻau ʻo hyperphosphatemia .
ʻOi aku ka maʻalahi o kēia kūlana i nā poʻe me ka maʻi puʻupaʻa mau loa (CKD) a me ka poʻe i loaʻa ka hāʻule piha ʻana o ka puʻupaʻa a ke hana ʻia nei i ka dialysis.
No ke aha i hāʻawi ʻia ai kēia lāʻau lapaʻau i nā poʻe maʻi dialysis?
He mea maʻamau ka hōʻiliʻili ʻana o ka phosphate i loko o ke koko i ka wā e hāʻule ai nā puʻupaʻa. Ke piʻi aʻe ka nui o ka phosphate, hoʻomaka ia e huki i ka calcium mai nā iwi. I ka hala ʻana o ka manawa, hoʻonāwaliwali kēia i nā iwi a hoʻonui i ka pilikia o ka haki ʻana. Hāʻawi ʻia nā mea hoʻopaʻa phosphate i nā maʻi dialysis e pale aku i nā maʻi e pili ana i ka iwi.
He aha ka pae phosphate kūpono i loko o ke koko?
ʻO ka pae phosphate koko maʻamau no kahi pākeke olakino ma waena o 2.8 a me 4.5 milligrams no ka deciliter (mg/dL) . No nā keiki ʻōpio, ʻoi aku ka kiʻekiʻe o kēia waiwai, ma waena o 4.0 a me 7.0 mg/dL .
Akā e hoʻomanaʻo he ʻokoʻa iki paha kēia mau waiwai ma muli o nā lako a me nā ʻano hana i hoʻohana ʻia ma kēlā me kēia keʻena hoʻokolohua. No laila, ʻoi aku ka maikaʻi o ke noi ʻana i kāu kauka no ka wehewehe maikaʻi loa o ka waiwai i kāu hōʻike.
He aha nā meaʻai a me nā mea inu i loaʻa ka phosphate kiʻekiʻe loa?
Inā loaʻa iā ʻoe ka maʻi puʻupaʻa, pono ʻoe e makaʻala loa i kāu mea e ʻai ai a inu ai, no ka mea, e like me ka lawe ʻana i ka lāʻau lapaʻau, he mea nui loa hoʻi ka kaohi ʻana i ka ʻai.
| ʻAno meaʻai | Nā Laʻana |
|---|---|
| Waiū a me nā meaʻai waiū | Waiū, yogurt, tīhi (ʻoi aku ka tīhi i hana ʻia) |
| Kekahi mau mea inu | Nā mea inu kalapona e like me ka cola (Soda pop) |
| Nā meaʻai koke a me nā meaʻai i hoʻomākaukau ʻia | ʻAi wikiwiki, nā ʻiʻo i hana ʻia (sausages, meatballs), iʻa i loko o ka pahu |
| Nā nati a me nā ʻōpala | Pīnati, cashews, pīni, chickpeas, lentils |
| Nā meaʻai me ka bran | Berena bran, ʻoka, laiki bran (laiki ʻulaʻula) |
Pehea e hana ai kēia lāʻau i kapa ʻia ʻo ka mea hoʻopaʻa phosphate?
He mea kupaianaha ke ʻano o kēia hana. Ke ʻai mākou i ka meaʻai, ua komo ka phosphate i loko o kēlā meaʻai i loko o ko mākou kino ma o ka ʻāpana waena o ka ʻōpū liʻiliʻi, kahi a mākou e kapa nei ʻo ka jejunum .
Ke lawe ʻoe i kēia mea hoʻopaʻa phosphate me ka ʻai, komo ka lāʻau lapaʻau i loko o kou ʻōpū a "hoʻopaʻa" me ka phosphate keu i kāu meaʻai. Ua like ia me ka magnet. Ke pipili ia, ʻaʻole hiki ke komo i loko o kou koko. A laila, hoʻokuʻu ʻia ka phosphate keu mai kou kino i loko o kou ʻōpala. He maʻalahi loa, ʻeā?
Nā ʻano o nā mea hoʻopaʻa phosphate a pehea e loaʻa ai iā lākou?
Aia kekahi mau ʻano mea hoʻopaʻa phosphate. Ma muli o kou kūlana, e koho kāu kauka i ke ʻano kūpono loa iā ʻoe.
- Kalipuna kāpona - (e.g. Tums®, Alka-Seltzer®)
- Sevelamer - (e.g. Renvela®, Renagel®)
- Lanthanum carbonate - (e.g. Fosrenol®)
- Kalima ʻāseta - (e.g. PhosLo®, Phoslyra®)
- ʻO ka oxyhydroxide Sucroferric - (e.g. Velphoro®)
ʻO wai ke ʻano maikaʻi loa?
Hoʻohana pinepine ʻia nā mea hoʻohui i loaʻa ka calcium (e like me ka calcium carbonate). Eia nō naʻe, ua ʻike ʻia kekahi mau noiʻi i ka wā e lawe ʻia ai kēia mau mea hoʻohui i loaʻa ka calcium i ka wā lōʻihi, hiki i ka calcium keu ke hōʻiliʻili i loko o nā kīʻaha koko. Ua kapa ʻia kēia he vascular calcification . Hiki i kēia ke hoʻonui i ka pilikia o nā ʻōpū koko a i ʻole ka hahau ʻana. No kēia kumu, hiki i kāu kauka ke ʻōlelo i kekahi manawa i kahi mea hoʻohui ʻole calcium (e like me Sevelamer).
Pehea lā wau e lawe ai i kēia lāʻau lapaʻau?
ʻO kēia ka mea nui loa. No ka hana pono ʻana o kēia lāʻau lapaʻau, he mea nui loa ka manawa āu e lawe ai. E hahai pono i nā ʻōlelo a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.
- Ma muli o ke ʻano o ka lāʻau lapaʻau, ʻokoʻa paha ke ʻano o ka lawe ʻana:
- Pono kekahi o lākou e nau ʻia a moni ʻia he 10-15 mau minuke ma mua o ka ʻai ʻana .
- Pono kekahi o lākou e nau ʻia a moni ʻia i ka wā e hoʻomaka ai ʻoe e ʻai .
- Pono kekahi o lākou e ale holoʻokoʻa ʻia , me nā ʻōpū mua ʻelua a ʻekolu paha o ka ʻai .
- Loaʻa kekahi ma ke ʻano pauka. Pono e hoʻoheheʻe ʻia i loko o ka wai a lawe ʻia me nā ʻōpū mua ʻelua a ʻekolu paha o ka ʻai .
- Pono e nau ʻia kekahi o lākou a moni koke ʻia ma hope o ka ʻai ʻana .
ʻO ka mea nui loa, ʻo ia ka lawe ʻia ʻana o kēia lāʻau me ka meaʻai. ʻO ia ka manawa e omo ai i ka phosphate i loko o ka meaʻai. ʻAʻohe mea e hana ai ka lawe ʻana i kēia lāʻau me ka ʻole o ka meaʻai.
Aia kekahi mau hopena ʻaoʻao i kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ʻano lāʻau lapaʻau ke hana i nā hopena ʻaoʻao liʻiliʻi, akā ʻaʻole i loaʻa i nā mea āpau.
| Nā hopena ʻaoʻao maʻamau |
|---|
| - ʻEha ʻōpū |
| - Ka luaʻi a me ka luaʻi |
| - Nā pilikia pehu/ʻōpū |
| - Ka maʻi pākī a i ʻole ka paʻa ʻana o ka ʻōpū |
| - Pehu |
| - Hoʻololi i ke kala o ka noho |
| - Hiki i kekahi mau ʻano (me ka calcium) ke hoʻonui i nā pae calcium i loko o ke koko. |
Inā hoʻopilikia kēia mau hōʻailona iā ʻoe, e kamaʻilio me kāu kauka. Hiki paha iā lākou ke hoʻololi i kāu lāʻau lapaʻau.
Āhea ʻoe e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hopena ʻino, e hōʻoia e haʻi i kāu kauka. Eia kekahi, i kekahi manawa hiki i ka piʻi ʻana o ka phosphate i loko o ke koko ke kumu o ka emi ʻana o nā pae calcium i loko o ke kino. Ua kapa ʻia kēia he hypocalcemia . Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, e ʻimi koke i ke kōkua lapaʻau.
- ʻŪmiʻi ʻiʻo
- Nā pilikia hoʻomanaʻo
- Huhū me ke kumu ʻole
- Ka mae ʻana o nā lehelehe, ke alelo, nā manamana lima, a i ʻole nā wāwae
- Nā hopu ʻana
- Nā ʻano ʻino o ka puʻuwai (Arrhythmia)
Nā nīnau e nīnau aku ai i kāu kauka
Ke hele ʻoe i kāu manawa kauka aʻe, e hoʻomanaʻo i kēia mau nīnau. Hiki i ka nīnau ʻana iā lākou ke kōkua iā ʻoe e loaʻa kahi ʻike maikaʻi aʻe i kou kūlana.
- "He aha ke ʻano o ka mea hoʻopaʻa phosphate āu e ʻōlelo mai nei noʻu?"
- "He aha nā hopena ʻaoʻao e hiki mai ana?"
- "Pehea lā wau e lawe ai i kēia lāʻau lapaʻau? Ma mua a ma hope paha o ka ʻai ʻana?"
- "ʻEhia mau manawa o ka lā e pono ai iaʻu ke lawe?"
- "ʻEhia mau pila e pono iaʻu ke lawe no ka ʻai nui? ʻEhia mau pila e pono iaʻu ke lawe no ka meaʻai māmā?"
- "Aia kekahi mau lāʻau lapaʻau ʻē aʻe e pono iaʻu ke hoʻōki i ka lawe ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau?"
- "Pehea ka lōʻihi o koʻu lawe ʻana i kēia lāʻau lapaʻau?"
- "He aha ke ʻano o nā hoʻokolohua e hana ʻia nei e ʻike ai inā hana kēia lāʻau lapaʻau?"
- "Pono anei au e ʻike i ke kauka meaʻai?"
Leka Lawe-Home
- ʻO nā mea hoʻopaʻa phosphate he mau lāʻau lapaʻau e kōkua i ka kaohi ʻana i nā pae phosphate i loko o ke koko. He mea nui loa kēia no ka poʻe me ka maʻi puʻupaʻa.
- I mea e hana pono ai kēia lāʻau lapaʻau, pono e lawe ʻia e like me ke kauoha a ke kauka, i ka manawa kūpono, a me ka ʻai ʻana .
- Mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo a kāu kauka.
- Ma waho aʻe o ka lawe ʻana i ka lāʻau lapaʻau, he mea nui loa hoʻi e kāohi i kāu ʻai me ka phosphate kiʻekiʻe. E kamaʻilio me kāu kauka e pili ana i kēia.
- Inā loaʻa iā ʻoe nā hopena ʻino a hōʻike paha i nā hōʻailona o ka nele o ka calcium, e ʻike koke i ke kauka.
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