ʻO ka Hyperthyroidism, kahi kūlana kahi e hana nui ai ka hormone i loko o ka ʻāʻī o ka thyroid gland, he maʻi ia e ʻeha ai ka poʻe he nui ma ko kākou ʻāina. ʻO kekahi o nā lāʻau lapaʻau nui a nā kauka e kuhikuhi ai no kēia lāʻau lapaʻau ʻo Propylthiouracil. Ua ʻike mākou a pau i kēia ma kona inoa pōkole ʻo PTU. No laila, inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, he mea nui loa ia e ʻike i nā mea āpau e pili ana i ia mea me ka maʻalahi a me ka maopopo.
He aha ke ʻano lāʻau lapaʻau ʻo PTU (Propylthiouracil)?
I ka ʻōlelo maʻalahi, ʻo PTU kahi lāʻau lapaʻau e haʻi aku i kou kelepa thyroid e "hana ikaika iki, i kēia manawa e hana i kahi hormone liʻiliʻi." ʻO ia hoʻi, ʻo ka hana a kēia lāʻau lapaʻau e hōʻemi i ka nui o ka hormone thyroid i hana ʻia e ka kelepa thyroid.
Hoʻohana nui nā kauka i kēia lāʻau lapaʻau:
- E kāohi i nā hormones thyroid keu (Hyperthyroidism).
- E hoʻomalu i kou pae hormone ma mua o ke ʻoki ʻana i ka thyroid.
- Ma mua o ka mālama ʻana me ka iodine radioactive.
Hiki i kekahi manawa ke kuhikuhi ʻia kēia lāʻau lapaʻau e kāu kauka no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu, e nīnau i kāu kauka e pili ana i ia mea.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e hoʻohana i ka PTU, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kēia mau mea, no ka mea, hiki i kēia ke hoʻopilikia pololei i kāu lāʻau lapaʻau.
- Inā loaʻa iā ʻoe ka maʻi akepaʻa: Hiki i ka PTU ke hoʻopilikia i ke akepaʻa i kekahi manawa, no laila inā loaʻa iā ʻoe kahi pilikia akepaʻa mua, pono e ʻike kāu kauka.
- Inā he pilikia koko kou, e like me ka haʻahaʻa o ka helu o nā keʻokeʻo koko keʻokeʻo: He mea nui loa kēia no ka mea hiki i kēia lāʻau lapaʻau ke hoʻemi hou aku i kāu helu o nā keʻokeʻo koko.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka PTU a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hoʻāʻo nei e hāpai a ua hāpai mua paha: Pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kēia lāʻau lapaʻau i ka wā hāpai.
- Inā he makuahine hānai waiū ʻoe.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He pila kēia āu e lawe ai ma ka waha. He mea nui loa ia e lawe i ka nui i kuhikuhi ʻia, e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa i kuhikuhi ʻia. E lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, ʻekolu manawa i ka lā. Mai lawe ʻoe ma mua o kou manaʻo he pono a i ʻole e hoʻōki i ka lawe ʻana.
ʻO ka mea nui loa, ʻaʻole e hoʻōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hoʻi hou mai ai kāu mau hōʻailona.
ʻAʻole ʻōlelo pinepine ʻia kēia lāʻau lapaʻau no nā keiki. Eia nō naʻe, i nā hihia kakaikahi, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ma luna o 6 mau makahiki ma lalo o ka nānā ʻana a ke kauka. ʻO kāu kauka wale nō ke hoʻoholo.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, 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 no ka ʻōlelo aʻoaʻo.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me PTU
Inā ʻoe e lawe ana i ka PTU a ke lawe nei hoʻi i kekahi mau lāʻau lapaʻau ʻē aʻe, aia paha he mau pilina ma waena o nā mea ʻelua. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| ʻAno lāʻau lapaʻau | Kūlana i hoʻohana ʻia |
|---|---|
| ʻAminophylline, Theophylline | No nā maʻi hanu e like me ka hānō |
| Nā lāʻau lapaʻau e like me Metoprolol, Propranolol | No ke koko kiʻekiʻe, nā maʻi puʻuwai |
| ʻO Digoxin | No ka maʻi puʻuwai |
| ʻO Warfarin | No ka pale ʻana i ke kāpili ʻana o ke koko (e hoʻomāmā i ke koko) |
ʻAʻole i piha kēia papa inoa.No laila, mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui). Eia kekahi, e haʻi iā lākou inā ʻoe e puhipaka a inu waiʻona paha.
Nā hopena ʻaoʻao hiki ke loaʻa o kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka PTU ke hana i kekahi mau hopena ʻaoʻao. Pono kekahi o kēia mau mea i ka nānā koke ʻia, aʻo kekahi he emi iki ka koʻikoʻi.
| Nā hopena ʻaoʻao o ka PTU | |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele/ʻeleʻele, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale o ka makemake e ʻai, nausea, luhi nui. |
| Nā hōʻailona o ka maʻi (ma muli o ka haʻahaʻa o ka helu o nā keʻokeʻo koko) | Kuni, anu, ʻeha ka ʻāʻī, nā ʻeha waha. |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha nā hono, ke kahe koko ʻana a i ʻole ka palapū ʻana, nā loli o ka ʻike, ka mae ʻana o nā lālā, ka paʻakikī o ka mimi. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| Nā hopena ʻaoʻao liʻiliʻi | Luli, luaʻi, ʻeha ka ʻōpū, ʻeha poʻo, poniuniu, hiamoe, loli ka ʻono, hāʻule ka lauoho. |
Nā mea e pono ai ʻoe e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā lapaʻau maʻamau: E nānā pinepine me kāu kauka e ʻike inā e hoʻomaikaʻi ana kou kūlana. E kauoha ʻo ia i nā hoʻokolohua koko ('helu koko', 'nā hoʻokolohua hana thyroid'). Mai hōʻalo i kēia mau mea.
- E makaʻala i nā hōʻailona o ka maʻi: Inā loaʻa iā ʻoe ke kuni a ʻeha paha ka puʻu, mai hoʻowahāwahā iā ia. He hōʻailona paha ia o ka haʻahaʻa o ka helu o nā keʻokeʻo keʻokeʻo, no laila e kāhea koke i kāu kauka.
- Hāpai: Inā ʻoe e hoʻolālā ana e hāpai, e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau. Inā manaʻo ʻoe ua hāpai paha ʻoe i ka wā e lawe ana i kēia lāʻau, e hoʻomaopopo koke i kāu kauka.
- ʻO ke ʻoki kino: Inā ʻoe e hana nei i kekahi ʻoki kino, e haʻi pono i ke kauka ʻoki kino e lawe ana ʻoe i ka PTU.
Leka Lawe-Home
- E lawe mau i ka pila PTU e like me ke kauoha a kāu kauka, i ka manawa kūpono.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a ke kauka.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha o ka puʻu, a i ʻole ka melemele o nā maka a i ʻole ka ʻili.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei.
- He mea nui ka hele ʻana i nā hoʻokolohua olakino maʻamau a me nā hoʻāʻo koko no kou olakino.
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