Inā ʻoe a i ʻole kekahi o kou ʻohana i loaʻa i ka maʻi puʻupaʻa mau, ʻike paha ʻoe e hōʻiliʻili ana kekahi mau mea e pono e wehe ʻia e nā puʻupaʻa i loko o ke kino. ʻO kekahi o ia mau mea ʻo ia ka "phosphate". ʻO kēia phosphate, ka mea a mākou e omo ai mai ka meaʻai a mākou e ʻai ai, ua hoʻokuʻu ʻia mai nā puʻupaʻa olakino i loko o ka mimi. Akā i ka wā e hana maikaʻi ʻole ai nā puʻupaʻa, ʻoiai i ka wā e pili ana i ka dialysis, hoʻomaka kēia phosphate e hōʻiliʻili i loko o ke koko. ʻAʻole maikaʻi kēia no ke kino. Hiki i kēia ke alakaʻi i ka nāwaliwali o ka iwi, ka ʻeha o nā hono, nā ʻulaʻula o ka ʻili, a me nā maʻi puʻuwai i ka hala ʻana o ka manawa. ʻO ia ke kumu e kuhikuhi ai kāu kauka i nā lāʻau lapaʻau like ʻole e kāohi i ka pae o ka phosphate i loko o ke koko. ʻO Sevelamer kekahi o ia mau lāʻau lapaʻau koʻikoʻi loa.
He aha ʻo Sevelamer? Pehea e hana ai?
I ka ʻōlelo maʻalahi, he magnet phosphate ʻo Sevelamer. Loaʻa ia ma ke ʻano o kahi pila a capsule paha. Ke lawe ʻoe i kēia lāʻau lapaʻau, hoʻopaʻa ia i ka phosphate i loko o ka meaʻai āu e ʻai ai i loko o kou ʻōpū a hoʻōki i ke kino mai ka omo ʻana i kēlā phosphate. A laila, hoʻokuʻu ʻia ka phosphate i hoʻopaʻa ʻia mai kou kino i loko o kou ʻōpala. E noʻonoʻo iā ia e like me ka mea hōʻiliʻili ʻōpala, e komo ana i loko o kou ʻōpū a hōʻiliʻili i ka phosphate makemake ʻole ʻia a hoʻolei aku i waho.
ʻO ka mea nui loa, ʻaʻole i komo kēia lāʻau i loko o ke koko. Hana wale ia i loko o ka ʻōnaehana hoʻoheheʻe, ʻo ia hoʻi, i loko o nā ʻōpū. ʻO ia ke kumu he lāʻau palekana loa kēia. Hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me RenaGel lāua ʻo Renvela.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ke kuhikuhi ʻana iā Sevelamer, he mea nui e ʻike pono kāu kauka i kou kūlana olakino. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Ka paʻa ʻana o ka ʻōpū: Inā ua loaʻa iā ʻoe kahi paʻa ʻana o ka ʻōpū ma mua.
- Paʻa ʻōpū: Inā loaʻa pinepine iā ʻoe ka paʻa ʻōpū, hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia.
- Nā pilikia i ke ale ʻana: Inā pilikia ʻoe i ke ale ʻana i nā pila.
- Nā maʻi ʻōpū a ʻōpū paha ʻē aʻe: Inā ua hana mua ʻia ʻoe i ke ʻoki ʻōpū a ʻōpū paha, a inā he maʻi ʻē aʻe kou.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou iā Sevelamer a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine ʻoe e hānai waiū ana.
Ma muli o kēia ʻike, e hoʻoholo kāu kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole pono e hoʻololi i ka dosage.
Pehea e hoʻohana pono ai iā Sevelamer?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai ka lāʻau lapaʻau, pono ʻoe e hoʻohana pono.
1. E lawe pū me ka meaʻai: ʻO kēia ka mea nui loa. No ka mea, hana kēia lāʻau lapaʻau ma ka hoʻopaʻa ʻana i ka phosphate i loko o ka meaʻai. No laila, he mea nui e lawe i kēia lāʻau lapaʻau me nā meaʻai nui (kakahiaka, awakea, a me ka pō) . ʻAʻole e holo pono ka lawe ʻana i kēia me ka ʻole o ka meaʻai.
2. E ale me ke aniani wai: E ale holoʻokoʻa i ka papa a i ʻole ke capsule me ke aniani wai. Mai uhaʻi, kuʻi, a nau paha i ka papa. E noi i kāu kauka no ka ʻōlelo aʻo.
3. E lawe i ka manawa kūpono: E lawe i ka nui kūpono i ka manawa kūpono e like me ke kauoha a kāu kauka. Mai hōʻalo i hoʻokahi nui.
4. Mai ho'ōki i ka lawe ʻana iā ʻoe iho: ʻOiai ke ʻano o kou manaʻo, mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
5. Nā lāʻau lapaʻau ʻē aʻe: Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, pono paha ʻoe e lawe iā lākou i nā manawa like ʻole ma mua o Sevelamer, akā e hoʻokaʻawale iā lākou i hoʻokahi a ʻelua paha hola. ʻO kēia no ka mea hiki iā Sevelamer ke hoʻopilikia i ka omo ʻana o nā lāʻau lapaʻau ʻē aʻe. No laila, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei a hoʻolālā i kāu papa hana lāʻau lapaʻau e like me ia.
Ke hāʻawi nei ʻoe i kēia i nā keiki liʻiliʻi?
ʻAe, i kekahi mau hihia kūikawā, ua kuhikuhi ʻia kēia lāʻau lapaʻau i nā keiki ma luna o 6 mau makahiki. Akā ua hana ʻia ma lalo o ka nānā pono ʻana o kahi pediatrician.
He aha inā lawe nui wau i ka lāʻau lapaʻau a hala paha kahi mahele lāʻau?
Overdose: Inā manaʻo ʻoe ua lawe ʻoe i ka lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Emergency Treatment Unit (ETU) kokoke loa . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Ka lāʻau i hala ʻole: Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia ke hoʻomanaʻo ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe (e.g., ʻaʻole i ʻelua hola), e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala ʻole.
Nā lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke launa pū me Sevelamer
Hiki iā Sevelamer ke hoʻopilikia i ka hana o kekahi mau lāʻau lapaʻau. No laila, he mea nui e hoʻomaopopo i kāu kauka inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau:
- Nā lāʻau antibiotic e like me Ciprofloxacin
- ʻO Cyclosporine
- ʻO ka mikofenolate
- ʻO Levothyroxine - he lāʻau lapaʻau no nā maʻi thyroid
- ʻO Takrolimus
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, nā lāʻau lapaʻau kuʻuna, a i ʻole nā huahana lāʻau āu e lawe nei. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā hopena ʻaoʻao hiki ke loaʻa i ka wā e lawe ana i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Sevelamer ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau. Eia kekahi o nā hopena ʻaoʻao hiki ke loaʻa.
| ʻAno o ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Paʻa paʻa koʻikoʻi | ʻAʻohe neʻe ʻana o ka ʻōpū no nā lā, ʻeha nui ka ʻōpū. |
| Nā hopena ʻaoʻao ʻaʻole ia he mea weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻeha ka ʻōpū | Kinoea, ʻeha ʻōpū, nausea, luaʻi, diarrhea. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe ʻaʻole ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Nā mea ʻē aʻe e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau maʻamau: He mea nui ka hele ʻana i nā keʻena lapaʻau e like me ka hoʻonohonoho ʻana a kāu kauka e ʻike ai inā e hoʻomaikaʻi ana kou kūlana.
- Nā hoʻāʻo koko: E kauoha pinepine kāu kauka i nā hoʻāʻo koko e nānā i nā mea e like me kou mau pae phosphate koko a me nā pae calcium. Mai hōʻalo iā lākou.
- Nā wikamina a me ka meaʻai:Hiki paha iā Sevelamer ke hoʻopilikia i ka omo ʻana o kekahi mau huaora. No laila e kamaʻilio me kāu kauka a meaʻai meaʻai paha e pili ana i ka pono o nā huaora hou aʻe. He mea nui loa hoʻi ka ʻai ʻana i ka meaʻai kaulike.
- Ka mālama ʻana i nā lāʻau lapaʻau: E mālama i nā pila ma kahi hiki ʻole i nā keiki ke loaʻa. E mālama ma ka mahana o ka lumi (ma waena o 15-30 Celsius), kahi mamao aku mai ka makū a me ka lā pololei. E hoʻolei i ka lāʻau lapaʻau i pau ka manawa.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Sevelamer no ka kaohi ʻana i nā pae phosphate koko i nā poʻe maʻi puʻupaʻa no ka manawa lōʻihi.
- Pono e lawe ʻia kēia lāʻau lapaʻau me nā meaʻai nui , inā ʻaʻole e loaʻa ka hopena.
- E hāʻawi i kāu kauka i ka wehewehe piha o nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā kūlana olakino ʻē aʻe āu e lawe nei.
- Inā ʻike ʻoe i nā hōʻailona e like me ka paʻa ʻana o ka ʻōpū a i ʻole nā maʻi ʻaleka, e ʻimi koke i ke kōkua lapaʻau.
- 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 kāu kauka.
- ʻO ka hele ʻana i nā keʻena lapaʻau i ka manawa kūpono a me ka hana ʻana i nā hoʻāʻo koko e pono ai he mea nui ia no kou olakino.
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