Ke ʻeha nei ʻoe i ka maʻi puʻupaʻa mau loa? A ke hele nei ʻoe i ka dialysis? A laila ua haʻi aku kāu kauka iā ʻoe i ke koʻikoʻi o ka kaohi ʻana i ka pae phosphate i loko o kou koko. No laila, ʻo kekahi o nā lāʻau lapaʻau a nā kauka e ʻōlelo pinepine ai e kaohi i kēia pae phosphate ʻo Sevelamer. I kēia lā, e kamaʻilio pōkole mākou e pili ana i kēia lāʻau, kāna hana i ke kino, pehea e hoʻohana ai, a me nā mea e makaʻala ai.
He aha ʻo Sevelamer? He aha kāna hana maoli?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kūikawā ʻo Sevelamer e hoʻopaʻa i ka phosphate i loko o ko kākou ʻōpū. E noʻonoʻo e like me ka huʻa. Hoʻopaʻa kēia lāʻau lapaʻau i ka phosphate i loko o ka meaʻai a kākou e ʻai ai ma mua o kona komo ʻana i loko o ko kākou kino. A laila, hoʻokuʻu ʻia ka phosphate i hoʻopaʻa ʻia mai ke kino aku i loko o ka ʻōpala.
I kēia manawa, ke noʻonoʻo nei paha ʻoe no ke aha e pono ai ʻoe e hoʻōki i ka omo ʻana i kēia phosphate. Eia ke kumu. Ke hana pono ʻole kou mau puʻupaʻa, ʻaʻole hiki iā lākou ke hoʻopau i ka phosphate keu e hōʻiliʻili ana i loko o kou kino. A laila hiki i nā pae phosphate i loko o kou koko ke piʻi nui loa. Hiki i kēia ke hoʻonāwaliwali i kou mau iwi, hoʻoulu i nā maʻi puʻuwai, a hoʻoulu i nā pilikia olakino koʻikoʻi ʻē aʻe. No laila, hana kēia lāʻau lapaʻau e hōʻemi i kēlā pilikia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa e ʻike pono kāu kauka i kou kūlana olakino ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi i kāu kauka.
- Inā loaʻa iā ʻoe ka paʻa ʻana o ka ʻōpū (no ka mea, hiki i kēia lāʻau lapaʻau ke hoʻonui i ka ʻino i kekahi manawa).
- Inā he poloka kou ʻōpū a i ʻole nā pilikia ʻōpū a ʻōpū paha.
- Inā loaʻa iā ʻoe kahi hopena maʻi iā Sevelamer a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
Ma ka haʻi ʻana aku i kēia mau mea ma mua, e maʻalahi i ke kauka ke hāʻawi iā ʻoe i ka lāʻau lapaʻau kūpono a palekana loa.
Pehea e pono ai iaʻu e hoʻohana pono i ka lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e hoʻohana pono.
- E lawe pū me ka meaʻai: He lāʻau lapaʻau kēia e pono e lawe ʻia me ka ʻai . Ma kēlā ala, hiki iā ʻoe ke omo pono i ka phosphate i loko o ka meaʻai.
- E lulu maikaʻi: Inā hāʻawi ʻia kēia iā ʻoe ma ke ʻano he wai (wai hoʻokuʻu waha), mai poina e lulu maikaʻi i ka ʻōmole ma mua o ka hoʻohana ʻana.
- E mālama i kahi kaʻawale me nā lāʻau lapaʻau ʻē aʻe:He mea nui loa kēia. Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, pono paha ʻoe e waiho i kahi kaawale o kekahi mau hola ma waena o lākou. Hiki iā Sevelamer ke hoʻopilikia i ka omo ʻana o nā lāʻau lapaʻau ʻē aʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a nīnau iā lākou i ka lōʻihi o kou pono e waiho i kahi kaawale.
- E lawe i ka manawa kūpono: E lawe i ka nui i kuhikuhi ʻia e like me ke kauoha a kāu kauka. Mai hoʻonui i ka nui a i ʻole e hoʻōki i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
He aha kāu e hana ai inā e poina ʻoe i 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 hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi no kekahi kumu.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. 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 ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki iā Sevelamer ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO ia hoʻi, hiki iā ia ke hoʻopilikia i ke ʻano o ka hana ʻana o kēlā mau lāʻau lapaʻau. Aia ma lalo kekahi o nā lāʻau lapaʻau e hiki ke launa pū me ia.
| ʻAno lāʻau lapaʻau | Hoʻomaopopo |
|---|---|
| ʻO Ciprofloxacin | He lāʻau antibiotic |
| ʻO Cyclosporine | He lāʻau hoʻopau i ka pale ʻana |
| ʻO ka mikofenolate | He lāʻau hoʻopau i ka pale ʻana |
| ʻO Levothyroxine | ʻO kahi lāʻau lapaʻau hormone thyroid |
| ʻO Takrolimus | He lāʻau hoʻopau i ka pale ʻana |
ʻAʻole kēia he papa inoa piha, no laila he mea nui loa e haʻi 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 kī lāʻau).
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Sevelamer ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Hiki i kekahi o kēia mau mea ke koʻikoʻi a pono e hōʻike koke ʻia i kāu kauka. ʻAʻole koʻikoʻi kekahi.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e ʻike koke i ke kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻa paʻa koʻikoʻi a i ʻole ka hoʻomaka hou ʻana. |
| Inā hoʻomau kēia mau hōʻailona a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Ka maʻi pākī | ʻŌpū. |
| Kinoea | Ka liki ʻana o ka ea. |
| Ka luaʻi a me ka luaʻi | ʻŌpū ʻeha, luaʻi. |
| ʻEha ʻōpū | ʻEha ʻōpū. |
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.
He aha hou kāu e hopohopo ai?
- Nā nānā maʻamau: E hōʻoia e hele i nā manawa a kāu kauka. He mea nui e ʻike i kou holomua.
- Nā hoʻāʻo koko: ʻOiai e lawe ana i kēia lāʻau lapaʻau, e noi ʻia paha ʻoe e hana i nā hoʻāʻo koko e nānā i kāu mau pae phosphate a me nā mea ʻē aʻe. Mai hōʻalo iā lākou.
- Nā wikamina: Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka omo ʻana o kekahi mau wikamina, no laila e kamaʻilio me kāu kauka e pili ana inā pono ʻoe i nā wikamina hou aʻe.
- Ka mālama ʻana i nā lāʻau lapaʻau: E mālama i ka ʻōmole lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki, ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius), a mai ka makū. Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Sevelamer no nā poʻe maʻi puʻupaʻa e kāohi i ka pae phosphate i ke koko.
- Pono e lawe ʻia kēia lāʻau lapaʻau me ka ʻai i nā manawa a pau.
- 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 Ayurvedic).
- 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.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona maʻi a i ʻole ka paʻa ʻana o ka ʻōpū, e hoʻomaopopo koke i kāu kauka .
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