Ua ʻike ʻoe he nui nā mea e pono ai ko kākou kino e like me nā wikamina a me nā minelala e noho olakino a hana pono. Ua lohe anei ʻoe i kahi minelala i kapa ʻia ʻo 'Phosphorus'? ʻAʻole paha ʻoe i ʻike. Akā he mea nui ia no ka mālama ʻana i ko kākou mau iwi i ikaika, no ka hana ʻana o nā ʻiʻo, no ka hana ʻana o ka ʻōnaehana nerve, a no ke kaʻina hana ʻai. I ka ʻōlelo maʻalahi, ua like ia me kahi piliki koʻikoʻi i ke kūkulu ʻana i ko kākou kino. Ma muli o kekahi mau maʻi a i ʻole nā kumu ʻē aʻe, hiki i ka pae o ka phosphorus i loko o ko kākou kino ke lilo i mea haʻahaʻa loa. ʻO ia ka manawa e hoʻohana ai nā kauka i kēia lāʻau lapaʻau i kapa ʻia ʻo Sodium Phosphate, i hāʻawi ʻia ma ke ʻano intravenous.
He aha maoli kēia lāʻau i kapa ʻia ʻo Sodium Phosphate?
He mea maʻalahi loa ia. ʻO ka sodium phosphate kahi lāʻau lapaʻau e kōkua ai i ka hoʻihoʻi ʻana i nā pae phosphorus o kou kino i nā pae maʻamau inā haʻahaʻa lākou, a i ʻole e pale iā lākou mai ka hāʻule ʻana i lalo loa. ʻAʻole ia e hāʻawi ʻia ma ke ʻano he pila, akā ma ke ʻano he inikini pololei i loko o kahi aa. Hoʻopili koke ʻia a loaʻa koke nā hopena.
ʻO ka emi ʻana o ka pae o ka phosphorus i loko o ko kākou kino (a mākou e kapa nei hoʻi ʻo 'Hypophosphatemia' ma nā huaʻōlelo lapaʻau) hiki ke hana i nā pilikia koʻikoʻi e like me ka nāwaliwali o nā ʻiʻo, ka paʻakikī o ka hanu ʻana, ka huikau, a me ka coma. No laila, hoʻohana ʻia kēia lāʻau lapaʻau e pale aku i ia ʻano maʻi koʻikoʻi.
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 kēia. Ma mua o ka hoʻoholo ʻana e hāʻawi iā ʻoe i kēia lāʻau lapaʻau, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. Pono ʻoe e pane pololei iā lākou a pau me ka hūnā ʻole i kekahi mea. He mea nui loa kēia no kou palekana.
| Ke kūlana āu e pono ai e hōʻike | No ke aha he mea nui kēlā? |
|---|---|
| Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ke koko kiʻekiʻe | Ma muli o ka loaʻa ʻana o ka sodium i kēia lāʻau lapaʻau, hiki iā ia ke hoʻopilikia i ke koko a me ka hana a ka puʻuwai. |
| Inā loaʻa iā ʻoe nā pae kiʻekiʻe o ka sodium a i ʻole ka phosphorus i loko o kou koko | Inā ua kiʻekiʻe mua ka pae, hiki i ka hāʻawi ʻana i kēia lāʻau lapaʻau ke hoʻonui hou aʻe a hana i kahi kūlana weliweli. |
| Inā he maʻi puʻupaʻa kou | Ke hana pono ʻole nā puʻupaʻa, ʻaʻole i lawe pono ʻia kēia lāʻau mai ke kino. Hiki i kēia ke hana i nā pilikia ma ka hōʻiliʻili ʻana i loko o ke kino. |
| Inā ʻoe ma ka papaʻai haʻahaʻa-sodium | Loaʻa i kēia lāʻau lapaʻau ka sodium (paʻakai), no laila hiki ke hoʻopilikia i kāu ʻai. Pono kāu kauka e makaʻala i kēia. |
| Inā he maʻi ʻoe i ka sodium, phosphorus, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole kala | He mea nui loa ia e ʻike mua inā he pilikia o kahi hopena alerika i ka lāʻau lapaʻau. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | Pono ke kauka e hoʻoholo inā e hoʻopilikia kēia lāʻau i ka pēpē i hānau ʻole ʻia a i ʻole ka pēpē hānai. |
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia ia iā ʻoe i kou wā ma ka haukapila a i ʻole ke keʻena lapaʻau . ʻO ka maʻamau, hoʻokomo ʻia kahi cannula i loko o kahi aa koko ma kou lima a hoʻokomo mālie ʻia kahi wai saline i loko o kou kino ma o ia mea. Hana ʻia kēia kaʻina hana ma lalo o ka nānā pololei ʻana a ke kauka a kahu maʻi paha.
Akahele loa nā kauka i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki ʻōpio. Hoʻomaulia pono ʻia ka nui ma muli o ke kaumaha, ka makahiki, a me ke kūlana o ke keiki.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, a inā ʻike ʻoe i nā hōʻailona e pili ana iā ia (no ka laʻana, ka ʻūlū ʻana o nā ʻiʻo, ka mae ʻana o ka ʻiʻo), e haʻi koke aku i ke kauka a i ʻole ke kahu maʻi e mālama ana iā ʻoe. Inā pono, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo ma ko mākou ʻāina no ka ʻōlelo aʻo. Eia kekahi, i kekahi pilikia, hiki iā ʻoe ke hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
ʻO ka mea nui loa, ʻo kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi a hoʻohana paha me ka ʻole o ke aʻo ʻana a ke kauka.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hana me ka sodium phosphate a hoʻoulu i nā hopena makemake ʻole ʻia. 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 | Wehewehena |
|---|---|
| Mai lawe pū me kēia mau mea. | |
| ʻO Sevelamer | ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau i nā maʻi puʻupaʻa. ʻO ka lawe pū ʻana i kēia mau mea ʻelua hiki ke hana i nā pilikia koʻikoʻi. |
| Hiki iā ʻoe ke pane me kēia mau mea. | |
| ʻO kekahi mau lāʻau lapaʻau koko | Eia kekahi laʻana, nā lāʻau lapaʻau e like me diazoxide a me hydralazine. |
| Nā mea hoʻohui ʻē aʻe i loaʻa ka sodium a i ʻole ka phosphorus | Inā e lawe pū ʻia kēia mau mea, hiki i ka nui o ka sodium a me ka phosphorus o ke kino ke piʻi nui aʻe. |
| Nā lāʻau lapaʻau ʻano steroid | Nā lāʻau lapaʻau e like me ka cortisone a me ka fludrocortisone. |
ʻAʻole i piha kēia papa inoa. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui) . Mai poina e haʻi iā lākou inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
ʻOiai e hāʻawi ʻia ana kēia lāʻau lapaʻau iā ʻoe, e mālama pono nā kauka a me nā kahu maʻi iā ʻoe.
- Ka nānā mau ʻana: E nānā mau ʻia nā mea e like me kou helu puʻuwai a me ke koko.
- Nā hoʻāʻo koko: Pono paha ʻoe e hana i nā hoʻāʻo koko maʻamau e nānā i kāu pae phosphorus a me sodium a e nānā i ka hana o kāu puʻupaʻa.
He aha nā hopena ʻaoʻao i manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole i loaʻa i nā mea āpau.
| Nā mea e haʻi koke aku ai i kāu kauka a kahu maʻi paha | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Hoʻonui ʻia nā pae phosphorus | ʻEha a ʻāʻī paha nā ʻiʻo, ʻeha o ka iwi a i ʻole nā hono, mae a puni ka waha. |
| Hoʻonui ʻia nā pae sodium | Huikau, makewai nui, nāwaliwali o nā ʻiʻo, luhi ʻē, ʻoniʻoni ʻana o nā ʻiʻo. |
| Nā mea i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| Ma kahi o ka injection... | ʻEha, ʻulaʻula, a pehu paha. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, mai makaʻu e haʻi i kāu kauka.
Leka Lawe-Home
- ʻO ka Sodium Phosphate kahi lāʻau i hāʻawi ʻia ma o ka intravenous e hoʻihoʻi i nā pae phosphorus haʻahaʻa i loko o ke kino.
- Hāʻawi wale ʻia kēia ma lalo o ka nānā ʻana a ke kauka ma kahi haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole ʻoe e ʻae ʻia e lawe i ka home.
- Pono ʻoe e hāʻawi i kāu kauka i ka wehewehe piha no kāu mau maʻi ʻē aʻe a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hoʻomaopopo koke i ke limahana lapaʻau e pili ana i kekahi mau hōʻailona ʻē, e like me nā hopena alerika a i ʻole ka ʻūlū ʻana o nā ʻiʻo, e kū mai ana i ka wā e lawe ana i ka lāʻau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka a kahu maʻi paha. He mea maikaʻi loa ia nou ke ʻike ʻia e pili ana i kou olakino.
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