Ma ke ʻano he makuahine a makua paha, ke hopohopo nei paha ʻoe i kekahi manawa e pili ana i ke kiʻekiʻe a me ka ulu ʻana o kāu keiki? Ke manaʻo nei ʻoe i kekahi manawa ua pōkole a māmā paha kāu keiki ma mua o nā keiki ʻē aʻe o ka makahiki like? I kēlā kūlana, ke hele ʻoe e ʻike i ke kauka a haʻi ʻo ia iā ʻoe e pili ana i ka inikini 'Growth Hormone', he mea nui loa ia e ʻike piha ʻia e pili ana i ia mea. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia inikini hormone ulu, a i ʻole ka lāʻau lapaʻau 'Somatropin`.
He aha kēia Hormone ulu?
I ka ʻōlelo maʻalahi, ʻo ka hormone ulu kahi hormone e pono ai no ka ulu ʻana o ko mākou kino, ʻoiai ke kiʻekiʻe a me ka ulu ʻana o nā ʻiʻo. Hana maoli ʻia kēia hormone e ka pituitary gland i loko o ko mākou lolo.
Akā, ʻaʻole lawa ka hana ʻana o kekahi mau keiki a me nā mākua i kēia hormone i loko o ko lākou kino. ʻO ia ka manawa e hāʻawi ai mākou iā lākou i ka hormone ulu artificial (Somatropin) ma ke ʻano he injection, ʻo ia hoʻi, kahi hormone ulu i hana ʻia i loko o kahi keʻena hoʻokolohua.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no:
- E kōkua i nā keiki e ulu kiʻekiʻe inā ulu ʻole lākou.
- Hoʻomohala i nā ʻiʻo i nā pākeke a me nā keiki.
- E mālama i nā kūlana olakino like ʻole i hoʻokumu ʻia e ka hemahema o ka hormone ulu.
- E mālama i nā pūpū i hoʻokumu ʻia e kekahi mau kūlana olakino (e.g., Prader-Willi syndrome, Turner syndrome).
Ma Sri Lanka a ma waho, hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole e like me 'Genotropin', 'Humatrope', 'Norditropin', 'Omnitrope'. Eia nō naʻe, aia i loko o kēia mau mea āpau ka mea hana like, ʻo 'Somatropin'.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana a i ʻole kāu keiki i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka i kāu mōʻaukala olakino piha. E hōʻoia e hoʻomaopopo iā lākou e pili ana i kekahi o nā kūlana ma lalo nei.
| ʻO ke kūlana āu a kāu keiki paha | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Loaʻa a ho'ōla paha mai ka maʻi kanesa | No ka mea hiki i nā hormones ulu ke hoʻoulu i ka ulu ʻana o kekahi mau cell. |
| Maʻi diabetes | Hiki i kēia ke hoʻopilikia i nā pae kō koko, no laila pono paha e hoʻololi i ka nui o ka lāʻau lapaʻau maʻi diabetes. |
| ʻO ka maʻi Prader-Willi | Hiki i kekahi mau keiki me kēia maʻi ke pilikia i ka hanu ʻana a pono lākou i ka mālama kūikawā. |
| ʻO ke ʻoki kino hou a i ʻole kahi ulia nui | No ka mea hiki iā ia ke hoʻopilikia i ke kaʻina hana ho'ōla o ke kino. |
| ʻAneʻane hiamoe a i ʻole ka hānō nui ʻana | ʻAʻole nui ka manawa e ʻoi aku ai ka ʻino o kēia kūlana. |
| Nā pilikia ʻike | I kekahi manawa pinepine, hiki i ka hoʻonui ʻia o ke kaomi i loko o ka lolo ke hoʻopilikia i ka ʻike. |
| Nā ʻano maʻi like ʻole (Allergies) | Inā he maʻi ʻoe i ka somatropin, nā mea hoʻohui e like me ka glycerin, benzyl alcohol, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Ke hāpai nei, ke ho'āʻo nei e hāpai, a i ʻole ka hānai waiū | I ia mau hihia, he mea nui e hoʻomaopopo i ke kauka no ka mea ʻaʻole i hōʻoia ʻia ka palekana o kēia lāʻau lapaʻau. |
Pehea e hoʻohana ʻia ai kēia lāʻau pale?
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini ma lalo o ka ʻili (subcutaneous) a i ʻole i loko o ka ʻiʻo (intramuscular). Hāʻawi pinepine ʻia no ka manawa mua e kekahi loea lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau.
Inā pono ʻoe e kiʻi i kēia lāʻau pale ma ka home, e aʻo ʻia ʻoe pehea e hoʻomākaukau ai a pehea e hāʻawi pololei ai. E hoʻomanaʻo e hoʻohana i ka nui kūpono, i ka manawa kūpono, a e like me ke kuhikuhi .
He mea nui loa ia e hoʻolei pono i nā nila a me nā syringe i hoʻohana ʻia.Mai hoʻolei iā lākou i loko o ka ʻōpala maʻamau no kekahi kumu. Aia kahi pahu kūikawā no kēia mau mea (he 'pahu ʻoi'). Inā ʻaʻohe āu, e nīnau i kāu kauka e pili ana i ka loaʻa ʻana o hoʻokahi.
He aha inā poina iaʻu kahi mahele lāʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole, e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Pono ʻoe 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. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me nā hormones ulu. Eia kekahi laʻana:
- ʻO Cyclosporine
- ʻO nā hormones wahine e like me nā estrogens a i ʻole progestins a me nā pila hoʻomalu hānau
- Nā lāʻau lapaʻau no ka maʻi diabetes
- ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana
- ʻO nā steroid, e like me prednisone a i ʻole cortisone
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
ʻOiai e lawe ana i kēia lāʻau lapaʻau, he mea nui loa ia e hele i nā nānā kino e like me ke kauoha a kāu kauka. ʻOiai inā ʻoe e mālama nei i kahi keiki, e nānā mau ʻia nā mea e like me ka ulu ʻana o ka ulu ʻana, ke kiʻekiʻe, a me ke kaumaha. Pono paha ʻoe e loaʻa nā hoʻāʻo koko e ʻike ai pehea ka hopena o ka lāʻau lapaʻau i kou kino.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. Akā, he mea nui e makaʻala iā lākou.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Nā hopena ma ka ʻōnaehana nerve | ʻEha nui ka ʻeha, ka nausea, ka luaʻi ʻana, nā loli o ka ʻike. |
| ʻEha iwi a me nā hono | (ʻOi aku hoʻi i nā keiki) ʻEha ʻūhā a kuli paha, ʻoʻopa, a me ke kūlou ʻana o ka iwi kuamoʻo. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Pehu ʻana o nā lālā, ʻeha pepeiao, mimi ʻeleʻele, luhi ʻē. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā hopena ma ka wahi inikini | ʻEha, pehu iki, ʻulaʻula, mānoanoa a lahilahi paha o ka ʻili. |
| Nā hopena liʻiliʻi ʻē aʻe | ʻEha iki ma nā iwi a i ʻole nā ʻiʻo, a me ka hāʻule iki ʻana o ka lauoho. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He hormone ulu synthetic ka 'Somatropin' e hoʻohana wale ʻia ma lalo o ka nānā ʻana a ke kauka.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i ke kauka e pili ana i nā kūlana olakino a pau a kāu keiki a me nā lāʻau lapaʻau āu e lawe nei.
- E hahai pono i nā kuhikuhi no ka hāʻawi ʻana i ka lāʻau pale a me ke kiola ʻana i nā nila i hoʻohana ʻia.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke poʻo ʻeha nui, nā loli o ka ʻike, a i ʻole ka ʻeha o ka ʻūhā/kuli, e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e nīnau i kāu kauka.
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