Ua haʻi aku anei kāu kauka iā ʻoe ua haʻahaʻa iki kou pae sodium ma hope o ka nānā ʻana i kāu hoʻāʻo koko? I kekahi manawa hiki ke koʻikoʻi loa kēia ʻano. I ka ʻōlelo maʻalahi, he mea nui ka sodium no ko mākou kino e hana. Ke haʻahaʻa ia ma mua o ka nui i koi ʻia, kapa mākou ia he hyponatremia. No laila, ʻo kahi lāʻau lapaʻau kūikawā a nā kauka e ʻōlelo ai i ia mau hihia ʻo Tolvaptan. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau i kēia lā.
He aha ka Tolvaptan?
He diuretic ʻo Tolvaptan. Hana ia ma ka hoʻonui ʻana i kou mimi ʻana, kahi e kōkua ai i kou kino e hoʻopau i ka wai keu. Kōkua kēia i ka hoʻoponopono ʻana i nā pae wai o kou kino a hoʻihoʻi i nā pae sodium haʻahaʻa i loko o kou koko.
Hoʻohana nui ʻia kēia lāʻau lapaʻau e mālama i ka hyponatremia, kahi kūlana i haʻahaʻa ai nā pae sodium i loko o ke koko . Eia nō naʻe, hiki i kāu kauka ke kuhikuhi iā ia no nā kūlana olakino ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i ka Tolvaptan, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou e pili ana i kekahi o nā kūlana i helu ʻia ma lalo nei.
| Kou kūlana | No ke aha e pono ai iaʻu ke hoʻomaopopo i ke kauka ? |
|---|---|
| Inā ʻaʻole ʻoe e make wai | Ma muli o ka hōʻemi ʻana o kēia lāʻau lapaʻau i ka wai i loko o ke kino, nui ka manawa e make wai ai inā ʻaʻole ʻoe e make wai. |
| Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole ka maʻi akepaʻa | Ma muli o ka hoʻopau ʻia ʻana o kēia lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa a me ke akepaʻa, pono paha e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau inā he mau pilikia me kēia mau ʻōkana. |
| Inā loaʻa iā ʻoe ka ʻona waiʻona a i ʻole ka ʻai ʻole | Ma lalo o ia mau kūlana, hiki ke loli ka pono a me nā hopena ʻaoʻao o ka lāʻau lapaʻau. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha | Pono e hōʻoia i ka palekana o kēia lāʻau lapaʻau i ka wā hāpai a me ka wā hānai. |
| Inā loaʻa iā ʻoe kahi hopena maʻi i Tolvaptan a i ʻole kekahi lāʻau lapaʻau a meaʻai paha. | He mea nui loa kēia no ka pale ʻana i nā maʻi allergies koʻikoʻi. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
Pono ʻoe e lawe i kēia pila me ke aniani wai. ʻOi aku ka maikaʻi o ka lawe ʻana i ka manawa like i kēlā me kēia lā, e like me ka ʻōlelo a kāu kauka iā ʻoe. Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana. Akā inā ʻeha kou ʻōpū, e lawe pū me ka meaʻai. E hoʻomau i ka lawe ʻana i ka pila a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki.
He mea nui loa: Mai lawe i kēia lāʻau lapaʻau me ka wai pomelo . Hiki i ka wai pomelo ke hoʻopilikia nui i ke ʻano o ka hana ʻana o kēia lāʻau lapaʻau.
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. Akā 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.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hopohopo. E kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
Nā lāʻau ʻē aʻe e launa pū me Tolvaptan (Nā Hana Lāʻau)
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā huahana lāʻau lapaʻau), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Tolvaptan a hoʻoulu i nā hopena ʻaoʻao weliweli.
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Tolvaptan. | |
|---|---|
| Nā lāʻau antifungal | ketoconazole, itraconazole, voriconazole |
| Kekahi mau lāʻau antibiotic | clarithromycin, telithromycin |
| Nā lāʻau lapaʻau no ka maʻi HIV/AIDS | ʻO nā lāʻau lapaʻau e like me ritonavir, indinavir, nelfinavir |
| ʻĒ aʻe | nefazodone, conivaptan, ribociclib |
| E akahele loa i ka wā e lawe ai iā Tolvaptan me kēia lāʻau lapaʻau. | |
| Lāʻau lapaʻau anti-haʻi | carbamazepine, phenytoin, phenobarbital |
| Nā lāʻau lapaʻau no ka maʻi puʻuwai a me ke koko kiʻekiʻe | digoxin, cyclosporine |
| ʻĒ aʻe | desmopressin, St. John's Wort, rifampin |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
Nā hopena ʻaoʻao e hiki mai ana i ka wā e lawe ai i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Tolvaptan ke hana i nā hopena ʻaoʻao. ʻOiai ʻaʻole koʻikoʻi kekahi, aia kekahi mau mea e pono ai mākou e makaʻala loa.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā Hōʻailona o ka ʻeha o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a me ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, luhi loa, nalowale o ka makemake e ʻai. |
| Nā hōʻailona o ka piʻi wikiwiki ʻana o ka pae sodium | Huikau, hiamoe nui, nāwaliwali o nā ʻiʻo, nā hūʻeʻe, ka paʻakikī i ka ʻōlelo ʻana a i ʻole ke ale ʻana. |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Hoʻonui ʻia ka nui o ka potassium i loko o ke koko | ʻEha ka umauma, ka puʻuwai wikiwiki a ʻano ʻole paha, nāwaliwali o nā ʻiʻo. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Waha maloʻo | He kūlana maʻamau kēia e hiki ke kū mai ma muli o ka hana a ka lāʻau lapaʻau. |
| Ka paʻa ʻana o ka ʻōpū | Hiki ke kāohi ʻia ma ka inu ʻana i ka wai he nui a me ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka fiber. |
Inā loaʻa iā ʻoe ka nausea nui, ka luaʻi ʻana, a i ʻole ka hou ʻana, e haʻi koke i kāu kauka. Hiki ke lilo kēia i mea weliweli inā nalowale ka nui o ka wai mai kou kino i ka wā e lawe ana i kēia lāʻau.
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona, ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius). Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
I ke kiola ʻana i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i ʻole nā lāʻau lapaʻau i pau ka lāʻau, e hoʻolei aku iā lākou ma ke ʻano aloha i ke kaiapuni. Inā hiki, e nīnau i kāu kauka e pili ana i kahi papahana lawe hou i nā lāʻau lapaʻau. Inā ʻaʻole, inā hiki iā ʻoe ke hoʻolei iā lākou i loko o ka ʻōpala, e waiho i ka lāʻau lapaʻau i loko o kahi lau, e kuʻi iā ia, e kāwili me kahi mea e like me nā lau kī i hoʻohana ʻia, a e waiho i loko o kahi ʻeke i hoʻopaʻa pono ʻia a hoʻolei i loko o ka ʻōpala.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Tolvaptan i hāʻawi ʻia i nā poʻe me nā pae sodium haʻahaʻa o ke koko (Hyponatremia).
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āpau āu e lawe nei.
- Mai inu i ka wai huaʻai i ka wā e lawe ana i kēia lāʻau.
- E makaʻala i nā hopena ʻaoʻao koʻikoʻi, e like me nā hōʻailona o ka hōʻino ʻia o ke akepaʻa a me ka piʻi wikiwiki ʻana o nā pae sodium. Inā ʻike ʻoe i kekahi o kēia mau mea, e hoʻomaopopo koke i kāu kauka.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka.
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