Loaʻa iā ʻoe kahi maʻi iwi e like me ka osteoporosis? A i ʻole ua haʻi aku kāu kauka iā ʻoe ua nāwaliwali iki kou mau iwi ma muli o kahi kūlana e like me ka maʻi o Paget? I kekahi manawa hoʻohana nā kauka i kahi lāʻau lapaʻau kūikawā e kāohi i ka nalowale o ka calcium mai nā iwi. ʻO kekahi o ia mau lāʻau lapaʻau i kapa ʻia ʻo Zoledronic Acid. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ea?
He aha ke ʻano o kēia lāʻau lapaʻau? He aha ka Zoledronic Acid?
I ka ʻōlelo maʻalahi, ʻo Zoledronic Acid kahi lāʻau lapaʻau e hōʻemi a kāohi i ka nalowale o ka calcium mai kou mau iwi, ʻo ia hoʻi, mai nā iwi. Hoʻohana nui ʻia ia e mālama i nā poʻe me ka maʻi Paget a me ka osteoporosis . ʻAʻole wale ia, akā hiki ke hoʻohana ʻia i kekahi manawa e nā poʻe ʻē aʻe i pilikia i ka nalowale o ka iwi. Ua ʻike paha ʻoe i kēia lāʻau lapaʻau ma nā inoa ʻē aʻe, no ka laʻana, ʻo Reclast lāua ʻo Zometa . Inā ʻoe e noʻonoʻo nei inā hiki iā ʻoe ke hoʻohana i kēia lāʻau lapaʻau no kekahi mea ʻē aʻe, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe i ka Zoledronic Acid, aia kekahi mau mea e pono ai ʻoe e maopopo me kāu kauka. E kōkua kēia ʻike e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ʻia ai. E nānā inā pili kēia mau mea iā ʻoe:
- He maʻi kahe koko kou?
- He maʻi kanesa kou?
- He maʻi niho a pilikia paha kāu? Ke mālama ʻia nei ʻoe i kekahi lapaʻau niho?
- He maʻi puʻupaʻa kou?
- Ua haʻi ʻia aku anei iā ʻoe ua haʻahaʻa kou pae calcium i loko o ke koko ?
- Ke ʻano nei anei ka helu ʻana o kou mau hunaola koko ʻulaʻula (ka helu haʻahaʻa o nā hunaola koko ʻulaʻula) he anemia kou?
- Loaʻa iā ʻoe kahi maʻi māmā e like me ka hānō ? Paʻakikī anei kou hanu ʻana?
- Ke hoʻohana nei ʻoe i nā steroids e like me dexamethasone a i ʻole prednisone ?
- Ua loaʻa paha iā ʻoe kahi hopena alerika i ka zoledronic acid, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā mea hoʻomalu?
- Ua hāpai ʻoe? A i ʻole ke hoʻāʻo nei ʻoe e hāpai?
- He makuahine hānai waiū ʻoe?
Inā he mea e like me kēia, pono ʻoe e haʻi aku i ke kauka, ʻeā?
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
E hāʻawi ʻia aku kēia lāʻau lapaʻau i kapa ʻia ʻo Zoledronic Acid iā ʻoe.Hāʻawi ʻia ia ma ke ʻano he inikini i loko o kahi aʻa. ʻAʻole hiki iā ʻoe ke loaʻa i kēia ma ka home. Na kekahi mea mālama ola kino ma kahi haukapila a i ʻole ke keʻena lapaʻau e hāʻawi iā ʻoe i kēia lāʻau pale.
Ma mua o kēlā me kēia lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa ʻike kūikawā (MedGuide) e pili ana i kēia lāʻau lapaʻau. Loaʻa iā ia ka ʻike koʻikoʻi e pili ana i kēia lāʻau lapaʻau. No laila, e heluhelu pono iā ia i kēlā me kēia manawa.
E pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki: I kekahi manawa, inā pono ʻoe e hāʻawi i kēia lāʻau lapaʻau i nā keiki, pono e mālama pono ʻia. No laila, e kamaʻilio me kāu kauka e pili ana i ia mea.
He aha inā lawe nui ʻoe i kēia lāʻau lapaʻau? Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, a inā manaʻo ʻoe i kekahi mea ʻē, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia.
Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kēia lāʻau lapaʻau me nā poʻe ʻē aʻe. ʻAʻole e pōmaikaʻi nā kānaka a pau mai ka lāʻau lapaʻau like, ʻoiai inā loaʻa iā lākou nā hōʻailona like.
He aha kāu e hana ai inā e poina iā ʻoe kahi mahele o ka lāʻau lapaʻau?
He mea nui loa ka lawe ʻana i kēia lāʻau lapaʻau i ka manawa kūpono. No laila, e mālama pono i kāu mau manawa i hoʻonohonoho ʻia. Inā ʻaʻole hiki iā ʻoe ke hele i kēlā lā, e kelepona i kāu kauka a i ʻole ke keʻena lapaʻau i ka wā hikiwawe loa a e hoʻomaopopo iā lākou. A laila e hāʻawi lākou iā ʻoe i kahi manawa ʻē aʻe.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
ʻAe, aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka wā e lawe ʻia ai me Zoledronic Acid. ʻO ke ʻano kēia e hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka maikaʻi o kāna hana a hoʻonui paha i nā hopena ʻaoʻao. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i kekahi o kēia mau lāʻau lapaʻau āu e lawe nei:
- ʻO kekahi mau lāʻau antibiotic i hoʻokomo ʻia i loko o kahi vein.
- Nā lāʻau NSAID no ka ʻeha a me ka mumū , e like me ka ibuprofen a i ʻole naproxen .
- ʻO kekahi mau lāʻau lapaʻau e hoʻonui ai i ka mimi (diuretics) , e like me ka bumetanide a me ka furosemide .
- He lāʻau lapaʻau i kapa ʻia ʻo Teriparatide .
ʻAʻole piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e nā kauka ʻē aʻe, ma luna o ke kūʻai aku), nā lāʻau lapaʻau lāʻau, nā huaora (nā mea hoʻohui meaʻai), a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e kamaʻilio me kāu kauka e pili ana i kou olakino i nā manawa a pau. ʻO ia hoʻi , e hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a e ʻike i ke kauka (nā nānā maʻamau).He lōʻihi paha ka manawa e loaʻa ai iā ʻoe ka pōmaikaʻi piha o kēia lāʻau lapaʻau, no laila mai hopohopo.
I kēia manawa, hiki i kekahi poʻe e lawe ana i kēia lāʻau lapaʻau ke loaʻa i ka ʻeha nui ma ko lākou mau iwi, nā hono, a i ʻole nā ʻiʻo . Eia kekahi, hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o nā pilikia ʻāwae a i ʻole ka iwi ʻūhā haki. No laila, inā loaʻa iā ʻoe ka ʻeha nui ma kou ʻāwae, nā iwi, nā hono, a i ʻole nā ʻiʻo, pono ʻoe e haʻi koke i kāu kauka. Eia kekahi, inā loaʻa iā ʻoe kekahi ʻeha ʻaʻole e hoʻomaikaʻi a i ʻole e ʻoi aku ka ʻino, e haʻi i kāu kauka e pili ana.
ʻO kekahi mea nui loa, ʻo ia ka hōʻoia ʻana e loaʻa ana iā ʻoe ka nui o ka calcium a me ka wikamina D i ka wā e lawe ana i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i nā meaʻai a me nā wikamina āu e pono ai e lawe.
Pono paha ʻoe e hana i nā hoʻāʻo koko (hana koko) i ka wā e lawe ana i kēia lāʻau lapaʻau.
Ka nānā kūikawā i ke olakino niho!
Pono ʻoe e haʻi aku i kāu kauka niho a me ke kauka niho e lawe ana ʻoe i kēia lāʻau lapaʻau. ʻAʻole ʻōlelo ʻia e hana i ke ʻoki niho nui i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi kauka niho e nānā i kou mau niho a hoʻoponopono i nā pilikia ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E mālama pono i kou mau niho i ka wā e lawe ana i kēia lāʻau lapaʻau. E kipa pinepine i kāu kauka niho no nā nānā ʻana.
E noʻonoʻo, ua hoʻomaka ʻo Nalini Akka i kēia inikini Zoledronic Acid ma muli o ka osteoporosis. He pilikia iki kona me kona niho, a ʻaʻole ʻo ia i haʻi aku i ke kauka a i ʻole ke kauka niho e pili ana i ia mea. Ma hope mai, i ka wā e pono ai ke unuhi ʻia ka niho, aia kahi pilikia nui me ka iwi ʻauwae. No laila, ʻaʻole anei ʻoe i haʻi mua iā ia i nā mea āpau?
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka inikini Zoledronic Acid ke hana i kekahi mau hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o lākou i kāu kauka. ʻAʻole koʻikoʻi kekahi o lākou, akā inā hoʻomau lākou a lilo paha i mea hoʻopilikia, pono ʻoe e haʻi i kāu kauka.
Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka a mea mālama ola paha:
- Nā hopena maʻi: ka ʻili ʻulaʻula, ka maneʻo a i ʻole ka hives, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo.
- ʻEha iwi.
- Nā hōʻailona o ka maʻi: kuni, anuanu, ʻū, ʻeha ka puʻu, ʻeha a paʻakikī paha ka mimi.
- ʻEha ka ʻāwae, ʻoi aku hoʻi ma hope o ka mālama ʻana i nā niho.
- ʻEha hui.
- ʻEha puʻupaʻa: Paʻakikī i ka mimi ʻana a i ʻole kahi loli i ka nui o ka mimi i hana ʻia.
- Nā hōʻailona o ka haʻahaʻa o ka calcium:Ka puʻuwai wikiwiki, ka ʻoniʻoni a i ʻole ka ʻeha o nā ʻiʻo, ka ʻeha ma nā lālā, ka mae ʻole a i ʻole ka nalowale o ka ʻike, nā ʻōʻili.
- Nā hōʻailona o ka helu haʻahaʻa o nā hunaola koko ʻulaʻula: pōkole o ka hanu, nāwaliwali, manaʻo poniuniu, nāwaliwali, manaʻo nāwaliwali a luhi paha.
- ʻEha ʻiʻo.
- Nā palpitations o ka puʻuwai.
- ʻUlaʻula, pehu, ʻili, a i ʻole ka ʻili ʻana o ka ʻili, ʻoiai ma loko o ka waha.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:
- Ka maʻi pākī.
- Ka ʻūhū ʻana o ka maka, ka maneʻo, a i ʻole ka ʻeha.
- Kuni.
- Nā hōʻailona malaise maʻamau a i ʻole nā hōʻailona e like me ka maʻi palū.
- ʻEha poʻo.
- Hoʻonui ʻia ke koko.
- Ka luaʻi.
- ʻEha, ʻulaʻula, a huhū paha ma kahi i inikini ʻia ai.
- ʻEha ʻōpū.
- ʻŌpū ʻeha.
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē aʻe, e nīnau i kāu kauka e pili ana i ia mea.
Ma hea ʻoe e mālama ai i kēia lāʻau lapaʻau?
ʻAʻole ʻoe e ʻae ʻia e lawe i kēia lāʻau lapaʻau i ka home. Loaʻa ia ma kahi haukapila a i ʻole ke keʻena lapaʻau a e hāʻawi ʻia iā ʻoe ma laila. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka mālama ʻana i kēia lāʻau lapaʻau ma ka home.
ʻO ka mea hope loa, kekahi mau mea āu e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ka lāʻau pale Zoledronic Acid a mākou i kamaʻilio ai i kēia lā. E hoʻomanaʻo i kēia mau manaʻo:
- He lāʻau pale kēia e hōʻemi ana i ka hoʻokuʻu ʻia ʻana o ka calcium mai nā iwi, ʻo ia hoʻi no nā maʻi e pili ana i ka iwi e like me ka osteoporosis a me ka maʻi o Paget .
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, mai poina e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa ai, nā lāʻau lapaʻau āpau āu e lawe ai, nā maʻi allergies, inā hāpai ʻoe, inā he makuahine hānai ʻoe, nā mea āpau .
- E mālama pono i kou olakino niho i ka wā e lawe ana i kēia lāʻau. E haʻi aku i kāu kauka a me kāu kauka niho e lawe ana ʻoe i kēia lāʻau. E pale i ke ʻoki niho nui.
- E kiʻi i ka lawa ʻana o ka calcium a me ka wikamina D.
- Inā loaʻa iā ʻoe ka ʻeha ma ka ʻāwae, ka ʻeha nui o ka iwi, a i ʻole nā hōʻailona maʻi ʻaleka, e haʻi koke aku i kāu kauka .
- E hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a e hahai i nā ʻōlelo a ke kauka.
He hōʻuluʻulu manaʻo wale nō kēia. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a mea mālama ola kino paha.
Ke makemake nei iā ʻoe e ho'ōla koke!
ʻAkika Zoledronic, Osteoporosis, Maʻi o Paget, Ola Kino o ka Iwi, Kalipuna, Nā Hopena ʻAoʻao











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