Created at:1/13/2025
Question on this topic? Get an instant answer from August.
ʻO nā mea pale carbonic anhydrase he mau lāʻau lapaʻau e ālai ana i kahi enzyme kikoʻī i loko o kou kino i kapa ʻia ʻo carbonic anhydrase. Kōkua kēia enzyme i ka hoʻoponopono ʻana i ke kaulike wai a me ke kaomi i nā ʻāpana like ʻole o kou kino, me kou mau maka a me nā puʻupaʻa. Ke kauoha nā kauka i kēia mau lāʻau lapaʻau, ke kōkua maʻamau nei lākou iā ʻoe e mālama i nā kūlana e like me ka glaucoma, kekahi mau ʻano o ka hopu ʻana, a i ʻole nā pilikia o ka paʻa wai.
Hana kēia mau lāʻau lapaʻau ma ka hoʻemi ʻana i ka hana ʻana o nā wai i nā wahi kikoʻī o kou kino. E noʻonoʻo iā lākou he mau mea hoʻoponopono mālie e kōkua i ka mālama ʻana i ke kaomi kūpono a me ke kaulike wai kahi āu e pono ai.
ʻO ka mea pale carbonic anhydrase he ʻano lāʻau lapaʻau e ālai ana i ka hana o nā enzymes carbonic anhydrase ma kou kino. Kōkua kēia mau enzymes i kāu mau cell e mālama i ke kaulike acid-base a me ka hana wai.
Ma ka ālai ʻana i kēia mau enzymes, hoʻemi ka lāʻau lapaʻau i ka hana wai i nā wahi e like me kou mau maka a me nā puʻupaʻa. ʻO kēia ka mea e pono ai lākou no ka mālama ʻana i nā kūlana kahi e hoʻopilikia ai ka wai nui a i ʻole ke kaomi. ʻO nā lāʻau lapaʻau maʻamau i kēia mahele me acetazolamide, methazolamide, a me dorzolamide.
Manaʻo ʻia kēia mau lāʻau lapaʻau he ikaika a hana wikiwiki. Hiki i kāu kauka ke hāʻawi iā lākou iā ʻoe ma ke ʻano he mau pila āu e ale ai a i ʻole ma ke ʻano he injections pololei i loko o kou kahe koko, ma muli o kou kūlana a me nā pono.
Kauoha nā kauka i nā mea pale carbonic anhydrase i ka mea nui e mālama i ka glaucoma, kahi maʻi e kūkulu ai ke kaomi i loko o kou maka. Kōkua lākou i ka mālama ʻana i kekahi mau ʻano o ka hopu ʻana a me nā pilikia o ka paʻa wai.
Eia nā kūlana nui e hiki ai i kēia mau lāʻau lapaʻau ke kōkua i ka mālama ʻana:
I kekahi manawa hoʻohana nā kauka i kēia mau lāʻau lapaʻau no nā maʻi liʻiliʻi e like me ka paralysis periodic a i ʻole kekahi mau maʻi hiamoe. E hoʻoholo kāu mea mālama ola inā kūpono kēia lāʻau lapaʻau no kāu kūlana.
Hana nā mea pale carbonic anhydrase ma ka pale ʻana i nā enzymes kikoʻī e kōkua i ka hana ʻana i nā wai i loko o kou kino. Ke ālai ʻia kēia mau enzymes, ʻaʻole nui ka wai i hana ʻia ma nā wahi e like me kou mau maka a me nā puʻupaʻa.
I loko o kou mau maka, kōkua kēia hoʻēmi ʻana i ka hana wai i ka hoʻohaʻahaʻa ʻana i ke kaomi e hiki ke hōʻino i kāu aʻalolo optic i ka glaucoma. I loko o kou mau puʻupaʻa, hoʻololi ia i ke ʻano o kou kino e mālama ai i ka sodium a me ka wai, hiki ke kōkua i ka hoʻēmi ʻana i ka paʻa wai holoʻokoʻa.
Ua manaʻo ʻia kēia mau lāʻau lapaʻau he ikaika a hoʻomaka maʻamau e hana i loko o kekahi mau hola. Hiki ke mau nā hopena ma nā wahi a pau mai 8 a 24 mau hola, ma muli o ka lāʻau lapaʻau āu e lawe nei a pehea e hana ai kou kino.
Pono ʻoe e lawe i nā mea pale carbonic anhydrase e like me ke kauoha a kāu kauka iā lākou. ʻOi aku ka maikaʻi o ka hapa nui o nā ʻano waha ke lawe ʻia me ka meaʻai e hōʻemi i ka ʻōpū.
E lawe i kāu lāʻau lapaʻau me ke aniani wai piha e kōkua i ka pale ʻana i nā pōhaku kīkī, hiki ke lilo i hopena ʻaoʻao. Inā ʻoe e lawe ana i ka lāʻau lapaʻau i nā manawa he nui i ka lā, e hoʻāʻo e hoʻokaʻawale i nā lāʻau i ka lā.
No nā ʻano injectable, e hāʻawi kāu mea mālama ola iā ʻoe i ka lāʻau lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau. E nānā pono lākou iā ʻoe i ka wā a ma hope o ka injection e hōʻoia e pane maikaʻi ana ʻoe.
E pale i ka lawe ʻana i kēia lāʻau lapaʻau me ka waiʻona, no ka mea, hiki iā ia ke hoʻonui i kekahi mau hopena ʻaoʻao. Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, ʻoi aku ka nui o nā diuretics a i ʻole nā lāʻau lapaʻau hopu, e haʻi i kāu kauka no ka mea hiki i kēia mau mea ke launa pū me nā mea pale carbonic anhydrase.
ʻO ka lōʻihi o ka mālama ʻana me nā mea pale carbonic anhydrase e hilinaʻi loa i kou kūlana kikoʻī a me ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau. Pono kekahi poʻe i ka mālama ʻana i ka wā pōkole, aʻo nā mea ʻē aʻe e pono paha i ka lāʻau lapaʻau lōʻihi.
No ka glaucoma, pono paha ʻoe e lawe i kēia mau lāʻau lapaʻau no nā mahina a i ʻole nā makahiki e mālama i ke kaomi o kou maka. No ka maʻi kiʻekiʻe, pono paha ʻoe iā lākou no kekahi mau lā wale nō i ka wā e hoʻoponopono ai kou kino i ke kiʻekiʻe.
E nānā mau kāu kauka i ke ʻano o kou pane ʻana i ka lāʻau lapaʻau a hiki ke hoʻoponopono i kāu hoʻolālā lapaʻau. Mai hooki i ka lawe ʻana i kēia mau lāʻau lapaʻau me ka ʻole e kamaʻilio mua me kāu mea mālama ola, ʻoiai inā ʻoe e lawe nei iā lākou no nā hopu ʻana, no ka mea, hiki i kēia ke hana i nā hopu.
E like me nā lāʻau lapaʻau a pau, hiki i nā mea pale carbonic anhydrase ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole nā mea a pau e ʻike iā lākou. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a hiki ke mālama ʻia, akā he mea nui e ʻike i ka mea e nānā ai.
ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia:
He pinepine ka maikaʻi ʻana o kēia mau hopena i ka wā e hoʻoponopono ai kou kino i ka lāʻau. Eia naʻe, hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao koʻikoʻi e koi ana i ka lāʻau lapaʻau koke.
ʻO nā hopena ʻaoʻao koʻikoʻi akā kakaʻikahi, e komo pū ana me nā hopena maʻi maʻi koʻikoʻi, nā pōhaku kīkī, nā pilikia electrolyte koʻikoʻi, a me nā maʻi koko. E kelepona koke i kāu kauka inā ʻike ʻoe i ka ʻeha nui o ka ʻōpū, ka pilikia o ka hanu ʻana, ke kahe koko ʻano ʻē, a i ʻole nā hōʻailona o ka maloʻo nui.
Pono kekahi poʻe e pale i nā mea pale carbonic anhydrase a i ʻole e hoʻohana iā lākou me ka akahele. E loiloi pono kāu kauka inā palekana kēia mau lāʻau lapaʻau iā ʻoe e pili ana i kāu mōʻaukala olakino.
ʻAʻole pono ʻoe e lawe i kēia mau lāʻau lapaʻau inā loaʻa iā ʻoe:
Pono ka poʻe me ka maʻi diabetes, gout, a i ʻole ka mōʻaukala o nā pōhaku kīkī i ka nānā pono ʻana i ka wā e lawe ana i kēia mau lāʻau lapaʻau. Pono nā wāhine hāpai a me nā wāhine e hānai ana i ka umauma e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kā lākou mea mālama ola ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
Nui nā lāʻau lapaʻau inoa inoa i loaʻa nā mea pale carbonic anhydrase. ʻO nā mea i kauoha pinepine ʻia, ʻo ia ka Diamox (acetazolamide), Neptazane (methazolamide), a me Trusopt (dorzolamide eye drops).
Loaʻa ka Acetazolamide ma ke ʻano he papa hoʻokuʻu koke a me ka hoʻokuʻu ʻia ʻana ma lalo o nā inoa inoa like ʻole. Loaʻa mua ʻia ʻo Dorzolamide ma ke ʻano he kulu maka no ka mālama ʻana i ka glaucoma.
Hiki i kāu kauka lapaʻau ke kōkua iā ʻoe e ʻike i ke ʻano kikoʻī a me ka hoʻomākaukau ʻana i kāu kauka i kauoha ai. Loaʻa nō hoʻi nā mana generic no ka hapa nui o kēia mau lāʻau lapaʻau a hana like me nā mana inoa inoa.
Inā ʻaʻole kūpono nā mea kāohi carbonic anhydrase iā ʻoe, aia kekahi mau lapaʻau ʻē aʻe i loaʻa e pili ana i kou maʻi. Hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i kēia mau koho.
No ka glaucoma, nā koho ʻē aʻe e pili ana i nā beta-blockers e like me timolol, nā analog prostaglandin e like me latanoprost, a i ʻole alpha-agonists e like me brimonidine. No nā hopu ʻana, hiki i nā lāʻau anti-seizure ʻē aʻe e like me levetiracetam a i ʻole lamotrigine ke kūpono.
No ka paʻa ʻana o ka wai, hiki i nā ʻano diuretics ʻē aʻe e like me thiazides a i ʻole loop diuretics ke hana maikaʻi aʻe iā ʻoe. ʻO ke koho maikaʻi loa e pili ana i kou maʻi kikoʻī, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me kāu pane pilikino i ka lapaʻau.
Hana ʻokoʻa nā mea kāohi carbonic anhydrase mai nā diuretics ʻē aʻe a ʻaʻole pono e ʻoi aku ka maikaʻi a i ʻole ka ʻino - he mau mea hana like ʻole lākou no nā kūlana like ʻole. ʻO ke koho maikaʻi loa e pili ana i kou maʻi kikoʻī a me nā pono.
ʻAʻole like me nā diuretics ʻē aʻe e pili nui ana i ke koena sodium a me ka wai, he mau hopena kūʻokoʻa nā mea kāohi carbonic anhydrase i ke koena waikawa-base a hana i nā wahi kikoʻī e like me nā maka. ʻO kēia ka mea e pono ai lākou no nā maʻi e like me ka glaucoma kahi e pono ʻole ai nā diuretics ʻē aʻe.
No ka mālama ʻana i ke koko kiʻekiʻe a i ʻole ka paʻa ʻana o ka wai maʻamau, hiki i nā diuretics ʻē aʻe e like me thiazides a i ʻole ACE inhibitors ke kūpono i nā lapaʻau laina mua. E koho kāu kauka i ka lāʻau lapaʻau e kūpono i kou kūlana olakino.
Hiki ke hoʻohana palekana ʻia nā mea kāohi carbonic anhydrase i ka poʻe me ka maʻi diabetes, akā pono ʻoe e nānā pono. Hiki i kēia mau lāʻau lapaʻau ke hoʻopilikia i kou pae kōpaʻa koko a hiki ke launa pū me kekahi mau lāʻau diabetes.
Makemake kāu kauka e nānā pinepine i kou kōpa koko ke hoʻomaka ʻoe e lawe i kēia mau lāʻau. Pono paha lākou e hoʻoponopono i kāu mau lāʻau lapaʻau maʻi diabetes e mālama i ka mana maikaʻi o ke kōpa koko.
Inā lawe hewa ʻoe i ka nui o kāu carbonic anhydrase inhibitor, e kelepona koke i kāu kauka a i ʻole ke kikowaena mana ʻawa. Mai kali e ʻike inā maikaʻi ʻoe.
Hiki i nā hōʻailona overdose ke komo i nā kaulike electrolyte koʻikoʻi, ka luhi nui, ka huikau, a i ʻole ka pilikia o ka hanu ʻana. Inā ʻike ʻoe i nā hōʻailona koʻikoʻi, e hele i ka lumi pilikia i kēia manawa.
Inā hala ʻoe i kahi mahele, e lawe iā ia i ka wā e hoʻomanaʻo ai ʻoe, ke ʻole kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia. I kēlā hihia, e lele i ka mahele i hala a e hoʻomau me kāu papa manawa maʻamau.
Mai lawe i kahi mahele pālua e hoʻopiha ai i kahi i hala, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao. Inā poina pinepine ʻoe i nā mahele, e noʻonoʻo e hoʻonohonoho i nā mea hoʻomanaʻo a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila e kōkua iā ʻoe e noho ma ke ala.
Pono ʻoe e hooki i ka lawe ʻana i nā mea pale carbonic anhydrase ke haʻi kāu kauka iā ʻoe he palekana ke hana pēlā. ʻO ka hooki ʻana i ka hikiwawe hiki ke hoʻonui i kou maʻi maʻi.
No nā maʻi e like me ka glaucoma, hiki i ka hooki ʻana i ka lāʻau lapaʻau ke alakaʻi i ka piʻi ʻana o ke kaomi maka a me ka pōʻino o ka ʻike. E kōkua kāu kauka iā ʻoe e hoʻoholo i ka manawa a me ke ʻano e hoʻōki palekana i ka lāʻau lapaʻau inā kūpono.
ʻOi aku ka maikaʻi e kaupalena a pale paha i ka waiʻona i ka wā e lawe ana i nā mea pale carbonic anhydrase. Hiki i ka waiʻona ke hoʻonui i kekahi mau hopena ʻaoʻao e like me ka dizziness a me ka dehydration.
Inā koho ʻoe e inu, e hana me ke ana a e hōʻoia e hoʻoinu maikaʻi ana ʻoe me ka wai. E kamaʻilio me kāu kauka e pili ana i ka nui o ka inu ʻana i ka waiʻona, inā he mea, he palekana no kāu kūlana kikoʻī.