He aha ʻo Conivaptan: Nā Hoʻohana, Nā Ana, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He lāʻau lapaʻau i kauoha ʻia ʻo Conivaptan i hāʻawi ʻia ma o ka laina IV (intravenous) i loko o ka haukapila e mālama i nā pae sodium haʻahaʻa loa i loko o kou koko. ʻO kēia maʻi, i kapa ʻia ʻo hyponatremia, e hana ʻia ke paʻa kou kino i ka nui o ka wai i hoʻohālikelike ʻia me ka sodium, hiki ke hoʻopilikia iā ʻoe, nāwaliwali, a i ʻole ke kumu o nā hopu inā ʻaʻole i mālama ʻia.

E noʻonoʻo i ka sodium e like me ka mea mālama kaulike maoli o kou kino. Ke hāʻule nā pae sodium i ka haʻahaʻa loa, hiki i kāu mau cell ke pehu me ka wai nui, e pili ana i ka hana ʻana o kou lolo a me nā ʻōkana ʻē aʻe. Kōkua ʻo Conivaptan i ka hoʻihoʻi ʻana i kēia kaulike ma ka paipai ʻana i kou mau puʻupaʻa e wehe i ka wai nui aʻo ka mālama ʻana i nā pae sodium paʻa.

He aha ʻo Conivaptan?

No ka papa o nā lāʻau lapaʻau i kapa ʻia ʻo vasopressin receptor antagonists ʻo Conivaptan. Hana ia ma ka ālaina ʻana i kekahi mau mea hoʻokipa i loko o kou kino e haʻi maʻamau i kou mau puʻupaʻa e paʻa i ka wai. Ke ālaina ʻia kēia mau mea hoʻokipa, hoʻokuʻu kou mau puʻupaʻa i ka wai hou aʻe ma o ka mimi, e kōkua ana i ka hoʻihoʻi ʻana i kou mau pae sodium i ka maʻamau.

Loaʻa wale kēia lāʻau lapaʻau i nā haukapila a hāʻawi pololei ʻia i loko o kou kahe koko ma o ka laina IV. E nānā pono kāu hui mālama ola iā ʻoe i ka wā e loaʻa ai iā ʻoe kēia lapaʻau e hōʻoia i ka hana palekana a me ka maikaʻi.

No ke aha i hoʻohana ʻia ai ʻo Conivaptan?

Hoʻohana kūikawā ʻia ʻo Conivaptan e mālama i ka euvolemic a me ka hypervolemic hyponatremia i nā maʻi i ka haukapila. Ma nā huaʻōlelo maʻalahi, ʻo ia hoʻi, kōkua ia i ka wā e haʻahaʻa loa ai kou mau pae sodium ma muli o ka nui o ka wai i loko o kou kino, ʻaʻole no ka mea ua maloʻo ʻoe.

Hiki i kāu kauka ke ʻōlelo aku iā conivaptan inā he haʻahaʻa kou mau pae sodium i hoʻokumu ʻia e nā kūlana e like me ka puʻuwai, ka maʻi ate, a i ʻole ka maʻi o ka hormone antidiuretic kūpono ʻole (SIADH). Hiki i kēia mau kūlana ke paʻa i kou kino i ka wai nui, e hoʻoheheʻe ana i kou koko sodium i nā pae palekana ʻole.

He mea kōkua nui ka lāʻau lapaʻau ke hana ʻole nā lāʻau lapaʻau ʻē aʻe a i ʻole ke pono e hoʻoponopono ʻia kou pae sodium ma mua o ka hiki i nā loli ʻai wale nō.

Pehea e Hana ai ʻo Conivaptan?

Ua manaʻo ʻia ʻo Conivaptan he lāʻau lapaʻau ikaika waena e hana ana ma ka ʻimi ʻana i nā mea loaʻa kūikawā i loko o kou mau puʻupaʻa a me nā kīʻaha koko. Hoʻopaʻa ia i nā mea loaʻa vasopressin, he like ia me nā kuapo e haʻi maʻamau i kou kino e mālama i ka wai.

Ke ālai ʻo conivaptan i kēia mau kuapo, hoʻomaka kou mau puʻupaʻa e hoʻokuʻu i ka wai hou aʻe ma o ka mimi ʻoiai e mālama ana i ka sodium i loko o kou kahe koko. Hoʻihoʻi mālie kēia hana i kou pae sodium i kahi pae olakino, maʻamau ma luna o kekahi mau lā o ka mālama ʻana.

Hana wikiwiki ka lāʻau lapaʻau, me nā hopena e hoʻomaka ana i loko o kekahi mau hola o ka hoʻomaka ʻana i ka mālama ʻana. Eia naʻe, e hoʻoponopono kāu hui mālama ola i kou pae sodium mālie e pale aku i nā pilikia mai nā loli wikiwiki loa.

Pehea wau e lawe ai iā Conivaptan?

ʻAʻole ʻoe e lawe iā conivaptan iā ʻoe iho - hāʻawi ʻia ia e nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia i loko o kahi haukapila. Hāʻawi ʻia ka lāʻau lapaʻau ma o ka laina IV, e hoʻomaka ana me kahi dosis hoʻouka a ukali ʻia e ka infusion mau no kekahi mau lā.

I ka wā o ka mālama ʻana, hiki iā ʻoe ke ʻai a inu maʻamau ke ʻole e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka lawe ʻana i ka wai. Pono paha kekahi poʻe maʻi e kaupalena i ka nui o kā lākou inu ʻana e kōkua i ka hana ʻana o ka lāʻau lapaʻau.

E nānā kāu hui lapaʻau i kou pae sodium, ka hana o ka puʻupaʻa, a me ke kūlana holoʻokoʻa i ka wā o ka mālama ʻana. E hoʻoponopono lākou i ka dosis a i ʻole e hoʻōki i ka lāʻau lapaʻau ma muli o ke ʻano o ka pane ʻana o kou kino a me nā hopena o kāu lab.

Pehea ka lōʻihi e lawe ai au iā Conivaptan?

He 2 a 4 mau lā ka lōʻihi o ka lapaʻau ʻana me ka Conivaptan, akā hiki ke loli kēia ma muli o kou maʻi a me ka wikiwiki o ka hoʻomaikaʻi ʻana o kou pae sodium. E hoʻoholo kāu kauka i ka lōʻihi pololei ma muli o nā hopena o kāu lab a me kou manaʻo.

ʻAʻole i manaʻo ʻia ka lāʻau lapaʻau no ka hoʻohana lōʻihi. Ke paʻa nā pae sodium a hoʻoponopono ʻia ke kumu kumu, e hoʻōki ʻia ka lapaʻau. E hoʻomau kāu hui mālama ola i ka nānā ʻana i kāu pae sodium ma hope o ka hoʻōki ʻana i ka conivaptan e hōʻoia i ka paʻa ʻana.

Pono paha kekahi poʻe maʻi i nā lāʻau lapaʻau hou a i ʻole nā lāʻau lapaʻau ma hope o ka conivaptan e pale ai i ka hāʻule hou ʻana o ko lākou pae sodium, ʻoiai inā he mau maʻi e like me ka puʻuwai a i ʻole ka maʻi ate.

He aha nā hopena ʻaoʻao o Conivaptan?

E like me nā lāʻau lapaʻau a pau, hiki i ka conivaptan ke hana i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe e ʻae maikaʻi iā ia ke nānā pono ʻia. Hiki ke mālama ʻia ka hapa nui o nā hopena ʻaoʻao a hoʻoponopono ʻia ke pau ka lapaʻau.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike i ka wā o ka lapaʻau:

• Make wai a me ka mimi nui (manaʻo ʻia kēia i ka wā e hana ana ka lāʻau lapaʻau)
• Poʻo a i ʻole ka ʻūlū
• Nausea a i ʻole ka ʻōpū
• Luhi a i ʻole ka nāwaliwali
• Hoʻonāukiuki a i ʻole ka ʻeha ma ke kahua IV
• Paʻa
• He pilikia i ka hiamoe

Hoʻomaikaʻi maʻamau kēia mau hopena maʻamau i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau a hoʻomaʻamaʻa i kāu pae sodium. E kōkua kāu hui mālama ola i ka mālama ʻana i nā hōʻailona ʻoluʻolu ʻole.

ʻAʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, akā pono ka lāʻau lapaʻau koke. Hiki i kēia mau mea:

• Ka make wai nui a i ʻole ka make wai nui
• Nā loli wikiwiki i nā pae sodium e hoʻoulu ai i ka huikau a i ʻole nā ​​hopu
• Nā pilikia o ka puʻupaʻa (nā loli i ka mimi, pehu)
• Nā loli o ka puʻuwai
• Nā hopena maʻi maʻi koʻikoʻi (pilikia, pilikia i ka hanu ʻana, pehu)
• Nā loli i ke koko

E nānā mau ana kāu hui lapaʻau i kēia mau hopena koʻikoʻi i ka wā o ka mālama ʻana, i hiki iā lākou ke hoʻoponopono koke i nā pilikia inā kū mai.

ʻO wai ka mea ʻaʻole pono e lawe iā Conivaptan?

ʻAʻole palekana ʻo Conivaptan no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ka ʻōlelo ʻana i kēia lapaʻau. ʻO kekahi mau maʻi e hana i kēia lāʻau lapaʻau kūpono ʻole a i ʻole ka pilikia.

ʻAʻole pono ʻoe e loaʻa iā conivaptan inā loaʻa iā ʻoe:

• Maʻi kīkī koʻikoʻi a i ʻole ka hāʻule ʻana o ke kīkī
• Hypovolemic hyponatremia (sodium haʻahaʻa ma muli o ka dehydration ma mua o ka wai nui)
• Pono koke e hoʻokiʻekiʻe i nā pae sodium (i nā kūlana pilikia)
• ʻIke ʻia ka maʻi allergy iā conivaptan a i ʻole nā ​​lāʻau lapaʻau like
• Nā pilikia ate koʻikoʻi
• ʻO kekahi mau maʻi puʻuwai e hoʻolilo iā ʻoe i ka naʻau i nā loli wai

E hoʻohana pū kāu kauka i ka mālama keu inā loaʻa iā ʻoe ka maʻi diabetes, ka maʻi puʻuwai, a i ʻole e lawe i kekahi mau lāʻau lapaʻau e hiki ke launa pū me conivaptan. E haʻi mau i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā kūlana olakino āu i loaʻa.

Nā inoa inoa inoa Conivaptan

Loaʻa ʻo Conivaptan ma lalo o ka inoa inoa Vaprisol ma ʻAmelika Hui Pū ʻIa. ʻO kēia ke ʻano i hoʻohana pinepine ʻia o ka lāʻau lapaʻau i nā haukapila.

Hiki ke loaʻa ka lāʻau lapaʻau ma ke ʻano he generic i kekahi mau hale, akā ʻo ia nō ka mea hana like ʻole me ka inoa inoa. E hoʻoholo kāu hale kūʻai lāʻau lapaʻau i ka mana āu e loaʻa ai ma muli o kā lākou palapala a me ka loaʻa.

Nā koho ʻē aʻe o Conivaptan

Inā ʻaʻole kūpono ʻo conivaptan no kāu kūlana, he nui nā koho ʻē aʻe a kāu kauka e kōkua ai i ka hoʻoponopono ʻana i nā pae sodium haʻahaʻa. ʻO ke koho maikaʻi loa e pili ana i kāu kūlana kikoʻī a me ke kumu o kāu hyponatremia.

ʻO nā lāʻau lapaʻau ʻē aʻe e hana like ana me:

• Tolvaptan (Samsca) - he lāʻau lapaʻau waha no nā hihia ʻaʻole wikiwiki
• Demeclocycline - he lāʻau antibiotic e kōkua pū ana i ka paʻa ʻana o ka wai
• Lithium - hoʻohana ʻia i kekahi manawa i nā kūlana kūikawā
• Urea - kōkua i ka hoʻonui ʻana i ka hoʻokuʻu ʻana o ka wai

Hiki i nā ala hana ʻole i ka lāʻau lapaʻau ke komo i ka palena wai, nā papa paʻakai, a i ʻole ka mālama ʻana i ke kūlana ma lalo e hoʻoulu ai i kou pae sodium haʻahaʻa. E koho kāu hui mālama ola i ke ala maikaʻi loa e pili ana i kāu mau pono pilikino a me ka mōʻaukala olakino.

Ua ʻOi aku ka Maikaʻi o Conivaptan ma mua o Tolvaptan?

He mau lāʻau lapaʻau maikaʻi ʻo Conivaptan a me tolvaptan no ka mālama ʻana i nā pae sodium haʻahaʻa, akā hana lākou i nā kūlana like ʻole. Hāʻawi ʻia ʻo Conivaptan ma o ka IV i nā halemai no nā hihia wikiwiki, ʻoiai ʻo tolvaptan he pila i lawe ʻia e ka waha no ka mālama lōʻihi.

Hiki ke makemake ʻia ʻo Conivaptan ke pono ʻoe i ka haukapila a i ʻole ke pono kāu pae sodium i ka nānā ʻana. Hiki ke ʻoi aku ka maikaʻi o Tolvaptan no ka mālama ʻana ma ka home ke paʻa kou kūlana.

E koho kāu kauka ma muli o nā mea e like me ka wikiwiki o ka pono e hoʻoponopono ʻia kāu sodium, inā hiki iā ʻoe ke lawe i nā pila, kou mau maʻi olakino ʻē aʻe, a me ke ʻano o ka nānā ʻana āu e pono ai. Ua manaʻo ʻia nā lāʻau lapaʻau ʻelua he palekana a maikaʻi ke hoʻohana pono ʻia.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Conivaptan

Q1. Palekana ʻo Conivaptan no ka maʻi puʻuwai?

Hiki ke hoʻohana palekana ʻia ʻo Conivaptan i ka poʻe me ka maʻi puʻuwai, akā pono ia i ka nānā ʻana a me nā hoʻoponopono ʻana i ka mahele. ʻO ka maʻi puʻuwai kekahi o nā kūlana e hoʻoulu pinepine ai i nā pae sodium haʻahaʻa e mālama ai ʻo conivaptan.

E hana pili kāu hui cardiac me kāu mau kauka ʻē aʻe e hōʻoia ʻaʻole e hoʻokau ka lāʻau lapaʻau i ke koʻikoʻi hou i kou puʻuwai. E nānā lākou i kāu hana puʻuwai, ke koko, a me ke kaulike wai i ka wā o ka mālama ʻana e mālama iā ʻoe.

Q2. He aha kaʻu e hana ai inā hoʻohana hewa wau i ka nui o Conivaptan?

Mai ka mea e hāʻawi ʻia ana ʻo conivaptan e nā poʻe loea olakino ma kahi haukapila, ʻaʻole paha e loaʻa ka nui o ka lāʻau i ka ulia. Hoʻohālikelike a nānā pono kāu hui olakino i kēlā me kēia lāʻau āu e loaʻa ai.

Inā hāʻawi ʻia ka nui o ka lāʻau i ka ulia, e kāpae koke kāu hui olakino i ka hoʻokomo ʻana a nānā pono iā ʻoe no nā hōʻailona o ka maloʻo a i ʻole nā loli wikiwiki o ka sodium. Loaʻa iā lākou nā lāʻau lapaʻau e mālama ai i nā pilikia e hiki ke kū mai mai nā lāʻau nui.

Q3. He aha kaʻu e hana ai inā e hala wau i kahi lāʻau o Conivaptan?

ʻAʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana i nā lāʻau o conivaptan no ka mea e hāʻawi ʻia ana ma ke ʻano he hoʻokomo IV mau i mālama ʻia e kāu hui olakino. Nānā mau lākou i ka hāʻawi ʻana i ka lāʻau a hoʻoponopono inā loaʻa kekahi pilikia.

Inā pono e hoʻololi ʻia kāu laina IV a i ʻole inā he wā pōkole i ka mālama ʻana, e helu kāu hui olakino i kēia i kāu hoʻolālā lapaʻau holoʻokoʻa. E hōʻoia lākou e loaʻa iā ʻoe ka nui kūpono o ka lāʻau ma ke kaʻina lapaʻau holoʻokoʻa.

Q4. I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Conivaptan?

Na kāu kauka e hoʻoholo i ka manawa e hooki ai iā conivaptan ma muli o nā hopena o kāu lab a me ke ʻano o kou manaʻo. ʻO ka maʻamau, e hooki ʻia ka lapaʻau ke hoʻomaikaʻi ʻia nā pae sodium i kahi pae palekana a paʻa no ka liʻiliʻi o 24 mau hola.

Aia i loko o ka hoʻoholo ka nānā ʻana i kāu pae sodium, ka hana o ka puʻupaʻa, a me ke kūlana kumu i hana i kou sodium haʻahaʻa. E hōʻoia kāu hui olakino he palekana ke hooki a hiki ke hoʻololi iā ʻoe i nā lāʻau lapaʻau ʻē aʻe inā pono e pale i kāu sodium mai ka hāʻule hou ʻana.

Q5. Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o Conivaptan?

ʻAʻole pono ʻoe e kalaiwa koke ma hope o ka loaʻa ʻana o ka lapaʻau conivaptan, no ka mea, hiki i ka lāʻau a me ke kūlana e mālama ai ke kumu i ka dizziness, confusion, a i ʻole ka nāwaliwali. ʻO ka hapa nui o nā maʻi e loaʻa ana i kēia lāʻau i ka haukapila, no laila ʻaʻole ia he hopohopo koke.

Ma mua o kou ʻae ʻia e kalaiwa ma hope o ka hoʻokuʻu ʻia ʻana, e hōʻoia kāu kauka i ka paʻa o kou pae sodium a ʻaʻole ʻoe e ʻike i nā hopena i koe mai ka lāʻau lapaʻau. ʻO ka maʻamau, ʻo ia ka kali ʻana ma ka liʻiliʻi he 24-48 mau hola ma hope o ka pau ʻana o ka lāʻau lapaʻau a me ka manaʻo ʻana ua hoʻi hou i ka maʻamau.