He aha ka Doxercalciferol: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Doxercalciferol he ʻano synthetic o ka huaora D e kōkua ana i kou kino e mālama i nā pae calcium a me phosphorus. Hoʻolālā ʻia kēia lāʻau lapaʻau no ka poʻe ʻaʻole e hana pono ana ko lākou puʻupaʻa, no ka mea, kōkua maʻamau nā puʻupaʻa olakino i ka hoʻāla ʻana i ka huaora D i loko o kou kino.

Ke paʻakikī nei kou puʻupaʻa e hana, ʻaʻole hiki iā lākou ke hana pono i ka huaora D maʻamau mai ka meaʻai a i ʻole ka lā. Hoʻokumu kēia i ka hopena domino kahi e hana nui ai kāu mau ʻāpana parathyroid, e hoʻāʻo nei e kaulike i kāu mau pae calcium. Kōkua ʻo Doxercalciferol i ka hoʻihoʻi ʻana i kēia kaulike palupalu.

No ke aha e hoʻohana ʻia ai ka Doxercalciferol?

Hoʻomaʻamaʻa ʻo Doxercalciferol i ka hyperparathyroidism lua, kahi maʻi e lilo ai kāu mau ʻāpana parathyroid i mea hana nui. ʻO ka mea maʻamau kēia i ka poʻe me ka maʻi puʻupaʻa maʻi a i ʻole ka poʻe ma ka dialysis.

He liʻiliʻi akā ikaika kāu mau ʻāpana parathyroid - mālama lākou i nā pae calcium i loko o kou koko. Ke hiki ʻole i kou puʻupaʻa ke mālama pono i ka huaora D, hoʻomaka kēia mau ʻāpana e hana ʻoi aku ka paʻakikī ma mua o ka mea e pono ai. I ka hala ʻana o ka manawa, hiki i kēia ke alakaʻi i nā pilikia iwi, nāwaliwali ʻiʻo, a me nā pilikia ʻē aʻe.

Hoʻohana ʻia ka lāʻau lapaʻau e pale a mālama i nā pae calcium haʻahaʻa i ka poʻe e hele ana i ka dialysis. Hiki i ka dialysis ke wehe i ka nui o ka calcium mai kou koko, a kōkua ʻo doxercalciferol i ka mālama ʻana i ke kaulike kūpono.

Pehea e hana ai ka Doxercalciferol?

Hana ʻo Doxercalciferol ma ka hoʻohālike ʻana i ke ʻano hana o ka huaora D i loko o kou kino. Manaʻo ʻia he lāʻau lapaʻau ikaika e pili pono ana i ke ʻano o ka lawe ʻana o kou ʻōpū i ka calcium a pehea e hoʻohana ai kou mau iwi.

E noʻonoʻo iā ia he kī e wehe ai i ka hiki o kou kino ke hoʻohana pono i ka calcium. Ke hana ʻole nei kou puʻupaʻa, ʻaʻole hiki iā lākou ke hana i kēia

Kōkua ka lāʻau lapaʻau i ka hoʻomaha ʻana i nā ʻāpana parathyroid hana nui ma ka hōʻailona ʻana aia ka calcium lawa. Hoʻemi kēia i ke kaumaha ma luna o kēia mau ʻāpana a kōkua i ka pale ʻana i nā pilikia lōʻihi e like me ka maʻi iwi.

Pehea e lawe ai au i ka Doxercalciferol?

Hāʻawi ʻia ka Doxercalciferol ma ke ʻano he injection intravenous, maʻamau i ka wā o kāu mau kau dialysis. E hāʻawi kāu hui mālama ola i kēia lāʻau lapaʻau pololei i loko o kou kahe koko ma o kāu wahi komo dialysis.

Hoʻopili pinepine ka manawa me kāu papa dialysis maʻamau, e maʻalahi ana no ka mea aia ʻoe ma ke kikowaena lapaʻau. Loaʻa ka hapa nui o nā kānaka i ka injection ʻekolu manawa i ka pule, akā e hoʻoholo kāu kauka i ka papa manawa kikoʻī e pili ana i kāu mau pono.

ʻAʻole pono ʻoe e hopohopo e pili ana i ka lawe ʻana i kēia lāʻau lapaʻau me ka meaʻai a i ʻole ma ka ʻōpū ʻole no ka mea e hele pololei ana i loko o kou kahe koko. E mālama kāu hui dialysis i nā hoʻomākaukau a me ka lawelawe ʻana iā ʻoe.

Pehea ka lōʻihi e lawe ai au i ka Doxercalciferol?

Aia ka lōʻihi o ka mālama ʻana i ka doxercalciferol i kāu hana kīkī a me ke kūlana olakino holoʻokoʻa. Nui ka poʻe me ka maʻi kīkī maʻi e pono i kēia lāʻau lapaʻau no nā manawa lōʻihi, i kekahi manawa he mau makahiki.

E nānā mau kāu kauka i kāu mau pae koko e hoʻoholo ai inā pono ʻoe i ka lāʻau lapaʻau. E nānā lākou i kāu calcium, phosphorus, a me nā pae hormone parathyroid e ʻike ai i ka maikaʻi o ka hana ʻana o ka lāʻau lapaʻau.

Inā loaʻa iā ʻoe kahi transplant kīkī a hana maikaʻi kāu kīkī hou, hiki iā ʻoe ke hooki i ka lawe ʻana i ka doxercalciferol. Eia naʻe, pono e hana mau ʻia kēia hoʻoholo me ke alakaʻi ʻana o kāu hui mālama ola.

He aha nā hopena ʻaoʻao o ka Doxercalciferol?

Hoʻomanawanui ka hapa nui o nā kānaka i ka doxercalciferol, akā e like me nā lāʻau lapaʻau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO nā mea maʻamau ka maʻalahi a hiki ke mālama ʻia me ka nānā pono.

Eia nā hopena ʻaoʻao maʻamau e hiki ai iā ʻoe ke ʻike:

• Ka manaʻo ʻino a i ʻole ka ʻōpū e ʻeha ana
• ʻEha ke poʻo
• Pōniuniu
• Luhi a i ʻole ka manaʻo e ʻoluʻolu ana
• ʻEha ʻiʻo a i ʻole ka iwi
• Paʻa ka ʻōpū

Hoʻomaikaʻi pinepine kēia mau hōʻailona i ka wā e hoʻoponopono ai kou kino i ka lāʻau. Hiki i kāu hui mālama ola ke hōʻike i nā ala e mālama ai i kēia mau hopena inā lilo lākou i mea pilikia.

Hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi inā piʻi loa kāu pae calcium, kahi maʻi i kapa ʻia ʻo hypercalcemia. E nānā i kēia mau hōʻailona ʻōlelo aʻo:

• Huikau a i ʻole ka paʻakikī o ka noʻonoʻo ʻana
• ʻO ka manaʻo ʻino a i ʻole ka luaʻi nui
• Makewai nui a i ʻole ka mimi
• Ka puʻuwai ʻole
• ʻO ka nāwaliwali nui
• Nā pōhaku kīkī

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e hoʻokaʻaʻike koke i kāu mea mālama ola. Kōkua nā hoʻokolohua koko maʻamau i ka hopu ʻana i kēia mau pilikia i ka wā mua, ʻo ia ke kumu e nānā pono ai kāu kauka i kāu mau pae.

Hiki i nā pilikia maʻamau akā koʻikoʻi ke komo i nā hopena maʻi maʻi koʻikoʻi, ʻoiai ʻaʻole maʻamau kēia me ka doxercalciferol intravenous. Hoʻomaʻamaʻa ʻia kāu hui dialysis e ʻike a mālama i nā hopena koke i ka wā o kāu mālama ʻana.

ʻO wai ka mea ʻaʻole pono e lawe i ka Doxercalciferol?

Pono kekahi poʻe e pale i ka doxercalciferol a i ʻole e hoʻohana me ka akahele. E nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ka hoʻomaka ʻana i kēia lāʻau.

ʻAʻole pono ʻoe e lawe i ka doxercalciferol inā he kiʻekiʻe kou pae calcium i loko o kou koko a i ʻole inā he maʻi ʻoe i nā pūhui vitamina D. Hiki i kēia mau kūlana ke lilo i ka lāʻau lapaʻau i mea weliweli iā ʻoe.

Pono ka poʻe me kekahi mau maʻi puʻuwai i ka nānā ʻana kūikawā no ka mea hiki i nā loli i nā pae calcium ke hoʻopilikia i ka puʻuwai. E hana pū kāu cardiologist a me ke kauka kīkī inā loaʻa iā ʻoe nā maʻi ʻelua.

Eia nā kūlana e pono ai ka akahele hou:

• Mōʻaukala o nā pōhaku kīkī
• Maʻi ate koʻikoʻi
• Nā ʻano maʻi ʻaʻai e pili ana i nā pae calcium
• Sarcoidosis a i ʻole nā maʻi granulomatous ʻē aʻe
• Lawe ʻana i nā lāʻau lapaʻau naʻau digitalis

Pono ka hāpai ʻana a me ka hānai ʻana i ka waiū i ka noʻonoʻo kūikawā. ʻOiai paha he mea pono ka doxercalciferol no kou olakino, e kaupaona ana kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia e hiki mai ana iā ʻoe a me kāu pēpē.

Nā inoa inoa o Doxercalciferol

Loaʻa ka Doxercalciferol ma lalo o ka inoa inoa ʻo Hectorol. Loaʻa nā ʻano generic a me nā ʻano inoa i ka mea hana like a hana like.

Hiki i kāu ʻinikua ke makemake i kekahi ʻano ma mua o kekahi, akā ua manaʻo ʻia nā mea ʻelua he like i ka palekana a me ka pono. E mālama maʻamau kāu kikowaena dialysis i ka mea e hana maikaʻi loa no kā lākou poʻe maʻi a me nā koi ʻinikua.

Nā koho ʻē aʻe o Doxercalciferol

Nui nā lāʻau lapaʻau ʻē aʻe e hiki ke mālama i ka hyperparathyroidism lua inā ʻaʻole kūpono ka doxercalciferol iā ʻoe. Loaʻa i kēlā me kēia mea kona mau pono a me nā manaʻo.

ʻO Paricalcitol (Zemplar) kekahi analog vitamin D synthetic e hana like me ka doxercalciferol. Ua pane maikaʻi kekahi poʻe i kekahi ma mua o kekahi, a hiki i kāu kauka ke hoʻāʻo i nā mea ʻelua e ʻike i ka mea e hana maikaʻi loa iā ʻoe.

ʻO Calcitriol (Rocaltrol) ke ʻano hana o ka vitamin D a hiki ke hāʻawi ʻia intravenously a i ʻole ma ka waha. Ua hoʻohana ʻia no ka lōʻihi ma mua o nā koho hou a ke noho nei he koho maikaʻi no nā poʻe he nui.

Hana ʻo Cinacalcet (Sensipar) i nā mea like ʻole ma ka pili pololei ʻana i kāu mau ʻōpū parathyroid ma mua o ka hoʻohālike ʻana i ka vitamin D. Lawe ʻia kēia lāʻau lapaʻau ma ke ʻano he pila a hiki ke hoʻohana ʻia wale nō a i hui pū ʻia me nā analog vitamin D.

ʻOi aku ka maikaʻi o Doxercalciferol ma mua o Paricalcitol?

He mau lapaʻau maikaʻi ʻo Doxercalciferol a me paricalcitol no ka hyperparathyroidism lua. ʻAʻole ʻoi aku kekahi ma mua o kekahi - pili ka koho i kāu pane pilikino a me nā kūlana.

Ua hōʻike kekahi mau haʻawina e hiki i ka paricalcitol ke hoʻoulu i nā hanana liʻiliʻi o nā pae calcium kiʻekiʻe, aʻo nā mea ʻē aʻe e hōʻike ana i nā ʻano palekana like ma waena o nā lāʻau ʻelua. ʻO ka ʻike o kāu kauka a me kāu mau waiwai lab kikoʻī e alakaʻi pinepine i ka hoʻoholo.

ʻO ka mea nui loa, pehea ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau. ʻOi aku ka maikaʻi o kekahi poʻe me kekahi ma mua o kekahi, a e nānā kāu hui mālama ola i kāu holomua e hōʻoia e loaʻa ana iā ʻoe nā hopena maikaʻi loa.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Doxercalciferol

He Palekana anei ʻo Doxercalciferol no ka poʻe me ka maʻi puʻuwai?

Hiki ke hoʻohana palekana ʻia ʻo Doxercalciferol i ka poʻe me ka maʻi puʻuwai, akā pono ka nānā pono ʻana. Hiki i nā loli i nā pae calcium ke hoʻopilikia i ka puʻuwai, no laila e nānā pono kāu kauka i kāu mau pae.

Inā ʻoe e lawe i nā lāʻau digitalis no kou puʻuwai, e makaʻala loa kāu kauka i kāu mau pae calcium. Hiki i ka calcium kiʻekiʻe ke hoʻonui i kēia mau lāʻau puʻuwai a hiki ke pilikia.

He aha kaʻu e hana ai inā ua hala wau i kahi mahele o Doxercalciferol?

No ka mea, hāʻawi ʻia ʻo doxercalciferol i ka wā o nā kau dialysis, ʻo ka hala ʻana i kahi mahele, ʻo ia hoʻi, ua hala ʻoe i kahi lapaʻau dialysis. Mai ho'āʻo e hoʻoponopono i nā mahele i hala iā ʻoe iho.

E hoʻokaʻaʻike i kāu kikowaena dialysis e kūkākūkā i ka hoʻonohonoho hou ʻana i kāu lapaʻau. E hoʻoholo lākou inā pono ʻoe e hoʻoponopono i kāu mahele aʻe a i ʻole e mālama i kāu papa maʻamau.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Doxercalciferol?

Hiki iā ʻoe ke hooki i ka lawe ʻana iā doxercalciferol ke hoʻoholo kāu kauka ʻaʻole pono hou. Hiki paha kēia inā hoʻomaikaʻi nui kāu hana kīkī a i ʻole inā loaʻa iā ʻoe kahi transplant kīkī kūleʻa.

Mai hooki i ka lawe ʻana iā doxercalciferol iā ʻoe iho, ʻoiai inā ʻoe e manaʻo maikaʻi. Pono e paʻa nā pae hormone parathyroid ma mua o ka hoʻōki palekana ʻana i ka lāʻau.

Hiki iā Doxercalciferol ke launa pū me nā lāʻau ʻē aʻe?

ʻAe, hiki i ka doxercalciferol ke launa pū me kekahi mau lāʻau lapaʻau, ʻoi loa nā mea e pili ana i nā pae calcium. E haʻi mau i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei.

Hiki i nā diuretics thiazide, nā mea hoʻohui calcium, a me nā antacids ke hoʻonui i kou pilikia o nā pae calcium kiʻekiʻe ke hui pū ʻia me ka doxercalciferol. E hoʻoponopono kāu kauka i nā ʻano like ʻole a i ʻole e koho i nā lāʻau lapaʻau ʻē aʻe inā pono.

Pehea ka wikiwiki o ka hana ʻana o Doxercalciferol?

Hiki iā ʻoe ke ʻike i nā hoʻomaikaʻi ʻana i kāu pae ikehu a me ka maikaʻi holoʻokoʻa i loko o kekahi mau pule o ka hoʻomaka ʻana i ka doxercalciferol. Eia naʻe, ʻo nā hopena piha i kāu mau pae hormone parathyroid e lawe maʻamau i 1-3 mau mahina e ʻike ʻia.

E nānā mau kāu kauka i kāu mau pae koko i nā mahina mua e hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau a e hana i nā hoʻoponopono ʻana i ke ana.