Mea Kākau: Clyde Lopez
Lā O Ka Hana: 26 Iulai 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
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Vitamin D - Vitamin D2, Vitamin D3 and Calcitriol | Doctor Mike Hansen
Wikiō: Vitamin D - Vitamin D2, Vitamin D3 and Calcitriol | Doctor Mike Hansen

Anter

Hoʻohana ʻia ʻo Calcitriol e mālama a pale i nā pae haʻahaʻa o ka calcium a me ka iwi iwi i nā mea maʻi nāna nā puʻupaʻa a i ʻole nā ​​parathyroid glands (nā glands i ka ʻāʻī e hoʻokuʻu i nā mea kūlohelohe e kāohi i ka nui o ka calcium i loko o ke koko) ʻaʻole e hana maʻamau. Hoʻohana ʻia ia e mālama i ka hyperparathyroidism lua (kahi ʻano e hana ai ke kino i ka nui o ka hormone parathyroid [PTH; kahi mea kūlohelohe e pono ai e kaohi i ka nui o ka calcium i loko o ke koko]) a me ka maʻi iwi iwi i nā poʻe me nā maʻi puʻupaʻa. Aia ʻo Calcitriol i kahi papa o nā lāʻau i kapa ʻia he mau analogs vitamin D. Hana ia ma ke kōkua ʻana i ke kino e hoʻohana i ka nui o ka calcium i loaʻa i nā meaʻai a i ʻole nā ​​mea hoʻopili a me ka hoʻoponopono ʻana i ka hana o ke kino o ka parathyroid

Hele mai ʻo Calcitriol ma ke ʻano he capsule a me kahi hopena (wai) e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā a i hoʻokahi manawa i kēlā me kēia lā i ke kakahiaka me ka ʻole o ka meaʻai. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E lawe i ka helu pono e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.


E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka calcitriol a hoʻonui iki i kāu lāʻau ma muli o ka pane o kou kino i ka calcitriol.

Hoʻohana ʻia ʻo Calcitriol i kekahi manawa e mālama i nā rikeke (palupalu a nāwaliwali hoʻi o nā iwi i nā keiki ma muli o ka nele o ka wikamina D), ka osteomalacia hoʻemi i ka hiki ke wāwahi i ka vitamini D i ke kino). Hoʻohana ʻia ʻo Calcitriol i kekahi manawa e hoʻonui i ka nui o ka puna i loko o ke koko o nā pēpē āpau. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i ka calcitriol,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau i kuhikuhi ʻia a me nā lāʻau ʻole, nā huaora, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei, ʻo ia hoʻi ka calcium a me ka magnesium i loaʻa nā antacids; pākuʻi kalipuna; cholestyramine (Cholybar, Prevalite, Questran); digoxin (Lanoxin); diuretics ('pills wai'); ketoconazole; lanthanum (Fosrenol); laxatives i loaʻa i ka magnesiuma; nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); nā ʻano ʻē aʻe o ka wikamina D; phenobarbital; phenytoin (Dilantin, Phenytek); and sevelamer (Renagel, Renvela). E haʻi pū aku i kāu kauka a kauka paha inā ʻoe e lawe ergocalciferol (Deltalin, Drisdol) a i ʻole ua oki ka lawe ʻana iā ia i nā mahina i hala aku nei. Pono paha i kāu kauka e hoʻololi i nā kaukana o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā he kiʻekiʻe kāu o ka calcium. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka calcitriol.
  • e haʻi i kāu kauka inā he ʻoki kino kāu i hala iho nei a i ʻole hiki ʻole ke neʻe a puni no nā kumu āpau a inā he ʻeha a he maʻi ate paha kāu.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka calcitriol, e kāhea i kāu kauka. ʻAʻole pono ʻoe e hānai i ka wā e lawe ana ʻoe i ka calcitriol.

E hana wale nō ʻo Calcitriol inā loaʻa iā ʻoe ka nui o ka calcium mai nā meaʻai āu e ʻai ai. Inā loaʻa iā ʻoe ka nui loa o ka calcium mai nā meaʻai, ʻike paha ʻoe i nā hopena koʻikoʻi o ka calcitriol, a inā ʻaʻole lawa ʻoe i ka calcium mai nā meaʻai, ʻaʻole e kaohi ka calcitriol i kou ʻano. E haʻi aku kāu kauka iā ʻoe i nā meaʻai nā kumu waiwai maikaʻi o kēia mau meaola a me ka nui o nā lawelawe āu e pono ai i kēlā me kēia lā. Inā paʻakikī ʻoe e ʻai lawa i kēia mau meaʻai, e haʻi i kāu kauka. I kēlā hihia, hiki i kāu kauka ke kauoha a koi paha i kahi mea hoʻopiha.


Inā mālama ʻia ʻoe me ka dialysis (ke kaʻina o ka hoʻomaʻemaʻe ʻana i ke koko ma o ka hele ʻana i loko o kahi mīkini), hiki i kāu kauka ke kuhikuhi i kahi papaʻai low-phosphate. E hāhai pono i kēia mau ʻōkuhi.

Inā ʻaʻohe ou maʻi puʻupaʻa, pono ʻoe e inu i ka nui o nā wai i ka wā e lawe ana i ka calcitriol. Inā loaʻa ʻoe i ka maʻi ʻōpū, e kamaʻilio me kāu kauka e pili ana i ka nui o ka wai āu e inu ai i kēlā me kēia lā.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o ia mau mea, e kāhea koke i kāu kauka:

  • luhi, paʻakikī e noʻonoʻo pono, nalowale o ka makemake, nausea, luaʻi, constipation, hoʻonui i ka make wai, hoʻonui i ka urination, a me ka pohō kaumaha.
  • nāwaliwali
  • ʻeha poʻo
  • hoʻohuhū ʻōpū
  • waha maloo
  • ʻeha mākala
  • ʻeha iwi
  • ʻono mea hao ma ka waha
  • urination paʻakikī a ʻeha paha
  • nā hoʻololi i ka hihiʻo
  • ka hoihoi ʻole i nā mea a puni ʻoe
  • hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
  • ke kunu a i ʻole ke anuanu
  • ʻeha ka ʻōpū
  • pale, momona momona
  • melemele o ka ʻili a me nā maka
  • ihu ihope
  • hoʻemi i ka moekolohe
  • kuʻi puʻuwai ʻole
  • hūwī
  • hives
  • ʻūlili
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).


E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua. Palekana i kēia lāʻau mai ka mālam.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • luhi, paʻakikī e noʻonoʻo pono, nalowale o ka makemake, nausea, luaʻi, constipation, hoʻonui i ka make wai, hoʻonui i ka urination, a me ka pohō kaumaha.
  • nāwaliwali
  • ʻeha poʻo
  • hoʻohuhū ʻōpū
  • waha maloo
  • ʻehaʻeha a ʻeha iwi paha
  • ʻono mea hao ma ka waha
  • urination paʻakikī a ʻeha paha
  • nā hoʻololi i ka hihiʻo
  • hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
  • ke kunu a i ʻole ke anuanu
  • ʻeha ka ʻōpū
  • pale, momona momona
  • melemele o ka ʻili a me nā maka
  • ihu ihope
  • hoʻemi i ka moekolohe
  • kuʻi puʻuwai ʻole

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha aku kāu kauka i kekahi mau hoʻokolohua lab e nānā i kāu pane i ka calcitriol.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

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