Loaʻa iā ʻoe ka gout? A laila ua ʻike maopopo paha ʻoe i kēlā ʻeha koke, koʻikoʻi, wela, ʻulaʻula, a me ka pehu ʻana i loko o ka manamana wāwae nui a i ʻole kekahi hui ʻē aʻe. I kekahi manawa ua koʻikoʻi loa kēia ʻeha a ʻeha loa ka moena moe. No laila, ke loaʻa iā ʻoe kēlā ʻano gouty arthritis koʻikoʻi, ʻo kahi lāʻau ikaika a nā kauka e hoʻohana ai e kāohi koke iā ia ua kapa ʻia ʻo Colchicine. Akā hāʻawi ʻia kēia ma ke ʻano he pila, a i kekahi mau hihia, ma ke ʻano he injection. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia injection Colchicine.
He aha maoli kēia lāʻau pale Colchicine?
I ka ʻōlelo maʻalahi, ʻo Colchicine kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka ʻeha koke a koʻikoʻi o nā hono a me ka pehu ʻana i hoʻokumu ʻia e ka gout. Loaʻa ka gout i ka wā e hōʻiliʻili ai kahi kemika i kapa ʻia ʻo ka uric acid i loko o ke kino a waiho kāna mau kristal i loko o nā hono. Hoʻoulu kēia mau kristal i ka mumū i loko o nā hono, e hōʻeha nui ana. Hana ʻo Colchicine ma ka kaohi ʻana i ka hana o nā hunaola koko keʻokeʻo e hoʻoulu ai i kēia mumū, e hōʻemi koke ana i ka ʻeha a me ka pehu.
ʻO ka mea nui loa, ʻaʻole kēia he lāʻau hoʻopau ʻeha. He lāʻau lapaʻau kēia e hana kūikawā ana no ka gout. ʻAʻole hoʻi i hāʻawi pinepine ʻia no ka ʻeha o nā hono i hoʻokumu ʻia e nā kumu ʻē aʻe.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale
He mea nui loa kēia. No ka mea, he lāʻau ikaika ka colchicine, pono i kāu kauka ke loaʻa kahi kiʻi piha o kou olakino. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e haʻi i kāu kauka me ka hūnā ʻole i kekahi mea .
| Kūlana/pilikia olakino | Wehewehena |
|---|---|
| Nā maʻi e pili ana i ke koko | ʻO nā kūlana e like me ka anemia, ka maʻi ʻaʻai e like me ka leukemia a i ʻole lymphoma, a me nā platelets koko haʻahaʻa. |
| Maʻi akepaʻa a maʻi puʻupaʻa paha | Inā he maʻi kou i ke akepaʻa a i ʻole nā puʻupaʻa. |
| Maʻi puʻuwai | E makaʻala i kekahi ʻano maʻi puʻuwai. |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Inā loaʻa iā ʻoe nā ʻōpū ʻeha a i ʻole nā maʻi ʻōpū ʻē aʻe. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka colchicine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha, he mea kēia e haʻi aku ai. |
Pehea e hāʻawi ʻia ai kēia lāʻau pale?
ʻAʻole kēia he lāʻau pale hiki iā ʻoe ke lawe i ka home. Hāʻawi wale ʻia ka lāʻau pale Colchicine i loko o kahi aa koko ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha i aʻo ʻia . No laila, ʻaʻole ʻoe ke kuleana no ia.
Pono ʻoe e kamaʻilio me kāu pediatrician e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, no ka mea, pono paha ka mālama kūikawā.
He aha inā e piʻi aʻe ka nui o ka lāʻau?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, pono ʻoe e hōʻike koke iā ia i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
ʻAʻole nā lāʻau lapaʻau āpau, wikamina, a i ʻole nā lāʻau lapaʻau āu e lawe ai e launa pū me ka colchicine. Hiki i kekahi mau lāʻau lapaʻau ke loaʻa nā hopena ʻino ke lawe pū ʻia me ka colchicine.
E makaʻala loa: ʻAʻole pono e lawe pū ʻia ka Colchicine me kekahi mau lāʻau lapaʻau, e like me ka itraconazole, i hoʻohana ʻia e mālama i nā maʻi fungal.
Eia kekahi, hiki i ka colchicine ke launa pū me kēia mau mea:
- ʻAila
- ʻO kekahi mau lāʻau hoʻohaʻahaʻa cholesterol (e.g. atorvastatin)
- ʻO Cyclosporine
- ʻO Digoxin
- Wai huaʻala a wai huaʻala paha
- ʻO kekahi mau lāʻau antibiotic, e like me ka clarithromycin a me ka erythromycin
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi HIV
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi kanesa
ʻAʻole i piha kēia papa inoa. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe ai. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea ʻē aʻe e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nānā lapaʻau: Ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, e nānā pono ke kime lapaʻau i kou kūlana.
- ʻOna: Hiki i ka inu ʻona ke hoʻonui i nā pilikia o ka ʻōpū a me ka ʻeha gout, no laila e pale loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
- Hāpai: Hiki i kēia lāʻau lapaʻau ke hana i nā hopena koʻikoʻi i ka wahine hāpai a i ʻole kāna pēpē i hānau ʻole ʻia. No laila, inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, e kamaʻilio me kāu kauka e pili ana i ia mea.
- Wikamina B12: ʻO ka hoʻohana lōʻihi ʻana i ka colchicine hiki ke hoʻohaʻahaʻa i nā pae o ka wikamina B12 i loko o ke kino. No laila, e kamaʻilio me kāu kauka e pili ana i kāu ʻai a me nā ʻano wikamina āu e lawe ai, a inā pono, e kiʻi i ka ʻōlelo aʻoaʻo no ka ʻai ʻana i nā meaʻai hou aʻe i loaʻa ka wikamina B12 a i ʻole ka lawe ʻana i kahi mea hoʻohui.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka colchicine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau. E nānā i ka papa ma lalo.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka a kahu maʻi paha. | |
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻeha ka puʻu. |
| Ke kahe ʻana o ke koko | Ke kahe koko ʻana a me ka palapū o ka ʻili, ʻoiai mai kahi ʻeha liʻiliʻi. |
| Nā pilikia o ke aʻalolo a me nā ʻiʻo | Ka mae ʻana o nā lālā, ka nāwaliwali o nā ʻiʻo. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Manaʻo luhi loa, luaʻi, ʻeha ma kahi i inikini ʻia. |
| Inā hoʻomau kēia mau hōʻailona a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe, ʻeha ʻōpū, nausea, nalowale o ka makemake. |
| Nā hiʻohiʻona liʻiliʻi ʻē aʻe | Ka hāʻule ʻana o ka lauoho, ka ʻeha o nā ʻiʻo. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e ʻoluʻolu e hoʻomaopopo i kāu kauka.
Leka Lawe-Home
- He lāʻau lapaʻau ikaika ka inikini Colchicine i hāʻawi wale ʻia ma ka haukapila no ka ʻeha nui o ka gout.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi piha i kāu kauka e pili ana i nā kūlana olakino āpau āu e loaʻa nei (ʻoiai ke akepaʻa, nā puʻupaʻa, ka puʻuwai, a me nā maʻi koko) a me nā lāʻau lapaʻau āpau āu e lawe nei.
- E hōʻalo loa i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻili ʻulaʻula, ke kuni, ke kahe koko ʻana a i ʻole ka palapū, a i ʻole ka mae ʻana o kou mau lālā.
- Inā hāpai ʻoe, e hoʻolālā ana e hāpai, a hānai waiū paha, he mea nui e kūkākūkā ʻoe i kēia lāʻau lapaʻau me kāu kauka ma mua o ka lawe ʻana.
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