Ua haʻi aku anei kāu kauka iā ʻoe ua kiʻekiʻe kou pae cortisol? He mea maʻamau ke hopohopo iki i kāna ʻōlelo ʻana i kēlā. "He aha kēia cortisol? No ke aha i kiʻekiʻe ai i loko o koʻu kino?" Ke noʻonoʻo nei paha ʻoe. Aia paha kekahi mau kumu no kēia. No laila, makemake kāu kauka e ʻike pono i ke kumu o ia mea. ʻO ia ke kumu e kamaʻilio ai mākou e pili ana i kahi hoʻāʻo kūikawā i hoʻohana ʻia i nā kūlana e like me kēia.
I ka ʻōlelo maʻalahi, he aha ka Corticorelin?
ʻAʻole ʻo Corticorelin, ʻo Ovine he lāʻau lapaʻau no kou kūlana. He mea kōkua ia no ka hōʻoia ʻana . ʻOi aku ka pololei, he hoʻāʻo ia e kōkua i nā kauka e ʻike pono i ke kumu o ke kiʻekiʻe o ka hormone cortisol i loko o kou koko. Loaʻa paha ma ka mākeke ma lalo o nā inoa e like me Acthrel.
E noʻonoʻo e pili ana i kēia ʻano. Kāhea mākou i kēia ʻano ʻo Cushing's Syndrome, kahi e kū mai ana i ka wā e piʻi ai nā pae cortisol o kou kino. ʻElua mau kumu nui no kēia:
1. He puʻupuʻu liʻiliʻi (ʻaʻole maʻamau he maʻi kanesa) e ulu ana i loko o ka pituitary gland i loko o kou lolo.
2. Ke kiʻekiʻe o nā pae cortisol ma muli o kahi puʻupuʻu e kū mai ana ma kahi ʻē aʻe, e like me nā māmā.
Hoʻohana ʻia kēia hoʻāʻo Corticorlin e hoʻokaʻawale ma waena o kēia mau kumu ʻelua a ʻike iā lākou. Ma ka nānā ʻana i ke ʻano o ka pane ʻana o ka pituitary gland i kēia injection, hiki i ke kauka ke hoʻoholo e pili ana i ke kumu o ka pilikia.
E hoʻomanaʻo, ʻaʻole kēia he lāʻau e ho'ōla ai i kahi maʻi. He hoʻāʻo wale nō ia, e like me ka mākaʻi, e ʻike ai i ke kumu maoli o ka pilikia i loko o kou kino.
Nā mea e pono ai ʻoe e haʻi i ke kauka ma mua o kēia hoʻokolohua
ʻOiai he hoʻāʻo kēia i hana ʻia ma kahi haukapila, he mea nui i kāu hui lapaʻau ke ʻike i kekahi mau mea e pili ana iā ʻoe. No laila e hōʻoia e hāʻawi i ka ʻike ma lalo nei.
- Inā he maʻi ʻaleka kou i kēia lāʻau i kapa ʻia ʻo Corticorelin, ka protein hipa, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea hoʻomalu.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe .
He mea nui ka ʻike ʻana i kēia mau mea ma mua no kou palekana.
Pehea e hana ʻia ai kēia hoʻāʻo?
Hāʻawi ʻia kēia lāʻau pale ma kahi haukapila a i ʻole ke keʻena lapaʻau e kekahi loea lapaʻau i aʻo ʻia. ʻAʻole ia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home.
- He iniki kēia i hāʻawi ʻia i loko o kahi aa koko .
- E nānā pono ke kime lapaʻau i kou kūlana i ka wā a ma hope o ka hāʻawi ʻia ʻana o kēia.
- Inā ʻoe e hana ana i kēia hoʻāʻo ma nā keiki ʻōpio, pono paha ke mālama kūikawā. E kamaʻilio me kāu kauka keiki e pili ana i kēia.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
He lāʻau lapaʻau i kāohi ʻia kēia i hāʻawi ʻia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, pono ʻoe e hoʻomaopopo koke i ka hui lapaʻau. Inā pono, e hoʻokaʻaʻike aku lākou i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo. I kahi pilikia, e kuhikuhi lākou iā ʻoe i ka Emergency Treatment Unit (ETU) .
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau pale?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao liʻiliʻi. Akā ʻo ka mea maikaʻi loa, ʻo ka hapa nui o kēia mau hopena ʻaoʻao e nalowale koke ma hope o ka inikini. E nānā kākou i kēia mau hopena ʻaoʻao a me ka mea e hana ai inā loaʻa.
| Ka hopena ʻaoʻao | He aha ka mea e hana ai? |
|---|---|
| Nā kūlana e pono e hōʻike koke ʻia i ke kauka/kahu hānai | |
| Nā hopena maʻi: ka ʻili ʻana, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo. | No ka mea hiki ke koʻikoʻi kēia mau mea, e hoʻomaopopo koke i kāu kauka a kahu maʻi paha i ka manawa o ka hoʻāʻo. |
| ʻEha umauma | E hoʻomaopopo koke mai. |
| Puʻuwai wikiwiki a ʻano ʻole paha | E hoʻomaopopo koke mai. |
| Paʻakikī ka hanu ʻana | E hoʻomaopopo koke mai. |
| Pōniuniu, maka polū, a me ka nawaliwali | E hoʻomaopopo koke mai. |
| Nā kūlana i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Pōʻino | Nalo koke kēia maʻamau. Inā ʻoi aku ma mua o 24 mau hola, e haʻi i kāu kauka. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, mai kānalua e nīnau i kāu kauka e pili ana iā lākou.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā hopena o kēia hoʻāʻo. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
E makaʻala nui i nā lāʻau lapaʻau:
- ʻO Dexamethasone
- Heparin
- ʻO ka Vasopressin
ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau i kūʻai ʻia ma ke kūʻai aku, nā lāʻau lapaʻau lāʻau, nā huaora, a me nā mea kanu āu e lawe nei. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Leka Lawe-Home
- ʻAʻole he lāʻau lapaʻau ʻo Corticorelin. He hoʻāʻo diagnostic ia e ʻike ai i ke kumu o ke kiʻekiʻe o ka cortisol i loko o kou koko.
- Hana ʻia kēia hoʻokolohua ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka mākaʻikaʻi a ke kauka.
- E haʻi mua i kāu kauka e pili ana i nā maʻi allergies āu e loaʻa ai, inā ʻoe e hāpai ana a hānai waiū paha, a e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻO nā hopena ʻaoʻao ma hope o ka hoʻāʻo ʻana he manawa pōkole wale nō. Eia nō naʻe, inā ʻike ʻoe i ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole nā hōʻailona maʻi ʻaleka koʻikoʻi , e hoʻomaopopo koke i ka hui lapaʻau .
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia hoʻāʻo, mai kānalua e kamaʻilio me kāu kauka.
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