I kekahi manawa ke loaʻa iā ʻoe kahi ʻeha nui o nā hono, ka hoʻonui koke ʻana o ka hānō, a i ʻole kahi maʻi allergy koʻikoʻi, kuhikuhi ke kauka i kahi inikini, ʻeā? ʻO kahi lāʻau lapaʻau maʻamau a koʻikoʻi loa i hāʻawi ʻia i ia mau manawa ʻo dexamethasone. ʻOiai he lāʻau lapaʻau pono loa kēia, he mea nui loa ka hoʻomaopopo pono ʻia e pili ana i ia mea. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.
He aha ka Dexamethasone?
I ka ʻōlelo maʻalahi, ʻo ka dexamethasone kahi inikini no kahi papa o nā lāʻau i kapa ʻia ʻo corticosteroids . ʻO kāna hana nui ka hōʻemi ʻana i ka mumū i loko o ke kino, ʻo ia hoʻi ka pehu, ka ʻulaʻula, a me ka ʻeha. ʻO ia ke kumu e hoʻohana ai nā kauka i kēia lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau no nā maʻi he nui.
Eia kekahi o nā hoʻohana maʻamau o kēia lāʻau lapaʻau:
- E kāohi i nā kūlana mumū i loko o ka ʻili, nā hono, nā māmā, a me nā ʻōpū ʻē aʻe o ke kino.
- Ke hoʻonui ʻia ka hānō .
- E kāohi i nā maʻi allergies koʻikoʻi.
- No nā maʻi o nā hono e like me ka arthritis .
- No kekahi mau maʻi koko.
- No nā maʻi o nā kelepa adrenal.
Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe ʻaʻole ma kēia papa inoa.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka dexamethasone injection, he mea nui e hāʻawi i kāu kauka i kahi wehewehe piha o kou olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau maʻi a i ʻole nā kūlana:
- Nā maʻi o kēia manawa: Inā loaʻa iā ʻoe kekahi mau maʻi e like me ka moa, ka measles, herpes, a i ʻole ka maʻi puʻupuʻu.
- Diabetes Mellitus: Hiki i kēia lāʻau lapaʻau ke hoʻonui i nā pae kō koko.
- Ke Koko Kiʻekiʻe a i ʻole ka Maʻi Puʻuwai: Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua.
- Maʻi puʻupaʻa a i ʻole ke akepaʻa: Inā he pilikia kou me ka hana puʻupaʻa a i ʻole ke akepaʻa.
- Nā pilikia o ka ʻōpū a i ʻole ka ʻōpū: Nā kūlana e like me nā ʻōpū ʻōpū.
- Nā pilikia olakino noʻonoʻo: Inā loaʻa iā ʻoe nā maʻi noʻonoʻo e like me ke kaumaha.
- Nā kūlana olakino ʻē aʻe: Glaucoma, osteoporosis (ka lahilahi o nā iwi), myasthenia gravis (nāwaliwali o nā ʻiʻo), nā hopu ʻana, a i ʻole nā pilikia thyroid.
- Nā maʻi ʻaleka:Inā he maʻi ʻoe i ka dexamethasone a i ʻole nā corticosteroids ʻē aʻe, a i ʻole i ka lactose (kō waiū), kekahi lāʻau lapaʻau ʻē aʻe, a i ʻole kekahi meaʻai.
- Hāpai a hānai waiū paha: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha.
ʻO ka hāʻawi pololei ʻana i kēia ʻike e maʻalahi ai i ke kauka ke mālama palekana iā ʻoe.
Pehea ʻoe e lawe ai i kēia lāʻau lapaʻau?
He inikini ʻo Dexamethasone i hāʻawi pinepine ʻia e kekahi loea mālama ola (kauka a kahu maʻi paha) ma kahi haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole ia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home a inikini.
Ma muli o ke kūlana, hiki ke hāʻawi ʻia kēia inikini ma kekahi o kēia mau ʻano:
- i loko o kahi ʻiʻo
- I loko o kahi aa koko
- I loko o kahi hui
- I loko o kahi ʻeha
He mea nui: Pono ke akahele kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. No laila, inā ua kuhikuhi ʻia kēia lāʻau lapaʻau no kāu keiki, e kūkākūkā pono me kāu kauka lapaʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma lalo o ka nānā ʻana o ke kauka, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe he overdose a i ʻole e ʻike ʻoe i nā hōʻailona maʻi koʻikoʻi, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka dexamethasone a hoʻoulu i nā hopena ʻaoʻao a hoʻololi paha i ke ʻano o ka hana ʻana o ka lāʻau.
| ʻAno lāʻau lapaʻau | Ka wehewehe a me nā laʻana |
|---|---|
| He aha ka mea pono ʻole e lawe ʻia | Nā lāʻau pale ola |
| Nā lāʻau hoʻopau ʻeha | ʻAspirin a me nā lāʻau ʻeha NSAID ʻē aʻe (e.g. Ibuprofen, Naproxen) |
| Lāʻau lapaʻau maʻi diabetes | ʻO ka insulin a me nā lāʻau maʻi diabetes ʻē aʻe |
| Nā mea hoʻokahe koko | ʻO Warfarin |
| Nā lāʻau lapaʻau no ka maʻi epilepsy | ʻO Carbamazepine, Phenobarbital, Phenytoin |
| Nā lāʻau antibiotic a me nā antifungal | ʻEritromisin, Ketoconazole, Rifampin |
| ʻĒ aʻe | Digoxin, Diuretics, Nā lāʻau hoʻomalu hānau, Thalidomide |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau āu e lawe nei.
Nā mea e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
Hiki ke hoʻonāwaliwali iki ʻia kou ʻōnaehana pale ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau, no laila e mālama pono iā ʻoe iho mai nā maʻi.
- E pale iā ʻoe iho mai nā maʻi: E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, a i ʻole ka ʻeha o ka puʻu. E hoʻāʻo e noho mamao aku mai ka poʻe maʻi.
- E mālama i kou pae kō koko: Inā he maʻi diabetes ʻoe, e nānā mau i kou pae kō koko. E nīnau i kāu kauka inā pono ʻoe e hoʻololi i kāu meaʻai a i ʻole ka nui o ka lāʻau lapaʻau maʻi diabetes, inā pono.
- ʻAi: Inā haʻi aku kāu kauka iā ʻoe e hōʻemi i ka paʻakai i kāu meaʻai, e hahai i kēlā mau kuhikuhi.
- ʻOki niho: Inā e hana ʻia kekahi ʻoki niho a ʻoki niho paha i ka wā e hiki mai ana, e haʻi i kāu kauka a kauka niho paha ua lawe ʻoe i ka dexamethasone i loko o nā mahina 12 i hala.
- ID Lapaʻau: Inā ʻoe e lawe ana i ka lāʻau steroid no ka manawa lōʻihi, he mea nui e komo i kahi kāleka lapaʻau a kūpeʻe lima paha e hōʻike ana i kēlā.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka dexamethasone ke hana i nā hopena ʻaoʻao i kekahi poʻe. Hiki i kekahi o kēia mau mea ke koʻikoʻi a hiki i kekahi ke akahai.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia ʻōpū | Koko i loko o ka ʻōpala a i ʻole nā ʻōpala ʻeleʻele ʻeleʻele, ʻeha nui o ka ʻōpū. |
| Nā loli noʻonoʻo | Hoʻomaha ʻole, hoʻonāukiuki, hopohopo nui, hallucinations. |
| Nā hōʻailona o ke kō koko kiʻekiʻe | ʻOi aku ka make wai ma mua o ka maʻamau, ka pōloli, ka mimi pinepine ʻana, ka luhi nui, ka ʻike maka pohihihi. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā loli o ka ʻike, ʻeha o ka maka, nāwaliwali o nā ʻiʻo, pehu ʻana o ke kuʻekuʻe wāwae a wāwae paha, nā ʻeha e ho'ōla ʻole ai, nā palapū ʻē. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| |
Leka Lawe-Home
- He lāʻau corticosteroid ikaika ʻo Dexamethasone i hoʻohana ʻia e kāohi i ka mumū a me nā allergies i loko o ke kino.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā kūlana olakino āpau āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- No ka mea, ua hoʻonāwaliwali ʻia paha kou ʻōnaehana pale i ka wā e lawe ana i kēia lāʻau lapaʻau, e mālama pono iā ʻoe iho mai nā maʻi. E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona e like me ka maʻi palū.
- ʻOiai hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā pae kō koko a me ke koko, e nānā mau iā lākou e like me ke kuhikuhi a kāu kauka.
- Mai hoʻōki koke i ka lāʻau steroid lōʻihi me ka ʻole o ke aʻo ʻana a ke kauka.
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