I kekahi manawa, hāʻule koke ko kākou pae kō koko, ʻeā? Akā, ma muli o kekahi mau kūlana olakino kūikawā, hana nui ke kino i ka hormone insulin, a hiki i ke pae kō koko ke haʻahaʻa loa. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo ke kū'ē i ka hyperglycemia, ʻo ia hoʻi ka hypoglycemia. I ia mau hihia, ua kapa ʻia kahi lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai he diazoxide. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī hou aku a me ka maʻalahi.
He aha ke ʻano lāʻau lapaʻau ʻo Diazoxide?
I ka ʻōlelo maʻalahi, ʻo Diazoxide kahi lāʻau lapaʻau e kāohi ana i ka hana ʻana o kahi hormone i kapa ʻia ʻo insulin e ka pancreas o ko mākou kino. ʻO ka maʻamau, kāohi ka insulin i nā pae kō koko ma ka hoʻouna ʻana i ke kō (glucose) mai ke koko i loko o nā ʻāpana. Eia nō naʻe, loaʻa paha i kekahi poʻe, ʻoiai nā kamaliʻi ʻōpio, kahi maʻi i kapa ʻia ʻo hyperinsulinism kahi e hana ai lākou i ka nui o ka insulin. ʻO kēia ke kumu o ka emi ʻana o nā pae kō koko i ka haʻahaʻa loa.
Hana ʻo Diazoxide ma ke kāohi ʻana i kēia hana insulin pono ʻole . A laila hoʻihoʻi kēia i nā pae kō koko i ka maʻamau. Loaʻa pinepine ia ma ke ʻano o kahi wai (hoʻokuʻu waha). Ma Sri Lanka, hiki ke loaʻa i kekahi manawa ma lalo o ka inoa inoa ʻo Proglycem.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau iā ʻoe a i kāu keiki paha, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kēia mau mea: He mea nui loa kēia.
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā he maʻi puʻuwai kou .
- Inā ua loaʻa iā ʻoe ka gout ma mua.
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi allergy kou i ka diazoxide, nā lāʻau sulfa, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē .
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe, a inā pēlā, pehea e hāʻawi ai.
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
No ka mea he lāʻau lapaʻau wai kēia, e makaʻala me kēia mau mea i ka wā e hoʻohana ai.
1. E lulu maikaʻi: E lulu maikaʻi i ka ʻōmole ma mua o kēlā me kēia hoʻohana.
2. Ana pololei: E hoʻohana wale i ka puna ana kūikawā (puna i hōʻailona ʻia) a i ʻole ka mea hoʻoheheʻe wai e hele mai me ka lāʻau lapaʻau. Mai hoʻohana i nā punetēpuni hale a i ʻole nā punetēpuni laiki. No ka mea, ʻaʻole lākou e hāʻawi i ka nui kikoʻī. Hiki ke lilo i mea weliweli. Inā ʻaʻohe āu ana e like me ia, e nīnau i kāu kauka e pili ana i ia mea.
3.I ka manawa kūpono: E hāʻawi i ka lāʻau lapaʻau i ka manawa i kuhikuhi ʻia a ma nā manawa i kuhikuhi ʻia e like me ke kauoha a ke kauka. Mai hāʻawi aku ma mua o ka nui i kuhikuhi ʻia.
4. Ke hāʻawi ʻia i nā keiki: Hāʻawi ʻia kēia lāʻau lapaʻau i nā pēpē hānau hou ma lalo o kekahi mau kūlana kūikawā. Akā, pono e hana ʻia ma lalo o ka nānā ʻana a ke kauka pediatric . No laila, e makaʻala loa inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki.
He aha inā poina iaʻu e lawe i kahi mahele lāʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ʻoi aku ma mua o kou manaʻo, mai hoʻokaʻulua.
E kelepona koke aku i ke Kikowaena ʻIke Mea ʻAi ʻIno Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Halemai Lapaʻau Uila (ETU) kokoke loa i ka hikiwawe loa. E mālama i kēia me he pilikia lā.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Diazoxide ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo kekahi he mea maʻamau. Hāʻawi ka papa ma lalo nei i kahi kiʻi maopopo o kēia mau mea.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā loli o ka ʻike | ʻIke pōwehiwehi, loli i ka ʻike. |
| ʻEha umauma, loli i ka helu o ka puʻuwai | Manaʻo e like me ka wikiwiki o kou puʻuwai a i ʻole ke kuʻi ʻano ʻole, ka ʻeha o ka umauma. |
| Nā loli i ka mimi a me ka make wai nui | Mimi ʻeleʻele a noe paha, emi ʻana o ka mimi i hoʻopuka ʻia, make wai nui, a me kahi ʻala hua ma ka hanu. |
| Pehu kino a i ʻole ka piʻi ʻana o ke kaumaha | Ka pehu ʻana o ke kino ma ke ʻano ʻē, ʻoiai hoʻi nā lālā, a i ʻole ka piʻi koke ʻana o ke kaumaha. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Pōniuniu, hāʻule ʻana, ʻeha a kahe koko paha kekahi ʻano ʻē, ʻoniʻoni ʻē o nā maka a i ʻole ka waha, luhi nui. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka ulu ʻana o ka lauoho maʻamau ʻole | ʻO ka ulu ʻana o ka lauoho maʻamau ʻole ma ke kino, ʻoi aku hoʻi ma ka maka a me nā lālā o nā kaikamahine a me nā wahine (hirsutism). |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka nalowale o ka makemake, ka nausea, ka luaʻi ʻana, ka maʻi pākī, nā loli o ka ʻono. |
| ʻEha poʻo | ʻEha poʻo. |
Nā pilina me nā lāʻau lapaʻau ʻē aʻe
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me Diazoxide, ʻoiai:
- Nā lāʻau lapaʻau
- Lāʻau lapaʻau no ke koko kiʻekiʻe
- Nā lāʻau lapaʻau epilepsy e like me Phenytoin
- Nā lāʻau hoʻokahe koko e like me Warfarin
No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau ma luna o ke kauka, a me nā mea hoʻohui).
Leka Lawe-Home
- He lāʻau lapaʻau ka diazoxide i hoʻohana ʻia e mālama i kahi kūlana kikoʻī kahi e hāʻule ai ke kō koko i lalo loa. E hoʻohana wale i kēia ma ke ʻōlelo aʻoaʻo lapaʻau.
- I ka hāʻawi ʻana i ka lāʻau lapaʻau, e hoʻohana wale i ka puna ana kūikawā a i ʻole ka mea kulu wai e hele pū mai me ia. E pale i ka hoʻohana ʻana i nā puna o ka hale.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka pehu ʻana o ke kino, e ʻike koke i ke kauka.
- He pilikia ka overdose. E kelepona koke i ke Kikowaena ʻIke Poisons National a i ʻole e hele i ka Halemai Emergency Department (ETU) kokoke loa.
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki, mai ka mālamalama aku, a ma ka mahana o ka lumi.
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