I kekahi manawa, ke kaulike ʻole nā hormones o ko kākou kino, hiki ke loaʻa nā maʻi like ʻole. ʻO Fludrocortisone kahi lāʻau lapaʻau kūikawā a nā kauka e kuhikuhi ai e mālama i nā kūlana e like me ka maʻi ʻo Addison, kahi e kū mai ana i ka wā e emi ai kahi hormone e kāohi ana i ka nui o ka paʻakai a me ka wai i loko o ko kākou kino. Loaʻa pinepine ia ma lalo o ka inoa inoa ʻo Florinef. No laila, inā ua kuhikuhi kāu kauka i kēia lāʻau lapaʻau nou, he mea nui loa ia e makaʻala. E kamaʻilio kākou e pili ana i kēia i kēia lā.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ʻo Fludrocortisone kahi lāʻau lapaʻau no kahi papa o nā lāʻau i kapa ʻia ʻo corticosteroids. Hana ia ma ke hoʻohālike ʻana i kahi hormone a ko mākou kino e hana maoli ai. Kōkua kēia hormone i ke kaulike ʻana i ka nui o ka paʻakai (sodium) a me ka wai i loko o ke kino.
I nā kūlana e like me ka maʻi Addison a i ʻole ka adrenogenital syndrome, ʻaʻole hiki i ke kino ke hana i ka lawa o kēia hormone. Hiki i kēia ke hoʻohaʻahaʻa i ka paʻakai o ke kino. Hana nā papa Fludrocortisone ma ka hoʻoponopono ʻana i ka hemahema a me ka hoʻihoʻi ʻana i ke kaulike paʻakai a me ka wai o ke kino.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e hoʻohana i ka fludrocortisone, he mea nui loa ia e haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu i loaʻa ai, no ka mea, pono kekahi mau kūlana i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau.
| E haʻi i kāu kauka inā loaʻa iā ʻoe kēia mau maʻi. |
|---|
| • Maʻi diabetes |
| • Ke koko kiʻekiʻe |
| • Maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai |
| • Maʻi akepaʻa |
| • Nā ʻōpū a i ʻole nā ʻōpū liʻiliʻi a i ʻole nā maʻi e like me ka colitis, diverticulitis |
| • Osteoporosis (maʻi lahilahi iwi) |
| • Myasthenia gravis (kahi maʻi e hoʻonāwaliwali ai nā ʻiʻo) |
| • Nā pilikia thyroid |
| • Ka maʻi Cushing |
| • Nā maʻi lele ikaika e like me ka herpes, ka maʻi ʻūlū, ka moa, ka maʻi puʻupuʻu |
| • Inā loaʻa iā ʻoe kahi hopena maʻi i ka fludrocortisone, nā steroid ʻē aʻe, lactose, a i ʻole kekahi lāʻau lapaʻau a meaʻai paha. |
| • Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai ka lāʻau lapaʻau, pono ʻoe e hoʻohana pono.
- E lawe i kēia pila me ke aniani wai.
- ʻOi aku ka maikaʻi o ka lawe ʻana me ka ʻai a i ʻole ke kīʻaha waiū e pale aku ai i ka ʻeha o ka ʻōpū.
- Inā pono ʻoe e inu i hoʻokahi manawa i ka lā, e inu ia i ke kakahiaka .
- E lawe wale i ka nui i kuhikuhi ʻia e kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
- ʻO ka mea nui loa, ʻaʻole e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hiki ai ke hana i kahi hopena koʻikoʻi. Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻemi mālie kāu kauka i ka nui.
Pono ke akahele kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. Eia kekahi, ʻoi aku ka maʻalahi o ka poʻe ma luna o 65 mau makahiki i nā hopena o kēia lāʻau lapaʻau, no laila e kuhikuhi ʻia paha lākou i kahi mahele haʻahaʻa. Na kāu kauka e hoʻoholo i kēia mau mea āpau.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
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 hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi no kekahi kumu.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. Akā, pono ʻoe e hana koke.E hele koke i ka Halemai Pilikia (ETU) kokoke loa a i ʻole e kelepona i ke Kikowaena ʻIke Lāʻau Make ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me ka fludrocortisone
He mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Fludrocortisone.
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Fludrocortisone. |
|---|
| • mifepristone, RU-486 |
| E makaʻala loa inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau (e haʻi i kāu kauka ). |
| • ʻAspirin a me nā lāʻau lapaʻau like • Nā Barbiturates (e.g. phenobarbital) • Digoxin • Nā lāʻau diuretic (nā lāʻau lapaʻau e wehe ai i ka wai mai ke kino) • Nā hormones wahine (estrogens, progestins) a me nā pila hoʻomalu hānau • Nā hormones kāne • Nā lāʻau lapaʻau no ka maʻi diabetes (e.g. insulin) • Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me warfarin) • Phenytoin • Rifampin • ʻAmphotericin B • Kekahi ʻano lāʻau pale |
ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei. Eia kekahi, e haʻi iā lākou inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E ʻike pinepine i kāu kauka a nānā i kou kūlana.
- Inā ʻoe e lawe ana i kēia lāʻau lapaʻau no ka manawa lōʻihi, e mālama i kahi kāleka me kou inoa, ka helu wahi, ka inoa o ka lāʻau lapaʻau āu e lawe nei, ka nui o ka lāʻau, a me nā ʻike o kāu kauka ma luna inā he pilikia.
- Aia kahi piʻi iki o ka pilikia o ka maʻi ʻana i ka wā e lawe ana i kēia lāʻau. No laila e noho mamao aku mai ka poʻe maʻi. Inā ʻoe e launa pū me kekahi mea i loaʻa i ka maʻi e like me ka maʻi ʻōpala a i ʻole ka moa, e haʻi koke aku i kāu kauka.
- Inā ʻoe e hana ʻia ana i ke ʻoki kino, e haʻi pono i ke kauka ua lawe ʻoe i kēia lāʻau lapaʻau i loko o nā mahina 12 i hala.
- E kamaʻilio me kāu kauka e pili ana i kāu ʻai. Hiki iā ia ke ʻōlelo iā ʻoe e hōʻemi i ka nui o ka paʻakai āu e ʻai ai.
- Ma muli o kēia lāʻau lapaʻauHiki ke piʻi aʻe nā pae kō koko. Inā he maʻi diabetes ʻoe, e nīnau i kāu kauka inā pono ʻoe e hana i kekahi hoʻololi i kāu meaʻai a lāʻau lapaʻau paha.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka |
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| • Kaumaha, loli pinepine o ka naʻau, manaʻo kiʻekiʻe pono ʻole iā ʻoe iho, a i ʻole ka manaʻo e hana hewa ana kekahi iā ʻoe iho • Nā hōʻailona o ke kō koko kiʻekiʻe: makewai nui, pōloli, mimi pinepine, luhi nui, ʻike maka pōwehiwehi • Piʻi koke ke kaumaha • Ka pehu ʻana o nā wāwae a i ʻole nā wāwae |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou |
| • Ka poniuniu • ʻEha poʻo • Ka nalowale o ka makemake e ʻai • Ka luaʻi, ka luaʻi • Hiamoe ʻole |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Fludrocortisone e hoʻohana wale ʻia e like me ke kuhikuhi ʻana a ke kauka, ma ke ʻano i kuhikuhi ʻia a no ka manawa i kuhikuhi ʻia.
- ʻO ka mea nui loa , ʻaʻole loa e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu. Inā pono ʻoe e hana pēlā, pono ʻoe e ʻimi i ke kōkua lapaʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā mea hoʻopihapiha āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe e like me ka piʻi koke ʻana o ke kaumaha, nā wāwae pehu, a i ʻole ka make wai nui, e hoʻomaopopo koke i kāu kauka.
- ʻOiai e lawe ana i kēia lāʻau lapaʻau, he mea nui loa e ʻike i kāu kauka ma nā hoʻokolohua i hoʻonohonoho ʻia.
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