He aha kēia lāʻau i kapa ʻia ʻo hydrocortisone?
I ka ʻōlelo maʻalahi, he steroid ka hydrocortisone. ʻAe, ʻae, makaʻu kekahi poʻe i nā steroids, akā he lāʻau lapaʻau kēia e hiki ke lawe mai i ka hōʻoluʻolu i nā maʻi he nui inā hoʻohana pololei ʻia a ma lalo o ke aʻo ʻana a ke kauka. Hana nui ia i ʻekolu mau mea: 1. Hoʻēmi i ka mumū i loko o ke kino: ʻO ke ʻano o ka mumū nā mea e like me ka pehu ʻana, ka ʻulaʻula, a me ka ʻeha. E noʻonoʻo he arthritis kou. A laila pehu a ʻeha kou mau hono. Kōkua kēia lāʻau lapaʻau i ka hōʻemi ʻana i kēlā pehu a me ka ʻeha. 2. Ke kāohi nei i kahi ʻōnaehana pale ikaika loa: Loaʻa i ko mākou kino kahi ʻōnaehana pale. ʻO ia ka mea e pale ai iā mākou mai nā maʻi. Akā i kekahi manawa hoʻomaka kēia ʻōnaehana e hana nui. Ke hana ʻia kēlā, hiki ke hōʻino ʻia nā ʻōnaehana olakino. No ka laʻana, hana ʻia kēia i kekahi mau hopena allergies, a i ʻole i nā maʻi e like me ka Inflammatory Bowel Disease. Kōkua ʻo Hydrocortisone e hōʻoluʻolu i ka ʻōnaehana pale ikaika loa. 3. Hāʻawi ʻana i ka poʻe i loaʻa nā pae haʻahaʻa o ka hormone cortisol: Hana maoli ko mākou kino i kahi hormone i kapa ʻia ʻo cortisol. He hormone koʻikoʻi loa kēia. Ke kaumaha mākou, maʻi, a ʻeha paha, kōkua kēia cortisol iā mākou e pane pono. ʻAʻole hana kekahi poʻe i ka lawa o kēia hormone (no ka laʻana, ka poʻe me nā pilikia adrenal gland). I ia mau hihia, hiki i kēia lāʻau lapaʻau ke kōkua i ka hoʻoponopono ʻana i kēlā hemahema. No laila, hoʻohana ʻia kēia lāʻau lapaʻau e mālama i nā ʻano maʻi he nui, e like me ka hānō, nā maʻi allergies koʻikoʻi, ka rumatika, nā maʻi ʻōpū mumū, nā pilikia o ke kelepa adrenal, a me kekahi mau maʻi o ke koko a i ʻole ka iwi iwi.He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
Ma mua o ka hāʻawi ʻana iā ʻoe i kahi inikini hydrocortisone, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. He mea nui loa ia e haʻi ʻoe i ka ʻoiaʻiʻo me ka hūnā ʻole i kekahi mea. No kou palekana ka ʻike o ke kauka i kāu mau maʻi ʻē aʻe a me nā lāʻau lapaʻau āu e lawe nei. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka:- Loaʻa iā ʻoe ka Cushing's syndrome (kahi kūlana e hoʻoulu aiInā loaʻa iā ʻoe kahi maʻi i hoʻoulu ʻia e ka hoʻonui ʻana o ka cortisol .
- Inā loaʻa iā ʻoe ka maʻi diabetes ( diabetes mellitus) .
- Inā loaʻa iā ʻoe ka glaucoma (hoʻonui ʻia ke kaomi maka).
- Inā he maʻi puʻuwai kou a i ʻole kekahi pilikia e pili ana i ka puʻuwai.
- Inā he koko kiʻekiʻe kou.
- Inā loaʻa iā ʻoe i kēia manawa a i loaʻa koke paha i kahi maʻi e like me ka herpes, ka measles, ka maʻi tuberculosis, a i ʻole ka chickenpox .
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe nā pilikia olakino noʻonoʻo (e.g. kaumaha, hopohopo).
- Inā loaʻa iā ʻoe ka myasthenia gravis (kahi maʻi e hoʻonāwaliwali ai i nā ʻiʻo).
- Inā loaʻa iā ʻoe ka osteoporosis (ka maʻi pohō iwi).
- Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua .
- Inā loaʻa iā ʻoe nā ʻōʻili .
- Inā loaʻa iā ʻoe nā ʻōpū ʻōpū, nā maʻi ʻōpū (e.g. colitis, diverticulitis) .
- Inā he pilikia kou me ka thyroid .
- Inā he maʻi ʻoe i ka hydrocortisone, nā corticosteroids ʻē aʻe, ka benzyl alcohol, nā lāʻau lapaʻau ʻē aʻe, ka lactose, nā meaʻai, nā kala artificial, a i ʻole nā mea mālama .
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He lāʻau lapaʻau ʻo Hydrocortisone i hāʻawi ʻia ma ke ʻano he inikini. ʻO ia hoʻi, ua inikini ʻia i loko o kahi aʻa a i kekahi manawa i loko o kahi ʻiʻo. ʻO ka maʻamau, hāʻawi ʻia kēia e nā limahana lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau.ʻAʻole ia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home.Mea nui: ʻO kāu kauka wale nō ke kauka i kuhikuhi i kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki: Pono e akahele loa i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. E haʻi aku kāu kauka iā ʻoe e pili ana i kēia. Inā lawe nui ʻoe i ka lāʻau lapaʻau (Overdose): ʻOiai ua hāʻawi ʻia kēia ma ka haukapila, ua haʻahaʻa ka manawa kūpono o ka "Overdose". Eia naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, ʻo ia hoʻi, inā manaʻo ʻoe ua hāʻawi nui ʻia ka lāʻau lapaʻau iā ʻoe, pono ʻoe e haʻi koke i ke kauka a i ʻole ke kahu maʻi ma ka haukapila. Inā hala ʻoe i kahi lāʻau lapaʻau (Missed dose): ʻOiai ua hāʻawi ʻia kēia ma ka haukapila, ʻaʻole ia he mea maʻamau ka hala ʻana o kahi lāʻau lapaʻau. No ka mea, e hōʻoia ke kauka a i ʻole ke kahu maʻi e hāʻawi ʻoe iā ia i ka manawa kūpono.
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka wā e lawe ʻia ai me ka hydrocortisone. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (ʻaʻole wale nā lāʻau lapaʻau i kuhikuhi ʻia, akā ʻo nā lāʻau lapaʻau ma luna o ke kauka, nā lāʻau lapaʻau kuʻuna, nā huaora, a me nā huahana lāʻau). Mai lawe i ka hydrocortisone me kēia mau lāʻau lapaʻau:- ʻO Mifepristone `(Mifepristone, RU-486)`
- Kekahi mau ʻano lāʻau pale (e kamaʻilio me kāu kauka e pili ana i kēia)
- Kekahi mau lāʻau antibiotic (e.g. clarithromycin, erythromycin, troleandomycin)
- ʻAspirin a me nā lāʻau lapaʻau e like me ka aspirin
- Nā Barbiturates (e.g. phenobarbitol)
- ʻO Ketoconazole
- ʻO Phenytoin `(Phenytoin)`
- ʻO Rifampin
- ʻO Warfarin (mea hoʻokahe koko)
He aha kāu e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau?
Aia kekahi mau mea e pono ai ʻoe e noʻonoʻo i ka wā e lawe ana i ka hydrocortisone:- E ʻike pinepine i kāu kauka: E hōʻoia e hele i nā manawa o kāu kauka e ʻike inā he loli i kou kūlana a inā e hana pono ana ka lāʻau lapaʻau.
- E mālama i kahi kāleka ID me ʻoe: Inā ʻoe e lawe nei i kēia lāʻau lapaʻau no ka manawa lōʻihi, he manaʻo maikaʻi e mālama i kahi kāleka ID me ʻoe e papa inoa ana i kou inoa, ka helu wahi, ka inoa a me ka nui o ka lāʻau lapaʻau, a me ka inoa a me ka helu wahi o ke kauka e mālama nei iā ʻoe.
- E makaʻala i nā maʻi: Hiki ke emi iki kou palekana i ka wā e lawe ana i kēia lāʻau.No laila, e noho mamao aku mai ka poʻe maʻi (e laʻa me ka poʻe anu a kuni paha). Inā ʻoe e launa pū me kekahi mea i loaʻa i ka maʻi e like me ka maʻi ʻūlū a i ʻole ka moa, e haʻi koke aku i kāu kauka.
- Inā ʻoe e hana ʻoki kino ana: Inā ʻoe e hana ʻoki kino ana i loko o nā mahina 12 e hiki mai ana, e haʻi i kāu kauka e lawe ana ʻoe i ka hydrocortisone.
- E nīnau e pili ana i ka ʻai: 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 i kāu meaʻai.
- Nā pae kō koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i kou pae kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes, e nīnau i kāu kauka inā pono ʻoe e hoʻololi i kāu meaʻai a i ʻole ka nui o kāu lāʻau lapaʻau diabetes.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka hydrocortisone ke hana i nā hopena ʻaoʻao i kekahi poʻe. Mai hopohopo, ʻaʻole loaʻa i nā kānaka a pau. Akā he mea nui e makaʻala iā lākou. Inā loaʻa kekahi o kēia mau mea, e haʻi koke i kāu kauka/kahu hānai:- Nā hōʻailona maʻi: ka ʻili ʻana, ka maneʻo, nā kiko ʻulaʻula ma ka ʻili, ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu.
- Nā hōʻailona o ka maʻi Cushing: Hōʻiliʻili ʻana o ka momona a puni ka ʻōpū, ke kua o luna, ka ʻāʻī, a i ʻole ka maka, nā māka ʻulaʻula/poni, ka ʻili lahilahi e palaho maʻalahi ana, a me ka ulu ʻana o ka lauoho makemake ʻole ʻia.
- Ke kō koko kiʻekiʻe (Hyperglycemia): Makewai nui, mimi pinepine, luhi ʻē, ʻike maka pōwehiwehi.
- Hoʻonui ʻia ke koko.
- Nā hōʻailona o ka maʻi: ke kuni, ke anu, ke kuni, ka ʻāʻī ʻeha, nā ʻeha e ho'ōla ʻole ʻia, ka ʻeha a i ʻole ka paʻakikī o ka mimi ʻana, a me ka manaʻo ʻoluʻolu ʻole.
- Nā hōʻailona o ka hana haʻahaʻa o ke kelepa adrenal: nausea, luaʻi, nalowale o ka makemake, luhi ʻole, dizziness.
- Nā loli o ke ʻano a me ke ʻano: hopohopo, hoʻomaha ʻole, huikau, hallucinations, huhū, ʻenemi, manaʻo pepehi iā ia iho, ʻoi aku ka maikaʻi ʻole o ke kūlana noʻonoʻo, ʻano kaumaha.
- Nā hōʻailona o ke kahe ʻana o ke koko o ka ʻōpū: nā ʻōpala ʻeleʻele a ʻeleʻele paha, ka luaʻi e like me ke ʻano o ka lepo kofe, a i ʻole ka luaʻi ʻana i ke koko.
- Ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae.
- ʻAkika
- Manaʻo maʻi a luhi hoʻi
- ʻEha poʻo
- Hoʻonui ʻia ka makemake
- Ka luaʻi
- ʻAʻole hiki ke hiamoe
- Piʻi ke kaumaha
Ma hea ʻoe e mālama ai i kēia lāʻau lapaʻau?
E like me ka mea i ʻōlelo ʻia ma mua, hāʻawi ʻia nā inikini hydrocortisone ma kahi haukapila a i ʻole ke keʻena lapaʻau. No laila , ʻaʻole hiki iā ʻoe ke lawe iā ia i ka home, ʻaʻole hoʻi pono ʻoe e mālama iā ia ma ka home.ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He lāʻau lapaʻau pono loa ʻo Hydrocortisone. Eia nō naʻe, pono e hoʻohana ʻia ma lalo o ka nānā ʻana a ke kauka.- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E makaʻala i nā maʻi i ka wā e lawe ai i ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao ʻē aʻe, e hoʻomaopopo koke i kāu kauka.
- Mai makaʻu e nīnau i kāu kauka, kauka lāʻau, a kahu maʻi paha i kekahi mau nīnau āu e pili ana i kēia lāʻau.
ʻO ka Hydrocortisone, ka inikini, ka steroid, ka maʻi ʻaleka, ka hānō, ka rumatika, ka pale ʻana i ke kino
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