Loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo Inflammatory Bowel Disease (IBD)? A i ʻole ke ʻeha nei ʻoe i nā hōʻailona e pili ana i ia mea? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau hiki iā ʻoe ke hāʻawi pololei. ʻO kēia ka mea a mākou e kapa nei he Hydrocortisone Rectal Enema. Hiki paha iā ʻoe ke makaʻu iki a huikau ke lohe ʻoe i kēia inoa. Akā, mai noʻonoʻo i kekahi mea e pili ana i ia mea. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, pehea e hoʻohana ai, a me nā mea āpau āu e pono ai e ʻike ma ke ʻano maʻalahi loa , me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.
I ka ʻōlelo maʻalahi, he aha kēia Hydrocortisone Enema?
He steroid ʻo Hydrocortisone. ʻO kāna hana nui ka hōʻemi ʻana i ka mumū , ʻo ia hoʻi ka pehu a me ka mumū i loko o ke kino. Kōkua kēia lāʻau lapaʻau i ka hoʻomalu ʻana i ka mumū a me ka pehu i loaʻa i loko o kou ʻōpū. ʻOiai ua hāʻawi ʻia ma o ka rectum (ma ke ʻano he enema), hele pololei ka lāʻau lapaʻau i ka wahi pilikia a hana. No laila, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu wikiwiki. Ma Sri Lanka, hiki ke ʻike ʻia kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me `(Colocort)`.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi kiʻi piha o kou kūlana olakino. No ka mea, pono mākou e makaʻala loa i ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o kēia mau mea, mai poina e haʻi i kāu kauka e pili ana i ia mea.
| Nā kūlana olakino e hoʻopilikia iā ʻoe | No ke aha ʻoe e hōʻike ai? |
|---|---|
| ʻO kēlā me kēia maʻi i kēia manawa (bacteria, viral, fungal) | Hiki i nā steroids ke hoʻemi i ka palekana a hoʻonui i nā maʻi. |
| Maʻi diabetes | Hiki i kēia ke hoʻonui i nā pae kō koko. |
| ʻO Glaucoma a i ʻole cataracts | Hiki paha ke hoʻonui i ke kaomi o nā maka a i ʻole e hoʻonui i ke kūlana. |
| Ke koko kiʻekiʻe | Hiki ke piʻi hou aʻe ke koko. |
| Nā pilikia o ka ʻōnaehana pale | Hiki ke hoʻonāwaliwali hou ʻia ka hana o ka ʻōnaehana pale maʻi. |
| He hōʻeha puʻuwai ma mua | Hiki ke hoʻopilikia ʻia ka puʻuwai. |
| ʻO ke ʻoki ʻōpū hou loa (ileocolostomy) | Hiki ke hoʻopilikia ʻia ke kaʻina hana ho'ōla. |
| ʻO ke ālai ʻana o ka rectal, abscess, perforation, a i ʻole fistula | E piʻi aʻe ana paha kēia mau kūlana. |
| Nā maʻi ʻē aʻe o ka ʻōpū a i ʻole nā naʻau | Hiki ke ʻoi aku ka ʻino o nā hōʻailona ʻē aʻe. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai, ʻo ia hoʻi he makuahine hānai | He mea nui ka ʻōlelo aʻo lapaʻau no ka mea hiki ke hoʻopilikia i ke pēpē. |
| Nā maʻi ʻaleka i kekahi lāʻau lapaʻau, meaʻai, a i ʻole kala | I mea e pale aku ai i kahi hopena alerika. |
Pehea e hoʻohana pono ai i kēia lāʻau lapaʻau?
ʻOiai he lāʻau lapaʻau ʻano ʻē kēia, he mea nui loa ia e ʻike pono pehea e hoʻohana ai. E hahai i nā ʻanuʻu ma lalo nei.
1.ʻO ka mea nui loa: Pono e hoʻohana ʻia kēia lāʻau lapaʻau ma ka rectal wale nō . Mai lawe ma ka waha no kekahi kumu.
2. E holoi pono i kou mau lima me ke kopa ma mua a ma hope o ka hoʻohana ʻana.
3. E moe ʻoluʻolu. ʻO ke kūlana maikaʻi loa, ʻo ia ke moe ma kou ʻaoʻao hema me kou kuli ʻākau i hoʻokomo ʻia i loko o kou umauma . Hoʻomaha kēia kūlana i ka rectum a maʻalahi hoʻi ke hoʻokomo ʻana i ka lāʻau lapaʻau.
4. E hoʻokomo mālie a akahele i ka piko o ka mea hoʻopili i loko o ka rectum. A laila e ʻomi i ka ʻōmole e hoʻokuʻu i ka lāʻau lapaʻau.
5. Ma hope o ke kau ʻana i ka lāʻau lapaʻau, e moe i lalo ma ke kūlana like no 30 mau minuke ma ka liʻiliʻi . E ʻae kēia i ka lāʻau lapaʻau e noho i loko a hana pono.
6. E hoʻāʻo i ka hiki, e mālama i kēia lāʻau lapaʻau i loko o kou kino no hoʻokahi hola ma ka liʻiliʻi, a inā hiki, i ka pō holoʻokoʻa . A laila hiki iā ʻoe ke loaʻa nā hopena maikaʻi loa.
7. Mai hoʻohana ʻoi aku ma mua o ka mea a ke kauka e ʻōlelo ai.
He mea nui loa: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi. 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 hana mālie, e like me ka ʻōlelo a kāu kauka iā ʻoe.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau lapaʻau pālua a lawe paha i kahi lāʻau lapaʻau keu.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā mea hoʻohui āu e lawe nei. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei. ʻOi loa inā ʻoe e hoʻohana ana i kekahi o kēia mau mea:
- ʻO ka ʻāsipilina a me nā lāʻau hoʻomaha ʻeha ʻē aʻe (NSAID) e like me Ibuprofen lāua ʻo Naproxen
- Nā lāʻau hoʻokahe koko e like me Warfarin
- Nā lāʻau lapaʻau no ka maʻi diabetes
- Nā lāʻau antiepileptic e like me Phenobarbital, Carbamazepine, Phenytoin
- nā lāʻau antifungal e like me ketoconazole
- ʻO nā lāʻau lapaʻau e like me Clarithromycin, Erythromycin, Rifampin
- ʻO nā hormones wahine, me nā lāʻau hoʻomalu hānau
- Nā pila wai (Diuretics)
- ʻO Digoxin
- ʻO Cyclosporine
- ʻO kekahi mau ʻano lāʻau pale (Toxoids a me nā lāʻau pale)
ʻAʻole i piha kēia papa inoa. Inā ʻoe e puhipaka a inu waiʻona paha, e haʻi aku i kāu kauka e pili ana i kēlā.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E nānā pinepine: E kipa aku i kāu kauka i nā lā i hoʻonohonoho ʻia e nānā i kou ʻano.
- Inā ʻaʻohe hoʻomaikaʻi: Inā ʻaʻole ʻoe e ʻike i kekahi hoʻomaikaʻi ma hope o ka hoʻohana ʻana iā ia no kekahi mau lā, e haʻi i kāu kauka e pili ana i ia mea.
- Nā hōʻailona ʻōlelo aʻo: Mai hoʻohana i kēia lāʻau lapaʻau inā he koko kou i loko o kou ʻōpala. Eia kekahi, e haʻi koke i kāu kauka inā he kahe koko kou i ka rectal, ʻeha nui, kuni, maneʻo, pehu, a i ʻole kekahi mea ʻē aʻe i ʻike ʻole ʻia.
- Ka pilikia o ka maʻi: Hiki i kēia lāʻau lapaʻau ke hoʻonāwaliwali iki i kou ʻōnaehana pale. ʻO ke ʻano kēia, ʻoi aku ka nui o kou maʻi. No laila, e noho mamao aku mai ka poʻe i loaʻa i ke anu a me ka maʻi palū. Inā ua launa pū ʻoe me kahi mea i loaʻa i ka maʻi ʻūlū a i ʻole ka moa, e haʻi i kāu kauka e pili ana i ia mea.
- Kō koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui i nā pae kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes, e nīnau i kāu kauka inā pono ʻoe e hana i kekahi hoʻololi i kāu meaʻai a i ʻole nā lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
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, ke alelo a i ʻole ka puʻu. |
| ʻO ka maʻi Cushing | Nā waihona momona ma ka ʻōpū, ka ʻāʻī, a me ke kua o luna, nā kaha poni/poni ma ka ʻili, a me ka ʻili lahilahi e palaha maʻalahi. |
| Hoʻonui ʻia ke kō koko (Hyperglycemia) | Hoʻonui ʻia ka make wai, ka mimi pinepine ʻana, ka luhi ʻē, ka ʻike maka pohihihi. |
| Hoʻonui ʻia ke koko | ʻEha poʻo, poniuniu. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, nā ʻeha ʻaʻole e ho'ōla. |
| Nā loli noʻonoʻo a me ke ʻano | Hopohopo, hoʻomaha ʻole, kaumaha, manaʻo pepehi kanaka. |
| Ke kahe ʻana o ke koko o ka ʻōpū | Nā ʻōpala ʻeleʻele e like me ke koko a i ʻole ke kēpau, a me ka luaʻi ʻana i nā mea e like me ke one kofe. |
| Pehu kino | Ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
Nā mea e haʻi aku ai i kāu kauka inā hoʻomau a hoʻopilikia paha lākou | |
| ʻO ka ʻoluʻolu ʻole a me ka luhi | ʻO ka ʻoluʻolu ʻole ma ke kino. |
| ʻAla/ʻūlū ma kahi o ke noi | ʻO ka ʻeha iki ma ka ʻāʻī. |
| ʻEha rectal, mumū, a i ʻole ke kahe koko | Ke kahe koko iki a i ʻole ka ʻeha ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau. |
Leka Lawe-Home
- ʻO ka hydrocortisone enema kahi lāʻau steroid i hāʻawi ʻia e kāohi i nā ʻeha ʻōpū a me ka mumū.
- Pono e hoʻohana ʻia kēia ma ka rectal wale nō. Mai lawe ma ka waha.
- 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 hoʻohana pono e like me ka ʻōlelo a kāu kauka iā ʻoe, no ka lōʻihi o ka manawa. Mai ho'ōki koke i ka lawe ʻana, ʻoiai inā ua maikaʻi kou manaʻo.
- Inā loaʻa iā ʻoe ke kahe koko ʻana o ka rectum, ka ʻeha nui, ka pehu ʻana, a i ʻole nā hōʻailona o kahi hopena maʻi, e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo