Ua haʻi aku kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana he maʻi Cushing ko lākou? Malia paha no ka mea ʻaʻole i ho'ōla loa ke ʻoki kino, a no ka mea ʻaʻole hiki ke ʻoki kino, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Levoketoconazole. ʻO Recorlev ka inoa inoa no kēia lāʻau. No laila, no ka hoʻomaʻemaʻe ʻana i nā kānalua a i ʻole nā makaʻu āu e pili ana i kēia lāʻau, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī a ma ke ʻano maʻalahi loa.
He aha maoli ka Levoketoconazole?
I ka ʻōlelo maʻalahi, ʻo Levoketoconazole kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi Cushing. ʻO ka maʻi Cushing kahi maʻi i hoʻokumu ʻia e nā kelepa adrenal i loko o ko mākou kino e hana nui ana i ka hormone cortisol. Hana kēia lāʻau lapaʻau ma ka kaohi ʻana i ka hana ʻana o kēlā hormone cortisol keu.
Hāʻawi pinepine ʻia kēia lāʻau lapaʻau i ka poʻe hiki ʻole ke hana ʻoki kino, a i ʻole i ka poʻe i kāohi ʻole ʻia ko lākou maʻi ma hope o ke ʻoki kino. He lāʻau lapaʻau kēia e pono e hoʻohana wale ʻia ma lalo o ka nānā ʻana a ke kauka.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Pono kāu kauka e ʻike i kou mōʻaukala olakino piha ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe a inā palekana. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
- Maʻi puʻuwai: Inā loaʻa iā ʻoe kekahi maʻi puʻuwai, kahi puʻuwai kūpono ʻole, a i ʻole kahi pilikia me ka wā QT.
- Maʻi ʻAke: Inā loaʻa iā ʻoe kekahi maʻi ʻake.
- Ka maʻi kahe koko: Inā he pilikia kahi i paʻa ʻole ai ke koko me ka maʻalahi.
- Ka Hana o ke Kelepona Adrenal Haʻahaʻa: Inā ua haʻi aku kāu kauka iā ʻoe e pili ana i kēia kūlana.
- Nā pae minelala koko: Inā ua haʻi ʻia iā ʻoe he haʻahaʻa nā pae potassium a magnesium paha o kou koko.
- ʻAkika ʻŌpū Haʻahaʻa: Inā ʻike ʻoe he haʻahaʻa ka waikawa o kou ʻōpū.
- Ka hoʻohana ʻana i ka waiʻona: Inā he mea inu mau ʻoe.
- Hāpai a hoʻolālā paha e hāpai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i ka Levoketoconazole, Ketoconazole, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha, pono ʻoe e hōʻike.
ʻO ke ala kūpono e hoʻohana ai i ka lāʻau lapaʻau
- E lawe waha ʻia kēia lāʻau lapaʻau e like me ka pila. E lawe pololei e like me ke kauoha a kāu kauka, i ka manawa kūpono, a me ka nui kūpono.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a me ka ʻole. Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka ʻai .
- E hoʻomau i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki iā ia ma kāu manaʻo ponoʻī.
- He mea nui loa: Mai lawe i kekahi lāʻau lapaʻau no ka gastritis a i ʻole nā ʻōpū ʻōpū, e like me nā antacids, no ʻelua hola ma hope o ka lawe ʻana i kēia papa Levoketoconazole. Hiki i kēia mau lāʻau lapaʻau ke hōʻemi i ka omo ʻana o Levoketoconazole.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Mai hopohopo. Inā ʻoe e poina i kahi lāʻau, e hōʻalo loa. E lawe i kāu lāʻau aʻe i ka manawa maʻamau. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i poina.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā kānalua ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e kelepona koke i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole, e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō, no laila mai kaʻana like me nā poʻe ʻē aʻe.
Nā lāʻau ʻē aʻe e launa pū me ka levoketoconazole (Nā Hana Lāʻau)
He mea kēia e makaʻala nui ai. He lāʻau lapaʻau ʻo Levoketoconazole hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui).
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me ka levoketoconazole | |
|---|---|
| Māhele lāʻau lapaʻau | Nā Laʻana |
| ʻO kekahi mau lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe | ʻAlprazolam, Triazolam |
| ʻO kekahi mau lāʻau lapaʻau no ka cholesterol | ʻO Cerivastatin, Lovastatin, Simvastatin, Lomitapide |
| Lāʻau lapaʻau no ka puʻuwai puʻuwai kūpono ʻole | ʻO Disopyramide, Dofetilide, Dronedarone, Quinidine |
| Nā lāʻau lapaʻau papa Ergot | ʻO Dihydroergotamine, Ergotamine |
| ʻĒ aʻe | ʻO Cisapride, Colchicine, Methadone, Pimozide, Ranolazine, Sirolimus, Tolvaptan, Laiki hū ʻulaʻula |
Hiki i nā lāʻau lapaʻau i helu ʻia ma luna nei ke hana i nā hopena ʻaoʻao koʻikoʻi loa ke lawe pū ʻia me Levoketoconazole. No laila, ʻaʻole pono e lawe pū ʻia kēia mau mea.
| Nā lāʻau ʻē aʻe e hiki ai ke hoʻopilikia i ka levoketoconazole | |
|---|---|
| ʻAila waiʻona, nā lāʻau lapaʻau HIV/AIDS, nā steroids (e.g. Dexamethasone), Metformin no ka maʻi diabetes, Amlodipine, Nifedipine no ke koko kiʻekiʻe, Warfarin, Rivaroxaban no ke kāpili ʻana o ke koko, Atorvastatin no ka cholesterol, Rifampin, Isoniazid no ka maʻi puʻupuʻu. | |
| Eia kekahi, nui nā lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia e mālama ai i ka maʻi kanesa, ke kaumaha, ka hopu ʻana , ka ʻeha, a me nā pilikia o ka ʻōpū e hiki ke launa pū me kēia. | |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻopihapiha āu e lawe ai.
Nā hopena ʻaoʻao hiki ke loaʻa i ka wā e lawe ana i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, a he ʻoluʻolu kekahi.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele, ʻōpala melemele. |
| Nā loli i ka helu o ka puʻuwai | Paʻakikī ka hanu ʻana, ʻeha ka umauma, poniuniu, wikiwiki ka puʻuwai, nāwaliwali. |
| Hoʻemi ʻia ka hana adrenal | Luli, luaʻi, nalowale o ka makemake e ʻai, luhi loa, poniuniu. |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Ke kahe koko ʻano ʻē | Nā ʻōpala ʻeleʻele, ka luaʻi e like me ke ʻano o ka lepo kofe, ka mimi ʻulaʻula/ʻeleʻele ʻeleʻele, nā kiko ʻulaʻula/poni ma ka ʻili. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻopilikia lākou | |
| ʻEha poʻo | Ka luaʻi a me ka luaʻi |
| ʻEha ʻōpū | ʻO ka ʻeha o ka ʻōpū |
Nā mea ʻē aʻe e hoʻomanaʻo i ka wā e lawe ana i ka lāʻau lapaʻau
- Nā hoʻokolohua maʻamau:Pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou kūlana (follow-up) i ka wā e lawe ana i kēia lāʻau lapaʻau. Pono nō hoʻi ʻoe e loaʻa i nā hoʻāʻo koko i nā manawa maʻamau e nānā i nā mea e like me ka hana o ke ake. Mai hōʻalo i kekahi o kēia mau hoʻāʻo.
- ʻOna: E hōʻemi loa i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau. Hiki i ka waiʻona ke hoʻonui i ka hōʻino ʻana o ke ake.
- Ka hānau keiki: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke loaʻa keiki no kekahi manawa. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka.
- Ka hānai waiū: Mai hānai waiū i ka wā e lawe ana i kēia lāʻau lapaʻau a no 1 lā ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Levoketoconazole no ka maʻi Cushing e pono e lawe ʻia ma lalo o ka nānā ʻana a ke kauka.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora).
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka ʻeha ma ka ʻaoʻao ʻākau o kou ʻōpū, ka melemele o nā maka, a i ʻole nā loli i ka helu o kou puʻuwai.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
- E hōʻoia e hele i nā hoʻokolohua lapaʻau i hoʻonohonoho ʻia a me nā hoʻāʻo koko.
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