Nā lāʻau Mifepristone no ka maʻi Cushing? E kamaʻilio kākou e pili ana i kēia!

Loaʻa iā ʻoe ka Cushing Syndrome ? A i ʻole he maʻi kēia i loaʻa i kekahi āu i ʻike ai? ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka hana ʻana o ko mākou kino i ka nui o ka hormone cortisol ma mua o ka mea e pono ai, ka mea e hoʻonui ai i ke kiʻekiʻe o ke kō koko, ʻo ia hoʻi ka glucose. No laila, ʻo kekahi o nā lāʻau lapaʻau a nā kauka e ʻōlelo ai i nā manawa e like me kēia ʻo Mifepristone. I kēia lā, e kamaʻilio mākou e pili ana i kēia mau pila Mifepristone me nā kikoʻī.

He aha ke ʻano lāʻau lapaʻau ʻo Mifepristone?

I ka ʻōlelo maʻalahi, hoʻohana nui ʻia nā lāʻau Mifepristone e kaohi i nā pae glucose koko i ka hihia o Cushing's Syndrome , kahi kūlana e kū mai ana i ka wā e hoʻonui nui ʻia ai ka hormone cortisol i loko o kou kino.

Ua ʻike anei ʻoe he mea nui kēia hormone i kapa ʻia ʻo cortisol no ko mākou kino? Ke kaumaha mākou, hoʻomākaukau ko mākou kino iā ia iho e hana me ia ma o kēia hormone. No ka laʻana, ke pono koke ke kino i ka ikehu hou aku, kōkua kēia cortisol i ka hoʻokuʻu ʻana i ke kō i loko o ke koko. Eia naʻe, ke piʻi aʻe kēia me ka hiki ʻole ke kāohi ʻia, kū mai nā pilikia like ʻole. Hoʻemi nā lāʻau Mifepristone i ka hopena o ka hormone cortisol, a laila e hoʻemi ana i ke kiʻekiʻe o ke kō koko.

Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. No laila, inā ʻaʻole ʻoe maopopo i ke kumu o kēia lāʻau lapaʻau, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka a i ʻole ke kauka lāʻau lapaʻau ma ka hale kūʻai lāʻau lapaʻau kahi āu e kiʻi ai i kāu lāʻau lapaʻau. Ua ʻike ʻia hoʻi kēia lāʻau lapaʻau ma ka mākeke ma ka inoa inoa ʻo Korlym .

He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?

Ma mua o kou hoʻomaka ʻana e hoʻohana i nā papa Mifepristone, aia kekahi mau mea nui āu e haʻi aku ai i kāu kauka. No ka mea, ʻo ka poʻe me kekahi mau kūlana olakino a i ʻole ka poʻe e lawe ana i nā lāʻau lapaʻau ʻē aʻe e makaʻala loa i ka hāʻawi ʻana iā Mifepristone. E nānā inā pili kēia iā ʻoe:

• He maʻi kahe koko kou?
• Ke loaʻa nei iā ʻoe ke kanesa i kēia manawa a ke mālama ʻia nei paha ʻoe no ia mea?
• Ke ʻeha nei ʻoe i kahi maʻi noʻonoʻo e like me ke kaumaha ?
• Loaʻa iā ʻoe kekahi ʻano maʻi diabetes ʻē aʻe i pili ʻole i ka maʻi Cushing?
• Maʻi puʻuwaiHe maʻi puʻuwai kou?
• He koko kiʻekiʻe kou ?
• He maʻi akepaʻa kou?
• Ua haʻi aku nā kauka iā ʻoe ua haʻahaʻa ka nui o ka potassium i kou koko?
• Ua loaʻa anei iā ʻoe kahi hoʻoili kino?
• Ke lawe nei ʻoe i nā steroids e like me dexamethasone a i ʻole prednisone?
• Loaʻa iā ʻoe ke kahe koko ʻōpū i wehewehe ʻole ʻia?
• Ua loaʻa anei iā ʻoe kahi hopena alerika i ka mifepristone, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala meaʻai, a i ʻole nā ​​mea hoʻomalu?
• Ke ho'āʻo nei ʻoe e hāpai? A i ʻole ua hāpai mua ʻoe?
• He makuahine hānai waiū anei ʻoe? (Hānai waiū)

Inā loaʻa iā ʻoe kekahi ʻano e like me kēia, ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i ia mea me ka hūnā ʻole i kekahi mea .

Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?

Pono e lawe ʻia kēia mau papa Mifepristone me ka wai. He mea nui loa ia e lawe i kēia lāʻau lapaʻau i ka manawa like i kēlā me kēia lā , e like me ke kuhikuhi ʻana ma ka lepili lāʻau. Mai uhaʻi, kuʻi, a nau paha i kēia mau papa. E ale i ka papa holoʻokoʻa me ka wai.

ʻO kekahi mea nui, ʻo ia ka lawe ʻana i kēia lāʻau me ka meaʻai. Eia kekahi, mai lawe i kēia lāʻau me ka wai pomelo no kekahi kumu. Pono ʻoe e hoʻomau i ka hoʻohana ʻana i kēia lāʻau e like me ke kuhikuhi a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.

Ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe e ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa liʻiliʻi me nā kuhikuhi kūikawā e pili ana i kēia lāʻau lapaʻau, i kapa ʻia ʻo MedGuide . He mea nui loa e heluhelu a hoʻomaopopo pono i kēia pepa liʻiliʻi MedGuide i kēlā me kēia manawa āu e lawe ai i ka lāʻau lapaʻau, a i ka wā e loaʻa ai iā ʻoe kahi hoʻopihapiha.

Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio, e kamaʻilio me kāu kauka e pili ana i ia mea, no ka mea, pono paha ka nānā kūikawā a me ka mālama lapaʻau.

He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ke kikowaena kaohi lāʻau make kokoke loa a i ʻole ke keʻena pilikia o kahi haukapila aupuni no ka ʻōlelo aʻoaʻo.

E hoʻomanaʻo hoʻi: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kahi hoaaloha a ʻohana paha no kekahi kumu, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.

He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?

Inā poina iā ʻoe ke lawe i ka pila Mifepristone i kekahi lā, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe i kou hoʻomanaʻo ʻana, e kāpae i ka mahele lāʻau i hala ʻole a lawe i kāu mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua a keu paha, ʻo ia hoʻi, e lawe i ka mahele lāʻau i hala ʻole a me ka mea āu i lawe ai i ka manawa like. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao.

He aha nā lāʻau lapaʻau ʻē aʻe e pono ʻole e lawe pū ʻia me kēia lāʻau?

Inā ʻoe e lawe nei i kekahi o nā lāʻau lapaʻau ma lalo nei, mai lawe pū me Mifepristone. Hiki i kēia mau mea ke hana i nā pilina koʻikoʻi a weliweli e hiki ke hoʻoweliweli i ke ola:

• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi fungal, no ka laʻana, fluconazole, ketoconazole, a me posaconazole.
• Ua kuhikuhi ʻia kekahi mau lāʻau lapaʻau e hoʻohaʻahaʻa i nā pae cholesterol koko, no ka laʻana ʻo lovastatin a me simvastatin.
• ʻO Cisapride
• ʻO Cyclosporine
• ʻO Dronedarone
• ʻO nā alkaloids Ergot, no ka laʻana, dihydroergotamine a me ergotamine.
• ʻO Fentanyl
• Pimozide
• Kuinidina
• ʻO Sirolimus
• ʻO Takrolimus
• ʻO Thioridazine

ʻAʻole piha kēia papa inoa, no laila he mea nui loa e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau āu e lawe ai, ʻoiai nā huaora.

Nā lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke launa pū

Aia kekahi mau lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke launa pū me Mifepristone, no laila he mea maikaʻi e ʻike i kēia mau mea:

• ʻO kekahi ʻano o nā lāʻau antibiotic, no ka laʻana clarithromycin, erythromycin, telithromycin.
• Hāʻawi ʻia kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole nā ​​​​maʻi ate e like me ka hepatitis.
• Nā lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi ʻōnaehana nerve e like me nā hopu ʻana, no ka laʻana carbamazepine, phenytoin, a me phenobarbital.
• ʻO kekahi mau lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko, no ka laʻana warfarin.
• ʻO Conivaptan
• Wai ʻāpala - E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole maikaʻi kēia e ʻai i ka wā e lawe ana i ka Mifepristone.
• Nā pila hoʻomalu hānau hormonal, nā inikini, nā ʻāpana a me nā mea hana i loaʻa nā hormones.
• ʻItraconazole
• Nā lāʻau lapaʻau no nā kūlana noʻonoʻo e like me ke kaumaha a i ʻole ka hopohopo nui.
• Hāʻawi ʻia kekahi mau lāʻau narcotic ma ke ʻano he mau mea hoʻomaha ʻeha.
• ʻO nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻoulu i kahi ʻano puʻuwai maʻamau, e like me nā mea e hoʻolōʻihi i ka wā QT.
• ʻO Repaglinide
• ʻO Rifabutin, Rifampin, Rifapentine.
• He mea hoʻohui lāʻau lapaʻau ka wort ʻo St. John.
• nā lāʻau steroid, e like me prednisone a i ʻole cortisone.
• Nā hormones thyroid.
• ʻO Voriconazole.

ʻAʻole paha i hoʻokomo ʻia nā mea āpau ma kēia papa inoa. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā mea kanu, nā lāʻau lapaʻau i kauoha ʻole ʻia, a me nā mea hoʻohui meaʻai āu e lawe nei . Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kēia mau mea ke launa pū me ka Mifepristone āu e lawe nei.

He aha nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau?

ʻOiai ʻoe e lawe ana iā Mifepristone, pono ʻoe e ʻike i kāu kauka no nā nānā mau ʻana e nānā i kou olakino. Hiki i kāu kauka ke ʻōlelo aku e hana ʻoe i kekahi mau hana koko.

Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā pae kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes, e kamaʻilio me kāu kauka ma mua o ka hana ʻana i kekahi hoʻololi i kāu meaʻai a i ʻole ka nui o kāu lāʻau lapaʻau diabetes.

E mālama pono i ka pepa kuhikuhi kūikawā no kēia lāʻau lapaʻau, i kapa ʻia ʻo MedGuide . Inā makemake ʻoe i ka mālama olakino ulia pōpilikia, e hōʻike i ka pepa MedGuide i ka hui lapaʻau. E haʻi pū iā lākou e lawe ana ʻoe iā Mifepristone.

Nā mea e pono e makaʻala nui ʻia no nā wahine:

• Pono ʻoe e lawe i kahi hoʻāʻo hāpai e hōʻoia inā ua hāpai ʻoe ma mua o ka hoʻomaka ʻana i kēia lāʻau Mifepristone. Mai hāpai i ka wā e lawe ana i kēia lāʻau a i ʻole no hoʻokahi mahina ma hope o ka hoʻōki ʻana i ka lāʻau.
• Inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ʻoe e hāpai ana, e haʻi koke i kāu kauka. Hiki i kēia lāʻau lapaʻau ke hana i nā hopena koʻikoʻi i kahi pēpē i hānau ʻole ʻia. E nīnau i kāu kauka no ka ʻike hou aku.
• Pono ʻoe e hoʻohana i ka kaohi hānau kūpono i ka wā e lawe ana iā Mifepristone. ʻOi aku ka maikaʻi o ka kaohi hānau ʻole hormonal i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i ke ala maikaʻi loa e pale aku ai i ka hāpai ʻana. Inā manaʻo ʻoe ua hāpai ʻoe, e haʻi koke i kāu kauka.

No nā makuahine hānai waiū: Mai hānai i kāu pēpē i ka waiū i ka wā e lawe ana i kēia lāʻau Mifepristone.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i ka Mifepristone ke hana i kekahi mau hopena ʻaoʻao. Aia kekahi mau hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka inā loaʻa. ʻO lākou kēia:

• Nā hopena maʻi ʻaleka: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu. Hiki i kēia mau mea ke lilo i mea weliweli.
• Nā loli o ke ʻano o ka puʻuwai: ka wikiwiki o ka puʻuwai a i ʻole ka puʻuwai kūpono ʻole, ka poniuniu, ka nāwaliwali a i ʻole ke poʻo māmā, ʻeha ka umauma, pilikia ka hanu ʻana.
• No nā wāhine: Nā pōʻaiapuni menstrual kūpono ʻole a i ʻole ke kahe koko ʻano ʻē (spotting) i ka wā menstruation.
• Nā hōʻailona o ka hana ʻole ʻana o ke kelepa adrenal: nausea, luaʻi, nalowale o ka makemake, nāwaliwali a luhi paha, dizziness.
• Nā hōʻailona o ka haʻahaʻa o ka potassium i loko o ke koko: ʻeha a ʻeha paha o nā ʻiʻo, nāwaliwali a luhi paha, puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole, paʻa paʻa.

ʻAʻole koʻikoʻi nā hopena ʻaoʻao i helu ʻia ma lalo nei, akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:

• Pōʻino
• Luhi
• ʻEha poʻo
• ʻEha hui
• Ka nalowale o ka makemake
• Ka luaʻi
• Ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā ​​​​wāwae.

ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā hopena ʻaoʻao āpau o Mifepristone. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e haʻi i kāu kauka. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka US Food and Drug Administration (FDA) ma 1-800-FDA-1088.

Pehea e mālama ai i kaʻu lāʻau lapaʻau?

E mālama i kēia lāʻau Mifepristone ma kahi palekana mai ka hiki ʻana aku o nā keiki liʻiliʻi a me nā holoholona . E mālama iā ia ma ka mahana o ka lumi, ma waena o 20 a me 25 degere Celsius (68 a me 77 degere Fahrenheit). E nānā i ka lā palena pau ma ka lāʻau a mai hoʻohana i kekahi lāʻau i pau ka palena. E hoʻolei pono iā ia.

Pehea ʻoe e hoʻolei aku ai i nā lāʻau lapaʻau i pono ʻole ʻia a i ʻole ua pau ka lāʻau me ka ʻole o ka hōʻino ʻana i ke kaiapuni?

• Loaʻa i kekahi mau hale kūʻai lāʻau lapaʻau a i ʻole nā ​​​​haukapila nā ​​papahana lawe lāʻau lapaʻau. Inā hiki, e lawe i kāu lāʻau lapaʻau i kekahi o kēia mau wahi. Hiki iā ʻoe ke ʻike hou aʻe e pili ana i kēia ma kāu hale kūʻai lāʻau lapaʻau a i ʻole ka luna nānā olakino lehulehu kūloko.
• Inā ʻaʻohe ala e hoʻihoʻi ai, e nānā i ka ʻeke lāʻau a i ʻole nā ​​​​kuhikuhi i loko e ʻike ai inā pono e hoʻolei ʻia i loko o ka ʻōpala a hoʻolei ʻia paha i loko o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka a kauka lāʻau paha.
• Inā hiki iā ʻoe ke hoʻolei iā lākou i loko o ka ʻōpala, e lawe i nā pila mai loko mai o ka ʻōmole a i ʻole ka ʻeke, e kāwili maikaʻi me ka ʻōpala pōpoki i hoʻohana ʻia, kahi lepo, ka ʻōpala kope i wili ʻia, a i ʻole nā ​​mea like ʻole i makemake ʻole ʻia. A laila, e kau i kēia hui ʻana i loko o kahi ʻeke polythene hiki ke pani hou ʻia a i ʻole kahi pahu plastik, e sila pono, a hoʻolei i loko o ka ʻōpala.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, i kēia manawa ua maopopo iā ʻoe he lāʻau lapaʻau koʻikoʻi ʻo Mifepristone e hiki ke kōkua i ka kaohi ʻana i nā pae kō koko no kekahi e like me ʻoe nona ka Cushing Syndrome. Akā ʻike pū ʻoe he nui nā mea e makaʻala loa ai i ka wā e hoʻohana ai.

ʻO ka mea nui loa, he mea nui loa ia e haʻi maopopo aku i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā maʻi ʻē aʻe āu e loaʻa nei, e lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka, i ka manawa a me ka nui i kauoha ʻia, e makaʻala i nā hopena ʻaoʻao, a e makaʻala loa e pili ana i ka hāpai ʻana a me ka kaohi hānau ʻana.

Inā he mau nīnau a kānalua paha kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka a kauka lāʻau paha ma ka hale kūʻai lāʻau lapaʻau e hoʻoponopono iā lākou. E hoʻomanaʻo, he mea nui loa kou olakino iā ʻoe!

ʻO Mifepristone, Cushing's syndrome, cortisol, kō koko, adrenal gland, nā pilina lāʻau, nā hopena ʻaoʻao