Ua ʻike anei kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai me ka maʻi Cushing? I kēlā hihia, i kekahi manawa ʻaʻole hiki ke hana ʻoki kino, a ʻaʻole paha e holomua loa ke ʻoki kino. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau pale kūikawā a nā kauka e ʻōlelo ai i ia mau hihia. ʻO ia ka lāʻau pale Pasireotide. Loaʻa pinepine kēia ma lalo o ka inoa inoa ʻo Signifor.
I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia me kēia lāʻau pale Pasireotide?
He kiʻekiʻe loa nā pae o ka hormone i kapa ʻia ʻo cortisol i loko o ke kino o ke kanaka me ka maʻi Cushing. ʻO kēia ke kumu o nā hōʻailona o ka maʻi. No laila, ʻo ka hana nui o kēia inikini Pasireotide ka kaohi a me ka hoʻēmi ʻana i kēia pae kiʻekiʻe o ka cortisol i loko o kou koko. ʻO ia hoʻi, mālama kēia lāʻau i ke kumu o kēia maʻi.
Eia nō naʻe, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau hou kāu e pili ana i kēia, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, pono i kāu kauka ke ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou e pili ana i kekahi o nā kūlana olakino i helu ʻia ma lalo nei.
- Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke kiʻekiʻe o ke kō koko.
- Inā loaʻa iā ʻoe ka maʻi gallbladder a i ʻole nā pōhaku.
- Inā he moʻolelo kou o ka maʻi puʻuwai a i ʻole ka puʻuwai naʻau kūpono ʻole.
- Inā ua loaʻa iā ʻoe ka pancreatitis ma mua.
- Inā he maʻi kou i ke akepaʻa .
- Inā ua hōʻike ʻia he haʻahaʻa nā pae o ka potassium a i ʻole ka magnesium i loko o kou koko.
- Inā he pilikia kou i ka thyroid (maʻi thyroid).
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka pasireotide a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
He mea nui loa ia no kou palekana e kamaʻilio me ke kauka me ka hūnā ʻole i kēia ʻike.
Pehea e hoʻohana pono ai i ka lāʻau pale?
He inikini kēia ma lalo o ka ʻili. E aʻo maopopo aku ke kauka a kahu maʻi paha iā ʻoe pehea e hāʻawi ai i kēia, mai ka hoʻomākaukau ʻana i ka lāʻau lapaʻau a hiki i ka inikini ʻana. E hahai pono i kēlā mau kuhikuhi .E lawe i ka lāʻau lapaʻau i ka manawa kūpono, ma ka nui kūpono, a mai lawe pinepine aku ma mua o ka mea a kāu kauka e ʻōlelo ai.
He aha kāu e hana ai me nā nila a me nā syringe i hoʻohana ʻia?
He mea nui loa kēia. Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Pono ʻoe i kahi pahu kūikawā no lākou, i kapa ʻia he 'pahu ʻoi'. Inā ʻaʻohe āu, hiki iā ʻoe ke kiʻi i hoʻokahi mai kāu kauka a i ʻole ka haukapila.
ʻO ka maʻamau, ke kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, e loaʻa iā ʻoe kahi pepa kūikawā (MedGuide) me nā kikoʻī e pili ana i ia mea. E heluhelu pono i kēlā me kēia manawa āu e lawe ai i ka lāʻau lapaʻau.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono paha ka mālama kūikawā, no laila e ʻimi pono i ka ʻōlelo aʻo mai kahi pediatrician.
He aha inā lawe nui wau i ka lāʻau lapaʻau a hala paha kahi mahele lāʻau?
Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau (Overdosage):
Inā loaʻa iā ʻoe kekahi kānalua iki ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e kāhea 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. Mai lawe māmā i kēia.
Inā ʻoe e poina i kahi lāʻau:
E lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku 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), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Pasireotide.
| ʻAno lāʻau lapaʻau | No ke aha ʻoe e mālama ai? |
|---|---|
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Pasireotide. | |
| ʻO Cisapride, Dronedarone, Pimozide, Thioridazine | Hiki i kēia mau mea ke hoʻopilikia nui i ka hana o ka puʻuwai. |
| Inā ʻoe e lawe ana i kēia lāʻau lapaʻau, e ʻōlelo pono i kāu kauka. | |
| Nā mea pale Beta - e.g. Metoprolol, Propranolol | Hiki ke emi iho ka helu o ka puʻuwai ma ke ʻano kūpono ʻole. |
| Nā mea pale i ke kahawai calcium - e.g. Diltiazem, Verapamil | Hiki i kēia ke hoʻopilikia i ka puʻuwai. |
| ʻO Bromocriptine, Cyclosporine, Digoxin | Hiki i ka Pasireotide ke hoʻololi i ke ʻano o ka hana ʻana o kēia mau lāʻau. |
| Nā lāʻau lapaʻau ʻē aʻe e hoʻolōʻihi i ka wā QT (nā lāʻau lapaʻau hoʻolōʻihi QT) - e.g. Dofetilide | Hoʻonui i ka pilikia o ka hoʻomohala ʻana i kahi ʻano puʻuwai kūpono ʻole. |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai. E haʻi pū iā ia inā ʻoe e puhipaka a inu waiʻona paha.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hōʻailona e pono e hōʻike koke i kāu kauka | |
|---|---|
| Nā hōʻailona o ke kō koko kiʻekiʻe:
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| ʻO nā hōʻailona i maʻa mau ʻaʻole koʻikoʻi, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki .
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- E pale mai ka mālamalama.
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Pasireotide no ka maʻi Cushing. Nou wale nō ia. Mai kaʻana like i kēia lāʻau me kekahi.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ke kiʻekiʻe o ke kō koko. E makaʻala i nā hōʻailona e like me ka makewai nui a me ka mimi pinepine.
- Inā lawe nui ʻoe i ka lāʻau lapaʻau a i ʻole ʻike ʻoe i kahi hopena ʻaoʻao koʻikoʻi, e hoʻomaopopo koke i ka ETU a i ʻole ke Kikowaena ʻIke ʻAi ʻona Lahui .
- E ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana i kēia lāʻau lapaʻau.











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