Malia paha he maʻi hānō kou a i ʻole kāu keiki, he maʻi ʻaleka koʻikoʻi, a i ʻole kekahi maʻi ʻē aʻe, a ua kuhikuhi kāu kauka i kahi lāʻau i kapa ʻia ʻo 'Prednisolone'. Loaʻa pinepine kēia ma ke ʻano he wai hoʻomaha. Makaʻu iki kekahi poʻe ke lohe lākou i ka inoa o kēia lāʻau, no ka mea, he ʻano 'steroid' ia. Akā, mai makaʻu. Inā hoʻohana pono ʻia, hiki iā ia ke hāʻawi i ka hōʻoluʻolu nui. No laila, e ʻimi kākou i nā pane i nā nīnau a pau āu e pili ana i kēia lāʻau lapaʻau ma kēia ʻatikala.
I ka ʻōlelo maʻalahi, he aha ka Prednisolone?
He lāʻau lapaʻau ʻo Prednisolone no kahi hui o nā lāʻau i kapa ʻia he steroids. Akā, ʻaʻole ia he steroid kū ʻole i ke kānāwai i hoʻohana ʻia e nā mea pāʻani. He lāʻau lapaʻau ia i hoʻomohala ʻia e ke kauka e kōkua ana i ka kaohi ʻana i nā kūlana olakino he nui.
I ka ʻōlelo maʻalahi, he nui nā hana nui o kēia lāʻau lapaʻau:
1. Hoʻēmi i ka pehu a me ka mumū i loko o ke kino: E noʻonoʻo i ka wā e loaʻa ai iā ʻoe ka hānō, pehu kou mau ala ea. Hoʻēmi kēia lāʻau lapaʻau i kēlā pehu a hoʻomaʻalahi i ka hanu ʻana. Kōkua pū ia i ka hoʻēmi ʻana i ka pehu ʻana o nā hono i nā kūlana e like me ka arthritis.
2. Kāohi i ka hana makemake ʻole ʻia o ka ʻōnaehana pale: I kekahi manawa, lilo ka ʻōnaehana pale o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale, i mea hana nui a hoʻomaka e hoʻouka i ko mākou kino ponoʻī. ʻO nā maʻi ʻaleka kekahi o ia mau hihia. Kāohi ʻo Prednisolone i kēia hana makemake ʻole ʻia.
3. Hana ma ke ʻano he hormone kūlohelohe i loko o ke kino: Loaʻa i ko mākou kino kahi hormone i kapa ʻia ʻo 'cortisol'. He mea nui loa kēia i ka wā e kū nei ko mākou kino i ke kaumaha, ka maʻi, a i ʻole ka pōʻino. I kekahi mau kūlana olakino, emi ka hana ʻana o kēia hormone cortisol i loko o ke kino. I kēlā mau manawa, hoʻohana ʻia ʻo Prednisolone e hoʻoponopono i kēlā hemahema.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
He lāʻau ikaika loa ʻo Prednisolone, no laila he mea nui loa e hāʻawi i kāu kauka i kahi wehewehe piha o kou olakino ma mua o ka hoʻomaka ʻana. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau maʻi olakino:
| Nā kūlana olakino e hoʻomaopopo i kāu kauka |
|---|
| Maʻi diabetes |
| Ke koko kiʻekiʻe |
| Maʻi puʻuwai a i ʻole nā pilikia e pili ana i ka puʻuwai |
| ʻO Glaucoma a i ʻole nā maʻi maka ʻē aʻe |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa |
| ʻO nā ʻōpū ʻōpū a i ʻole nā maʻi ʻōpū (e.g. Colitis, Diverticulitis) |
| ʻOsteoporosis - kahi maʻi o ka lahilahi o ka iwi |
| Nā maʻi o kēia manawa (e like me ka maʻi puʻupuʻu, herpes, chickenpox, measles) |
| Nā pilikia olakino noʻonoʻo |
| Nā pilikia thyroid |
| Nā maʻi maʻi ʻē aʻe e like me Cushing's syndrome, myasthenia gravis |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana |
| Nā maʻi ʻaleka i ka prednisolone, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
E hoʻomanaʻo pono i kēia mau kuhikuhi.
- E lulu maikaʻi: No ka mea he lāʻau lapaʻau wai kēia, e lulu maikaʻi i ka ʻōmole ma mua o kēlā me kēia hoʻohana. A i ʻole, e noho paha nā ʻāpana o ka lāʻau lapaʻau i lalo o ka ʻōmole, e lilo ai ʻoe i ka nui kūpono ʻole.
- Ana pololei: E hoʻohana i ke poʻi kūikawā, ka puna, a i ʻole ka mea kulu wai e hele mai me ka lāʻau lapaʻau e ana. Mai hoʻohana i nā puna tī a i ʻole nā punetēpē o ka hale , no ka mea, ʻaʻole pololei lākou.
- E lawe ma hope o ka ʻai ʻana: I mea e pale aku ai i ka ʻeha o ka ʻōpū, e lawe i kēia lāʻau lapaʻau me ka ʻai a i ʻole ke aniani waiū.
- E lawe i ke kakahiaka:Inā ʻōlelo kāu kauka iā ʻoe e lawe i kēia lāʻau lapaʻau i hoʻokahi wale nō manawa i ka lā, ʻoi aku ka maikaʻi o ka lawe ʻana i ke kakahiaka.
- Mai ho'ōki koke: ʻo kēia ka mea nui loa.
- Nā lāʻau hoʻomaha ʻeha (NSAID) e like me ka aspirin a me ka ibuprofen a me ka naproxen
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi diabetes (e.g. glipizide, glyburide)
- Nā lāʻau hoʻokahe koko, e like me Warfarin
- Nā lāʻau lapaʻau epilepsy e like me Phenytoin
- ʻO kekahi mau antibiotics a me nā antifungals (e.g. Rifampin, Ketoconazole)
- Nā lāʻau hoʻomalu hānau
- Kekahi mau ʻano lāʻau pale
- E ʻike i ke kauka: E kipa aku i ke kauka i ka manawa i hoʻonohonoho ʻia a nānā i kou olakino.
- E makaʻala i nā maʻi: ʻO ka lawe ʻana i kēia lāʻau lapaʻau e hoʻohaʻahaʻa iki i ka pale ʻana o kou kino. No laila, ʻoi aku ka nui o kou maʻi. E noho mamao aku mai ka poʻe i loaʻa i nā maʻi e like me ka moa a me ka measles. Inā loaʻa iā ʻoe kahi ʻeha a ʻaʻole e ho'ōla koke, e haʻi i kāu kauka.
- Ma mua o ke ʻoki kino: Inā e hana ʻia kekahi ʻoki kino, e hoʻomaopopo i kāu hui lapaʻau ua lawe ʻoe iā Prednisolone i loko o nā mahina 12 i hala.
- ʻAi: E nīnau i kāu kauka e pili ana i kāu ʻai. Hiki iā ia ke ʻōlelo iā ʻoe e hōʻemi i kāu ʻai paʻakai.
- Pae kō koko:Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pae kō koko. Inā he maʻi diabetes ʻoe, e nānā mau i kou pae kō koko. E kamaʻilio me kāu kauka e pili ana i nā loli i kāu meaʻai a i ʻole ka lāʻau lapaʻau maʻi diabetes, inā pono.
- He lāʻau steroid ikaika ʻo Prednisolone e pono e hoʻohana ʻia ma lalo o ka nānā ʻana a ke kauka.
- E lawe mau i ka lāʻau i kuhikuhi ʻia e kāu kauka, i ka manawa i kauoha ʻia.
- E lulu maikaʻi i ka ʻōmole ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau wai.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā kūlana olakino āpau āu e loaʻa nei.
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi, nā loli noʻonoʻo, a i ʻole nā hōʻailona ʻē aʻe i ka wā e lawe ana i ka lāʻau lapaʻau, e ʻimi koke i ke aʻo lapaʻau.
Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena koʻikoʻi. Inā hoʻoholo kāu kauka e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hana ʻo ia pēlā ma ka hoʻēmi mālie ʻana i ka nui (tapering).
He aha inā e hala wau 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 ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
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, a me nā huaora a me nā huahana lāʻau lapaʻau, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Prednisolone.
ʻO ka mea nui, mai lawe pū me kēia i nā lāʻau lapaʻau ʻo Mifepristone lāua ʻo Metyrapone.
Eia kekahi, hiki i nā lāʻau lapaʻau aʻe ke launa pū me Prednisolone:
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ana i ka lāʻau lapaʻau
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Prednisolone ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka. | |
|---|---|
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, nā ʻeha ʻaʻole e ho'ōla. |
| Nā hōʻailona o ka maʻi Cushing | Nā waihona momona ma ka ʻōpū, ka ʻāʻī, a me ke kua o luna (moon face), ka ʻili lahilahi, a me ke ʻano o nā māka kīkoʻo poni/ʻulaʻula. |
| Hoʻonui ʻia ke kō koko (Hyperglycemia) | ʻO ka make wai nui loa, ka mimi pinepine ʻana, ka ʻike maka pohihihi, ka luhi nui. |
| Nā loli noʻonoʻo | Hopohopo, kaumaha, huhū, loli i ka noʻonoʻo ʻana, nā manaʻo pepehi kanaka. |
| Ke kahe ʻana o ke koko o ka ʻōpū | Nā ʻōpala ʻeleʻele a ʻālohilohi paha, e luaʻi ana i ke koko e like me ke kofe. |
| ʻĒ aʻe | Ke koko kiʻekiʻe, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, nā wāwae, ka poniuniu nui. |
| ʻAʻole pilikia kēia mau mea, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| ʻAkika | ʻEha poʻo |
| Hoʻonui ʻia ka makemake | Piʻi ke kaumaha |
| ʻAʻole hiki ke hiamoe | Ka luaʻi |
Pehea e mālama ai i ka lāʻau lapaʻau?
E mālama i ka lāʻau lapaʻau ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius), ma kahi hiki ʻole i nā keiki ke loaʻa. E pani pono i ke poʻi o ka ʻōmole. Mai hoʻokomo i kēia lāʻau lapaʻau i loko o ka pahu hau. E hoʻolei aku i ka lāʻau lapaʻau i pau ka lāʻau.
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