Ua luhi anei ʻoe i ka ʻeha a me ka pehu i hoʻokumu ʻia e ka ʻāʻī ma kou kuli? Ke paʻakikī nei ʻoe i ka hele wāwae, piʻi i nā alapiʻi, a i ʻole ke kūlou iki ʻana i kou kuli? Hiki i kēia ʻeha ke hoʻolilo iā ia i mea paʻakikī ke hana i kāu mau hana o kēlā me kēia lā. I kekahi manawa e ʻōlelo paha kāu kauka i kahi inikini kūikawā i loko o ka hui kuli no kēia maʻi. ʻO Triamcinolone kekahi o ia ʻano inikini. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma nā ʻōlelo maʻalahi, he aha ka hana a kēia inikini, ʻo wai ka mea kūpono, a he aha nā mea e makaʻala ai.
He aha ka mea e hana maoli me kēia lāʻau pale?
I ka ʻōlelo maʻalahi, he ʻano lāʻau steroid kēia. Akā, ʻaʻole ia e like me nā pila steroid a mākou e lawe ai ma ka waha. He inikini kēia i hoʻokomo pololei ʻia i loko o ka hui kuli ʻeha. Hoʻokomo ʻia ia e kāohi i ka mumū, ʻo ia ke kumu nui o ka ʻeha a me ka pehu.
ʻO kekahi hiʻohiʻona kūikawā o kēia, ʻo ia ka hoʻokuʻu lōʻihi ʻia . ʻO ke ʻano kēia, ke hoʻokomo ʻoe iā ia, e hoʻokuʻu mālie ʻia ka lāʻau lapaʻau i loko o ke ami, e hāʻawi ana iā ʻoe i ka hōʻoluʻolu nui ma ka kaohi ʻana i ka ʻeha a me ka pehu no kekahi mau pule paha. He inoa kaulana nō hoʻi ʻo Zilretta no kēia lāʻau lapaʻau.
Nā mea e haʻi aku i kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale
He mea nui loa kēia. Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau pale iā ʻoe, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kou kūlana olakino a pilikia paha | Nā mea e makaʻala nui ai |
|---|---|
| Nā kūlana maʻi e kū nei | ʻO kēlā me kēia maʻi e like me ka maʻi puʻupuʻu, herpes, measles, chickenpox, nā maʻi fungal. |
| Maʻi diabetes | Hiki i kēia lāʻau pale ke hoʻonui i nā pae kō koko. |
| Ke koko kiʻekiʻe | Hiki ke piʻi hou aʻe ke koko. |
| Maʻi puʻuwai a i ʻole ka hāʻule puʻuwai hou | Hiki ke hoʻopilikia ʻia ka hana o ka puʻuwai. |
| Nā kūlana olakino ʻē aʻe | ʻO Glaucoma, maʻi akepaʻa, nā pilikia thyroid, Cushing's syndrome, myasthenia gravis, nā kuʻi, nā maʻi ʻōpū a i ʻole ka ʻōpū (e.g. ulcers). |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka triamcinolone, nā steroid ʻē aʻe, ka benzyl alcohol, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole he makuahine hānai waiū, he mea nui loa ia. |
Pehea e hāʻawi ʻia ai kēia lāʻau pale?
ʻAʻole kēia he pana hiki iā ʻoe ke lawe i ka home a hāʻawi iā ʻoe iho. Pono e hāʻawi ʻia e kāu kauka a i ʻole kekahi limahana lapaʻau i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau. E hoʻokomo pono lākou i ka pana i loko o kou hui kuli.
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a kāu kauka ma hope o ka hoʻokomo ʻana. Eia kekahi laʻana, e haʻi aku paha lākou iā ʻoe ʻaʻole e kau i ke kaumaha nui ma kou kuli no hoʻokahi a ʻelua paha lā.
Ma muli o ke kauka i kuhikuhi ʻia ai kēia lāʻau lapaʻau ma ke ʻano i kuhikuhi ʻia, ua haʻahaʻa loa ka hiki ke loaʻa kahi 'overdose'. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, e kelepona koke 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.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka inikini Triamcinolone, no laila he mea nui loa 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 antiviral no ka maʻi HIV a i ʻole AIDS
- ʻAspirina
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (e like me Ketoconazole, Itraconazole)
- ʻO kekahi mau lāʻau antibiotic, e like me ka clarithromycin
- ʻO Mifepristone
- Nefazodone
- Nā lāʻau steroid ʻē aʻe (nā pila, nā kirīmi, a i ʻole nā mea inhaler)
- Nā lāʻau pale
ʻAʻole i piha kēia papa inoa. No laila, no kou palekana, e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
Nā mea e hoʻomanaʻo ai i ka wā e loaʻa ai ka lāʻau pale
- Nā hoʻokolohua: E hōʻoia e hele i nā manawa o kāu kauka e nānā i kou kūlana.
- E pale iā ʻoe iho mai nā maʻi: Hiki i nā steroid ke hoʻonāwaliwali iki i kou ʻōnaehana pale. No laila, e hoʻāʻo e noho mamao aku mai ka poʻe i loaʻa i nā maʻi e like me ka moa a i ʻole ka measles i kēia manawa. Inā ʻoe e launa pū me kekahi e like me ia, e haʻi koke i kāu kauka.
- Nā pae kō koko: E like me kā mākou i ʻōlelo ai ma mua, hiki i kēia lāʻau pale ke hoʻonui i nā pae kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā mau i kou pae kō koko. Eia kekahi, e kamaʻilio me kāu kauka e pili ana i nā hoʻololi āu e pono ai e hana i kāu meaʻai a i ʻole nā lāʻau lapaʻau maʻi diabetes.
- He kāleka hōʻoia: Inā pono ʻoe e loaʻa i kēia lāʻau pale no ka manawa lōʻihi, he mea naʻauao ke lawe i kahi kāleka me kou inoa, ka inoa o ka lāʻau lapaʻau, ka nui o ka lāʻau, a me nā ʻike o kāu kauka.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. Pono e hōʻike koke ʻia kekahi o kēia mau mea, a ʻo kekahi ʻaʻole koʻikoʻi loa. E wehewehe kākou iā lākou.
| Ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā pilikia ma ka wahi injection | ʻEha hiki ʻole ke hoʻomanawanui, ʻulaʻula, mehana, a pehu paha. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, nā ʻeha ʻaʻole e ho'ōla ʻia, nā maʻi ʻōpū mimi. |
| Hoʻonui ʻia ke kō koko (Hyperglycemia) | ʻOi aku ka makewai ma mua o ka maʻamau, ka mimi pinepine, ka luhi ʻē, ka ʻike maka pōwehiwehi. |
| 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. |
| Nā loli noʻonoʻo | Hopohopo, hoʻonāukiuki, kaumaha, manaʻo pepehi kanaka. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Hoʻonui ʻia ke koko, kahe ʻana o ke koko o ka ʻōpū (nā ʻōpala ʻeleʻele, ka luaʻi e like me ke kofe), ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā hopena ʻaoʻao maʻamau | ʻAkika, ʻeha kino a me ka luhi, ʻeha poʻo, hoʻonui i ka makemake, nausea, hiamoe ʻole. |
Leka Lawe-Home
- ʻO Triamcinolone kahi inikini steroid i hoʻokomo ʻia i loko o ka hui e kāohi i ka ʻeha a me ka pehu i hoʻokumu ʻia e ka ʻāʻī kuli.
- Ma muli o ka hana ʻana i kahi manawa lōʻihi, hiki i hoʻokahi inikini ke hāʻawi i nā pule o ka hōʻoluʻolu.
- Ma mua o ka loaʻa ʻana o kēia lāʻau lapaʻau, he mea nui e haʻi aku i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āpau āu e lawe nei.
- Pono e makaʻala loa ka poʻe me ka maʻi diabetes, no ka mea, hiki i kēia ke hoʻonui i ka nui o ke kō koko.
- Inā pehu nui a ʻulaʻula paha kahi i inikini ʻia, inā loaʻa iā ʻoe nā hōʻailona o ka maʻi e like me ke kuni, a inā ʻike ʻoe i nā loli koʻikoʻi i kou ʻano, e hoʻomaopopo koke i kāu kauka.
- E hahai pono i nā kuhikuhi a kāu kauka. Inā he mau hopohopo kāu, mai kānalua e nīnau iā lākou.
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