Ua ʻōlelo anei kāu kauka iā ʻoe e hāʻawi i kou maka i kahi inikini steroid ma muli o kahi maʻi? Malia paha ua kamaʻilio ʻo ia e pili ana i kahi lāʻau i kapa ʻia ʻo Triamcinolone. Ua makaʻu iki paha ʻoe i kou lohe ʻana i kēia inoa. Ua manaʻo paha ʻoe, "Auē, ke loaʻa nei iaʻu kahi inikini i loko o koʻu maka?" Akā, mai hopohopo. He lāʻau koʻikoʻi kēia i hāʻawi pinepine ʻia e pale i kou ʻike maka. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau i kapa ʻia ʻo Triamcinolone, kāna hana, a me nā mea āu e pono ai e makaʻala.
He aha ka Triamcinolone? No ke aha i hāʻawi ʻia ai i nā maka?
I ka ʻōlelo maʻalahi, ʻo Triamcinolone kahi lāʻau lapaʻau no kahi papa o nā lāʻau i kapa ʻia ʻo steroids. Ua ʻike mākou he mau lāʻau lapaʻau ikaika nā steroids e kaohi ana i ka pehu a me ka mumū i loko o ke kino.
No laila, hiki i nā ʻano maʻi like ʻole i loko o ka maka (no ka laʻana, ka pehu ʻana o ka maka ma muli o ka maʻi diabetes, nā mumū ʻē aʻe) ke kumu o ka pehu ʻana. Inā ʻaʻole i kāohi ʻia kēia pehu ʻana, hiki ke hōʻino ʻia nā ʻāpana palupalu o ka maka a hiki ke hoʻopilikia ʻia ka ʻike a nalowale loa paha. Hoʻokomo ʻia ka inikini Triamcinolone i loko o ka maka a kāohi i kēia pehu a me ka mumū. E like me ka wā e loaʻa ai iā mākou kahi ʻeha ma kekahi wahi o ko mākou kino a pehu ia, ua emi ka pehu ʻana, kāohi kēia lāʻau i ka maʻi i loko o ka maka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau pale
ʻAe, ʻo kēia ka ʻāpana koʻikoʻi loa. Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau pale, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. ʻAʻole paha e kūlike kēia lāʻau me kekahi mau maʻi a me nā lāʻau lapaʻau āu e lawe nei. No laila, inā loaʻa iā ʻoe kekahi o kēia mau mea, mai hūnā i kekahi mea a haʻi i kāu kauka.
| Māhele Kūlana/Maʻi | Nā mea āu e ʻike ai |
|---|---|
| Nā maʻi e pili ana i ka maka | ʻO nā maʻi e like me ka glaucoma, cataracts, blurred vision, a me ka herpes maka. |
| Maʻi puʻuwai a me ke koko | Ke koko kiʻekiʻe, maʻi puʻuwai, hāʻule puʻuwai. |
| Nā maʻi a me ka palekana | ʻO ka maʻi puʻupuʻu (TB) a i ʻole nā maʻi bacteria, fungal, a viral paha. Nāwaliwali o ka ʻōnaehana pale. |
| Nā maʻi ʻē aʻe | Maʻi puʻupaʻa, maʻi noʻonoʻo, Myasthenia Gravis, Osteoporosis (lahilahi o nā iwi), ʻUlu ʻōpū, Maʻi thyroid. |
| Nā lāʻau lapaʻau a me nā maʻi allergies | Inā ʻoe e lawe ana i nā steroid ʻē aʻe (e like me Prednisolone), he mau maʻi allergies paha i ka Triamcinolone a i ʻole kekahi lāʻau lapaʻau a meaʻai paha. |
| Nā hanana kūikawā | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea e hāʻawi ʻia ai ka lāʻau pale?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke hoʻohana ma ka home. Hoʻokomo ʻia ia i loko o ka maka e ke kauka ʻoki maka ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma kahi ʻano maʻemaʻe a palekana hoʻi. Hoʻomānoino ʻia ka maka ma mua o ka hoʻokomo ʻana, no laila ʻaʻole ʻoe e ʻeha nui. No laila, ʻaʻohe mea e hopohopo ai.
Ma muli o ka hāʻawi ʻia ʻana o kēia e ke kauka, ua haʻahaʻa loa ka manawa kūpono o ka 'overdose'. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe a i ʻole inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao ʻē aʻe, e kelepona koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
Inā ʻoe e hāʻawi ana i kēia lāʻau pale i nā keiki ʻōpio, pono ka mālama kūikawā. E kamaʻilio me kāu hui lapaʻau e pili ana i kēia.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
No ka mea, he lāʻau ikaika ka triamcinolone, hiki iā ia ke launa pū me kekahi o nā lāʻau ʻē aʻe āu e lawe nei. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei, ʻaʻole wale nā mea i kuhikuhi ʻia e kāu kauka, akā, ʻo nā mea hoʻomaha ʻeha, nā huaora, a me nā lāʻau kuʻuna āu e kūʻai ai mai ka hale kūʻai lāʻau.
| ʻAno lāʻau lapaʻau | Wehewehena |
|---|---|
| Mai hoʻohana pū me kēia mau lāʻau lapaʻau ʻo Triamcinolone. | |
| Nā lāʻau pale | Hiki ke hoʻopilikia i ka pono o kekahi mau lāʻau pale. |
| Inā ʻoe e hoʻohana nei i kēia mau lāʻau lapaʻau, e hoʻomaopopo i kāu kauka. | |
| Lāʻau lapaʻau maʻi diabetes | Hiki i kēia lāʻau pale ke hoʻonui i nā pae kō koko. |
| Nā lāʻau hoʻopau ʻeha (e.g. Aspirin, Ibuprofen, Naproxen) | Hiki ke piʻi aʻe ka pilikia o ke kahe ʻana o ke koko ma ka ʻōpū. |
| Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin) | Hiki ke ʻokoʻa ka pilikia o ke kahe ʻana o ke koko. |
| Nui nā lāʻau ʻē aʻe | Nā lāʻau antibiotic, nā antifungal, nā lāʻau hoʻopaʻa (e like me Carbamazepine, Phenytoin), Digoxin no ka maʻi puʻuwai, nā pila hoʻomalu hānau, a me nā mea hou aku. |
ʻAʻole piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, aia nā hopena ʻaoʻao. He mea liʻiliʻi kekahi, akā pono kekahi e nānā koke ʻia.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu hui lapaʻau | |
| Nā loli o ka maka | ʻEha hou o ka maka , nā loli koke o ka ʻike, ka ʻike pōwehiwehi, ka ʻike ʻana i nā apo a puni nā kukui, ka ʻulaʻula o ka maka, a i ʻole ka kahe ʻana o ke koko. |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke kō koko kiʻekiʻe (Hyperglycemia) | ʻO ka make wai nui, ka mimi ʻana ma mua o ka maʻamau, nāwaliwali kūikawā, ka ʻike maka pohihihi. |
| Hoʻonui ʻia ke koko | ʻEha nui ka ʻeha, ʻeha ka umauma, paʻakikī ke hanu. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻeha ka ʻāʻī, nā ʻeha ʻaʻole e ho'ōla ʻia, a me ka maʻi ʻaʻai. |
| Nā loli kino | ʻO ka maʻi Cushing (hōʻiliʻili ʻana o ka momona a puni ka ʻōpū, ka ʻāʻī, a me ka maka), ka pehu ʻana o nā lālā, nā loli i ke kūlana noʻonoʻo (hopohopo, kaumaha). |
| Ke kahe ʻana o ke koko o ka ʻōpū | Nā ʻōpala ʻeleʻele a koko paha, ka luaʻi e like me ke ʻano o ka lepo kofe. |
| ʻAʻole maʻamau ka maʻi koʻikoʻi, akā e haʻi i kāu kauka inā hoʻomau. | |
| Nā hopena ʻaoʻao liʻiliʻi | ʻIke pōwehiwehi, ʻeha poʻo, a me ka ʻeha iki a ʻulaʻula paha ma kahi i inikini ʻia no kekahi manawa pōkole ma hope o ke inikini ʻana. |
ʻAʻole paha e komo kēia papa inoa i nā hopena ʻaoʻao āpau, no laila e kamaʻilio me kāu kauka e pili ana i nā mea i ʻike ʻole ʻia iā ʻoe.
Leka Lawe-Home
- He inikini steroid ʻo Triamcinolone e hōʻemi ana i ka pehu a me ka mumū i loko o ka maka a pale i ka ʻike.
- Hāʻawi ʻia kēia lāʻau pale e ke kauka loea ma ka haukapila a i ʻole ke keʻena lapaʻau, no laila mai makaʻu pono ʻole iā ia.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino ʻē aʻe āu e loaʻa nei.
- Inā ʻike ʻoe i ka ʻeha o ka maka, nā loli koke o ka ʻike, a i ʻole ka ʻulaʻula ma hope o ka loaʻa ʻana o ka lāʻau pale, e hoʻowahāwahā iā ia a e ʻimi koke i ke kōkua lapaʻau.
- Hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻē aʻe i loko o ke kino (e like me ke kiʻekiʻe o ke kō koko, ke kiʻekiʻe o ke koko), no laila e makaʻala i kēlā a e hahai i nā ʻōlelo a ke kauka.
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