Nui ka poʻe maʻi e makemake nei i ka nīnau pehea pehea e hiki ai ke hana ʻo Dexamethasone i ka mellitus maʻi diabetes a inā hiki ke hoʻohana ʻia kēia lāʻau lapaʻau e mālama i nā maʻi adrenal ma ke alo o ka maʻi maʻi o ke kino.
I mea e hoʻomaopopo ai i kēia hihia kikoʻī, pono ia e hoʻoholo i nā mea a nā lāʻau lapaʻau, nā mea i hoʻokomo ʻia i loko o kāna ʻano, a me nā mea contraindications i ka hoʻohana ʻana o ka lāʻau lapaʻau.
ʻO ka mea mua e hoʻomaopopo ai aia ka mea i loaʻa i ka ʻano o ka hoʻonā ʻana no ka ʻaina. No hoʻokahi milliliter o ka lāʻau, aia ʻehā mg o ka mea ikaika, ma kēia hihia, he dexamethasone sodium phosphate, a me nā mea hou aku, e like me:
- glycerol;
- disodium edetate digibrate;
- sodium hydrogen phosphate dihydrate;
- wai no ka uliaa.
Inā mākou e kamaʻilio e pili ana i ka māhele mua, a laila he 22.5 mg i ka hoʻohui ʻana o ka lāʻau lapaʻau, akā ʻo ka lua ka mahele o 1 mg, ʻo ke kolu ka nui o ka nui o 0.1 mg, maikaʻi, aneane hoʻokahi haneli o ka wai.
ʻO ka kūʻokoʻa, like ka lāʻau lapaʻau e like me ka wai o ka peʻaka, i kekahi manawa hiki ke kala e like me kahi ʻulaʻula kukui.
Pono e hoʻomaopopo ʻia he pono lāʻau kēia lāʻau o ka glucocorticosteroids. Kokokeʻo iwakāluakūmālima, a i kekahi manawa i kanakolu mau manawa. ʻAʻole ia e hāʻawi i ka hoʻohemo ʻana o nā papa paʻilima maikaʻi mai ke kino, no laila ke manaʻo ʻia ʻoi aku ka maikaʻi ma mua o nā mea ola ʻē aʻe o kēia pūʻulu lāʻau lapaʻau.
Nā maʻi hoʻohālikelike i ka hoʻohana ʻia ʻana o ka lāʻau lapaʻau
Ua akaka ia, e like me nā lāʻau ʻē aʻe, ua loaʻa pū i kēia lāʻau lapaʻau kekahi mau contraindications. No ka mea, ʻaʻole hiki ke hoʻohana inā he mau hypersensitivity kekahi o nā mea i hana i kāna ʻano.
ʻO ke kumu no ka hoʻopau ʻana i ka mālama ʻana me kēia lāʻau lapaʻau ʻokoʻa ʻē aʻe kekahi ʻano maʻi. Hoʻohā pinepine ʻia kēia i ka wā ʻaʻole hoʻohana ʻia nā lāʻau antimicrobial maikaʻi i ka wā o ka maʻi. Ke papa ʻia ka hoʻohana pinepine ʻana o kēia lāʻau a ola i nā lāʻau pale antiviral.
ʻOiai inā mākou e kamaʻilio e pili ana i nā contraindications āpau kūpono, ʻo ka mea nui ka nui o ka hypersensitivity. I nā hihia āpau āpau, palekana iki ka hoʻohana ʻana i ka lāʻau. A ke hoʻokolokolo nei e nā ʻōkuhi hana, kuhikuhi ʻia kēia lāʻau lapaʻau i nā manawa āpau, ʻoiai he mau contraindications hiki.
ʻOiai no ka manawa pale ʻana, ʻoi aku ka maikaʻi o ka haʻalele ʻana i ka mālama ʻana inā ua hoʻopili ʻia ka mea maʻi me ka BCG, ʻo ia inā ʻaʻole i hala nā wiki he 8 i kēia lā.
Me ka mālama aka, pono ʻoe e hoʻohana i ka lāʻau lapaʻau inā loaʻa ka maʻi maʻi i ka maʻi HIV a i ʻole ka maʻi AIDS.
ʻO ka papa inoa o nā contraindications e komo pū me ka maʻi diabetes. E like me nā pilikia ʻē aʻe me ke ʻōnaehana endocrine kanaka.
ʻO kahi papa inoa piha o nā contraindications e maʻalahi a loaʻa i nā kuhikuhi i ka lāʻau.
Makemake wau e noho hou i nā kikoʻī e pili ana i ka mālama ʻana o nā maʻi like ʻole me ka lāʻau anti-inflammatory non-steroidal i nā maʻi maʻi maʻi. Ua ʻōlelo ʻia ma luna o nā mea i hoʻomaʻamaʻa i ka lāʻau lapaʻau e hiki ke kōkua i ka hoʻonui ʻana i ke kahe o ka nui o ke koko.
ʻO kēia no ka laweʻana i ka synthesis o ka insulin i loko o ke kino ma hope o ka lawe ʻana i ka lāʻau. No laila, ʻaʻole i kuhikuhi ʻia no ka hoʻohana ʻana o kahi maʻi e loaʻa ana i ka maʻi maʻi type 2.
Akā inā hiki mai i nā mea maʻi me ka maʻi maʻi mua, a laila hiki ke mālama ʻia me kēia lāʻau lapaʻau ma lalo o ka mākaʻikaʻi koʻikoʻi o kahi kauka.
Nā ʻōlelo kikoʻī kūikawā e hoʻohana ai
ʻO ka mea mua e hoʻomaopopo ai, ʻo ka ʻoiaʻiʻo me ka lāʻau lapaʻau e hoʻonui ai i ke kahe o ke koko. No laila, e hoʻohana nā mea maʻi me ka maʻi maʻi i ka lāʻau lapaʻau me ka mālama nui. Hoʻolaha ʻia ka lāʻau ma lalo o ka mālama ʻia ʻana o ka lāʻau lapaʻau me ka nui o ka mālama ʻana i ke kō, inā pono, he nui o ka nui o ka lāʻau lapaʻau haʻahaʻa.
E like me ka mea i hōʻike ʻia ma luna nei, ʻaʻole pono ʻo Dexamethasone e hoʻohana i ka hoʻohana ʻia ʻana o kekahi ʻano o nā maʻi like ʻole. Hoʻohā pinepine kēia o nā hanana i ka haʻahaʻa o ka pale ʻana i ka maʻi.
No ka laʻana, hiki ke hele ʻia kēia i ke wā o ke kūkulu ʻana o kahi maʻi paʻakikī e like me ka maʻi tuberkulosis a i ʻole AIDS. A ma ia mea, a i kekahi mea ʻē aʻe, he mea pono e hoʻohana i nā lāʻau lapaʻau immunostimulating e ʻokoʻa i ka lāʻau lapaʻau nei, a me ka mea i loaʻa ka hopena antimicrobial.
Pono e hoʻomanaʻo ma ka lōʻihi o ka mālama ʻana me ka lāʻau lapaʻau ma luna aʻe, ʻo ia no ʻekolu mau pule a ʻoi aku paha, he mea nui e kāpae i ka lāʻau lapaʻau. Inā ʻaʻole i loaʻa kekahi kiʻekiʻe kūpono e ulu aʻe ka pono adrenal kūmole.
Inā mālama ʻia nā keiki, he mea nui ia e nānā pono i nā kākena o kā lākou hanana kino. ʻOi loa ia i ka wā e pili ana i ka mālama wā lōʻihi, no kekahi mau mahina a i hoʻokahi makahiki paha.
He mea nui e hoʻoponopono i kāu papaʻaina i ka wā o ka lāʻau. ʻOi aku ka maikaʻi e koho i kēlā mau meaʻai i loaʻa ka nui o ka paʻakai. A, ʻoiaʻiʻo, ma ka laulā, pono e ʻai ka meaʻai a momona i nā huaora.
He mea kūpono ia e nānā pono i ke kūlana olakino o ka mea maʻi ma hope o ka hoʻokuʻu ʻana o ka lāʻau lapaʻau. Ma kahi kahi i loko o hoʻokahi makahiki ma hope o ka pau ʻana o ka lāʻau lapaʻau, pono e hana ʻia kahi hoʻokolokolo maʻamau e hoʻokaʻawale i ka hiki ke hoʻihoʻi hou.
E like me ka mālama ʻana me ka lāʻau lapaʻau i ka wā hapai, pono me ka makaʻala loa e hoʻokokoke aku nei i kēia hōʻola. ʻO kahi wale nō ka hopena i manaʻo ʻia no ka makuahine e kali ana i ka hiki ke kūpono i ka maʻi hāpai, pono ia e hoʻomaka i ka mālama ʻana.
I ka trimester mua, ʻoi aku ka maikaʻi o ka haʻalele ʻana i ka inu ʻana i kēia lāʻau lapaʻau.
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau
ʻO nā ʻōlelo aʻo e hoʻohana ai i ka lāʻau lapaʻau ka nui o ka ʻike e pili ana i nā maʻi kikoʻī e pili ana i kēia lāʻau lapaʻau, a me kahi kikoʻī hōʻemi a me nā hopena ʻaoʻao e loaʻa i ka lāʻau lapaʻau.
Inā mākou e kamaʻilio pololei e pili ana i nā hōʻailona e hoʻopau i kēia lāʻau lapaʻau, e like me nā maʻi e pono ai ke hoʻohana ʻia, ʻike ʻia ke ākea o ka ʻano o ke ʻano o ka lāʻau lapaʻau.
Pono e mālama ʻia kēia mea hana inā pono nā mea e hoʻoneʻe i ke ʻano kiʻekiʻe o ka mea i loaʻa i ka kino o ka mea maʻi, a me ka mea e pono ke pale i ka hoʻomohala ʻana o ka edema, hyperemia a me phagocytosis.
ʻO kaʻoiaʻiʻo, pono e hoʻomaopopo ʻia i kēia lāʻau lapaʻau he nui immunosuppressive, no laila ke hoʻohana pinepine ʻia nei e hōʻoluʻolu i nā hōʻailona, a ʻaʻole kāpae i nā kumu koke o ka maʻi lalo.
Inā ʻoe e hoʻohana i ka lāʻau lapaʻau i ka wā o nā kaʻina hana hōʻeha, hiki iā ʻoe ke hoʻemi i ka hopena o ka pane ʻana i ke ʻano o kēia maʻi. Pale ʻia e ka ʻohiʻohi ʻana o nā leukocytes, he mau ʻano hana ʻē aʻe e lohi ai i ke kaʻina ʻo ʻana.
Nā hōʻailona no ka hoʻohanaʻana i ka lāʻau lapaʻau
ʻOiai ka mālama ʻana i ka lāʻau lapaʻau i ka hana o nā kuʻuna adrenal, ma laila e hoʻomaikaʻi ai i ka hana ʻana o nā hormones pono i loko o ke kino, ke ʻano anuʻi loa ia i ka maʻi diabetes. ʻO kēia no ka mea ua kōkua kēia lāʻau lapaʻau i hoʻonui i ke kō koko. Akā, inā naʻe, ua hoʻoholo ʻia e hoʻohana i kēia lāʻau lapaʻau no ka mālamaʻana i nā mea maʻi me ka maʻi maʻi type 1, a laila pono e hoʻonui i ka lāʻau o ka hoʻokaʻa ʻana o ka hilo i ke kō a mālama mau i ka pae o glucose i ke koko o ka mea maʻi.
ʻO nā manaʻo nui no ka hoʻohana ʻana i ka lāʻau lapaʻau nā:
- lawa adrenal;
- lawa adrenal (akuhi);
- ka lawa ʻana o adrenal, e kū mai ana ma ke ʻano o ka hoʻohemo ʻana me kekahi o nā lāʻau lapaʻau;
- mua a pae ʻole paha o kēia kūnaehana.
Eia kekahi, hiki ke hoʻonohonoho pū inā loaʻa i ka mea maʻi i ka hyperplasia congenital o ka cortex o kēia ʻola a i ʻole subacute thyroiditis. ʻO ka lāʻau lapaʻau e pono ai no ka puhi ʻana o kekahi ʻano ʻano, ʻoiai inā ʻaʻole maikaʻi loa nā lāʻau lapaʻau vasoconstrictor. ʻAʻole ka maʻi ʻokoʻa, ka pili me nā cerebral edema, no ka laʻana, nā ʻeha craniocerebral hōʻeha, meningitis, encephalitis a me nā mea like like.
I kekahi mau kūlana, hiki i kēia lāʻau lapaʻau ke hoʻohana no ka bronchospasm koʻikoʻi e kū nei i ka wā e hoʻomohala ai i ka maʻi bronchial. Ua hoʻomaopopo ʻia he mea kūpono nō hoʻi i nā hopena kūlohelohe o nā ʻano paʻakikī, ʻoiaʻiʻo, ʻo ia hoʻi, i nā ʻano koʻikoʻi o kēia maʻi, ma muli o kēia hopena o ka lāʻau e hiki ke hoʻohana ʻia i ka wā e hōʻike ʻia ana nā ʻano kūmole o ka maʻi mellitus. Hiki nō hoʻi nā maʻi Rheumatic i kumu i hoʻohana ʻia.
Ma ka laulā, ākea ka papa inoa o kēia papa inoa. Akā, ʻo kaʻoiaʻiʻo, hiki iā ʻoe ke hoʻohana i ka lāʻau lapaʻau ma hope wale nō o ka hoʻopaʻa ʻana o ka mea maʻi. ʻAʻole hiki iā ʻoe ke hoʻomaka i ka lāʻau lapaʻau ma kāu iho, pono ke kauka ke kuhikuhi i ka lāʻau lapaʻau.
Nā hōʻikeʻike o ka hoʻohana ʻana i ka lāʻau lapaʻau
Nui nā loiloi loa i ka Pūnaewele e hiki ke hoʻomaopopo i kahi o nā kūlana i ʻoi aku ka maikaʻi e hōʻole i ka hoʻohana ʻana i kēia lāʻau lapaʻau, a i ia ke kūpono loa i ka hana.
No ka mea, ke ʻōlelo nei kekahi mau mea ma hope o ka hoʻohana mau ʻana i ka lāʻau, ʻike lākou i nā hopena o nā ʻaoʻao e like me nā menstrual irregularities a me ka hoʻomohala ʻana o ka ʻona adrenal pae lua. Pono e mālama pono i ka mālama ʻana i nā maʻi i loaʻa i ka maʻi maʻi. Mai ka mea, ʻo nā māhele o ka lāʻau lapaʻau e hōʻemi i ka hoʻohaʻahaʻa glucose. Inā ʻoe e hoʻohana ʻana i ka lāʻau lapaʻau no ka manawa lōʻihi, a laila hiki ke nānā ʻia ka ulu ʻana i nā keiki.
Hiki ke loaʻa nā hopena maikaʻi mai ka hana o ka ʻōnaehana cardiovascular.
ʻO nā loiloi o nā mea maʻi i hoʻohana i kēia lāʻau lapaʻau i ka wā o ka mālamaʻana i kā lākou mau maʻi i hōʻike ʻia he mea koʻikoʻi loa no nā maʻi septic septic, pūnaʻi i ka wā e lawelawe ʻia ai i nā maʻi kuʻuna.
ʻO kaʻoiaʻiʻo, ʻo nā loiloi like nō hoʻi ka hōʻike ʻana i hiki i ka lāʻau lapaʻau ke hōʻeha i ke olakino o ka mea maʻi inā loaʻa iā ia nā maʻi like ʻole o ka ʻeha gastrointestinal, me nā maʻi pūpū, ka herpes, ka wīwī a i ʻole ka lāʻau.
ʻOiaʻiʻo, e like me nā pilikia ʻē aʻe, maanei hiki ke ʻike ʻoe i nā loiloi maikaʻi a maikaʻi ʻole hoʻi. Akā, ʻoiai he nui o nā hopena o ka hopena, ʻoi aku ka maikaʻi o kēia lāʻau lapaʻau ma mua o nā hopena maikaʻi ʻole a pau. ʻO ka mea nui, ʻo ka mālama ʻana i lalo o ka mālama ʻana ma lalo o ka mākaʻikaʻi koʻikoʻi o kahi kauka.
ʻO ke kumukūʻai o ka lāʻau lapaʻau a me nā kūmole
Inā mākou e kamaʻilio e pili ana i ke kumukūʻai o kēia lāʻau lapaʻau, a laila kūpono loa. ʻOiaʻiʻo, pili ia i ka mea hana kūikawā a me ke ʻano o ka hoʻokuʻu ʻana, akā ma ka laulā ke kumukūʻai no ka hoʻopiha ʻaʻole iʻoi aku i nā 100 rubles.
ʻOiaʻiʻo, aia nā mea i koe, no ka laʻana, ʻo Dexamethasone-Vial mai ka hui ʻo CCSPiOui i uku ʻo 254 mau rubles. Ma kēia kumukūʻai kumukūʻai aia nō kekahi lāʻau lapaʻau i hāʻawi ʻia e kahi mea hana mai India a me Slovenia, ma kēia hihia ua piʻi ke kumukūʻai ma 215 rubles, akā e loaʻa iā ia ka pākeke he 25 ampoules, kēlā me kēia me 1 ml ka lāʻau lapaʻau me ka paʻa ʻana o 4 mg.
Ma keʻano holoʻokoʻa, pono e hoʻomaopopo ʻia o nā lāʻau lapaʻau mai nā mea hana like ʻole, ke kūʻai ʻia nei i loko o ka waihona i loaʻa ka 25 ampoule o hoʻokahi ml i kēlā, kahi la mai 212 a 225 rubles.
Inā mākou e kamaʻilio e pili ana i ka lāʻau lapaʻau, i kūʻai ʻia ma ke ʻano o ka hāʻule ʻana o ka maka, a laila ʻo ke kumukūʻai ʻoi aku ka nui ma mua o 40 mau rubles. Akā eia ke ʻōlelo nei mākou e pili ana i kahi hopena me ka neʻe o 0.1%. ʻO kaʻoiaʻiʻo, ʻoi aku ka kiʻekiʻe o kona kumukūʻai, hilinaʻi wale ia a pau i ka nui o ka hiki.
Pono e hoʻomanaʻo ma mua o ka hoʻomaka ʻana i ka hoʻohana ʻana i kahi mea hoʻopihapiha, ʻoi aku ka maikaʻi o ka nīnau ʻana me kāu kauka i ka hoʻomaʻamaʻa mua ʻana a e wehewehe i ka ʻano o ka hoʻokuʻu ʻana i ka lāʻau makemake a me kona paʻa, a loaʻa wale i ka lāʻau. ʻO ke wikiō i kēia ʻatikala e kamaʻilio e pili ana i ka lāʻau lapaʻau.
