Desmopressin
Anter
- Ma mua o ka lawe ʻana i ka desmopressin,
- Hoʻokumu paha ʻo Desmopressin i nā hopena ʻaoʻao. Kāhea i kāu kauka inā nui a ʻaʻole hele aku kekahi o nā ʻōuli.
- Nui paha nā hopena ʻē aʻe. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻohana ʻia ʻo Desmopressin e kaohi i nā ʻōuli o kekahi ʻano diabetes insipidus ('diabetes wai'; ke ʻano a ke kino e hua ai ka nui o ka mimi nui ʻole).Hoʻohana ʻia ʻo Desmopressin e kaohi i ka make wai nui a me ka hele ʻana o kahi nui nui o ka mimi e kū ma hope o kahi poʻo poʻo a ma hope paha o kekahi ʻano o ke ʻoki. Hoʻohana pū ʻia ʻo Desmopressin e kaohi i ka moe-moe ʻana. Aia ʻo Desmopressin i kahi papa o nā lāʻau i kapa ʻia he hormones. Hana ia ma ke kuapo ʻana i ka vasopressin, kahi hōmona i hana maʻamau ʻia i ke kino e kōkua i ke kaulike i ka nui o ka wai a me ka paʻakai.
Hele mai ʻo Desmopressin ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i ʻelua a ʻekolu mau manawa i ka lā. Ke hoʻohana ʻia ka desmopressin e mālama i ka moena-wetting, lawe mau ʻia ia i hoʻokahi manawa i ka lā i ka wā moe. E hoʻāʻo e lawe i ka desmopressin ma kahi o ka manawa like (s) i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E lawe pololei i ka desmopressin. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o desmopressin a hoʻonui iki i kāu lāʻau. E hāhai pono i kēia mau ʻōkuhi.
Kuhi ʻia kēia lāʻau i kekahi manawa no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka lawe ʻana i ka desmopressin,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka desmopressin, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa desmopressin. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E hoʻomaopopo pono e haʻi i kekahi o kēia mau mea: antidepressants e like me amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivipram), protriptyline (Vivipram), (Surmontil); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); carbamazepine (Tegretol); chlorpromazine (Thorazine, Sonazine); chlorpropamide (Diabinese); clofibrate; demeclocycline (Declomycin); fludrocortisone; heparin; lamotrigine (Lamictal); lithium (Eskalith); nā lāʻau narcotic (opiate) no ka ʻeha; ʻoxybutynin (Ditropan); nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine, paroxetine (Paxil), a me sertraline (Zoloft); a me urea (Pytest). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. E launa pū paha nā lāʻau ʻē aʻe me desmopressin, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
- e haʻi i kāu kauka inā loaʻa ʻoe a i ʻole loaʻa i ka maʻi maʻi konohiki a i ʻole ka pae haʻahaʻa o ka sodium i loko o kou koko. E haʻi paha kāu kauka iā ʻoe mai lawe i ka desmopressin.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa paha i ke koko kiʻekiʻe, kekahi ʻano e make wai loa ai ʻoe, cystic fibrosis, a i ʻole nā maʻi puʻuwai.
- inā ʻoe e lawe i ka desmopressin e mālama i ka moe ʻana i ka moena, e haʻi i kāu kauka inā ulu ʻoe i kahi maʻi, ka maʻi fiva, ka luaʻi, a i ʻole ka palahī. inā wela wela ke aniau; aiʻole inā ʻoe e hoʻolālā i ka hoʻoikaika kino ma mua o ka maʻamau. Pono paha ʻoe e inu i ka wai hou aʻe ma mua o ka maʻamau i kēia mau hanana. Hiki ke weliweli ka inu ʻana i ka wai a ke lawe nei ʻoe i ka desmopressin, no laila e ʻōlelo paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i ka desmopressin no ka manawa pōkole.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i desmopressin, e kāhea i kāu kauka.
- e kamaʻilio i kāu kauka e pili ana i nā pilikia a me nā pono o ka lawe ʻana i ka desmopressin inā he 65 ou a ʻoi paha makahiki. ʻAʻole pono nā mākua kahiko e lawe i ka desmopressin no ka mea ʻaʻole palekana ia a maikaʻi paha e like me nā lāʻau ʻē aʻe i hiki ke hoʻohana e mālama i ke ʻano like.
- e noi i kāu kauka e pili ana i ka hoʻohana palekana o nā mea inu ʻona ʻoiai ʻoe e lawe ana i ka desmopressin.
E haʻi paha kāu kauka iā ʻoe e kaupalena i ka nui o ka wai āu e inu ai i kou wā e mālama ai me desmopressin. Inā ʻoe e lawe i ka desmopressin e mālama i ka hoʻomoe ʻana i kahi moe, e ʻōlelo paha kāu kauka iā ʻoe e hōʻalo i ka inu no hoʻokahi hola ma mua o kou lawe ʻana i ka desmopressin a ma ka liʻiliʻi he 8 mau hola ma hope o kou lawe ʻana i ka desmopressin. E mālama pono i nā kuhikuhi a kāu kauka e pale ai i nā hopena koʻikoʻi.
E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.
Hoʻokumu paha ʻo Desmopressin i nā hopena ʻaoʻao. Kāhea i kāu kauka inā nui a ʻaʻole hele aku kekahi o nā ʻōuli.
- pāhoehoe
- noʻonoʻo ʻano ʻole
Nui paha nā hopena ʻē aʻe. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
- nausea
- ka luaʻi
- nalo ʻai ʻole
- loaʻa kaupaona
- ʻeha poʻo
- ukiuki
- hoʻomaha ʻole
- luhi loa
- huikau
- lohi i nā reflexes
- nāwaliwali o ka mākala, spasms, a i ʻole nā ʻūpā
- hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
- ka hopu ʻana
- nalo o ka ʻike no kekahi manawa
Hoʻokumu paha ʻo Desmopressin i nā hopena ʻē aʻe. E haʻi i kāu kauka inā ʻike ʻoe i nā pilikia kūlohelohe ke lawe ʻoe i kēia lāʻau.
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi, mai ka wela, ka mālamalama, a me ka hou.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
- huikau
- hiamoe
- ʻeha poʻo
- pilikia urino
- loaʻa kaumaha kaumaha
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i kāu pane i ka desmopressin.
Mai ʻae i kekahi e hoʻohana i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
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