Mea Kākau: Clyde Lopez
Lā O Ka Hana: 20 Iulai 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
Understanding The Dexamethasone Suppression Test
Wikiō: Understanding The Dexamethasone Suppression Test

Anter

ʻO Dexamethasone, he corticosteroid, like ia me ka hōmona maoli i hana ʻia e kāu mau adrenal glands. Hoʻohana pinepine ʻia e pani i kēia kemika ke lawa ʻole kou kino.Hoʻoiho ia i ka huhū (pehu, wela, ʻulaʻula, a me ka ʻeha) a hoʻohana ʻia e mālama i kekahi ʻano o ka arthritis; kaʻili, ke koko, ka puʻupaʻa, ka maka, ka thyroid, a me nā maʻi ʻōpū (e laʻa me ka colitis); maʻi ʻinoʻino; a me ka hānō. Hoʻohana ʻia ʻo Dexamethasone e mālama i kekahi ʻano maʻi ʻaʻai.

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.

Hele mai ʻo Dexamethasone ma ke ʻano he papaha a he hopena e lawe ai i ka waha. Na kāu kauka e kuhikuhi i kahi papa hana dose i ʻoi aku ka pono iā ʻoe. 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 dexamethasone. 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.

Mai hōʻoki i ka lawe ʻana i ka dexamethasone me ke kamaʻilio ʻole ʻana me kāu kauka. ʻO ke kū ʻana i ka lāʻau hiki ke lilo i ka ʻole o ka makemake, huhū ka ʻōpū, ka luaʻi, ka hiamoe, huikau, ʻeha poʻo, kuni, ʻeha pū me ka ʻeha puʻuwai, ʻili ihi, a me ka pohō kaumaha. Inā ʻoe e lawe i nā kaha nui no ka manawa lōʻihi, e hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau e ʻae ai i kou kino e hoʻololi ma mua o ka hoʻopau ʻana i ka lāʻau. E nānā no kēia mau hopena inā ʻoe e hoʻoliʻiliʻi haʻahaʻa i kāu mahele lāʻau a ma hope o kou hōʻoki ʻana i ka lawe ʻana i nā papa a i ʻole ka wai waha, ʻoiai ʻoe e hoʻololi i kahi lāʻau corticosteroid inhalation. Inā kū kēia mau pilikia, e kāhea koke i kāu kauka. Pono paha ʻoe e hoʻonui i kāu mahele lāʻau o nā papa a i ʻole ka wai i kahi manawa a hoʻomaka paha e lawe hou iā lākou.


Ma mua o ka lawe ʻana i ka dexamethasone,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka dexamethasone, aspirin, tartrazine (kahi kala melemele i kekahi mau meaʻai a me nā lāʻau i hana ʻia), a i ʻole nā ​​lāʻau ʻē aʻe.
  • e haʻi aku i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole āu e lawe ai ʻoi loa nā anticoagulants ('blood thinners') e like me warfarin (Coumadin), lāʻau lapaʻau arthritis, aspirin, cyclosporine (Neoral, Sandimmune), digoxin (Lanoxin), diuretics ('wai wai '), ephedrine, estrogen (Premarin), ketoconazole (Nizoral), oral contraceptives, phenobarbital, phenytoin (Dilantin), rifampin (Rifadin), theophylline (Theo-Dur), a me nā wikamina.
  • inā loaʻa ʻoe i kahi maʻi fungal (ʻē aʻe ma luna o kou ʻili), mai lawe i ka dexamethasone me ke kamaʻilio ʻole ʻana me kāu kauka.
  • e haʻi i kāu kauka inā loaʻa paha ʻoe i ke ake, kekena, ʻōpū, a me nā maʻi puʻuwai; mimikō; kahi gland thyroid underactive; ke koko kiʻekiʻe; ka maʻi noʻonoʻo; myasthenia gravis; osteoporosis; maʻi maʻi herpes; ka hopu ʻana; maʻi puʻu (TB); a i ʻole nā ​​ulcer.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka dexamethasone, e kāhea i kāu kauka.
  • inā ke ʻoki ʻia ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha ʻoe e lawe nei iā dexamethasone.
  • inā he moʻolelo ʻoe o nā ulcer a lawe paha i nā kaha nui o ka aspirin a i ʻole nā ​​lāʻau arthritis, e kaupalena i kāu ʻai ʻana i nā mea inu ʻona ʻoiai e lawe ana i kēia lāʻau. Hoʻomaʻamaʻa ʻo Dexamethasone i kou ʻōpū a me kou ʻōpū i nā hopena hoʻonāukiuki o ka waiʻona, aspirin, a me kekahi mau lāʻau arthritis: hoʻonui kēia hopena i kou makaʻeha o ka maʻi puʻupuʻu.

Kauoha paha kāu kauka iā ʻoe e hāhai i ka haʻahaʻa sodium, ka paʻakai haʻahaʻa, ka potassium-waiwai, a i ʻole ka protein nui. E hāhai i kēia mau ʻōkuhi.


Hoʻokumu paha ʻo Dexamethasone i kahi ʻōpū huhū. E lawe i ka dexamethasone me ka meaʻai a i ʻole ka waiū.

Ke hoʻomaka ʻoe e lawe i ka dexamethasone, e nīnau i kāu kauka i ka mea e hana ai inā poina iā ʻoe kahi lāʻau. E kākau i kēia mau ʻōkuhi i hiki iā ʻoe ke nānā iā lākou ma hope.

Inā ʻoe e lawe i ka dexamethasone i hoʻokahi manawa i ka lā, e lawe i ka lāʻau i hala i kou hoʻomanaʻo ʻana iā ia. 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 Dexamethasone i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • hoʻohuhū ʻōpū
  • huhū o ka ʻōpū
  • ka luaʻi
  • ʻeha poʻo
  • ʻūpā
  • ʻōlohelohe
  • hoʻomaha ʻole
  • kaumaha
  • hopohopo
  • huehue
  • mahuahua ka ulu ana o ka lauoho
  • paopao maʻalahi
  • kūleʻa a i ʻole haule manawa

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:

  • ʻāwīwī o ka ʻili
  • helehelena pehu, nā wāwae o lalo, a me nā kuʻekuʻe wāwae
  • pilikia pilikia ʻike
  • anuanu a maʻi maʻi paha i lōʻihi ka lōʻihi
  • nāwaliwali o nā mākala
  • noho ʻeleʻele a lōʻihi paha

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 a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

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.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i kāu pane iā dexamethasone. He mea nui ka loiloi no nā keiki no ka mea hiki i ka dexamethasone ke hoʻolohi i ka ulu iwi.

Inā kaumaha kou ʻano, kāhea i kāu kauka. Pono e hoʻoponopono i kāu mahele lāʻau.

Lawe i kahi kāleka e hōʻike ai he pono paha ʻoe e lawe i nā kaukana kōkua (kākau i ka lāʻau piha āu i lawe ai ma mua o ka hoʻoliʻiliʻi haʻahaʻa ʻia ʻana) o dexamethasone i nā manawa o ke koʻikoʻi (ʻeha, nā maʻi, a me nā hōʻeha hānō nui). E noi i kāu kauka lāʻau a kauka paha pehea e loaʻa ai kēia kāleka. E helu i kou inoa, nā pilikia olakino, nā lāʻau a me nā lāʻau, a me ka inoa o ke kauka a me kāu helu kelepona ma ke kāleka.

Hoʻomaopopo kēia lāʻau iā ʻoe i nā maʻi. Inā ʻike ʻia ʻoe i ka moa moa, ka maʻi ʻula, a me ka tuberculosis (TB) ʻoiai e lawe ana i ka dexamethasone, e kāhea i kāu kauka. ʻAʻohe ou lāʻau lapaʻau, lāʻau ʻae ʻē aʻe, a i ʻole hōʻoia ʻili iā ʻoe e lawe ana i ka dexamethasone ke ʻole ke haʻi aku kāu kauka iā ʻoe.

Hōʻike i nā hōʻeha a i ʻole nā ​​hōʻailona o ka maʻi (fiva, ʻāʻī puʻupuʻu, ʻeha i ka wā o ka urination, a me nā ʻehaʻeha o ka ʻū) i ka wā o ka lapaʻau

Kauoha paha kāu kauka iā ʻoe e kaupaona iā ʻoe iho i kēlā me kēia lā. Hōʻike i kekahi loaʻa waiwai kaumaha.

Inā kou sputum (ka mea āu e ʻūlū ai i ka wā o ka hōʻeha hānō) mānoanoa a hoʻololi paha i ke kala mai keʻokeʻo keʻokeʻo i ka melemele, ʻōmaʻomaʻo, a i ʻole hina, e kāhea i kāu kauka. mau hōʻailona paha kēia o kahi maʻi.

Inā loaʻa ʻoe i ka maʻi diabetes, e hoʻonui paha ka dexamethasone i kāu pae kō kō. Inā ʻoe e nānā i kou kō kō (glucose) ma ka home, e hoʻāʻo pinepine i kou koko a i ʻole ka mimi ma mua o ka maʻamau. Kāhea i kāu kauka inā kiʻekiʻe kou kō kō a i ʻole inā aia ke kō i loko o kāu mimi; pono e hoʻololi i kāu mahele lāʻau o ka maʻi diabetes a me kāu papaʻai.

Mai ʻae i kahi mea ʻē aʻe e lawe 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.

  • ʻO Decadron®
  • Dexamethasone Intensol®
  • Dexpak® Taperpak®
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