Ka papa inoa o nā lāʻau Lupus maʻamau
Anter
- Corticosteroids
- Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
- Nā lāʻau ʻē aʻe
- ʻO Acetaminophen
- Nā Opioid
- E kamaʻilio me kāu kauka
Hoʻolauna
ʻO ka lupus erythematosus systemic, a ʻo lupus paha, kahi maʻi autoimmune mau. I nā maʻi autoimmune, hoʻouka kāu ʻōnaehana pale pilikino iā ia iho. Hoʻokumu ʻo Lupus i ke ʻōnaehana pale ʻole e kuhi hewa i nā pūnaewele olakino no nā mikamina, nā maʻi ʻino, a me nā mea komo hewa ʻē aʻe. Hoʻokumu ka ʻōnaehana i nā autoantibodies e hoʻouka i nā kino o kou kino.
Hiki i kēia hoʻouka ke hoʻololi i nā ʻāpana o kou kino a kumu pinepine i nā ʻōuli. Hiki i ka Lupus ke hoʻopili i kou mau ami, nā ʻōpū, nā maka, a me ka ʻili. Hiki iā ia ke hōʻeha i ka ʻeha, ka pehu, ka luhi, a me ka huehue. Hele ke kūlana i nā manawa ke ʻoi aku ka hana, i kapa ʻia ʻo flares a i ʻole flare-up. Loaʻa paha iā ʻoe nā hōʻailona hou aʻe i kēia mau kau. Hele pū ʻo Lupus i nā manawa kala kala. ʻO kēia nā manawa o ka hoʻemi ʻana i ka hana ke emi paha kāu mau uila.
Corticosteroids
Hiki i nā Corticosteroids, i kapa ʻia hoʻi nā glucocorticoids a i ʻole nā steroid, hiki ke kōkua i ka mālama ʻana i nā hōʻailona o ka lupus. Hoʻohālike kēia mau lāʻau i ka hana a ka cortisol. ʻO Cortisol kahi hōmona a kou kino e hana ai. Kōkua ia i ke kaua ʻana i ka mumū a me ka kaohi i kāu ʻōnaehana pale. ʻO ka hoʻoponopono ʻana i kāu ʻōnaehana pale pale hiki ke maʻalahi i nā ʻōuli o ka lupus.
Hoʻokomo ʻia nā steroid i:
- prednisone
- cortisone
- hydrocortisone
Ma ka laulaha, maikaʻi nā steroid. Akā e like me nā lāʻau āpau, hoʻonāukiuki lākou i kekahi manawa i nā hopena ʻaoʻao. Hiki i kēia mau mea ke:
- loaʻa kaupaona
- paʻa kahe a pehu paha
- huehue
- ukiuki
- pilikia hiamoe
- nā maʻi maʻi
- ʻosteoporosis
Hana pinepine nā Steroids. Hāʻawi paha kāu kauka iā ʻoe i kahi lāʻau steroid pōkole a hiki i ka hoʻomaka ʻana o ka hana o kāu mau lāʻau lōʻihi. Hoʻāʻo nā kauka e kuhikuhi i nā mea hiki haʻahaʻa o ka steroid no ka lōʻihi pōkole loa o ka manawa e pale i nā hopena ʻaoʻao. Ke pono ʻoe e hoʻōki i ka lawe ʻana i nā steroid, e hoʻōmi mālie kāu kauka i kāu lāʻau i ka manawa e hōʻemi ai i ka hopena o nā hopena ʻaoʻao.
Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
Hoʻohana ʻia nā NSAID e mālama i ka ʻeha, ka mumū, a me ka ʻoʻoleʻa ma muli o ka lupus. Loaʻa kēia mau lāʻau e like me ka over-the-counter (OTC) a me nā lāʻau lapaʻau. Inā loaʻa ʻoe i ka maʻi ʻōpū mai ka lupus, e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kahi NSAID. Pono paha ʻoe i kahi lāʻau haʻahaʻa a makemake paha kāu kauka iā ʻoe e hōʻalo i kēia mau lāʻau.
ʻO nā OTC NSAID he:
- aspirin
- ibuprofen (Motrin)
- naproxen
Nā NSAID i kuhikuhi ʻia:
- celecoxib (Celebrex)
- diclofenac (Voltaren)
- diclofenac-misoprostol (Arthrotec) (Kaha: ʻaʻole he NSAID ka misoprostol. Kōkua ia i ka pale ʻana i nā maʻi puʻu o ka ʻōpū, kahi pilikia o nā NSAID.)
- diflunisal (Dolobid)
- etodolac (Lodine)
- fenoprofen (Nalfon)
- flurbiprofen (Ansaid)
- indomethacin (Indocin)
- ketorolac (Toradol)
- ketoprofen (Orudis, Ketoprofen ER, Oruvail, Actron)
- nabumetone (Relafen)
- meclofenamate
- mefenamic acid (Ponstel)
- meloxicam (Mobic Vivlodex)
- nabumetone (Relafen)
- oxaprozin (Daypro)
- piroxicam (Feldene)
- salsalate (Disalcid)
- sulindac (Clinoril)
- Tolmetin (Tolmetin Sodium, Tolectin)
ʻO nā hopena ʻaoʻao maʻamau o kēia mau NSAID me:
- nausea
- puʻuwai puʻuwai
- ulcer i loko o kou ʻōpū a me kou ʻōpū
- e kahe ana ke kōkō i kou ʻōpū a i ʻole nā ʻōpū
ʻO ka lawe ʻana i kahi mea kiʻekiʻe o kahi NSAID a i ʻole ka hoʻohana ʻana i kēia mau lāʻau no ka manawa lōʻihi e hoʻonui ai i ka makaʻu o ke kahe ʻana o ke kō a me nā puʻupuʻu o kou ʻōpū. ʻOi aku ka mālie o kekahi mau NSAID ma ka ʻōpū ma mua o nā mea ʻē aʻe. Lawe mau i nā NSAID me ka meaʻai, a ʻaʻole lawe pono iā lākou ma mua o ka moe ʻana a hiamoe paha. Hiki i kēia mau palekana ke hōʻemi i kou makaʻu i nā pilikia o ka ʻōpū.
Nā lāʻau ʻē aʻe
ʻO Acetaminophen
Hiki i nā lāʻauʻOTC e like me acetaminophen (Tylenol) ke hāʻawi i kahi kōkua mai kāu mau hōʻailona lupus. Hiki i kēia mau lāʻau ke mālama i ka ʻeha a hoʻemi i ke kuni. Ma ka laulā, hiki i ka acetaminophen ke kumu i ka hopena o ka hopena o ka ʻōpū ma mua o nā lāʻau i kuhikuhi ʻia. Akā hiki ke kumu i nā pilikia o ka hakuʻala a me ke ake. E nīnau i kāu kauka he aha ke kaulike kūpono nāu. Lawe i nā mea kūpono kūpono keu inā he maʻi maʻi kou mai ka lupus. Hiki paha iā ʻoe ke makaʻala i nā hopena ʻaoʻao mai acetaminophen.
Nā Opioid
Inā hoʻomaha ʻole nā NSAID a i ʻole acetaminophen i kou ʻeha, hāʻawi paha kāu kauka iā ʻoe i kahi opioid. ʻO kēia mau lāʻau lapaʻau nā lāʻau lapaʻau ʻeha. He mana lākou a hiki ke hana maʻamau. ʻO ka ʻoiaʻiʻo, ʻaʻole maʻamau kēia mau lāʻau i ka lapaʻau mua no ka lupus ma muli o ka makaʻu o ka hoʻōla. Hiki i ka Opioids ke hiamoe loa. ʻAʻole pono ʻoe e lawe i kēia mau lāʻau me ka wai ʻona.
Hoʻopili kēia mau lāʻau:
- hydrocodone
- codeine
- ʻoxycodone
E kamaʻilio me kāu kauka
Loaʻa nā lāʻau he nui e mālama i ka lupus. ʻAʻole like lākou i ka hana. Hoʻomaha kekahi i ka ʻeha, ka puhū ʻana, a me nā ʻōuli ʻē aʻe, ʻoiai e hana ana kekahi i ke kāohi ʻana i kāu ʻōnaehana pale. Hiki ke loli nā ʻōuli a me ke koʻikoʻi o ka lupus ma waena o nā poʻe, no laila e kamaʻilio me kāu kauka e pili ana i kāu koho. Hiki iā ʻoe a me kāu kauka ke hana i kahi hoʻolālā mālama pono kūpono nāu.