He aha te Fludrocortisone: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Fludrocortisone he rongoā corticosteroid waihanga e āwhina ana i tō tinana ki te pupuri i te taurite o te tote me te wai. He rongoā whakahau tēnei e mahi ana i te rite ki te aldosterone, he homoni e hangaia ana e ō repe adrenal e whakahaere ana i te āhua o te whakahaere a ō tākihi i te konutai me te pāhare pāporo.

He tūranga nui tēnei rongoā ki te rongoā i ngā āhuatanga kaore e taea e tō tinana te whakahaere tika i te taurite wai i runga i a ia anō. Whakaarohia he hoatu ki tō tinana ngā taputapu e hiahiatia ana hei pupuri i te pēhanga toto hauora me te aukati i te maroke i te taumata pūtau.

He aha te Fludrocortisone e whakamahia ana?

Ko te Fludrocortisone te mea nui ki te rongoā i te mate o Addison, he āhuatanga kāore e whakaputa i te nui o ngā homoni e ō repe adrenal. Ka tohua hoki mō te hyperplasia adrenal congenital, he āhuatanga ira e pā ana ki te hanga homoni mai i te whānautanga.

Ka tohua pea e tō tākuta tēnei rongoā mō te hypotension orthostatic, he āhuatanga ka heke nui tō pēhanga toto ka tū koe. Ka pā tēnei nā te mea e uaua ana tō tinana ki te pupuri i te rōrahi toto tika me te whakahaere pēhanga.

I ētahi wā, ka whakamahi ngā kaiwhakarato hauora i te fludrocortisone off-label mō te postural orthostatic tachycardia syndrome (POTS) rānei te chronic fatigue syndrome ka puta ngā take pupuri wai. Ka āwhina ēnei whakamahinga i ngā tūroro e uaua ana ō rātou tinana ki te pupuri i te pēhanga toto me te tohanga.

Me pēhea te mahi a te Fludrocortisone?

Ka mahi te Fludrocortisone mā te whai i te aldosterone, he homoni e kī ana ki ō tākihi kia mau ki te konutai me te tuku i te pāhare pāporo. Ka āwhina tēnei tukanga i tō tinana ki te pupuri i te nui tika o te wai me te pupuri i te pēhanga toto hauora.

Inā tangohia e koe tēnei rongoā, ka herea ki ngā kaiwhakawhiwhi motuhake i roto i ō tākihi me ētahi atu kiko. Ko tēnei mahi here e tohu ana i tō tinana ki te whakanui i te mimiti o te konutai, e kukume ana i te wai ki roto i ō toto, ā, ka āwhina i te pupuri i te rōrahi toto tika.

E kiia ana he kaha ngā pānga o te rongoā ki te tauritenga kohuke, engari he ngawari ake i ētahi atu corticosteroids i te wā e pā ana ki ngā mahi anti-inflammatory. Nō reira he pai rawa atu mō te whakamahi wā roa i roto i te rongoā whakakapi hormone.

Me pēhea taku tango i te Fludrocortisone?

Tangohia te fludrocortisone kia rite ki te tohutohu a tō tākuta, te tikanga kotahi i te rā i te ata. Ka taea e koe te tango me te kore kai rānei, engari mā te tango me te kai ka āwhina i te whakaiti i te pōraruraru o te puku.

He pai ake te tango i tēnei rongoā i te wā kotahi i ia rā kia mau tonu ngā taumata i tō tinana. Ko te inenga i te ata te mea e taunakitia ana, nā te mea e whai ana i ngā tauira hormone tūturu o tō tinana, ā, ka āwhina i te aukati i ngā raruraru moe.

Mēnā me tango e koe me te kai, whiriwhiria tētahi mea māmā pēnei i te tōhi, i te pihikete rānei. Kaua e tango me te wai karepe, nā te mea ka pā tēnei ki te āhua o te tukatuka o tō tinana i te rongoā. Horomia tonu te papa katoa me te karaihe wai.

Kia Pēhea te Roa e Tango Ana ahau i te Fludrocortisone?

Ko te nuinga o te hunga e mate ana i te mate a Addison, i te hyperplasia adrenal congenital rānei, me tango te fludrocortisone mō te ora. E hiahia ana ēnei āhuatanga ki te whakakapi hormone tonu, nā te mea e kore e taea e tō tinana te whakaputa i ngā rahinga tika.

Mō ētahi atu āhuatanga pēnei i te hypotension orthostatic, kei runga i tō āhuatanga hauora te roa. Ko ētahi tāngata ka hiahia i te wā poto i te wā e whakatika ana i ngā take pūtake, i te wā e hiahia ana ētahi atu ki te rongoā wā roa kia mau tonu te pēhanga toto.

Ka aroturukihia e tō tākuta tō urupare, ā, ka whakatika pea i tō mahere rongoā i te roanga o te wā. Kaua rawa e whakamutu ohorere te tango i te fludrocortisone, nā te mea ka tupu te heke o te pēhanga toto me te kore taurite o te hiko e mōrearea ana, e mate ai.

He aha ngā pānga taha o te Fludrocortisone?

Ko ngā pānga taha noa o te fludrocortisone he mea whakahaere, ā, e pā ana ki ōna pānga ki te wai me te taurite o te tote. Me whai wā pea tō tinana ki te urutau ki te rongoā, nō reira ka pai ake ētahi pānga taha i te tīmatanga i te whakamahinga tonu.

Koinei ngā pānga taha e pūrongotia ana e te nuinga ka pā ki a koe:

• Te pupuri wai e arahi ana ki te pūhi i ō waewae, rekereke, ringa rānei
• Te piki o te pēhanga toto, ina koa ki te tairongo koe ki te tote
• Te mamae o te upoko, ina koa i ngā wiki tuatahi o te rongoā
• Te ngoikore o te uaua, te kōpiko rānei i te urutau o ō taumata hiko
• Te piki o te hiahia kai me te pikinga pea o te taumaha
• Ngā huringa o te wairua pēnei i te riri, te noho kore rānei

Ko ēnei pānga noa ka iti ake te kitea i te urutau o tō tinana ki te rongoā. Ka taea e tō tākuta te āwhina i a koe ki te whakahaere i a rātou mā te whakatikatika i te inenga, mā te whakarerekē rānei i te oranga.

Ko ngā pānga taha kāore i te noa, engari he nui ake te mōrearea, me whai wāhi tonu te rongoā. Ahakoa he onge, ka tupu ēnei raruraru ki te nui rawa te raru o tō taurite hiko, ki te whakawhanake rānei koe i te pānga pāwera.

Whakapā atu ki tō kaiwhakarato hauora tonu ki te pā ki a koe:

• Te pūhi nui kāore e pai ake i te whakanekehanga
• Te mamae o te uma, te uaua rānei ki te hā
• Te mamae nui o te upoko me ngā huringa o te tirohanga
• Ngā tohu o te pāhare pāporo iti pēnei i te ngoikore nui o te uaua, te ngākau rānei e rere ana i te hē
• Ngā tohu o te mate pēnei i te kirika, nā te mea ka pēhi te rongoā i te mahi ārai mate
• Ngā huringa nui o te wairua, te pōuri rānei

Ko ngā raruraru tūpono engari he nui pea ko ngā raruraru o te manawa, te pēhanga toto tiketike, ngā tohu rānei o te raruraru adrenal mēnā ka mutu ohorere te rongoā. E hiahia ana ēnei āhuatanga ki te manaakitanga hauora ohorere.

Ko wai kāore e tika kia tango Fludrocortisone?

Kāore a Fludrocortisone e tika ana mō te katoa, ā, ko ētahi āhuatanga hauora ka waiho hei mea tūpono. Ka arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā.

Kāore koe e tika kia tango fludrocortisone mēnā he mate harore pūnaha tō, i te mea ka taea e te rongoā te pēhi i tō pūnaha ārai mate me te whakapōrearea i ēnei mate. Ko ngā tāngata e mōhio ana ki te mate pāwera ki te fludrocortisone, ki ngā corticosteroids rite rānei, me karo hoki i tēnei rongoā.

He maha ngā āhuatanga hauora e hiahia ana kia tūpato anō, ā, ka waiho pea a fludrocortisone hei mea kāore e tika ana mō koe:

• Te ngoikore o te ngākau, te mate ngākau nui rānei, i te mea ka taea e te pupuri wai te whakapōrearea i ēnei āhuatanga
• Te pēhanga toto tiketike e uaua ana ki te whakahaere
• Te mate tākihi, i te mea ka pā te rongoā ki te āhua o te whakahaere a ō tākihi i ngā hiko
• Te mate ate, ka pā ki te āhua o te tukatuka a tō tinana i te rongoā
• Te mate huka, i te mea ka pā te rongoā ki ngā taumata huka toto
• Te osteoporosis, i te mea ka pā te whakamahi wā-roa ki te kiato o te wheua

Ka whakataurite tō tākuta i ngā painga ki ngā tūponotanga mēnā he āhuatanga ō koe. I ētahi wā ka hiahiatia tonu te rongoā, engari me mātakitaki koe i te tata, ā, pea me ētahi atu rongoā hei whakahaere i ngā pānga taha.

Ngā Ingoa Waitohu Fludrocortisone

Ko te ingoa waitohu mō te fludrocortisone ko Florinef Acetate, i hangaia e ētahi kamupene rongoā. Kua wātea tēnei waitohu mō ngā tekau tau, ā, e mōhiotia whānuitia ana e ngā kaiwhakarato hauora.

Ka tūtaki pea koe ki ngā momo rongoā whānui e tapaina ana ko "fludrocortisone acetate" mai i ngā momo kaihanga rerekē. Kei roto i ēnei momo rongoā whānui te whakauru kaha kotahi, ā, he rite tonu te whai hua ki te momo ingoa waitohu.

Me whakamahi tonu i te waitohu kotahi, i te momo rongoā whānui rānei, ki te taea, nā te mea he rerekētanga iti i roto i te hanga ka pā pea ki te āhua o te urupare a tō tinana. Ki te huri te whare rongoā i ngā waitohu, whakamōhio atu ki tō tākuta kia taea e rātou te aroturuki i ngā huringa i roto i ō tohumate.

Ngā Kōwhiringa kē mō te Fludrocortisone

Mō te mate o Addison, kāore he kōwhiringa tika ki te fludrocortisone nā te mea e whakakapi ana i te homoni mineralocorticoid e ngaro ana i tō tinana. Heoi, ka whakatika pea tō tākuta i tō horopeta hydrocortisone, ka tūtohu rānei kia nui ake te kai tote hei āwhina.

Mō te hypotension orthostatic, he maha ngā kōwhiringa kē e noho ana i runga i tō āhuatanga motuhake. Ko te Midodrine he kōwhiringa kē noa e mahi ana mā te whakaiti i ngā oko toto kia mau tonu te pēhanga toto ka tū koe.

Ko ētahi atu kōwhiringa ka whakaarohia e tō tākuta ko:

• Te nui ake o te kai tote me te wai mā ngā huringa kai
• Ngā tōkena kōpeke hei whakapai ake i te tohanga
• Droxidopa mō ētahi momo hypotension orthostatic
• Ngā huringa o te oranga pēnei i te huri i ngā tūnga

Ko te kōwhiringa kē pai rawa atu e whakawhirinaki ana ki tō āhuatanga i raro i te mata me te pai o tō whakamanawanui i ngā rongoā rerekē. Ka mahi tō tākuta ki a koe kia kitea te huarahi whai hua rawa atu mō ō hiahia motuhake.

He Pai Ake te Fludrocortisone i te Hydrocortisone?

He rerekē ngā kaupapa e mahi ana te Fludrocortisone me te hydrocortisone, nō reira ehara i te mea tika te whakataurite i a rātou. Ko te Fludrocortisone te mea nui e pā ana ki te taurite kohuke me te pēhanga toto, i te wā e whakarato ana te hydrocortisone i ngā pānga anti-inflammatory me te whakakapi homoni ahotea.

Ko te nuinga o te hunga e mate ana i te mate o Addison e hiahia ana ki nga rongoa e rua na te mea e whakakapi ana i nga homoni rereke e mahia ana e ou repe adrenal. Ko te Hydrocortisone e whakakapi ana i te cortisol, i te wa e whakakapi ana te fludrocortisone i te aldosterone.

Mo te whakahaere i te toto me te taurite wai, i hangaia te fludrocortisone mo tenei kaupapa, a he pai ake te mahi i te hydrocortisone. Heoi, he pai ake te hydrocortisone mo te whakahaere i te mumura me te whakarato i te uruparenga ahotea e hiahia ana to tinana i te wa e mate ana, e whara ana ranei.

Nga Patai e Pā ana ki te Fludrocortisone

He Haumaru te Fludrocortisone mo te Mate Ngakau?

Me ata whakaaro te fludrocortisone mena he mate ngakau koe, na te mea ka puta te pupuri wai me te piki o te toto. Me mahi tahi to tohunga ngakau me te taote e whakahau ana ki te whakatau mena ka nui ake nga painga i nga tupono.

Mena ka hiahia koe ki te fludrocortisone me te mate ngakau, tera pea ka nui ake te aroturuki i to toto, te mana wai, me te mahi ngakau. Ka timata pea to taakuta me te horopeta iti ake ka whakatika haere i te wa e matakitaki ana mo nga tohu o te nui o te wai.

Me aha ahau ki te tango pohehe au i te nui rawa o te Fludrocortisone?

Mena ka tango pohehe koe i te nui rawa o te fludrocortisone, whakapā atu ki to taakuta, ki te mana whakahaere paitini ranei i te wa tonu. Ko te tango i te nui rawa ka puta te pikinga kino o te toto, te pupuri wai nui, me te kore taurite o te hiko e raru ai te oranga.

Ko nga tohu o te horopeta nui ko te mamae nui o te mahunga, te huringa o te tirohanga, te pupuhi nui, te mamae o te uma, te uaua ranei ki te manawa. Kaua e tatari kia kino ake nga tohu – rapua te tiaki hauora ohorere mena kua nui ake te tango i te mea i tohua.

Me aha ahau ki te ngaro au i te horopeta o te Fludrocortisone?

Mena ka ngaro koe i te horopeta o te fludrocortisone, tangohia i te wa e mahara ana koe, ki te kore e tata ana te wa mo to horopeta e whai ake nei. I tera keehi, pekehia te horopeta i ngaro ka haere tonu ki to waarangi o mua.

Kaua rawa e tango e rua nga horopeta i te wa kotahi hei utu mo te horopeta i ngaro, na te mea ka puta he paanga kino. Mēnā he maha ngā wā e wareware ana koe ki ngā horopeta, whakaarohia te whakatakoto i te whakaoho o ia rā, te whakamahi rānei i te kaiwhakarite pire hei āwhina i a koe ki te mahara.

Āhea ka taea e au te whakamutu i te tango Fludrocortisone?

Me whakamutu noa te tango fludrocortisone i raro i te tirotiro tika a tō tākuta. Mēnā he mate a Addison, he hyperplasia adrenal congenital rānei tō, ka hiahiatia tēnei rongoā mō te ora, nā te mea kāore e taea e tō tinana te whakaputa i ngā homoni e tika ana i te taiao.

Mō ētahi atu āhuatanga, ka whakatau tō tākuta i te wā e pai ana ki te whakamutu i runga i tō hauora me te whakapai ake o ngā tohu. Ko te whakamutu ohorere ka puta he hekenga kino o te toto me te kore taurite o te hiko, nō reira me āta haere te whakamutu, me te āta aroturuki.

Ka taea e au te tango Fludrocortisone i te wā e hapū ana?

E whakaarohia ana he haumaru te Fludrocortisone i te wā e hapū ana i te wā e tika ana i te rongoā, ina koa mō ngā wāhine e mate ana a Addison. Ko ngā tūponotanga o te ngoikoretanga adrenal kāore i rongoatia te nuinga o ngā tūponotanga rongoā.

Ka āta aroturukihia koe me tō pēpi e tō tākuta i te wā e hapū ana, nā te mea ka pā te hapū ki ō hiahia rongoā. Ka hiahia pea koe ki ngā whakatikatika horopeta, ina koa i ngā wā o te pēhanga pēnei i te mahi me te whānautanga.