Ua haʻi aku kāu kauka iā ʻoe he koko kiʻekiʻe kou, a i ʻole "kaomi" e like me kā mākou e ʻike nei? A i ʻole ke lawe nei ʻoe i ka lāʻau lapaʻau no ka maʻi puʻuwai? A laila ua lohe paha ʻoe i ka inoa "ACE inhibitor". He ʻano lāʻau lapaʻau koʻikoʻi kēia a nā kauka e kuhikuhi pinepine ai. No laila i kēia lā, e kamaʻilio maʻalahi a aloha kākou e pili ana i kēia ʻano lāʻau lapaʻau i kapa ʻia ʻo ACE inhibitor, pehea e hana ai, kona mau pono, nā hemahema, a me nā mea e makaʻala ai i ka wā e hoʻohana ana.
I ka ʻōlelo maʻalahi, he aha kēia mau ACE Inhibitors?
ʻO nā ACE Inhibitors, a i ʻole Angiotensin-converting enzyme inhibitors, he papa lāʻau lapaʻau ia e kōkua ai i ka hoʻohaʻahaʻa ʻana i kou koko a pale i kou mau puʻupaʻa . Hoʻohana nā kauka i kēia ʻano lāʻau lapaʻau e mālama i nā ʻano maʻi puʻuwai a me nā kīʻaha koko.
Eia nā kūlana nui kahi e kōkua ai kēia lāʻau lapaʻau:
- E mālama i ke koko kiʻekiʻe: E like me kā kākou e ʻike nei, e kaohi i kou koko.
- E mālama i ka hāʻule ʻana o ka puʻuwai: Ke hiki ʻole i ka puʻuwai ke pamu i ke koko kūpono.
- Ma hope o ka hāʻule puʻuwai: E kōkua i ka ho'ōla ʻana a pale i ka hoʻi hou ʻana ma hope o ka hāʻule puʻuwai.
- Kāohi a mālama i nā maʻi puʻupaʻa i ka poʻe me ka maʻi diabetes: He mea nui loa kēia mau mea e hōʻemi i ka hōʻino ʻia o nā puʻupaʻa i hoʻokumu ʻia e ka maʻi diabetes.
- E pale iā lākou no ka poʻe i loaʻa i ka pilikia nui o ka maʻi puʻuwai a me ka hahau.
- Hoʻohana ʻia kēia mau mea no kekahi mau maʻi puʻupaʻa (e.g., nephrotic syndrome, proteinuria) e kū nei i nā poʻe me ka ʻole o ka maʻi diabetes.
Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?
Hana like ia me ka inoa e hōʻike nei. E noʻonoʻo e hana maoli ana ko kākou kino i kahi enzyme i kapa ʻia ʻo Angiotensin-converting enzyme (ACE) . Hoʻololi kēia enzyme i kahi kemika i kapa ʻia ʻo Angiotensin I i kekahi kemika ʻē aʻe i kapa ʻia ʻo Angiotensin II .
I kēia manawa, ʻo kēia kanaka i kapa ʻia ʻo Angiotensin II ke kumu nui e hoʻopaʻa ai i ko mākou mau kīʻaha koko, hoʻokiʻekiʻe i ke koko, a kaupalena pū i ka hoʻokuʻu ʻia ʻana o ka paʻakai a me ka wai mai nā puʻupaʻa.
No laila, ʻo ka hana a kā mākou lāʻau lapaʻau ACE inhibitor, ʻo ia ke kāohi ʻana i ka hana o kēlā enzyme i kapa ʻia ʻo ACE . A laila emi iho ka hana ʻana o Angiotensin II. ʻO ka hopena, e ākea a hoʻomaha kou mau kīʻaha koko, e hoʻokuʻu ʻia ka paʻakai a me ka wai pono ʻole mai nā puʻupaʻa, a i ka hopena, ua hoʻomalu maikaʻi ʻia ke koko. I ka ʻōlelo maʻalahi, ʻo ia ka mea e hana ʻia.
Nā ʻano maʻamau o nā mea hoʻopaʻa ACE
Loaʻa kēia mau lāʻau lapaʻau ma ka mākeke ma lalo o nā inoa like ʻole. E paipai kāu kauka i ka mea kūpono iā ʻoe. Eia kekahi mau laʻana:
- ʻO Benazepril
- ʻO Captopril
- ʻEnalapril
- Lisinopril
- ʻO Ramipril
- ʻO Perindopril
- ʻO Quinapril
Loaʻa ka hapa nui o kēia mau mea ma ke ʻano he mau pila e lawe ai ma ka waha.
He aha nā pōmaikaʻi a me nā hopena ʻaoʻao o kēia lāʻau lapaʻau?
Aia kekahi mau kumu e paipai pinepine ai nā kauka i kēia ʻano lāʻau lapaʻau.
- Loaʻa ka pono: Ua hōʻoia ʻia ka holomua o kēia mau mea ma o ka noiʻi ʻepekema.
- Kāohi i nā maʻi: Ma waho aʻe o ka mālama ʻana i kahi maʻi e kū nei, kōkua pū ia i ka pale ʻana i nā kūlana e hiki mai ana e like me nā hōʻeha puʻuwai a me nā hahau.
- Hana maikaʻi me nā lāʻau lapaʻau ʻē aʻe: I kekahi manawa hele mai kēia i loko o hoʻokahi pila, i hui pū ʻia me nā lāʻau lapaʻau koko ʻē aʻe.
- Palekana maʻamau: ʻO nā hopena ʻaoʻao he mea liʻiliʻi wale nō. He mea kākaʻikahi loa nā hopena ʻaoʻao koʻikoʻi.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao maʻamau |
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| Nā hopena ʻaoʻao kakaikahi |
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ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao. Hiki iā ia ke hoʻololi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe, ʻoiai inā he mea e like me ka ʻū maloʻo e hoʻopilikia nei iā ʻoe.Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau iā ʻoe iho.
Nā mea e hoʻomanaʻo ai i ka wā e hoʻohana ai i ka lāʻau lapaʻau
- I ka manawa e lawe ai i ka lāʻau lapaʻau: Ua ʻōlelo ʻia kekahi mau mea hoʻopaʻa ACE e kāu kauka e lawe ʻia ma kahi o hoʻokahi hola ma mua o ka ʻai ʻana. ʻO kēia no ka mea hiki i ka meaʻai ke hōʻemi i ka omo ʻana o ka lāʻau lapaʻau ma kahi o 30%-40%. E hahai mau i nā ʻōlelo a kāu kauka.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke i ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e "hopu." ʻO ka hana ʻana pēlā e hiki ai i kou koko ke hāʻule haʻahaʻa loa.
- Mai ala koke: Ke hoʻomaka mua ʻoe e lawe i kēia lāʻau lapaʻau, hiki iā ʻoe ke poniuniu ke kū koke ʻoe mai kahi noho a moe paha. No laila e kali iki a laila e ala mālie.
- E hoʻohana mau: E hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka. ʻO ka hoʻōki koke ʻana iā ia hiki ke hoʻonui koke i ke koko, hiki ke alakaʻi i ka hōʻeha puʻuwai a i ʻole ka hahau.
- E makaʻala me nā lāʻau lapaʻau ʻē aʻe: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā lāʻau ʻeha (NSAID - e.g., Ibuprofen, Diclofenac), hiki ke launa pū me kēia lāʻau lapaʻau.
- Paʻakai a me ka Potassium: Manaʻo nā kauka e hōʻemi i ka paʻakai i kāu meaʻai. Eia kekahi, e nīnau i kāu kauka ma mua o ka hoʻohana ʻana i nā pani paʻakai i loaʻa ka potassium.
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele i ka lumi pilikia o ka haukapila kokoke loa (ETU) a i ʻole e ʻike koke i kāu kauka . He mau hōʻailona paha kēia o kahi maʻi koʻikoʻi.
| Nā pilikia - E makaʻala! | |
|---|---|
| Ka pehu ʻana o ka maka, ka waha, ke alelo, a i ʻole ka puʻu | He hōʻailona kēia o kahi hopena maʻi koʻikoʻi i kapa ʻia ʻo Angioedema. Hiki iā ia ke pilikia i ka hanu ʻana. |
| Nā hōʻailona allergies koʻikoʻi | ʻUlu, maneʻo nui, paʻakikī i ke ale ʻana a i ʻole ka hanu ʻana. |
| Ka nalowale o ka ʻike a i ʻole ka nawaliwali | He hōʻailona paha ia o ke koko haʻahaʻa loa. |
| ʻĀʻī | Melemele o nā keʻokeʻo o nā maka a i ʻole ka ʻili. He hōʻailona paha kēia o kahi pilikia nui o ke akepaʻa. |
| Nā hōʻailona o ka hōʻeha puʻuwai a i ʻole ka hahau | ʻEha nui ka umauma, paʻakikī ka hanu ʻana, mae wale ka lima, paʻakikī ke ʻōlelo. |
Nui nā ʻano lāʻau lapaʻau like ʻole no ke koko kiʻekiʻe, no laila hiki ke paʻakikī ke hoʻomaopopo iā lākou āpau. ʻO nā mea hoʻopaʻa ACE ke koho mua a nā kauka, a he kūpono loa lākou a palekana. Inā he mau nīnau kāu e pili ana i kēia mau lāʻau lapaʻau, mai kānalua e kamaʻilio me kāu kauka a wehewehe iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi loa nā ACE Inhibitors i hāʻawi ʻia e pale aku i ke koko kiʻekiʻe, nā maʻi puʻuwai, a me nā maʻi puʻupaʻa.
- He mea nui e lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, i ka manawa kūpono, a ma ke ʻano kūpono.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ke aʻo ʻole ʻia e ke kauka.
- He hopena maʻamau ka ʻū maloʻo. Inā hoʻopilikia ia iā ʻoe, e kamaʻilio me kāu kauka.
- Inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka pehu ʻana o ka maka a i ʻole ka ʻāʻī, ka paʻakikī o ka hanu ʻana, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana, ʻaʻole ʻōlelo ʻia kēia lāʻau lapaʻau. E haʻi i kāu kauka.
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