ʻO kahi pilikia i loaʻa i nā kānaka he nui i kēia mau lā, ʻo ia ke koko kiʻekiʻe, a i ʻole e like me kā mākou e ʻike nei, 'kaomi'. No laila, ma ke ʻano he lāʻau lapaʻau no kēia, kuhikuhi nā kauka i nā ʻano lāʻau like ʻole. ʻO kekahi o lākou he lāʻau lapaʻau kūikawā i kapa ʻia ʻo Aliskiren. Malia paha ua kuhikuhi ʻia kēia lāʻau iā ʻoe. No laila i kēia lā, e kamaʻilio maʻalahi a aloha kākou e pili ana i kēia pila Aliskiren, nā mea e makaʻala ai i ka wā e hoʻohana ai, a me nā hopena ʻaoʻao.
He aha ʻo Aliskiren?
I ka ʻōlelo maʻalahi, ʻo Aliskiren kahi ʻano lāʻau lapaʻau kūikawā i hoʻohana ʻia e kāohi i ke koko kiʻekiʻe. No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo 'renin inhibitors.' I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia 'renin'.
E noʻonoʻo, he ʻōnaehana kūlohelohe ko ko kākou kino e kāohi ana i ke koko. ʻO kahi enzyme e pāʻani ana i kahi kuleana koʻikoʻi i loko o kēia ʻōnaehana ua kapa ʻia ʻo 'renin'. I kekahi manawa, ke lilo kēia enzyme renin i mea hana nui loa, ʻūlū (paʻa) nā kīʻaha koko a piʻi ke kaomi. No laila, ʻo ka mea a Aliskiren e hana ai, ʻo ia ke kāohi pololei i ka hana o kēlā enzyme renin. A laila lilo nā kīʻaha koko i mea kūʻokoʻa iki, ākea, a emi ke koko. ʻO kēia ka hana kumu o kēia lāʻau.
Loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole ma Sri Lanka a puni ka honua. ʻO kekahi o nā mea kaulana loa ʻo 'Tekturna'.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ke kuhikuhi ʻana iā Aliskiren, e nīnau kāu kauka iā ʻoe e pili ana i kekahi mau mea. Akā i kekahi manawa poina iā mākou ke haʻi aku i kēia mau mea. No laila pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i kēia mau mea.
- Inā loaʻa iā ʻoe ka maʻi diabetes mellitus: He mea nui loa kēia. Pono e mālama pono i ka hāʻawi ʻana i kēia lāʻau i kahi kanaka me ka maʻi diabetes.
- Inā he maʻi puʻupaʻa kou: Inā he maʻi puʻupaʻa kou, pono ʻoe e haʻi aku.
- Inā maloʻo ʻoe: Hiki ke lilo i mea weliweli ke lawe ʻana i kēia lāʻau lapaʻau ke maloʻo ʻoe a nele i ka wai i loko o kou kino.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai: He mea nui loa kēia. Inā hāpai ʻoe a i ʻole e hoʻolālā ana e loaʻa koke kahi pēpē, pono ʻoe e haʻi i kāu kauka. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia.
- Ka hānai waiū: Inā he makuahine hānai ʻoe, e haʻi pū i kēlā.
- Nā Maʻi ʻAleʻale ʻē aʻe: He mea nui e haʻi mai iā mākou inā he maʻi ʻaleʻale kou, ʻaʻole wale iā Aliskiren, akā i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
ʻO ke ala kūpono e hoʻohana ai i ka lāʻau lapaʻau
He mea nui loa ia e hoʻohana i ka dosage kūpono, e like me ka mea i ʻōlelo ʻia e ke kauka.
- E lawe i ka manawa kūpono: E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. I ke kakahiaka, i ke kakahiaka, a i ke ahiahi, i ka manawa like i kēlā me kēia pō. E kōkua kēia i ka mālama ʻana i ka pae like o ka pono o ka lāʻau lapaʻau i loko o ke kino.
- Me ka ʻai a me ka ʻole o ka meaʻai: Hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau me ka ʻai a me ka ʻole o ka meaʻai. Akā ʻo ka mea nui loa, ʻo ia ke lawe ʻana iā ia ma ke ʻano like i kēlā me kēia lā. No ka laʻana, inā ʻoe e lawe ia mea ma hope o ka ʻaina kakahiaka i kēlā me kēia lā, e hoʻomau i ka lawe ʻana ia mea ma ia ʻano. Mai lawe ma mua o ka ʻaina kakahiaka i kekahi lā a ma hope o ka ʻaina kakahiaka i kekahi lā.
- Mai hoʻōki i ka lawe ʻana a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe: Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke noi ʻana i kāu kauka, no ka mea wale nō ke manaʻo nei ʻoe ua ʻoi aku kou maikaʻi i kēia manawa a ua maʻamau kou koko. E hoʻomau i ka lawe ʻana.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
I kekahi manawa, poina iā mākou ka lawe ʻana i kā mākou lāʻau lapaʻau. Inā poina iā mākou kahi lāʻau, e lawe koke iā ia i ka wā e hoʻomanaʻo ai mākou. Eia nō naʻe, inā kokoke ka manawa no kā mākou lāʻau aʻe (e.g., i loko o kekahi mau hola), e kāpae i ka lāʻau i poina a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo koke ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hopohopo a kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Aliskiren
Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe ai ke launa pū me Aliskiren, e hoʻonui a hoʻemi paha i kona pono, a i ʻole e hana i nā hopena ʻaoʻao. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
| ʻAno lāʻau lapaʻau | Nā mea e makaʻala ai |
|---|---|
| Nā lāʻau lapaʻau koko kiʻekiʻe ʻē aʻe | ʻAʻole kūpono ke lawe pū ʻia me kekahi mau lāʻau lapaʻau koko (ʻoi aku hoʻi no ka poʻe maʻi diabetes). |
| Nā mea hoʻohui potassium | ʻO ka lawe pū ʻana i kēia mau mea hiki ke hoʻonui i ka nui o ka potassium i ke koko. |
| Nā pani paʻakai e loaʻa ana ka potassium | He kiʻekiʻe hoʻi kēia mau mea i ka potassium, no laila mai hoʻohana me ka ʻole o ke aʻoaʻo lapaʻau. |
| ʻO Atorvastatin (kahi lāʻau lapaʻau no ka cholesterol) | Aia paha he pilina ma waena o kēia mau lāʻau lapaʻau ʻelua. |
| Furosemide (kahi lāʻau lapaʻau e wehe ai i ka wai mai ke kino) | Hiki iā Aliskiren ke hōʻemi i ka pono o Furosemide. |
| Ketoconazole (he lāʻau antifungal) | Hiki i kēia ke hoʻonui i ka pae o Aliskiren i loko o ke kino. |
He mea nui loa: Inā loaʻa iā ʻoe ka maʻi diabetes mellitus, a ke lawe nei ʻoe i kekahi lāʻau lapaʻau koko ʻē aʻe mai ka papa ARB (angiotensin-receptor-blocker) a i ʻole ACE inhibitor (angiotensin-converting-enzyme-inhibitor) (e.g. Losartan, Telmisartan, Enalapril, Ramipril), mai lawe iā Aliskiren no kekahi kumu. Hiki i kēia ʻano ke hōʻeha nui i nā puʻupaʻa. E kamaʻilio me kāu kauka e pili ana i kēia.
Nā hopena ʻaoʻao hiki ke loaʻa o kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Aliskiren ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, a he akahai kekahi.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo, ka maka a i ʻole ka puʻu. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, ka ʻū ʻana o ka umauma. |
| Nā loli i ka helu o ka puʻuwai | Manaʻo e like me ka wikiwiki o kou puʻuwai a i ʻole ke kuʻi kūpono ʻole. |
| Pōʻino a poʻo hina paha | Me he nalo lā, polū nā maka, e kulou ana. |
| Nā pilikia puʻupaʻa | Hoʻemi ʻia ka nui o ka mimi, ʻeha i ka wā e mimi ai. |
| ʻĒ aʻe | Kuni, ʻeha puʻu, ʻeha gout, mae ʻole o nā lālā. |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| ʻeha ka ʻōpū | ʻEha ʻōpū, maʻi pākī. |
| ʻEha poʻo | He ʻeha poʻo iki. |
| Kuke | Hiki i kekahi poʻe ke loaʻa i ka ʻū maloʻo. |
| Luhi | Manaʻo luhi ma mua o ka maʻamau. |
Pehea ʻoe e mālama pono ai i ka lāʻau lapaʻau?
- E mālama ʻia mai nā keiki: E mālama mau i nā lāʻau lapaʻau ma kahi palekana, mai ka hiki ʻana aku o nā keiki a me nā holoholona.
- Mahana kūpono:ʻOi aku ka maikaʻi o ka mālama ʻana ma ka mahana o ka lumi (ma waena o 20-25 Celsius). E pale mai ka wela nui a me ka makū.
- E pani paʻa i ka ʻōmole: E pani paʻa i ka waha o ka ʻōmole lāʻau a i ʻole ka ʻeke. Mai wehe i ka ʻeke liʻiliʻi (ʻeke silica gel) i loko o ka ʻōmole. Hoʻopili ia i ka makū mai ka lāʻau a mālama iā ia i ka maloʻo.
- E hoʻolei ma hope o ka pau ʻana: E nānā i ka lā pau o nā lāʻau lapaʻau a e hoʻolei i nā lāʻau lapaʻau i pau ka manawa me ka hoʻohana ʻole ʻana iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Aliskiren no ka papa 'renin inhibitor' o nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ke koko kiʻekiʻe.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau maʻi āpau (ʻoiai ka maʻi diabetes, ka maʻi puʻupaʻa) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe ka maʻi diabetes a ke lawe nei ʻoe i kahi lāʻau lapaʻau koko ʻē aʻe mai ka papa ARB a i ʻole ACE inhibitor, mai lawe iā Aliskiren.
- E hōʻalo i ka hoʻohana ʻana i kēia lāʻau lapaʻau i ka wā hāpai a i ʻole i ka wā e hoʻāʻo ai e hāpai. E haʻi koke aku i kāu kauka.
- E lawe i kāu lāʻau lapaʻau i ka manawa like a ma ke ʻano like i kēlā me kēia lā. Mai hoʻōki i kāu lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
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