Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau hou? Ua ʻōlelo anei lākou ua kapa ʻia ʻo ia he alpha-blocker? Malia paha no kou koko koko, a inā he kāne ʻoe, no ke ʻano e like me ka prostate i hoʻonui ʻia. Mai hopohopo, kani iki paha ka inoa. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻano lāʻau lapaʻau ma nā ʻōlelo maʻalahi, pehea e hana ai, a me nā mea āu e pono ai e ʻike.
I ka ʻōlelo maʻalahi, he aha kēia mau alpha-blockers?
ʻO nā Alpha-blockers kahi ʻano lāʻau lapaʻau i hoʻohana nui ʻia e mālama i ke koko kiʻekiʻe , a i ʻole ke koko kiʻekiʻe. Hoʻohana ʻia nō hoʻi lākou no kekahi mau kūlana ʻē aʻe.
E noʻonoʻo he mau "mea loaʻa" liʻiliʻi ma nā ʻāpana o ko kākou kino. Ua like ia me ka laka ma ka puka. Ke hoʻokomo ʻoe i kahi kī, hiki iā ʻoe ke wehe i ka puka. Ke hoʻopaʻa kekahi mau hormones i kēia mau mea loaʻa, hana ʻia kekahi mau hana. ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ke ālai i nā mea loaʻa "alpha" no kekahi manawa. Ua like ia me ke kau ʻana i kahi mea i loko o ka laka a pale i ke kī mai ka hoʻokomo ʻia ʻana. Hoʻōki kēia i kekahi mau hana mai ka hana ʻana.
E nānā e ʻike inā aia kekahi o nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai he mau inoa e like me doxazosin, prazosin, a i ʻole terazosin. ʻO kēia nā ʻano alpha-blockers i kuhikuhi pinepine ʻia.
Nā ʻano o nā Alpha-Receptors i loko o ko mākou kino
ʻElua ʻano nui o nā mea loaʻa alpha i loko o ko kākou kino. He mea maikaʻi ke ʻike iki e pili ana i kēia e hoʻomaopopo ai pehea e hana ai kēia lāʻau lapaʻau.
| ʻAno mea hoʻokipa | Ka hana e hana ʻia nei |
|---|---|
| Mea hoʻokipa Alpha-1 | Loaʻa pinepine kēia mau mea i loko o ko kākou mau kīʻaha koko, ka prostate, a me nā ʻiʻo mimi. Ke hoʻāla ʻia kēia mau mea, ʻūlū nā kīʻaha koko. A laila piʻi ke kaomi. Hoʻopaʻa pū nā ʻiʻo o ka prostate. |
| Mea hoʻokipa Alpha-2 | Loaʻa kēia mau mea ma ka lolo a me ka ʻōnaehana nerve. Kōkua lākou i ka hoʻoponopono ʻana i ka hana o ka ʻōnaehana nerve a mālama i ke kino i ka mālie. |
Ke ālai nā lāʻau lapaʻau alpha-blocker i nā mea loaʻa alpha-1, hoʻomaha nā kīʻaha koko a me nā ʻiʻo o ka prostate gland. Ke hoʻomaha nā kīʻaha koko, hiki ke kahe maʻalahi ke koko, kahi e hoʻohaʻahaʻa ai i ke koko. Ke hoʻomaha nā ʻiʻo o ka prostate gland, e maʻalahi ai ka mimi.
He aha nā ʻano o nā Alpha-Blockers?
Hiki ke puʻunaue ʻia kēia mau lāʻau lapaʻau i ʻelua ʻano nui.
1. Nā Alpha-Blockers Koho
Ua like kēia me kahi sniper. Paʻi pololei lākou i ka pahuhopu. ʻO ia hoʻi, kuhikuhi nui kēia ʻano lāʻau i nā mea loaʻa alpha-1 . No laila, he kakaikahi nā hopena ʻaoʻao. Eia kekahi mau laʻana:
- ʻAluzosin
- ʻO Doxazosin
- ʻO Prazosin
- ʻO Silodosin
- ʻO Tamsulosin
- Terazosin
2. Nā Alpha-Blockers Koho ʻole
He ʻokoʻa iki kēia. Ua like lākou me ka pū panapana. Ke ālai nei lākou i nā mea loaʻa alpha-1 a me alpha-2. ʻO ke ʻano kēia he hopena nui ko lākou i ke kino, a he nui aku ko lākou mau hopena ʻaoʻao . No ka mea ke ālai nei lākou i nā mea loaʻa alpha-2, piʻi ka nui o ka norepinephrine, kahi hormone stress i loko o ko mākou kino, hiki ke hoʻonui i ka helu o ka puʻuwai a hoʻoulu i ka hoʻomaha ʻole. ʻO Phenoxybenzamine lāua ʻo phentolamine nā hiʻohiʻona o kēia ʻano.
Ua hāʻawi wale ʻia kēia lāʻau lapaʻau no ke koko a me nā pilikia prostate?
ʻAʻole. He mea pono nō hoʻi kēia lāʻau lapaʻau no kekahi mau kūlana olakino ʻē aʻe.
- ʻO ka Benign Prostatic Hyperplasia (BPH): He ʻano kēia e pehu ai ke kelepa prostate i ka wā e ʻelemakule ai nā kāne. ʻO kēia ka mea e paʻakikī ai ka mimi. Hoʻomaha nā Alpha-blockers i nā ʻiʻo o ke kelepa prostate, e ʻae ana i ka mimi e kahe maʻalahi.
- Kekahi mau ʻano puʻupuʻu: E kāohi i nā puʻupuʻu e hana ana i nā hormones keu e like me ka adrenaline.
- Maʻi koʻikoʻi ma hope o ka trauma (PTSD): E hoʻokele i ke kaumaha, ʻoiai nā moeʻuhane ʻino, e kū mai ana ma hope o nā hanana traumatic koʻikoʻi.
- ʻO ka hanana ʻo Raynaud: He ʻano e lilo ai nā manamana lima a me nā manamana wāwae i keʻokeʻo, polū, a mae wale i ka wā e hōʻike ʻia ai i ke anu. Kōkua kēia lāʻau lapaʻau i ka hoʻomaha ʻana i nā kīʻaha koko.
- Nā Pōhaku Puʻupaʻa: Kōkua i nā pōhaku liʻiliʻi i paʻa i ka ureter, ka ʻōmole e lawe ai i ka mimi mai ka puʻupaʻa a i ka ʻōpū mimi, e hele maʻalahi.
- Prostatitis: Ka mumū o ka ʻōpū prostate.
Pehea ka lōʻihi e pono ai iaʻu e lawe i kēia lāʻau lapaʻau?
Aia nō ia i ke kūlana olakino e kuhikuhi ʻia nei kēia lāʻau lapaʻau iā ʻoe. No nā kūlana e like me ke koko kiʻekiʻe a i ʻole BPH, pono paha ʻoe e lawe i kēia lāʻau lapaʻau no ka manawa lōʻihi . No kahi pilikia manawa pōkole e like me nā pōhaku puʻupaʻa, pono paha ʻoe e lawe no kahi manawa pōkole.ʻŌlelo ʻia e hoʻohana wale nō.
ʻO ka mea nui loa: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka no kekahi kumu . Hiki i ka hana ʻana pēlā ke hana i nā pilikia koʻikoʻi. Hiki iā ia ke hoʻonui koke i kou koko i kahi pae weliweli.
Inā ʻoe e kāohi i kou koko ma o ka hoʻololi ʻana i ke ʻano o ka nohona (hoʻoikaika kino, ka ʻai olakino), a inā paha e hana ʻia ʻoe i ke ʻoki ʻana e wehe i kou kelepa prostate, e haʻi aku paha kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau. Pono e hana ʻia kēia mau mea a pau ma lalo o ke aʻo ʻana a ke kauka.
E aʻo pū kākou e pili ana i nā hopena ʻaoʻao a me nā pilikia.
E like me nā lāʻau lapaʻau āpau, hiki i nā alpha-blockers ke loaʻa nā hopena ʻaoʻao, akā ʻaʻole i loaʻa i nā mea āpau.
Nā hopena ʻaoʻao maʻamau (ʻoi aku ke koho ʻia):
- Pōniuniu a me ke poʻo māmā: Hiki i ke koko haʻahaʻa (orthostatic hypotension) ke hoʻoulu i ka ʻike maka pōwehiwehi, ʻoiai ke kū koke mai kahi noho.
- Ka hopena mua: ʻO kēia manaʻo o ka malaise a me ka emi ʻana o ke koko e ʻike nui ʻia i nā lā mua ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau.
- ʻEha poʻo
- Luhi
- Priapism: He kūlana koʻikoʻi a pilikia kēia. He ʻeha ke kūkulu ʻana o ka penis no nā hola he 4 a ʻoi. Inā hana ʻia kēia, pono ʻoe e hele koke i ka lumi pilikia (ETU) o kahi haukapila.
Inā ʻoe e lawe i nā lāʻau lapaʻau koho ʻole, hiki iā ʻoe ke ʻike i ka piʻi ʻana o ka puʻuwai a me ka haʻalulu o nā ʻiʻo.
Hiki i kēia lāʻau lapaʻau ke launa pū me ka waiʻona, kekahi mau wai citrus, a me nā lāʻau lapaʻau ʻē aʻe. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
ʻO wai ka mea pono ʻole e lawe i kēia lāʻau lapaʻau?
ʻAʻole kūpono nā Alpha-blockers no ka poʻe me kekahi mau kūlana olakino.
- Inā ʻoe e hoʻolālā ana e hana i ke ʻoki cataract: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka haumāna, hiki ke hoʻopilikia i ke ʻoki ʻana. No laila e hoʻomaopopo pono i kāu kauka maka e pili ana i kēia.
- Nā makuahine hānai waiū: ʻAʻole kūpono loa nā lāʻau lapaʻau koho ʻole.
- Inā loaʻa iā ʻoe kahi mōʻaukala o Orthostatic Hypotension: ʻO ke ʻano kēia inā manaʻo pinepine ʻoe i ka poniuniu ke kū ʻoe mai kahi kūlana noho, hiki i kēia lāʻau lapaʻau ke hoʻonui i ke kūlana.
- Inā ʻoe e lawe nei i ka lāʻau lapaʻau no ka erectile dysfunction: Hiki i kekahi mau lāʻau lapaʻau ke hana me kēia mau mea a hoʻoulu i ke koko haʻahaʻa loa.
- Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole ka maʻi o ke kaʻapuni koko:ʻAʻole paha kūpono nā lāʻau lapaʻau koho ʻole.
He aha nā mea e hiki ke hana ʻia e hōʻemi i nā hopena ʻaoʻao ke hoʻomaka ʻia ka lāʻau lapaʻau?
ʻAe. Aia kekahi ʻōlelo aʻoaʻo koʻikoʻi. Inā haʻi aku kāu kauka iā ʻoe e hoʻomaka i kahi alpha-1-blocker koho, e lawe i ka pila mua i ka pō ma mua o ka hiamoe ʻana.
No ka mea, ʻo ka "hopena mua o ka lāʻau" ka manawa mua e hoʻomaka ai ʻoe e ʻike i nā hopena o ka lāʻau mua. Ke lawe ʻoe i ka lāʻau lapaʻau ma mua o ka hiamoe ʻana i ka pō, e hana ʻia nā mea e like me ka emi ʻana o ke koko a me ka poniuniu i kou wā hiamoe, no laila ʻaʻole ʻoe e ʻike nui. He ʻōlelo aʻoaʻo koʻikoʻi loa kēia.
Āhea ʻoe e ʻike ai i ke kauka?
Inā loli koke kāu mau hōʻailona, ʻoiai inā e paʻakikī ana iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā, e kāhea i kāu kauka. Eia nō naʻe, pono ʻoe e ʻimi koke i ke kōkua lapaʻau inā loaʻa kekahi o kēia mau mea:
| Nā kūlana e pono ai ka mālama olakino ulia pōpilikia | |
|---|---|
| Ka nalowale o ka ʻike a i ʻole ka nawaliwali | Ka mae ʻana a i ʻole ka nalowale ʻana o ka manaʻo |
| ʻEha umauma (angina) | ʻEha umauma |
| Paʻakikī ka hanu ʻana | Pōkole o ka hanu |
| Puʻuwai wikiwiki a ʻano ʻole paha | Puʻuwai wikiwiki a ʻano ʻole paha |
| Priapism (kūkulu ʻeha e mau ana ma mua o 4 mau hola) | He kūkulu ʻeha, ʻehā hola |
| Nā hōʻailona o kahi maʻi ʻaleka koʻikoʻi (anaphylaxis) - e.g. hives, maneʻo, pehu, paʻakikī i ka moni ʻana. | Nā hōʻailona o kahi hopena alerika koʻikoʻi |
He mea maʻamau ke hopohopo iki a hopohopo paha i ka wā e hoʻomaka ai i kahi lāʻau lapaʻau hou. ʻO nā Alpha-blockers kahi papa lāʻau lapaʻau i hoʻohana nui ʻia e kūpono i ka mālama ʻana i nā maʻi he nui. Inā ua kuhikuhi kāu kauka i kēia lāʻau, e kūkākūkā i kāu mau hopohopo a nīnau paha me kāu kauka. E kōkua kēia iā ʻoe e hoʻomaopopo pono pehea e hoʻohana ai i ka lāʻau.
Leka Lawe-Home
- ʻO nā Alpha-blockers kahi ʻano lāʻau lapaʻau e mālama nui ai i ke koko kiʻekiʻe a me ka prostate i hoʻonui ʻia i nā kāne.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a ke kauka. Hiki ke lilo i mea weliweli.
- I ka hoʻomaka ʻana o ka lāʻau lapaʻau, ʻo ka lawe ʻana i ka mahele mua ma mua o ka wā hiamoe hiki ke hōʻemi i nā hopena ʻaoʻao e like me ka dizziness a me ka hiamoe.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻeha o ka umauma, ka nalowale o ka ʻike, a i ʻole ka hanu ʻeha e mau ana ma mua o 4 mau hola, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā mea hoʻopihapiha āu e lawe nei.
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