Ua haʻi aku kāu kauka iā ʻoe he koko kiʻekiʻe kou? A i ʻole ke mālama ʻia nei ʻoe no kekahi mau maʻi puʻuwai, e like me ka hāʻule ʻana o ka puʻuwai? A laila ua kuhikuhi ʻia ʻoe i kahi pila i kapa ʻia ʻo 'Amiloride; Hydrochlorothiazide'. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī, me he mea lā e aʻo ana kekahi iā ʻoe e pili ana i ia mea.
He aha kēia lāʻau lapaʻau? No ke aha i hāʻawi ʻia mai ai kēia iā mākou?
I ka ʻōlelo maʻalahi, ʻo 'Amiloride; Hydrochlorothiazide' he hui pū ʻana o ʻelua ʻano lāʻau. ʻO kēia mau mea ʻelua he mau lāʻau e hoʻonui ai i ka mimi , ma ke ʻano lapaʻau, he ʻelua ʻano diuretics. Kōkua kēia lāʻau i kou mau puʻupaʻa e hoʻokuke i ka wai a me ka paʻakai pono ʻole mai kou kino ma o ka mimi. Eia naʻe, ʻo ka mea kūikawā o kēia, ʻoiai ua hoʻokuke ʻia kēlā wai a me ka paʻakai , ʻaʻole ia e ʻae i ke kino e nalowale nui i ka paʻakai koʻikoʻi i kapa ʻia ʻo 'Potassium'.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no:
- E kāohi i ke koko kiʻekiʻe .
- E mālama i kekahi mau kūlana i hoʻokumu ʻia e ka hana nāwaliwali o ka puʻuwai (Heart Failure) .
Ua loaʻa paha iā ʻoe kēia lāʻau lapaʻau ma lalo o ka inoa inoa "Moduretic." ʻO ia ka lāʻau lapaʻau hoʻokahi. Eia kekahi, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe. No laila, inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kauka lāʻau paha.
He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?
Ma mua o kou hoʻomaka ʻana e lawe iā Amiloride; Hydrochlorothiazide, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. Mai hūnā i kēia mau mea, no ka mea, hiki iā lākou ke hoʻopilikia i kou olakino.
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā loaʻa iā ʻoe kekahi pilikia me kāu ʻōnaehana pale , no ka laʻana, he maʻi e like me lupus.
- Inā he maʻi puʻupaʻa kou, a inā ʻaʻole nui kou mimi ʻana.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka amiloride, hydrochlorothiazide, nā diuretics ʻē aʻe, nā lāʻau sulfa, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala hana, a mea hoʻomalu paha.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Inā ʻoe e haʻi pololei i kēia mau ʻoiaʻiʻo, he kōkua nui ia i ke kauka i ka mālama kūpono ʻana iā ʻoe.
Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He pila kēia lāʻau lapaʻau āu e lawe ai ma ka waha. ʻOi aku ka maikaʻi o ka lawe ʻana i ka manawa like i kēlā me kēia lā, e like me ka ʻōlelo a kāu kauka iā ʻoe. Lawe pinepine ʻia me ka meaʻai. Pono ʻoe e hoʻomau i ka lawe ʻana i kēia lāʻau lapaʻau a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki. ʻOiai inā ʻoe e ʻoluʻolu, mai hoʻōki koke i ka lawe ʻana.
Mea nui: No kāu hoʻohana ponoʻī wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kāu lāʻau lapaʻau me kekahi, no ka mea, hiki ke hoʻoweliweli.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea a loaʻa i ka ʻōlelo aʻoaʻo kūikawā. Pono paha ia i ka mālama kūikawā.
Inā lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau, ʻo ia hoʻi, inā ʻoe e lawe nui ʻia, e hele koke i ka lumi pilikia o ka haukapila kokoke loa, a i ʻole e kelepona i kahi kikowaena kaohi lāʻau make.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
ʻAuē, mai hopohopo i kēlā mau manawa. E lawe i kāu lāʻau i hala koke i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana Lāʻau Lapaʻau)
He mea nui loa kēia. Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia inā lawe pū ʻia me 'Amiloride; Hydrochlorothiazide'.
Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau:
- ʻO Cidofovir
- ʻEplerenone
- Nā mea hoʻohui potassium (ʻo ia hoʻi nā mea e like me nā pila potassium a me nā syrups)
- Kuinidina
- Tranylcypromine
ʻO nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i kēia lāʻau lapaʻau:
- ʻO kekahi mau lāʻau lapaʻau no ke koko a i ʻole ka maʻi puʻuwai (e.g., benazepril, lisinopril, losartan, valsartan)
- ʻO Cyclosporine
- ʻO Dofetilide
- Litiuma
- Ua kapa ʻia nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory he "NSAIDs - Nonsteroidal Anti-Inflammatory Drugs". Eia kekahi laʻana, nā lāʻau e like me ka ibuprofen a i ʻole naproxen.
- Nā lāʻau diuretic ʻē aʻe
- ʻO Takrolimus
ʻAʻole i piha kēia papa inoa. Aia paha kekahi mau mea ʻē aʻe e hiki ke hoʻopilikia. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia a kūʻai ʻia paha ma luna o ke kūʻai), nā lāʻau lapaʻau lāʻau, nā huaora, a me nā mea hoʻohui meaʻai āu e lawe nei. Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
He aha nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau?
I ka wā e lawe ai i kēia lāʻau lapaʻau, pono ʻoe e makaʻala i nā mea liʻiliʻi ma kāu ʻaoʻao.
- E hele i nā hoʻokolohua kauka maʻamau: E hoʻomau i ka launa pū ʻana me kāu kauka e ʻike i kou ʻano a inā e hana ana ka lāʻau lapaʻau.
- E nānā i kou koko: E ana i kou koko e like me ka ʻōlelo a kāu kauka iā ʻoe. E nīnau i kāu kauka i ke ʻano o kou koko a me ka wā e pono ai ʻoe e kelepona.
- ʻAi kūikawā: Pono paha ʻoe e hahai i kahi ʻai kūikawā. E nīnau i kāu kauka e pili ana i kēia.
- E inu i ka wai he nui a pale i ka maloʻo ʻana: Hiki i kēia lāʻau lapaʻau ke hoʻomaloʻo i ka wai. E nīnau i kāu kauka i ka nui o ka wai āu e inu ai i kēlā me kēia lā. E haʻi koke i kāu kauka inā loaʻa iā ʻoe ka maʻi diarrhea mau, ka luaʻi ʻana, a i ʻole ka hou nui ʻana. Hiki i kēia lāʻau lapaʻau ke lilo i mea weliweli inā maloʻo loa ʻoe.
- Hiamoe, poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iki iā ʻoe a poniuniu. No laila, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka noʻonoʻo a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. E makaʻala i ke kū ʻana a i ʻole ke ala ʻana mai kahi noho koke, ʻoiai inā he ʻelemakule ʻoe. E hōʻemi kēia i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
- E hōʻalo i ka waiʻona: Hiki i ka waiʻona ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau.
- Ka pilikia o ka maʻi ʻili: Aia kahi pilikia iki o ka maʻi ʻili i ka wā e lawe ai i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i kēia.
- ʻIke i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou ʻili i mea ʻike nui i ka lā. No laila, e pale i ka lā i ka hiki. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole e uhi pono i kou kino, e hoʻohana i ka sunscreen, a pale i ka hoʻohana ʻana i nā kukui lā a i ʻole nā moena tanning/hale hoʻomoana.
- Nā pae kō koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui i nā pae kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes, e nīnau i kāu kauka inā pono ʻoe e hana i kekahi hoʻololi i kāu meaʻai a i ʻole nā lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau.
Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, nā kiko ʻulaʻula ma ka ʻili, ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu.
- Maloʻo: Manaʻo nui i ka make wai, waha maloʻo, maule, manaʻo poniuniu, ʻeha poʻo, mimi melemele ʻeleʻele a ʻeleʻele paha.
- Nā hōʻailona o ka gout : ʻEha nui, ʻulaʻula, mehana, a pehu paha i nā hono, ʻoiai ke hono o ka manamana wāwae nui.
- Ke kiʻekiʻe o ka waikawa i loko o ke kino:Paʻakikī ka hanu ʻana, nāwaliwali kūikawā, huikau, ʻeha poʻo, puʻuwai wikiwiki a ʻano ʻole paha, nausea, luaʻi.
- Kiʻekiʻe o ka pae potassium i loko o ke koko: Nāwaliwali o nā ʻiʻo, ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole.
- ʻEha puʻupaʻa: Hoʻemi ʻia ka nui o ka mimi, pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae.
- Ke koko haʻahaʻa: Manaʻo poniuniu, nāwaliwali, ʻike pōwehiwehi.
- Ka pae potassium haʻahaʻa i loko o ke koko: ʻeha a ʻeha paha nā ʻiʻo, nāwaliwali kūikawā, puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole, paʻa paʻa.
- ʻEha koke ka maka a i ʻole nā loli o ka ʻike: ʻike maka pōwehiwehi, ʻike ʻana i nā apo a puni nā kukui, a nalowale paha ka ʻike.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
- Ka loli ʻana i ka makemake a i ʻole ka hana moekolohe.
- Ka paʻa ʻana o ka ʻōpū.
- Ka maʻi pākī.
- ʻEha poʻo.
- ʻAʻohe ʻono o ka meaʻai.
- Ka luaʻi.
- Ka luaʻi ʻana.
- Manaʻo e like me ka ʻōpū ʻeha.
ʻAʻole i piha kēia papa inoa. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e ʻoluʻolu e nīnau i kāu kauka.
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
He mea nui nō hoʻi kēia. Inā ʻaʻole mālama pono ʻia ka lāʻau lapaʻau, e nalowale paha kona pono.
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku.
- E mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius / 68 a me 77 kekelē Fahrenheit).
- E pale mai ka mālamalama.
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā a hoʻolei aku.
ʻO ka mea hope loa, ʻo ka mea nui loa
ʻAe, ua kamaʻilio nui mākou e pili ana i ka lāʻau lapaʻau ʻAmiloride; Hydrochlorothiazide`, ʻeā? E hoʻomanaʻo, ua hāʻawi wale kēia ʻatikala iā ʻoe i kahi hōʻuluʻulu manaʻo o kēia lāʻau lapaʻau. ʻAʻole paha e uhi i nā kikoʻī āpau.
Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka, kauka lāʻau, a i ʻole kāu mea mālama ola kino.
E lawe i ka nui kūpono, i ka manawa kūpono, no ka nui kūpono o ka manawa, e like me ka ʻōlelo a ke kauka. He mea nui loa kou olakino iā ʻoe. No laila, mai poina e hahai i kēia mau kuhikuhi.
ʻAmiloride , hydrochlorothiazide, koko kiʻekiʻe, maʻi puʻuwai, diuretics, potassium, nā hopena ʻaoʻao











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