Ua haʻi aku anei ke kauka iā ʻoe a i ʻole kekahi o kou ʻohana e paʻi wikiwiki loa ana kou puʻuwai, wikiwiki loa, a i ʻole kūpono ʻole? Inā pēlā, ua lohe paha ʻoe i kahi lāʻau i kapa ʻia ʻo Amiodarone. He lāʻau ikaika ia, akā he mea nui loa. No laila, he mea nui e ʻike pono e pili ana i kēia lāʻau. E kamaʻilio maʻalahi kākou e pili ana.
I ka ʻōlelo maʻalahi, he aha ka Amiodarone?
He lāʻau lapaʻau ʻo Amiodarone i hoʻohana ʻia e mālama a pale aku i ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole (kahi ʻano i ʻike ʻia ma ke ʻano lapaʻau ʻo arrhythmia ). E noʻonoʻo e pili ana i ia mea, ua hoʻomalu ʻia ko mākou puʻuwai e kahi ʻōnaehana hōʻailona uila liʻiliʻi. I kekahi manawa, hiki i kēia ʻōnaehana hōʻailona ke lilo i mea hana nui, e hoʻoulu ai i ka puʻuwai e kuʻi kūpono ʻole. ʻO ia ka manawa e hoʻopilikia ʻia ai ke ʻano o ka puʻuwai.
Hana ka ʻinikini Amiodarone ma ke kāohi ʻana i kēlā mau hōʻailona uila makemake ʻole ʻia a me ka hoʻopaʻa ʻana i ke kani o ka puʻuwai. No kahi papa o nā lāʻau i kapa ʻia ʻo antiarrhythmics .
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini i loko o kahi aʻa. Hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā pololei ʻana a kahi hui lapaʻau i aʻo ʻia.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau
He ʻāpana koʻikoʻi loa kēia. Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, pono i ka hui lapaʻau ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o kēia mau mea, e hōʻoia e haʻi i kāu kauka me ka hūnā ʻole .
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Maʻi akemāmā: Inā he pilikia e pili ana i nā akemāmā.
- Nā pilikia puʻuwai ʻē aʻe: Inā he mau pilikia puʻuwai ʻē aʻe ma waho aʻe o kēia kūlana.
- Maʻi thyroid: Kekahi pilikia e pili ana i ka ʻōpū thyroid.
- Nā Allergies: Inā loaʻa iā ʻoe kahi hopena allergies i ka Amiodarone, iodine, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a inā pēlā, pehea e hāʻawi ai.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma lalo o ka nānā ʻana o ke kauka ma ka haukapila, no laila ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, e hoʻomaopopo koke i nā limahana lapaʻau. A i ʻole, he mea nui e kāhea i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
Nā lāʻau ʻē aʻe e hiki ke launa pū me Amiodarone
He lāʻau lapaʻau ʻo Amiodarone e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā lāʻau lapaʻau kuʻuna. Aia ma ka papa ma lalo nei kekahi o nā lāʻau lapaʻau maʻamau e hiki ke launa pū.
| Māhele lāʻau lapaʻau | Nā mea e makaʻala ai |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Amiodarone | |
| Nā lāʻau lapaʻau ʻē aʻe e kaohi ai i ka helu o ka puʻuwai | Nā Laʻana: Nā lāʻau lapaʻau e like me Sotalol, Dronedarone, Disopyramide. |
| ʻO kekahi mau antibiotics a me nā antifungals | Nā lāʻau lapaʻau e like me Erythromycin, Levofloxacin, Ketoconazole, Fluconazole. |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo | ʻO nā hui e like me Pimozide, Haloperidol, Tricyclic antidepressants. |
| Nā lāʻau lapaʻau a me nā mea ʻē aʻe e hiki ke launa pū me Amiodarone | |
| Nā lāʻau anticoagulant | Hiki ke loli ka pono o nā lāʻau lapaʻau e like me warfarin. |
| Nā lāʻau hoʻohaʻahaʻa kolesterol | Nā lāʻau 'Statin' e like me Simvastatin a me Atorvastatin. |
| Nā lāʻau lapaʻau koko kiʻekiʻe | Hiki ke hana i nā pilina me nā lāʻau lapaʻau koko he nui. |
| Wai ʻāpala | E hōʻalo i ka inu ʻana i ka wai huaʻai i ka wā e lawe ana i kēia lāʻau. |
| Nā huahana lāʻau lapaʻau | Nā huahana e like me ka St. John's Wort. |
Nā mea e pono ai ʻoe e makaʻala i ka wā e lawe ana i ka lāʻau lapaʻau
- Ka hiamoe a me ka poniuniu: Hiki iā ʻoe ke hiamoe a poniuniu paha. No laila , mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Ke hoʻololi ʻana i nā kūlana: Mai ala koke mai kahi noho a i ʻole e ala koke mai kahi moe. ʻO ka hana ʻana pēlā e hiki ai ke poniuniu a hāʻule paha ʻoe. E akahele loa i kēia, ʻoiai inā ʻelemakule ʻoe.
- Palekana i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou ʻili i mea ʻike nui i ka lā. No laila, e akahele e like me ka hiki i ka lā. Inā ʻoe e hele ana i waho, e ʻaʻahu i nā lole e uhi pono ana i kou kino a e hoʻohana i kahi sunscreen maikaʻi.
- Nā maka maloʻo: Hiki iā ʻoe ke loaʻa nā maka maloʻo. Inā ʻoe e kau i nā aniani hoʻopili, hiki iā ʻoe ke loaʻa i kahi ʻoluʻolu ʻole. ʻO ka hoʻohana ʻana i nā kulu maka lubricating e hāʻawi i ka hōʻoluʻolu. Inā hoʻomau ka pilikia, e haʻi i kāu kauka.
- ʻOki kino: Inā e hana ʻia ʻoe i ke ʻoki kino a i ʻole nā kaʻina hana lapaʻau ʻē aʻe, e hōʻoia e haʻi mua i ka hui lapaʻau e lawe ana ʻoe iā Amiodarone.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki iā Amiodarone ke hana i nā hopena ʻaoʻao. He liʻiliʻi kekahi, aʻo kekahi he koʻikoʻi loa. No laila he mea nui e makaʻala i kēia mau mea.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā hōʻailona |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka a i ʻole ka hui lapaʻau | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻIli hina-polū | Nā loli i ke kala o ka ʻili, ʻoi aku hoʻi ma nā wahi i hōʻike ʻia i ka lā. |
| Nā loli o ka ʻike | ʻIke pōwehiwehi, ʻike ʻana i nā apo a puni nā kukui, nalowale ka ʻike. |
| Nā hōʻailona o ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae a i ʻole nā lima, piʻi koke ke kaumaha, luhi nui. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a ʻano ʻē paha, poniuniu, ʻeha umauma, paʻakikī ke hanu. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka melemele o nā maka a i ʻole ka ʻili. |
| ʻEha o ka māmā | Paʻakikī ka hanu ʻana, ka ʻū, ka huʻa koko, ka ʻeha o ka umauma, ke kuni. |
| Nā hopena ʻaoʻao ʻaʻole pono ke mālama ʻia e ke kauka (akā pono e hōʻike ʻia inā hoʻomau lākou) | |
| Ka luaʻi | ʻO ka ʻeha o ka ʻōpū, me he mea lā e luaʻi ana. |
| Ka luaʻi ʻana | - |
Leka Lawe-Home
- He lāʻau ikaika ʻo Amiodarone i hoʻohana ʻia no ka mālama ʻana i nā puʻuwai puʻuwai kūpono ʻole. Hāʻawi wale ʻia ia ma kahi haukapila a ma lalo o ka nānā ʻana o ke kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā kūlana olakino āu e lawe nei (ʻoi aku ka pili o ke akepaʻa, ka māmā, a me ka thyroid).
- He mea nui loa e pale iā ʻoe iho mai ka lā i ka wā e lawe ana i kēia lāʻau lapaʻau a e pale i nā hana e pono ai ka nānā ʻana, no ka mea hiki ke hoʻohiamoe.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻē a koʻikoʻi paha, e like me ka ʻili polū, ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, a i ʻole nā loli koʻikoʻi o ka ʻike, mai hoʻonele i ka manawa a e ʻimi koke i ke aʻo lapaʻau a i ʻole e hoʻomaopopo i ka hui lapaʻau o ka haukapila.
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