He ʻōkana ko kākou puʻuwai e hana ana i kahi mele kupaianaha, ʻeā? Akā i kekahi manawa, hele hewa kēia mele. Piʻi koke ka wikiwiki o ka puʻuwai, a lilo paha i mea ʻē. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano he arrhythmia. Inā loaʻa iā ʻoe kēia ʻano, ua kuhikuhi paha kāu kauka i kahi lāʻau i kapa ʻia ʻo Amiodarone. He lāʻau lapaʻau koʻikoʻi loa kēia. No laila, e kamaʻilio kākou e pili ana i kēia lāʻau i kēia lā a e ʻike pono i nā mea āu e pono ai e makaʻala i ka wā e hoʻohana ana.
I ka ʻōlelo maʻalahi, he aha ka Amiodarone?
He lāʻau lapaʻau ʻo Amiodarone i hoʻohana ʻia no ka pale ʻana a me ka kaohi ʻana i nā puʻuwai puʻuwai kūpono ʻole (arrhythmias). I ka pololei, no kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo "antiarrhythmics". Hoʻomalu ʻia ka hana o ko kākou puʻuwai e kahi ʻōnaehana hōʻailona uila palupalu. I kekahi manawa lilo ka hana o kēia ʻōnaehana hōʻailona i mea ikaika loa. ʻO ia ka manawa e lilo ai ka puʻuwai puʻuwai i mea ʻino. Hana ʻo Amiodarone ma ka kaohi ʻana i kēlā mau hōʻailona uila ikaika loa a me ka hoʻopaʻa ʻana i ka rhythm o ka puʻuwai. Ma kēia ʻano, kōkua kēia lāʻau lapaʻau i ka hoʻihoʻi ʻana i ka hana o ka puʻuwai i ka maʻamau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He lāʻau ikaika loa ʻo Amiodarone. No laila, he mea nui e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino ma mua o ka hoʻomaka ʻana. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi iā lākou e pili ana i ia mea.
| Kūlana olakino a ʻoiaʻiʻo paha | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi akepaʻa | Hiki i ka Amiodarone ke hoʻopilikia i ke akepaʻa, no laila he mea nui e makaʻala i kekahi maʻi akepaʻa i hala. |
| Maʻi puʻupaʻa | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā māmā i kekahi poʻe, no laila e haʻi iā lākou inā loaʻa iā ʻoe kahi maʻi e like me ka hānō. |
| Nā pilikia puʻuwai ʻē aʻe | He mea nui i ke kauka ke makaʻala i nā maʻi puʻuwai ʻē aʻe i ka wā e hoʻolālā ai i ka mālama ʻana. |
| Maʻi thyroid | Ma muli o ka iodine i loko o ka amiodarone, hiki iā ia ke hoʻopilikia i ka hana o ka thyroid gland. |
| Nā maʻi ʻaleka | E hōʻoia e haʻi mai iā mākou inā he mau maʻi ʻaleka kou i ka amiodarone, iodine, a i ʻole kekahi lāʻau lapaʻau a meaʻai paha ʻē aʻe. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Hiki ke hoʻoweliweli ka lawe ʻana i kēia lāʻau lapaʻau i ka wā hāpai, no laila pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea. |
| Inā hānai waiū ka makuahine i kāna keiki | Hiki i kēia lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma, no laila e hoʻomaopopo i kāu kauka e pili ana i kēlā. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
E like me ka ʻōlelo a ke kauka, he mea nui loa ia e lawe i ka lāʻau lapaʻau i ka manawa kūpono.
- E lawe i kēia pila me ke aniani wai .
- E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. E kōkua kēia i ka mālama ʻana i ka hana o ka lāʻau lapaʻau ma ka pae like.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a me ka ʻole. Akā ʻo ka mea nui loa, ʻo ia ke lawe ʻana iā ia ma ke ʻano like i kēlā me kēia lā. Inā ʻoe e lawe me ka meaʻai, e lawe pū me ka meaʻai i kēlā me kēia lā. Inā ʻoe e lawe ma mua o ka meaʻai, e lawe ma mua o ka meaʻai i kēlā me kēia lā.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ke aʻo ʻole ʻia e kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui hou ai i ka maʻi o kou puʻuwai.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau no kekahi kumu.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka keʻena ulia pōpilikia o ka haukapila kokoke loa (ETU) .E hele. A i ʻole e kelepona i ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui ʻo Colombo . Mai lawe māmā i kēia.
Nā mea e hiki ke launa pū me Amiodarone
Hiki i ka Amiodarone ke launa pū me nā lāʻau lapaʻau ʻē aʻe, kekahi mau meaʻai, a me nā huahana lāʻau, no laila he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
Ke hele ʻoe e ʻike i kāu kauka, e hana i kahi papa inoa o nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e nā kauka ʻē aʻe, nā huaora, nā huahana lāʻau lapaʻau, nā lāʻau hoʻomaha ʻeha). He kōkua nui kēia i ke kauka.
E makaʻala loa i kēia mau mea:
- ʻO kekahi mau ʻano antibiotic
- Nā lāʻau lapaʻau antifungal
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e hoʻohaʻahaʻa i ka cholesterol (e.g. Atorvastatin, Simvastatin)
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin)
- Nā lāʻau lapaʻau no ke koko kiʻekiʻe a me nā maʻi puʻuwai ʻē aʻe
- Nā lāʻau lapaʻau no nā maʻi e like me ka HIV a me ka Hepatitis C
- E hōʻalo i ka inu ʻana i ka wai huaʻai, no ka mea hiki ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau.
- Inā ʻoe e hoʻohana ana i nā huahana lāʻau lapaʻau e like me St. John's Wort , e haʻi mai iā mākou e pili ana i kēlā.
ʻAʻole i piha kēia papa inoa, no laila e kamaʻilio me kāu kauka e pili ana i nā mea āu e lawe ai.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā lapaʻau maʻamau: Ke hoʻomaka ʻoe e lawe i kēia lāʻau lapaʻau, ʻoiai i nā wā mua, hiki ke mālama ʻia ʻoe i ka haukapila no ka nānā ʻana. He mea nui e hele i ke keʻena lapaʻau no nā nānā ʻana i nā lā a kāu kauka e haʻi aku ai iā ʻoe i ka wā holoʻokoʻa o ka lawe ʻana i ka lāʻau lapaʻau.
- Ke hoʻokele a me ka hoʻohana ʻana i nā mīkini: Hiki i kēia lāʻau lapaʻau ke hoʻomālielie iā ʻoe a hiamoe paha. No laila, e pale i ka hoʻokele a i ʻole ka hoʻohana ʻana i nā mīkini weliweli a hiki i ka wā e hoʻomaʻamaʻa ai kou kino i ka lāʻau lapaʻau.
- Palekana i ka lā: Hiki i kou ʻili ke maʻalahi loa i ka lā i ka wā e lawe ana iā Amiodarone. No laila, e ʻaʻahu i nā lole lima lōʻihi, kahi pale lā maikaʻi, a me ka pāpale i ka wā e hele ai i waho i ka lā. ʻAʻole ʻōlelo ʻia ka ʻauʻau lā ʻana.
- Nā hoʻokolohua maka: He mea nui e nānā mau ʻia kou mau maka i ka wā e lawe ana i kēia lāʻau. E haʻi koke aku i kāu kauka inā ʻike ʻoe i ka ʻike pōwehiwehi, nā halo e like me ke ānuenue i ka mālamalama, a i ʻole ka ʻike i ka mālamalama.
- ʻOki kino: Inā e hana ʻia kekahi ʻoki kino, e hoʻomaopopo mua i ka hui lapaʻau kūpono e lawe ana ʻoe iā Amiodarone.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Amiodarone ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. He mea nui e makaʻala i nā hōʻailona ma lalo nei.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hopena ma nā māmā | Paʻakikī ka hanu ʻana, ʻeha ka umauma, ʻūhū ʻeha, huʻa koko, kuni. |
| Nā hopena ma ke akepaʻa | ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, a me ka mimi ʻeleʻele. |
| Nā loli i ka hana a ka puʻuwai | Ka puʻuwai wikiwiki a lohi paha, ʻeha ka umauma, poniuniu, a nāwaliwali hoʻi. |
| Nā hopena o ka ʻōpū thyroid | (Hyperthyroidism): Ka emi ʻana o ke kaumaha, ka hou nui ʻana, ka haʻalulu, ka hoʻomaha ʻole. (Hypothyroidism): Luhi nui, hiki ʻole ke hoʻomanawanui i ke anu, piʻi ke kaumaha, paʻa ka ʻōpū, ʻili maloʻo. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā loli o ka ʻike, ʻili polū-hina, mae a ʻeha paha nā lālā, paʻakikī ke hele. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka luaʻi a me ka luaʻi | Hiki ke hana ʻia kēia mau mea i ka wā mua o ka lāʻau lapaʻau. |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā loaʻa iā ʻoe kekahi mea ʻē, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Amiodarone e kaohi ana i ka puʻuwai. Mai hoʻōki i ka lawe ʻana me ke aʻo ʻole a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā huaora ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, a i ʻole ka melemele o ka ʻili , e ʻimi koke i ke kōkua lapaʻau.
- E makaʻala loa e pale iā ʻoe iho mai ka lā i ka wā e lawe ana i kēia lāʻau.
- Mai hōʻole i nā manawa a me nā hoʻokolohua a kāu kauka. No kou olakino a me kou palekana ia.











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