Loaʻa iā ʻoe ke koko kiʻekiʻe, ʻo ia hoʻi, ke koko kiʻekiʻe? I kēlā mau manawa, kuhikuhi mai nā kauka iā mākou i nā ʻano lāʻau like ʻole, ʻeā? I kekahi manawa, ke paʻakikī ke kāohi i ke kaomi me hoʻokahi lāʻau wale nō, pono e hāʻawi ʻia ka hui pū ʻana o kekahi mau lāʻau. I kēia lā, e kamaʻilio mākou e pili ana i ka hui pū ʻana o ʻekolu mau lāʻau. Loaʻa i loko o kēia ʻo Amlodipine, Valsartan, a me Hydrochlorothiazide , i kapa ʻia ʻo HCTZ i kekahi manawa.
He aha kēia lāʻau lapaʻau? I ka pōkole...
ʻAe, e nānā kākou i ka mea e hana ʻia me ka hui pū ʻana o kēia mau lāʻau ʻekolu. I ka ʻōlelo maʻalahi, he lāʻau kēia no ke koko kiʻekiʻe , ʻo ia hoʻi, he lāʻau e kāohi ana i kou kaomi. Ua ʻōlelo ʻia he ʻekolu ʻano lāʻau no kēia. ʻO lākou:
1. ʻAmlodipine: No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo calcium channel blockers . Hana ia ma ka hoʻonui ʻana i kou mau kīʻaha koko a me ke kōkua ʻana i ke kahe ʻana o ke koko me ka maʻalahi. ʻAe kēia i ka puʻuwai e pamu i ke koko me ka maʻalahi, kahi e hoʻohaʻahaʻa ai i ke koko.
2. Valsartan: He lāʻau lapaʻau kēia no ka papa Angiotensin II Receptor Blocker . Hana pū kēia ma ka hoʻōki ʻana i ka ʻūlū ʻana o nā kīʻaha koko, e hoʻomaha ana iā lākou a e hoʻohaʻahaʻa ana i ke koko.
3. Hydrochlorothiazide (HCTZ): He diuretic kēia, ʻo ia hoʻi, hana ia ma ka wehe ʻana i ka wai keu a me ka paʻakai mai ke kino ma o ka mimi, a laila e hoʻohaʻahaʻa ana i ke koko.
ʻO Exforge HCT kahi inoa kaulana no kēia hui pū ʻana o nā lāʻau lapaʻau. Eia nō naʻe, ua kuhikuhi paha kāu kauka i kēia lāʻau lapaʻau no kekahi kumu ʻē aʻe. No laila, inā he mau nīnau kāu, e nīnau i kāu kauka a kauka lāʻau paha.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e hoʻohana i kēia lāʻau lapaʻau, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. No ka mea, e kōkua kēlā ʻike iā lākou e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a me ka nui e hāʻawi iā ʻoe.
Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e ʻōlelo pono i kāu kauka :
- Ua emi ka hoʻopuka ʻana o ka mimi .
- Inā loaʻa iā ʻoe ka maʻi diabetes (Diabetes Mellitus) .
- Inā loaʻa iā ʻoe ka hāʻule ʻana o ka puʻuwai, ua loaʻa koke iā ʻoe kahi hāʻule puʻuwai, a i ʻole nā maʻi puʻuwai ʻē aʻe .
- Inā ʻoe e ʻai ana i kahi papaʻai kūikawā , no ka laʻana , he papaʻai paʻakai haʻahaʻa .
- Inā he mau pilikia kou i ka ʻōnaehana pale ʻana , no ka laʻana , lupus .
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe kahi hopena maʻi ʻē aʻe i ka amlodipine, valsartan, hydrochlorothiazide, nā lāʻau sulfa, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā dyes artificial, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai , he mea nui loa kēia!
- Inā ʻoe e hānai waiū ana .
Ma ka haʻi ʻana aku i kēia mau mea i kāu kauka, hiki iā ʻoe ke hōʻemi i nā hopohopo pono ʻole he nui.
Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?
ʻAe, e nānā kākou pehea e lawe ai i kēia lāʻau lapaʻau.
- Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha .
- E lawe i kāu lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa like i kēlā me kēia lā . E hahai pono i nā kuhikuhi ma ka lepili kauoha.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a me ka ʻole o ka meaʻai . Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E hoʻomau i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki koke.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea a loaʻa i nā ʻōlelo aʻoaʻo kūikawā.
ʻO ka mea nui loa: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia . ʻAʻole kēia he pāʻani.
ʻO kekahi mea ʻē aʻe: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i kēia lāʻau lapaʻau i kou mau hoaaloha a ʻohana paha, ʻoiai inā loaʻa iā lākou nā pilikia like me ʻoe. He ʻokoʻa ka lāʻau lapaʻau kūpono no kēlā me kēia kanaka.
He aha kāu e hana ai inā e hala ʻoe i kāu manawa hoʻopaʻa lāʻau lapaʻau?
ʻAuē, ua poina anei iā ʻoe ke lawe i kāu lāʻau lapaʻau? Inā pēlā, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe . Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala ʻole a lawe i ka mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mahele lāʻau i ka manawa hoʻokahi (Mai lawe pālua a keu paha).
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Hiki i kekahi mau lāʻau lapaʻau, meaʻai, a i ʻole nā mea ʻē aʻe āu e lawe ai ke "hui pū" me kēia lāʻau. ʻO ia hoʻi, hiki iā lākou ke hoʻopilikia i ka maikaʻi o kāna hana, a hiki ke hoʻonui i nā hopena ʻaoʻao. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Eia kekahi mau mea e hiki ai i kēia lāʻau lapaʻau ke launa pū me:
- ʻAila
- ʻO nā Barbiturates, kahi ʻano sedative, e like me ka phenobarbital
- ʻO Carbamazepine (kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i kekahi ʻano maʻi epilepsy)
- ʻO Cidofovir (he lāʻau lapaʻau no nā maʻi viral)
- ʻO nā diuretics ʻē aʻe, e like me triamterene, spironolactone, a amiloride paha
- ʻO Dofetilide (he lāʻau lapaʻau no nā maʻi puʻuwai)
- Lithium ( kahi lāʻau lapaʻau no ka maʻi noʻonoʻo)
- Nā lāʻau lapaʻau ʻē aʻe no ke koko
- Nā lāʻau lapaʻau no ka maʻi diabetes
- Nā NSAID , nā lāʻau ʻeha a me nā lāʻau anti-inflammatory, e like me ibuprofen a i ʻole naproxen
- Nā paʻakai potassium a i ʻole nā mea hoʻohui potassium
- Nā lāʻau ʻeha i kuhikuhi ʻia
- Nā lāʻau hoʻomaha ʻiʻo iwi , no ka laʻana , ʻo Tubocurarine
- ʻO kekahi mau lāʻau hoʻohaʻahaʻa cholesterol , no ka laʻana , cholestyramine a i ʻole colestipol
- Nā lāʻau steroid , e like me Prednisolone a i ʻole Cortisone
- ʻO Tranylcypromine (he lāʻau lapaʻau no ke kaumaha)
ʻAʻole paha e komo nā mea āpau i kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (kauoha, kūʻai ʻole ʻia, lāʻau lapaʻau, huaora, a i ʻole nā mea hoʻohui meaʻai), a me ka puhipaka ʻana, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau.
Nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau
I mea e hōʻoia ai i kou palekana a loaʻa ka mea nui loa mai ka lāʻau lapaʻau i ka wā e lawe ana i kēia lāʻau lapaʻau, aia kekahi mau mea āu e makaʻala ai.
- E ʻike pinepine i kāu kauka: E hele i ke keʻena lapaʻau me kāu kauka i nā lā i hoʻonohonoho ʻia e nānā i kou holomua. E nānā pinepine i kou koko . E nīnau i ke ʻano o kou koko a me ka manawa hea e kamaʻilio ai ʻoe me kāu kauka .
- E inu i ka wai he nui a pale i ka maloʻo ʻana o ka wai: E nīnau i kāu kauka i ka nui o ka wai āu e inu ai i kēlā me kēia lā. E kamaʻilio me kāu kauka inā loaʻa iā ʻoe ka maʻi diarrhea nui, ka nausea, ka luaʻi ʻana, a i ʻole ka hou nui ʻana . Hiki ke lilo i mea weliweli ke lawe ʻana i kēia lāʻau lapaʻau inā maloʻo loa ʻoe.
- Nā wahine hāpai a me ka poʻe e hoʻāʻo nei e hāpai: Inā hāpai ʻoe a manaʻo paha ʻoe e hāpai ana, e haʻi koke i kāu kauka . Hiki i kēia lāʻau lapaʻau ke loaʻa nā hopena koʻikoʻi i kāu pēpē i hānau ʻole ʻia.Hiki iā ʻoe. E nīnau i kāu kauka a mea kūʻai lāʻau paha no ka ʻike hou aku e pili ana i kēia.
- Hiamoe a poniuniu paha: Hiki iā ʻoe ke hiamoe a poniuniu paha i ka wā e lawe ai i kēia lāʻau. 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 ʻana i ke ʻano o ka hopena o kēia lāʻau iā ʻoe. Mai kū koke a noho paha i luna, ʻoiai inā he ʻelemakule ʻoe . E hōʻemi kēia i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
- ʻAila: Hiki i ka ʻaila ke hoʻopilikia i ka hana o kēia lāʻau lapaʻau. No laila, e pale i ka inu ʻana i ka ʻaila .
- Nā pae kō koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou 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.
- Nā pani paʻakai: Mai hoʻohana i nā pani paʻakai ke ʻole i kuhikuhi ʻia e ke kauka a mea mālama ola paha.
- Ka pilikia o ka maʻi ʻili: E kamaʻilio me kāu kauka e pili ana i kou pilikia o ka maʻi ʻili. Hiki ke hoʻonui iki ʻia kēia pilikia i ka wā e lawe ana i kēia lāʻau.
- ʻIke i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou ʻili 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 pale, nā aniani maka, a me ka sunscreen . Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning/booths.
- Lāʻau kuni, anu, a ʻeha paha: E nīnau i kāu kauka a kauka lāʻau paha ma mua o ka lawe ʻana i kekahi lāʻau kuni, anu, a ʻeha paha ʻē aʻe i kou wā e lawe ana i kēia lāʻau. Hiki i kekahi mau lāʻau ke hoʻonui i kou koko.
- ʻOki kino a i ʻole Dialysis: Inā e hana ʻia ʻoe i ke ʻoki kino a i ʻole dialysis , e haʻi i kāu kauka e lawe ana ʻoe i kēia 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. He koʻikoʻi kekahi a pono e hōʻike koke aku i kāu kauka . ʻAʻole koʻikoʻi kekahi, akā inā hoʻomau lākou a lilo i mea hoʻopilikia, pono ʻoe e haʻi i kāu kauka .
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka :
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka:
- Nā hopena maʻi - ka ʻili ʻana o ka ʻili, ka ʻeha a i ʻole ka hives, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo
- Nā pilikia hanu
- Nā loli i ka ʻike
- ʻEha umauma
- Ka huikau
- Mimi ʻeleʻele
- ʻEha maka
- Puʻuwai wikiwiki a kūpono ʻole
- Manaʻo nāwaliwali a poʻo māmā paha, hāʻule
- Ke koko haʻahaʻa (dizziness, lightheadedness)
- ʻEhaʻeha o nā ʻiʻo
- ʻO ka ʻulaʻula, ka pehu ʻana, ka ʻili ʻana a i ʻole ka wehe ʻana o ka ʻili, me loko o ka waha - hiki nō hoʻi ke hana i loko o ka waha.
- Nā hōʻailona a me nā ʻōuli o ke kō koko kiʻekiʻe - ke manaʻo nei i ka makewai a i ʻole ka pōloli ma mua o ka maʻamau, pono e mimi pinepine. Hiki paha iā ʻoe ke manaʻo i ka luhi loa a i ʻole ka ʻike pohihihi.
- ʻEha ʻōpū
- Ka pehu ʻana o nā lima, nā kuʻekuʻe wāwae, a i ʻole nā wāwae
- Ka pilikia me ka mimi a i ʻole ka loli ʻana o ka nui o ka mimi
- Hoʻonui ʻia ka ʻeha gout
- Melemele o nā maka a i ʻole ka ʻili (Jaundice)
Nā hopena ʻaoʻao ʻaʻole pono ʻoe e haʻi i kāu kauka (akā inā hoʻomau lākou a hoʻopilikia, e haʻi iā lākou):
E nalo pinepine kēia mau mea i loko o kekahi mau lā. Akā inā hoʻomau lākou, a inā hoʻopilikia nui lākou iā ʻoe, e haʻi i kāu kauka :
- Ka loli ʻana o ka makemake moe kolohe a i ʻole ka hana
- ʻŪhū ( i kekahi manawa hiki ke loaʻa ka ʻūhū maloʻo)
- Ka maʻi pākī
- ʻO ka ʻulaʻula o ka maka, ka ʻili (me ka manaʻo o ka mehana)
- ʻEha poʻo
- Ka luaʻi, ka luaʻi
- Kinoea ʻōpū, ʻeha
- Ka nāwaliwali a luhi paha
ʻAʻole hiki ke loaʻa nā hopena ʻaoʻao āpau i helu ʻia ma kēia papa inoa. Inā loaʻa iā ʻoe kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio pū me kāu kauka e pili ana i kēlā.
Ma hea kahi e mālama ai i kēia lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kāu lāʻau lapaʻau.
- E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona. He mea nui loa kēia!
- E mālama ma ka mahana o ka lumi , ʻo ia hoʻi, ma waena o 20 a me 25 kekelē Celsius (68 a me 77 Fahrenheit).
- E pale iā ia mai ka makū. ʻO ia hoʻi, mai waiho i loko o nā wahi pulu e like me ka lua.
- E pani paʻa i ka ʻōmole/ʻeke lāʻau lapaʻau.
- E hoʻolei i ka lāʻau lapaʻau i pau ka manawa. Mai hoʻohana.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
Lana ko mākou manaʻo he mea pono iā ʻoe ka mea a mākou i kūkākūkā ai. ʻO kēia hui pū ʻana o nā lāʻau lapaʻau , ʻo Amlodipine, Valsartan, a me Hydrochlorothiazide (HCTZ), e kōkua i ka kaohi ʻana i ke koko kiʻekiʻe.
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a kāu kauka i ka wā e hoʻohana ai i kēia lāʻau lapaʻau, e haʻi aku i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao.
He hōʻuluʻulu manaʻo wale nō kēia ʻatikala. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe. He mea nui kou olakino!
ʻAmlodipine , Valsartan, Hydrochlorothiazide, HCTZ, Ke koko kiʻekiʻe, Lāʻau lapaʻau koko, Exforge HCT
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