E noʻonoʻo ʻoe aia kekahi mea kokoke iā ʻoe i loko o ka ʻāpana mālama koʻikoʻi (ICU) ma muli o kahi ulia, ʻoki kino nui, a i ʻole ka maʻi koʻikoʻi. I kekahi manawa, hiki i ke koko ke hāʻule haʻahaʻa loa i kēia mau kūlana. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau kūikawā a ikaika hoʻi a nā kauka e hoʻohana ai i ia ʻano kaua e hoʻopakele ai i ke ola. ʻO ia ʻo Angiotensin II.
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He aha maoli ka Angiotensin II?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia e hoʻoemi ai i nā kīʻaha koko i loko o ko kākou kino, a i ʻole e hoʻopākīkī. I ka lāʻau lapaʻau, kapa mākou i kēia he 'vasoconstrictor'. E noʻonoʻo i ka wā e ʻomi iki ai ʻoe i kahi paipu wai, e piʻi aʻe ke kaomi o ka wai e kahe ana ma loko, ʻeā? Pēlā nō, i ka wā e ʻemi ai nā kīʻaha koko, e piʻi aʻe ke kaomi o ke koko e kahe ana i loko o lākou, ʻo ia hoʻi, ke kaomi koko .
Hoʻohana pinepine ʻia ia i loko o kahi haukapila, ʻoi aku hoʻi i loko o kahi keʻena mālama koʻikoʻi (ICU), i ka wā i hāʻule ai ke koko i kahi pae e hoʻoweliweli ai i ke ola a ʻaʻole hiki ke kāohi ʻia me nā lāʻau lapaʻau ʻē aʻe. ʻO GIAPREZA ka inoa inoa no kēia.
He aha nā mea e pono ai ke kauka ke ʻike ma mua o ka hāʻawi ʻana i kēia lāʻau?
ʻOiai he lāʻau lapaʻau kēia i hāʻawi ʻia ma kahi haukapila ma lalo o ka nānā ʻana a kahi hui lapaʻau, he mea nui loa ia e kūkākūkā i ka mōʻaukala olakino piha o ka mea maʻi me ke kauka. Ma ke ʻano kūikawā, pono e hoʻomaopopo ʻia lākou e pili ana i kēia mau mea:
- Nā maʻi ʻaleka: Inā loaʻa iā ʻoe kahi hopena maʻi ʻaleka i kēia lāʻau lapaʻau (Angiotensin II) a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha, pono ʻoe e haʻi i kāu kauka.
- Hāpai: He mea nui e hoʻomaopopo i ke kauka inā hāpai ka mea maʻi, a ke ho'āʻo nei paha e hāpai.
- Inā he makuahine hānai: Inā he makuahine hānai ka mea maʻi, e hoʻomaopopo i ke kauka.
ʻO ka hāʻawi ʻana i kēia ʻike e kōkua nui i ka hui lapaʻau e hāʻawi i ka lāʻau palekana a maikaʻi loa no ka mea maʻi.
Pehea e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he pila āu e ale ai a i ʻole he inikini āu e hoʻokomo ai i loko o kou ʻili. He lāʻau lapaʻau kēia e hāʻawi mau ʻia, e like me ka saline, i loko o kahi aa. Kāhea mākou ia he infusion i loko o kahi aa. Hāʻawi ʻia kēia e kahi loea mālama ola i aʻo ʻia ma kahi haukapila. E nānā lākou i nā mea e like me ke koko o ka mea maʻi a me ka helu o ka puʻuwai a e kāohi pono i ka nui o ka lāʻau.
Ke hoʻohana nei ʻoe i kēia no nā keiki?
Pono e akahele nui i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki ʻōpio. Pono e hana ʻia kēia mau hoʻoholo ma ke ʻōlelo aʻo a ke kauka pediatric.
He aha inā piʻi ka nui (overdose)?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ma lalo o ka nānā ʻana o ke kauka, ʻaʻohe pono e hopohopo e pili ana i ka 'overdose'. Ke nānā mau nei ka hui lapaʻau i ka mea maʻi. Inā he kānalua no ka overdose o kahi lāʻau lapaʻau, loaʻa i ka haukapila nā pono e hana i nā hana e pono ai. I ka wā o kahi pilikia, pono e hoʻomaopopo koke ʻia ka Emergency Treatment Unit (ETU) o ka haukapila. Eia kekahi, no kekahi ʻike e pili ana i ka lāʻau make, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo .
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Ke hoʻohana pū ʻia kekahi mau lāʻau lapaʻau, hiki iā lākou ke hoʻopilikia i ka hana ʻana o kekahi i kekahi. Kāhea mākou i kēia he 'lāʻau lapaʻau'. Hiki iā Angiotensin II ke launa pū me nā lāʻau lapaʻau ʻē aʻe, ʻoiai kekahi mau lāʻau lapaʻau no ke koko koko a i ʻole ka maʻi puʻuwai. Eia kekahi laʻana:
- Nā lāʻau lapaʻau i loko o ka hui i kapa ʻia ʻo ACE inhibitors: 'benazepril', 'candesartan', 'enalapril', 'lisinopril', 'ramipril'
- Nā ARB: irbesartan, losartan, valsartan
ʻAʻole kēia papa inoa piha. No laila, he mea nui e hāʻawi i ke kauka i kahi papa inoa piha o nā lāʻau lapaʻau a pau a ka mea maʻi e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka kūʻai, nā lāʻau lapaʻau kuʻuna, nā huaora, nā mea hoʻohui meaʻai). Eia kekahi, e hoʻomaopopo iā lākou e pili ana i ka puhipaka a me ka hoʻohana ʻana i ka waiʻona.
Nā hopena ʻaoʻao koʻikoʻi e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
E nānā pono ke kime lapaʻau i ka mea maʻi i ka wā e hāʻawi ana i kēia lāʻau. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e hōʻike koke iā lākou i kāu kauka a kahu maʻi paha. He mau hōʻailona paha kēia o nā hopena ʻaoʻao koʻikoʻi.
| Ka hopena ʻaoʻao/hōʻailona | Nā mea e makaʻala ai |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo a hives paha, pehu o ka maka, lehelehe a i ʻole ke alelo. |
| Nā Hōʻailona o ke Koko Paʻa | Paʻakikī ka hanu ʻana; loli ka ʻike; ʻeha umauma; ʻeha poʻo koke a koʻikoʻi; ʻeha wāwae, pehu, mehana; paʻakikī ke ʻōlelo ʻana; mae koke a nāwaliwali paha o ka maka, ka lima, a i ʻole ka wāwae. |
| Ke kō koko kiʻekiʻe | Pōniuniu ; waha maloʻo; ʻili maloʻo; ʻala hanu hua; luaʻi; ʻeha ʻōpū; pōloli nui a makewai paha; mimi pinepine. |
| Hoʻonui ʻia ka ʻakika i ke kino | Hanu wikiwiki; puʻuwai wikiwiki; ʻeha poʻo; huikau; manaʻo nāwaliwali a luhi paha; nausea, luaʻi. |
| Ke kahe koko ʻano ʻē | Nā palapū e ʻike ʻia ana ma nā wahi a pau o ke kino me ke kumu ʻole a i ʻole ke kahe ʻana o ke koko ʻaʻole e pau mai kahi ʻeha liʻiliʻi. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia, e kamaʻilio me kāu kauka.
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- He lāʻau ikaika loa ʻo Angiotensin II i hāʻawi wale ʻia ma ka haukapila e hoʻokiʻekiʻe i ke koko ke haʻahaʻa loa ia e hoʻoweliweli ai i ke ola.
- ʻO kēia ke kumu o ka ololi ʻana o nā kīʻaha koko a me ke piʻi ʻana o ke koko.
- He mea nui e hoʻomaopopo i ke kauka e pili ana i nā maʻi allergies āpau, ka hāpai ʻana, a me nā lāʻau lapaʻau ʻē aʻe a ka mea maʻi e lawe nei.
- He lāʻau lapaʻau kēia i hāʻawi ʻia ma o kahi aa koko, ma lalo o ka mākaʻikaʻi pono ʻana a kahi hui lapaʻau.
- He mea nui e makaʻala i nā hōʻailona o nā hopena ʻino koʻikoʻi, e like me ke koko ʻana a me nā maʻi ʻaleka, a e hoʻomaopopo koke i nā limahana lapaʻau inā ʻike ʻoe i kekahi mea e like me kēia.
- No ka mea he lāʻau lapaʻau kūikawā kēia, ʻaʻole ʻae ʻia ʻoe e hoʻohana a mālama paha ma ka home.
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