ʻO ke koko kiʻekiʻe, a i ʻole e like me kā mākou e ʻike nei, "kaomi," he ʻano ia e ʻike nei ka poʻe he nui o ko kākou ʻāina i kēia manawa. Malia paha ke lawe nei ʻoe i ka lāʻau lapaʻau no kēia, a i ʻole kekahi o kou ʻohana e loaʻa ana kēia ʻano. Ke kuhikuhi ke kauka iā ʻoe i ka lāʻau lapaʻau no kou koko, nui nā ʻano o ia mau lāʻau. No laila i kēia lā e kamaʻilio mākou e pili ana i kekahi o nā papa lāʻau i hoʻohana nui ʻia a koʻikoʻi. ʻO ia nā ARB, a i ʻole Angiotensin II Receptor Blockers.
I ka ʻōlelo maʻalahi, he aha kēia ARB?
ʻO nā ARB (Angiotensin II Receptor Blockers) he papa lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana ʻaʻole wale i ke koko kiʻekiʻe, akā, i kekahi mau kūlana ʻē aʻe, e like me ka hāʻule ʻana o ka puʻuwai a me nā maʻi puʻupaʻa. Loaʻa lākou ma ke ʻano o nā pila, ʻo ia hoʻi ke lawe ʻia nei ma ka waha. ʻOiai paha he paʻakikī iki ka inoa, he maʻalahi loa kona manaʻo. E wehewehe kākou.
- He hormone i hana ʻia ʻo Angiotensin II i loko o ko kākou kino. ʻO kāna hana nui, ʻo ia ke hoʻopaʻa (hoʻopaʻa) i ko kākou mau kīʻaha koko .
- He wahi kikoʻī kahi mea hoʻokipa ma nā paia o nā kīʻaha koko kahi e hiki ai i kēia hormone ke hoʻopaʻa. Ua like ia me ka pahi o ke kī.
- ʻO ka mea pale he mea ia e ālai ai.
ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ke ālai i ka hormone (kī) mai ka hoʻopaʻa ʻana i ka mea loaʻa (pā) i loko o nā kīʻaha koko. A laila, ʻaʻole e paʻa nā kīʻaha koko, ua hāmama maikaʻi lākou, no laila hiki ke neʻe maʻalahi ke koko, a ua hoʻemi ʻia ke kaomi. E nānā kākou i kekahi o nā kūlana e kuhikuhi pinepine ai nā kauka i kēia ʻano lāʻau ARB ma lalo nei.
| Kūlana | Pehea e kōkua ai nā lāʻau lapaʻau ARB |
|---|
| Ke koko kiʻekiʻe | Hoʻonui ia i nā kīʻaha koko, e ʻae ana i ke koko e kahe maʻalahi. Hoʻemi kēia i ke kaomi i loko o nā kīʻaha koko. |
| Ka hāʻule ʻana o ka puʻuwai paʻa | Kōkua ia i ka hoʻemi ʻana i ka ukana hana ma ka puʻuwai a hoʻonui i ka pono o ka pamu ʻana i ke koko ma ke kino holoʻokoʻa. |
| Maʻi puʻupaʻa | Kōkua ia i ka kaohi ʻana i ka hōʻino ʻia ʻana o nā puʻupaʻa, ʻoiai ma muli o ka maʻi diabetes, a hoʻolohi i ka wikiwiki o ka hana ʻana o ia hōʻino. |
| Ka pale ʻana i ka hahau ʻana | Ma muli o ka laulā o nā kīʻaha koko, ua emi ka manawa kūpono o nā ʻūpā koko liʻiliʻi e ālai ana i nā kīʻaha koko e alakaʻi ana i ka lolo. |
| Ma hope o ka hāʻule ʻana o ka puʻuwai | Kōkua ia i ka hōʻemi ʻana i ka hōʻino ʻana i ka puʻuwai a pale i kahi hāʻule puʻuwai ʻē aʻe. |
He aha nā lāʻau ARB i kuhikuhi pinepine ʻia?
Aia kekahi mau ʻano lāʻau lapaʻau e pili ana i ka papa ARB. Aia kahi ala maʻalahi loa e ʻike ai iā lākou. ʻO ka inoa o kēia mau lāʻau lapaʻau e pau pinepine i ka
"-sartan." E nānā i ka pahu lāʻau lapaʻau a kāu kauka i hāʻawi ai iā ʻoe, aia paha he inoa e like me kēia. Hōʻike ka papa ma lalo nei i kekahi o nā ARB i hoʻohana pinepine ʻia.
| Inoa Laulā o ka Lāʻau Lapaʻau | He inoa inoa maʻamau (Laʻana Inoa Brand) |
|---|
| ʻO Losartan | ʻO Cozaar® (ke ʻano ARB i hoʻohana nui ʻia) |
| ʻO Valsartan | ʻO Diovan®, Prexxartan® |
| ʻIrbesartan | ʻAvapro® |
| ʻO Candesartan | ʻAtacand® |
| ʻOlmesartan | Benicar® |
| ʻO Telmisartan | ʻO Micardis® |
He mea nui: He mau laʻana wale nō nā inoa lama i helu ʻia ma ʻaneʻi. Ua kuhikuhi paha kāu kauka i kēia lāʻau lapaʻau ma lalo o kahi inoa lama ʻē aʻe. Mai hopohopo no kēlā.
ʻAe, e nānā kākou pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino.
I mea e hoʻomaopopo ai i kēia, e lawe kākou i kahi laʻana liʻiliʻi. E noʻonoʻo he paipu wai, he aha ka mea e hana ai inā ʻoe e ʻomi i waenakonu o ka paipu a paʻa iā ia? Piʻi ka kaomi wai i loko o ka paipu, ʻeā? Pēlā nō ko kākou mau kīʻaha koko. ʻO ka hormone 'Angiotensin II' i loko o ko kākou kino e hoʻopaʻa i ko kākou mau kīʻaha koko me he mea lā e ʻomi ana i ka paipu wai. Ke ʻūlū nā kīʻaha koko, emi iho ka hakahaka no ke kahe ʻana o ke koko ma o lākou. A laila pono ka puʻuwai e pamu i ke koko me
ka ikaika hou aku. ʻO kēia ka mea a mākou e kapa nei he koko kiʻekiʻe, a i ʻole ke kaomi. I mea e hana ai kēia hormone 'Angiotensin II' i kāna hana, pono ia e hoʻopili i kahi kikoʻī ma nā kīʻaha koko, ʻo ia hoʻi he "receptor". Hana nā lāʻau ARB i kahi mea maʻalahi loa.
Hele lākou a noho ma luna o kēlā receptor. A laila ʻaʻohe wahi e hoʻopili ai ka hormone 'Angiotensin II'. Me he mea lā ke hele ʻoe e noho ma luna o kahi noho a ke noho nei kekahi ma luna, ʻaʻole hiki iā ʻoe ke noho i lalo.
I ka ʻōlelo maʻalahi, ke ālai nei nā lāʻau lapaʻau ARB i ka hana o ka hormone e hoʻopaʻa ana i nā kīʻaha koko. ʻAe kēia i nā kīʻaha koko e wehe ākea a hoʻohaʻahaʻa i ke koko .
Aia kekahi mau hopena ʻaoʻao i kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i nā ARB ke hana i kekahi mau hopena ʻaoʻao liʻiliʻi. Eia nō naʻe, ʻaʻole ʻike ka hapa nui o ka poʻe i kekahi hopena ʻaoʻao. ʻO nā mea maʻamau e hiki ke hana ʻia penei:
ʻO ke kumu nui o ka poniuniu, ʻo ia ka lōʻihi o kou kino e hoʻomaʻamaʻa ai i ke koko haʻahaʻa. Nalo pinepine kēia ʻano i loko o kekahi mau lā.
Nānā kūikawā no nā puʻupaʻa:He mea kākaʻikahi loa, hiki i nā ARB ke hoʻopilikia i ke kahe koko i nā puʻupaʻa. He kiʻekiʻe loa kēia pilikia inā loaʻa iā ʻoe ka maʻi aʻa renal. Akā, mai hopohopo. Ma hope o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau,
e kauoha kāu kauka i kahi hoʻāʻo koko (hoʻāʻo Serum Creatinine) e nānā i kāu hana puʻupaʻa i kēlā me kēia manawa. No laila, he mea nui e hana i kēia mau hoʻāʻo e like me ka ʻōlelo a kāu kauka.
Pehea ka lōʻihi e pono ai iaʻu e lawe i kēia lāʻau lapaʻau?
He nīnau kēia a ka poʻe he nui e nīnau ai. ʻO ke koko kiʻekiʻe he maʻi ia no ke ola holoʻokoʻa. Inā ʻoe e hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau, e hoʻi hou paha kou koko i kona pae ma mua. No laila,
mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Pono paha ʻoe e lawe i kahi ARB a i ʻole nā lāʻau lapaʻau koko ʻē aʻe no ke koena o kou ola.
He aha ka ʻokoʻa ma waena o nā ACE inhibitors a me nā ARBs?
Ua lohe paha ʻoe i kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo ACE inhibitors. Hana kēia mau papa lāʻau lapaʻau ʻelua ma ka hōʻemi ʻana i nā hopena o ka angiotensin. Akā hana lākou ma nā ʻano ʻelua like ʻole.
- Nā mea hoʻopaʻa ACE : Hana kēia ma ka hōʻemi ʻana i ka hana ʻana o ka hormone 'Angiotensin II' e hoʻoulu ai i ka pilikia. Ua like ia me ka hōʻemi ʻana i ka hana ʻana o kahi hale hana e hana ai i nā kānaka nāna e hoʻoulu ai i ka pilikia.
- Nā ARB: ʻAʻole kēia e hoʻōki i ka hana ʻana o ka hormone 'Angiotensin II', akā e ālai i ka hiki o ka hormone ke hoʻopaʻa i nā kīʻaha koko.
ʻO kekahi o nā hopena ʻaoʻao nui a maʻamau o nā mea hoʻopaʻa ACE he
ʻū maloʻo mau a ʻeha hoʻi. Inā loaʻa iā ʻoe kēia ʻano ʻū i ka wā e lawe ana i kahi mea hoʻopaʻa ACE (e.g., Enalapril, Lisinopril), e hoʻōki paha kāu kauka i ka lāʻau lapaʻau a hoʻomaka iā ʻoe ma kahi ARB.
Pono anei iaʻu e makaʻala e pili ana i nā lāʻau lapaʻau a me nā meaʻai ʻē aʻe i ka wā e lawe ana i nā ARB?
ʻAe, ʻoiaʻiʻo nō. He mea nui loa e haʻi i kāu kauka inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā mea hoʻohui i ka wā e lawe ana i kāu lāʻau koko.
Nā lāʻau lapaʻau ʻē aʻe
Hiki i kekahi mau lāʻau lapaʻau kūʻai ʻole ʻia no ke anu, ke kuni, a me nā maʻi ʻaleka ke hoʻonui i kou koko. Eia kekahi, ʻo ka lawe ʻana
i nā lāʻau hōʻeha, ʻoiai nā NSAID (e like me ibuprofen, diclofenac, naproxen), hiki ke hōʻemi i ka pono o nā ARB a hōʻino i kou mau puʻupaʻa. No laila
e nīnau i kāu kauka ma mua o ka hoʻohana ʻana i kekahi mau lāʻau hōʻeha. E akahele loa e pili ana i ka potassium.
Hiki i nā lāʻau lapaʻau ARB ke hoʻonui i nā pae potassium i loko o ke koko. No laila,
- Mai lawe i nā mea hoʻopihapiha potassium me ka ʻole o ke aʻo a kāu kauka.
- Aia kekahi mau "mea pani paʻakai" i hoʻohana ʻia e ka poʻe ma ka papaʻai kaohi paʻakai i ka potassium chloride. E heluhelu pono i ka lepili ma mua o ka hoʻohana ʻana i kēia mau mea.
Inā piʻi ka nui o ka potassium i loko o ke koko, hiki iā ia ke hana i nā kūlana weliweli e like me ka puʻuwai kūpono ʻole.
Pehea lā ka waiʻona?
Inā inu ʻoe i ka waiʻona i nā manawa a pau a keu aku, hiki iā ia ke hoʻonui hou aku i kou koko. Eia kekahi, inā inu nui ʻoe i ka waiʻona i ka manawa hoʻokahi, hiki i kou koko ke hāʻule koke a hiki iā ʻoe ke māʻule. No laila, inā inu ʻoe i ka waiʻona, e hana ia me ka palena iki.
He palekana anei ka lawe ʻana i nā lāʻau lapaʻau ARB i ka wā hāpai?
ʻAʻole. ʻAʻole palekana iki. Hiki i nā lāʻau lapaʻau ARB a me ACE inhibitor ke hōʻeha nui i ka pēpē i hānau ʻole ʻia inā lawe ʻia i ka wā hāpai.
- Nā kīnā hānau
- Ka hāʻule ʻana o ka puʻupaʻa
- Nā pae potassium kiʻekiʻe
- Ke koko haʻahaʻa
- Hānau make
Hiki ke loaʻa kēia mau pilikia koʻikoʻi. Inā he koko kiʻekiʻe kou a hāpai ʻoe a i ʻole e hoʻolālā ana e loaʻa kahi pēpē,
e haʻi koke i kāu kauka. E kuhikuhi kāu kauka i kahi lāʻau lapaʻau ʻokoʻa i palekana no ʻoe a me kāu pēpē.
He ʻano 'pila wai' (Diuretics) anei nā ARB?
ʻAʻole. ʻAʻole nā ARB he diuretics, a i ʻole "nā pila wai" e like me kā mākou e kapa pinepine ai iā lākou. Kōkua nā pila wai i ke kino e hoʻopau i ka wai a me ka paʻakai keu i loko o ka mimi. Eia nō naʻe, i kekahi manawa e kuhikuhi nā kauka
i ka hui pū ʻana o kahi ARB a me kahi diuretic (pinepine he diuretic thiazide) i hoʻokahi pila . Inā ua kapa ʻia kāu lāʻau lapaʻau ʻo "Losartan H" a i ʻole "Valsartan HCT," ʻo ia hoʻi, aia i loko he ARB a me kahi diuretic. Nui nā ʻano lāʻau lapaʻau koko, no laila hiki ke paʻakikī ke ʻike i ka mea kūpono iā ʻoe. ʻO nā ARB ka papa mua o nā lāʻau lapaʻau a nā kauka e kuhikuhi ai, a hana maikaʻi lākou no ka hapa nui o ka poʻe. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia mau lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka.
Leka Lawe-Home
- He papa lāʻau koʻikoʻi nā ARB i hoʻohana ʻia no ka mālama ʻana i nā kūlana e like me ke koko kiʻekiʻe, nā maʻi puʻuwai, a me nā maʻi puʻupaʻa.
- Hana kēia mau hana ma ke ālai ʻana i ka hana o kahi hormone e hoʻopaʻa ai i nā kīʻaha koko a mālama i nā kīʻaha koko i ka laulā.
- Mai ho'ōki i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.Inā ʻoe e hana pēlā, hiki i kou koko ke piʻi hou me ka weliweli.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā lāʻau ʻeha (NSAID).
- ʻAʻole kūpono ke lawe i kēia lāʻau lapaʻau i ka wā hāpai a inā paha ʻoe e hāpai ana i kahi pēpē. E nīnau koke aku i kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao a i ʻole he mau hopohopo paha e pili ana i ka lāʻau lapaʻau, e kamaʻilio me kāu kauka.
ARB ma ka sinhala, Angiotensin II Receptor Blockers, Kiʻekiʻe ke koko, Lāʻau lapaʻau no ke kaomi ʻana, Losartan, Valsartan, Hoʻouka puʻuwai
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