Loaʻa iā ʻoe ke koko kiʻekiʻe, a i ʻole ke "kaomi" e like me kā mākou e ʻike nei? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i ka lāʻau lapaʻau no ia mea. Nui nā ʻano lāʻau lapaʻau i hāʻawi ʻia no kēia kaomi. I waena o lākou, ʻo ARB kekahi o nā papa lāʻau lapaʻau i kuhikuhi pinepine ʻia. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻano lāʻau lapaʻau i kapa ʻia ʻo ARBs ma ke ʻano maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia mau ARB?
ʻO nā ARB he pōkole no Angiotensin II Receptor Blockers . He ʻano lāʻau lapaʻau kēia i hoʻohana ʻia e mālama i ke koko kiʻekiʻe, a me kekahi mau kūlana ʻē aʻe, e like me ka hāʻule ʻana o ka puʻuwai a me nā maʻi puʻupaʻa. Loaʻa lākou ma ke ʻano he mau lāʻau lapaʻau waha.
ʻO ka hana nui o kēia mau lāʻau lapaʻau, ʻo ia ke ālai i ka hana o kahi hormone i kapa ʻia ʻo Angiotensin II i loko o ko kākou kino. Hoʻopilikia kēia hormone i ko kākou mau kīʻaha koko e ʻūmiʻi. Ua like ia me ke ʻūmiʻi ʻana i kahi paipu wai. A laila, emi iho ka hakahaka no ke kahe ʻana o ke koko a piʻi aʻe ke kaomi. Hana nā lāʻau lapaʻau ARB ma ke ālai ʻana i ka hakahaka o kēlā hormone e ʻūmiʻi ai i nā kīʻaha koko. A laila, wehe ʻia nā kīʻaha koko a ua noa, no laila hiki i ke koko ke neʻe maʻalahi, a ua kāohi ʻia hoʻi ke kaomi.
No nā kūlana hea e kuhikuhi ai ke kauka i nā lāʻau lapaʻau ARB?
Hoʻonohonoho nui nā kauka i kēia lāʻau no nā kūlana penei:
- Ke koko kiʻekiʻe: Hoʻohaʻahaʻa i ke koko ma ka wehe ʻana i nā kīʻaha koko a me ka ʻae ʻana i ke koko e kahe maʻalahi.
- ʻO ka hāʻule ʻana o ka puʻuwai paʻa: Kōkua i ka puʻuwai e pamu i ke koko ma ke kino holoʻokoʻa.
- Maʻi puʻupaʻa: Kāohi a hoʻolohi i ka hōʻino ʻana i nā puʻupaʻa, ʻoiai ma muli o ka maʻi diabetes.
- Kāohi ʻana i ka hōʻeha puʻuwai: No ka pale ʻana i ka hōʻeha puʻuwai a i ʻole ka palena ʻana i ka hōʻino ʻia o ka puʻuwai ma hope o kona hana ʻana.
- No ka pale ʻana i ka hahau ʻana: E mālama i nā kīʻaha koko e hāmama, e ʻae ana i nā ʻūpā koko e hele ma waena me ka ʻole o ka paʻa ʻana, e hōʻemi ana i ka pilikia o ka hahau ʻana.
- ʻO ka maʻi ʻaʻai momona: I kekahi mau hihia, hiki ke hoʻohana ʻia kēia mau mea e pale aku i nā kūlana mumū e kū mai ana i loko o ke ake.
He aha nā ʻano lāʻau lapaʻau ARB maʻamau?
Inā pau ka inoa o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe ma ka "-sartan", ʻo ia paha he ARB. E nānā i ka papa ma lalo.
| Inoa Laulā o ka Lāʻau Lapaʻau | Nā Inoa Lama Maʻamau® |
|---|---|
| ʻAzilsartan medoxomil | ʻEdarbi® |
| ʻO Candesartan | ʻAtacand® |
| ʻEprosartan mesylate | ʻO Teveten® |
| ʻIrbesartan | ʻAvapro® |
| ʻO Losartan | ʻO Cozaar® (ka ARB i kuhikuhi pinepine ʻia ma Sri Lanka) |
| ʻOlmesartan | Benicar® |
| ʻO Telmisartan | ʻO Micardis® |
| ʻO Valsartan | ʻO Diovan®, Prexxartan® |
Aia kekahi mau hopena ʻaoʻao i kēia mau lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i nā ARB ke hana i nā hopena ʻaoʻao liʻiliʻi i kekahi poʻe, akā ʻaʻole i loaʻa i nā mea āpau.
- Pōʻino
- Manaʻo luhi (Fatigue)
- ʻEha poʻo
- I kekahi manawa, pehu ka maka a me ke alelo - he maʻi kakaikahi kēia akā he maʻi koʻikoʻi. Inā hana ʻia kēia, e ʻimi koke i ke kōkua lapaʻau.
ʻAʻole pinepine loa, hiki i nā ARB ke hoʻopilikia i ke kahe koko i nā puʻupaʻa. ʻOi aku ke kiʻekiʻe o kēia pilikia inā loaʻa iā ʻoe ka maʻi aʻa renal. ʻO ia ke kumu e nānā ai kāu kauka i kāu hana puʻupaʻa me nā hoʻāʻo koko i kēlā me kēia manawa.
He aha ka ʻokoʻa ma waena o nā ACE Inhibitors a me nā ARBs?
He nīnau kēia a ka poʻe he nui e nīnau ai. ʻO nā mea hoʻopaʻa ACE kekahi ʻano lāʻau lapaʻau nui i hoʻohana ʻia e mālama i ke koko kiʻekiʻe. Hana kēia mau ʻano ʻelua ma ke kāohi ʻana i ka hormone 'Angiotensin' a mākou i kamaʻilio ai ma mua.
- Hana nā mea hoʻopaʻa ACE ma ka hoʻemi ʻana i ka hana ʻana o ke kino i ka hormone 'Angiotensin'.
- ʻO ka hana a nā ARB , ʻo ia ke ālai i ka hiki o ka hormone i hana ʻia ʻo 'Angiotensin' e hana i kāna hana (e hoʻopaʻa i nā kīʻaha koko).
ʻO kahi hopena nui o nā mea hoʻopaʻa ACE he ʻū maloʻo . Loaʻa i kekahi poʻe kēia ʻū mau. I kēlā manawa, e hoʻōki nā kauka i ka mea hoʻopaʻa ACE a hoʻomaka i kahi ARB.
Pono anei iaʻu e makaʻala i ka wā e lawe ai i nā lāʻau lapaʻau ʻē aʻe me nā ARB?
ʻAe, ʻoiaʻiʻo nō. Inā ʻoe e lawe ana i ka lāʻau lapaʻau no kou koko koko, mai lawe i kekahi lāʻau lapaʻau ʻē aʻe a i ʻole mea hoʻohui mai kahi hale kūʻai lāʻau lapaʻau a i ʻole ma kahi ʻē aʻe me ka ʻole o ke nīnau mua ʻana i kāu kauka.
- Hiki i kekahi mau lāʻau lapaʻau no ke kuni, ke anu, a me nā maʻi ʻaleka ke hoʻonui i ke koko.
- Hiki i nā lāʻau hoʻopau ʻeha, ʻoiai nā NSAID (e.g., ibuprofen, diclofenac), ke hoʻonui i ke koko. Hoʻopilikia kēia i ka pono o nā ARB.
- Hiki i nā ARB ke hoʻonui i nā pae potassium i loko o ke kino. No laila, e pale i ka lawe ʻana i nā mea hoʻohui potassium a i ʻole nā diuretics potassium-sparing me ka ʻole o ka nānā ʻana a kāu kauka. ʻO ka hoʻonui ʻia o nā pae potassium hiki ke hoʻopilikia maikaʻi ʻole i kou puʻuwai.
He mea maikaʻi anei ke lawe ʻana i nā lāʻau ARB i ka wā hāpai?
ʻAʻole loa. He mea nui loa kēia. He mea weliweli loa nā ARB a me nā ACE inhibitors ke lawe ʻia i ka wā hāpai. Hiki iā lākou ke hana i nā pilikia koʻikoʻi no ka pēpē i loko o ka ʻōpū.
- Nā kīnā hānau
- Ka hāʻule ʻana o ka puʻupaʻa
- Nā pae potassium kiʻekiʻe
- Ke koko haʻahaʻa
- Hānau make
Inā he koko kiʻekiʻe kou ma mua o kou hāpai ʻana, a inā paha ʻoe e hoʻolālā ana e hāpai, e hōʻoia e haʻi i kāu kauka. E hiki iā ia ke kuhikuhi i kahi lāʻau lapaʻau ʻokoʻa i palekana no ʻoe a me kāu pēpē.
Leka Lawe-Home
- ʻO ka ARB kahi ʻano lāʻau lapaʻau i hoʻohana pinepine ʻia e mālama i 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, e hoʻomaha ana i nā kīʻaha koko a me ke kaohi ʻana i ke koko.
- E lawe i kāu lāʻau lapaʻau i kēlā me kēia lā, ma ka nui a me ka manawa i kuhikuhi ʻia, e like me ke kauoha a kāu kauka. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau i kou makemake.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā mea hoʻomaha ʻeha.
- He mea nui loa: Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, ʻaʻole pono e lawe i nā ARB. E kamaʻilio koke me kāu kauka.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka.
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