Loaʻa iā ʻoe ke koko kiʻekiʻe, a i ʻole ke "koko kiʻekiʻe" e like me kā mākou e ʻike nei? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i ka lāʻau lapaʻau. I kekahi manawa, no ka hoʻomalu maikaʻi ʻana i kou koko, paipai nā kauka i ka hui pū ʻana o nā lāʻau lapaʻau he nui. I kēia lā, e kamaʻilio mākou e pili ana i ka hui pū ʻana o ʻelua mau lāʻau lapaʻau. Loaʻa i kēia ʻelua mau lāʻau lapaʻau i kapa ʻia ʻo Bendroflumethiazide lāua ʻo Nadolol. Ua ʻike paha ʻoe iā ia ma ka inoa inoa `(Corzide)`.
He aha ka mea e hana maoli me kēia hui pū ʻana o nā lāʻau lapaʻau?
He mea maʻalahi loa kēia e hoʻomaopopo. Kōkua nā ʻano lāʻau ʻelua i loko o kēia i ka kaohi ʻana i kou koko ma nā ʻano ʻelua.
1. Bendroflumethiazide: No kēia ka hui o nā lāʻau i kapa ʻia he diuretics. Kāhea pinepine mākou i kēia mau "pills wai." I ka ʻōlelo maʻalahi, hana kēia lāʻau ma ka wikiwiki ʻana i ka hoʻokuʻu ʻana i ka wai keu a me ka paʻakai mai kou kino ma o ka mimi. E like me ka piʻi ʻana o ka nui o ka wai i loko o kahi paipu wai, piʻi ke kaomi i loko, pēlā nō ka nui o ka wai i loko o ko mākou mau kīʻaha koko. No laila, ma ka hōʻemi ʻana i ka nui o ka wai keu, hōʻemi kēia lāʻau i ke kaomi ma luna o nā kīʻaha koko.
2. Nadolol: No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo beta-blockers. Hana ia ma ka hoʻolohi ʻana i ka helu o ka puʻuwai a me ka hoʻemi ʻana i ka ukana hana ma ka puʻuwai. ʻO ke ʻano kēia, ʻaʻole pono ka puʻuwai e hana ikaika e pamu i ke koko. Ke hana mālie ka puʻuwai, e emi pū ke kaomi ma nā kīʻaha koko.
No laila, ke hui pū ʻia kēia mau ʻano ʻelua, hiki iā lāua ke kōkua nui i ka kaohi ʻana i ke koko kiʻekiʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kou kūlana olakino | No ke aha he mea nui e hoʻomaopopo e pili ana i ia mea? |
|---|---|
| Maʻi diabetes | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā pae kō koko a hiki ke uhi i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). |
| Maʻi puʻuwai, ka moʻolelo o nā hōʻeha puʻuwai, a i ʻole nā palpitations | Hiki i nā Beta-blockers ke hoʻolohi hou i ka helu o ka puʻuwai, kahi e hiki ai ke hoʻonui i nā kūlana o kēia manawa. |
| Nā maʻi māmā e like me ka hānō | Hiki i kēia lāʻau lapaʻau ke hoʻopaʻa i nā alaea i kekahi manawa a hoʻonui i ka hānō. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ke komo ʻana o kēia mau ʻōkana i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino, inā ua pilikia kā lākou hana, pono paha e hoʻololi ʻia ka nui o ka lāʻau lapaʻau. |
| Nā maʻi thyroid | Hiki i kēia lāʻau lapaʻau ke uhi i kekahi mau hōʻailona o ka hormone thyroid overactive (hyperthyroidism). |
| Nā maʻi ʻaleka i nā lāʻau sulfa, nā lāʻau lapaʻau ʻē aʻe, a i ʻole nā meaʻai | No ka mea he lāʻau lapaʻau ʻo Bendroflumethiazide e pili ana i ka hui sulfa, aia kahi pilikia o nā hopena maʻi. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | No ka mea hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka pēpē, he mea nui e kūkākūkā me ke kauka. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
- E ho'āʻo e lawe i ka mahele i kuhikuhi ʻia i ka manawa like i kēlā me kēia lā , e like me ke kuhikuhi a kāu kauka. Ke hoʻolilo ʻoe i kēia i mea maʻamau, ʻaʻole paha ʻoe e poina e lawe i kāu lāʻau lapaʻau.
- Hiki ke lawe ʻia kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā ʻeha kou ʻōpū a ʻeha paha, ʻoi aku ka maikaʻi o ka lawe ʻana me ka ʻai.
- E ale i ka pila me ke aniani wai.
ʻO ka mea nui loa, mai hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau iā ʻoe iho ke ʻole kāu kauka e ʻōlelo aku iā ʻoe. Inā ʻoe e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau, e piʻi koke paha kou koko a e ʻike paha ʻoe i nā kūlana weliweli e like me ka ʻeha o ka umauma.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo .
He aha inā e hala wau i kahi lāʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā he mau hola wale nō a hiki i kāu lāʻau lapaʻau aʻe ke hoʻomanaʻo ʻoe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi no kekahi kumu.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E nānā pinepine: E ʻike i kāu kauka i nā lā maʻamau e nānā i kou holomua. Inā he mea nānā koko kou ma ka home, e ana a hoʻopaʻa i kou koko e like me ka ʻōlelo a kāu kauka iā ʻoe.
- E makaʻala i ka maloʻo ʻana o ka wai: Inā loaʻa iā ʻoe ka maʻi pākī, ka luaʻi ʻana, a i ʻole ka hou nui ʻana, e nalowale paha ka nui o ka wai mai kou kino. Hiki ke lilo i mea weliweli ke lawe ʻana i kēia lāʻau i kēia manawa. No laila, inā loaʻa iā ʻoe kēlā ʻano maʻi, e kāhea i kāu kauka no ka ʻōlelo aʻo.
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha i kekahi poʻe. E pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. ʻOi loa aku inā he ʻelemakule ʻoe, e kū mālie i luna ke ala ʻoe mai kahi noho a i ʻole ke ala ʻoe mai kahi moe. Hiki i kēia ke hōʻemi i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
- E hōʻalo i ka waiʻona: Hiki i ka waiʻona ke hoʻolilo iā ʻoe i poniuniu a hiamoe, a he mea maikaʻi ʻole hoʻi ia no kou koko koko.
- E makaʻala i ka wā e hele ai i waho i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka ʻili o kekahi poʻe i ka lā. No laila, he manaʻo maikaʻi ke komo i ka pāpale, nā lole lima lōʻihi, a me ka pale lā i ka wā e hele ai i waho i ka lā.
- Nā lāʻau lapaʻau no nā maʻi ʻē aʻe: Ma mua o kou kūʻai ʻana i nā lāʻau lapaʻau ma luna o ke kūʻai no ke kuni, ke anu, a i ʻole ka ʻeha i kou wā e lawe ana i kēia lāʻau lapaʻau, e ʻoluʻolu e nīnau i kāu kauka . No ka mea, aia kekahi mau lāʻau lapaʻau i loko o nā mea hoʻohui e hiki ke hoʻonui i kou koko.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hōʻailona alerika | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe/alelo/maka |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana, ka paʻa ʻana o ka umauma |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai puʻuwai kūpono ʻole, ʻeha umauma |
| Nā pilikia kahe koko | Nā lima a me nā wāwae anu, polū, a ʻāʻī paha |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Melemele o nā maka a i ʻole ka ʻili, ka ʻūlū nui ʻana o nā ʻiʻo, ka paʻakikī o ka ʻōlelo ʻana, ka nāwaliwali nui |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻŌnaehana hoʻoheheʻe | Ka maʻi kahe, ka luaʻi |
| Nā hopena noʻonoʻo | Kaumaha, luhi nui |
| ʻĒ aʻe | ʻŪhū, nā loli i ka hana moekolohe |
Leka Lawe-Home
- E lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa i kauoha ʻia. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau iā ʻoe iho no kekahi kumu.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau Ayurvedic).
- E makaʻala i ka wā e hoʻokele ana a hana ana i nā hana weliweli, no ka mea, hiki ke poniuniu a me ka hiamoe i ka wā e lawe ai i ka lāʻau.
- E makaʻala i nā hopena ʻaoʻao koʻikoʻi (ʻeha umauma, paʻakikī ka hanu ʻana, nā maʻi ʻaleka koʻikoʻi). Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau.
- Mai poina i ka ʻike ʻana i kāu kauka i kāu mau manawa i hoʻonohonoho ʻia a me ke nānā ʻana i kou koko.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ʻo Bendroflumethiazide lāua ʻo Nadolol?
He lāʻau lapaʻau hui kūpono loa kēia e hoʻohui pū ana i ʻelua mau lāʻau lapaʻau e hana ana ma nā ʻano ʻelua like ʻole e kāohi i ke koko kiʻekiʻe. Ma kahi o ka lawe ʻana i ʻelua mau lāʻau lapaʻau kaʻawale, hāʻawi kēia lāʻau lapaʻau hoʻokahi i ke kino me nā lāʻau lapaʻau ikaika i kapa ʻia ʻo Bendroflumethiazide (he lāʻau wai) a me Nadolol (he beta-blocker). Hoʻohana ʻia ia no ka poʻe i hoʻemi ʻole ʻia ko lākou koko e nā lāʻau lapaʻau maʻamau.
💬 Pehea e hiki ai i ka hui pū ʻana o kēia mau lāʻau ʻelua ke hoʻohaʻahaʻa pono i ke koko?
Ua like ia me ke kinai ʻana i ke ahi ma ka ninini ʻana i ka wai ma luna, akā ua ʻoki pū ia i ka oxygen i ke ahi! ʻO ka mea mua, hoʻopau ʻo 'Bendroflumethiazide' i ka paʻakai/sodium a me ka wai keu (Fluid Volume) mai kou kino ma o ka mimi (e hoʻohaʻahaʻa ana i ke koko). A laila, pale ʻo 'Nadolol (Beta-blocker)' i nā mea loaʻa adrenaline i loko o kou puʻuwai, e hoʻolohi ana i ka helu o kou puʻuwai a e hana maʻalahi ai.
💬 He aha nā hana palekana/nā hopena ʻaoʻao e makaʻala ai i ka wā e lawe ai i kēia mau pila (Bendroflumethiazide; Nadolol)?
ʻO ka pilikia nui loa ʻo Nadolol! Hiki i kēia ke hoʻopaʻa i nā ala ea i loko o nā māmā. No laila, 'hiki i ka poʻe me ka hānō/wheezing/COPD ke hanu a make inā lawe lākou i kēia! (Paʻa ʻole)'. Eia kekahi, ʻo Bendroflumethiazide ke kumu o ka nalowale ʻana o ka potassium i ke kino ke hoʻokuʻu ʻia i loko o ka mimi, hiki ke hana i nā ʻehaʻeha o nā ʻiʻo/ka nalowale o ka lauoho a me ka luhi (Hypokalemia) (hiki iā ia ke hoʻonui i ke kō koko i ka poʻe me ka maʻi diabetes).
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