Inā ʻoe e nānā i kāu keʻena lāʻau lapaʻau ma ka home, a i ʻole nā lāʻau lapaʻau a kou makuahine, makuakāne, kupuna wahine, a kupuna kāne paha, nui ka manawa e hālāwai ai ʻoe me kēia ʻano lāʻau lapaʻau. Malia paha ʻo ʻoe iho kekahi mea hoʻohana i kēia lāʻau lapaʻau. I kēia lā, ke kamaʻilio nei mākou e pili ana i nā beta-blockers, he lāʻau lapaʻau kaulana a koʻikoʻi loa ia i waena o nā poʻe he nui ma ko mākou ʻāina. ʻOiai paha he mea paʻakikī iki kēia inoa ke lohe ʻoe, he mea maʻalahi loa ia. E nānā kākou i ke ʻano o kēia mau mea, pehea lākou e hana ai, a he aha nā pōmaikaʻi a me nā hemahema.
I ka ʻōlelo maʻalahi, he aha kēia mau beta-blockers?
ʻO nā Beta-blockers he mau lāʻau lapaʻau i kuhikuhi ʻia e ke kauka wale nō. Hoʻohana nui ʻia lākou e mālama i kekahi mau kūlana e pili ana i ka puʻuwai a me ka ʻōnaehana kahe koko.
E noʻonoʻo i kou puʻuwai e like me kahi ʻenekini kaʻa. I kekahi manawa hana wikiwiki a paʻakikī kēia ʻenekini. Kōkua nā Beta-blockers i ka hoʻolohi i ka wikiwiki a hāʻawi i ka puʻuwai a me nā kīʻaha koko i kahi hoʻomaha iki. Kōkua kēia i ka hoʻohaʻahaʻa ʻana i ke koko a hoʻomaʻalahi i ka hana a ka puʻuwai .
He aha nā ʻano kūlana e hoʻohana ʻia ai kēia lāʻau lapaʻau?
ʻAʻole like nā Beta-blockers me ka lāʻau lapaʻau no nā mea āpau, he multi-pepper lākou. ʻO ia hoʻi, ke hāʻawi ʻia no kekahi kūlana, hiki ke hoʻomalu ʻia kekahi mau kūlana ʻē aʻe e pili ana me ia. E nānā kākou i nā hihia nui i hoʻohana ʻia ai lākou.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Pili nui i ka puʻuwai a me ke kahe koko | |
| Ke koko kiʻekiʻe (Hypertension) | Ua ʻike mākou a pau e piʻi ana ke 'kaomi'. |
| ʻEha umauma (Angina) | He ʻeha ʻūmiʻi i hoʻokumu ʻia e ka lawa ʻole o ke koko e hiki ana i ka puʻuwai. |
| Nā ʻano ʻino o ka puʻuwai (Arrhythmias) | Puʻuwai paʻakikī. Eia kekahi laʻana, ka puʻuwai wikiwiki (tachycardia). |
| Ma hope o ka hāʻule ʻana o ka puʻuwai | No ka pale ʻana i kahi hāʻule puʻuwai ʻē aʻe a pale i ka puʻuwai. |
| Ka hāʻule ʻana o ka puʻuwai paʻa | ʻAʻole hiki i ka puʻuwai ke pamu i ke koko kūpono i ke kino. |
| No nā kūlana olakino ʻē aʻe | |
| No ka pale ʻana i nā migraines | Kōkua kekahi mau ʻano beta-blockers i ka hoʻēmi ʻana i nā ʻeha poʻo migraine. |
| ʻO ka glaucoma | No ke kāohi ʻana i ke kaomi i hoʻonui ʻia i loko o ka maka (pinepine e like me nā kulu maka). |
| Hopohopo Hana | E kāohi i ka makaʻu nui a me ke kuʻi ʻana i loko o kou umauma e kū mai ana i ka wā e piʻi ai ʻoe ma ke kahua a i ʻole e hele ana no kahi nīnauele. |
| Hyperthyroidism | No ka kaohi ʻana i nā hōʻailona e like me nā palpitations a me nā haʻalulu i hoʻokumu ʻia e ka hoʻonui ʻia o nā hormones thyroid. |
Pehea e hana ai nā beta-blockers i loko o ko mākou kino?
He mea maʻalahi loa kēia e hoʻomaopopo. Loaʻa iā mākou ʻelua mau kemika i hana maoli ʻia i loko o ko mākou kino, ʻo adrenaline , i ʻike ʻia hoʻi ʻo epinephrine a me norepinephrine . ʻO kēia nā mea a ko mākou kino e hoʻokuʻu ai i ka wā e makaʻu ai mākou, hopohopo, a kaumaha paha. Kāhea mākou i kēia ʻo ka "hakakā a lele paha."
He aha ka mea e hana ʻia ke hoʻāla ʻia kēia mau kemika?
- Hoʻomaka ka puʻuwai e kuʻi wikiwiki.
- Piʻi ke koko.
- Ke hoʻomākaukau nei ko mākou kino no kahi pilikia.
E noʻonoʻo i kēia kemika i kapa ʻia ʻo adrenaline ma ke ʻano he kī, a aia nā "laka" kūikawā i loko o ko kākou puʻuwai a me nā kīʻaha koko e ʻae ai iā ia e komo a puka i waho. Kāhea mākou i kēia mau laka he "nā mea loaʻa." Hoʻopaʻa nā Beta-blockers i kēia mau laka (nā mea loaʻa), e like me ke kau ʻana i kahi mea i loko o kahi laka. A laila, ʻaʻole hiki i ke kī adrenaline ke komo a puka i waho o ka laka.
He aha ka hopena? Ua kāohi ʻia ka helu o ka puʻuwai, ua hoʻomaha nā kīʻaha koko, a ua hoʻohaʻahaʻa ʻia ke kaomi koko. He maʻalahi loa, ʻeā?
Aia ka hapa nui o nā mea loaʻa beta-1 (B1) i loko o ka puʻuwai. ʻO kekahi mau ʻano beta-blockers e ālai wale i kēia mau mea loaʻa B1, nona ka puʻuwai. Kapa mākou iā lākou he cardioselective beta-blockers. ʻO nā ʻano ʻē aʻe e ālai i nā mea loaʻa B1 a me B2 i loaʻa ma nā wahi ʻē aʻe o ke kino. ʻAʻole lākou e koho . Na kāu kauka e hoʻoholo i ke ʻano kūpono loa iā ʻoe.
Nā ʻano i ʻike pinepine ʻia
Eia kekahi laʻana, ʻo Metoprolol kahi beta-blocker cardioselective i hoʻohana pinepine ʻia. He ʻano nonselective ʻo Carvedilol . Nui nā ʻano ʻē aʻe ma waho aʻe o kēia.
ʻEhia ka lōʻihi e pono ai iaʻu e lawe i kēia lāʻau lapaʻau? He aha ka mea e hana ai inā e hoʻōki koke wau i ka lawe ʻana?
He nīnau koʻikoʻi loa kēia. ʻO ka maʻamau, he lāʻau lapaʻau lōʻihi nā Beta-blockers. Pono paha kekahi poʻe e lawe iā lākou no ke koena o ko lākou ola.
ʻO ka mea nui loa, ʻaʻole pono ʻoe e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu me ke kamaʻilio ʻole ʻana me kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hoʻonui koke i ke koko, hoʻonui i ka ʻeha o ka umauma, a i ʻole kahi maʻi koʻikoʻi e like me ka hōʻeha puʻuwai. Inā loaʻa iā ʻoe kekahi ʻeha mai ka lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki iā ia ke hoʻololi i ka nui o ka lāʻau a hoʻololi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe inā pono.
He aha nā pōmaikaʻi o nā beta-blockers?
Ma muli o ka hoʻohana ʻia ʻana o kēia ʻano lāʻau lapaʻau a puni ka honua no nā makahiki he ʻumi, ua maopopo maikaʻi kona mau pono a me kona palekana.
- Kōkua iā ʻoe e ola i kahi ola olakino a lōʻihi: Inā hoʻohana pololei ʻia, hiki i kēia mau mea ke hōʻemi i ka pilikia o nā maʻi koʻikoʻi e like me ka maʻi puʻuwai a me ka hahau a hoʻonui i kou ola.
- Nā hoʻonā i kekahi mau pilikia me hoʻokahi lāʻau lapaʻau:Ua pili nā pilikia o ka puʻuwai a me ke kahe koko, no laila hiki i kahi beta-blocker i hāʻawi ʻia no ke koko ke hāʻawi i nā pono hou aʻe, e like me ka kaohi ʻana i ka helu o ka puʻuwai.
- Ua noiʻi maikaʻi ʻia: ʻAʻole kēia he mau lāʻau lapaʻau hou, no laila ua akamai nā kauka i ko lākou pono a me nā hopena ʻaoʻao.
- Kumukūʻai haʻahaʻa: ʻOi aku ka liʻiliʻi o ke kumukūʻai o ka nui o nā beta-blockers, ʻoiai nā mea i loaʻa ma lalo o nā inoa maʻamau, e ʻoi aku ka maikaʻi o ke kumukūʻai o ka mālama ʻana i ka wā lōʻihi.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i nā beta-blockers ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. ʻO kekahi o nā mea maʻamau:
- Pōʻino
- Luhi nui a me ka paupauaho
- Waha maloʻo a me nā maka
- Nā lima a me nā wāwae anu
- ʻAʻole hiki ke hiamoe a i ʻole nā moeʻuhane ʻē
He mea kākaʻikahi loa, ua hōʻike ʻia nā kūlana e like me ka erectile dysfunction . Inā he kānalua a hopohopo paha kāu e pili ana i kekahi o kēia mau hopena ʻaoʻao, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka me ka hilahila ʻole.
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Inā ʻoe e lawe ana i nā beta-blockers, he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau inā ʻike koke ʻia a i ʻole e ʻoi aʻe ka ʻino o nā hōʻailona ma lalo nei.
- Paʻakikī ka hanu ʻana
- ʻEha umauma
- Nā Palpitations (manaʻo e like me ka wikiwiki o kou puʻuwai, ke kuʻi ʻana, a i ʻole ke kuʻi ʻana)
- Ka mae ʻana
- ʻO ka poʻo pinepine
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona koʻikoʻi, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- He ʻano lāʻau koʻikoʻi loa nā Beta-blockers i hoʻohana ʻia e mālama i kekahi mau kūlana, me ke koko kiʻekiʻe a me nā maʻi puʻuwai.
- Hana kēia mau hana ma ka kaohi ʻana i ka helu o ka puʻuwai a me ka hoʻomaha ʻana i nā kīʻaha koko.
- Mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau me ke aʻo ʻole ʻia e ke kauka. Hiki ke lilo i mea weliweli.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao a i ʻole nā pilikia me ka lāʻau lapaʻau, e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻeha o ka umauma a me ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
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