I kekahi manawa hiki ke piʻi aʻe ke kaomi i loko o ko kākou mau maka me ka ʻike ʻole ʻia. A i ʻole ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo "Glaucoma." He mau mea kēia e pono ai ka nānā ʻana. No laila, inā ua kuhikuhi kāu kauka iā ʻoe i kahi kulu maka, ʻo ia paha ka hui pū ʻana o ʻelua mau lāʻau i kapa ʻia ʻo brimonidine a me brinzolamide. I kēia lā, e kamaʻilio mākou e pili ana i kēia kulu maka '(Brimonidine; Brinzolamide)'.
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Brimonidine; Brinzolamide?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau wai kēia i hoʻopili ʻia i nā maka. Hana nui ia e hoʻēmi i ke kaomi kiʻekiʻe i loko o ka maka a mālama i kahi maʻi i kapa ʻia ʻo ka glaucoma open-angle . Ua ʻike paha ʻoe i kēia lāʻau lapaʻau i loaʻa i kekahi manawa ma lalo o ka inoa inoa `(SIMBRINZA)`.
E noʻonoʻo, ke hana mau nei ko kākou mau maka i ka wai, a ke kahe nei kēlā wai mai loko mai o ka maka. Ua like ia me ka hoʻopiha ʻana i kahi kīʻaha me ka wai a hoʻokuʻu iā ia e kahe i waho. Akā i kekahi manawa, inā he pilikia me ka kahe ʻana o kēia wai, hōʻiliʻili ka wai i loko o ka maka a piʻi ke kaomi. ʻO ia ka manawa e kōkua ai kēia lāʻau lapaʻau. Hoʻemi ia i ka nui o ka wai i hana ʻia i loko o ka maka, a hoʻomaʻalahi hoʻi i ka kahe ʻana o ka wai.
Hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā mea ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e hoʻohana i kēia lāʻau lapaʻau, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. ʻO kēia no ka mea ʻaʻole kūpono paha kēia lāʻau lapaʻau no ka poʻe me kekahi mau kūlana olakino, a i ʻole pono paha lākou i ka mālama kūikawā.
Eia kekahi mau kūlana:
- Inā loaʻa iā ʻoe kahi maʻi e like me `(ka maʻi ʻo Buerger)`.
- Inā loaʻa iā ʻoe ka glaucoma kihi pani (e hoʻomanaʻo ua hāʻawi ʻia kēia lāʻau lapaʻau no ka glaucoma kihi hāmama).
- Inā loaʻa iā ʻoe ke kaumaha.
- Inā he maʻi maka a he ʻeha paha.
- Inā he maʻi puʻuwai kou.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo Raynaud's phenomenon.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka brimonidine, brinzolamide, a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole ke manaʻolana nei e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Ke haʻi aku ʻoe i kāu kauka e pili ana i kēia mau mea, hiki iā ia ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.
Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?
No ka mea he lāʻau lapaʻau maka kēia, e hoʻohana pono a pololei hoʻi.He mea nui loa ka hoʻohana ʻana. Pono ʻoe e hana ia e like me ka ʻōlelo a ke kauka.
Eia pehea e hana ai i kēlā me kēia ʻanuʻu:
1. ʻO ka mea mua, e holoi pono i kou mau lima me ke kopa. He mea nui loa kēia, no ka mea, hiki i nā lima lepo ke hoʻoili i nā germs i kou mau maka.
2. E lūlū maikaʻi i ka ʻōmole lāʻau. He mea nui e lūlū maikaʻi, no ka mea, hiki i kekahi mau lāʻau ke noho ma lalo o ka ʻōmole.
3. E hoʻohuli iki i kou poʻo i hope a huki mālie i kou lihilihi lalo i lalo me kou manamana lima kuhikuhi. E hana ia i ʻeke liʻiliʻi, ʻeā? ʻO ia kahi e pono ai ʻoe e kau i nā kulu maka.
4. Mai hoʻopā i ka piko o ka mea hoʻokahe wai i kou mau maka, nā manamana lima, a i ʻole kekahi ʻili ʻē aʻe. ʻO ka hana ʻana pēlā e hiki ai ke hoʻokomo i nā germs i loko o ka ʻōmole, hiki ke komo i loko o kou mau maka i ka manawa aʻe e hoʻopili ai ʻoe i ka lāʻau.
5. E hoʻokomo i ka helu o nā kulu o ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka i loko o ka ʻeke āu i hana ai.
6. A laila, e pani hou i kou mau maka a e ʻae i nā kulu o ka lāʻau lapaʻau e pālahalaha ma kou mau maka. Mai pani paʻa i kou mau maka, e pani wale iā lākou.
7. Mai hoʻopili i nā lāʻau lapaʻau ma mua o ka mea i kauoha ʻia e ke kauka.
8. ʻOiai inā ʻoe e manaʻo nei ua ʻoi aku ka maikaʻi, pono ʻoe e hoʻopau i ka papa holoʻokoʻa o ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka. Mai hoʻōki i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe.
Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau i nā keiki e like me 2 mau makahiki i kekahi mau hihia kūikawā. Eia nō naʻe, pono ʻoe e kamaʻilio me kāu kauka pediatric e pili ana i ia mea a hahai pololei i kāna mau kuhikuhi.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā hana kēlā, e lawe i ka lāʻau lapaʻau i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala ʻole a lawe i ka mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka mahele lāʻau.
He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau (overdose)?
Inā manaʻo ʻoe ua lawe ʻoe i kēia lāʻau lapaʻau ma mua o ka mea e pono ai, e hele koke i ka ʻoihana pilikia o ka haukapila kokoke loa, a i ʻole e kelepona i kahi kikowaena kaohi lāʻau make.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau? (Nā Hana like ʻana)
ʻAe, hiki i kekahi mau lāʻau lapaʻau a me nā meaʻai ke launa pū me ka brimonidine; nā kulu maka brinzolamide. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia, ma luna o ke kūʻai aku, nā mea kanu, nā huaora, nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Eia kekahi mau mea e hiki ke launa pū me kēia lāʻau lapaʻau:
- ʻAila
- ʻAspirin a me nā lāʻau ʻē aʻe e like me ka aspirin
- ʻO kekahi mau lāʻau lapaʻau no ke koko, ka maʻi puʻuwai, a me ka puʻuwai naʻau kūpono ʻole
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo ʻē aʻe
- Nā lāʻau lapaʻau i loko o ka hui i kapa ʻia ʻo `MAOIs` (nā laʻana: `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`)
- Nā lāʻau lapaʻau e hoʻohiamoe ai a luhi paha ʻoe
ʻAʻole piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka i nā mea āpau āu e lawe nei.
He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
ʻOiai ʻoe e hoʻohana ana i kēia lāʻau lapaʻau, pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou ʻano.
- Inā pehu kou mau maka, ʻeha, a i ʻole he kahe wai e like me ka pus , e hoʻōki koke i ka hoʻohana ʻana i kēia lāʻau lapaʻau a e ʻike koke i ke kauka.
- Inā ʻoe e kau ana i nā aniani hoʻopili , pono ʻoe e wehe iā lākou ma mua o ke kau ʻana i kēia lāʻau lapaʻau i kou mau maka. ʻOi aku ka maikaʻi o ke kali ʻana ma ka liʻiliʻi he 15 mau minuke ma mua o ke kau hou ʻana iā lākou.
- Inā ʻoe e hoʻohana ana i kekahi lāʻau maka ʻē aʻe me kēia lāʻau, e kali ma ka liʻiliʻi he 5 mau minuke ma hope o ke kau ʻana i hoʻokahi lāʻau ma mua o ke kau ʻana i kekahi lāʻau ʻē aʻe.
- Hiki i kekahi poʻe ke maloʻo ka waha i ka wā e lawe ana i kēia lāʻau lapaʻau. Inā hana ʻia kēia, hiki i ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono ʻole, a me ka inu ʻana i ka wai nui ke kōkua. Inā hoʻomau kēia pilikia a lilo paha i mea koʻikoʻi, e haʻi i kāu kauka.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole i nā kānaka a pau. ʻAʻole koʻikoʻi kekahi o lākou, akā pono e hōʻike koke ʻia kekahi o lākou i kāu kauka .
Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, nā kiko ʻulaʻula, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu.
- Nā loli o ka ʻike: ʻike maka pōwehiwehi, ʻike ʻana i nā halo a puni nā kukui, nalowale ka ʻike.
- ʻEha hou a i ʻole ka hoʻonui ʻia ʻana o ka ʻeha, ka ʻulaʻula, ka mumū, a i ʻole ka kahe ʻana mai nā maka mai .
Inā hana kēia, e hoʻōki i ka hoʻohana ʻana i ka lāʻau lapaʻau a e ʻike koke i ke kauka.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
- Hoʻololi i ka ʻono
- Pōʻino
- Nā maka maloʻo
- Waha maloʻo
- Ka ʻeha o ka maka a i ʻole ka maneʻo
- ʻEha poʻo
- Hoʻonui ʻia nā waimaka ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻike ʻole ʻia, e nīnau i kāu kauka.
Ma hea kahi e mālama ai i kēia lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki.He mea nui loa kēia.
- Pono e mālama ʻia ma waena o 2 a me 25 kekelē Celsius (36 a me 77 kekelē Fahrenheit). ʻO ia hoʻi, ua maikaʻi ka mahana o ka lumi maʻamau. Mai mālama i ka wela nui a i ʻole i loko o ka pahu hau a i ʻole ka pahu hau.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei aku i kēlā mau lāʻau lapaʻau.
ʻO ka mea nui e hoʻomanaʻo (Leka Lawe-Home)
ʻĀ, ua kamaʻilio nui mākou e pili ana i kēia Brimonidine; nā kulu maka Brinzolamide, ʻeā?
He hōʻuluʻulu manaʻo wale nō kēia. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe.
E hoʻomanaʻo:
- E hoʻohana i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, no ka manawa i kauoha ʻia.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e haʻi koke aku i kāu kauka .
- Inā ʻoe e kau ana i nā aniani hoʻopili, e wehe iā lākou ma mua o ke kau ʻana i ka lāʻau lapaʻau a hoʻokomo hou iā lākou ma hope o 15 mau minuke.
He mea kūpono ke mālama i kou mau maka. No laila, e hahai pono i nā ʻōlelo a ke kauka, ʻae?
ʻO Brimonidine, Brinzolamide, Simbrinza, Glaucoma, Nā kulu maka, Kaomi maka, Nā hopena ʻaoʻao











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