ʻO ke koko kiʻekiʻe, a i ʻole e like me kā mākou e ʻike nei, "kaomi," he pilikia olakino ia e kū nei i nā poʻe he nui o ko kākou ʻāina i kēia lā. E hoʻomanaʻo paha ʻoe i ka wā e hele ai ʻoe e ʻike i ke kauka, kuhikuhi lākou i nā ʻano lāʻau like ʻole no ke koko. I kēia lā, e kamaʻilio mākou e pili ana i kekahi o nā ʻano lāʻau lapaʻau i hoʻohana nui ʻia a koʻikoʻi hoʻi. ʻO ia ka mea pale kahawai calcium.
I ka ʻōlelo maʻalahi, he aha kēia Calcium Channel Blocker?
I nā huaʻōlelo maʻalahi, he mau lāʻau lapaʻau kēia e kōkua i ka kaohi ʻana a i ʻole ka hoʻohaʻahaʻa ʻana i kou koko. Hana lākou ma ka kaupalena ʻana i ke komo ʻana o kahi mineral i kapa ʻia ʻo ka calcium i loko o nā pūnaewele o ko kākou puʻuwai a me nā kīʻaha koko.
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "He maikaʻi ke kalipuna no ke kino, no ke aha e hoʻōki ai i ka lawe ʻana?" Penei ka moʻolelo. He mea nui ke kalipuna no nā ʻiʻo o ko kākou puʻuwai a me nā kīʻaha koko e ʻūlū ai, ʻo ia hoʻi, e paʻa. Ke paʻa nā kīʻaha koko, piʻi ke koko, ʻo ia hoʻi ke kaomi. No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ke kaupalena ʻana i ka nui o ke kalipuna e komo i loko o kēlā mau ʻāpana. A laila e hoʻomaha iki nā ʻiʻo i loko o nā paia o nā kīʻaha koko, e like me ka wā e wehe ai ʻoe i kahi mea i paʻa. Ke hoʻomaha nā kīʻaha koko, hiki i ke koko ke kahe maʻalahi, a laila e emi ke koko . Maopopo iā ʻoe? ʻO ia ke kaʻina hana kumu o kēia lāʻau lapaʻau.
He aha nā kūlana e hoʻohana ʻia ai kēia lāʻau lapaʻau?
ʻO nā mea pale kahawai calcium nā lāʻau lapaʻau i kuhikuhi nui ʻia e nā kauka no kekahi mau pilikia o ka puʻuwai a me nā kīʻaha koko. Hoʻohana ʻia lākou i kekahi manawa no nā kūlana ʻē aʻe, ʻoiai ʻaʻole i ʻae ʻia lākou e ke kānāwai, e like me ka ʻike o nā kauka. E nānā kākou i ke ʻano o lākou.
| Hoʻohana | Kūlana olakino |
|---|---|
| Nā manawa i hoʻohana nui ʻia |
|
| Nā hoʻohana ma waho o ka lepili |
|
Aia kekahi mau ʻano nui o nā mea pale kahawai calcium?
ʻAe, ʻelua ʻano nui. Ua hoʻokaʻawale ʻia kēia mau lāʻau lapaʻau e like me nā ʻokoʻa iki i ke ʻano o kā lākou hana. ʻO ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai, no kekahi o kēia mau mea ʻelua paha.
1. Nā Dihydropyridines (DHP)
2. ʻAʻole dihydropyridines (ʻaʻole DHP)
He aha ka ʻokoʻa ma waena o kēia mau ʻano ʻelua?
I ka ʻōlelo maʻalahi, ʻo ke ʻano i kapa ʻia ʻo DHP ke kuhikuhi nui nei i nā kīʻaha koko . ʻO ia hoʻi, hoʻopilikia wale ia i nā kīʻaha koko. No laila, he mea kūpono loa kēia ʻano i ka mālama ʻana i ke koko kiʻekiʻe, ʻo ia hoʻi ke kaomi.
Hoʻopilikia ke ʻano ʻaʻole DHP i nā kīʻaha koko a me ka ʻiʻo puʻuwai . No laila, kōkua pū kēia ʻano i ka hoʻomalu ʻana i nā mea e like me ka helu o ka puʻuwai a me ke mele. Hoʻohana pinepine ʻia kēia mau mea no nā kūlana e like me ka puʻuwai puʻuwai kūpono ʻole (arrhythmias).
I kēia manawa, e nānā kākou i nā lāʻau lapaʻau i hoʻohana nui ʻia e pili ana i kēia mau māhele. E nānā inā aia ka inoa o ka lāʻau lapaʻau āu e hoʻohana nei ma kēia papa inoa.
| ʻAno lāʻau lapaʻau | Nā laʻana (inoa o nā lāʻau lapaʻau) |
|---|---|
| ʻO Dihydropyridine (DHP) (Hana nui ma nā kīʻaha koko) |
|
| ʻAʻole dihydropyridine (ʻaʻole DHP) (Hana ma nā kīʻaha koko a me ka puʻuwai) |
|
Pehea ka lōʻihi e pono ai iaʻu e lawe i kēia lāʻau lapaʻau?
Pili maoli kēia i kou kūlana olakino.
E noʻonoʻo he koko kiʻekiʻe kou. Inā ʻoe e hoʻoikaika kino mau, e kāohi i kāu ʻai, e hoʻemi i ke kaumaha, a e noho i kahi nohona olakino, hiki paha iā ʻoe ke kāohi i kou koko me ka ʻole o ka lāʻau lapaʻau. Inā pēlā, hiki paha iā ʻoe ke kamaʻilio me kāu kauka a, ma muli o kāna ʻōlelo aʻo, e hōʻemi a hoʻōki paha i ka lāʻau lapaʻau.
Akā e hoʻomanaʻo i hoʻokahi mea: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hoʻonui koke i kou koko, kahi mea hiki ke hoʻoweliweli.
Akā inā loaʻa iā ʻoe kahi maʻi lōʻihi e like me ka puʻuwai puʻuwai kūpono ʻole (arrhythmia), pono paha ʻoe e lawe i kēia mau lāʻau lapaʻau no ke koena o kou ola. Ma ke ʻano laulā, palekana kēia mau lāʻau lapaʻau e hoʻohana i ka wā lōʻihi.
He aha nā pōmaikaʻi a me nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau a pau, hiki i nā mea hoʻokahe kahawai calcium ke loaʻa nā pono a me nā hopena ʻaoʻao liʻiliʻi.
E kamaʻilio mua kākou e pili ana i nā pono:
- Loaʻa ka pono: Hana maikaʻi kēia lāʻau lapaʻau no nā kānaka o kēlā me kēia makahiki. Hiki iā ia ke mālama i ke koko a me nā pilikia pili ʻē aʻe.
- Lapaʻau i Kuhikuhi ʻia: Hiki i kāu kauka ke koho i kahi lāʻau lapaʻau (DHP a i ʻole DHP ʻole) i kūpono loa i kou kūlana.
- Hiki ke hāʻawi pū ʻia me nā lāʻau lapaʻau ʻē aʻe: I kekahi manawa ua hui pū ʻia kēia lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe, e like me nā lāʻau hoʻohaʻahaʻa cholesterol, a hele mai i loko o hoʻokahi pila. Ma kēlā ʻano, ʻoi aku ka maʻalahi o ka lawe ʻana i ka lāʻau.
I kēia manawa, e nānā kākou i nā hopena ʻaoʻao hiki ke loaʻa:
ʻAʻole ʻike nā kānaka a pau i nā hopena ʻaoʻao. Hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao liʻiliʻi. He ʻokoʻa iki kēia mau hopena ʻaoʻao mai nā ʻano ʻelua o DHP a me ka non-DHP a mākou i kūkākūkā ai ma mua.
| ʻAno lāʻau lapaʻau | Nā hopena ʻaoʻao maʻamau |
|---|---|
| ʻAno DHP (e.g. Amlodipine, Nifedipine) |
|
| ʻano ʻaʻole DHP (e.g. Diltiazem, Verapamil) |
|
Eia kekahi, hiki i kekahi mau mea pale i ke kahawai calcium ke hoʻoulu i nā ʻāʻī e ulu a puni nā niho me ke kumu ʻole . Eia kekahi, inā loaʻa iā ʻoe ka gastritis (GERD), e hoʻonui paha nā hōʻailona e like me ka heartburn.
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
He mea nui loa e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou i ka wā e lawe ana i kēia lāʻau lapaʻau, ʻoiai inā pili lākou i kou puʻuwai. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hele koke i ka lumi pilikia o ka haukapila (ETU).
- Paʻakikī ka hanu ʻana
- ʻEha nui o ka umauma
- Ka puʻuwai naʻau kūpono ʻole (arrhythmia) a i ʻole nā palpitations
- Ka mae ʻana
- ʻO ka poʻo pinepine
Eia kekahi, inā ʻike ʻoe i kekahi mau hōʻailona o kahi hopena maʻi, e like me ka ʻili ʻulaʻula, ka hives, a i ʻole ka pehu ʻana o ka maka a i ʻole nā lālā, e ʻimi koke i ke kōkua lapaʻau.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
He nīnau kēia a nā poʻe he nui e nīnau ai. Inā poina koke ʻoe e lawe i kahi lāʻau, mai lawe i ʻelua mau pila i ka manawa hoʻokahi no kekahi kumu. Inā "hopu" ʻoe i kahi lāʻau, hiki iā ʻoe ke overdose a hoʻoulu i nā kūlana weliweli, e like me ka puʻuwai haʻahaʻa weliweli.
ʻO ka maʻamau, pono ʻoe e lawe i ka lāʻau i hala ʻole i ka wā e hoʻomanaʻo ai ʻoe a laila e lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Eia nō naʻe, inā hiki koke mai kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Inā ʻaʻole ʻoe maopopo, e noi i kāu kauka no ka ʻōlelo aʻo.
Aia kekahi poʻe pono ʻole e hoʻohana i kēia lāʻau lapaʻau?
ʻAe. ʻAʻole kūpono kēia mau lāʻau lapaʻau no ka poʻe me kekahi mau kūlana olakino. Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau , e hōʻoia e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā loaʻa iā ʻoe ka puʻuwai puʻuwai
- Inā he haʻahaʻa loa kou koko
- Inā hāpai ʻoe a i ʻole ke manaʻolana nei e hāpai
- Inā he mau pilikia kou akepaʻa
- Inā loaʻa iā ʻoe kekahi ʻano o nā maʻi o ka puʻuwai
Hiki paha ke loaʻa nā pilikia me nā lāʻau lapaʻau a me nā meaʻai ʻē aʻe?
ʻO nā mea pale kahawai calcium kahi papa o nā lāʻau lapaʻau e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. Pono ʻoe e makaʻala loa i ka lawe ʻana iā lākou me nā lāʻau lapaʻau ʻē aʻe e hoʻohaʻahaʻa i ke koko a i ʻole e hoʻopilikia i ka helu o ka puʻuwai.
Eia kekahi, ʻo kahi mea a ka poʻe he nui i ʻike ʻole ai, ʻaʻole maikaʻi ka wai pomelo a i ʻole ka wai pomelo me kēia lāʻau lapaʻau. Hiki i kahi kemika i loko o ka pomelo ke hoʻololi i ke ʻano o ka omo ʻana o ka lāʻau lapaʻau e ke kino, hiki ke hoʻonui i ka nui o ka lāʻau lapaʻau me ke kumu ʻole. No laila, ʻoi aku ka maikaʻi o ka noho mamao ʻana mai ka pomelo i ka wā e lawe ana i kēia lāʻau lapaʻau.
He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā lāʻau lapaʻau kuʻuna āu e lawe nei.
Leka Lawe-Home
- He ʻano lāʻau lapaʻau maikaʻi loa nā mea pale kahawai calcium i hoʻohana pinepine ʻia no ke koko kiʻekiʻe a me nā maʻi puʻuwai.
- He mea nui loa e lawe i kāu lāʻau lapaʻau i ka nui kūpono a me ka manawa e like me ke kauoha a kāu kauka.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a ke kauka.
- E hoʻomanaʻo i nā hopena ʻaoʻao e like me ka pehu ʻana o nā wāwae, ka ʻeha poʻo, a me ka poniuniu. Inā loaʻa iā ʻoe kekahi ʻehaʻeha, e hoʻomaopopo i kāu kauka.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, a i ʻole ka nāwaliwali, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Eia kekahi, e pale i ka ʻai ʻana a i ʻole ka inu ʻana i ka pomelo i ka wā e lawe ana i kēia lāʻau.











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