ʻO kahi pilikia i loaʻa i nā kānaka he nui, ʻo ia kēia 'kaomi' a i ʻole ke koko kiʻekiʻe. Ke hele lākou i ke kauka a ʻōlelo ʻia, "Pono wau e lawe i ka lāʻau lapaʻau no koʻu koko," makaʻu iki kekahi poʻe. ʻO nā nīnau e like me "Pono anei wau e lawe i ka lāʻau lapaʻau no ke koena o koʻu ola?" a "E loaʻa anei nā hopena ʻaoʻao?" e hiki mai ana i ka noʻonoʻo. Akā inā ʻike pono ʻia ʻoe e pili ana i kēia mau ʻano lāʻau lapaʻau, hiki ke hoʻopau nui ʻia kēlā makaʻu. I kēia lā, ke kamaʻilio nei mākou e pili ana i nā Calcium Channel Blockers, kahi ʻano lāʻau lapaʻau koʻikoʻi loa i hāʻawi ʻia i nā kānaka he nui.
I ka ʻōlelo maʻalahi, he aha kēia mau mea pale i ke kahawai calcium?
He lāʻau lapaʻau kēia e kōkua ai i ka hoʻohaʻahaʻa ʻana i kou koko. E noʻonoʻo e pili ana i nā pūnaewele i loko o ko kākou puʻuwai a me nā kīʻaha koko. He mau 'puka' liʻiliʻi ko kēia mau pūnaewele e hoʻokuʻu ai i ka mineral calcium i loko a i waho. Kāhea mākou i kēia mau kahawai calcium.
Hana nā lāʻau Pale Kanal Kalipuna ma ke ālai ʻana i kekahi o kēlā mau 'puka'. Hoʻopaʻa kēia i ka nui o ka kalipuna e hiki ke komo i loko o nā ʻāpana. Hana kēia i ʻelua mau mea nui:
1. Vasodilation: Hoʻomaha iki nā ʻiʻo i loko o nā paia o nā kīʻaha koko. Hoʻonui kēia i nā kīʻaha koko, e ʻae ana i ke koko e kahe maʻalahi. Hoʻemi kēia i ke koko.
2. Kaohi ʻana i ka hana o ka puʻuwai: Ke kāohi ʻia ke komo ʻana o ka calcium i loko o nā hunaola o ka puʻuwai, ua emi ka helu o ka puʻuwai a me ke alapine o nā kuʻi. Hoʻemi kēia i ke kaumaha ma luna o ka puʻuwai a hoʻomaikaʻi i kāna hana.
He aha nā kūlana e hoʻohana ʻia ai kēia lāʻau lapaʻau?
Paipai nui nā kauka i kēia ʻano lāʻau lapaʻau no nā maʻi e pili ana i ka puʻuwai a me nā kīʻaha koko. Eia kekahi, aia kekahi mau hihia kahi e hoʻohana ʻia ai no nā maʻi ʻē aʻe. E nānā kākou i ke ʻano o lākou.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Ke koko kiʻekiʻe | ʻO kēia ka manawa maʻamau e hāʻawi ʻia ai kēia lāʻau. ʻO kēia ka mea a mākou e kapa nei ʻo 'ke kaomi'. |
| Nā ʻano ʻino o ka puʻuwai (Arrhythmias) | Kōkua kēia lāʻau lapaʻau i ka kaohi ʻana i nā puʻuwai puʻuwai kūpono ʻole. |
| ʻAngina (ʻeha umauma) | Kōkua kēia lāʻau lapaʻau i ka hoʻomalu ʻana i ka ʻeha o ka umauma e kū mai ana ke loaʻa ʻole ke koko i ka puʻuwai. |
| ʻO ka Spasm o ke aʻa coronary | Kōkua kēia i ka pale ʻana i nā aʻa koko e hoʻolako koko i ka puʻuwai mai ka hāiki koke ʻana. |
| Nā hoʻohana ʻē aʻe (Ma waho o ka lepili) | |
| Ka Hanana a Raynaud | He kūlana e ʻūmiʻi ai a maeʻele nā aʻa koko o nā manamana lima a me nā manamana wāwae ma muli o ke anu. |
| Kāohi ʻana i ka migraine | Manaʻo ʻia kēia no kekahi poʻe e hōʻemi i ka migraines. |
| Nā māwae anal | E hoʻomaha i nā ʻiʻo a puni ka anus a kōkua iā ia e ho'ōla. |
ʻElua mau ʻano nui o nā mea pale o ke kahawai calcium:
ʻElua ʻano nui o kēia mau lāʻau lapaʻau. He mea nui e ʻike i ke ʻano a kāu kauka i kuhikuhi ai nou.
1. Dihydropyridines (DHP): Kuhi nui kēia ʻano i ko mākou mau kīʻaha koko . ʻO kā lākou hana, ʻo ia ka hoʻomaha a me ka hoʻonui ʻana i nā kīʻaha koko. No laila, he mea kūpono loa lākou no ke koko kiʻekiʻe. ʻO nā lāʻau lapaʻau i kuhikuhi pinepine ʻia e like me Amlodipine, Nifedipine, a me Felodipine no kēia hui.
2. ʻAʻole-dihydropyridines (ʻAʻole-DHP): Hoʻopilikia pololei kēia ʻano i nā kīʻaha koko a me ka ʻiʻo puʻuwai . No laila, hoʻohana ʻia lākou e kaohi i nā mea e like me ka helu o ka puʻuwai a me ke mele. ʻO nā hiʻohiʻona o nā lāʻau lapaʻau ma kēia hui ʻo Verapamil lāua ʻo Diltiazem.
Pehea ka lōʻihi e pono ai iaʻu e lawe i kēia lāʻau lapaʻau?
He nīnau kēia a nā poʻe he nui. ʻO ka pane i kēia ma muli o ke kūlana olakino e kuhikuhi ʻia nei kēia lāʻau lapaʻau iā ʻoe.
Eia kekahi laʻana, inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe no ke koko kiʻekiʻe, inā ʻoe e kāohi i kāu ʻai, hoʻoikaika kino, hoʻemi kaumaha, a lawe i kahi nohona olakino, hiki paha iā ʻoe ke hōʻemi i ka nui o ka lāʻau lapaʻau a hoʻōki loa paha.
Akā ʻo ka mea nui e hoʻomanaʻo ai, ʻaʻole pono ʻoe e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. Pono ʻoe e hana mālie, ma lalo o ke alakaʻi a kāu kauka. Inā ʻoe e hoʻōki koke i ka lawe ʻana, e piʻi koke paha kou koko.
Akā inā hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe no kahi kūlana e like me ka arrhythmia (puʻuwai puʻuwai kūpono ʻole), pono paha ʻoe e lawe i kēia lāʻau lapaʻau no ka manawa lōʻihi.
He aha nā pōmaikaʻi a me nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i kēia mau mea ke loaʻa nā pōmaikaʻi a me nā hopena ʻaoʻao liʻiliʻi.
Nā pono nui:
- Loaʻa ka pono: He loaʻa ka pono o kēia lāʻau lapaʻau i ka kaohi ʻana i ke koko kiʻekiʻe.
- Lapaʻau i hoʻolālā ʻia: Hiki i kāu kauka ke koho i ke ʻano o ka Calcium Channel Blocker e kūpono loa i kou kūlana.
- Hiki ke hāʻawi ʻia me nā lāʻau lapaʻau ʻē aʻe: I kekahi manawa hele mai kēia mau mea i loko o hoʻokahi pila, i hui pū ʻia me nā lāʻau cholesterol. ʻO ia ka mea e maʻalahi ai ka lawe ʻana i ka lāʻau.
Nā hopena ʻaoʻao hiki ke loaʻa:
ʻAʻole hiki kēia mau hopena ʻaoʻao i nā kānaka a pau. Hiki wale nō lākou i kekahi poʻe. A i kēlā manawa, ʻoi aku ka maʻamau o lākou i nā wā mua o ka lawe ʻana i ka lāʻau.
- Nā hopena ʻaoʻao o Dihydropyridine (e like me Amlodipine, Nifedipine):
- Pōʻino , manaʻo o ka maʻi
- Pehu kuʻekuʻe wāwae a me ka wāwae
- ʻEha poʻo
- ʻUlaʻula o ka maka, wela ke pā
- Nā hopena ʻaoʻao ʻano non-dihydropyridine (e like me Verapamil, Diltiazem):
- Ka paʻa ʻana o ka ʻōpū
- Manaʻo luhi
- Puʻuwai lohi
Eia kekahi, hiki i kekahi poʻe ke ʻike i ka ulu nui ʻana o ka ʻāʻī a i ʻole ka hoʻonui ʻia ʻana o nā hōʻailona o ka gastritis (GERD) ma muli o kēia lāʻau lapaʻau. Inā ʻike ʻoe i kekahi o kēia mau mea, e hoʻomaopopo i kāu kauka.
Nā kūlana i ka wā e pono ai ʻoe e ʻike koke i ke kauka
Inā ʻoe e lawe ana i kēia lāʻau lapaʻau a ʻike i kekahi o nā hōʻailona ma lalo nei, e hele koke i ka Emergency Department (ETU) o ka haukapila a i ʻole e ʻike i kāu kauka.
- Paʻakikī ka hanu ʻana
- ʻEha nui o ka umauma
- Nā palpitations o ka puʻuwai (ka puʻuwai kūpono ʻole, ka puʻuwai wikiwiki, a i ʻole ka manaʻo e kū ana)
- Ka mae ʻana
- ʻO ka poʻo hina pinepine
- Nā hōʻailona maʻi e like me ka pehu ʻana o ka maka, nā lālā, a i ʻole ka ʻulaʻula
He aha kāu e hana ai inā e hala ʻoe i kahi mahele o ka lāʻau lapaʻau?
He mea nui loa kēia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi, no ka mea ua poina iā ʻoe e lawe i kahi lāʻau. ʻO ka hana ʻana pēlā e alakaʻi ai i ka overdose, kahi e hiki ai ke hoʻohaʻahaʻa i kou koko koko a hoʻopilikia paha i ka hana o kou puʻuwai.
ʻO ka mea maʻamau e hana ai, ʻo ia ke poina i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Eia nō naʻe, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i kēia a loaʻa ka ʻōlelo aʻoaʻo maopopo.
Aia kekahi mau pilikia me nā lāʻau lapaʻau a me nā meaʻai ʻē aʻe?
ʻAe. Hiki i nā Calcium Channel Blockers ke launa pū me nā lāʻau lapaʻau ʻē aʻe. Pono ʻoe e makaʻala i ka lawe ʻana iā lākou me nā lāʻau lapaʻau ʻē aʻe e hoʻohaʻahaʻa i ke koko a i ʻole nā lāʻau lapaʻau e hoʻopilikia ai i ka helu o ka puʻuwai.
He mea nui loa ia e hoʻomaopopo he hiki i kekahi mau Calcium Channel Blockers ke launa pū me ka pomelo (me ka wai pomelo). No laila, inā ʻoe e lawe ana i kēia lāʻau lapaʻau, e pale i ka ʻai ʻana/inu ʻana i ka pomelo.
E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā lāʻau lapaʻau no nā kūlana ʻē aʻe a me nā huaora). ʻO ia ke kanaka maikaʻi loa e aʻo iā ʻoe ma kēia.
Leka Lawe-Home
- He ʻano lāʻau lapaʻau maikaʻi loa nā Calcium Channel Blockers i kuhikuhi pinepine ʻia no ke koko kiʻekiʻe a me nā maʻi puʻuwai.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa like.
- Hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi e like me ka pehu ʻana o ke kuʻekuʻe wāwae a me ka poniuniu . E hoʻomaopopo i kāu kauka e pili ana i kēia.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha nui o ka umauma a me ka paʻakikī o ka hanu ʻana, 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 a pale i ka ʻai ʻana i ka ʻaila.
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