Loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka hāʻule ʻana o ka puʻuwai? A i ʻole he puʻuwai wikiwiki loa kou i kekahi manawa? Inā pēlā, ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi ʻano lāʻau i kapa ʻia ʻo 'Cardiac Glycosides', a ua kuhikuhi paha iā ia. ʻOiai paha he paʻakikī iki kēia inoa, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻano lāʻau lapaʻau ma ke ʻano maʻalahi a aloha hoʻi.
I ka ʻōlelo maʻalahi, he aha kēia mau glycosides cardiac?
I ka ʻōlelo maʻalahi, he hui kēia o nā lāʻau lapaʻau e kōkua i nā poʻe me kekahi mau maʻi puʻuwai. Hiki iā lākou ke hele mai ma ke ʻano o nā pila, nā capsules, a i ʻole kahi wai. ʻO ka maʻamau, e kuhikuhi kāu kauka iā lākou e lawe ʻia i hoʻokahi manawa i ka lā, i ka manawa like i kēlā me kēia lā.
ʻO Digoxin ka mea i ʻike nui ʻia a hoʻohana pinepine ʻia i waena o mākou ma Sri Lanka. Ua kuhikuhi ʻia paha kēia lāʻau lapaʻau iā ʻoe.
Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?
ʻOiai paha he mea paʻakikī iki kēia ke hoʻomaopopo, e hoʻomaopopo kākou me kahi laʻana maʻalahi.
E noʻonoʻo i nā ʻiʻo i loko o ko kākou puʻuwai e like me ka puʻu o nā pamu wai liʻiliʻi. Pono kēia mau pamu i ka ikehu e hana pono ai. Loaʻa kēia ikehu mai kahi mineral i kapa ʻia ʻo ka calcium .
Hana nā glycosides cardiac ma ka mālama ʻana i kahi liʻiliʻi o nā ion sodium i loko o nā hunaola puʻuwai. Ke piʻi ka nui o ka sodium i loko o nā hunaola, piʻi pū ka nui o ka calcium i loko o nā hunaola i ka pane ʻana.
Ke nui aku ka calcium, ʻoi aku ka ikaika o ka ʻūlū ʻana o ka ʻiʻo o ka puʻuwai. ʻO ke ʻano kēia, ʻoi aku ka nui o ke koko i hoʻopili ʻia i loko o ke kino me kēlā me kēia kuʻi. I ka lāʻau lapaʻau, kapa mākou i kēia he hoʻonui ʻana i ka puka o ka puʻuwai . He mea nui loa kēia no kekahi me ka hāʻule ʻana o ka puʻuwai.
Eia kekahi, hana kēia lāʻau i kahi mea ʻē aʻe.
Hoʻomalu ʻia ke kuʻina o ka puʻuwai e kahi ʻōnaehana o nā hōʻailona uila. Hana kēia lāʻau lapaʻau ma ka hoʻolohi ʻana i ka wikiwiki o ka hele ʻana o kēlā mau hōʻailona uila, ʻoiai ke hele lākou ma ke kikowaena AV i loko o ka puʻuwai. Hoʻolohi kēia i ka helu o ka puʻuwai. Hiki i kēia ke kōkua nui i ka poʻe me nā maʻi e like me ka atrial fibrillation, ka mea e hoʻoulu ai i ka puʻuwai e kuʻi wikiwiki loa.
ʻO wai ka mea i kuhikuhi ʻia i kēia mau lāʻau lapaʻau?
He mea nui loa kēia. I ka wā ma mua, ua hoʻohana nui ʻia kēia mau lāʻau lapaʻau no ka maʻi puʻuwai. Akā, ʻaʻole ia ka hihia i kēia manawa .
I kēia manawa, ʻaʻole nā Cardiac Glycosides he lāʻau lapaʻau laina mua. ʻO ia hoʻi, ʻaʻole lākou ke koho mua a ke kauka no ka hōʻeha puʻuwai a i ʻole ka maʻi puʻuwai.
ʻO ka maʻamau, e kuhikuhi mua ke kauka i kēia mau ʻano lāʻau lapaʻau:
- Nā mea pale beta
- Nā mea hoʻopaʻa ACE
- Diuretics - ʻO kēia ka mea a mākou e kapa nei he "nā pila wai".
- Nā ARB (Nā Mea Pale i ka Angiotensin II Receptor)
ʻO ke kumu i hāʻawi mua ʻia ai kēia mau lāʻau lapaʻau, no ka mea, ʻoi aku ka palekana ma mua o nā glycosides cardiac a he emi mai nā hopena ʻaoʻao koʻikoʻi.
No laila, ʻo wai ka mea i hāʻawi ʻia i nā 'Cardiac Glycosides'?
No kekahi mau maʻi i kāohi pono ʻole ʻia ko lākou mau hōʻailona e nā lāʻau lapaʻau i ʻōlelo ʻia ma mua, hiki i ke kauka ke kuhikuhi i kēia lāʻau. ʻO ia hoʻi, inā wale nō e ʻoi aku ka maikaʻi o nā pono i ka mea maʻi ma mua o nā pilikia.
He aha nā pilikia a me nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau ke hana i nā hopena ʻaoʻao. Akā pono mākou e akahele iki me kēia lāʻau lapaʻau. ʻO ke kumu, ʻaʻohe ʻokoʻa nui ma waena o ka nui o ka lāʻau lapaʻau a me ka nui o ka lāʻau ʻawahia e hana ai i nā hopena ʻaoʻao.
I ka ʻōlelo maʻalahi, inā ʻoe e hoʻonui iki i ka nui o ka lāʻau, e piʻi aʻe ka manawa kūpono o nā hopena ʻaoʻao. No laila , mai hoʻololi i ka nui o kāu lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka .
E nānā kākou i nā pilikia e hiki ke hana ʻia e kēia lāʻau lapaʻau ma kahi papa.
| Pilikia | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao maʻamau (ʻaʻole koʻikoʻi pinepine) |
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| Nā hōʻailona o ka lāʻau make (Toxicity) ( E ʻimi koke i ke kōkua lapaʻau! ) |
|
No ka mea, noho kēia lāʻau lapaʻau i loko o ke kino no kekahi manawa, hiki iā ia ke hōʻiliʻili i ka hala ʻana o ka manawa. ʻO ia ke kumu e nānā mau ai kāu kauka i kou koko a nānā i kou pae digoxin.
Āhea wau e ʻike koke ai i ke kauka?
Inā ʻoe e lawe ana i kēia lāʻau lapaʻau a ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e ʻike koke i kāu kauka.
- Inā pilikia ʻoe i ka hanu ʻana
- Inā hoʻomaka kou mau lima a i ʻole kou mau wāwae e pehu
- Inā hoʻomau ka ʻeha o ka ʻōpū, ka maʻi pākī, a i ʻole ka luaʻi ʻana
- Inā pau kou makemake e ʻai
Inā kū mai nā hōʻailona o ka ʻawahia, he mea nui e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Inā makemake ʻoe i ʻike hou aku, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- He mau lāʻau lapaʻau ka Cardiac Glycosides (e like me Digoxin) e kōkua ai i ka puʻuwai nāwaliwali e pamu koko me ka ʻoi aku ka maikaʻi a kaohi i ka puʻuwai wikiwiki.
- I kēia mau lā, ʻaʻole hoʻohana ʻia ma ke ʻano he lāʻau lapaʻau laina mua ma muli o kona mau pilikia a me nā hopena ʻaoʻao.
- He mea nui loa ka nui i kuhikuhi ʻia iā ʻoe. Mai hoʻololi i ka nui no kekahi kumu me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- He mea weliweli maoli ka ʻawahia. E makaʻala i nā hōʻailona e like me nā loli o ka ʻike (ʻike melemele/ʻōmaʻomaʻo), ka hiamoe nui, a i ʻole ka ʻeha o ka ʻōpū. Inā loaʻa kēia, e ʻimi koke i ke kōkua lapaʻau.
- ʻOiai ke ʻano o kou manaʻo, he mea nui loa ia e lawe i kāu lāʻau lapaʻau no ka manawa i kuhikuhi ʻia a hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia e like me ke kuhikuhi a kāu kauka.
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