Ke ʻike nei hoʻi ʻoe i ka ʻeha nui ma kou mau wāwae, ʻoiai kou mau keiki bipi, ke hele ʻoe no kahi mamao pōkole? Ke emi nei ka ʻeha ma hope o kou noho ʻana a hoʻomaha no kekahi manawa, a laila hoʻi hou ka ʻeha ke hoʻomaka hou ʻoe e hele? He mea kēia a ka poʻe he nui e ʻike ai. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he intermittent claudication . ʻO ke kumu o kēia, ʻo ia ka haiki ʻana o nā kīʻaha koko e hoʻolako ana i ke koko i nā wāwae. No laila, ʻo kahi lāʻau lapaʻau kūikawā a nā kauka e kuhikuhi ai e mālama i kēia ʻano ua kapa ʻia ʻo Cilostazol. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau me ka maopopo a me ka maʻalahi.
He aha ke ʻano lāʻau lapaʻau ʻo Cilostazol?
I ka ʻōlelo maʻalahi, hana kēia lāʻau lapaʻau i kapa ʻia ʻo Cilostazol ma ka hoʻonui ʻana i nā kīʻaha koko i loko o kou mau wāwae, e maʻalahi ai ke kahe ʻana o ke koko ma o lākou. E noʻonoʻo e like me ka wā e paʻa ai kahi paipu wai, kahe mālie ka wai, akā inā ʻoe e hoʻonui i ka paipu, kahe maikaʻi ka wai.
Ke maikaʻi ke kahe koko i nā wāwae, loaʻa i nā ʻiʻo ka oxygen a me nā meaʻai e pono ai lākou. ʻO ia ke kumu e hōʻemi ʻia ai ka ʻeha i ka wā e hele ai, a hiki iā ʻoe ke hele lōʻihi me ka ʻole o ka ʻeha . ʻO kēia ka hana nui o kēia lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana iā Cilostazol, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kekahi mau ʻike koʻikoʻi e pili ana i kou kūlana olakino, no ka mea, ʻaʻole kūpono kēia lāʻau lapaʻau no nā mea āpau.
| Kou kūlana olakino | Nā kumu e hoʻomaopopo ai i ke kauka |
|---|---|
| Ka maʻi kahe koko a i ʻole ka hemophilia | No ka mea hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko, he mea nui e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kēlā ʻano maʻi. |
| He moʻolelo o ka hōʻeha puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai | ʻAʻole kūpono kēia lāʻau lapaʻau no ka poʻe me kekahi mau maʻi puʻuwai. No laila, e ʻoluʻolu e hoʻomaopopo pono i kou mōʻaukala olakino puʻuwai. |
| Nā maʻi ʻaleka i Cilostazol a i ʻole nā lāʻau lapaʻau a meaʻai paha | Inā ua loaʻa iā ʻoe kekahi mau maʻi allergies i kekahi lāʻau lapaʻau a meaʻai paha ma mua, e hoʻomaopopo i kāu kauka. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | ʻOiai ʻaʻohe ʻike piha e pili ana i ka palekana o kēia lāʻau lapaʻau i ka wā hāpai, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i kēia. |
| Inā hānai waiū ka makuahine i kāna keiki | ʻAʻole i hōʻoia ʻia inā hele ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma, no laila e kūkākūkā i ka hoʻoholo me kāu kauka. |
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai ka lāʻau lapaʻau, pono ʻoe e lawe pono.
- E lawe i kēia pila me ke aniani piha o ka wai.
- ʻO ka mea nui loa, pono e lawe ʻia kēia lāʻau lapaʻau ma ka ʻōpū ʻole. ʻO ia hoʻi ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻai ʻana a i ʻole 2 mau hola ma hope o ka ʻai ʻana.
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, e like me ke kauoha a kāu kauka. E kōkua kēia i ka mālama ʻana i nā pae o ka lāʻau lapaʻau i loko o kou kino i kūlike.
- E kamaʻilio me kāu kauka e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, no ka mea, pono paha lākou i ka mālama kūikawā.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo a hana koke. Kāhea i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi wale ʻia kēia lāʻau lapaʻau e kāu kauka. Mai kaʻana like me kekahi.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi no kekahi kumu.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Hiki i kekahi mau meaʻai a me nā lāʻau lapaʻau ʻē aʻe ke launa pū me Cilostazol a hoʻopilikia i kona pono a i ʻole nā hopena ʻaoʻao.
He mea nui loa: Mai inu loa i ka wai pomelo i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i ka wai pomelo ke hoʻonui weliweli i ka pae o Cilostazol i loko o ke kino.
| ʻAno lāʻau lapaʻau/meaʻai | Ke kumu e hopohopo ai |
|---|---|
| Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin, Enoxaparin, Aspirin ) | ʻO Cilostazol a me kēia mau lāʻau lapaʻau e hoʻonui i ka pilikia o ke kahe ʻana o ke koko. ʻO ka lawe pū ʻana iā lāua hiki ke hoʻonui hou aku i kēlā pilikia. |
| ʻO kekahi mau antifungals (e.g. Ketoconazole, Itraconazole ) | Hiki i kēia ke hoʻonui i ka nui o Cilostazol i loko o ke kino. |
| Kekahi mau lāʻau antibiotic (e.g. Erythromycin, Clarithromycin ) | Hiki i kēia mau lāʻau lapaʻau ke hoʻonui i ka nui o Cilostazol i loko o ke kino. |
| ʻO Omeprazole (kahi lāʻau lapaʻau no ka gastritis) | Hiki ke hana ʻia nā pilina i ka wā e lawe ai iā Cilostazol me Omeprazole. |
| ʻO kekahi mau lāʻau antidepressants (e.g. Fluoxetine, Fluvoxamine ) | Hiki i kēia mau mea ke hana i nā pilina me Cilostazol, no laila e hoʻomaopopo i kāu kauka. |
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau lāʻau). Eia kekahi, e haʻi i kāu kauka inā ʻoe e hoʻohana ana i ka waiʻona a i ʻole ka uahi.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E hoʻomanawanui: He manawa iki kēia lāʻau lapaʻau e hōʻike ai i nā hopena. E hoʻomaka pinepine ʻoe e ʻike i kahi ʻokoʻa i loko o 2 a 4 mau pule . Eia nō naʻe, no kekahi poʻe hiki ke hala a hiki i 3 mau mahina . No laila, mai hoʻōki koke i ka lawe ʻana iā ia no ka mea ke manaʻo nei ʻoe ʻaʻole ia e hana.
- Pōniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka pōniuniu a me ka hiamoe i kekahi poʻe. No laila, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa ʻana, ka hana ʻana ma nā wahi kiʻekiʻe, a i ʻole ka hoʻohana ʻana i nā mīkini , a hiki i kou ʻike ʻana pehea e pili ai kēia iā ʻoe. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia kūlana.
- Puhipaka: Inā he puhipaka ʻoe, hiki ke hōʻemi i ka pono o kēia lāʻau lapaʻau. No laila, inā ʻoe e noʻonoʻo ana e haʻalele i ka puhipaka, e kamaʻilio me kāu kauka e pili ana i ia mea.
- ʻOki kino: Inā e hana ʻia kekahi ʻoki kino, MRI, a i ʻole CT scan, e haʻi mua i ka hui lapaʻau e lawe ana ʻoe i kēia lāʻau. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau i kekahi mau lā ma mua o ke kaʻina hana .
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Cilostazol ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, a he mea maʻamau kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| ʻEha umauma, loli i ka helu o ka puʻuwai | Ka wikiwiki o ka puʻuwai, lohi , a i ʻole kūlike ʻole. |
| Nā hōʻailona koko | Nā ʻōpala ʻeleʻele a koko paha; mimi ʻulaʻula a ʻeleʻele paha; luaʻi ʻana i ka lepo kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻano ʻē mai ka ihu a i ʻole nā ʻāʻī. |
| Ka pehu ʻana o nā wāwae a i ʻole nā kuʻekuʻe wāwae | Pehu hou a i ʻole e hoʻonui ana. |
| Nā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau a hoʻopilikia paha lākou | |
| Ka maʻi pākī | Ka hoʻonui ʻana o ka ʻōpū. |
| ʻEha poʻo | ʻEha poʻo laulā. |
| Ka luaʻi a i ʻole ka ʻeha o ka ʻōpū | Manaʻo e luaʻi ana. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- ʻO Cilostazol kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka claudication intermittent (ʻeha i nā wāwae i ka wā e hele ai).
- Pono e lawe ʻia kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana (ma ka ʻōpū ʻole).
- E hōʻalo i ka inu ʻana i ka wai huaʻai a pau i ka wā e lawe ana i ka lāʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā lāʻau hoʻokahe koko.
- E nānā i nā hōʻailona o ke kahe ʻana o ke koko (nā ʻōpala ʻeleʻele, nā palapū ʻē). Inā ʻike ʻoe i kekahi mea, e haʻi koke aku i kāu kauka.
- Hiki ke hala kekahi mau pule a i ʻole mau mahina no ka hōʻike ʻana o ka lāʻau i nā hopena, no laila e hoʻomanawanui a hoʻomau i ka lāʻau.
- Inā loaʻa kekahi pilikia, mai kānalua e ʻimi i ka ʻōlelo aʻo a kāu kauka.
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