Ke haʻi aku kāu kauka iā ʻoe e hāʻawi i kahi lāʻau i kapa ʻia ʻo ' Digoxin ' ma ke ʻano he inikini no kekahi maʻi puʻuwai, hiki iā ʻoe ke makaʻu iki a hopohopo. He mea maʻamau loa ia. Akā, he lāʻau lapaʻau koʻikoʻi loa ʻo Digoxin e kōkua nui ana i ka hana o ka puʻuwai a ua hoʻohana ʻia no ka manawa lōʻihi. No laila i kēia lā, e kamaʻilio maʻalahi kākou e hoʻomaʻemaʻe i kāu mau nīnau a pau e pili ana i kēia lāʻau.
No ke aha i hāʻawi ʻia ai kēia lāʻau lapaʻau ʻo Digoxin iā mākou?
I ka ʻōlelo maʻalahi, hoʻohana pinepine ʻia kēia lāʻau i kapa ʻia ʻo digoxin no nā kumu nui ʻelua.
1. Ka Hāʻule ʻana o ka Puʻuwai: E noʻonoʻo i kou puʻuwai e like me ka pamu e pamu ana i ke koko ma kou kino holoʻokoʻa. I kekahi manawa, lilo kēia pamu i mea nāwaliwali iki. ʻO ke ʻano kēia, ʻaʻole hiki i ka puʻuwai ke pamu i ke koko e like me ka mea e pono ai ke kino. Hana ʻo Digoxin ma ka hāʻawi ʻana i ka ikaika iki i ka ʻiʻo puʻuwai nāwaliwali a hoʻonui i kāna hana pamu. Ua like ia me ka hāʻawi ʻana i kahi mea inu ikehu i kahi mea luhi. ʻAe kēia i ka puʻuwai e pamu pono i ke koko ma ke kino holoʻokoʻa.
2. Arrhythmia : Loaʻa i kekahi poʻe kahi kūlana kahi e paʻi ai ko lākou puʻuwai i ke ʻano kūpono ʻole. ʻO kahi laʻana maikaʻi o kēia he kūlana i kapa ʻia ʻo atrial fibrillation (AFib) . ʻO kēia ka manawa e hoʻomaka ai ka puʻuwai e paʻi wikiwiki a kūpono ʻole ma muli o kahi pilikia liʻiliʻi i loko o ka ʻōnaehana hōʻailona uila o ka puʻuwai. Hana ʻo Digoxin ma ka kaohi ʻana i kēia mau hōʻailona uila wikiwiki a ʻano ʻole a hoʻihoʻi i ka helu o ka puʻuwai i kahi pae paʻa.
Ma waho aʻe o kēia mau mea, hiki ke hoʻohana ʻia ka digoxin no nā maʻi puʻuwai ʻē aʻe, ma ka manaʻo o ke kauka.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
He lāʻau lapaʻau ʻo Digoxin e pono e hoʻohana ʻia me ke akahele loa, no laila he mea nui loa e hoʻomaopopo i kāu hui lapaʻau e pili ana i kēia mau mea:
| Ke kūlana e hōʻike ʻia | No ke aha he mea nui kēlā? |
|---|---|
| ʻO nā maʻi puʻuwai ʻē aʻe a i ʻole kahi hāʻule puʻuwai hou | Hiki ke ʻokoʻa ka nui a me ka pono o ka digoxin. |
| Maʻi puʻupaʻa | Hoʻopau ʻia ka Digoxin mai ke kino ma o nā puʻupaʻa. Inā nāwaliwali nā puʻupaʻa, hiki i ka lāʻau ke hōʻiliʻili i loko o ke kino a lilo i mea ʻawahia. |
| Maʻi akepaʻa | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hana o ke akepaʻa. |
| Nā maʻi ʻaleka | E hōʻoia e haʻi mai iā mākou inā he mau maʻi ʻaleka kou i ka digoxin a i ʻole kekahi lāʻau lapaʻau a meaʻai paha ʻē aʻe. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Pono ʻoe e kamaʻilio me kāu kauka e pili ana i nā hopena o ka lāʻau lapaʻau. |
| Inā he makuahine hānai ʻoe | He mea nui e ʻike inā e hele ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma a me kona hopena. |
Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau?
ʻAʻole hiki iā ʻoe ke lawe i ka home a hāʻawi iā ʻoe iho i ka Digoxin. Hāʻawi ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia, ma ke ʻano he inikini i loko o kahi aʻa a i ʻole ma ke ʻano he infusion ma o kahi hopena saline. No laila, ʻaʻohe pono e hopohopo e pili ana i kou palekana.
ʻŌlelo Aʻo: Inā ʻoe e lawe nui ʻia! Hāʻawi ʻia kēia ma kahi haukapila, haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻia ʻoe, e hōʻike koke iā ia i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo a i ʻole ka Emergency Treatment Unit (ETU) kokoke loa.
Eia kekahi, e hoʻomanaʻo ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Hoʻoholo ʻia ka nui o ka lāʻau ma muli o nā kumu he nui, e like me kou kūlana olakino, ke kaumaha o ke kino, a me ka hana o nā puʻupaʻa. No laila , mai kaʻana like i kēia lāʻau lapaʻau me kekahi.
Nā lāʻau ʻē aʻe e hiki ke launa pū me ka digoxin
He ʻāpana koʻikoʻi loa kēia. He lāʻau lapaʻau ʻo Digoxin e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā mea kanu, a me nā mea hoʻohui .
ʻO kekahi mau lāʻau lapaʻau e hiki ke launa pū me ka digoxin:
- Nā lāʻau hoʻomaha e like me Alprazolam
- Kekahi mau lāʻau antibiotic - e.g. clarithromycin, erythromycin
- ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe a me nā maʻi puʻuwai ʻē aʻe
- ʻO kekahi mau lāʻau hoʻohaʻahaʻa cholesterol (e.g. atorvastatin)
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi diabetes
- Nā lāʻau antifungal - e.g. ketoconazole
- ʻO kekahi mau lāʻau lapaʻau no ka gastritis - e.g. omeprazole , esomeprazole
- Nā lāʻau hoʻopau ʻeha (NSAIDS) e like me ibuprofen a me naproxen
- Nā lāʻau lapaʻau kuʻuna e like me St. John's Wort
ʻAʻole i 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 hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka digoxin ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, ʻaʻole koʻikoʻi kekahi. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau hōʻailona a e hoʻomaopopo koke i kāu hui lapaʻau inā kū mai kekahi mau pilikia.
| ʻAno o ka hopena ʻaoʻao | Nā hiʻohiʻona i manaʻo ʻia |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| ʻAʻai ʻino Digoxin | He mea nui loa kēia. Pōʻino, nalowale ka makemake e ʻai, nausea, luaʻi, kahe koko, ʻike maka pohihihi a melemele paha , luhi nui, puʻuwai wikiwiki a ʻano ʻole paha. |
| Lohi loa ka puʻuwai | Pōniuniu, māʻule, paʻakikī ka hanu ʻana, luhi loa. |
| Pōʻino | Pōʻaiʻi i kekahi manawa. |
| ʻeha ka ʻōpū | ʻEha iki o ka ʻōpū. |
| Ka ulu ʻana o ka umauma | (No nā kāne a me nā wahine) ʻO ka ulu ʻana o ka ʻiʻo umauma i manaʻo ʻole ʻia. |
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
- He lāʻau lapaʻau koʻikoʻi ʻo Digoxin e kōkua ai i ka hāʻule ʻana o ka puʻuwai a i ʻole ka puʻuwai puʻuwai kūpono ʻole (AFib).
- Hāʻawi ʻia kēia lāʻau pale ma kahi haukapila ma lalo o ka nānā ʻana a nā kauka a me nā kahu maʻi, no laila ʻaʻohe pono e makaʻu iā ia.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me nā loli o ka ʻike (melemele o nā maka), ka poniuniu, a i ʻole kahi loli nui i ka helu o kou puʻuwai, e hoʻomaopopo koke i kāu hui lapaʻau.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka.
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