Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Digoxin no kahi maʻi puʻuwai? Inā pēlā, he nui paha kāu mau nīnau i loko o kou manaʻo, e like me ke ʻano o kēia lāʻau lapaʻau, kāna hana i kou kino, a me nā hana palekana āu e lawe ai. He mea maʻamau loa ia. He mea nui loa ia e ʻike piha ʻia e pili ana i ka lāʻau lapaʻau āu e lawe nei, e loaʻa ka mea nui loa mai ia mea, a e hoʻohana palekana. No laila i kēia lā, e kamaʻilio kākou e pili ana iā Digoxin ma ke ʻano maʻalahi.
He aha ka Digoxin? He aha kāna hana maoli?
I ka ʻōlelo maʻalahi, ʻo Digoxin kahi lāʻau lapaʻau i kuhikuhi nui ʻia no nā maʻi puʻuwai ʻelua.
1. Ka Hāʻule ʻana o ka Puʻuwai: ʻAʻole ka hāʻule ʻana o ka puʻuwai ma ʻaneʻi ka hōʻeha puʻuwai koke a mākou e kamaʻilio nei. He kūlana kēia kahi e nāwaliwali ai ka ʻiʻo puʻuwai a hiki ʻole ke pamu i ka nui o ke koko e pono ai i ke kino holoʻokoʻa. E noʻonoʻo e like me ka pamu wai i ʻelemakule a ʻaʻole e pamu pono i ka wai. Hana ʻo Digoxin ma ka hoʻoikaika ʻana i ka kuʻi o ka puʻuwai (ka helu o ka puʻuwai) a me ka hoʻomaʻalahi ʻana i kēlā hana pamu.
2. Atrial Fibrillation (AFib): He puʻuwai kū ʻole kēia. ʻO ke kikoʻī, he pilikia ia me ka ʻōnaehana uila o ka puʻuwai, e hoʻoulu ai i ka puʻuwai e kuʻi wikiwiki a kūpono ʻole. Kōkua ʻo Digoxin i ka hoʻomalu ʻana i kēia mau hōʻailona uila overactive a hoʻihoʻi i ka helu o ka puʻuwai i kahi rhythm paʻa .
Ma waho aʻe o kēia, hiki i ke kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā maʻi puʻuwai ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
No kou palekana, he mea nui e haʻi aku i kāu kauka i kou mōʻaukala olakino piha ma mua o ka hoʻomaka ʻana iā Digoxin. E hōʻoia e haʻi aku iā lākou e pili ana i kēia mau mea.
- Loaʻa iā ʻoe nā pilikia ʻē aʻe o ka puʻuwai.
- Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai ma mua.
- Inā he mau pilikia kou i nā puʻupaʻa a i ʻole ke akepaʻa (hiki i kēia ke hoʻopilikia i ke ʻano o ka hoʻokuʻu ʻia ʻana o ka lāʻau mai ke kino).
- Inā he maʻi ʻaleka kou i ka Digoxin a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha , hiki i kāu kauka ke hoʻoholo inā e hāʻawi a ʻaʻole paha i kēia lāʻau iā ʻoe, a inā pēlā, pehea e hāʻawi ai.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He ala maikaʻi loa e lawe ai i ka lāʻau lapaʻau
He papa kēia lāʻau lapaʻau e lawe ʻia ma ka waha. E lawe me ke aniani wai. E lawe wale i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia e kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia no kekahi kumu. ʻOi aku ka maikaʻi o ka hoʻomaʻamaʻa ʻana i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā.
He aha inā e hala wau i kahi lāʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe (no ka laʻana, he mau hola wale nō ia), e kāpae i ka lāʻau lapaʻau i poina a lawe wale i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia.
Mai lawe pālua i ka mahele lāʻau no ka mea ua poina iā ʻoe. He mea weliweli loa ia.
He aha ka mea e hana ai inā piʻi ka nui o ka lāʻau (overdose)?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Emergency Unit (ETU) o ka haukapila a i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital . E mālama i kēia me he pilikia lā.
ʻO ka mea nui loa, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi, ʻoiai inā like ko lākou mau hōʻailona me kāu.
Nā mea ʻē aʻe e hiki ke launa pū me Digoxin (Nā Hana like ʻana)
Hiki i ka Digoxin ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā huahana lāʻau lapaʻau, a me nā meaʻai. 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 a me nā lāʻau lapaʻau lāʻau). Aia ma lalo kekahi o nā mea e launa pū me Digoxin.
| ʻAno lāʻau lapaʻau/mea hana | Nā laʻana a me nā wehewehena |
|---|---|
| Nā antacids a me nā lāʻau lapaʻau no ka ʻāʻī ʻana | Hiki i nā lāʻau lapaʻau e like me Omeprazole, Esomeprazole, a me Sucralfate ke hōʻemi i ka omo ʻana o Digoxin. |
| ʻO kekahi mau ʻano antibiotic | Nā lāʻau lapaʻau e like me Azithromycin, Clarithromycin, a me Erythromycin. |
| Nā lāʻau lapaʻau no ke koko a me ka maʻi puʻuwai | He mea nui e hoʻomaopopo i kāu kauka no ka mea he nui nā lāʻau lapaʻau e launa pū me Digoxin. |
| Nā lāʻau hoʻohaʻahaʻa kolesterol | Nā lāʻau lapaʻau e like me Atorvastatin a me Cholestyramine. |
| Nā lāʻau hoʻopau ʻeha (NSAIDs) | Nā lāʻau lapaʻau e like me Ibuprofen, Naproxen, Celecoxib. |
| Nā huahana lāʻau lapaʻau | Nā mea e like me ka St. John's Wort. |
ʻAʻole i piha kēia papa inoa, no laila he mea nui e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau hou.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E ʻike pinepine i kāu kauka: Pono kāu kauka e ʻike pinepine iā ʻoe e nānā i kou kūlana. E kauoha pū ʻo ia i nā hoʻokolohua koko a me nā hoʻokolohua ECG.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau: ʻOiai inā ʻoi aku kou maikaʻi, e pale i ka hoʻōki ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Mai hoʻololi i ka lama: Mai hoʻololi i ka lama o Digoxin i hāʻawi ʻia iā ʻoe me ka ʻole o ke aʻo a kāu kauka. I kekahi manawa, ʻokoʻa iki ke ʻano o ka omo ʻana o ka lāʻau lapaʻau e ke kino mai nā lama like ʻole.
- E makaʻala i kāu papaʻai: Inā he nui nā meaʻai momona i ka bran i loko o kāu papaʻai (e.g., ka berena bran, kekahi mau cereals), e emi paha ka omo ʻana o Digoxin. E kamaʻilio me kāu kauka e pili ana i kēia.
- Mai lawe i nā lāʻau lapaʻau no nā kūlana ʻē aʻe: ʻO kekahi mau lāʻau lapaʻau no ke kuni, ke anu, a me nā maʻi ʻaleka hiki ke hoʻonui i nā hopena ʻaoʻao o Digoxin, no laila e nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki mai ana?
| Nā hōʻailona e pono e hōʻike koke aku i kāu kauka | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka ʻawahia o ka Digoxin | Huikau, nalowale o ka makemake e ʻai, nausea, luaʻi, kahe koko, loli o ka ʻike (ʻike pōwehiwehi, melemele o nā maka), luhi nui, puʻuwai wikiwiki a ʻano ʻole paha. |
| Lohi loa ka puʻuwai | Pōniuniu, māʻule, paʻakikī ka hanu ʻana, nāwaliwali loa ke ʻano. |
| ʻO nā hōʻailona i maʻa mau ʻaʻole koʻikoʻi, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| Pōʻino | Pōʻaiʻi i kekahi manawa. |
| ʻEha ʻōpū | ʻEha iki ka ʻōpū. |
| Ka ulu ʻana o nā ʻiʻo umauma | Ka hoʻonui iki ʻana a i ʻole ka ʻeha ma ka ʻāpana umauma kāne (pinepine no ka manawa pōkole). |
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 ka Digoxin no ka puʻuwai e pono e hoʻohana ʻia me ke akahele. E lawe mau e like me ka mea a kāu kauka e ʻōlelo ai.
- ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau Ayurvedic).
- Inā ʻoe e overdose a i ʻole e loaʻa nā hōʻailona o ka ʻawahia Digoxin, e ʻimi koke i ke kōkua lapaʻau.
- E hele i nā keʻena lapaʻau i ka manawa kūpono a e nānā mau i kou kūlana. He mea nui loa kēia no kou olakino.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo