He ʻano ʻē anei kou puʻuwai? E kamaʻilio kākou e pili ana i ka lāʻau lapaʻau Disopyramide

Ke manaʻo nei ʻoe i kekahi manawa e kuʻi wikiwiki ana kou puʻuwai, a i ʻole e kuʻi ana ma waho o ke ʻano? He lāʻau lapaʻau kūikawā ʻo Disopyramide i kuhikuhi ʻia e nā kauka e mālama i nā kūlana e like me kēia i kapa ʻia ʻo arrhythmia. Inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, he mea nui e ʻike pono i ke ʻano o ia mea. No laila e kamaʻilio kākou e pili ana i kēia lā.

He aha ka mea e hana maoli me kēia lāʻau lapaʻau?

I ka ʻōlelo maʻalahi, ʻo Disopyramide kahi lāʻau lapaʻau e kāohi ana i ke kuʻina o ka puʻuwai. Ma ke ʻano lapaʻau, he lāʻau lapaʻau kēia no ka māhele "antiarrhythmic". Hoʻopaʻa ko mākou puʻuwai me kahi ʻōnaehana hōʻailona uila palupalu loa. I kekahi manawa, hiki ke hoʻonui nui ʻia ka hana o kēia ʻōnaehana hōʻailona. ʻO ia ka manawa e paʻi wikiwiki ai ka puʻuwai, a i ʻole e hoʻopilikia ʻia ke kuʻina. No laila, ʻo ka mea a Disopyramide e hana ai, ʻo ia ke kāohi i kēia mau hōʻailona uila ikaika loa i loko o ka puʻuwai a hoʻihoʻi i ka helu o ka puʻuwai i kahi kuʻina paʻa a pololei.

Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau

Ma mua o ka hāʻawi ʻana iā ʻoe i ka Disopyramide, makemake kāu kauka e ʻike i kou mōʻaukala olakino piha. No laila, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• Inā loaʻa iā ʻoe ka maʻi diabetes .
• Inā pilikia ʻoe i ka mimi ʻana.
• Inā loaʻa iā ʻoe ka glaucoma, kahi maʻi e hoʻonui ai ke kaomi i loko o nā maka.
• ʻO nā maʻi puʻuwai ʻē aʻe, ʻoiai inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua.
• Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
• Inā haʻahaʻa ke koko.
• Inā ʻoe e ʻeha nei i ka ʻai ʻole.
• Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo myasthenia gravis, ka mea e hoʻonāwaliwali ai nā ʻiʻo.
• Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka disopyramide a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
• Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
• Inā he makuahine ʻoe e hānai waiū ana i kāu pēpē.

Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?

E hoʻomanaʻo i kēia mau mea i ka wā e hoʻohana ai i kēia lāʻau.

• E lawe i kēia lāʻau lapaʻau ma ka waha me ke aniani wai.
• E lawe i ka nui i kuhikuhi ʻia e like me ke kauoha a ke kauka, i ka manawa i kuhikuhi ʻia. Mai wikiwiki i nā mea e like me ka lawe ʻana i ka pālua.
• ʻO ka mea nui loa, mai hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau.ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena ʻaoʻao koʻikoʻi e pili ana i ka puʻuwai. Inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hana pēlā e like me ke kuhikuhi a kāu kauka, e hoʻēmi mālie ana i ka nui.
• Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi.
• Ka nui loa o ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.

Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe.

Hiki paha ke loaʻa nā pilikia me nā lāʻau lapaʻau ʻē aʻe? (Nā Hana like)

ʻAe, hiki iā Disopyramide ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e nā kauka ʻē aʻe, nā lāʻau lapaʻau ma luna o ke kauka, nā lāʻau lapaʻau lāʻau, nā huaora).

Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū:

• ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai (e like me nā beta-blockers)
• Nā lāʻau lapaʻau no ka hopu ʻana (e like me Carbamazepine, Phenytoin)
• Nā lāʻau ʻē aʻe e hoʻopilikia i ka hana uila o ka puʻuwai (nā lāʻau lapaʻau e hoʻopilikia i ka wā QT)

ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai.

Nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau

• Nā nānā maʻamau: E hōʻoia e hele i nā manawa i koho ʻia e kāu kauka. Hiki iā ia ke kauoha i nā hoʻokolohua e like me ka ECG e nānā i kou holomua.
• ʻO ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu. No laila, e pale i nā hana weliweli e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ka hopena o kēia lāʻau lapaʻau iā ʻoe. Mai ala koke mai kahi noho a i ʻole mai kahi moe. E kali iki a laila e ala mālie.
• Waha maloʻo: Hiki ke loaʻa ka waha maloʻo me kēia lāʻau lapaʻau. Hiki ke kōkua ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka nui o ka wai.
• Nā maka maloʻo a me ka ʻike maka pohihihi: Manaʻo paha kou mau maka ua maloʻo a pohihihi iki paha kou ʻike. He mea ʻoluʻolu ʻole paha kēia inā ʻoe e komo i nā aniani hoʻopili. E nīnau i kāu kauka e pili ana i ka hoʻohana ʻana i nā kulu lubricating.
• E makaʻala i ka wela nui: Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka hou. No laila, e makaʻala i ka wela nui. A i ʻole, e piʻi weliweli paha ka mahana o kou kino a hiki iā ʻoe ke loaʻa i ka hahau wela.
• No ka poʻe me ka maʻi diabetes: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā pae kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes, e kamaʻilio me kāu kauka ma mua o ka hoʻololi ʻana i kāu meaʻai a i ʻole ka nui o kāu lāʻau lapaʻau diabetes.

Nā hopena ʻaoʻao o ka lāʻau lapaʻau

E like me nā lāʻau lapaʻau āpau, hiki i ka Disopyramide ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.