I kekahi manawa, ma muli o ka maʻi puʻuwai, nā pilikia puʻupaʻa, a i ʻole ka maʻi akepaʻa, hōʻiliʻili kou kino i ka wai pono ʻole, e hoʻoulu ai i ka pehu ʻana i kou mau lima a me kou mau wāwae, ʻeā? I ia mau hihia, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai e wehe i ka wai keu a me ka paʻakai mai ke kino. ʻO ia kahi lāʻau pale i kapa ʻia ʻo Ethacrynic Acid.
He aha ke ʻano lāʻau lapaʻau ʻo Ethacrynic Acid?
I ka ʻōlelo maʻalahi, he diuretic kēia. Ma ka ʻōlelo maʻamau, he "pile wai" ia, akā hāʻawi ʻia ia ma ke ʻano he injection. ʻO kāna hana nui ka hoʻoulu ʻana i kou mau puʻupaʻa a kōkua i kou kino e hana i ka mimi hou aku. Ke mimi ʻoe, hoʻohemo pū ia i ka paʻakai a me ka wai keu mai kou kino.
No laila, he kōkua nui kēia lāʻau lapaʻau i ka hōʻemi ʻana i ka pehu i hoʻokumu ʻia e ka maʻi puʻuwai, ka maʻi puʻupaʻa, a i ʻole ka maʻi akepaʻa.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
He mea nui e ʻike pono kāu kauka i kou kūlana olakino ma mua o ka hoʻoholo ʻana e kuhikuhi i kēia lāʻau lapaʻau nāu. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi aku i kāu kauka .
- E pili ana i nā maʻi puʻuwai ʻē aʻe āu.
- Inā ua ʻike mua ʻia ʻoe me nā pae electrolytes haʻahaʻa a kiʻekiʻe paha i loko o kou koko, e like me ka potassium , magnesium , a i ʻole sodium .
- Inā loaʻa iā ʻoe kahi maʻi puʻupaʻa a i ʻole ke akepaʻa ma mua.
- Inā loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau lapaʻau Ethacrynic Acid 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 kahi keiki.
Ma muli o kēia ʻike, e hoʻoholo kāu kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe ma ka home. He inikini ia i loko o kahi aa koko . Hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e kekahi loea lapaʻau i aʻo ʻia, e like me ke kauka a kahu maʻi paha.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi i kekahi mau hihia kūikawā, akā me ke akahele nui a ma lalo o ka mākaʻikaʻi lapaʻau.
Inā kānalua ʻoe ua lawe hewa ʻoe i ka nui o kēia lāʻau lapaʻau, e hele koke i ka ETU (Emergency Treatment Unit) . A i ʻole e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
ʻOiai ʻaʻole hoʻohana ʻia kēia lāʻau lapaʻau i kēlā me kēia lā a hāʻawi ʻia i loko o kahi haukapila, ʻaʻole ʻoe e loaʻa ka pilikia o ka nalo ʻana o kahi lāʻau.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana ʻana o ka Ethacrynic Acid. No laila e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe nei. He mea nui loa ia e haʻi i kāu kauka inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau:
- Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory (e like me indomethacin)
- ʻO kekahi mau antibiotic i hāʻawi ʻia ma o ka injection
- ʻO nā ʻano diuretic ʻē aʻe
- Nā lāʻau lapaʻau no ka maʻi puʻuwai (e like me ka digoxin )
- Nā hormones steroid (e.g. cortisone , fludrocortisone, hydrocortisone)
- Litiuma
- Nā lāʻau lapaʻau no ka maʻi diabetes
- Lāʻau lapaʻau koko kiʻekiʻe
- Nā lāʻau hoʻokahe koko (e.g. warfarin )
He mea nui hoʻi e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
He aha nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau?
ʻOiai e hāʻawi ʻia ana kēia lāʻau lapaʻau iā ʻoe, e nānā pono nā kauka a me nā kahu maʻi i kou kūlana. E nānā lākou i nā mea e like me kou koko, ka helu o ka puʻuwai, a me nā pae electrolyte i loko o kou koko. No laila, mai hopohopo no ia mea. Inā manaʻo ʻoe i kekahi ʻeha, e haʻi koke i ke kauka a kahu maʻi paha.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, aia kahi manawa e hiki ai i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao. Hiki i kekahi o kēia mau mea ke koʻikoʻi, aʻo kekahi ʻaʻole koʻikoʻi loa.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā hōʻailona |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā loli i ka ʻike a i ʻole ka lohe ʻana | ʻIke pōwehiwehi, lohe emi, kani i nā pepeiao. |
| Nā loli i nā pae kō koko | Ke kō koko kiʻekiʻe: Pololi nui, make wai, mimi pinepine, luhi nui. Ke kō koko haʻahaʻa: hopohopo, poniuniu, haʻalulu, hou nui, puʻuwai wikiwiki. |
| Ka pōʻino o nā puʻupaʻa | Ka paʻakikī i ka mimi ʻana a i ʻole kahi loli i ka nui o ka mimi āu e hoʻokuʻu ai. |
| Ua emi nā pae electrolyte | Ka nele o ka Potassium/Magnesium: Paʻakikī i ka hanu ʻana, ʻeha ka umauma, ka puʻuwai kū ʻole, ka ʻūlū ʻana o nā ʻiʻo, a me ka nāwaliwali. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ka maʻi pākī nui, ka hou nui, ka nalowale o ka makemake. |
| Nā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau a hoʻopilikia paha lākou | |
| Ke koko haʻahaʻa | Pōniuniu, māʻule, manaʻo ʻaʻole maikaʻi. |
| Nā ʻano laulā ʻē aʻe | ʻEha ke poʻo , kuni, nā hōʻailona e like me ke anu, ʻeha ka ʻōpū, luaʻi, paʻakikī ke ale. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e kamaʻilio me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau diuretic ikaika ka Ethacrynic Acid i hāʻawi ʻia e hōʻemi i ka paʻa ʻana o ka wai a me ka pehu ʻana i loko o ke kino ma muli o ka maʻi puʻuwai, nā puʻupaʻa, a i ʻole ke akepaʻa.
- Hāʻawi wale ʻia kēia ma ka haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana a ke kauka. ʻAʻole ʻae ʻia ʻoe e lawe i ka home a hoʻohana.
- E hōʻoia e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino āu.
- E haʻi koke aku i kāu kauka a kahu maʻi paha inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me nā loli o ka ʻike, ka nalowale o ka lohe, nā hives koʻikoʻi, a i ʻole nā hopena allergies.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka Ethacrynic Acid Injection / Edecrin?
ʻO kēia ka 'Loop Diuretic' koʻikoʻi loa a ikaika loa i loaʻa ma nā hale kūʻai lāʻau lapaʻau! Ke piha koke nā māmā/poʻo a i ʻole ke kino holoʻokoʻa o ka mea maʻi i ka 'wai/wai (Edema)' a hiki ʻole iā lākou ke hanu a kokoke e make, ma muli o ka hāʻule ʻana o ka puʻuwai, ka hāʻule ʻana o nā puʻupaʻa/akepaʻa, ua hoʻokomo ʻia kēia inikini i loko o kahi aʻa koko ma ka haukapila a ua hoʻokuʻu koke ʻia ka wai (he mau lita) i hoʻopiha ʻia i loko o ke kino ma ke ʻano he mimi.
💬 Pehea e kōkua ai kēia lāʻau lapaʻau (Ethacrynic Acid) i ka hoʻokuke ʻana i ka wai i hōʻiliʻili ʻia i loko o nā māmā ma o ka mimi?
Hoʻouka pololei kēia i ka hale hana 'Loop of Henle' i loko o ko kākou mau puʻupaʻa. ʻO ka maʻamau, ke omo nā puʻupaʻa i ka sodium/paʻakai i loko o ke kino, hele pū ka wai i loko o nā ʻōpū me ia. Ke lawe ʻia kēia lāʻau lapaʻau (Ethacrynic Acid), ua haki/paʻa ʻia kēlā mīkini omo sodium (Na-K-2Cl cotransporter). Ke pau ka lawe ʻia ʻana o ka sodium i loko o ke kino, hui pū nā wai a pau o ke kino holoʻokoʻa me kēlā paʻakai a puka i waho ma ke ala mimi e like me ka wailele nui!
💬 No ke aha e hoʻohana ai i kēia i ka wā e loaʻa ai nā diuretics maʻamau (Furosemide / Lasix)? He aha nā hopena ʻaoʻao?
ʻO ka pōmaikaʻi nui o kēia lāʻau pale, ʻo ia ka ʻole o nā kemika ʻino (Sulfa)! Loaʻa i kekahi poʻe ma ka honua kahi maʻi allergy koʻikoʻi i ka lāʻau maʻamau ʻo Furosemide (Lasix). ʻO kēia wale nō ka 'hopena' no lākou e nalowale ai ka wai. Akā ʻo ka hopena ʻino loa o kēia, ʻo ia ka ikaika loa e hiki ai ke hoʻopau i ko mākou mau aʻalolo lohe a hoʻoulu i ka 'pohō lohe mau loa (Ototoxicity/Deafness)'! (Eia kekahi, puka i waho nā potassium/paʻakai a pau a maloʻo ke kino).
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