Ua haʻi aku paha ke kauka iā ʻoe a i ʻole kekahi o kou ʻohana he "Heart Failure" kou. Ua kuhikuhi paha ʻo ia iā ʻoe i nā ʻano lāʻau like ʻole, ʻeā? Ke noʻonoʻo nei paha ʻoe, "No ke aha lā i hāʻawi ʻia mai ai iaʻu nā lāʻau like ʻole? ʻAʻole anei kēlā me kēia o kēia e hana i ka mea like?" He nīnau kēia a ka poʻe he nui. No laila, i kēia lā, e kamaʻilio kākou e pili ana i nā lāʻau lapaʻau no ka puʻuwai hāʻule ma ke ʻano maʻalahi loa .
ʻO ka mea mua, e nānā kākou he aha ka hāʻule ʻana o ka puʻuwai.
Ke lohe ʻoe i kēia inoa, makaʻu kekahi poʻe, "Auē, ua pau ka hana a koʻu puʻuwai?" ʻAʻole pēlā. ʻO ka hāʻule ʻana o ka puʻuwai kahi kūlana e nāwaliwali ai kou ʻiʻo puʻuwai a ʻaʻole hiki ke pamu i ke koko me ka lawa pono e hoʻokō ai i nā pono o ke kino. E noʻonoʻo iā ia e like me ka pamu wai e ʻelemakule a ʻaʻole hiki ke pamu i ka wai e like me ka wā ma mua.
Ke emi iho ka hiki o ka puʻuwai ke pume i kēia ʻano, hoʻomaka ka wai e hōʻiliʻili ma nā ʻāpana like ʻole o ke kino, ʻoi aku hoʻi ma nā māmā, nā wāwae, a me nā kuʻekuʻe wāwae. ʻO kēia ka mea a mākou e kapa nei he `(Congestive Heart Failure)`. Hiki i kēia ke hana i nā hōʻailona e like me ka pōkole o ka hanu, ka luhi, a me ka pehu ʻana o nā wāwae .
ʻO ka mea nui, he maʻi holomua kēia. No laila, he mea nui e loaʻa ka lāʻau kūpono i kou ola a pau. ʻOiai ʻaʻole hiki i kēia mau lāʻau lapaʻau ke ho'ōla piha i ke ʻano, hiki iā lākou ke kōkua i ka kaohi ʻana i ka ʻino o ka maʻi a mālama i kou ola maikaʻi.
He aha nā lāʻau lapaʻau nui no ka hāʻule ʻana o ka puʻuwai?
I ka hāʻule ʻana o ka puʻuwai, hoʻohana pū ʻia kekahi mau ʻano lāʻau lapaʻau ma kahi o hoʻokahi lāʻau lapaʻau. ʻO ke kumu o kēia, ʻo kēlā me kēia ʻano lāʻau lapaʻau e hana i kahi hana ʻokoʻa i loko o ke kino. E like me kēlā me kēia mea pāʻani i kahi hui kriket he hana ʻokoʻa. E hoʻoholo kāu kauka i ka hui kūpono loa o nā lāʻau lapaʻau nāu ma muli o kāu mau hōʻailona, nā kūlana olakino ʻē aʻe e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, a me ke ʻano o kou maʻi.
E nānā maʻalahi kākou i kēia mau ʻano lāʻau lapaʻau nui a pehea lākou e hana ai mai ka papa ma lalo nei.
| Māhele lāʻau lapaʻau | Ka hana (ma nā huaʻōlelo maʻalahi) | Nā lāʻau lapaʻau i hoʻohana pinepine ʻia (nā laʻana) |
|---|---|---|
| Nā mea pale ACE | Hoʻonui ia i nā kīʻaha koko, hoʻemi i ka ukana hana ma ka puʻuwai, a kāohi i ke koko. | ʻEnalapril, Lisinopril, Ramipril, Captopril |
| Nā mea pale i ka Angiotensin-2 Receptor (ARBs) | Hana like lākou me nā mea hoʻopaʻa ACE. Hāʻawi ʻia kēia mau mea i ka poʻe i ʻike i nā hopena ʻaoʻao e like me ke kuni ʻana ma muli o nā mea hoʻopaʻa ACE. | ʻO Losartan, Valsartan, Candesartan |
| Nā mea pale Beta | Hoʻolohi iki ia i ka helu o ka puʻuwai, e hāʻawi ana i ka puʻuwai i kahi hoʻomaha. Hoʻonui ia i ka pono o ka puʻuwai i ka hala ʻana o ka manawa. | ʻO Carvedilol, Bisoprolol, Metoprolol Succinate |
| Nā lāʻau diuretic (nā lāʻau wai) | Hoʻohemo ia i ke kahe keu (wai) i hōʻiliʻili ʻia i loko o ke kino ma o ka mimi. Hoʻemi ia i ka pehu ʻana o nā wāwae a me ka pōkole o ka hanu. | ʻO Furosemide (Lasix), Spironolactone, Hydrochlorothiazide |
| Nā ARNI (ARNI) | He ʻano lāʻau lapaʻau hou a ikaika kēia. Hoʻonui lākou i nā hormones e pale ana i ka puʻuwai a hōʻemi i nā hormones ʻino. | Sacubitril/Valsartan (Entresto®) |
| Nā mea pale SGLT2 | ʻOiai ua hāʻawi mua ʻia no ka maʻi diabetes, ua ʻike ʻia ua hōʻemi kēia i ka pilikia o ka hoʻokipa ʻia ʻana ma ka haukapila ma muli o ka hāʻule ʻana o ka puʻuwai. | ʻO Dapagliflozin, ʻo Empagliflozin |
| ʻO Digoxin | Hoʻonui iki ia i ka ikaika o nā ʻūmiʻi o ka puʻuwai. Hāʻawi ʻia nō hoʻi i ka poʻe me nā puʻuwai puʻuwai kūpono ʻole. | ʻO Digoxin (Lanoxin®) |
Ua ʻike pū anei mākou i nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i kēia mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau kēia mau hopena ʻaoʻao a pau . He mea kākaʻikahi loa kekahi. Akā he mea nui e makaʻala iā lākou.
- ʻO ka poʻo hina a me ke poʻo ʻeha: Hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i ka poʻo hina, ʻoiai ke kū koke ʻoe mai kahi noho ʻana, ʻoiai e hoʻohaʻahaʻa lākou i ke koko.
- ʻŪhū maloʻo: ʻO kekahi poʻe e lawe ana i nā lāʻau lapaʻau, ʻoi aku ka poʻe ma ka hui ACE Inhibitors, hiki ke hoʻomohala i kahi ʻūhū maloʻo mau.
- Luhi: E luhi iki paha ʻoe ke hoʻomaka mua ʻoe e lawe i nā beta blockers, akā e nalo aku kēia ke maʻa kou kino iā ia.
- Nā loli i nā pae potassium: Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i nā pae potassium i loko o ke koko, aʻo kekahi mau pila wai e hiki ke hoʻemi iā lākou. ʻO ia ke kumu e ʻōlelo pinepine ai nā kauka i nā hoʻokolohua koko.
- Nā hopena ma nā puʻupaʻa: Hiki i kekahi mau lāʻau lapaʻau ke loaʻa kahi hopena iki i ka hana o nā puʻupaʻa. Nānā ʻia kēia ma o nā hoʻāʻo koko.
- ʻĒ aʻe: Hiki i kekahi poʻe ke loaʻa i nā mea e like me ka ʻūlū ʻana o nā ʻiʻo, ka nausea, a me nā maʻi ʻili.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio koke me kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou, kekahi mea ʻē, a i ʻole kekahi mau hopena ʻaoʻao e like me kēia, ma mua o ka hoʻāʻo ʻana e mālama iā ʻoe iho. Hiki paha iā ia ke hoʻololi i ka nui o ka lāʻau a hoʻololi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe.
Pono anei iaʻu e hoʻololi i koʻu nohona me ka hoʻohana ʻana i nā lāʻau lapaʻau?
ʻAe, ʻoiaʻiʻo nō. ʻO ka lāʻau lapaʻau ka hapalua wale nō o ke kaua. ʻO ka hapalua ʻē aʻe e pili ana i kou nohona.
- Kaohi ʻana i ka paʻakai: E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i kāu mau meaʻai. ʻO nā mea e like me nā meaʻai i loko o ka pahu, nā ʻiʻo i hana ʻia, nā mea ʻono, a me nā pickles he nui ka paʻakai.
- Hoʻoikaika Kino: E like me ka ʻōlelo a kāu kauka, e hana i nā hoʻoikaika kino maʻalahi i kūpono iā ʻoe. ʻO ka hele wāwae wale nō ka mea i lawa.
- Puhi paka a me ka waiʻona: ʻAʻole maikaʻi nā mea ʻelua no ka puʻuwai. ʻOi aku ka maikaʻi o ka haʻalele loa.
- Kaohi kaumaha: E kaupaona iā ʻoe iho i ka manawa like i kēlā me kēia lā a e hoʻopaʻa i kou kaumaha. Inā piʻi koke kou kaumaha i 2 paona i loko o ʻelua a ʻekolu paha lā, hiki paha ke paʻa ka wai. Inā hana ʻia kēlā, e kamaʻilio me kāu kauka.
- Ola kino noʻonoʻo:He mea maʻamau ke manaʻo luhi a kaumaha i ka wā e noho ana me kahi maʻi lōʻihi e like me kēia. E kamaʻilio ākea e pili ana i ia mea me kou ʻohana a me ke kauka.
ʻO kekahi mau ʻōlelo aʻoaʻo maʻalahi no ka mālama ʻana i nā lāʻau lapaʻau
- E kiʻi i kāu lāʻau lapaʻau ma mua o ka pau ʻana: E kiʻi i kāu mahele lāʻau lapaʻau aʻe mai ka hale kūʻai lāʻau i kekahi mau lā ma mua o ka pau ʻana.
- E mālama i kahi papa inoa: E mālama i kahi puke me ka inoa, ka nui o nā lāʻau lapaʻau (pehea ka nui), a me ka manawa e lawe ai i kēlā me kēia lāʻau lapaʻau āu e lawe ai. E lawe pū me ʻoe i kēlā me kēia manawa āu e ʻike ai i ke kauka.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau: Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka, no ka mea wale nō ua manaʻo ʻoe ua maikaʻi kou manaʻo. Hiki paha iā ʻoe ke maikaʻi no ka mea ke hana pono nei ka lāʻau lapaʻau. ʻO ka hoʻōki ʻana iā ia e hoʻonui paha i kou kūlana.
- Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē: ʻAʻole kūpono kekahi mau lāʻau lapaʻau i ka wā hāpai. No laila inā he mau hopohopo kāu, e hoʻomaopopo koke i kāu kauka.
Leka Lawe-Home
- ʻAʻole ka hāʻule ʻana o ka puʻuwai he hōʻeha puʻuwai. He hoʻonāwaliwali ia o ka hiki ke pamu o ka puʻuwai.
- Pono e lawe ʻia nā lāʻau lapaʻau i hāʻawi ʻia iā ʻoe no kēia no ke koena o kou ola. E kōkua lākou i ka hoʻolōʻihi ʻana i kou ola a mālama i kahi ola maikaʻi.
- Hāʻawi ʻia kekahi mau ʻano lāʻau lapaʻau no ka mea hana kēlā me kēia lāʻau lapaʻau i nā hana like ʻole.
- 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 aʻoaʻo lapaʻau.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona hou a i ʻole nā hopena ʻaoʻao, mai hopohopo a kamaʻilio koke me kāu kauka.
- Me ka lāʻau lapaʻau, he mea nui ka ʻai paʻakai haʻahaʻa a me ke ola kino olakino no ka kaohi ʻana i kēia maʻi.
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