He ʻōkana koʻikoʻi ka puʻuwai i loko o ko kākou kino. No laila, i ka wā e loaʻa ai kekahi mau pilikia me ka puʻuwai, he mea nui loa ia e loaʻa ka lāʻau kūpono no ia. Malia paha ua kuhikuhi ʻia ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka no kahi maʻi e like me ka Heart Failure. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lāʻau kūikawā i hoʻohana ʻia i ia mau hihia. ʻO ia ke ʻano o ka pila i kapa ʻia ʻo Hydralazine a me Isosorbide Dinitrate .
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E nānā mua kākou i ke ʻano o kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ʻo kēia pila i kapa ʻia ʻo Hydralazine lāua ʻo Isosorbide Dinitrate he hui pū ʻana o ʻelua mau lāʻau lapaʻau. No kēia mau mea ʻelua i ka papa o nā lāʻau lapaʻau e hoʻonui i nā kīʻaha koko (vasodilators) . E noʻonoʻo i nā kīʻaha koko i loko o ko kākou kino e like me nā ʻōmole liʻiliʻi. ʻO ka hana a kēia mau lāʻau lapaʻau, ʻo ia ka hoʻonui iki ʻana i kēlā mau ʻōmole. A laila hiki i ke koko ke neʻe maʻalahi, a emi iho ka ukana hana ma ka puʻuwai.
ʻO ka maʻamau, ua kuhikuhi ʻia kēia e nā kauka ma ke ʻano he lāʻau lapaʻau no ka hāʻule ʻana o ka puʻuwai. Akā hoʻohana pinepine ʻia ia me nā lāʻau lapaʻau ʻē aʻe. Ua ʻike paha ʻoe iā ia i hoʻohana ʻia ma lalo o ka inoa inoa ʻo "BiDil".
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
He aha kāu e haʻi aku ai i kāu hui lapaʻau ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e hoʻohana i kēia lāʻau lapaʻau, he mea nui loa ia e haʻi i kāu kauka a i ʻole kekahi mea mālama ola kino e pili ana i kou mau kūlana olakino āpau. ʻOi loa aku:
- Inā loaʻa iā ʻoe kekahi maʻi kīʻaha koko (no ka laʻana, ka maʻi vein).
- Inā loaʻa iā ʻoe ka maʻi puʻuwai , ʻo ia hoʻi, nā kūlana e like me ka angina , a i ʻole inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua.
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai ma mua.
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo Systemic Lupus Erythematosus (SLE) .
- Inā ua loaʻa iā ʻoe kahi hopena maʻamau ʻole a maʻi paha i ka hydralazine, isosorbide dinitrate, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Ma ka haʻi ʻana iā ʻoe i nā mea e like me kēia ma mua, hiki i kāu kauka ke hoʻoholo pololei inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He pila kēia lāʻau lapaʻau āu e lawe ai ma ka waha. Pono e lawe ʻia me ke aniani wai. He mea nui loa ia e lawe pololei e like me ke kauoha a kāu kauka, i ka manawa kūpono, a ma ka nui kūpono . E hahai pono i nā kuhikuhi ma ka lepili kauoha.
Mea nui: Mai lawe i nā lāʻau lapaʻau ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe, a i ʻole pinepine ma mua o ka mea i kauoha ʻia. Eia kekahi, mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, he mea nui e kamaʻilio me kāu kauka keiki e pili ana i ia mea a loaʻa ka ʻōlelo aʻo. Pono paha ka mālama kūikawā.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena kaohi lāʻau make a i ʻole ka lumi pilikia haukapila kokoke loa.
ʻEkahi mea hou aʻe: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me nā poʻe ʻē aʻe no kekahi kumu, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
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, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
Hiki i kekahi mau lāʻau lapaʻau, e like me ka hydralazine a me ka isosorbide dinitrate, ke launa pū kekahi me kekahi. ʻO ke ʻano kēia, ʻo ka lawe pū ʻana iā lākou hiki ke hana i nā hopena i makemake ʻole ʻia.
Mai lawe pū me kēia mau lāʻau lapaʻau:
- ʻAvanafil (avanafil)
- ʻO Riociguat (riociguat)
- ʻO Sildenafil (sildenafil)
- ʻO Tadalafil (tadalafil)
- ʻO Vardenafil (vardenafil)
Eia kekahi, hiki i nā lāʻau lapaʻau e hiki mai ana ke launa pū me ka hydralazine; isosorbide dinitrate:
- Nā lāʻau lapaʻau ʻē aʻe no ke koko kiʻekiʻe
- Nā lāʻau lapaʻau no ke kaumaha o ka noʻonoʻo
- Nā lāʻau lapaʻau ʻē aʻe no ka angina a i ʻole ka hāʻule ʻana o ka puʻuwai
ʻAʻole i hoʻokomo ʻia nā pilina āpau ma kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau lāʻau, nā huaora, a me nā mea hoʻohui). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau,E nānā pinepine i kou helu puʻuwai a me ke koko. E nīnau i kāu kauka i ke ʻano o kou helu puʻuwai a me ke koko a me ka manawa hea ʻoe e kamaʻilio ai me ia. Inā manaʻo ʻoe ʻaʻole e hana maikaʻi ana ka lāʻau lapaʻau e like me ka wā ma mua, e haʻi i kāu kauka e pili ana i ia mea.
Hiki paha iā ʻoe ke manaʻo i ka poniuniu. No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i kekahi mea e pono ai ka noʻonoʻo a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe. I mea e hōʻemi ai i ka pilikia o ka poniuniu a me ka hāʻule ʻana, mai ala koke mai kahi noho a i ʻole ke kū ʻana, ʻoiai inā he ʻelemakule ʻoe. Hiki i ka waiʻona ke hoʻonui i kou manaʻo i ka poniuniu, a hiki nō hoʻi ke hoʻomehana i kou kino a me ka wikiwiki o kou puʻuwai. No laila, e pale i ka inu ʻana i ka waiʻona.
Ke lawe ʻoe i kēia lāʻau lapaʻau, e noi i kāu kauka a i ʻole kekahi loea mālama ola kino no ka ʻōlelo aʻo ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau ponoʻī no ke kuni, ke anu, a i ʻole ka ʻeha. Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i kou koko ma muli o nā mea hoʻohui i loko o lākou.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole nā mea āpau.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao, pono ʻoe e haʻi i kāu kauka a i ʻole kekahi loea mālama ola i ka wā hikiwawe loa:
- Nā hopena alerika : ʻO kēia ka ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo.
- ʻO ke kala ʻulaʻula o nā lehelehe, nā kui lima, a me nā poho lima.
- ʻEha umauma, puʻuwai wikiwiki, puʻuwai kūpono ʻole.
- Kuni, anu, ʻeha ka puʻu.
- Ke koko haʻahaʻa.
- Ka luaʻi, ka luaʻi.
- ʻO ka mae ʻana o nā lālā, ka manaʻo ʻūlū.
- ʻEha poʻo mau.
- Pōkole o ka hanu.
- Nā hono ʻoʻoleʻa a pehu paha.
- Piʻi koke ke kaumaha.
- Ka pehu ʻana o nā wāwae a i ʻole nā wāwae.
- Ka pehu ʻana o nā kelepa lymph (pehu ʻana).
- Ka nāwaliwali maʻamau ʻole.
ʻO ka maʻamau, ʻaʻohe pilikia nui, akā inā hoʻomau ia, pono e haʻi ʻia nā hopena ʻaoʻao:
ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao, akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:
- Hiki ke loaʻa ka maʻi kahe a me ka paʻa ʻana o ka ʻōpū.
- Ka ʻulaʻula o ka maka a i ʻole ka ʻāʻī.
- ʻEha poʻo - Akā, mai huikau i kēia me ka "ʻeha poʻo mau" i ʻōlelo ʻia ma luna. Inā he mea maʻamau a nalowale ma hope o kekahi manawa, ʻaʻohe mea e hopohopo ai.
- Ka nalowale o ka makemake.
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e ʻimi i ke kōkua lapaʻau. (Ma kekahi mau ʻāina, hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA ma 1-800-FDA-1088, akā ma Sri Lanka, ʻoi aku ka maikaʻi o ka hōʻike ʻana iā lākou i kāu kauka.)
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kēia lāʻau.
- E mālama iā ia i kahi kiʻekiʻe a ʻaʻole hiki i nā keiki ke loaʻa .
- E mālama ma ka mahana o ka lumi . ʻO ia hoʻi, ma waena o 15 a me 30 kekelē Celsius (59 a me 86 kekelē Fahrenheit).
- E pale mai ka mālamalama. ʻO ia hoʻi, mai waiho i ka lā pololei.
- E pani pono i ka ʻōmole a i ʻole ka ʻeke me ka lāʻau lapaʻau.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei aku iā lākou.
ʻO ka mea hope loa, kekahi mau mea nui (Leka Lawe-Home)
Ke lana nei ko mākou manaʻo ua kōkua nā mea a mākou i kūkākūkā ai e pili ana i kēia lāʻau lapaʻau, ʻo Hydralazine; Isosorbide Dinitrate, iā ʻoe. E hoʻomanaʻo, he hōʻuluʻulu manaʻo wale nō kēia pepa liʻiliʻi. ʻAʻole ia e uhi i nā ʻike āpau.
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a kāu kauka. Inā he mau nīnau a hopohopo paha kāu e pili ana i kāu lāʻau lapaʻau, e nīnau i kāu kauka, kauka lāʻau, a i ʻole kekahi mea lawelawe olakino ʻē aʻe.
- E lawe i ka lāʻau kūpono i ka manawa kūpono.
- E makaʻala i nā hopena ʻaoʻao, a inā pono, e haʻi koke aku i kāu kauka .
- Nou wale nō kēia lāʻau lapaʻau, mai kaʻana like me nā poʻe ʻē aʻe.
- E mālama pono i kāu lāʻau lapaʻau.
E kōkua kēia lāʻau lapaʻau iā ʻoe e mālama i ke olakino o kou puʻuwai! Ke makemake nei iā ʻoe e ola koke!
ʻO ka hōʻeha puʻuwai, hydralazine, isosorbide dinitrate, BiDil, lāʻau lapaʻau puʻuwai, ke koko kiʻekiʻe, nā hopena ʻaoʻao
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