ʻO ke koko kiʻekiʻe, a i ʻole "kaomi" e like me kā mākou e ʻike nei, he pilikia olakino ia e ʻike nei ka poʻe he nui o ko mākou ʻāina i kēia manawa. No laila, ua kuhikuhi paha kāu kauka iā ʻoe i ka lāʻau lapaʻau e kāohi i kou koko. I kekahi manawa, ma kahi o hoʻokahi lāʻau lapaʻau, hāʻawi ʻia paha ʻoe i kahi pila hui e hoʻohui i ʻelua mau lāʻau lapaʻau. I kēia lā, e kamaʻilio mākou e pili ana i hoʻokahi lāʻau lapaʻau, he hui pū ʻana o ʻelua mau lāʻau lapaʻau i kapa ʻia ʻo Hydrochlorothiazide a me Methyldopa.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻelua mau lāʻau lapaʻau i hāʻawi ʻia e kāohi i ke koko kiʻekiʻe.
1. Hydrochlorothiazide: He ʻano lāʻau lapaʻau kēia a mākou e kapa pinepine ai he "pile wai." Ma nā ʻōlelo lapaʻau, he "diuretic." Hana ia ma ka wehe ʻana i ka wai keu a me ka paʻakai mai ke kino ma o ka mimi. Hoʻemi kēia i ke kaomi i loko o nā kīʻaha koko.
2. Methyldopa: Hana kēia lāʻau lapaʻau ma ka hoʻopilikia ʻana i kou lolo a me ka ʻōnaehana nerve. Hoʻomaha ia i nā kīʻaha koko, e hōʻemi ana i ke kū'ē ʻana i ke kahe koko. Kōkua pū kēia i ka kaohi ʻana i ke koko.
Ke hui pū ʻia kēia mau lāʻau ʻelua, hiki ke hoʻokō ʻia nā hopena maikaʻi aʻe i ka kaohi ʻana i ke koko kiʻekiʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ke kau ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e ʻike kāu kauka i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā ia e pili ana i kekahi o nā kūlana i helu ʻia ma lalo nei.
| Kou kūlana olakino | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Maʻi akepaʻa a maʻi puʻupaʻa paha | Ma muli o ka hoʻopau ʻia ʻana o kēia mau lāʻau lapaʻau mai ke kino ma o kēia mau ʻōkana, inā ua hōʻino ʻia ko lākou pono, pono paha e hoʻololi ʻia ka nui o ka lāʻau lapaʻau. |
| Maʻi diabetes | Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i nā pae kō koko, no laila hiki iā ia ke hoʻopilikia i ka kaohi ʻana i ka maʻi diabetes. |
| ʻO ka ʻōpū | Hiki i ka Hydrochlorothiazide, ka mea i loko o ka lāʻau lapaʻau, ke hoʻonui i ka nui o ka uric acid a hoʻonui i ka gout. |
| Anemia | Hiki i ka Methyldopa ke hoʻopilikia i nā hunaola koko ʻulaʻula i kekahi manawa. |
| Nā maʻi o ka ʻōnaehana pale (e.g. lupus) | Aia kahi manawa liʻiliʻi e hoʻonui ai kēia lāʻau i ia mau kūlana. |
| Maʻi āpau i nā lāʻau sulfa, nā lāʻau lapaʻau ʻē aʻe, a i ʻole nā meaʻai. | He lāʻau sulfa ka Hydrochlorothiazide, no laila hiki iā ia ke hoʻoulu i nā maʻi allergies. |
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. | He mea nui e kamaʻilio me kāu kauka e pili ana i ka palekana o kēia lāʻau lapaʻau i kēia mau manawa. |
| Inā ua lawe ʻoe i kahi lāʻau MAOI i loko o nā lā 14 i hala. | He mau lāʻau lapaʻau kēia no ke kaumaha. Hiki ke lilo i mea weliweli loa ka lawe pū ʻana iā lākou. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
- He papa waha kēia lāʻau. E lawe i kēlā me kēia lā, i ka manawa i kauoha ʻia, e like me ke kauoha a kāu kauka.
- Inā ʻeha kou ʻōpū, e lawe me ka ʻai.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka. Hiki ke piʻi koke kou koko.
- Pono paha nā keiki i ka mālama kūikawā i ka wā e lawe ana i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i kēia.
Mea nui: Inā loaʻa iā ʻoe kekahi kānalua iki ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka haukapila kokoke loa ʻo ETU (Emergency Treatment Unit) . A i ʻole e kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo .
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō.Mai hāʻawi aku i kāu lāʻau lapaʻau i kekahi, ʻoiai inā manaʻo ʻoe he maʻi like ko ia kanaka me ʻoe.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻaʻole wale nā lāʻau lapaʻau i kuhikuhi ʻia, akā nā lāʻau lapaʻau ma waho o ke kauka, nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā mea āpau āu e hoʻohana ai. No ka mea, hiki i kekahi mau mea ke launa pū me kēia mau lāʻau lapaʻau.
| Nā mea pono ʻole e lawe pū ʻia | |
|---|---|
| Lāʻau lapaʻau ʻano MAOI | (Laʻana: Carbex, Eldepryl, Marplan, Nardil, Parnate). ʻO ka lawe pū ʻana i kēia mau mea hiki ke hoʻonui i ke koko. |
| Nā mea e hoʻohana me ke akahele a me nā pilina hiki ke hana ʻia | |
| ʻAila | Hiki iā ia ke hoʻololi i nā hopena o ka lāʻau lapaʻau a hoʻonui i ka poniuniu a me ka hiamoe. |
| Nā lāʻau hoʻopau ʻeha (NSAIDs) | (E laʻana: Ibuprofen, Naproxen). Hiki i kēia ke hōʻemi i ka pono o nā lāʻau lapaʻau koko. |
| Nā paʻakai hao | Pale ka hao i ke kino mai ke komo ʻana i ka methyldopa (ua wehewehe ʻia kēia ma lalo). |
| Nā lāʻau lapaʻau koko ʻē aʻe a me nā diuretics | Hiki ke haʻahaʻa loa ke kaomi. Inā ʻike ke kauka, ʻaʻohe pilikia. |
| Litiuma | Hiki i nā pae lithium i loko o ke kino ke lilo i mea kiʻekiʻe loa. |
| ʻO nā Barbiturates, nā anesthetics i hoʻohana ʻia i ka wā o ke ʻoki ʻana, nā steroids | Hiki i kēia mau mea ke launa pū me kēia lāʻau lapaʻau. |
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
Hiamoe a me ka poniuniu
Hiki paha iā ʻoe ke hiamoe a poniuniu paha ke hoʻomaka mua ʻoe e lawe i kēia lāʻau. E pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, e kū mālie i luna ke ala ʻoe mai kahi noho a i ʻole mai kahi moe. Hiki i kēia ke hoʻolilo iā ʻoe i poniuniu a hāʻule. E pale i ka inu ʻana i ka waiʻona, no ka mea hiki ke hoʻonui i kēia ʻano.
Ka nui o ka wai o ke kino
Inā loaʻa iā ʻoe ka maʻi kahe mau, ka luaʻi ʻana, a i ʻole ka hou nui ʻana, e nalowale paha ka nui o ka wai mai kou kino a maloʻo loa. I kēia hihia, he mea weliweli paha ka hoʻohana ʻana i kēia lāʻau. E nīnau i kāu kauka i ka mea e hana ai i ia kūlana.
ʻIli a me ka lā
Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou ʻili i ka lā. ʻO ke ʻano kēia e ʻā a ʻulaʻula paha ʻoe. No laila e noho ma waho o ka lā i ka hiki. Inā ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi ana i kou ʻili, e ʻaʻahu i nā aniani lā, a e hoʻohana i ka sunscreen. E kamaʻilio pū me kāu kauka e pili ana i kou pilikia o ka maʻi ʻili i ka wā e lawe ana i kēia lāʻau lapaʻau.
E makaʻala loa inā ʻoe e lawe ana i nā lāʻau hao.
He mea nui loa kēia inā ʻoe e lawe ana i nā pila hao no kekahi mea e like me ka anemia. Pale ka hao i ke kino mai ka omo ʻana i ka ʻāpana Methyldopa i loko o kēia lāʻau. No laila, mai lawe i nā pila hao a me kēia lāʻau koko i ka manawa like. ʻO ke ala maikaʻi loa, ʻo ia ka lawe ʻana i ka pila hao 2 mau hola ma mua a i ʻole 6 mau hola ma hope o ka lawe ʻana i ka lāʻau koko.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka āpau.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo nui, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana, ʻeha ka umauma | Hiki i kēia ke lilo i mau hōʻailona koʻikoʻi. |
| Melemele o nā maka, melemele o ka ʻili, mimi ʻeleʻele, ʻōpala māmā | He mau hōʻailona paha kēia o ka pilikia o ke akepaʻa. |
| ʻO ka pōʻino nui, nā loli o ka ʻike, ka ʻeha o ka maka | Hiki ke lilo i hōʻailona o ka hoʻonui ʻia o ke kaomi, ʻoi aku hoʻi ma nā maka. |
| ʻEha i wehewehe ʻole ʻia, kahe koko, kuni, ʻeha kino | Ua hoʻopilikia ʻia paha nā hunaola koko. |
| ʻO ka pehu ʻana o nā wāwae a i ʻole nā kuʻekuʻe wāwae, ka emi ʻana o ka mimi i hoʻopuka ʻia | He mau hōʻailona paha kēia o ka pilikia o ka puʻupaʻa a i ʻole ka puʻuwai. |
| Nā hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou a hoʻopilikia paha | |
| Waha maloʻo | E hoʻomaha i ka nau ʻana i ka gum ʻole kō, nā mea ʻono, a i ʻole ka inu ʻana i ka wai. |
| Hiamoe, maʻi pākī | Hiki ke emi iho kēia mau mea i ka wā e maʻa ai ke kino i ka lāʻau lapaʻau. |
| Manaʻo kaumaha | He mea nui e hoʻomaopopo i ke kauka e pili ana i kēia. |
| Ka loli ʻana i ka makemake moekolohe a i ʻole ka hana | He hopena ʻaoʻao maʻamau kēia. |
| Ka hoʻonui ʻana o ka umauma a i ʻole ka hoʻopuka ʻana o ka waiū i nā kāne a me nā wahine | Hiki paha kēia ma muli o nā hopena o ka methyldopa. |
Leka Lawe-Home
- He hui pū ʻana kēia o nā lāʻau lapaʻau ʻelua i hāʻawi ʻia e kāohi i ke koko kiʻekiʻe.
- E lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, e like me ka ʻōlelo a kāu kauka iā ʻoe. Mai ho'ōki i ka lawe ʻana ma kou manaʻo ponoʻī.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā maʻi ʻē aʻe āu e loaʻa nei.
- I ka wā e lawe ai i ka lāʻau lapaʻau, e makaʻala i nā mea e like me ka hiamoe, ka poniuniu, a me ka ʻike i ka lā.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka maʻi ʻaleka koʻikoʻi, ka ʻeha o ka umauma, a i ʻole ka melemele o nā maka a me ka ʻili, e ʻimi koke i ke kōkua lapaʻau.
- Inā ʻoe e lawe ana i nā pila hao, mai lawe pū me kēia lāʻau. E mālama i kahi kaʻawale o kekahi mau hola ma waena o lākou.
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