Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo 'Irbesartan' no kou koko koko? A i ʻole kekahi o kou ʻohana, e like me kou mau mākua, e hoʻohana ana i kēia lāʻau lapaʻau? Ke lohe ʻoe i ka inoa o kēia lāʻau lapaʻau, nui nā nīnau e like me "No ke aha ia?", "Pehea wau e lawe ai?", "E loaʻa anei kekahi hopena ʻaoʻao?" e hiki mai ana paha i kou manaʻo. Mai hopohopo, he mea maʻamau loa ia. I kēia lā, e ʻike mākou i nā pane i nā nīnau a pau āu e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Irbesartan. E like me ke kamaʻilio ʻana me kāu hoaaloha, e wehewehe wau i nā mea āpau me ka maʻalahi a me ka maopopo.
I ka ʻōlelo maʻalahi, he aha ʻo Irbesartan?
He lāʻau lapaʻau ʻo Irbesartan i hoʻohana nui ʻia no ka mālama ʻana i ke koko kiʻekiʻe , a i ʻole ke "kaomi," e like me kā kākou e ʻike nei. Hoʻohana ʻia nō hoʻi ia e pale aku i ka hōʻino ʻana o nā puʻupaʻa i kekahi mau maʻi me ka maʻi diabetes.
I kēia manawa, e nānā i ke ʻano o kēia hana. E noʻonoʻo i nā kīʻaha koko i loko o ko kākou kino e like me nā paipu e lawe ana i ka wai. ʻO ke kaomi kiʻekiʻe ke ʻano o ke kaomi i loko o kēia mau paipu. A laila pono ka puʻuwai e hana ikaika loa e pamu i ke koko ma o kēia mau paipu. ʻO ka mea a Irbesartan e hana ai, ʻo ia ka wehe ʻana a me ka hoʻonui ʻana i kēia mau kīʻaha koko i loko o ko kākou kino. E like me ka wā e hana ai ʻoe i kahi paipu wai i paʻa i kahi nui iki aʻe, kahe maʻalahi ka wai, i ka wā e hoʻonui ai nā kīʻaha koko, ua emi ka pale ʻana i ke kahe koko. A laila, ʻaʻole pono ka puʻuwai e hana ikaika. Penei ke kāohi ʻana o kēia lāʻau i ke kaomi.
Ma ke ʻano lapaʻau, he lāʻau kēia no kahi hui o nā lāʻau i kapa ʻia ʻo ARBs (Angiotensin II Receptor Blockers) . ʻAʻole pono ʻoe e noʻonoʻo hohonu e pili ana i ia mea, he mea nui ia i nā kauka. ʻO ka mea nui āu e pono ai e ʻike, ʻo ia ka hoʻohaʻahaʻa ʻana i ke koko a me ka hoʻemi ʻana i ka ukana hana ma ka puʻuwai.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau
He mea nui loa kēia. Ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau, he mea nui e ʻike pono kāu kauka i kou kūlana olakino. Ma mua o ka hāʻawi ʻana iā ʻoe iā Irbesartan, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka me ka hūnā ʻole.
- Inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai .
- Inā he maʻi kou i ka puʻupaʻa a i ʻole ke akepaʻa .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi ma mua iā Irbesartan a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha .
- Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai. (He mea nui loa kēia, e kamaʻilio hou aku mākou e pili ana i kēia).
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a me ka nui e hāʻawi ai.
Pehea e pono ai iaʻu e hoʻohana pono i ka lāʻau lapaʻau?
ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo a ke kauka.
- Pehea e lawe ai: He pila kēia āu e lawe ai ma ka waha. E lawe i ka nui kūpono e like me ke kauoha a kāu kauka.
- Ka Manawa o ka Lawe ʻana: E hoʻāʻo e lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā e like me ka hiki. E kōkua kēia i ka mālama ʻana i ka pono o ka lāʻau lapaʻau ma ka pae like i loko o ke kino.
- Me ka ʻai a me ka ʻole o ka meaʻai: Hiki ke lawe ʻia kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai. Eia nō naʻe, hiki i kekahi poʻe ke ʻeha iki i ka ʻōpū inā lawe ʻia me ka ʻōpū ʻole. Inā hana ʻia kēia, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- Ke hoʻōki ʻana: Mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui koke ai i kou koko.
- No nā keiki: 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.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
ʻAʻole mākou e hoʻomanaʻo mau i nā mea ma ke ʻano like. No laila, hiki ke hala i kahi lāʻau. Inā hana ʻia kēlā, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā inā he mau hola wale nō a hiki i kāu lāʻau aʻe, ʻo ia hoʻi ua kokoke loa ia, e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau no kekahi kumu. ʻO ka hana ʻana pēlā e alakaʻi ai i ka overdose a me nā pilikia ʻē aʻe.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
E noʻonoʻo ua lawe ʻoe i nā lāʻau lapaʻau ma mua o ka mea i kuhikuhi ʻia. Hiki paha ma ke kuhihewa. Inā hana ʻia kēlā, mai hopohopo, akā pono ʻoe e hana koke. E kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ma 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 hāʻawi i kēia lāʻau lapaʻau i kekahi mea ʻē aʻe i loaʻa nā hōʻailona like me ʻoe.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
Hiki i kekahi mau lāʻau lapaʻau, nā mea hoʻohui, a me nā mea ʻē aʻe ke launa pū me Irbesartan, e hoʻopilikia ana i kona pono a i ʻole e hoʻonui ana i kona mau hopena ʻaoʻao. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei - nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā huaora, nā lāʻau lapaʻau lāʻau, ka waiʻona, a me ka puhipaka.
Aia ma ka papa ma lalo nei kekahi o nā mea e hiki ke launa pū me Irbesartan.
| He aha ka mea hiki ke hoʻopili ʻia? | Ka wehewehe a me nā mea e pono ai ke ʻike |
|---|---|
| ʻO kekahi mau diuretics | ʻO ka lawe ʻana i nā lāʻau diuretic (e.g., Triamterene, Spironolactone, Amiloride) me kēia lāʻau lapaʻau, ʻoiai nā mea e hoʻonui ai i nā pae potassium i loko o ke kino, hiki ke hoʻonui i nā pae potassium i kahi weliweli. |
| Nā mea hoʻohui potassium a i ʻole nā paʻakai potassium | Hiki iā Irbesartan ke hoʻonui i nā pae potassium i loko o ke kino. No laila, ʻo ka lawe ʻana i ka potassium mai waho e hiki ke hoʻonui hou i kēlā mau pae a hoʻopilikia i ka hana o ka puʻuwai. |
| Nā pani paʻakai | He nui nā pani paʻakai i loaʻa ka potassium chloride. Hiki i ka hoʻohana ʻana i kēia mau mea ke hoʻonui i nā pae potassium. Mai hoʻohana i kēia mau mea me ke kūkākūkā ʻole me kāu kauka. |
Nā mea āu e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā maʻamau: E hōʻoia e hele i nā manawa a kāu kauka. E nānā ke kauka i nā mea e like me kou koko a me ka hana o nā puʻupaʻa.
- E nānā i kou koko: Inā haʻi aku kāu kauka iā ʻoe e nānā i kou koko ma ka home, e hana pono. E nīnau i ke ʻano o kou koko a inā piʻi aʻe ia ma luna o kekahi pae, pono ʻoe e kāhea i kāu kauka .
- Hāpai: He mea nui loa kēia! Inā he wahine ʻoe, ke hoʻāʻo nei e hāpai, a i ʻole manaʻo paha ʻoe e hāpai ana, e haʻi koke aku i kāu kauka. Hiki iā Irbesartan ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia, ʻoiai i ka wā o ka lua a me ke kolu o ka trimesters o ka hāpai ʻana. E hoʻololi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau palekana.
- Pōʻino a me ka hiamoe:Hiki i kekahi poʻe ke hiamoe iki a poniuniu paha ma hope o ka lawe ʻana i kēia lāʻau lapaʻau. No laila , e noho mamao aku mai nā hana e pono ai ka nānā nui ʻana, e like me ka hoʻokele kaʻa ʻana a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Mai ala koke: Mai ala koke mai kahi noho a moe paha, ʻoiai inā he ʻelemakule ʻoe. ʻO ka hana ʻana pēlā e hiki ai ke emi koke ke koko (postural hypotension) a me ka poniuniu. E ala mālie.
- ʻOna: Hiki i ka inu ʻana i ka ʻona ke hoʻolilo iā ʻoe i poniuniu a hiamoe. Hiki iā ia ke hoʻopilikia i kou koko. No laila ʻoi aku ka maikaʻi o ka noho mamao ʻana mai ka ʻona i ka wā e lawe ana i kēia lāʻau.
- Ke lawe nei i ka lāʻau lapaʻau no nā maʻi ʻē aʻe: Inā ʻoe e lawe nei i ka lāʻau lapaʻau ma luna o ke kūʻai aku no ke kuni, ke anu, a i ʻole ka ʻeha o ke kino i ka wā e lawe ana i kēia lāʻau lapaʻau, e nīnau i kāu kauka e pili ana i ia mea. No ka mea, hiki i kekahi o nā mea i loko o ia mau lāʻau lapaʻau ke hoʻonui i kou koko.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, loaʻa iā Irbesartan kekahi mau hopena ʻaoʻao. Akā, ʻaʻole kēia mau mea e hana ʻia i nā kānaka a pau. ʻO ka hapa nui o ka manawa, he mau mea liʻiliʻi lākou. Akā, aia kekahi mau mea e pono ai kākou e makaʻala. E nānā kākou iā lākou ma ke kaʻawale.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu (hiki ke pilikia i ka hanu ʻana). |
| Ka nui o ka potassium i loko o ke kino | Ka nāwaliwali o nā ʻiʻo, ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Ke koko haʻahaʻa | Pōʻino nui, maule, ʻike pōwehiwehi. |
| Nā mea e haʻi aku ai i kāu kauka inā ʻaʻole lākou i koʻikoʻi, akā hoʻomau | |
| Ka maʻi pākī | Hoʻomaha pinepine ia i loko o kekahi mau lā. |
| Pōʻino | Hiki ke emi iho kēia i ka wā e hoʻomaʻamaʻa ai ke kino i ka lāʻau lapaʻau. |
| Luhi | Manaʻo luhi. |
| ʻŌpū ʻeha | Hiki ke hoʻēmi ʻia kēia ma ka lawe ʻana i ka lāʻau lapaʻau me ka meaʻai. |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio pū me kāu kauka e pili ana i kēlā.
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
- E mālama iā ia ma kahi palekana, mai ka hiki ʻana aku o nā keiki a me nā holoholona.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius). Mai mālama ma nā wahi haʻahaʻa kiʻekiʻe, e like me ka lua.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā . E hoʻolei pono iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Irbesartan i hoʻohana ʻia e kaohi i ke koko kiʻekiʻe a pale i nā puʻupaʻa o nā maʻi maʻi diabetes.
- E lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, e like me ke kauoha a kāu kauka. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā mea hoʻopihapiha, a me nā kūlana olakino ʻē aʻe āu e lawe nei.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana, e haʻi koke aku i kāu kauka. He mea nui loa kēia.
- Inā manaʻo ʻoe ua poniuniu ʻoe ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e hoʻomaha iki mai nā hana e pono ai ka noʻonoʻo pono. Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi (e like me ka ʻulaʻula o ka ʻili, ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka maka), e ʻimi koke i ke kōkua lapaʻau.
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