Ke manaʻo nei ʻoe i kekahi manawa i ka ʻūlū a i ʻole ka paʻa i loko o kou umauma ke piʻi ʻoe i nā alapiʻi, luhi iki, a hele wikiwiki paha? Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano he ʻeha angina . I ka ʻōlelo maʻalahi, loaʻa kēia ʻeha ke loaʻa ʻole i ka puʻuwai ka nui o ka oxygen e pono ai. No laila, ʻo Isosorbide Mononitrate kahi lāʻau lapaʻau a nā kauka e ʻōlelo pinepine ai a hoʻohana ka poʻe he nui e pale aku i kēia ʻeha angina. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau koʻikoʻi ma ke ʻano maʻalahi loa.
He aha ke ʻano lāʻau lapaʻau ʻo Isosorbide Mononitrate?
He lāʻau lapaʻau ʻo Isosorbide Mononitrate no ka papa o nā lāʻau i kapa ʻia ʻo nitrates . ʻO kāna hana nui ka pale ʻana i ka hanana ʻana o ka ʻeha o ka puʻuwai, ʻo ia hoʻi, ka angina.
E noʻonoʻo i kou puʻuwai e like me ka pamu e hana mau ana. Inā haiki nā kīʻaha koko e hoʻouna ana i ke koko i kēia pamu, pono ka pamu e hana ikaika. ʻO ia ka manawa e hiki mai ai ka ʻeha. No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ka hoʻonui iki ʻana i kēlā mau kīʻaha koko (e hoʻomaha iā lākou), e maʻalahi ai ke kahe ʻana o ke koko. A laila, emi iho ke kaumaha ma luna o ka puʻuwai, ʻo ia hoʻi ka nui o ka hana. A laila, emi pū ka ʻeha o ka angina.
ʻO ka mea nui loa: Hoʻohana ʻia kēia lāʻau lapaʻau e "pale" i ka ʻeha angina, ʻaʻole e "hōʻemi koke i ka ʻeha koke." He ʻokoʻa nā ʻano lāʻau lapaʻau i hāʻawi ʻia no ka ʻeha koke. No laila e hoʻomanaʻo i kēia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ke kuhikuhi ʻana o kāu kauka i kēia lāʻau lapaʻau nāu, aia kekahi mau mea āu e makaʻala ai. He mea nui loa ia no kou palekana ponoʻī e haʻi pololei i kēia mau mea.
- Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai ma mua.
- E haʻi i kāu kauka inā he maʻi ʻoe i ka Isosorbide Mononitrate a i ʻole kekahi nitrate ʻē aʻe. Eia kekahi, e haʻi i kāu kauka inā he maʻi ʻoe i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā hāpai ʻoe, a i ʻole e kali ana i kahi pēpē .
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole, a inā paha e pono e hoʻololi i ka nui.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa nō hoʻi kēia. No ka loaʻa ʻana o ka pono nui mai kahi lāʻau lapaʻau, pono ʻoe e hoʻohana pono.
- E ale i kēia pila me ke aniani wai.
- Mai uhaʻi, kuʻi, a nau paha i ka papa.ʻO kēia nā pila "Extended-Release" (ETU) . ʻO ke ʻano kēia, ua hoʻolālā ʻia ka lāʻau lapaʻau e hoʻokuʻu ʻia i loko o ke kino i ka hala ʻana o ka manawa. Inā ʻoe e uhaʻi i ka pila, e nalowale kēlā kaʻina hana.
- E lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa a kāu kauka i kauoha ai. Inā hoʻokahi wale nō kāu lawe ʻana i ka lā, e hoʻāʻo e lawe i ka manawa like i kēlā me kēia lā.
- ʻOiai inā ʻoe e ʻoluʻolu ana, mai hoʻōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Pono paha kēia lāʻau lapaʻau i ka mālama kūikawā inā hāʻawi ʻia i nā keiki. E kamaʻilio me kāu kauka e pili ana i kēia.
He aha inā lawe wau i ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole, e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo .
E hoʻomanaʻo, ua kuhikuhi ke kauka i kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kou hoaaloha no ka mea wale nō he pilikia like ko lākou.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
He mea nui loa kēia. ʻO ka lawe ʻana iā Isosorbide Mononitrate me kekahi mau lāʻau lapaʻau ʻē aʻe hiki ke loaʻa nā hopena ʻaoʻao weliweli. No laila e makaʻala i kēia.
| ʻAno lāʻau lapaʻau | Wehewehena |
|---|---|
| Mai lawe inoa me kēia! | |
| Nā lāʻau lapaʻau ED | Nā lāʻau lapaʻau e like me Avanafil, Sildenafil (Viagra), Tadalafil, a me Vardenafil. ʻO ka lawe pū ʻana i kēia mau mea ʻelua hiki ke hoʻohaʻahaʻa i ke koko. |
| ʻO Riociguat | He lāʻau lapaʻau koko kēia. He mea weliweli loa ka lawe ʻana me Isosorbide. |
| E makaʻala i ka lawe ʻana i kēia mau mea me ʻoe. | |
| Nā lāʻau lapaʻau koko kiʻekiʻe | ʻO ka lawe pū ʻana i kēia mau mea e hoʻonui ai i ka poniuniu a me ke koko haʻahaʻa. |
| Nā lāʻau lapaʻau angina a i ʻole nā maʻi puʻuwai ʻē aʻe | E hoʻohana wale e like me ke kuhikuhi a kāu kauka. |
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui) , a inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Pōniuniu: Hiki paha iā ʻoe ke manaʻo i ka pōniuniu a i ʻole ke poʻo māmā i ka wā e hoʻohana ana 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.
- Mai ala koke: No ka hōʻemi ʻana i ka poniuniu a me ka māʻule ʻana, e ala mālie ke ala ʻoe mai ka noho ʻana a i ʻole ka moe ʻana. E makaʻala loa i kēia inā he ʻelemakule ʻoe.
- ʻOna: Hiki i ka inu ʻana i ka ʻona ke hoʻonui i ka poniuniu, ka ʻulaʻula, a me ka piʻi ʻana o ka puʻuwai. No laila, ʻoi aku ka palekana o ka noho mamao loa mai ka ʻona i ka wā e lawe ana i kēia lāʻau.
- Nā lāʻau lapaʻau no nā maʻi ʻē aʻe: Ke loaʻa iā ʻoe ka ʻū, ke anu, a i ʻole ka ʻeha o ke kino, mai kūʻai i ka lāʻau lapaʻau mai ka hale kūʻai lāʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. Hiki i kekahi mau lāʻau ʻeha a me nā syrups ʻū ke hoʻonui i kou koko.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. E nānā kākou i ke ʻano o lākou.
| Inā ʻike ʻoe i kēia mau hōʻailona, e ʻike koke i ke kauka. | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Puʻuwai lohi | Pōniuniu, māʻule, paʻakikī ka hanu ʻana, luhi ʻē. |
| ʻO ka angina e hoʻonui ana | Ke hoʻonui nei i ka ʻeha, ke kaomi, a i ʻole ka paʻa ʻana ma ka umauma, ka ʻāʻī, ke kua, a i ʻole nā lima. |
| Nā hōʻailona o ka Methemoglobinemia | (He kūlana kēia i ʻole ai ke koko e lawe i ka oxygen) - ʻEha nui, nāwaliwali ʻē, paʻakikī i ka hanu ʻana, nausea, luaʻi, puʻuwai wikiwiki, ʻili polū a i ʻole nā lehelehe. |
| Hoʻonui ʻia ke kaomi a puni ka lolo | ʻEha nui ka ʻeha, ʻike maka pōwehiwehi, loli ka ʻike maka, nausea, luaʻi. |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Pōʻino | Hiki ke emi iho kēia i ka wā e maʻa ai ke kino i ka lāʻau lapaʻau. |
| ʻEha poʻo | ʻO ka mea maʻamau i nā lā mua ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. |
| Ka holoi ʻana | ʻUlaʻula ka ʻili a i ʻole ka manaʻo mehana. |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Isosorbide Mononitrate e pale ai i ka angina (ʻeha umauma), ʻaʻole ia he lāʻau lapaʻau e ho'ōla koke i ka ʻeha koke.
- Mai lawe pū me kēia me nā lāʻau lapaʻau e like me Sildenafil (Viagra), i hoʻohana ʻia no ka hana moekolohe. Hiki ke hoʻoweliweli i ke ola.
- E ale holoʻokoʻa i kēia papa me ka ʻole o ka haki ʻana, ka wāwahi ʻana, a me ka nau ʻana .
- Mai ho'ōki koke i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- No ka mea hiki ke poniuniu i ka wā e lawe ana i ka lāʻau lapaʻau, e makaʻala i ka wā e hana ai i nā hana weliweli e like me ka hoʻokele kaʻa ʻana. E pale i ka inu ʻana i ka waiʻona.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau nā papa Isosorbide Mononitrate / Imdur no ka mālama ʻana i ka maʻi hea?
ʻAʻole kēia he lāʻau maʻi puʻuwai maʻamau! He lāʻau lapaʻau (Nitrate vasodilator) kūpono loa kēia e hāʻawi ana i ka kaohi lōʻihi o ka angina pectoris, kahi kūlana e kū mai ana i ka wā ʻaʻohe lawa ke koko i ka puʻuwai ma mua o ka hōʻeha puʻuwai. ʻO ke ʻano o ka 'Extended-Release' o kēia, ke lawe ʻoe i hoʻokahi lāʻau, e hoʻoheheʻe ʻia ka lāʻau lapaʻau i loko o ke kino (ma luna o 12-24 mau hola) (Lōʻihi ka hana), no laila ʻaʻole ʻoe e loaʻa i ka ʻeha umauma i ka lā a pau.
💬 Ke manaʻo ʻoe i ka ʻūmiʻi o ka umauma/ka puʻuwai e hiki mai ana, pehea ʻoe e kāohi ai i ka wā e lawe ai ʻoe i kēia mau lāʻau (Isosorbide)?
ʻO ka ʻeha o ka umauma ke kumu o ka luhi o nā ʻiʻo o ka puʻuwai ma muli o ka lawa ʻole o ke koko. Ke komo kēia pila i loko o ke kino, lilo ia i kinoea kemika i kapa ʻia ʻo 'Nitric Oxide (NO)' i loko o ke kino. I ka wā e komo ai kēlā kinoea, e hoʻomaha koke/ākea nā kīʻaha koko a pau (ʻoi aku ka ʻōnaehana venous) e hele mai ana i ka puʻuwai a aia ma ke kino holoʻokoʻa (Vasodilation). A laila, nalowale koke ka paʻakikī/kaumaha a ka puʻuwai e pamu ai i ke koko, no laila e ho'ōla koke ʻia ka ʻeha o ka umauma.
💬 He aha ka pilikia make (Black Box Warning) e pono ʻole ai ka poʻe e lawe ana i kēia lāʻau lapaʻau (Imdur) e hana?
Inā ʻoe e lawe ana i kēia pila, mai lawe i nā pila e like me 'Viagra / Sildenafil / Cialis' no ka hoʻoulu ʻana i ka moekolohe i ka manawa like/hoʻomau! Inā ʻoe e lawe pū iā lākou, e hoʻonui nui ʻia nā kīʻaha koko a pau a e hāʻule kou koko i ka ʻole (Fatal Hypotension) a hiki iā ʻoe ke komo i loko o ka coma a make! ʻO ka pilikia maʻamau i loaʻa i nā poʻe ʻē aʻe, ʻo ia ka hoʻomāʻeha ʻana i kou poʻo me he mea lā e pohā ana (Severe Headaches).
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