Ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau no ke koko kiʻekiʻe, a i ʻole "kaomi," e like me kā mākou e kapa nei. Ua loaʻa paha iā ʻoe kahi pila e hoʻohui pū ana i ʻelua mau lāʻau i kapa ʻia ʻo Lisinopril a me Hydrochlorothiazide. He lāʻau lapaʻau maʻamau kēia i hoʻohana ʻia e kāohi i ke koko kiʻekiʻe. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia lāʻau lapaʻau, kāna hana i ke kino, a me nā mea e pono ai mākou e makaʻala i ka wā e hoʻohana ai.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia pila o ʻelua mau lāʻau lapaʻau. ʻO ia hoʻi, loaʻa iā ʻoe nā pono o ʻelua mau lāʻau lapaʻau i hoʻokahi pila.
1. Lisinopril: No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo ACE inhibitors . Hana ia ma ka hoʻomaha ʻana i nā paia o kou mau kīʻaha koko. E noʻonoʻo i ka wā e paʻa ai kahi paipu wai, kahe ka wai ma o ia mea ma ke kaomi kiʻekiʻe. Inā ʻoe e hoʻonui iki i ka paipu, kahe ka wai ma o ia mea me ka maʻalahi a ma ke kaomi haʻahaʻa, ʻeā? Ma ke ʻano like, i ka wā e hoʻomaha ai kēia lāʻau i nā kīʻaha koko, ʻoi aku ka maʻalahi o ke koko e hele mai ka puʻuwai a i ke koena o ke kino. A laila e emi ana ke koko, a i ʻole ke koko.
2. Hydrochlorothiazide: He diuretic kēia. Ma kā mākou ʻōlelo, he lāʻau lapaʻau ia e hoʻomaikaʻi ai i ke kahe ʻana o ka mimi. Hoʻokuʻu kēia i nā puʻupaʻa i ka wai a me ka paʻakai pono ʻole mai ke kino me ka mimi. Ke hoʻemi ʻia ka wai keu i loko o ke kino, emi ke kaomi i loko o nā kīʻaha koko.
Ke hana pū kēia mau ʻano ʻelua, hiki iā lāua ke kōkua nui i ka kaohi ʻana i kou 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 o kāu kauka i kēia lāʻau lapaʻau, pono iā ia ke kiʻi piha o kou kūlana olakino. ʻAʻole paha e kūlike kēia lāʻau lapaʻau me kekahi mau kūlana olakino. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
| Kou kūlana | Wehewehena |
|---|---|
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | He mea nui loa kēia inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. Hiki i kēia lāʻau lapaʻau ke hōʻino i kāu pēpē i hānau ʻole ʻia. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Inā he maʻi kou i nā puʻupaʻa a i ʻole ke akepaʻa a i ʻole ua emi ka mimi ʻana. |
| Maʻi diabetes | Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kāu pae kō koko. |
| Nā maʻi ʻaleka | Inā ua loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau lapaʻau a i ʻole nā lāʻau sulfa ʻē aʻe. Eia kekahi, inā ua loaʻa iā ʻoe ka pehu o ka maka, nā lehelehe, a i ʻole ke alelo a me ka paʻakikī o ka hanu ʻana (angioedema). |
| Maʻi puʻuwai a i ʻole ka hahau hou ʻana | Inā he maʻi puʻuwai ʻē aʻe kou a i ʻole ua loaʻa koke iā ʻoe kahi hōʻeha puʻuwai a i ʻole ka hahau. |
| Nā kūlana olakino ʻē aʻe | Inā loaʻa iā ʻoe nā maʻi ʻōnaehana pale (e like me lupus), nā maʻi iwi iwi, a inā ʻoe e ʻai ana i kahi papaʻai kūikawā, e like me ka papaʻai haʻahaʻa paʻakai. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea maʻalahi loa kēia. E lawe i ka nui i kuhikuhi ʻia e like me ke kuhikuhi a ke kauka. ʻOi aku ka maikaʻi o ka lawe ʻana i ka manawa like i kēlā me kēia lā , no ka mea, a laila e like ka pae o ka lāʻau lapaʻau i loko o ke kino. Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā he ʻōpū ʻeha kou, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
ʻO ka mea nui loa, ʻo ia ka hoʻomau ʻana i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe e hoʻōki. ʻOiai inā ʻoe e ʻoluʻolu a ua haʻahaʻa kou koko, mai hoʻōki koke i ka lawe ʻana.
Inā manaʻo ʻoe ua lawe nui ʻoe i 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 .
A e hoʻomanaʻo, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Hiki i kekahi ke poina e lawe i kā lākou lāʻau lapaʻau. Inā hana ʻia kēlā, e lawe i ka lāʻau i hala ʻole i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe (e.g., he mau hola wale nō ia), e kāpae i ka lāʻau i hala ʻole a lawe i ka pila aʻe i ka manawa i hoʻonohonoho ʻia.Mai pāpālua i ka lāʻau lapaʻau, ʻo ia hoʻi, e lawe i ʻelua mau pila i ka manawa hoʻokahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, inā paha i kuhikuhi ʻia e ke kauka, i kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau, nā lāʻau lapaʻau kuʻuna, nā huaora, a me nā mea ʻē aʻe, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Lisinopril/Hydrochlorothiazide a hoʻoulu i nā pilikia.
| ʻAno lāʻau lapaʻau | Ka pae o ka hopohopo |
|---|---|
| Mai lawe pū i kēia lāʻau me kekahi lāʻau ʻē aʻe. | |
| ʻO Sacubitril; valsartan | He lāʻau lapaʻau no ka maʻi puʻuwai. ʻO ka lawe pū ʻana i kēia mau mea ʻelua hiki ke hana i nā hopena alerika koʻikoʻi (angioedema). |
| E ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana i kēia mau lāʻau lapaʻau. | |
| Nā lāʻau hoʻopau ʻeha (NSAID) | Nā lāʻau lapaʻau e like me Ibuprofen, Naproxen, Diclofenac. Hiki i kēia mau mea ke hōʻemi i ka pono o nā lāʻau lapaʻau koko a hoʻopilikia i nā puʻupaʻa. |
| Nā mea hoʻohui potassium | Nā pila potassium a i ʻole nā pani paʻakai i loaʻa ka potassium. Hiki i kēia ke hoʻoulu i nā pae kiʻekiʻe o ka potassium i loko o ke koko. |
| Lāʻau lapaʻau maʻi diabetes | Pono paha e hoʻoponopono ʻia ka nui o ka lāʻau no ka mea hiki ke hoʻopilikia i ka pae kō koko. |
| Litiuma | He lāʻau lapaʻau ia i hāʻawi ʻia no ka maʻi noʻonoʻo. |
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E nānā i kou koko: E ʻike pinepine i kāu kauka a e kaʻana like i kāu holomua. Inā ʻoe e nānā ana i kou koko ma ka home, e nīnau i kāu kauka i ke ʻano o kou koko a me ka manawa hea ʻoe e kelepona ai.
- Mai hoʻokuʻu i kou kino e maloʻo: ʻOiai ua hoʻohemo kēia lāʻau i kekahi wai mai kou kino, hiki iā ʻoe ke maloʻo maʻalahi. No laila e inu i ka wai he nui i ka lā a pau. Inā nui kou hou ʻana, loaʻa iā ʻoe ka maʻi diarrhea, a i ʻole e luaʻi ana, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki i kēia lāʻau ke lilo i mea weliweli inā nalowale ka wai mai kou kino.
- Pōniuniu a me ka hiamoe: Hiki paha iā ʻoe ke manaʻo iki i ka pōniuniu a me ka hiamoe ke hoʻomaka mua ʻoe e lawe i kēia lāʻau lapaʻau. No laila, e pale i nā hana weliweli e like me 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 lapaʻau iā ʻoe. ʻOiai inā he ʻelemakule ʻoe, mai kū a noho koke paha. E kali iki a laila e ala mālie. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia pōniuniu, no laila e pale i ka waiʻona.
- E makaʻala i ka lā: Hiki i ka ʻili o kekahi poʻe ke lilo i mea ʻeha i ka lā i ka wā e lawe ana i kēia lāʻau. ʻO ia hoʻi, hiki iā lākou ke puhi maʻalahi. No laila, e pale i ka lā pololei i ka hiki. Inā ʻoe e hele i waho, e hoʻohana i ka sunscreen a e ʻaʻahu i nā lole e uhi ana i kou kino.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. ʻO ka mea nui, ʻo ia ka ʻike i kēlā mau hopena ʻaoʻao a me ka wā e pono ai mākou e haʻi aku i kā mākou kauka e pili ana iā lākou.
| Inā ʻike ʻoe i kēia mau hōʻailona, e ʻike koke i ke kauka a i ʻole e hele i ka haukapila. | |
|---|---|
| Nā hopena alerika koʻikoʻi (Angioedema) | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā maka, nā lehelehe, ke alelo a i ʻole nā lālā, paʻakikī i ka moni ʻana a i ʻole ka hanu ʻana. |
| Nā hōʻailona o ka hōʻino ʻana o ka puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele. |
| Ka emi nui ʻana o ke koko | Pōniuniu nui, maka polū, maule. |
| Nā hōʻailona o nā pae potassium haʻahaʻa | ʻEha a ʻūmiʻi paha nā ʻiʻo, luhi ʻē, puʻuwai wikiwiki a ʻano ʻole paha. |
| Inā hoʻomau kēia mau hōʻailona a hoʻopilikia paha, e haʻi i kāu kauka. | |
| ʻŪhū maloʻo | Hiki i kekahi poʻe ke loaʻa i ka ʻū maloʻo a hua ʻole ma muli o nā mea hoʻopaʻa ACE. |
| Pōʻino/ʻeha poʻo | Hiki ke hana ʻia kēia mau mea a hiki i ka wā e maʻa ai ke kino i ka lāʻau lapaʻau. |
| ʻO ka ʻōpū ʻeha | Hiki ke hoʻēmi ʻia kēia ma ka lawe ʻana i ka lāʻau lapaʻau me ka meaʻai. |
Leka Lawe-Home
- E lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono, no ka lōʻihi o ka manawa. Mai ho'ōki i ka lawe ʻana iā ia ʻoiai inā ua maikaʻi kou manaʻo.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā maʻi ʻē aʻe āu e loaʻa ai (ʻoiai ka maʻi diabetes, ka maʻi puʻupaʻa).
- E makaʻala i ka poniuniu, ka maloʻo ʻana o ka wai, a me ka ʻike i ka lā i ka wā e lawe ana i ka lāʻau.
- Inā loaʻa iā ʻoe nā hōʻailona maʻi ʻaleka koʻikoʻi e like me ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- Inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ua hāpai ʻoe, e hoʻomaopopo koke i kāu kauka.
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