Loaʻa iā ʻoe ke koko kiʻekiʻe? A i ʻole aia ʻoe i ka pilikia o ka hahau ʻana ma muli o ke koko kiʻekiʻe me ka maʻi puʻuwai? Ua kuhikuhi paha kāu kauka i kēia lāʻau lapaʻau nāu. ʻElua inoa no kēia pila, ʻeā? ʻO kekahi ʻo Losartan, a ʻo kekahi ʻo Hydrochlorothiazide. I kēia lā, e kamaʻilio kākou e pili ana i ka mea e hana maoli ai ke lawe ʻoe i kahi pila i hana ʻia ma ka hui pū ʻana o kēia mau lāʻau lapaʻau ʻelua, a me nā mea āu e pono ai 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 o ʻelua mau lāʻau lapaʻau. Ma ko mākou ʻāina, hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo 'Hyzaar'. Hana pū kēia mau lāʻau lapaʻau ʻelua e kōkua i ka hoʻomalu ʻana i kou koko koko ma nā ʻano ʻelua.
1. Losartan: No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo ARB (Angiotensin Receptor Blocker). E noʻonoʻo i kou mau kīʻaha koko e like me kahi paipu e lawe ana i ka wai. Inā paʻa kēia paipu, piʻi ke kaomi i loko o ka wai, a i ka wā e ʻūlū ai ko mākou mau kīʻaha koko, piʻi pū ko mākou koko. No laila, ʻo ka hana a kēia lāʻau i kapa ʻia ʻo Losartan , ʻo ia ka hoʻonui a hoʻomaha i kou mau kīʻaha koko. A laila, hiki i ke koko ke kahe maʻalahi ma o lākou me ka ʻole o ke ālai ʻana, kahi e hoʻohaʻahaʻa ai i kou koko.
2. Hydrochlorothiazide: He ʻano lāʻau lapaʻau kēia i kapa ʻia he `diuretic`. Kāhea pinepine mākou iā ia he ``pile wai.'' Hana ia ma ke kōkua ʻana i kou mau puʻupaʻa e hoʻopau i ka wai keu a me ka paʻakai i loko o kou kino ma o ka mimi. Ke emi ka nui o ka wai i loko o kou kino, emi pū ke kaomi i loko o kou mau kīʻaha koko.
Ma muli o ka hana pū ʻana o kēia mau ʻano hana ʻelua, he mea maikaʻi loa kēia lāʻau lapaʻau i ka kaohi ʻana i ke koko kiʻekiʻe. Hoʻohana ʻia nō hoʻi ia e hōʻemi i ka pilikia o ka hahau ʻana i ka poʻe me ka maʻi puʻuwai.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i kēia mau ʻike, no ka mea, pono e mālama pono ʻia i ka wā e hāʻawi ai i kēia lāʻau lapaʻau ma lalo o kēia mau kūlana.
| Kou kūlana | No ke aha ʻoe e haʻi aku ai i ke kauka? |
|---|---|
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | He mea nui loa kēia.Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i ka wā hāpai. |
| Inā hānai waiū ka makuahine i kāna keiki | He mea nui e ʻimi i ke kōkua lapaʻau no ka mea hiki i kēia lāʻau lapaʻau ke hele i ke pēpē ma o ka waiū umauma. |
| Maʻi diabetes | Ma muli o ka hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā pae kō koko, pono paha e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau maʻi diabetes. |
| Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole ka emi ʻana o ka mimi | Ke hana pono ʻole nā puʻupaʻa, e loli paha ke ʻano o ka hopena o kēia lāʻau i ke kino. |
| Maʻi akepaʻa | Inā ua pilikia ka hana o ke akepaʻa, pono paha e hoʻololi i ka nui o ka lāʻau lapaʻau. |
| Nā maʻi ʻōnaehana pale e like me ka lupus | He mea nui e hoʻomaopopo i kāu kauka no ka mea hiki i kēia lāʻau lapaʻau ke hoʻonui i ka lupus. |
| Inā ʻoe ma ka papaʻai haʻahaʻa paʻakai | He mea nui e hoʻomaopopo i kāu kauka no ka mea hiki i kēia ke hoʻopilikia i ke kaulike paʻakai o ke kino. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | Hiki ke lilo i mea weliweli inā he maʻi ʻoe i kēia lāʻau lapaʻau a i ʻole kekahi o kāna mau mea hoʻohui. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
- E hahai i nā ʻōlelo a kāu kauka: E lawe i ka nui kūpono e like me ke kuhikuhi a kāu kauka. E hoʻāʻo e lawe iā ia i ka manawa like i kēlā me kēia lā .
- Me ka meaʻai a me ka ʻole o ka meaʻai: Hiki ke lawe ʻia kēia pila ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- Mai ho'ōki:E hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau a hiki i ka wā e ʻōlelo ai kāu kauka. Mai hoʻōki koke, ʻoiai inā ua maikaʻi kou manaʻo.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: Inā poina iā ʻoe ke lawe i kahi lāʻau lapaʻau, e lawe koke iā ia ke hoʻomanaʻo ʻoe. 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.
- Inā ʻoe e lawe nui i ka lāʻau lapaʻau: Inā lawe hewa ʻoe i nā pila he nui, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke Lahui no nā Poisons ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
Nā lāʻau lapaʻau 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 ʻē aʻe, nā huaora, a i ʻole nā lāʻau lapaʻau āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau | |
|---|---|
| ʻO Cidofovir | ʻO Dofetilide |
| Tranylcypromine | |
| Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau | |
| Nā lāʻau lapaʻau koko kiʻekiʻe ʻē aʻe | Nā lāʻau hoʻopau ʻeha (NSAID) - e.g.: Ibuprofen, Naproxen, Celecoxib |
| Nā lāʻau lapaʻau maʻi diabetes | Litiuma |
| Nā Diuretics ʻē aʻe (nā pila wai) - eg: Triamterene, Spironolactone | Nā mea hoʻohui potassium |
| Nā Barbiturates (e.g. Phenobarbital) | Nā Steroids - e.g. Prednisone, Cortisone |
| Nā lāʻau hoʻohaʻahaʻa kolesterol - e.g. Cholestyramine, Colestipol | ʻO Rifampin |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E nānā i kou koko: E nānā pinepine i kou koko. E nīnau i kāu kauka i ke ʻano o kou koko maʻamau. Eia kekahi, e kākau i nā helu ma kahi ʻāpana pepa i maʻalahi ke hōʻike i kāu kauka.
- E pale i ka maloʻo ʻana o ka wai: Hoʻonui kēia lāʻau i ka nui o ka wai e nalowale ana i kou kino. No laila, inā maʻi nui ʻoe, e luaʻi ana, a i ʻole e hou nui ana , e nalowale paha ka nui o ka wai mai kou kino a maloʻo. Hiki ke lilo kēia i mea weliweli. No laila e inu i ka wai lawa i ka lā a pau. Inā manaʻo ʻoe ua maʻi ʻoe, e kāhea i kāu kauka no ka ʻōlelo aʻo.
- Pōniuniu a me ka mae ʻana: Hiki i kēia lāʻau lapaʻau ke hoʻopīhoihoi iā ʻoe, ʻoiai ke ala ʻoe mai kahi noho. No laila , e ala mālie ke ala ʻoe mai kahi noho a moe paha. Mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia kūlana.
- E pale iā ʻoe iho mai ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i kou ʻili i ka lā. No laila, e kaupalena i kou ʻike ʻana i ka lā i ka hiki. Inā ʻoe e hele i waho, e ʻaʻahu i nā lole pale a hoʻohana i ka sunscreen. E pale i ka hoʻohana ʻana i nā kukui lā a me nā moena tanning. E kamaʻilio pū me kāu kauka e pili ana i kou pilikia o ka maʻi ʻaʻai ʻili.
- Nā pani paʻakai: Mai hoʻohana i nā pani paʻakai (kiʻekiʻe i ka potassium) ke ʻole ke aʻo aku kāu kauka iā ʻoe e hana pēlā.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ka make wai | Makewai nui, waha maloʻo, nāwaliwali, mimi melemele ʻeleʻele a ʻeleʻele paha. |
| Ka pōʻino o nā puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Ka emi nui ʻana o ke koko | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Ua emi nā pae potassium | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, nāwaliwali kūikawā, puʻuwai kū ʻole. |
| ʻEha maka a loli paha ka ʻike | ʻEha koke nā maka, ʻike pōwehiwehi, ʻike ʻana i nā apo a puni nā kukui. |
| ʻO ka ʻōpū | ʻEha nui, ʻulaʻula, a me ka pehu ʻana, ʻoiai hoʻi i nā hono e like me ka manamana wāwae nui. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā e haʻi i kāu kauka inā hoʻomau lākou) | |
| Pōʻino | ʻEha poʻo |
| ʻeha ka ʻōpū | Paʻa ka ihu a i ʻole ka ihu wai |
| Ka loli ʻana i ka makemake moekolohe a i ʻole ka hana | |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻoluʻolu e haʻi i kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- ʻO kēia lāʻau lapaʻau ka hui pū ʻana o ʻelua ʻano lāʻau (losartan a me hydrochlorothiazide) i hoʻohana 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 hoʻololi a hoʻōki paha i ka nui o ka lāʻau nou iho.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- Inā hāpai ʻoe, e hoʻolālā ana e hāpai, a hānai waiū paha, e ʻōlelo pono i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hopena ʻino e like me ka poniuniu, ka maʻi ʻole, ka maʻi kahe nui, ka luaʻi ʻana, a i ʻole ka ʻulaʻula o ka ʻili.
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona, ma ka mahana o ka lumi, a mai ka mālamalama aku.
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