I kekahi manawa, ke paʻakikī koke ʻoe i ka hanu ʻana, ke paʻa kou umauma, hiki ke lilo i mea ʻoluʻolu ʻole loa, ʻoiai no kekahi me ke ʻano e like me ka hānō. I nā manawa e like me kēia, hiki i kāu kauka ke kuhikuhi i kahi syrup nou a i ʻole kāu keiki. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau i kapa ʻia ʻo Metaproterenol syrup, kahi i hoʻohana ʻia i ia mau manawa a hoʻomaʻalahi i ka hanu ʻana. ʻO kēia ke kumu e hoʻomaopopo pono ai ʻoe i kēia.
He aha kēia Metaproterenol?
I ka ʻōlelo maʻalahi, he bronchodilator ʻo Metaproterenol. ʻO ke ʻano kēia, hana kēia lāʻau lapaʻau ma ka hoʻonui ʻana (wehe ʻana) i nā ala ea i haiki a paʻa i loko o ko kākou mau māmā. E like me ka hoʻonui ʻana i ke alanui i paʻa i ke kaʻa e maʻalahi ai ka hele ʻana o nā kaʻa, ke hoʻonui ʻia nā ala ea e kēia lāʻau lapaʻau, hiki i ka ea ke komo a puka i waho o nā māmā me ke keakea ʻole.
Hoʻohana nui ʻia ia e mālama a pale aku i ka bronchospasm , ʻo ia hoʻi ka pilikia hanu i hoʻokumu ʻia e ka hāiki ʻana o nā alaloa.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i ka syrup Metaproterenol nou, he mea nui loa ia e hāʻawi iā ia i kahi wehewehe piha o kou kūlana olakino. ʻAʻole paha e kūlike kēia lāʻau lapaʻau me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi iā ia.
- Diabetes Mellitus: ʻO ke ʻano kēia o ke kiʻekiʻe o ke kō koko.
- Maʻi puʻuwai: Inā loaʻa iā ʻoe kekahi ʻano maʻi puʻuwai.
- Ke koko kiʻekiʻe: Inā he koko kiʻekiʻe kou .
- Nā ʻano ʻē o ka puʻuwai: Inā he loli i ka wikiwiki a i ʻole ke ʻano o ka puʻuwai.
- Maʻi thyroid: Nā pilikia me nā pae hormone thyroid.
- Nā hopu ʻana: He ʻano olakino i hōʻike ʻia e nā hopu ʻana.
- Pheochromocytoma: He ʻōpū laha ʻole e kū mai ana i loko o ka kelepa adrenal.
- Nā maʻi ʻaleka: E haʻi i kāu kauka inā he maʻi ʻaleka kou i ka Metaproterenol, sulfites, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole nā mea mālama.
- Hāpai: Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai.
- Inā he makuahine hānai ʻoe: Inā ʻoe e hānai waiū ana i kāu pēpē.
He mea nui loa ke kamaʻilio ʻana me ke kauka me ka hūnā ʻole ʻana i kēia ʻike no kou palekana.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
E makaʻala i kēia mau mea i ka wā e hoʻohana ai i kēia lāʻau.
1. Ka nui kūpono: E lawe i ka nui e like me ke kauoha a kāu kauka. E hahai i nā kuhikuhi ma ka lepili ʻōmole lāʻau.
2. Ke ana ʻana i ka nui o ka lāʻau: E hoʻohana i kahi puna a i ʻole kahi pahu i hōʻailona kūikawā ʻia e ana i ka lāʻau. Mai ana me nā tīpune a i ʻole nā punetēpē āu e loaʻa ai i loko o kāu lumi kuke. ʻAʻole pololei lākou. Inā hana ʻoe, hiki iā ʻoe ke loaʻa i kahi nui ma lalo a ma luna paha.
3. No ka ʻeha o ka ʻōpū: Inā ʻeha kou ʻōpū a i ʻole ka ʻāʻī ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, e lawe i ka lāʻau lapaʻau me ka ʻai a i ʻole me ka waiū liʻiliʻi.
4. ʻO ka helu o nā manawa i kuhikuhi ʻia: Mai lawe i nā lāʻau lapaʻau ma mua o ka mea a ke kauka e ʻōlelo ai iā ʻoe. ʻO ka lawe ʻana i nā mea hou aku no ka mea ke manaʻo nei ʻoe "Ke pilikia nei au i ka hanu ʻana" hiki ke hana i nā hopena ʻino.
Ke hāʻawi ʻia i nā keiki liʻiliʻi
Hoʻohana ʻia kēia lāʻau lapaʻau no nā keiki ma luna o 6 mau makahiki. Eia nō naʻe, i ka hāʻawi ʻana i kēia lāʻau lapaʻau i kāu keiki, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea a e hahai pono i kāna mau kuhikuhi.
Overdose
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Halemai Pilikia (ETU) kokoke loa . A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka wā e lawe ʻia ai me Metaproterenol. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā mea mai nā kauka ʻē aʻe, nā mea āu e kūʻai ai mai ka hale kūʻai lāʻau lapaʻau, nā lāʻau lapaʻau kuʻuna, a me nā huaora).
| Nā pilina lāʻau lapaʻau hiki ke hana me Metaproterenol | |
|---|---|
| Mai lawe i kēia lāʻau me: | |
| Nā MAOI (nā mea hoʻopaʻa monoamine oxidase) | He ʻano lāʻau kēia i hāʻawi ʻia no ke kaumaha (e like me Carbex, Eldepryl, Marplan). |
| ʻO Procarbazine | He lāʻau lapaʻau no ke kanesa. |
| No ka mea hiki i kēia lāʻau lapaʻau ke hoʻopilikia, e haʻi i kāu kauka : | |
| Nā lāʻau lapaʻau no ka hānō a i ʻole nā maʻi hanu ʻē aʻe | Nā mea inhaler a i ʻole nā syrup ʻē aʻe. |
| Lāʻau lapaʻau no ke anu | Kekahi mau lāʻau lapaʻau kuni a me nā mea ʻaila mai ka hale kūʻai lāʻau lapaʻau. |
| Lāʻau lapaʻau no ke kaumaha | ʻO kahi laʻana: amitriptyline, desipramine. |
| Nā lāʻau lapaʻau no ka maʻi puʻuwai a i ʻole ke koko | Nā lāʻau lapaʻau i hāʻawi ʻia no ka ʻōʻō o ka puʻuwai a i ʻole ke koko. |
| Nā mea hoʻoulu | ʻO kekahi mau lāʻau lapaʻau e hoʻoulu ai i ke kino. |
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Metaproterenol ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, ʻaʻole koʻikoʻi loa kekahi.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo, ka maka. |
| Nā loli i ka helu o ka puʻuwai | ʻEha ka umauma, pōkole ka hanu, poniuniu, puʻuwai wikiwiki a ʻano ʻole paha, manaʻo nāwaliwali. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻIke pōwehiwehi, anu, kuni, koko kiʻekiʻe, ʻoniʻoni a ʻeha paha o nā ʻiʻo, pehu ʻano ʻē, luaʻi. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | Nā haʻalulu |
| Ka luaʻi | ʻAʻole hiki ke hiamoe |
| ʻEha ʻōpū, pehu | Manaʻo luhi ʻē aʻe |
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama ʻia mai nā keiki aku: He mea nui loa kēia. E mālama i ka ʻōmole lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki.
- Mahana o ka lumi: E mālama ma ka mahana maʻamau o ka lumi (ma waena o 15-30 kekelē Celsius). E pale mai ka wela nui a i ʻole ke anu.
- E pale mai ka mālamalama: E pale i ka lā pololei.
- Ma hope o ka pau ʻana: E hoʻolei i kekahi lāʻau lapaʻau i koe ma hope o ka lā pau ma ka ʻōmole. Mai hoʻohana.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Metaproterenol e hoʻohana wale ʻia ma ke ʻōlelo aʻo a ke kauka.
- E lawe i ka nui i kuhikuhi ʻia, e like me ke kauoha. Mai ana i ka lāʻau lapaʻau me nā puna o ka hale.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āpau āu e lawe nei.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe ka puʻuwai wikiwiki, ka ʻeha o ka umauma, ka poniuniu nui, a i ʻole nā hōʻailona maʻi ʻaleka koʻikoʻi.
- Inā ʻaʻole e hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona, e haʻi i kāu kauka. Mai lawe i nā lāʻau lapaʻau ma mua o ka mea e pono ai.
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi, ʻoiai inā he like ko lākou mau hōʻailona.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 Hoʻohana ʻia nā papa Fosinopril (Fosinopril / Monopril) no ke aha maʻi?
He lāʻau lapaʻau (ACE Inhibitor) ikaika loa kēia i hāʻawi ʻia e kāohi i ke 'High Blood Pressure' a e kōkua i nā poʻe maʻi me ka puʻuwai hāʻule i loaʻa i ka hōʻeha puʻuwai! ʻO ka mea kūikawā o kēia, ʻoiai e hana ana ia e like me nā pila ACE ʻē aʻe, ua hoʻokuʻu ʻia e nā puʻupaʻa a me ke akepaʻa (Dual excretion pathways), no laila he palekana loa ia no ka poʻe me nā pilikia puʻupaʻa.
💬 Pehea e hōʻemi ai ka lawe ʻana i kēia pila koko (Fosinopril) i ke koko a me ke kaumaha o ka puʻuwai?
ʻO ke kemika weliweli i kapa ʻia ʻo 'Angiotensin II' e hoʻohaiki/hoʻopaʻa i nā kīʻaha koko āpau i loko o ko mākou kino a hoʻokiʻekiʻe i ke kaomi! Hana ʻia ia e kahi mīkini i kapa ʻia ʻo 'ACE' (Angiotensin-Converting Enzyme). Ke komo kēia pila i loko o ke kino, ua ālai ʻia/pani ʻia a laka ʻia kēlā mīkini ACE 100%. No ka mea, ʻaʻole i hana hou ʻia kēlā kemika weliweli, ua ākea/hoʻomaha nā kīʻaha koko (Vasodilation), hāʻule koke ke kaomi a emi ke kaumaha ma ka puʻuwai.
💬 He aha nā pōʻino hoʻonāukiuki a make hoʻi (Black Box Warning) o ka lawe ʻana i kēia pila koko (ACE Inhibitor)?
ʻO ka pōʻino nui loa, e like me nā pila koko ʻē aʻe, ua pāpā loa ʻia kēia no nā wahine hāpai (Pregnancy/Fetal toxicity)! Hiki i kēia ke hana i nā puʻupaʻa o ke pēpē e pala a make. ʻO kekahi hopena ʻē aʻe hoʻonāukiuki a maʻamau ka 'cough mau loa' me ka ʻole o ka mucus. Aia kekahi pilikia o ka pehu koke ʻana a me ka hanu ʻana o nā lehelehe, ka maka a me ka puʻu o kekahi poʻe (Angioedema).
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