Loaʻa i kekahi o kākou kahi maʻi i kapa ʻia ʻo 'pressure' a i ʻole ke koko kiʻekiʻe, ʻeā? ʻO ka maʻamau, hiki ke hoʻomalu ʻia kēia ma ka home ma ka lawe ʻana i nā pila i kuhikuhi ʻia e ke kauka. Eia nō naʻe, i kekahi manawa, aia nā manawa e piʻi ai ke kaomi i kahi pae weliweli ʻaʻole hiki ke hoʻomalu ʻia. I kēlā mau manawa, pono ʻoe e hoʻopaʻa ʻia i ka haukapila. Ke hoʻopaʻa ʻia ʻoe i ka haukapila, hāʻawi ʻia kahi inikini kūikawā i kapa ʻia ʻo methyldopa e hoʻomalu koke i kou koko. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau koʻikoʻi me nā kikoʻī hou aku.
I ka ʻōlelo maʻalahi, he aha ka methyldopa?
He lāʻau lapaʻau ʻo Methyldopa i hoʻohana ʻia no ka mālama ʻana i ke koko kiʻekiʻe. Hāʻawi pinepine ʻia ia ma ke ʻano he inikini i loko o kahi aa koko ma ka haukapila, ʻoiai i nā hihia kahi i kiʻekiʻe loa ai ke koko a pono ai ka mālama ʻana i ka pilikia. Hana ia ma ka hoʻonui iki ʻana i nā kīʻaha koko, e hōʻemi ana i ke kaumaha ma ka puʻuwai, a hoʻihoʻi i ke koko i ka maʻamau.
He aha nā mea e pono ai ke kauka ke ʻike ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau?
Ma mua o ka hoʻoholo ʻana e hāʻawi iā ʻoe i kēia lāʻau lapaʻau, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. He mea nui loa e haʻi pololei ʻoe i kēia ʻike i kāu kauka. No kou palekana kēia.
Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hoʻomaopopo e haʻi iā lākou:
- Inā loaʻa iā ʻoe ka anemia .
- Inā he maʻi puʻupaʻa kou .
- Inā loaʻa iā ʻoe nā maʻi ate (e.g. cirrhosis).
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka methyldopa, kahi kemika i kapa ʻia ʻo sulfite, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Mai hūnā i kēia ʻike mai kāu kauka. He mea nui ia no ka holomua a me ka palekana o kāu lāʻau lapaʻau.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He hoʻokomo intravenous kēia. ʻO ke ʻano kēia, ua hāʻawi mālie ʻia ka lāʻau lapaʻau i loko o kou aʻa mai kahi ʻōmole, e like me ka saline. Hana ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau, e ke kauka a i ʻole kahi kahu maʻi i aʻo ʻia. No laila, ʻaʻohe ou mea e hopohopo ai.
Ua hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
ʻAe, i kekahi manawa pono e hāʻawi ʻia kēia lāʻau i nā keiki. Akā, pono ia i ka mālama kūikawā. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau i kāu keiki, pono ʻoe e kamaʻilio me ke kauka pediatric e pili ana i ia mea a hahai i kāna ʻōlelo aʻo.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila, ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hoʻomaopopo koke i kāu kauka a i ʻole nā limahana kahu maʻi. A i ʻole, e hele i ka Emergency Treatment Unit (ETU) o ka haukapila. Inā pono, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
Hiki i kekahi mau lāʻau lapaʻau ke hoʻopili kekahi i kekahi ke lawe pū ʻia. Kāhea mākou i kēia he pilina lāʻau. Aia nā lāʻau lapaʻau e hiki ke launa pū me ka methyldopa.
- Nā MAOI (Monoamine Oxidase Inhibitors): He papa kūikawā kēia o nā lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ke kaumaha. ʻO nā laʻana e komo pū me 'Carbex', 'Eldepryl', 'Marplan', 'Nardil', 'Parnate'. Kapu loa ka lawe ʻana i ka methyldopa me kēia mau mea.
- Nā lāʻau lapaʻau ʻē aʻe:
- Lithium (kahi lāʻau lapaʻau no ka maʻi noʻonoʻo)
- Nā lāʻau lapaʻau ʻē aʻe no ke koko kiʻekiʻe
ʻAʻole i piha kēia papa inoa. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā mea kanu, nā huaora, a me nā mea hoʻohui. Mai poina e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a me ka poniuniu. No laila, mai hoʻokele, hoʻohana i nā mīkini, a hana paha i nā hana ʻē aʻe e pono ai ka makaʻala a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Ke hoʻololi ʻana i nā kūlana: Mai ala aʻe mai kahi moe, mai ala aʻe mai kahi noho, a i ʻole e noho koke i lalo. ʻO ka hana ʻana pēlā e hiki ai ke poniuniu a hāʻule paha ʻoe. E akahele loa inā he ʻelemakule ʻoe.
- ʻOna: Hiki i ka inu ʻana i ka ʻona ke hoʻohiamoe a poniuniu iā ʻoe. No laila, e pale loa i ka ʻona i ka wā e lawe ana i kēia lāʻau.
- Waha maloʻo: E maloʻo paha kou waha. ʻO ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono kō ʻole, a me ka inu ʻana i ka wai he nui e kōkua i ka kaohi ʻana i kēia. Inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e kamaʻilio me kāu kauka.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka methyldopa ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, ʻaʻole koʻikoʻi kekahi. E nānā i ka papa ma lalo.
| Nā hopena ʻaoʻao hiki ke loaʻa o Methyldopa | |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena maʻi e like me ka ʻili ʻulaʻula, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo | Puʻuwai lohi |
| ʻEleʻele, ʻeha ke alelo | ʻEha ʻōpū |
| ʻEha umauma | Ka pehu ʻana o nā wāwae a i ʻole nā wāwae |
| Mimi melemele ʻeleʻele a ʻeleʻele paha | Manaʻo luhi a nāwaliwali paha |
| Kaumaha | Melemele o nā maka a i ʻole ka ʻili (Jaundice) |
| ʻAʻole hiki ke hiamoe, nā moeʻuhane ʻino | ʻO ke kuni (ʻoi pinepine i loko o nā mahina 3 mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau) |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka hana waiū maʻamau ʻole i nā wahine | ʻEha poʻo |
| Ka hoʻonui ʻana o ka umauma i nā kāne a me nā wahine | Ka luaʻi, ka luaʻi |
| Nā loli i ka makemake a i ʻole ka hana moekolohe | Ka mae ʻana o nā lālā |
| Ka maʻi pākī | |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia, e nīnau i kāu kauka.
Leka Lawe-Home
- He inikini ʻo Methyldopa i hāʻawi ʻia i loko o kahi aa koko ma ka haukapila no ke koko kiʻekiʻe.
- He mea nui e haʻi i kāu kauka e pili ana i kou mau maʻi ʻē aʻe a me nā lāʻau lapaʻau āpau āu e lawe nei.
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe a me ka poniuniu. No laila, e makaʻala i ka wā e hana ai i nā hana e pono ai ka noʻonoʻo pono.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka melemele o ka ʻili, ke kuni, ka ʻeha o ka umauma, a i ʻole ka pehu nui, e hoʻomaopopo koke i kāu kauka.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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