Ua ʻike mākou a pau he maʻi koʻikoʻi loa ka hōʻeha puʻuwai. I kēlā manawa, hiki ke hōʻino nui ʻia kou puʻuwai. No laila, hoʻāʻo nui nā kauka e hōʻemi i kēlā pōʻino a hoʻihoʻi i ka puʻuwai i ka maʻamau. I kēlā hihia, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi inikini kūikawā i hāʻawi ʻia e kōkua i ka puʻuwai a hōʻemi i ke kaumaha ma luna. ʻO ia ʻo Metoprolol. Ua ʻike nui ʻia hoʻi ia e ka inoa inoa ʻo Lopressor.
He aha ka Metoprolol?
I ka ʻōlelo maʻalahi, ʻo Metoprolol kahi lāʻau lapaʻau e hōʻemi ana i ka pilikia o ka make ma hope o ka hāʻule ʻana o ka puʻuwai . No kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo beta-blockers.
E noʻonoʻo i kēia ʻano: ua like ko kākou puʻuwai me ka pamu e hana mau ana. Ma hope o ka hōʻeha puʻuwai, lilo kēia pamu i mea luhi a luhi iki. No laila, ʻo ka hana a ka inikini Metoprolol, ʻo ia ke hoʻolohi i ke kuʻi ʻana o kēlā puʻuwai luhi a hoʻohaʻahaʻa i ke koko. Hoʻemi kēia i ka ukana hana ma ka puʻuwai a hāʻawi iā ia i kahi hoʻomaha iki. A laila hiki i ka puʻuwai ke pamu i ke koko i ke kino holoʻokoʻa me ka maʻalahi a me ka ʻole o ka hoʻoikaika nui. Hāʻawi kēia i ka puʻuwai i ka manawa a me ka hōʻoluʻolu e pono ai e ho'ōla.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻia ʻana iā ʻoe ʻo Metoprolol, he mea nui loa ia e hoʻomaopopo i kāu hui lapaʻau e pili ana i kou kūlana olakino. No ka mea, pono kekahi mau kūlana olakino i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e hōʻoia e haʻi i kāu kauka.
| Kūlana a pilikia paha | ʻO ka mea āu e pono ai e ʻike |
|---|---|
| Maʻi diabetes | Inā he maʻi diabetes kou. |
| Maʻi puʻuwai a i ʻole nā pilikia o ke kīʻaha koko | Nā kūlana e like me ka haʻahaʻa loa o ka puʻuwai, ka hāʻule nui o ka puʻuwai, ka poloka puʻuwai, ka maʻi sinus syndrome, a i ʻole ka maʻi Raynaud. |
| Maʻi puʻupaʻa | Inā he maʻi puʻupaʻa kou. |
| Maʻi akepaʻa | Inā he maʻi kou i ke akepaʻa. |
| Nā maʻi hanu | Nā maʻi māmā e like me ka hānō a i ʻole ka emphysema. |
| Nā maʻi ʻē aʻe | Inā loaʻa iā ʻoe ka pheochromocytoma a i ʻole ka maʻi thyroid. |
| Nā maʻi ʻaleka | Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka metoprolol, kahi beta-blocker ʻē aʻe, kahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole ka waihoʻoluʻu. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea e hoʻohana ʻia ai kēia lāʻau pale?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He inikini ʻo Metoprolol i loko o kahi aa koko . ʻO ke ʻano kēia, hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau ma lalo o ka nānā ʻana o nā limahana lapaʻau.
Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe. Eia kekahi, no ka mea, hāʻawi ʻia ia ma ka haukapila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana o kahi mahele lāʻau.
He aha inā piʻi ka nui o ka lāʻau? (Overdosage)
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, e makaʻala loa nā limahana lapaʻau e pili ana i ka nui kūpono. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, e hoʻomaopopo koke i ke kauka a i ʻole ke kahu maʻi. I kahi pilikia, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele koke ʻoe i ka Emergency Treatment Unit (ETU) .
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Metoprolol. Ua kapa ʻia kēia he launa pū ʻana me nā lāʻau lapaʻau. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
ʻOi aku hoʻi, e ʻoluʻolu e hoʻomaopopo mai iā mākou inā ʻoe e hoʻohana nei i kēia mau lāʻau lapaʻau:
- Nā lāʻau lapaʻau ʻē aʻe no ke koko, ka maʻi puʻuwai, a me ka puʻuwai naʻau ʻole
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi noʻonoʻo e like me ke kaumaha (e.g. monoamine oxidase (MAO) inhibitors, fluoxetine, paroxetine)
- ʻO Clonidine
- ʻO Dobutamine
- ʻEpinephrine
- ʻIsoproterenol
- ʻO Reserpine
ʻAʻole i piha kēia papa inoa. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau ʻaʻole i kauoha ʻia, nā mea kanu, a me nā mea hoʻohui meaʻai āu e lawe nei. Mai poina e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Metoprolol ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, a he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu hui lapaʻau | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima, piʻi koke ke kaumaha, a me ka manaʻo luhi ʻē. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| ʻO ka hanana o Raynaud | Anuanu, maeʻele, ʻeha, a me ka lilo ʻana i keʻokeʻo, polū, a ʻulaʻula paha ma nā lima a i ʻole nā wāwae. |
| Puʻuwai lohi | Pōniuniu, māʻule, huikau, paʻakikī ka hanu ʻana, luhi ʻē. |
| Ka loli ʻana o ke kūlana noʻonoʻo | Nā manaʻo o ka huhū, ke kaumaha. |
| Nā hopena ʻaoʻao e pono e hōʻike ʻia i ka hui lapaʻau inā hoʻomau a hoʻopilikia paha lākou | |
| Ka maʻi pākī | |
| Pōʻino | |
| Luhi | |
| ʻEha poʻo | |
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e ʻoluʻolu e hoʻomaopopo i kāu hui mālama ola.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ka inikini Metoprolol e hoʻomaha ai i ka puʻuwai a pale iā ia ma hope o ka hāʻule ʻana o ka puʻuwai.
- Hāʻawi ʻia kēia ma ke ʻano he inikini i loko o kahi aa koko ma ka haukapila. ʻAʻole ia he lāʻau lapaʻau no ka hoʻohana ʻana ma ka home.
- He mea nui loa e haʻi aku i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei (ʻoiai ka maʻi diabetes, ka hānō, nā maʻi puʻuwai ʻē aʻe) a me nā lāʻau lapaʻau āpau āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka poniuniu, ka paʻakikī o ka hanu ʻana, a i ʻole ka pehu ʻana o nā lālā, e hoʻomaopopo koke i ke limahana lapaʻau.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e kamaʻilio me kāu kauka. ʻO ka ʻike e pili ana i kou olakino ka mea nui loa.
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