Loaʻa iā ʻoe ke koko kiʻekiʻe, a i ʻole ke "kaomi" e like me kā mākou e ʻike nei? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i ʻoi aku ma mua o hoʻokahi ʻano lāʻau lapaʻau. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hana ʻia ma ka hoʻohui ʻana i ʻelua mau lāʻau lapaʻau a hoʻohana ʻia e kāohi i ke koko. He hui pū ʻia i kapa ʻia ʻo Nebivolol lāua ʻo Valsartan. Inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, he mea nui loa kēia ʻatikala iā ʻoe.
He aha ke ʻano lāʻau lapaʻau kēia?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻelua ʻano lāʻau lapaʻau.
1. Nebivolol: He lāʻau lapaʻau kēia i loko o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo "beta-blockers." Hana ia ma ka hoʻomalu iki ʻana i kou puʻuwai a kōkua i kou mau kīʻaha koko e hoʻomaha a ʻaʻole e kaumaha. Ua like ia me ka hāʻawi ʻana i kahi mea holo i kahi manawa hou aʻe e hoʻōla ai.
2. Valsartan: No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo angiotensin II antagonists. Aia kekahi kemika i loko o ko mākou kino e hoʻopili ai i nā kīʻaha koko, ʻo ia hoʻi, e lilo i mea haiki. Hana kēia lāʻau lapaʻau ma ka hoʻōki ʻana i ka hana o kēlā kemika. A laila e wehe maikaʻi nā kīʻaha koko a hiki ke kahe ke koko me ka ʻole o ke ālai ʻia.
Hana pū kēia mau lāʻau lapaʻau ʻelua e kāohi i kou koko kiʻekiʻe. I kekahi manawa hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā mea ʻē aʻe. Inā he mau nīnau kāu e pili ana i ia mea, e nīnau i kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana. He mea nui loa kēia no kou palekana.
| E hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kēia mau maʻi. |
|---|
| - Maʻi diabetes |
| - Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ka hāʻule puʻuwai |
| - Maʻi puʻupaʻa |
| - Maʻi akepaʻa |
| - Nā maʻi o ka māmā a i ʻole ka hanu e like me ka hānō |
| - He kūlana i kapa ʻia ʻo Pheochromocytoma |
| - Maʻi thyroid |
| - Inā he maʻi ʻoe iā Nebivolol, Valsartan a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha |
| - Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai |
| - Inā he makuahine hānai ʻoe |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea nui loa ia e ʻike pono pehea e hoʻohana ai i kēia lāʻau.
- E lawe i kēia lāʻau lapaʻau ma ka waha me ke aniani wai. E hahai i nā kuhikuhi a kāu kauka e like me ke kauoha.
- Hiki iā ʻoe ke lawe i kēia ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā manaʻo ʻoe i kekahi ʻeha ʻōpū a ʻeha paha, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E lawe i kāu lāʻau lapaʻau i ka manawa kūpono, i nā wā kūpono. Mai lawe ʻoe ma mua o ka mea a ke kauka e ʻōlelo ai.
- ʻO ka mea nui loa, mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hoʻonui koke i kou koko a me nā pilikia ʻē aʻe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. 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 pālua i nā lāʻau lapaʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. E kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi, ʻoiai inā like kou mau hōʻailona me kāu.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
I ka wā e lawe ai i kēia lāʻau lapaʻau, hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke hoʻopilikia. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| ʻŌlelo aʻo kūikawā no nā poʻe maʻi me ka maʻi diabetes | |
|---|---|
| ʻO ka lāʻau lapaʻau e pono ʻole ke lawe ʻia | ʻAlikiren |
| Nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻopilikia | |
| Nā mea pale beta ʻē aʻe | Laʻana: Metoprolol, Propranolol |
| Nā lāʻau lapaʻau koko ʻē aʻe | ʻO kahi laʻana: Benazepril, Captopril, Lisinopril |
| Nā lāʻau diuretic (nā lāʻau wai) | Laʻana: Amiloride, Spironolactone |
| Nā lāʻau hoʻopau ʻeha (NSAIDs) | Laʻana: Ibuprofen, Naproxen |
| Nā mea hoʻohui potassium | |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO Digoxin, Diltiazem, Lithium, Fluoxetine, Paroxetine, Verapamil, Clonidine, Heparin |
ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe ai. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
He aha nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau?
- E hele no nā hoʻokolohua maʻamau:E ʻike pinepine i kāu kauka e nānā i kou kūlana. Inā ʻoe e nānā ana i kou koko koko ma ka home, e kiʻi i ka ʻōlelo aʻoaʻo no nā pae e manaʻo ai a me ka wā e kāhea aku ai i kāu kauka.
- ʻO ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu. No laila , mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i kona hopena iā ʻoe. Mai ala koke mai kahi noho, ʻoiai inā he ʻelemakule ʻoe. E ala mālie. E hōʻemi kēia i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
- ʻAila: Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i ka hiamoe a me ka poniuniu. No laila, e pale i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
- Hāpai: He mea nui loa kēia.
- Maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i kēia lāʻau lapaʻau ke hoʻonui iki i kou pae kō koko. No laila e nīnau i kāu kauka inā pono ʻoe e hana i kekahi hoʻololi i kāu meaʻai a i ʻole ka lāʻau lapaʻau maʻi diabetes.
- Nā lāʻau lapaʻau ʻē aʻe: E kūkākūkā mau me kāu kauka ma mua o ka lawe ʻana i nā lāʻau lapaʻau ma luna o ke kauka no ke kuni, ke anu, a i ʻole ka ʻeha i ka wā e lawe ana i kēia lāʻau. Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i kou koko.
- ʻO Nebivolol lāua ʻo Valsartan ka hui pū ʻana o nā lāʻau ʻelua e kaohi ai i ke koko kiʻekiʻe.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui no kekahi kumu me ka ʻole o ke aʻo ʻana a ke kauka.
- 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 nei (ʻoiai ka maʻi diabetes, nā puʻupaʻa, a i ʻole ka maʻi ate).
- E makaʻala i ka hiki ke hiamoe a me ka poniuniu ma hope o ka lawe ʻana i ka lāʻau. E pale i ka hoʻokele kaʻa a hiki i kou ʻike ʻana pehea e pili ai iā ʻoe.
- Inā hāpai ʻoe, e hoʻolālā ana e hāpai, a i ʻole e hānai waiū ana, e hoʻomaopopo pono i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino e like me ka pehu ʻana o ka maka, ka paʻakikī o ka hanu ʻana, a i ʻole ka poniuniu nui, e ʻimi koke i ke kōkua lapaʻau a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
He mea nui i nā wahine hāpai a i ʻole ka poʻe e hoʻolālā ana e hāpai e hoʻomaopopo i kā lākou kauka e pili ana i kēia. ʻOiai i ka wā o ka lua a me ke kolu o ka trimesters o ka hāpai ʻana, hiki iā ia ke hōʻeha nui i ke keiki i hānau ʻole ʻia.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, a me ke alelo |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, kuni, luaʻi |
| Nā hōʻailona o ka hōʻino ʻana o ka puʻupaʻa | Ka paʻakikī o ka mimi ʻana, ka loli ʻana o ka nui o ka mimi i hana ʻia |
| Nā hōʻailona o ke koko haʻahaʻa nui | Pōʻino nui, maule, hāʻule, luhi nui |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ke kahe koko a i ʻole ka palapū maʻamau ʻole, ka ʻeha o ka umauma, ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole |
| E haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. | |
| ʻEha ke poʻo, luaʻi, hoʻemi ʻia ka hana moekolohe | |











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