ʻO ke koko kiʻekiʻe, a i ʻole e like me kā mākou e ʻike nei, "kaomi," he maʻi olakino maʻamau i waena o nā poʻe he nui ma ko mākou ʻāina. No laila, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau no kou koko. I waena o lākou, ua kamaʻāina paha ʻoe i ka inoa ʻo Nifedipine. He ʻano lāʻau lapaʻau hana lōʻihi kēia (Extended-Release) i hāʻawi pinepine ʻia. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau i kapa ʻia ʻo Nifedipine, nā mea āpau e pili ana i ia mea, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.
He aha maoli ka Nifedipine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Nifedipine i hoʻohana ʻia no ke kāohi ʻana i ke koko kiʻekiʻe. No loko ia o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo 'Calcium Channel Blockers'.
E noʻonoʻo i nā kīʻaha koko i loko o ko kākou kino e like me nā paipu e lawe ana i ka wai. Ke piʻi aʻe ke kaomi, ʻo ia hoʻi, e piʻi aʻe ana ke kaomi o ke koko e kahe ana i loko o kēia mau paipu. ʻO ka hana a kēia lāʻau Nifedipine, ʻo ia ke 'hoʻomaha' a hoʻonui i kēlā mau kīʻaha koko. A laila, emi iho ke kaomi i loko o nā kīʻaha koko. Ma muli o kēia, ua emi nui ʻia ka hoʻoikaika ʻana o ko kākou puʻuwai e pamu i ke koko. ʻO ia ka hana nui o kēia lāʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa e ʻike pono kāu kauka i kou kūlana olakino ma mua o ke kuhikuhi ʻana iā Nifedipine iā ʻoe. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka.
- Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai ma mua.
- Inā loaʻa iā ʻoe nā maʻi puʻuwai ʻē aʻe a i ʻole ka hāʻule ʻana o ka puʻuwai .
- Inā he haʻahaʻa kou koko .
- Inā he maʻi kou i ke akepaʻa .
- Inā he poloka kou ʻōpū a i ʻole ka paʻa pinepine ʻana o ka ʻōpū.
- Inā he maʻi ʻaleka kou i ka nifedipine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe, a i ʻole ke manaʻo nei e hāpai koke .
- Inā he makuahine hānai waiū ʻoe .
No kou palekana ponoʻī ke ʻōlelo ʻana i kēia mau mea me ka hūnā ʻole.
Pono e hoʻohana ʻia ka lāʻau lapaʻau ma ke ʻano kūpono.
I mea e loaʻa ai ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui e hoʻohana ia mea e like me ke kuhikuhi ʻana.
- E ale wale: ʻOiai he papa 'Extended-Release' kēia, mai uhaʻi, wili, a nau paha i ka papa . E ale holoʻokoʻa i ka papa me ka wai. Inā ʻaʻole pēlā, e hoʻokuʻu koke ʻia ka lāʻau i loko o ke kino a hoʻoulu i nā hopena ʻaoʻao.
- E lawe iā ia i ka manawa kūpono:E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Inā ʻōlelo kāu kauka iā ʻoe e lawe ia mea me ka ʻōpū ʻole, e hana pēlā. A i ʻole inā ʻōlelo ʻo ia iā ʻoe e lawe ia mea ma hope o ka ʻai ʻana, e hana pēlā.
- Mai hoʻōki a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe: ʻOiai inā ʻoi aku kou maikaʻi i kēia manawa, mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.
- Inā ʻoe e poina i kahi 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 ka lāʻau lapaʻau.
He mea nui loa: Mai inu i ka wai huaʻai a i ʻole ka wai huaʻai i ka wā e lawe ana i kēia lāʻau. Hiki i ka huaʻai ke hoʻololi i ke ʻano o ka hana ʻana o kēia lāʻau i loko o ke kino, e hana ana i nā hopena ʻaoʻao weliweli.
He aha inā lawe wau i ka nui o ka lāʻau lapaʻau?
Inā loaʻa kēlā ʻano mea, 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.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Nifedipine e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, no laila pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (ʻoiai nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā mea hoʻohui meaʻai).
| Māhele lāʻau lapaʻau | Nā mea e makaʻala nui ai |
|---|---|
| E pale loa | Kekahi mau lāʻau lapaʻau no ka maʻi epilepsy (e like me Carbamazepine, Phenobarbital, Phenytoin), nā lāʻau lapaʻau puʻupuʻu e like me Rifampin, a me nā lāʻau lapaʻau e like me St. John's Wort. |
| Nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻopilikia | Nā lāʻau lapaʻau koko ʻē aʻe, nā lāʻau lapaʻau no ka maʻi HIV/AIDS, kekahi mau lāʻau lapaʻau no ka maʻi diabetes, nā lāʻau lapaʻau no nā maʻi fungal (e.g. Ketoconazole), nā lāʻau lapaʻau no nā maʻi puʻuwai (e.g. Flecainide), nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e.g. Warfarin), Digoxin, Erythromycin, kekahi mau antidepressants (e.g. Fluoxetine), nā lāʻau lapaʻau e kāohi i ka waikawa ʻōpū (e.g. Omeprazole, Ranitidine). |
| Meaʻai a me ka mea inu | Wai huaʻai a huaʻai paha. E nīnau pū i kāu kauka e pili ana i ka inu ʻana i ka waiʻona. |
ʻAʻole i piha kēia papa inoa, no laila e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana i nā mea āu e lawe nei.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā maʻamau: E kipa aku i kāu kauka ma ke keʻena lapaʻau i kāu manawa i hoʻonohonoho ʻia e nānā i kou kūlana. Inā ʻoe e nānā ana i kou koko ma ka home, e nīnau i kāu kauka i ke ʻano o kou koko maʻamau.
- Pōniuniu a me ka hiamoe: Hiki i kekahi poʻe ke manaʻo iki i ka hiamoe a i ʻole ka pōniuniu i ka wā e lawe ai i kēia lāʻau. No laila, e noho mamao mai nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau iā ʻoe. ʻOi loa aku inā he ʻelemakule ʻoe, e kū mālie i luna i ke ala ʻana mai kahi noho a i ʻole ke ala ʻana mai kahi moe.
- ʻŪlū, anu: Inā loaʻa iā ʻoe ka ʻūlū a anu paha, e nīnau i kāu kauka ma mua o ka lawe ʻana i nā lāʻau lapaʻau ma ke kūʻai ʻole ʻia. Hiki i kekahi mau lāʻau ke hoʻonui i kou koko.
- Ka hoʻokuʻu ʻana o ka pūpū papa i loko o ka ʻōpala: He mea kēia a ka poʻe he nui e makaʻu ai, akā ʻaʻohe kumu e makaʻu ai. ʻAʻole e hoʻoheheʻe ʻia ka pūpū waho (pū papa) o kekahi ʻano papa Nifedipine i loko o ke kino. Ma hope o ka omo ʻia ʻana o ka ʻāpana lāʻau lapaʻau e ke kino, e hoʻokuʻu loa ʻia ka pūpū hakahaka i loko o ka ʻōpala. Inā ʻike ʻoe i kēia, e manaʻo he mea maʻamau.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Nifedipine ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, aʻo kekahi he mea maʻamau.
| Inā ʻike ʻoe i kēia mau hōʻailona, e ʻike koke i ke kauka a i ʻole e hele i ka haukapila. | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha a ʻūmiʻi paha ma ka umauma, poʻohiwi, lima, a i ʻole ka ʻauwae, ka luaʻi, ka paʻakikī o ka hanu ʻana, a me ke anu. |
| 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, luhi ʻē. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Hoʻonui ʻia ka ʻeha o ka umauma (Angina) | Hoʻonui ʻia ka ʻeha a i ʻole ka ʻoʻoleʻa ma ka umauma, ka ʻāʻī, ke kua, a i ʻole nā lima. |
| ʻO nā hōʻailona i maʻa mau ʻaʻole koʻikoʻi, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
ʻEha ke poʻo, paʻa ʻole ka paʻa, poniuniu, ʻulaʻula, nausea, ʻeha ka ʻōpū, puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole (palpitations). | |
Leka Lawe-Home
- E lawe i ka lāʻau i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia, e like me ka ʻōlelo a kāu kauka.
- Mai uhaʻi, kuʻi, a nau paha i ka papa Nifedipine Extended-Release. E ale holoʻokoʻa.
- E hōʻalo i ka wai huaʻai a i ʻole ka huaʻai i ka wā e lawe ana i kēia lāʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā mea kanu āu e lawe nei.
- He mea maʻamau ke ʻike ʻia ka uhi pila e puka mai ana me ka noho, mai hopohopo no ia mea.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hopena koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka pehu nui.
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