Ua hāʻawi anei kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana i kahi pīpī liʻiliʻi e hoʻohana ai ke manaʻo ʻoe i ka ʻeha i loko o kou puʻuwai? Ua ʻōlelo ʻia paha ʻoe e pīpī iā ia ma lalo o kou alelo ke manaʻo ʻoe i ka ʻeha o ka umauma. Kāhea pinepine mākou i kēia ʻo ka pīpī GTN. ʻOiai he nui ka poʻe e hoʻohana ana, ʻaʻole lākou i ʻike pono pehea e hoʻohana ai, ka mea hiki iā ia ke hana, a me nā lāʻau lapaʻau ʻaʻole pono e lawe pū me ia. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia pīpī GTN koʻikoʻi loa ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia GTN spray (Nitroglycerin)?
He lāʻau lapaʻau kēia i hāʻawi ʻia e kāohi a pale aku i ka angina , kahi kūlana e kū mai ana ma ka umauma i ka wā pilikia. I ka pololei, hana ia ma ka hoʻonui ʻana i nā kīʻaha koko e hoʻolako ana i ke koko i kou puʻuwai a hoʻomaha iā lākou. ʻO kēia ka mea e maʻalahi ai ke kahe ʻana o ke koko i ka puʻuwai, a ua hoʻemi ʻia ka ukana hana ma ka puʻuwai. Ke hoʻemi ʻia ka ukana hana ma ka puʻuwai ma kēia ʻano, e emi koke ana ka ʻeha o ka umauma. No kahi hui o nā lāʻau lapaʻau i kapa ʻia ʻo nitrates kēia lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, pono ʻoe e hoʻomaopopo i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau.
- Inā he maʻi kou i ke akepaʻa .
- Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai i hala koke nei .
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka nitroglycerin, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu meaʻai.
- Inā ʻoe e hāpai ana , e hoʻāʻo ana e hāpai , a e hānai waiū ana paha.
He mea nui loa kēia ʻike no kou palekana, no laila e haʻi i ke kauka me ka hūnā ʻole i kekahi mea.
Eia ke ʻano o ka hoʻohana pono ʻana i kēia spray:
He mea nui loa kēia ʻāpana. E ʻoluʻolu e heluhelu pono.
No ka waha wale nō kēia pīpī. Pono e hoʻohana ʻia i ka wā e hoʻomaka ai ka ʻeha o ka umauma. Hiki nō hoʻi ke hoʻohana ʻia he 5 a 10 mau minuke ma mua o ka hana ʻana i kahi mea āu e manaʻo nei e hōʻeha paha i ka umauma (e laʻa, piʻi i nā alapiʻi).
ʻO ke ʻano hana kūpono e hoʻohana ai:
1. Noho i lalo: He mea nui loa e noho i lalo i ka wā e lawe ana i kēia lāʻau lapaʻau, no ka mea i kekahi manawa e manaʻo paha ʻoe i ka poniuniu.
2. E hoʻomākaukau: E wehe i ke poʻi palakiko mai luna mai o ka ʻōmole. Mai lūlū i ka ʻōmole.
3. Hoʻohana Mua (Priming): Inā ʻoe e hoʻohana nei i kēia no ka manawa mua, pono ʻoe e hoʻāla. No ka hana ʻana i kēia, e paʻa i ka ʻōmole i luna a pīpī iā ia ma kahi o 5 mau manawa i ka lewa, mai ou aku. Mai hanu iā ia.
4.Hoʻāla hou ʻana: Inā ʻaʻole ʻoe i hoʻohana i kēia pīpī i loko o 6 mau pule, pono ʻoe e pīpī hou i ka lewa ma mua o ka hoʻohana ʻana.
5. Pīpī ʻana: E paʻa i ka ʻōmole i luna a pīpī ma luna a ma lalo paha o kou alelo.
6. Ma hope: Mai hanu i loko i ka wā e pīpī ana. E pani i kou waha ma hope o ka pīpī ʻana, akā, mai ale a holoi paha i kou waha. E hāʻawi i ka lāʻau lapaʻau i kekahi manawa e omo ai.
He aha e hana ai i ka wā pilikia (rula 15 mau minuke)
- Pono ʻoe e ʻoluʻolu i loko o 5 mau minuke o ka lawe ʻana i ka mahele mua.
- Inā ʻaʻole ʻoe e ʻoluʻolu, hiki iā ʻoe ke lawe i kahi mahele ʻē aʻe i loko o 5 mau minuke.
- Ma kēia ʻano, hiki iā ʻoe ke lawe i ka nui o 3 mau lāʻau i kēlā me kēia 5 mau minuke.
He mea nui loa: Inā ʻaʻole ʻoe e ʻoi aku ka maikaʻi ma hope o ka lawe ʻana i ka mahele mua, a inā manaʻo ʻoe e ʻoi aku ka ʻino o kou kūlana, e hele koke i ka lumi pilikia o ka haukapila (ETU) a i ʻole e kelepona i ka lawelawe ambulance 1990. Mai lawe ʻoi aku ma mua o 3 mau mahele i loko o 15 mau minuke.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo .
Nā lāʻau lapaʻau ʻaʻole pono e lawe ʻia me kēia pīpī
ʻO kēia kekahi ʻōlelo aʻoaʻo e hoʻōla ola ai. Hiki i ka ʻūpī GTN ke hana me kekahi mau lāʻau lapaʻau a hoʻoulu i ka emi weliweli o ke koko.
| Māhele lāʻau lapaʻau | Nā laʻana a me nā wehewehena |
|---|---|
| Lāʻau lapaʻau no ka Erectile Dysfunction | He mea weliweli loa ka lawe ʻana me GTN i nā lāʻau lapaʻau e like me Sildenafil, Tadalafil, Vardenafil (hiki ke loaʻa ma lalo o nā inoa like ʻole ma ka mākeke). |
| ʻO kekahi mau lāʻau lapaʻau no ka migraines | Nā lāʻau lapaʻau e like me Ergotamine a me Dihydroergotamine (DHE). |
| ʻO Riociguat | He lāʻau lapaʻau kūikawā no ke koko kiʻekiʻe o ka pulmonary. |
| Lāʻau lapaʻau no ke koko kiʻekiʻe | Hiki i kēia ke hoʻopilikia i nā lāʻau lapaʻau koko ʻē aʻe. |
He mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei. Hiki i kēia ke kōkua i ka pale ʻana i nā pilikia pono ʻole.
I ka wā e hoʻohana ai i ka GTN spray, e makaʻala i kēia mau mea:
- E mālama mau me ʻoe: Ua like kēia pīpī me kou hoaaloha hoʻōla ola. No laila e mālama mau me ʻoe i nā manawa a pau.
- E noho mālie: Mai hopohopo ke loaʻa iā ʻoe ka ʻeha o ka umauma, e noho i lalo, a lawe mālie i kāu lāʻau lapaʻau. E kōkua kēia iā ʻoe e hoʻōla wikiwiki.
- Nā lāʻau lapaʻau no ka poniuniu: Inā manaʻo ʻoe ua poniuniu ʻoe, e lawe i kekahi mau hanu hohonu a moe i lalo me kou mau wāwae i hoʻokiʻekiʻe ʻia. A i ʻole e noho i luna o kahi noho a hoʻomaha i kou poʻo ma waena o kou mau kuli.
- Nā hana e pono ai ka nānā ʻana: Hiki iā ʻoe ke hiamoe a poniuniu. No laila , mai hana i nā hana weliweli e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Mai kū koke: ʻOiai inā he ʻelemakule ʻoe, mai kū koke a noho koke paha. E hōʻemi kēia i ka manawa e hāʻule ai a hāʻule.
- ʻAila: ʻO ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻaila e hoʻonui paha i ka hiamoe a me ka poniuniu. No laila , e pale loa i ka ʻaila.
- Nā lāʻau lapaʻau ʻē aʻe: Mai lawe i nā lāʻau lapaʻau ʻūlū, anu, a i ʻole nā lāʻau ʻeha i kūʻai ʻia ma ke kūʻai aku me ka ʻole o ka nānā mua ʻana me kāu kauka. Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i kou koko.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻO ka Methemoglobinemia (kahi kūlana kahi e haʻahaʻa ai nā pae oxygen i loko o ke koko) | ʻEha poʻo maʻamau ʻole, nāwaliwali, paʻakikī i ka hanu ʻana, luʻi, luaʻi, puʻuwai wikiwiki, ʻili polū a i ʻole nā lehelehe. |
| Hoʻonui ʻia ke kaomi a puni ka lolo | ʻEha nui ka ʻeha, ʻike maka pōwehiwehi, loli ka ʻike maka, nausea, luaʻi. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Puʻuwai lohi | Pōniuniu, māʻule, huikau, paʻakikī ke hanu. |
| Hoʻonui ʻia ka ʻeha o ka umauma (angina) | Ke hoʻonui nei i ka ʻeha a i ʻole ka paʻa ʻana ma ka umauma, ka ʻāʻī, ke kua, a i ʻole nā lima. |
| Nā mea e haʻi aku ai i kāu kauka inā ʻaʻole lākou i koʻikoʻi, akā hoʻomau | |
| ʻEha poʻo | He hopena ʻaoʻao maʻamau loa kēia. |
| Pōʻino | Hana ʻia ia i ka wā e lawe ai ʻoe i ka lāʻau lapaʻau a nalowale ma hope o kekahi manawa. |
| Ka holoi ʻana | Hoʻokumu ʻia kēia e ka hoʻonui ʻia o ke kahe koko i ka ʻili. |
Pehea ʻoe e mālama ai a mālama i ka lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki .
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius).
- Mai pīpī kokoke i kahi lapalapa ahi. Mai wehe ikaika i ka ʻōmole a hoʻolei paha i loko o ke ahi.
- E hoʻolei aku ma hope o ka pau ʻana o ka lā.
Leka Lawe-Home
- Hoʻohana ʻia ka GTN spray no ka ʻeha koke o ka umauma (angina), ʻaʻole ma ke ʻano he lāʻau lapaʻau i kēlā me kēia lā.
- E noho mau i lalo i ka wā e lawe ai i ka lāʻau. Inā ʻaʻole e emi ka ʻeha o ka umauma ma hope o ka mahele mua a inā e ʻoi aku ka ʻino, e hele koke i ka haukapila.
- Mai lawe ʻoi aku ma mua o 3 mau lāʻau i loko o 15 mau minuke.
- He mea weliweli loa ka hoʻohana ʻana i kēia me nā lāʻau lapaʻau no ka hana moekolohe (e like me Sildenafil).
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai. Inā he mau nīnau kāu, mai makaʻu e nīnau i kāu kauka.
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