Ua loaʻa anei iā ʻoe kahi ʻeha koke, ʻūlū i loko o kou umauma? No kekahi poʻe, pālahalaha kēia ʻeha ma kou mau lima, poʻohiwi, a me ka ʻāʻī. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia angina. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e kuhikuhi ai no ka hoʻohana ʻana i nā manawa e like me kēia. ʻO ia ka pauka nitroglycerin, i hāʻawi ʻia e hoʻoheheʻe ma lalo o ke alelo. He lāʻau lapaʻau kēia e kōkua i nā manawa e like me kēia e like me ka mea hoʻopakele ola. No laila, e nānā kākou i ke ʻano o ia mea, pehea e hoʻohana ai, a me nā mea e makaʻala ai.
I ka ʻōlelo maʻalahi, he aha ka nitroglycerin?
He lāʻau lapaʻau ka Nitroglycerin i hāʻawi ʻia e pale a mālama i ka ʻeha o ka umauma, ʻo ia hoʻi, ka angina. E noʻonoʻo i nā aʻa e lawe ana i ke koko i kou puʻuwai e like me nā paipu wai. I kekahi manawa, ke haiki kēia mau paipu, ʻaʻole loaʻa i ka puʻuwai ka nui o ke koko e pono ai. ʻO ia ka manawa e hiki mai ai ka ʻeha o ka umauma.
Hana kēia lāʻau nitroglycerin ma ka hoʻonui ʻana i nā kīʻaha koko i haiki (hoʻomaha i nā kīʻaha koko). Hoʻomaʻalahi kēia i ka puʻuwai e pamu i ke koko. E like me ka hoʻonui ʻana i kahi alanui paʻahana e maʻalahi ai i nā kaʻa ke hele. ʻO ia hoʻi, ʻaʻole pono ka puʻuwai e hana ikaika, a emi mālie ka ʻeha. He lāʻau lapaʻau kēia no kahi hui o nā lāʻau i kapa ʻia ʻo nitrates.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono iā ia ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka .
- Inā loaʻa iā ʻoe ka anemia .
- Inā he moʻolelo kou o ke kahe ʻana o ke koko i loko o ka lolo a i ʻole kahi ʻeha poʻo.
- Inā he mau maʻi puʻuwai ʻē aʻe kou.
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka nitroglycerin a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine ʻoe e hānai waiū ana.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a pehea e hāʻawi ai.
Pehea maoli ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa ia e ʻike pehea e hoʻohana pono ai i kēia, no ka mea, hoʻohana ʻia ia i ka wā pilikia.
ʻO ka mea nui loa, ʻo ia ka hoʻohana ʻana i kēia i ka wā e hoʻomaka ai ka ʻeha o ka umauma . Ma mua o kēlā, e noho i lalo . No ka mea, hiki i kekahi poʻe ke manaʻo i ka poniuniu ma hope o ka lawe ʻana i ka lāʻau. Hiki i kēia ke hōʻemi i ka manawa e hāʻule ai.
ʻAe, e nānā kākou pehea e hana ai i kēlā me kēia ʻanuʻu:
1. E hoʻomākaukau i ka ʻeke: E paʻa i ka ʻeke lāʻau i luna. Pono e kū pono i luna ka ʻoki ma luna o ka ʻeke a me ka laina pua ʻulaʻula. I kēia manawa, e hoʻohui i kahi papa o ka pauka i lalo o ka ʻeke a hōʻiliʻili i ka pauka a pau i lalo.
2. E hoʻokomo i loko o kou waha: E paʻa i ka ʻeke ma ka ʻoki a hoʻokokoke mai i kou waha e like me ka hiki. I kēia manawa e haehae i ka ʻeke ma ke ʻano o ka pua ʻulaʻula.
3. E kau ma lalo o ke alelo: E hāpai i kou alelo a kau i ka pauka a pau mai loko mai o ka ʻeke ma kahi hakahaka ma lalo o kou alelo.
4. E pani i kou waha: E pani koke i kou waha a paʻa a hanu maʻamau ma kou ihu.
5. E hoʻomanawanui: E hoʻoheheʻe i kēia pauka ma lalo o kou alelo. Mai holoi i kou waha, kuha, a ale paha no 5 mau minuke.
ʻO ka mea nui loa i kēia manawa:
- Pono ʻoe e ʻike i ka hōʻoluʻolu i loko o 5 mau minuke o ka lawe ʻana i ka mahele mua.
- Inā ʻaʻole e emi ka ʻeha ma hope o 5 mau minuke a inā paha e ʻoi aku ka ʻino, e kāhea koke aku i kahi kaʻa kaʻa a i ʻole e hele pū me kekahi i ka haukapila kokoke loa ʻo Emergency Department (ETU).
- Hiki iā ʻoe ke lawe i kahi mahele ʻē aʻe ma hope o 5 mau minuke i ke kali ʻana i ka ambulance a i ʻole ma ke ala e hele ai i ka haukapila.
- E hoʻomanaʻo, mai lawe ʻoe ma mua o 3 mau lāʻau i loko o 15 mau minuke.
Inā ua hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo like ʻole, e hahai mau i kēlā mau ʻōlelo aʻoaʻo.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka nitroglycerin ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, a he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi 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. |
| Nā hōʻailona o ka Methemoglobinemia | ʻEha nui ka ʻeha, nāwaliwali kūikawā, paʻakikī i ka hanu ʻana, nausea, 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, maule, loli o ka ʻike, paʻakikī ka hanu ʻana. |
| Hoʻonui ʻia ka ʻeha o ka umauma (Angina) | Ke hoʻonui nei i ka ʻeha, ke kaomi, a i ʻole ka paʻa ʻana ma ka umauma, ka ʻāʻī, ke kua, a i ʻole nā lima. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i ke kauka inā hoʻomau lākou: | |
| Pōʻino | Hiki ke hana ia i ka wā e hoʻomaka mua ai ʻoe e lawe i ka lāʻau lapaʻau. |
| Ka holoi ʻana | Lilo ka ʻāpana o ka maka a me ka ʻāʻī i ʻulaʻula a mehana hoʻi. |
| ʻEha poʻo | He hopena ʻaoʻao maʻamau ia no nā kānaka he nui. |
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
Nā mea maikaʻi ʻole e hoʻohana me kēia lāʻau lapaʻau
He mea nui loa kēia. He lāʻau lapaʻau ʻo Nitroglycerin hiki ke loaʻa nā hopena weliweli loa ke hui pū ʻia me kekahi mau lāʻau lapaʻau ʻē aʻe. Mai lawe i ka nitroglycerin no kekahi kumu , ʻoiai inā ʻoe e lawe ana i kekahi o nā lāʻau lapaʻau i helu ʻia ma lalo nei.
- Nā Lāʻau Lapaʻau no ka Erectile Dysfunction: Avanafil, Sildenafil (i ʻike ʻia ʻo Viagra), Tadalafil, Vardenafil. Hiki i kēia mau mea ke hoʻohaʻahaʻa i ke koko koko inā lawe ʻia me ka nitroglycerin.
- Nā alkaloids Ergot: ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka migraines, e like me Dihydroergotamine lāua ʻo Ergotamine.
- He lāʻau lapaʻau i kapa ʻia ʻo Riociguat .
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau).
Nā mea ʻē aʻe e makaʻala ai
- E mālama mau i kēia lāʻau lapaʻau me ʻoe . ʻAʻole ʻoe i ʻike i ka wā a i ʻole kahi e loaʻa ai ka ʻeha o ka umauma.
- Hiki paha iā ʻoe ke hiamoe a poniuniu paha ma hope o ka lawe ʻana i kēia lāʻau. No laila , e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa ʻana a i ʻole ka hoʻohana ʻana i nā mīkini .
- I ke ala ʻana mai kahi noho a i ʻole ke ala ʻana mai kahi moe, mai kū koke . E kū mālie. E akahele loa inā he ʻelemakule ʻoe.
- Mai lawe i nā lāʻau lapaʻau ʻū, anu, a i ʻole nā lāʻau ʻeha i kūʻai ʻia ma ke kūʻai aku me ka ʻole o ka nīnau mua ʻana i kāu kauka. Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i kou koko.
Leka Lawe-Home
- Hoʻohana ʻia ka pauka Nitroglycerin no ka ʻeha koke o ka umauma (angina). E lawe koke i ka wā e hoʻomaka ai ka ʻeha.
- E noho mau ma kahi palekana ma mua o ka lawe ʻana i ka lāʻau.
- E kau i ka pauka ma lalo o kou alelo a hoʻoheheʻe no 5 mau minuke me ka ʻole o ka moni ʻana a holoi ʻole paha i kou waha.
- Inā ʻaʻole e emi ka ʻeha i loko o 5 mau minuke o ka mahele mua a inā paha e hoʻonui ʻia, e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia (ETU).
- Mai hoʻohana pū i ka nitroglycerin me nā lāʻau lapaʻau erectile dysfunction (e like me Sildenafil/Viagra). He mea weliweli loa ia.
- He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
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