ʻO ke koko kiʻekiʻe, a i ʻole "kaomi" e like me kā mākou e kapa nei, he pilikia olakino ia e kū nei i nā poʻe he nui i kēia lā. I kekahi manawa hiki ke paʻakikī ke kāohi i kou koko me hoʻokahi lāʻau lapaʻau wale nō. I ia mau hihia, hiki i kāu kauka ke kuhikuhi i ka hui pū ʻana o ʻelua a ʻoi aku paha mau lāʻau lapaʻau. ʻO Olmesartan lāua ʻo Hydrochlorothiazide kekahi o ia mau hui pū ʻana o ʻelua mau lāʻau lapaʻau. Inā ʻoe e hoʻohana nei i kēia lāʻau lapaʻau, he mea nui loa ia e makaʻala iā ia.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o nā lāʻau lapaʻau ʻelua. I ka hui pū ʻana, kōkua kēia mau mea ʻelua i ka hoʻokele ʻana i kou koko ma nā ʻano ʻelua.
1. Olmesartan: No ka papa lāʻau lapaʻau kēia i kapa ʻia ʻo "Angiotensin II receptor blockers". Hana kēia ma ka hoʻomaha ʻana i kou mau kīʻaha koko. E noʻonoʻo i ka wā e ālai ʻia ai kahi paipu wai, kiʻekiʻe ke kaomi i loko, ʻeā? Inā ʻoe e hoʻonui iki i kēlā paipu, emi iho ke kaomi. Pēlā nō, i ka wā e ākea iki ai nā kīʻaha koko, hiki i ke koko ke kahe maʻalahi ma o ia mea, a laila emi pū ke kaomi.
2. Hydrochlorothiazide (HCTZ): He ʻano lāʻau lapaʻau "Diuretic" kēia, ʻo ia hoʻi ke kōkua nei ia i ka wehe ʻana i ka wai keu a me ka paʻakai mai ke kino. Ke mālama ke kino i ka wai keu a me ka paʻakai, hiki ke piʻi aʻe ke koko. No laila, kōkua kēia lāʻau lapaʻau i ka hoʻohaʻahaʻa ʻana i ke koko ma ka hoʻokahe ʻana i ka wai keu a me ka paʻakai ma o ka mimi.
No laila, ma ka hana pū ʻana me kēia mau ʻano ʻelua, hiki ke kaohi ʻia ke koko kiʻekiʻe me ka ʻoi aku ka maikaʻi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai: He mea nui loa kēia. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia, ʻoiai i ka wā o ka lua a me ke kolu o ka trimesters o ka hāpai ʻana. No laila e kamaʻilio me kāu kauka e pili ana i kēia.
- Inā he makuahine ʻoe e hānai waiū ana.
- Inā loaʻa iā ʻoe ka hānō.
- Inā loaʻa iā ʻoe ka maʻi diabetes: Hiki i kēia lāʻau lapaʻau ke hoʻololi i nā pae kō koko.
- Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole ka emi ʻana o ka mimi: Hoʻopau ʻia kēia lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa. No laila, pono ʻoe e makaʻala inā loaʻa iā ʻoe nā pilikia puʻupaʻa.
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe nā maʻi o ka ʻōnaehana pale (e.g. lupus).
- Inā he maʻi allergy ʻoe i nā lāʻau sulfa:He mea nui kēia no ka mea pili ka lāʻau Hydrochlorothiazide i ka papa sulfa.
- Inā he maʻi ʻoe i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hahai ana i kahi papaʻai paʻakai haʻahaʻa kūikawā.
Pono e hoʻohana ʻia ka lāʻau lapaʻau ma ke ʻano kūpono.
- E lawe i ka manawa kūpono: E lawe i kēia lāʻau i ka manawa like i kēlā me kēia lā , e like me ke kauoha a kāu kauka. E hoʻolilo i kēia i mea maʻamau.
- Me ka ʻai a me ka ʻole o ka meaʻai: Hiki ke lawe ʻia kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- Mai ho'ōki: Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. ʻOiai inā he maʻamau kou koko, pono ʻoe e hoʻomau i ka lawe ʻana.
- Inā hāʻawi ʻia i nā keiki: Pono paha kēia lāʻau lapaʻau i ka mālama kūikawā inā hāʻawi ʻia i nā keiki. E kūkākūkā me kāu kauka no ka ʻōlelo aʻo.
He aha kāu e hana ai inā lawe ʻoe i ka lāʻau lapaʻau ma mua o ka mea e pono ai?
Inā manaʻo ʻoe ua lawe ʻoe i nā pila ma mua o kou manaʻo, 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. Mai lawe māmā i kēia.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i nā lāʻau.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui e haʻi i kāu kauka inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā lāʻau lapaʻau lāʻau i ka wā e lawe ana i kēia lāʻau. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau.
| ʻAno lāʻau lapaʻau / mea hana | Nā mea e makaʻala ai |
|---|---|
| ʻO nā ʻano lāʻau lapaʻau koko a me nā diuretics ʻē aʻe | Hiki i ke koko ke hāʻule haʻahaʻa loa. E akahele loa me nā diuretics potassium-sparing. |
| Nā lāʻau hoʻopau ʻeha (NSAID - e.g. Ibuprofen, Diclofenac) | Hiki i kēia ke hōʻemi i ka pono o nā lāʻau lapaʻau koko a hoʻopilikia i nā puʻupaʻa. |
| Nā mea hoʻohui potassium a me nā pani paʻakai | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pae potassium i loko o ke kino. No laila, e nīnau i kāu kauka e pili ana i ka hoʻohana ʻana i kēia mau mea. |
| Lāʻau lapaʻau maʻi diabetes | No ka mea hiki ke loli ke kiʻekiʻe o ke kō koko, pono paha i ke kauka ke hoʻololi i ka nui o ka lāʻau lapaʻau. |
| Litiuma | Hiki i nā pae lithium i loko o ke kino ke lilo i mea kiʻekiʻe loa. |
| ʻAila | Hiki ke hoʻonui i ka poniuniu a me ka hiamoe. |
Nā mea āu e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E nānā pinepine i kou koko: E nānā i kou koko ma ka home a kākau i nā heluhelu i loko o kahi puke. E lawe pū me ʻoe i ka puke ke hele ʻoe e ʻike i kāu kauka. E nīnau i kāu kauka i ke ʻano o kou koko maʻamau.
- E inu i ka wai nui: Hoʻonui kēia lāʻau i ka nui o ka wai i nalowale mai ke kino. No laila , aia kahi pilikia kiʻekiʻe o ka make wai . I nā hihia e like me ka maʻi diarrhea nui, ka luaʻi ʻana, a i ʻole ka hou nui ʻana, hiki i ka pae wai o ke kino ke lilo i mea haʻahaʻa loa. No laila, e kamaʻilio me kāu kauka e pili ana i ka nui o ka wai āu e inu ai i kēlā me kēia lā.
- Pōniuniu a me ka hiamoe: Hiki i kēia lāʻau lapaʻau ke hoʻomālielie iā ʻoe. No laila, e pale i ka hana ʻana 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 ala koke mai kahi noho. ʻOi loa aku inā he ʻelemakule ʻoe, e ala mālie. E hōʻemi kēia i ka pilikia o ka pōniuniu a me ka hāʻule ʻana.
- E makaʻala i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou ʻili i ka lā. No laila, inā ʻoe e hele ana i ka lā, e ʻaʻahu i nā lole e uhi ana i kou ʻili, a e hoʻohana i ka sunscreen. E kamaʻilio pū me kāu kauka e pili ana i kou pilikia o ka maʻi ʻaʻai ʻili i ka wā e lawe ana i kēia lāʻau lapaʻau.
- Lāʻau kuni a me ke anu: Inā ʻoe e lawe ana i ka lāʻau kuni, anu, a i ʻole ka lāʻau ʻeha mai kahi hale kūʻai lāʻau lapaʻau, e nīnau i kāu kauka e pili ana i ia mea, no ka mea, hiki i kekahi mau lāʻau ke hoʻonui i kou koko.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka āpau.
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, ka ʻū ʻana o ka umauma. |
| ʻO ka poniuniu nui a i ʻole ka nalowale o ka ʻike | He hōʻailona paha ia o ka emi nui ʻana o ke koko. |
| Puʻuwai wikiwiki a ʻano ʻole paha | Paʻa ka umauma, ʻeha ka umauma. |
| Ka maʻi kahe nui (Diarrhea) | Hiki i ka maʻi diarrhea mau ke hoʻoulu i ka dehydration. |
| ʻEha maka, loli ka ʻike | ʻIke pōwehiwehi, ʻeha maka. |
| Ka paʻakikī o ka mimi ʻana a i ʻole ka mimi ʻeleʻele | He hōʻailona paha ia o ka hōʻino ʻia ʻana o nā puʻupaʻa. |
| Melemele o ka ʻili a i ʻole nā maka (Jaundice) | He hōʻailona ia o ka pilikia o ke akepaʻa. |
| Inā hoʻomau kēia mau mea a lilo paha i mea hoʻopilikia, e haʻi i kāu kauka. | |
| ʻEha poʻo | Hiki ke emi iho kēia i ka wā e maʻa ai ke kino i ka lāʻau lapaʻau. |
| Ka luaʻi | Manaʻo ʻole i loko o ka ʻōpū. |
| Nā loli i ka hana moekolohe | Hoʻemi ʻia ka makemake i ka moekolohe a i ʻole nā pilikia ʻē aʻe. |
ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e kamaʻilio me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- E lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono, i kēlā me kēia lā. ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke noi ʻana aku i kāu kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā kūlana olakino āu e lawe nei.
- E pale i ka maloʻo ʻana o ka wai. E makaʻala loa inā loaʻa iā ʻoe ka maʻi pākī, ka luaʻi ʻana, a i ʻole ka hou nui ʻana.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha, e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka poniuniu nui, ka pehu ʻana o ka maka, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- E nānā pinepine i kou koko a e hele i ke keʻena lapaʻau o kāu kauka i nā lā i hoʻonohonoho ʻia.
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