Ua manaʻo paha ʻoe i kou puʻuwai e kuʻi wikiwiki koke, a i ʻole e lele i kahi kuʻi, a i ʻole e kuʻi ma ke ʻano ʻē a ʻano ʻē? He mea kēia a ka poʻe he nui e ʻike ai. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he puʻuwai kuʻi ʻole, a i ʻole 'arrhythmia'. ʻO Propafenone kahi lāʻau lapaʻau kūikawā a nā kauka e kuhikuhi ai e kāohi i ia mau kūlana, ʻoiai nā kūlana e like me 'AFib (atrial fibrillation)'. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Propafenone?
He lāʻau lapaʻau ʻo Propafenone i hoʻohana ʻia no ka pale ʻana a me ka mālama ʻana i nā maʻi puʻuwai, ʻo ia hoʻi nā kūlana e paʻi wikiwiki ai ka puʻuwai a i ʻole ke ʻano ʻē. No kahi papa lāʻau lapaʻau i kapa ʻia ʻo 'antiarrhythmics'.
E noʻonoʻo i ko kākou puʻuwai e like me kahi ʻōnaehana uila liʻiliʻi. Ke hana pololei nei kēia mau hōʻailona uila a ma kahi mele maʻamau, e kuʻi pono ka puʻuwai. Akā i kekahi manawa, ma muli o kahi hemahema i loko o kēia ʻōnaehana hōʻailona uila, hoʻomaka nā hōʻailona e hana wikiwiki loa a i ʻole ma ke ʻano haunaele. ʻO ia ka manawa e lilo ai ka puʻuwai i mea ʻē. Hana ʻo Propafenone ma ka kaohi ʻana a me ka hoʻoponopono ʻana i kekahi o kēlā mau hōʻailona uila hana nui, e hoʻihoʻi ana i ka puʻuwai i kahi mele paʻa a pololei.
Hiki paha iā ʻoe ke ʻike i kēia lāʻau lapaʻau ma lalo o kahi inoa inoa e like me Rythmol SR.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Propafenone e pono e hoʻohana ʻia me ke akahele loa. No laila, he mea nui loa e hāʻawi kāu kauka iā ʻoe i kahi kiʻi piha o kou olakino ma mua o ke kau ʻana i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e hōʻoia e haʻi i kāu kauka e pili ana iā lākou.
- Nā pilikia puʻuwai ʻē aʻe: Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai ma mua, loaʻa ka hāʻule ʻana o ka puʻuwai , loaʻa ka puʻuwai lohi loa, a hoʻohana paha i kahi pacemaker , pono ʻoe e haʻi i kāu kauka. Eia kekahi, e makaʻala i nā kūlana puʻuwai kūikawā e like me ka maʻi Brugada.
- Maʻi puʻupaʻa a i ʻole ke akepaʻa: Inā ua pilikia kou hana puʻupaʻa a i ʻole ke akepaʻa, e haʻi i kāu kauka e pili ana i ia mea, no ka mea, ʻo kēia mau kino ke kuleana no ka wehe ʻana i nā lāʻau lapaʻau mai ke kino.
- Nā maʻi o ka ʻōnaehana hanu: Inā loaʻa iā ʻoe kekahi mau maʻi e pili ana i ka māmā e like me ka hānō a i ʻole COPD, e haʻi pū i kēlā.
- Ke koko: Inā he haʻahaʻa kou koko, pono e ʻike kāu kauka i kēlā.
- Nā pae paʻakai koko: ʻO ka nui o ka potassium, magnesium, a me ka sodium i loko o kou koko.Inā haʻahaʻa a kiʻekiʻe paha kāu mau pae electrolyte, hiki i kēlā ke hoʻopilikia i kēia lāʻau lapaʻau. No laila e kamaʻilio pū e pili ana i kēlā.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i ka Propafenone a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha, e haʻi pono i kāu kauka.
- Hāpai a me ka hānai waiū: Inā ʻoe e hoʻāʻo nei e hāpai, hāpai, a hānai waiū paha, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
Pehea e hoʻohana pono ai i kēia lāʻau lapaʻau?
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, a i ka manawa kūpono hoʻi.
- E ale i kēia capsule me kahi aniani wai.
- ʻO ka mea nui loa: Mai uhaʻi, kuʻi, a nau paha i kēia capsule. He capsule 'Extended-Release' (SR) kēia. ʻO ke ʻano kēia ua hoʻolālā ʻia e hoʻokuʻu mālie i ka lāʻau lapaʻau i loko o ke kino. Inā ʻoe e uhaʻi a nau paha, hiki ke hoʻokuʻu ʻia ka nui o ka lāʻau lapaʻau i loko o ke kino i ka manawa hoʻokahi, kahi e hiki ai ke hana i nā hopena ʻino.
- Hiki iā ʻoe ke lawe i kēia ma mua a ma hope paha o ka ʻai ʻana, akā inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo aku ai ke kauka iā ʻoe.
He aha ka mea e hana ai inā piʻi ka nui o ka lāʻau ?
Inā loaʻa iā ʻoe kekahi kānalua iki ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo. He mea kēia ʻaʻole pono e hoʻopaneʻe ʻia.
He aha inā e hala iaʻu 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 i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi, me kahi lāʻau lapaʻau i poina.
Nā mea ʻē aʻe e launa pū me Propafenone
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, a me kekahi mau meaʻai, ke launa pū me Propafenone a hoʻoulu i nā pilikia. No laila, he mea nui loa 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 lāʻau).
E wehewehe hou aku kākou i kēia me ka papa ma lalo nei.
| ʻAno lāʻau lapaʻau/meaʻai | Ka wehewehe a me nā laʻana |
|---|---|
| Nā mea āu e pono ʻole ai e lawe pū me Propafenone | |
| ʻO kekahi mau lāʻau antifungal | Laʻana: Ketoconazole, Fluconazole |
| Nā lāʻau lapaʻau ʻē aʻe e kāohi ai i ka puʻuwai | Laʻana: Dronedarone |
| Nā lāʻau lapaʻau kūikawā ʻē aʻe | Nā lāʻau lapaʻau e like me Thioridazine, Pimozide, Saquinavir. |
| Nā mea e makaʻala ai me Propafenone a me nā mea e haʻi aku i kāu kauka | |
| Nā mea pale beta | ʻO nā lāʻau lapaʻau e like me Propranolol, i hoʻohana ʻia no ke koko a me nā maʻi puʻuwai. |
| ʻO Digoxin | He lāʻau lapaʻau no ka hāʻule ʻana o ka puʻuwai. |
| ʻO Warfarin | He lāʻau lapaʻau i hāʻawi ʻia e pale aku i ke kāpili ʻana o ke koko. |
| Wai ʻāpala | Ma muli o ka hoʻololi ʻana o nā cranberries i ke ʻano o ka wāwahi ʻana o ke kino iā Propafenone, hiki ke hoʻonui ʻia nā hopena o ka lāʻau lapaʻau me ke kumu ʻole. No laila, e pale i nā cranberries a me ka wai cranberry i ka wā e lawe ana i kēia lāʻau. |
ʻO ka mea nui loa, ʻo ia ke haʻi aku i kāu kauka inā ʻoe e hoʻomaka ana i kekahi lāʻau lapaʻau hou. Hiki iā ia ke hoʻololi i kāu hoʻolālā lapaʻau e like me ia.
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e noʻonoʻo i kou palekana i ka wā e lawe ai i kēia lāʻau.
- Nānā kino maʻamau:ʻOi loa aku i nā pae mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e nānā kāu kauka iā ʻoe. Pono paha ʻoe e noho i ka haukapila ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. ʻOiai ma hope o kou maʻa ʻana i ka lāʻau lapaʻau, e hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia e ʻike i kāu kauka.
- Ka Pīhoihoi a me ka Nānā: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka pīhoihoi, ka māmā o ke poʻo, a me ka nāwaliwali i kekahi poʻe. No laila, e pale i 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 pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Ke hoʻololi nei i nā kūlana: Hiki iā ʻoe ke manaʻo i ka poniuniu ke kū koke ʻoe mai kahi noho a i ʻole e ala aʻe mai kahi moe. No laila, e kali iki ma mua o ke ala ʻana mai kahi noho a moe paha.
- ʻOna: Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i ka poniuniu a me ka maʻi ʻeha i ʻōlelo ʻia ma luna.
- ʻO ke ʻoki kino: Inā ua hoʻonohonoho ʻia ʻoe no kekahi ʻoki kino, e hōʻoia e haʻi aku i ke kauka ʻoki kino a me ka anesthesiologist e lawe ana ʻoe iā Propafenone.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Propafenone ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau mea a hana koke inā pono.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o 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. |
| Nā loli i ka helu o ka puʻuwai | ʻO ka puʻuwai wikiwiki a ʻano ʻē paha ma mua o ka maʻamau, ka poniuniu, ka maule ʻana, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu. |
| Ke kahe koko ʻano ʻē | ʻO ka ʻeha a i ʻole ke kahe ʻana o ke koko o ka ʻili i wehewehe ʻole ʻia. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i kāu kauka inā hoʻomau lākou | |
| Hoʻololi i ka ʻono | Ke ʻono nei i kahi ʻono ʻē i loko o ka waha. |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻakikī e hele i ka lua. |
| Pōʻino | Pōʻaiʻī . |
| Luhi | Manaʻo o ke ola ʻole. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻokoʻa a ʻano ʻē paha, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?
- E mālama ʻia mai nā keiki a me nā holoholona.
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius).
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ka Propafenone e kaohi ana i nā puʻuwai puʻuwai kūpono ʻole. No laila, e lawe pono e like me ke kauoha a kāu kauka, i ka manawa kūpono.
- Mai uhaʻi, kuʻi, a nau paha i kēia capsule SR. E ale holoʻokoʻa.
- E haʻi i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi (ʻoi aku ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka poniuniu nui), e ʻimi koke i ke kōkua lapaʻau.
- E pale i ka hoʻōki koke ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
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