Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Propranolol? Malia paha no kou koko koko, a no ka hōʻeha puʻuwai paha, a no kekahi mea ʻē aʻe paha. Ke lohe ʻoe e pili ana i kēia lāʻau lapaʻau, e hoihoi iki paha ʻoe, a makaʻu iki paha, ʻeā? Mai makaʻu i kekahi mea. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Propranolol ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha maoli kēia lāʻau lapaʻau i kapa ʻia ʻo Propranolol?
I ka ʻōlelo maʻalahi, ʻo Propranolol kahi lāʻau lapaʻau no kahi papa o nā lāʻau i kapa ʻia ʻo beta-blockers . Hoʻohana ʻia ia no nā mea like ʻole i loko o ko mākou kino. E noʻonoʻo e like me kahi mākaʻi kaʻa. E like me kāna kaohi ʻana i ke kaʻa a hoʻomaʻalahi i ke alanui, kaohi ʻo Propranolol i kekahi o nā hana o ko mākou kino a hoʻomaʻalahi iā lākou.
ʻO nā manawa nui e hāʻawi ʻia ai kēia lāʻau lapaʻau:
- Ke koko kiʻekiʻe: Hoʻohaʻahaʻa i kou koko a hoʻomaʻalahi i kou puʻuwai e pamu i ke koko.
- Nā ʻano puʻuwai like ʻole: He wikiwiki a ʻano ʻole paha ka puʻuwai o kekahi poʻe, ʻeā? Hiki i kēia ke kōkua i ka kaohi ʻana i ia mau kūlana, ʻoiai nā kūlana e like me ka Atrial Fibrillation (AFib) .
- Nā haʻalulu: Loaʻa i kekahi poʻe nā haʻalulu ma ko lākou mau lālā, e like me ko lākou mau lima. Hoʻohana ʻia kēia no ia mau kūlana.
- No ka pale ʻana i nā migraines: Hāʻawi ʻia kēia lāʻau lapaʻau e pale aku i nā migraines. Hana ia ma ka hoʻomaha ʻana i nā kīʻaha koko i loko o ka lolo e hoʻoulu ai i nā migraines.
Ma waho aʻe o kēia, hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā ʻano maʻi like ʻole.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e lawe i ka Propranolol, pono ʻoe e hāʻawi i kāu kauka i kahi wehewehe piha o kou olakino. ʻOi loa aku inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| Maʻi a i ʻole ke kūlana | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi diabetes | Hiki i kēia lāʻau lapaʻau ke uhi i kekahi o nā hōʻailona o ke kō koko haʻahaʻa (e.g., palpitations). |
| ʻO ka Asthma a i ʻole nā maʻi māmā ʻē aʻe | Hiki i ka propranolol ke hoʻopilikia i ka hanu ʻana i kekahi manawa. |
| Maʻi puʻuwai, haʻahaʻa o ka puʻuwai, a i ʻole ka mōʻaukala o ka hōʻeha puʻuwai | Inā ua haʻahaʻa mua kou helu puʻuwai, hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa hou aku. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ke koʻikoʻi o kēia ʻōkana i ke kaʻina hana o ka hoʻopau ʻana i nā lāʻau lapaʻau mai ke kino, pono e makaʻala iā ia. |
| Nā pilikia o ke kahe koko a i ʻole nā maʻi o ke kīʻaha koko | Hiki ke hoʻonui ʻia nā pilikia e pili ana i ke kahe koko i nā lālā. |
| Maʻi thyroid | Hiki i kēia lāʻau lapaʻau ke uhi i kekahi o nā hōʻailona o ka maʻi thyroid. |
| Nā maʻi ʻaleka i ka Propranolol a i ʻole nā lāʻau lapaʻau / meaʻai ʻē aʻe | He mea nui kēia no ka pale ʻana i nā maʻi allergies. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai | He mea pono e ʻimi i ka ʻōlelo aʻo a ke kauka e pili ana i ka hoʻohana ʻana i ka lāʻau lapaʻau i ka wā hāpai. |
| ʻO ka lilo ʻana i makuahine hānai | Hiki i nā ʻāpana o ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma, no laila e hoʻomaopopo i kāu kauka e pili ana i kēia. |
Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?
- E hahai i nā ʻōlelo a kāu kauka: E lawe wale i ka nui a me ka manawa a kāu kauka e ʻōlelo ai iā ʻoe e lawe. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ke kamaʻilio ʻole ʻana me kāu kauka. ʻO ka hoʻōki koke ʻana hiki ke hoʻonui i kou kūlana.
- I ka manawa like mau:E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā e like me ka hiki. Ma kēlā ala, ʻaʻole ʻoe e poina a hiki iā ʻoe ke mālama i nā pae o ka lāʻau lapaʻau i loko o kou kino i kūlike.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: Inā poina iā ʻoe ke lawe i kahi lāʻau lapaʻau, e lawe koke iā ia ke hoʻomanaʻo ʻoe. 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 no kekahi kumu.
- Overdose: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo a hele koke i ka haukapila kokoke loa ʻo Emergency Department (ETU) . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Nou wale nō kēia lāʻau lapaʻau! Ua kuhikuhi ke kauka i kēia lāʻau lapaʻau no kou kūlana wale nō. Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe. Hiki ke hōʻeha nui iā lākou.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Propranolol
Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, nā mea kanu, a i ʻole nā huaʻai i ka wā e lawe ana iā Propranolol, pono ʻoe e haʻi i kāu kauka e pili ana iā lākou, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hana me Propranolol a hoʻoulu i nā pilikia.
ʻO keʻano kūikawā, hiki i kāu kauka ke aʻo iā ʻoe e pale i ka lawe ʻana iā Propranolol me nā lāʻau lapaʻau penei:
ʻo kahi laʻana:
- Nā lāʻau lapaʻau no kekahi mau maʻi noʻonoʻo (Phenothiazines)
- Nā lāʻau lapaʻau ʻē aʻe no ke koko a i ʻole ka maʻi puʻuwai
- Nā lāʻau ʻeha a me nā lāʻau mumū (NSAID), e like me ka ibuprofen a me ka naproxen
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi diabetes
- Nā lāʻau lapaʻau no ka cholesterol
- Nā lāʻau lapaʻau e like me Theophylline no ka hānō
ʻAʻole i piha kēia papa inoa. No laila , mai poina e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a mea kanu paha āu e lawe ai.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Ka hiamoe a me ka poniuniu: Hiki i kekahi poʻe ke ʻike i ka hiamoe a me ka poniuniu i ka wā e lawe ai i kēia lāʻau. E pale i 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.
- Mai ala koke: Ke ala aʻe mai kahi noho a moe paha, e kū mālie. He mea nui loa kēia inā he ʻelemakule ʻoe. ʻO ke kū wikiwiki ʻana hiki ke hoʻoulu i ka poniuniu a hāʻule paha ʻoe.
- 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 ke kūkākūkā ʻana me kāu kauka. Hiki i kekahi o kēia mau lāʻau ke hoʻonui i kou koko.
- ʻOna:Hiki i ka inu ʻana i ka waiʻona ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau, no laila ʻoi aku ka maikaʻi o ka pale ʻana i ka waiʻona.
- Maʻi diabetes: Inā he maʻi diabetes ʻoe, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou pae kō koko. No laila e nānā mau i kou pae kō koko. Inā pono, e kamaʻilio me kāu kauka e pili ana i ka hana ʻana i nā hoʻololi i kāu meaʻai a i ʻole ka lāʻau lapaʻau maʻi diabetes.
Nā hopena ʻaoʻao hiki ke loaʻa o ka Propranolol
E like me nā lāʻau lapaʻau āpau, hiki i ka Propranolol ke hana i nā hopena ʻaoʻao i kekahi poʻe, ʻoiai ʻaʻole i loaʻa i nā kānaka āpau. E makaʻala i nā hōʻailona aʻe:
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena maʻi ʻaleka | 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 nui. |
| Ke koko haʻahaʻa loa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Haʻahaʻa loa ka helu o ka puʻuwai. | Pōniuniu, māʻule, paʻakikī ka hanu ʻana, luhi loa. |
| ʻO ka hanana o Raynaud | Lilo nā manamana lima i anu, mae, ʻeha, a lilo i keʻokeʻo, polū, a ʻulaʻula paha. |
| Ka loli ʻana o ke kūlana noʻonoʻo | Ke kū mai a i ʻole ka hoʻonui ʻia ʻana o nā manaʻo e like me ke kaumaha. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Pōʻino | Hiki ke hana kēia a hiki i ka wā e maʻa ai ke kino i ka lāʻau lapaʻau. |
| Luhi | Luhi kino. |
| ʻEha poʻo | Hiki ke loaʻa kahi ʻeha poʻo iki. |
| ʻAʻai ʻole/maʻi pākī | Nā loli liʻiliʻi i ka ʻōnaehana hoʻoheheʻe. |
| Nā loli i ka hana moekolohe | Ka emi ʻana o ka makemake a i ʻole ka hana moekolohe. |
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ka Propranolol i hoʻohana ʻia no nā mea he nui, e like me ke koko kiʻekiʻe, nā pilikia o ka puʻuwai, a me ka pale ʻana i ka migraine.
- E lawe mau i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ke kauoha a kāu kauka. Mai ho'ōki koke i ka lawe ʻana i kāu lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Ma muli o ka hiki ʻana mai o ka hiamoe a me ka poniuniu i ka wā e hoʻohana ai i ka lāʻau lapaʻau, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa ʻana, a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o ka lāʻau lapaʻau iā ʻoe.
- Inā loaʻa iā ʻoe nā hopena ʻino e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, a i ʻole ka pehu ʻana o ka maka, e ʻimi koke i ke kōkua lapaʻau.
- E mālama mau i kēia lāʻau lapaʻau ma ka mahana o ka lumi, mai ka hiki ʻana aku o nā keiki a me nā holoholona.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai nā papa/spray sublingual Nitroglycerin / Nitrostat?
He lāʻau lapaʻau kēia i hāʻawi ʻia e ke Akua, ikaika loa, a hana koke (Vasodilator) e hoʻopakele i ke ola o nā maʻi puʻuwai! Ke emi ke kahe o ke koko i ka puʻuwai a ʻūlū koke ka umauma a laha ka ʻeha hiki ʻole ke hoʻomanawanui ʻia o ka 'Heart Attack/Angina (Angina Pectoris)' i lalo o ka puʻu/lima, ʻo kēia pila, i kau ʻia ma lalo o ke alelo, e hoʻōki i ka ʻeha 100% i loko o 2 mau minuke a hoʻopakele i nā ola.
💬 Ke kokoke ʻoe e make i ka ʻeha o ka umauma (Angina), pehea lā e hiki ai iā ʻoe ke hoʻopakele i kou puʻuwai me kēia pila liʻiliʻi (Nitroglycerin)?
Hiki mai ka hōʻeha puʻuwai ke ālai ʻia/haiki ʻia kekahi kīʻaha koko i loko o ka puʻuwai a ʻaʻole lawa ke koko/oxygen i ka puʻuwai! Ke waiho ʻia kēia pila ma lalo o ke alelo, ua komo ia i loko o ke koko a lilo i kinoea i kapa ʻia ʻo 'Nitric Oxide (NO)' i loko o ke kino. Hoʻomaha koke kēlā kinoea i nā kīʻaha koko a pau i loko o ko kākou puʻuwai a me ke kino a hoʻolilo iā lākou i momona/nui (Rapid Vasodilation). A laila, kahe ke koko ma o ka poloka a i loko o ka puʻuwai, a nalowale koke ka ʻeha o ka umauma o ka mea maʻi.
💬 He aha ka pōʻino make e pono ʻole ai i ka poʻe e hoʻohana ana i kēia pila (Nitrostat) ke hana?
ʻO ke kānāwai nui loa a hoʻokahi wale nō! Inā ua lawe ʻoe i nā pila e like me 'Viagra (Viagra / Sildenafil)' no ka hoʻoulu ʻana i ka moekolohe, mai hoʻokomo i kēia pila nitroglycerin ma lalo o kou alelo no nā hola 24-48 e hiki mai ana! Inā hana ʻoe pēlā, e hoʻonui nui ʻia nā kīʻaha koko a pau a e hāʻule kou koko i ka ʻole (Severe Hypotension) a hiki iā ʻoe ke komo i loko o kahi coma a make! Eia kekahi, ke lawe ʻoe i kēia pila, e loaʻa maoli iā ʻoe kahi 'Severe Headache (ma muli o ka hoʻonui ʻia ʻana o nā kīʻaha koko)'.
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