E aʻo kākou e pili ana i kēia lāʻau lapaʻau kūikawā (Sacubitril; Valsartan) i hāʻawi ʻia no ka hāʻule ʻana o ka puʻuwai.

Ke paʻakikī nei hoʻi ʻoe i ka hanu ʻana, manaʻo paha ʻoe e hāʻule ana ʻoiai me ka hoʻoikaika iki ʻana? A i ʻole ua haʻi aku kāu kauka iā ʻoe he ʻano hāʻule puʻuwai kou? Inā pēlā, ua kuhikuhi ʻia paha ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Sacubitril; Valsartan (---‍; --) . Loaʻa pinepine ia ma lalo o ka inoa inoa ʻo 'Entresto'. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, pehea e hoʻohana ai, a me nā mea e makaʻala ai. E like me kāu e haʻi aku ai i kahi hoaaloha.

He aha ke ʻano o kēia lāʻau lapaʻau? No ke aha i hāʻawi ʻia ai kēia?

ʻO ka ʻōlelo maʻalahi, ʻo kēia ʻSacubitril; ʻO Valsartan ka hui pū ʻana o nā lāʻau lapaʻau ʻelua. ʻO kekahi ʻo `Sacubitril` க்ய-஬ி-ட்ரில்),-க்ய-஬ி-ட்ரில் - க்ய-஬ி-ட்ரில்), he laau keia no ka hui `(neprilysin inhibitor)`. ʻO kekahi ʻo `Valsartan` கா-தன்),-வலஸாட் -ஸாட்ரில் - க்ய-஬ி-ட்ரில்), he lāʻau lapaʻau kēia no ka hui `(angiotensin II receptor blocker - ARB)`. Hana pū kēia mau lāʻau lapaʻau ʻelua. Hāʻawi nui ʻia kēia lāʻau lapaʻau i ka poʻe me ka puʻuwai puʻuwai . ʻO ka puʻuwai puʻuwai kahi kūlana i hiki ʻole ai i ka puʻuwai ke pamu i ke koko lawa i ke kino. E noʻonoʻo, ua like ka puʻuwai me ka pamu wai. Inā ʻaʻole ia e hana pono ana, me he mea lā ʻaʻole e kahe ana ka wai ma ke kino holoʻokoʻa, a ʻaʻole e kahe ana ke koko ma ke kino holoʻokoʻa. ʻO ia ka manawa e hiki mai ai nā mea e like me ka luhi a me ka pōkole o ka hanu. No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ke kōkua i ka hiki ke pamu o ka puʻuwai a hoʻemi i ke kaumaha ma ka puʻuwai. I kekahi manawa hoʻohana paha nā kauka i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe. Na kāu kauka ia e hoʻoholo.

He aha kaʻu e haʻi aku ai i kaʻu 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 kēia lāʻau lapaʻau ʻo `Sacubitril; Valsartan`, pono ʻoe e haʻi i kāu kauka a kahu maʻi paha e pili ana i kēia mau mea. Mai hūnā i kekahi mea.

• E haʻi i kāu kauka inā loaʻa iā ʻoe ka maʻi diabetes ( Diabetes Mellitus) , ʻoiai inā ʻoe e lawe ana i ka lāʻau lapaʻau aliskiren.
• Inā ʻike ʻoe ua kiʻekiʻe ka pae potassium o kou koko.
• Inā he maʻi puʻupaʻa kou .
• Inā he maʻi kou i ke akepaʻa .
• Inā he haʻahaʻa kou koko ('low blood pressure ') .
• ʻO kēia ʻo `Sacubitril; Valsartan`, a i ʻole `(Inā ua loaʻa iā ʻoe kahi hopena maʻi i nā lāʻau lapaʻau i kapa ʻia ʻo ACE inhibitors (e.g., enalapril, lisinopril), nā lāʻau lapaʻau i kapa ʻia ʻo angiotensin II receptor blockers (ARBs) (e.g., losartan, telmisartan), kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu meaʻai, a i ʻole nā ​​mea hoʻomalu .
• Inā hāpai ʻoe, a i ʻole e hoʻāʻo ana e hāpai . He mea nui loa kēia, e kamaʻilio mākou e pili ana i kēia ma hope.
• Inā he makuahine hānai waiū ʻoe .

Ke noʻonoʻo ʻoe i kēia mau mea, hiki i kāu kauka ke hoʻoholo pololei inā kūpono kēia lāʻau lapaʻau iā ʻoe, a pehea e hāʻawi ai.

Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?

I ka wā e lawe ai i ka lāʻau lapaʻau, ʻo ka mea nui ka hoʻohana pono ʻana. A i ʻole, ʻaʻole ia e hana pono.

• Pehea e lawe ai: Loaʻa kēia ma ke ʻano pila. Pono e lawe ʻia ma ka waha. E ho'āʻo e lawe i ka nui i kuhikuhi ʻia, e like me ke kauoha a kāu kauka, i ka manawa like i kēlā me kēia lā . Ma kēlā ʻano, e hana like ka lāʻau lapaʻau.
• Me ka meaʻai a i ʻole me ka ʻole o ka meaʻai?: Hiki iā ʻoe ke lawe i kēia pila me ka meaʻai a i ʻole me ka ʻole o ka meaʻai. Eia nō naʻe, hiki i kekahi poʻe ke ʻeha i ka ʻōpū inā lawe lākou me ka ʻole o ka meaʻai. I kēlā hihia, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
• Ke kū nei: E hoʻomau i ka hoʻohana ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe. Mai hoʻōki koke. Inā pono ʻoe e hoʻōki, e kamaʻilio me kāu kauka a hahai i kāna mau kuhikuhi.
• Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?: ʻAe, i kekahi manawa hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki e like me hoʻokahi makahiki no kekahi mau maʻi puʻuwai. Eia nō naʻe, pono maoli ka mālama kūikawā a me ka nānā ʻana o ke kauka.
• He aha kāu e hana ai inā lawe nui ʻoe: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, a inā paha ua lawe hewa ʻoe i nā pila he nui, e hele i ka lumi pilikia o ka haukapila kokoke loa a kāhea koke aku i kahi kikowaena kaohi lāʻau make. Mai hoʻonele i ka manawa.
• Mai kaʻana like: He mea kēia e hoʻomanaʻo ai. Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō, e mālama i kou kūlana. No laila, mai hāʻawi i kēia lāʻau lapaʻau i kou mau hoaaloha, ʻohana, a i ʻole nā ​​​​lālā ʻē aʻe o ka ʻohana, ʻoiai inā ʻōlelo lākou he pilikia like ko lākou me ʻoe.

He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?

Poina iā mākou i kekahi manawa ke lawe i kā mākou lāʻau lapaʻau. Inā hana ʻia kēlā, mai hopohopo.

• E lawe i kāu lāʻau lapaʻau i ka wā e hoʻomanaʻo ai ʻoe.
• Eia nō naʻe, inā kokoke ka manawa no kāu mahele aʻe ke hoʻomanaʻo ʻoe, e kāpae i ka mahele i hala ʻole a lawe wale i ka mahele aʻe i ka manawa i hoʻonohonoho ʻia.
• Mai lawe i ka pālua o ka lāʻau e hana ai no kahi lāʻau i hala.ʻO ka hana ʻana pēlā e hana ai i nā hopena ʻaoʻao.

He aha nā lāʻau lapaʻau ʻē aʻe e pono ʻole e hoʻohana pū ʻia me kēia lāʻau lapaʻau, a i ʻole hiki ke hana i nā hopena ʻaoʻao?

He mea nui loa nō hoʻi kēia. Hiki i kēia lāʻau lapaʻau i kapa ʻia ʻo 'Sacubitril; Valsartan' ke hana i nā pilikia ke lawe ʻia me kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO ia hoʻi, hiki ke hoʻemi ʻia ka pono o kēia lāʻau lapaʻau, a i ʻole e hoʻonui ʻia, a i ʻole e loaʻa mai nā hopena ʻaoʻao hou.

Mai lawe pū me kēia mau lāʻau lapaʻau ʻo Sacubitril; Valsartan:

* Inā loaʻa iā ʻoe ka maʻi diabetes, me ka lāʻau lapaʻau `(aliskiren)`.

* Me nā lāʻau lapaʻau i kapa ʻia ʻo `(Angiotensin-converting enzyme - ACE inhibitors)`. No ka laʻana, nā lāʻau lapaʻau e like me `benazepril`, `captopril`, `enalapril`, `fosinopril`, `lisinopril`, `ramipril`. Inā paha e hoʻōki ʻoe i ka lawe ʻana i ia lāʻau lapaʻau no kekahi mau lā, ʻaʻole ia he manaʻo maikaʻi e hoʻomaka i ka `Sacubitril; Valsartan`. E kamaʻilio me kāu kauka e pili ana i ia mea.

* Me ka lāʻau lapaʻau `(tranylcypromine)`.

Hiki i kēia mau lāʻau lapaʻau ke launa pū me 'Sacubitril; Valsartan'. No laila, e haʻi aku i kāu kauka e pili ana i kēia mau mea:

• Nā ʻano ʻē aʻe o nā mea pale Angiotensin II receptor (ARB). Nā laʻana: azilsartan, candesartan, eprosartan, irbesartan, losartan, olmesartan, telmisartan, a i ʻole valsartan (inā ʻoe e lawe kaʻawale ana i ka valsartan ma waho aʻe o ka valsartan i loko o kēia lāʻau lapaʻau).
• Nā lāʻau lapaʻau e like me `(celecoxib)`.
• `(lithium)` (he lāʻau lapaʻau i hāʻawi ʻia no nā maʻi noʻonoʻo).
• `(NSAIDs)` - ʻO kēia nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka ʻeha a me ka mumū. Nā laʻana: `ibuprofen`, `naproxen`. Hiki ke kūʻai pinepine ʻia kēia mau mea ma luna o ke kūʻai ma nā hale kūʻai lāʻau lapaʻau, no laila inā ʻoe e hoʻohana iā lākou, e haʻi iā lākou.
• Nā lāʻau diuretic e mālama ana i ka potassium. Nā laʻana: amiloride, spironolactone, triamterene.
• Nā mea hoʻohui potassium a i ʻole nā ​​​​​​mea pani paʻakai waiwai i ka potassium.

ʻAʻole paha e komo nā lāʻau lapaʻau āpau i loko o kēia papa inoa. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā lāʻau lapaʻau lāʻau, nā lāʻau lapaʻau ma luna o ke kūʻai aku, a me nā lāʻau lapaʻau kuʻuna. Eia kekahi, e ʻoiaʻiʻo me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei, me nā lāʻau lapaʻau āu e puhi ai, ka waiʻona, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe i kū ʻole i ke kānāwai. Hiki i kēia mau mea ke hoʻopilikia i ka hana maikaʻi o kēia lāʻau lapaʻau.

He aha kaʻu e makaʻala nui ai i ka wā e lawe ai i kēia lāʻau?

E ʻoluʻolu e hoʻolohe i kēia mau mea i ka wā e hoʻohana ai i kēia lāʻau lapaʻau e hōʻoia i kou palekana a e loaʻa nā pono nui loa mai ka lāʻau lapaʻau.

• E nānā i nā hōʻailona: Inā ʻaʻole e hoʻomaikaʻi kou mau hōʻailona maʻi puʻuwai (e like me ka pōkole o ka hanu, ka luhi, ka pehu ʻana i kou mau wāwae) ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, a inā paha e ʻoi aku ka ʻino, e haʻi koke i kāu kauka.
• Hāpai (he mea nui loa kēia!):

Mai hāpai i ka wā e lawe ana iā Sacubitril; Valsartan. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia, a hiki ke hoʻoweliweli i ke ola. No laila, inā ʻoe e hoʻolālā ana e hāpai, a inā manaʻo ʻoe e hāpai paha ʻoe, e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau a haʻi i kāu kauka. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo kūpono. E nīnau i kāu kauka no ka ʻike hou aku.

• Hiamoe a poniuniu paha: Hiki i kekahi poʻe ke manaʻo iki i ka hiamoe a poniuniu paha i ka wā e lawe ai i kēia lāʻau. No laila, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini kaumaha, a i ʻole ka hana ʻana i kekahi mea e pono ai ka noʻonoʻo a me ka makaʻala a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau iā ʻoe. Mai kū aʻe mai kahi noho a noho koke paha mai kahi kū ʻana. E makaʻala loa inā he ʻelemakule ʻoe. ʻO ka hoʻololi pinepine ʻana i nā kūlana hiki ke hōʻemi i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
• ʻOna: E hōʻalo i ka ʻona i ka hiki ke hiki i ka wā e lawe ana i kēia lāʻau. Hiki i ka ʻona ke hoʻopilikia i ka pono o kēia lāʻau a hoʻonui paha i nā hopena ʻaoʻao.
• Nā pani paʻakai: Loaʻa i kekahi mau pani paʻakai ka potassium. Pono ʻoe e makaʻala e pili ana i kāu mau pae potassium i ka wā e lawe ana i kēia lāʻau lapaʻau, no laila mai hoʻohana i nā pani paʻakai ke ʻole kāu kauka e haʻi pololei iā ʻoe.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki iā Sacubitril; Valsartan ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā he mea maikaʻi ke makaʻala iā lākou. Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao, e haʻi koke i kāu kauka a i ʻole ka haukapila:

• Nā hopena alerika:
• Nā ʻeha ʻili, e like me ka eczema, ka maneʻo, nā hives.
• Ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu (he mea weliweli loa kēia no ka mea hiki ke pilikia i ka hanu ʻana).
• Nā pae potassium kiʻekiʻe i loko o ke koko:
• Manaʻo e like me ka ʻeha o ka umauma.
• Lilo koke ka puʻuwai i wikiwiki a ʻano ʻē.
• Manaʻo o ka nāwaliwali a me ka maneʻo o nā ʻiʻo.
• ʻEha puʻupaʻa:
• Ke paʻakikī nei ka mimi ʻana.
• Ka emi ʻana o ka mimi ma mua o ka maʻamau.
• Hoʻololi i ke kala o ka mimi.
• Ke koko haʻahaʻa:
• Manaʻo poniuniu, ʻoiai ke kū i luna.
• Manaʻo nāwaliwali, polū nā maka.
• Manaʻo e hāʻule ana ʻoe i kou kū ʻana.
• Manaʻo nāwaliwali a luhi hoʻi.

ʻO nā hopena ʻaoʻao i helu ʻia ma lalo nei ʻaʻole ia he mea āu e hopohopo ai. Akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:

• ʻŪhū: Hiki i kekahi poʻe ke loaʻa i ka ʻūhū maloʻo i ka wā e lawe ai i kēia lāʻau.

Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē a i ʻole nā ​​​​hopena ʻaoʻao i helu ʻole ʻia ma ʻaneʻi, e kamaʻilio me kāu kauka e pili ana iā lākou. Mai hopohopo, hiki ke mālama ʻia ka hapa nui o kēia mau mea.

Pehea ʻoe e mālama pono ai i kēia lāʻau lapaʻau?

He mea nui hoʻi e mālama pono i nā lāʻau lapaʻau.

• E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona. He mea maʻamau kēia i nā lāʻau lapaʻau a pau.
• E mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius, ma waena o 68 a me 77 kekelē Fahrenheit). E pale mai ka wela nui, ka mālamalama, a me ka makū. ʻO ia hoʻi, ʻaʻole e mālama ma nā wahi e like me ka lua.
• E pani pono i ka ʻōmole a i ʻole ka ʻeke me ka lāʻau lapaʻau.
• Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā. Ua ʻōlelo ʻia ka lā pau ma ka pūʻolo.

Pehea ʻoe e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i pau paha?

• ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke hāʻawi i ka lāʻau lapaʻau i kahi "papahana lawe-hoʻi." E nānā me kāu hale kūʻai lāʻau lapaʻau a i ʻole ke keʻena mākaʻi kokoke loa e ʻike inā he mau papahana like kā lākou.
• Inā ʻaʻole hiki kēlā, e nānā i ka lepili lāʻau a i ʻole ka ʻeke e ʻike ai inā he mau kuhikuhi no ke kiola ʻana i ka lāʻau i loko o ka ʻōpala a hoʻolei paha i lalo o ka lua.
• Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka a mea kūʻai lāʻau paha.
• Inā he lāʻau lapaʻau ia e hiki ke hoʻolei ʻia i loko o ka ʻōpala, e lawe i waho o ka pahu, e kāwili me ka ʻōpala pōpoki i hoʻohana ʻia, ka lepo, a i ʻole nā ​​​​​​mea i kāwili ʻia me ke kope, e waiho i loko o kahi ʻeke a i ʻole kahi pahu hiki ke sila ʻia, a e hoʻolei i loko o ka ʻōpala. ʻO kēia ke pale aku i nā keiki liʻiliʻi a i ʻole nā ​​​​holoholona mai ke komo ʻana i loko a hana i kahi ulia.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i kēia lāʻau lapaʻau ʻo `Sacubitril; Valsartan` (Entresto), ʻeā? ʻO ka mea hope loa, eia nā mea nui e hoʻomanaʻo ai:

• He lāʻau lapaʻau koʻikoʻi kēia e kōkua ai i ka kaohi ʻana i kou hāʻule ʻana o ka puʻuwai.
• E lawe mau i ka lāʻau i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia, e like me ke kauoha a kāu kauka. Mai hōʻalo i ka ʻai a lawe paha ma mua o kou pono.
• E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā maʻi ʻē aʻe āu e loaʻa nei.
• Mai lawe i kēia lāʻau lapaʻau inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai. E akahele loa.
• E makaʻala i nā hopena ʻaoʻao. E haʻi i kāu kauka inā ʻike ʻoe i kekahi mea ʻē.
• Inā he mau nīnau a kānalua paha kāu, mai hilahila e nīnau i kāu kauka a kauka lāʻau paha.

Inā ʻoe e hahai pololei i kēia mau ʻanuʻu, hiki i kēia lāʻau lapaʻau ke hāʻawi i nā hopena maikaʻi no ke olakino o kou puʻuwai. Makemake au iā ʻoe e ho'ōla koke! Sacubitril, Valsartan, Entresto, Heart Failure, Heart Disease, Heart Medicine, Blood Pressure