Ke paʻakikī iki nei hoʻi ʻoe i ka hanu ʻana? A i ʻole ke manaʻo nei ʻoe i kekahi manawa i ka ʻūlū ʻana o kou umauma, ka hanu ʻana, a i ʻole ka hanu ʻana e like me ka loaʻa ʻana o ka hānō? A laila ua lohe paha ʻoe i kēia mea hoʻoheheʻe pauka i kapa ʻia ʻo Salmeterol , i ʻike ʻia hoʻi he Dry Powder Inhaler (DPI) . No ka mea, he nui ka poʻe e hoʻohana ana, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku i kēia lā. He aha ke ʻano o kēia lāʻau lapaʻau, pehea e kōkua ai i ko mākou kino, a he aha nā mea e pono ai mākou e hoʻomanaʻo i ka wā e hoʻohana ai.
He aha ke ʻano lāʻau lapaʻau kēia Salmeterol?
I ka ʻōlelo maʻalahi, ʻo Salmeterol kahi lāʻau lapaʻau e hoʻonui iki i nā ala ea liʻiliʻi i loko o kou mau māmā, e maʻalahi ai ka hanu ʻana. E noʻonoʻo iā ia e like me kahi ala ea i paʻa, kahi e paʻakikī ai ke hoʻopuka i ka wai i waho, a pēlā nō ia ke paʻa kou mau ala ea. ʻO ka hana a kēia lāʻau lapaʻau, kōkua ia iā ʻoe e hanu maikaʻi a hōʻemi i ka paʻa ʻana.
Hoʻohana pinepine ʻia kēia no ka poʻe me ka hānō , a me ka poʻe me ke ʻano i kapa ʻia ʻo Chronic Obstructive Pulmonary Disease (COPD) . He maʻi māmā lōʻihi ka COPD e paʻakikī ai ka hanu ʻana.
ʻO ka mea nui, ʻo kēia mea hoʻoheheʻe Salmeterol he 'mea hoʻomalu inhaler' . ʻO ke ʻano kēia, ʻaʻole ia e hoʻohana koke ʻia e hoʻōki i ka hoʻouka ʻana o ka hānō a i ʻole ka hoʻonui ʻana o ka COPD. Hoʻohana ʻia ia e kōkua i ka kaohi ʻana i ka hoʻomaka ʻana o ia mau hoʻonui ʻana a hoʻemi i ka nui o nā manawa e kū mai ai. Ua like ia me ka lawe ʻana i kahi huaora i kēlā me kēia lā, a loaʻa wale nā hopena ke hoʻomau ʻoe i ka hoʻohana ʻana. No kahi hoʻouka ʻoi, ua hāʻawi paha kāu kauka iā ʻoe i kahi 'mea hoʻomaha/hoʻopakele inhaler' ʻokoʻa. ʻO ia ka mea āu e hoʻohana ai i kēlā manawa.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
I kēia manawa, ma mua o kou hoʻomaka ʻana e hoʻohana i kēia mea hoʻoheheʻe Salmeterol, aia kekahi mau mea āu e haʻi aku ai i kāu kauka a i ʻole ke kauka lāʻau lapaʻau ma ka hale kūʻai lāʻau kahi āu e loaʻa ai kāu lāʻau lapaʻau. No ka mea, he ʻokoʻa ke kino o kēlā me kēia kanaka, ʻaʻole like nā lāʻau lapaʻau a pau no kēlā me kēia kanaka. No laila, he mea nui loa ia no kou palekana ponoʻī e hoʻomaopopo iā lākou e pili ana i kēia mau mea:
- He maʻi puʻuwai kou? (E laʻa, ʻeha puʻuwai, puʻuwai kūpono ʻole, a pēlā aku)
- He koko kiʻekiʻe kou?
- He maʻi diabetes kou?
- Puʻuwai a i ʻole ka ʻōlinolino kūpono ʻole , ʻo ia hoʻi he loli ke ʻano o ka paʻi ʻana o ka puʻuwai?
- Ua ʻike anei ʻoe inā he maʻi ate kou?
- Aia kekahi maʻi i kapa ʻia ʻo Pheochromocytoma ? (He maʻi laha ʻole kēia, he puʻupuʻu e hana ʻia ma nā kelepa adrenal ma luna o ko kākou mau puʻupaʻa).
- Ma muaUa loaʻa anei iā ʻoe kekahi ʻano maʻi e like me ka ʻōʻiliʻili ʻana ?
- Aia kekahi maʻi a loli paha i ka hana o ka ʻōpū thyroid ?
- Ua loaʻa anei iā ʻoe kahi hopena maʻi ʻaleka i kēia lāʻau lapaʻau, Salmeterol, kekahi lāʻau lapaʻau ʻē aʻe, nā huahana waiū, kekahi mau meaʻai, nā kala meaʻai, a i ʻole nā mea hoʻomalu? (e.g., hives, maneʻo, paʻakikī i ka hanu ʻana).
- Ua hāpai ʻoe? A i ʻole ke manaʻolana nei ʻoe e hāpai koke?
- He makuahine hānai waiū ʻoe?
Ma ka maopopo ʻana i kēia mau mea, hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo pololei no ka kūpono o kēia lāʻau lapaʻau iā ʻoe a i ʻole pehea e hoʻohana palekana ai.
Pehea e hoʻohana ai i kēia inhaler?
ʻAe, e nānā kākou pehea e hoʻohana pono ai i kēia mea hoʻoheheʻe Salmeterol. He lāʻau lapaʻau kēia i hanu ʻia ma ka waha i loko o nā māmā.
- ʻOi aku ka maikaʻi o ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā , e like me ke kuhikuhi ʻana ma ka lepili lāʻau. E kōkua kēia i ka mālama ʻana i ka pono o ka lāʻau lapaʻau.
- Mai hoʻohana pinepine ma mua o ka mea a kāu kauka e ʻōlelo ai.
- Pono ʻoe e hoʻomau i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. ʻAʻole ia he manaʻo maikaʻi e hoʻōki koke.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e loaʻa iā ʻoe kahi pepa kuhikuhi kūikawā i kapa ʻia ʻo 'MedGuide' . Pono ʻoe e heluhelu pono i kēia 'MedGuide' i kēlā me kēia manawa āu e lawe ai i ka lāʻau lapaʻau, a i kēlā me kēia manawa āu e hoʻopiha hou ai. Loaʻa iā ia ka ʻike koʻikoʻi loa e pili ana i kēia lāʻau lapaʻau, me ke ʻano o ka hoʻohana ʻana, nā hopena ʻaoʻao, a me nā mea hou aku.
Loaʻa i kēia mea hoʻoheheʻe kahi ʻōlelo kuhikuhi no ka hoʻohana ʻana e wehewehe ana i kēlā me kēia ʻanuʻu pehea e hoʻohana ai . E ʻoluʻolu e heluhelu pono. He mea hou iki paha ia i ka wā mua, no laila inā he kānalua kāu e pili ana i ka pehea e hoʻohana ai, mai makaʻu e nīnau i kāu kauka lāʻau a kauka paha no ka wehewehe ʻana. Ma ka hoʻohana pololei ʻana hiki iā ʻoe ke loaʻa ka pono piha o ka lāʻau lapaʻau.
Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
Inā ʻoe e hāʻawi ana i kēia mea hoʻoheheʻe Salmeterol i nā keiki ʻōpio, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea. I kekahi manawa, hiki ke kuhikuhi ʻia i nā keiki e like me 4 mau makahiki , ma lalo o kekahi mau kūlana olakino. Eia nō naʻe, pono ia i nā hana akahele kūikawā a me ka nānā pono ʻana e kāu kauka.
He aha kāu e hana ai inā lawe ʻoe i ka lāʻau lapaʻau overdose?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele i ka lumi pilikia o ka haukapila kokoke loa a kāhea koke aku i kahi kikowaena kaohi lāʻau make.He lāʻau lapaʻau kēia i kuhikuhi ʻia nou wale nō, no kou kūlana. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi no kekahi kumu .
He aha inā poina iaʻu e lawe i kahi mahele lāʻau?
I kekahi manawa, poina paha iā ʻoe ke lawe i kāu lāʻau lapaʻau ma muli o kāu hana maʻamau i kēlā me kēia lā. Inā hana kēia, e lawe i ka lāʻau i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe (e laʻa, i loko o kekahi mau hola), e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua a ʻoi aku paha i nā lāʻau e uku ai no kahi lāʻau i hala ʻole.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana Lāʻau Lapaʻau)
He mea kēia e makaʻala nui ai. Ke hoʻohana ʻoe i kēia mea hoʻoheheʻe Salmeterol, hiki iā ia ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei. I ka ʻōlelo maʻalahi, hiki i kekahi lāʻau lapaʻau ke hoʻopilikia i ka pono o kekahi lāʻau lapaʻau ʻē aʻe, a i ʻole e hoʻonui i nā hopena ʻaoʻao.
Ua ʻōlelo nā kauka ʻaʻole ʻoe e lawe i kēia mau lāʻau lapaʻau me Salmeterol inā ʻoe e lawe ana iā lākou:
- MAOIs - He papa lāʻau lapaʻau kēia i hoʻohana ʻia e mālama i kekahi mau maʻi noʻonoʻo. ʻO nā laʻana e komo pū me nā lāʻau lapaʻau me nā inoa e like me Carbex, Eldepryl, Marplan, Nardil, a me Parnate.
- ʻO Salmeterol, a me nā mea inhaler ʻē aʻe a i ʻole nā lāʻau lapaʻau e loaʻa ana nā beta2-agonists hana lōʻihi (LABAs) .
- He lāʻau i kapa ʻia ʻo Procarbazine (he lāʻau kēia i hoʻohana ʻia no ka mālama ʻana i ka maʻi kanesa).
ʻAʻole wale kēia, aia kekahi mau lāʻau lapaʻau ʻē aʻe e launa pū me Salmeterol. ʻO ia ke kumu he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Eia kekahi mau laʻana:
- ʻO kekahi mau lāʻau anti-infectious - no ka laʻana, chloroquine, pentamidine.
- Nā lāʻau lapaʻau antiviral no ka maʻi HIV a i ʻole AIDS.
- Nā meaʻai i loaʻa ka caffeine (hiki ke loaʻa i ke kī, kofe, kokoleka, kekahi mau mea inu palupalu, a me kekahi mau mea hoʻomaha ʻeha).
- ʻO Cisapride (kahi lāʻau lapaʻau i hoʻohana ʻia e mālama ai i kekahi mau maʻi o ka ʻōnaehana hoʻoheheʻe).
- Diuretics - ʻO kēia nā lāʻau lapaʻau e wehe i ka wai keu a me ka paʻakai mai ke kino (hāʻawi pinepine ʻia no ke koko kiʻekiʻe).
- Kekahi mau lāʻau lapaʻau e lawe ai no ke anu.
- Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi psychotic ʻē aʻe.
- Nā lāʻau lapaʻau no nā maʻi fungal - e.g. ketoconazole, itraconazole.
- ʻO kekahi mau lāʻau lapaʻau i kuhikuhi ʻia no ka pohō kaumaha, a me kekahi mau huahana lāʻau.
- ʻO ka Methadone.
- ʻO kekahi mau lāʻau antibiotic - e like me clarithromycin, erythromycin, levofloxacin, linezolid, telithromycin.
- Nā lāʻau lapaʻau no kekahi mau maʻi puʻuwai.
- Nā hormones steroid - e.g. dexamethasone, cortisone, hydrocortisone.
- ʻO Theophylline (kekahi lāʻau lapaʻau i hoʻohana ʻia no ka hānō).
- Nā hormones thyroid.
ʻAʻole piha kēia papa inoa. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā mea āu e kūʻai ai ma luna o ke kūʻai aku), nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai āu e hoʻohana ai. Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kēia mau mea ke launa pū me kāu mau lāʻau lapaʻau i kekahi manawa.
Nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau
Aia kekahi mau mea āu e makaʻala ai i ka wā e hoʻohana ai i kēia mea hoʻoheheʻe Salmeterol. Inā ʻoe e hoʻolohe i kēia mau mea, hiki iā ʻoe ke loaʻa ka mea nui loa mai ka lāʻau lapaʻau a pale i nā pilikia pono ʻole.
- E ʻike pinepine i kāu kauka no nā nānā mau ʻana. Na kāu kauka e hoʻoholo inā e ʻoi aku ka ʻino o kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino, a inā pono e hoʻololi i kāu lāʻau lapaʻau. Inā ʻaʻole e hoʻomaikaʻi a ʻoi aku ka ʻino o kāu mau hōʻailona, e haʻi koke i kāu kauka.
- ʻO kēia ka mea nui loa! Mai hoʻohana i kēia inhaler Salmeterol no ka hoʻouka kaua hānō koʻikoʻi. E like me kaʻu i ʻōlelo ai ma mua, he inhaler hoʻokele kēia. I loko o ia pilikia, pono ʻoe e hoʻohana i ka 'inhaler hoʻopakele hana pōkole' i hāʻawi ʻia iā ʻoe. Inā e ʻoi aku ka ʻino o kāu mau hōʻailona, a inā pono ʻoe e hoʻohana pinepine i kāu inhaler hoʻomaha wikiwiki (ʻo ia hoʻi, ʻaʻole i kaohi ʻia kou hānō), e kamaʻilio koke me kāu kauka.
- Hiki i kekahi poʻe ke ʻike i ka piʻi ʻana o ka hanu pōkole a i ʻole ka wheezing ma hope o ka hoʻohana ʻana i kēia mea hoʻoheheʻe Salmeterol. He mea maʻamau ʻole kēia. No laila, e mālama mau i kahi mea hoʻoheheʻe hana pōkole me ʻoe no ka hoʻohana pilikia. Inā ʻike ʻoe i kekahi hanu pōkole, e hoʻōki koke i ka hoʻohana ʻana iā Salmeterol a kāhea koke i kāu kauka.
- Manaʻo kekahi mau noiʻi e hoʻonui iki paha kēia lāʻau lapaʻau i ka pilikia o ka make ʻana mai nā pilikia e pili ana i ka hānō. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki iā ia ke wehewehe hou aku i kēia iā ʻoe.
- Inā loaʻa iā ʻoe ka ʻū maʻamau, ke anu, a i ʻole ka maʻi ʻaleka, mai lawe i nā lāʻau lapaʻau ma luna o ke kūʻai aku me ka ʻole o ka nānā mua ʻana me kāu kauka. Hiki i kekahi mau lāʻau lapaʻau ʻaʻole i kuhikuhi ʻia ke launa pū me salmeterol.
- He mea nui e hana pū ʻoe me kāu kauka e hana i kahi 'Palapala Hana Asthma' kūpono iā ʻoe. He ʻōlelo aʻoaʻo maopopo kēia no ka mea e hana ai ke ʻoi aku ka ʻino o kou hānō (i kapa ʻia ʻo 'zone melemele') a i ʻole ka mea e hana ai inā lilo kou hānō i mea koʻikoʻi a lilo i pilikia olakino (i kapa ʻia ʻo 'red zone'). Pono ʻoe e kamaʻāina i kēia hoʻolālā.
- Inā e hana ʻia ana kekahi ʻoki kino a i ʻole kekahi hana lapaʻau ʻē aʻe , e like me ka unuhi ʻana i ka niho, e haʻi mua i ke kauka e hoʻohana ana ʻoe i kēia mea hoʻoheheʻe Salmeterol.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kekahi poʻe ke loaʻa i kekahi mau hopena ʻaoʻao i ka wā e hoʻohana ai i kēia mea hoʻoheheʻe Salmeterol. Akā, mai hopohopo, ʻaʻole loaʻa i nā kānaka a pau kēia mau hopena ʻaoʻao. E nalowale kekahi o lākou ma hope o kekahi mau lā. Eia nō naʻe, ʻoi aku ka koʻikoʻi o kekahi mau hopena ʻaoʻao, a inā loaʻa, pono ʻoe e haʻi koke i kāu kauka.
Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka:
- Nā hopena maʻi āpau - ka ʻili ʻulaʻula, ka maneʻo, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu (hiki i kēia ke paʻakikī i ka hanu ʻana).
- Loli ke au o ka puʻuwai - hoʻomaka koke ka puʻuwai e kuʻi wikiwiki loa (fast heartbeat), lilo ka puʻuwai i mea ʻano ʻole (irregular heartbeat), poniuniu, nāwaliwali a māmā paha ke poʻo, ʻeha ka umauma, pilikia ka hanu ʻana.
- Piʻi koke ke koko.
- Loaʻa ka ʻeha a i ʻole ke kuʻi ʻana o nā ʻiʻo.
- Inā ʻoi aku kou paʻakikī i ka hanu ʻana a i ʻole ka wheezing ma hope o ka hoʻohana ʻana i kāu inhaler ma mua o ka wā ma mua.
ʻO nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:
E nalowale pinepine kēia mau mea ma hope o kekahi mau lā, akā inā hoʻomau lākou, e haʻi i kāu kauka:
- Kuke.
- ʻEha poʻo.
- Ihu wai a i ʻole ka ihu paʻa.
- ʻeha ka ʻāʻī.
- Nā haʻalulu a i ʻole ka haʻalulu ʻana.
- Pilikia hiamoe.
Inā loaʻa iā ʻoe kekahi mau hōʻailona hou a ʻano ʻē paha i helu ʻole ʻia ma kēia papa inoa, mai kānalua e kamaʻilio me kāu kauka. Ma ʻAmelika Hui Pū ʻIa, hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma 1-800-FDA-1088. Ma Sri Lanka, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hoʻomaopopo i kāu kauka.
Pehea e mālama ai i kēia mea hoʻoheheʻe? (Ka mālama ʻana)
He mea nui loa ka mālama pono ʻana i nā lāʻau lapaʻau no ka mālama ʻana i ko lākou maikaʻi.
- E mālama mau i kēia inhaler mai ka hiki ʻana aku o nā keiki liʻiliʻi a me nā holoholona.
- ʻOi aku ka maikaʻi o ka mālama ʻana i ka mahana o ka lumi, ʻo ia hoʻi ma waena o 20 a me 25 kekelē Celsius (68 a me 77 kekelē F).
- E pale mai ka lā pololei a me ka makū. ʻO ia hoʻi, mai waiho i loko o nā wahi pulu e like me ka lua.
- E pani paʻa i ka ipu/poʻi o ka mea hoʻoheheʻe.
- E mālama i ka inhaler mai ka wela nui, ke anu nui, a i ʻole ka makū kiʻekiʻe (e laʻa, mai waiho ma luna o ka dashboard o ke kaʻa).
- Ma hope o ka wehe ʻana i ka inhaler mai loko mai o ka ʻeke foil, e hoʻōki i ka hoʻohana ʻana i ka inhaler a hoʻolei aku ma hope o 6 mau pule , a i ʻole ke heluhelu ʻia ka helu lāʻau ma ka inhaler "0" (ʻo ia hoʻi, ua pau ka lāʻau lapaʻau), a i ʻole ke hala ka lā palena pau i paʻi ʻia ma ka inhaler , ʻo ia hoʻi ka mea mua .
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, mai kā mākou i kamaʻilio ai i kēia lā, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi a maopopo hoʻi o kēia mea hoʻoheheʻe pauka (DPI) i kapa ʻia ʻo Salmeterol.
ʻO ka mea nui loa, ʻo Salmeterol kahi lāʻau lapaʻau e kōkua i ka kaohi ʻana i kou hānō a me ka COPD, ʻaʻole ia he lāʻau lapaʻau e mālama ai i kahi hoʻouka kaua koʻikoʻi. E lawe mau ia e like me ka mea a kāu kauka i ʻōlelo ai iā ʻoe, ma ka nui kūpono, i ka manawa kūpono.
Inā he mau nīnau, hopohopo, a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, kona hoʻohana ʻana, nā hopena ʻaoʻao, a i ʻole nā hopohopo ʻē aʻe, e ʻoluʻolu e nīnau i kāu kauka a kauka lāʻau paha. He mea nui loa kou olakino iā ʻoe, no laila ʻo kou kuleana ke mālama iā ia. Makemake au iā ʻoe i ke olakino maikaʻi!
ʻO Salmeterol, Mea hanu pauka maloʻo, DPI, Asthma, COPD, Mea hanu, Maʻi hanu, Maʻi akemāmā











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo