Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau no ke koko kiʻekiʻe, ka hāʻule ʻana o ka puʻuwai, a i ʻole ka pehu ʻana ma muli o nā pilikia o ke akepaʻa a i ʻole nā puʻupaʻa? Inā ʻo Spironolactone ka inoa o ka lāʻau lapaʻau, he mea nui loa kēia ʻatikala iā ʻoe. E kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, pehea e hana ai, nā hana palekana e lawe ai, a me nā hopena ʻaoʻao ma ke ʻano maʻalahi a maʻalahi hoʻi e hoʻomaopopo.
He aha ke ʻano lāʻau lapaʻau ʻo Spironolactone?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Spironolactone e kōkua i ke kino e hoʻopau i ka wai keu a me ka paʻakai ma o ka mimi. Kāhea mākou i kēia mau diuretics . Akā aia kekahi mea kūikawā e pili ana i kēia. ʻO ka maʻamau, ke lawe ʻoe i kēia ʻano lāʻau lapaʻau, ua nalowale pū kekahi mineral i kapa ʻia ʻo potassium, he mea nui no ke kino, i loko o ka mimi. Akā, ʻaʻole hana ʻo Spironolactone i kēlā. Kōkua ia i ke kino e mālama i ka potassium e pono ai me ka hoʻopau ʻana i ka wai keu a me ka sodium (paʻakai).
ʻO ia ke kumu e hoʻohana nui ʻia ai kēia lāʻau lapaʻau no nā kūlana penei:
- Ke koko kiʻekiʻe: Kōkua i ka hōʻemi ʻana i ka paʻa ʻana o ka wai i loko o ke kino a hoʻohaʻahaʻa i ke kaomi i loko o nā kīʻaha koko.
- Ka Holo ʻole o ka Puʻuwai: Kōkua i ka hōʻemi ʻana i ka ukana hana o ka puʻuwai a kaohi i ka hōʻiliʻili ʻana o ka wai (pehu ʻana) i loko o nā ʻōpū e like me ka puʻuwai a me nā māmā.
- Edema: Kōkua i ka kaohi ʻana i ka pehu ʻana ma nā wāwae, nā lima, a i ʻole ka ʻōpū i hoʻokumu ʻia e ka maʻi puʻuwai, nā puʻupaʻa, a i ʻole ke akepaʻa.
I kekahi manawa, hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe. ʻO CAROSPIR kekahi o nā inoa lama no kēia lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe iā Spironolactone, 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 nā kūlana ma lalo nei.
| Ke kūlana e hōʻike ʻia | He wehewehe maʻalahi |
|---|---|
| ʻO ka maʻi o Addison a i ʻole ka lawa ʻole o ka adrenal | ʻAʻole paha kūpono kēia lāʻau lapaʻau no ka mea hoʻololi ia i nā pae hormone o ke kino. |
| Hoʻonui ʻia ka nui o ka potassium i loko o ke koko | Hiki i ka Spironolactone ke hoʻonui hou i nā pae potassium, kahi mea hiki ke hoʻoweliweli. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Inā ua pilikia ka hana o kēia mau ʻōkana, hiki ke loli ka hoʻopau ʻana a me ka hana o ka lāʻau mai ke kino. |
| Nā maʻi ʻaleka i ka Spironolactone a i ʻole nā mea ʻē aʻe | E haʻi mai iā mākou inā ua loaʻa iā ʻoe kekahi mau maʻi allergies ma mua i kēia lāʻau lapaʻau, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole nā mea hoʻomalu. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai/hānai waiū | I loko o kēia mau manawa, pono ʻoe e kamaʻilio me kāu kauka e pili ana i nā hopena o ka lāʻau lapaʻau. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻOiai he lāʻau lapaʻau wai kēia (suspension), e noʻonoʻo i kēia mau mea i ka wā e hoʻohana ai.
- E lulu maikaʻi: E lulu maikaʻi i ka ʻōmole lāʻau lapaʻau ma mua o kēlā me kēia hoʻohana ʻana, no ka mea, e noho paha ka pauka lāʻau lapaʻau ma lalo o ka ʻōmole.
- Ana pololei: E hoʻohana wale i kahi syringe waha kūikawā, kīʻaha lāʻau lapaʻau, a i ʻole ka kulu wai i hāʻawi ʻia e kāu kauka e ana i ka lāʻau. Mai hoʻohana i nā punetēpuni a i ʻole nā punetēpuni o ka hale , no ka mea, ʻaʻole pololei lākou.
- Ka manawa maʻamau: E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. ʻAʻole ia he mea nui inā lawe ʻoe ma mua a ma hope paha o ka ʻai ʻana, akā e lawe iā ia ma ke ʻano like i kēlā me kēia lā (no ka laʻana, inā lawe ʻoe ma hope o ka ʻaina kakahiaka i kēlā me kēia lā, e hana pēlā).
- Mai ho'ōki: Mai ho'ōki i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka.
Hoʻomaopopo Kūikawā: Inā he kānalua kou ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole, e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
I ka wā e lawe ai i ka spironolactone, he mea nui loa ia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ia a hoʻoulu i nā kūlana weliweli.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Spironolactone | |
|---|---|
| |
| Nā mea e hoʻohana me ke akahele a e hoʻomaopopo i kāu kauka | |
| Nā lāʻau hoʻopau ʻeha | Nā lāʻau hoʻomaha ʻeha NSAID e like me Aspirin, Ibuprofen, Naproxen |
| Nā lāʻau lapaʻau no ke koko a me nā maʻi puʻuwai | Nā lāʻau lapaʻau e like me Benazepril, Lisinopril, Losartan, Valsartan |
| Nā lāʻau diuretic ʻē aʻe | Nā lāʻau lapaʻau ʻē aʻe i ʻike ʻia he mau pila wai |
| Nā mea hoʻohui potassium | Nā papa potassium a i ʻole nā mea pani paʻakai |
| ʻĒ aʻe | ʻO Digoxin, Lithium, Cyclosporine, Trimethoprim, Cholestyramine, nā lāʻau hoʻokahe koko (heparin, enoxaparin), nā mea hoʻomaha ʻiʻo no ke ʻoki kino |
ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei. Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua maʻamau: E hele i kāu kauka i nā manawa maʻamau a e hoʻokolohua iā ʻoe iho. E kauoha ʻo ia i nā hoʻokolohua koko e nānā i nā mea e like me kou pae potassium koko a me ka hana o nā puʻupaʻa.
- E nānā i kou koko: E nīnau i kāu kauka pehea e ana ai i kou koko ma ka home a he aha ka pae maʻamau.
- Ka maloʻo ʻana o ka wai: E haʻi i kāu kauka inā loaʻa iā ʻoe ka maʻi diarrhea nui, ka luaʻi ʻana, a i ʻole ka hou nui ʻana. Hiki i kēia lāʻau lapaʻau ke lilo i mea weliweli inā nalowale nui kou kino i ka wai.
- Lāʻau kuni a me ke anu: Mai kūʻai i ka lāʻau kuni, anu, a i ʻole ka lāʻau ʻeha mai ka hale kūʻai lāʻau me ke kūkākūkā ʻole me ke kauka. Hiki i kekahi mau lāʻau ke hoʻonui i ke koko.
- Pōniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a pōniuniu paha iā ʻoe. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. Mai kū koke mai ka noho ʻana a i ʻole ke kū ʻana. E makaʻala loa inā he ʻelemakule ʻoe.
- ʻOna: Mai inu ʻona. Hiki iā ia ke hoʻololi i nā hopena o ka lāʻau lapaʻau a hoʻonui i ka poniuniu.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Spironolactone ke hana i nā hopena ʻaoʻao i kekahi poʻe. Hiki i kekahi o kēia mau mea ke hoʻoweliweli, no laila he mea nui e makaʻala iā lākou.
| 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, paʻakikī ka hanu ʻana. |
| Nā hōʻailona o ke kiʻekiʻe o ka potassium | Ka nāwaliwali o nā ʻiʻo, ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole. |
| Nā ʻano kūʻai aku (Dehydration) | Makewai nui, waha maloʻo, nāwaliwali, mimi melemele ʻeleʻele a ʻeleʻele paha. |
| Nā hōʻailona o ka hōʻino ʻana o ka puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a me nā wāwae. |
| Nā hōʻailona o ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā hopena ʻaoʻao ʻaʻole ia he mea weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha a ʻūlū paha ka umauma | Hiki ke hana ia i nā wāhine a me nā kāne. |
| Ka ulu ʻana o nā ʻiʻo umauma i nā kāne | Ua kapa ʻia kēia ʻo (Gynecomastia). |
| Ka pōʻaiapuni menstrual mahina ʻole | Hiki i nā wahine ke loaʻa nā ʻūlū liʻiliʻi i ka wā o ka menstruation. |
| ʻEha poʻo, poniuniu | Nalo pinepine kēia i loko o kekahi mau lā. |
Leka Lawe-Home
- ʻO ka Spironolactone kahi lāʻau diuretic potassium-sparing i hoʻohana ʻia e mālama i ke koko kiʻekiʻe a me ka pehu ʻana i hoʻokumu ʻia e ka paʻa ʻana o ka wai i loko o ke kino.
- 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.
- ʻOiai he lāʻau lapaʻau wai kēia, e lulu maikaʻi ma mua o ka hoʻohana ʻana. E hoʻohana i ke ana kūpono.
- Inā loaʻa iā ʻoe ka dizziness koʻikoʻi, nā loli i ka helu o ka puʻuwai, nāwaliwali o nā ʻiʻo, a i ʻole nā hōʻailona maʻi āpau, e haʻi koke i kāu kauka.
- Inā lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons National a i ʻole e hele i ka keʻena ulia pōpilikia kokoke loa o ka haukapila (ETU).
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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