Ua kuhikuhi anei ke kauka i ka lāʻau lapaʻau no kou koko koko? Ua hopohopo iki paha ʻoe a ua hoihoi i kou ʻike ʻana i kēlā pila me nā inoa ʻelua. He aha kēia? He mea maikaʻi anei ke lawe pū ʻia kēia mau mea? He nui kāu mau nīnau i loko o kou manaʻo. Mai hopohopo, i kēia lā ke kamaʻilio nei mākou e pili ana i ia ʻano lāʻau. He hui pū ʻana ia o ʻelua mau lāʻau i kapa ʻia ʻo Trandolapril lāua ʻo Verapamil.
He aha maoli kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia i hāʻawi ʻia e kāohi i kou koko kiʻekiʻe . Eia nō naʻe, aia i loko o ia ʻelua ʻano lāʻau i hui pū ʻia.
1. Trandolapril: No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo ACE inhibitors . E noʻonoʻo i nā kīʻaha koko i loko o kou kino e like me nā paipu e lawe ana i ka wai. Inā e emi iki kēia mau paipu, pono ke kaomi hou aʻe e hoʻoneʻe i ka wai, ʻeā? Pēlā ke ʻano o ke kaomi koko. ʻO ka hana a kēia ACE inhibitor, ʻo ia ka hoʻomaha ʻana i nā kīʻaha koko. A laila hiki i ke koko ke neʻe maʻalahi, a emi ke kaomi.
2. Verapamil: No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo calcium channel blockers . Hana ia ma ka hoʻomaha ʻana i ka puʻuwai a me nā paia o ke kīʻaha koko. ʻO ke ʻano kēia he mea kōkua ia i ka hoʻohaʻahaʻa ʻana i ke koko ma o ka kaohi ʻana i ka helu o ka puʻuwai a me ka hoʻomaha ʻana i nā kīʻaha koko.
Ke hui pū ʻia kēia mau ʻano ʻelua, hana lākou ma nā ʻano like ʻole a kōkua iā ʻoe e kaohi i kou koko.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻO ka piha o kāu kauka iā ʻoe, ʻo ka palekana ka hiki ke mālama ʻia ʻoe. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
| Kūlana | Wehewehena |
|---|---|
| Hāpai keiki | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. (He mea nui loa kēia) |
| Nā maʻi ʻaleka | Inā ua loaʻa iā ʻoe kahi maʻi allergy i kēia ʻano lāʻau lapaʻau, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā ʻā pepeke. |
| Maʻi puʻuwai | Nā maʻi puʻuwai ʻē aʻe, e like me ka puʻuwai paʻakikī a lohi paha , a me ke koko haʻahaʻa. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Inā he maʻi kou i ka puʻupaʻa a i ʻole ke akepaʻa. |
| Nā maʻi ʻōnaehana pale | Nā maʻi e like me ka lupus, scleroderma, a i ʻole nā maʻi ʻiʻo iwi. |
| Ka pehu mua | Inā he pehu kou o ke alelo, ka maka, a i ʻole nā lehelehe, paʻakikī ka hanu ʻana, paʻakikī ke ale ʻana, a i ʻole ka leo haʻalulu. |
| Nā ʻano ʻai kūikawā | Inā ʻoe e hahai ana i kahi papaʻai kūikawā, e like me ka papaʻai haʻahaʻa paʻakai. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
- E lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa i kuhikuhi ʻia. ʻOi aku ka maikaʻi o ka lawe ʻana i ka manawa like i kēlā me kēia lā.
- E lawe i kēia lāʻau me ka meaʻai .
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu ke ʻole ke aʻo ʻia ʻoe e kāu kauka.
- E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kēia lāʻau lapaʻau i nā keiki, no ka mea, pono paha ka mālama kūikawā.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe 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.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe. Hiki ke lilo i mea weliweli.
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 ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia.Mai lawe i ʻelua mau lāʻau i ka manawa like.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā mea kanu, a me nā mea hoʻohui. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau lapaʻau a hoʻoulu i nā kūlana weliweli.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia mau lāʻau lapaʻau | |
|---|---|
| - cisapride | - disopyramide |
| - dofetilide | - flibanserin |
| - lomitapide | - sacubitril; valsartan |
| - tranylcypromine | |
| Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū (pono ka ʻōlelo aʻoaʻo lapaʻau) | |
| - Kekahi mau lāʻau lapaʻau no ka maʻi diabetes a me ka cholesterol | - Nā lāʻau hoʻopau ʻeha (NSAID - e.g. ibuprofen) |
| - Nā lāʻau lapaʻau diuretic | - Nā mea hoʻohui a i ʻole nā papa potassium |
| - Kekahi mau lāʻau antibiotic i hoʻohana ʻia e mālama i nā maʻi (e like me clarithromycin) | - Lithium, cimetidine, kahi wort a St. John |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E nānā i kou koko: E ʻike pinepine i kāu kauka a e kaʻana like i kāu holomua. Inā ʻoe e ana i kou koko ma ka home, e kamaʻilio me kāu kauka e pili ana i nā heluhelu.
- Pōniuniu a me ka hiamoe: Hiki i kēia lāʻau lapaʻau ke hoʻolilo iā ʻoe i mea pōniuniu a hiamoe iki. No laila, e noho mamao mai nā hana weliweli e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ka hopena o kēia lāʻau lapaʻau iā ʻoe. E makaʻala i ke ala ʻana mai kahi noho a kū koke paha.
- Hāpai: > Hoʻolaha kūikawā no nā wahine: Inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ua hāpai ʻoe, e haʻi koke i kāu kauka. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia.
- Ka luaʻi ʻana a me ka maʻi pākī: E haʻi i kāu kauka inā loaʻa iā ʻoe ka luaʻi nui ʻana, ka maʻi pākī, a i ʻole ka hou nui ʻana. Hiki ke lilo i mea weliweli ke lawe ʻana i kēia lāʻau lapaʻau inā nalowale nui ka wai mai kou kino.
- ʻŪhū, anu: Mai lawe i nā lāʻau lapaʻau kūʻai ʻole ʻia no ke kūhū, ke anu, a i ʻole ka ʻeha i ka wā e lawe ana i kēia lāʻau. Hiki i kekahi mau lāʻau ke hoʻonui i kou koko. E nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi mea.
- Niho a me nā ʻāʻī: Hiki i kekahi poʻe ke ʻike i ka pehu ʻāʻī ma muli o kēia lāʻau lapaʻau. No laila e palaki pono i kou mau niho i kēlā me kēia lā. Inā manaʻo ʻoe ua pehu a ʻulaʻula paha kou mau ʻāʻī, e ʻike i ke kauka niho.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. Akā, 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 nā lima, nā wāwae, ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana a i ʻole ke ale ʻana, ʻū ka puʻu. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki, kūpono ʻole, ʻeha o ka umauma. |
| ʻŌhū maloʻo mau | He ʻū maloʻo a hoʻonāukiuki hoʻi i hala no kekahi manawa lōʻihi. |
| Nā hiʻohiʻona ʻē aʻe | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ʻeha ka ʻōpū, pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae, pehu a ʻeha paha ka ʻili. |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| ʻEha poʻo | Pōʻino a hiamoe paha |
| ʻO ka ʻulaʻula o ka maka | Hoʻemi ʻia ka makemake moekolohe a i ʻole ka hana |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku.
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- E hoʻolei aku i nā lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- ʻO Trandolapril lāua ʻo Verapamil ka hui pū ʻana o ʻelua mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ke koko kiʻekiʻe.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āpau āu e lawe nei.
- E hōʻalo i ka lawe ʻana i kēia lāʻau lapaʻau inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. E haʻi koke aku i kāu kauka.
- E hōʻalo i nā hana weliweli i ka wā e lawe ana i ka lāʻau lapaʻau no ka mea hiki ke hoʻoulu i ka poniuniu a me ka hiamoe.
- Inā loaʻa iā ʻoe nā hōʻailona alerē koʻikoʻi e like me ka pehu ʻana o ka puʻu, ka maka, a i ʻole ka paʻakikī o ka hanu ʻana, e hele koke i ka haukapila.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka.
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