Ua manaʻo paha ʻoe i ka ʻoluʻolu ʻole i ka wā i wikiwiki koke ai kou puʻuwai a i ʻole ʻaʻole i kuʻi maʻamau? Malia paha ua hoʻokomo ʻia kekahi mea kokoke iā ʻoe, kou makuahine a makuakāne paha, i ka haukapila ma muli o kēia. I kēlā mau hihia, hoʻohana ʻia kahi inikini kūikawā i kapa ʻia ʻo 'Verapamil' e nā kauka e hoʻihoʻi i ka helu o ka puʻuwai i ka maʻamau. ʻOiai he lāʻau lapaʻau kēia i hāʻawi ʻia i ka wā pilikia, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hoihoi e pili ana i ia mea. No laila i kēia lā, e kamaʻilio mākou e pili ana i kēia inikini 'Verapamil' me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka Verapamil?
I ka ʻōlelo maʻalahi, ʻo `Verapamil` kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi i ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole (arrhythmia). No kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo `calcium channel blockers`.
E noʻonoʻo i kou puʻuwai e like me ka pamu e hana mau ana. I kekahi manawa hoʻomaka kēia pamu e hana wikiwiki loa. A i ʻole e pau ka hana ʻana ma ke ʻano mele. Hoʻomalu ka inikini `Verapamil` i ke komo ʻana o ka calcium i loko o nā hunaola puʻuwai. Hoʻolohi kēia i ka helu o ka puʻuwai a hoʻemi i ka ukana hana ma ka puʻuwai. I nā huaʻōlelo ʻē aʻe, hoʻomālielie ia i ka pamu hana nui a ʻae iā ia e hana hou ma ke ʻano maʻamau.
ʻO ka mea nui, ʻaʻole kēia e hāʻawi ʻia ma ke ʻano he pila, akā, ma ke ʻano he inikini i loko o ke aʻa e ke kauka a kahu maʻi paha ma ka haukapila a i ʻole ke keʻena lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻia ʻana iā Verapamil, pono kāu kauka e ʻike i kāu mōʻaukala olakino piha. ʻO kēia no ka mea pono kekahi mau kūlana i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Maʻi a i ʻole ke kūlana | Wehewehena |
|---|---|
| Maʻi puʻuwai | Inā loaʻa iā ʻoe ka maʻi puʻuwai, ka hāʻule ʻana o ka puʻuwai, ka puʻuwai kūpono ʻole, ka puʻuwai wikiwiki loa, a i ʻole ke koko haʻahaʻa. |
| Nā kūlana olakino ʻē aʻe | Inā loaʻa iā ʻoe ka maʻi ate a i ʻole ka maʻi puʻupaʻa, kahi puʻupuʻu lolo, a i ʻole kahi maʻi hoʻonāwaliwali i nā mākala e like me Duchenne muscular dystrophy. |
| Nā maʻi ʻaleka | Inā ua loaʻa iā ʻoe kahi maʻi allergy i ka verapamil a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Nā hanana kūikawā | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
E like me kaʻu i ʻōlelo ai ma mua, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home.
- He iniki kēia i hāʻawi ʻia i loko o kahi aa koko ma lalo o ka nānā ʻana a ke kauka ma kahi haukapila a keʻena lapaʻau paha .
- Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā pēpē hānau hou i kekahi mau hihia kūikawā, akā pono e hana ʻia me ke akahele nui a ma lalo o ka mākaʻikaʻi kūikawā a ke kauka.
- Overdose: Hāʻawi ʻia kēia ma kahi haukapila, no laila haʻahaʻa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau. ʻO ka maʻamau, i ia mau hihia, pono ʻoe e hele koke i kahi ETU (Emergency Treatment Unit) a i ʻole, inā pono, e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea ʻē aʻe e launa pū me Verapamil (Nā Hana like ʻana)
Hiki i kekahi mau lāʻau lapaʻau, nā meaʻai, a me nā mea kanu ke hoʻopilikia i ke ʻano o ka hana a Verapamil i ka wā e lawe pū ʻia ai, no laila he mea nui e makaʻala i kēia.
| Mai lawe pū me kēia mau lāʻau lapaʻau ʻo Verapamil. | |
|---|---|
| ʻO Cisapride | ʻO Disopyramide |
| ʻO Dofetilide | Pimozide |
| Wai huaʻai (e like me ka huaʻai) | ʻO Hawthorn (kahi ʻano mea kanu) |
| Laiki hū ʻulaʻula | |
| Hiki ke hana pū ʻia nā pilina me kēia mau mea (e makaʻala) |
|---|
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ʻAʻole paha e hoʻokomo ʻia nā mea 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, a me nā mea hoʻohui .
He aha kāu e manaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau?
ʻOiai e hāʻawi ʻia ana kēia lāʻau lapaʻau iā ʻoe, e nānā mau ana ke limahana lapaʻau i kou kūlana, ʻoiai hoʻi kou puʻuwai a me ke koko .
- Ka hiamoe a me ka poniuniu: Hiki iā ʻoe ke hiamoe a poniuniu. No laila, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka noʻonoʻo a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau iā ʻoe.
- Pīni: Mai ala koke mai ke kūlana kū a i ʻole ke kūlana noho ma kahi moe. He mea nui loa kēia inā he ʻelemakule ʻoe. ʻO ka hoʻololi pinepine ʻana i nā kūlana hiki ke hōʻemi i ka pilikia o ka pīni a me ka hāʻule ʻana.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki iā Verapamil ke hana i nā hopena ʻaoʻao. He liʻiliʻi kekahi, akā pono e hōʻike koke ʻia kekahi.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka/kahu hānai | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| 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, a me ka manaʻo luhi ʻē. |
| Puʻuwai lohi | Pōniuniu nui, maule, pilikia ka hanu ʻana, manaʻo luhi ʻē. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele/ʻeleʻele, melemele o nā maka a i ʻole ka ʻili. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| Nā hopena ʻaoʻao liʻiliʻi | Paʻa ka ʻōpū, poniuniu, ʻeha poʻo, nausea. |
Leka Lawe-Home
- He inikini kūikawā ʻo Verapamil i hāʻawi ʻia i loko o kahi aʻa koko ma ka haukapila e kaohi i ka puʻuwai wikiwiki a kūpono ʻole paha.
- He mea nui e haʻi i kāu kauka e pili ana i nā kūlana olakino a pau āu e loaʻa nei a me nā lāʻau lapaʻau a pau āu e lawe nei.
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka poniuniu a me ka hiamoe, no laila e makaʻala.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o nā lālā, a i ʻole ka poniuniu nui, e hoʻomaopopo koke i ke limahana lapaʻau.
- He lāʻau lapaʻau kēia i hāʻawi ʻia ma lalo o ka nānā ʻana a nā loea, no laila mai makaʻu. E mālama pono kāu hui lapaʻau iā ʻoe.
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