Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Verapamil no ke koko kiʻekiʻe, ka ʻeha o ka umauma, a i ʻole ka puʻuwai puʻuwai kūpono ʻole? Inā pēlā, he mea nui loa kēia ʻatikala iā ʻoe. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, pehea e hana ai, nā mea e makaʻala ai i ka wā e lawe ana, a me nā mea ʻē aʻe a pau, ma ke ʻano maʻalahi a aloha hoʻi.
He aha ka lāʻau lapaʻau ʻo Verapamil?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Verapamil i hoʻohana ʻia e mālama i nā kūlana e like me ke koko kiʻekiʻe a me ka ʻeha o ka umauma (angina). Hoʻohana ʻia hoʻi ia i kekahi manawa e mālama i ka puʻuwai wikiwiki a i ʻole ka puʻuwai ʻano ʻole (arrhythmia).
I kēia manawa, e nānā kākou pehea e hana ai kēia i loko o ke kino. E noʻonoʻo i ko kākou mau kīʻaha koko e like me nā ʻōmole liʻiliʻi. Ke paʻa nā ʻiʻo i loko o nā paia o kēia mau ʻōmole, e lilo ka hakahaka e kahe ai ke koko i mea haiki. A laila pono ka puʻuwai e hana ikaika e pamu i ke koko. ʻO kēia ka mea a mākou e kapa nei he koko kiʻekiʻe.
No loko o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo Verapamil nā mea pale i ke kahawai calcium . Hana kēia lāʻau lapaʻau ma ke kāohi ʻana i ke komo ʻana o ka calcium i loko o nā ʻiʻo i loko o nā kīʻaha koko a me ka puʻuwai. Ke haʻahaʻa nā pae calcium, hoʻomaha iki nā ʻiʻo paʻa. A laila ākea nā kīʻaha koko, e ʻae ana i ke koko e kahe me ka ʻole o ke keʻakeʻa. Hoʻemi kēia i ka ukana hana ma ka puʻuwai a kōkua i ke kāohi ʻana i ke kaomi koko. Loaʻa ka ʻeha umauma (angina) i ka wā ʻaʻole lawa ka oxygen i ka puʻuwai. Ke ākea nā kīʻaha koko, loaʻa i ka puʻuwai ke koko hou aku, kahi e hōʻemi ai i ka ʻeha.
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu, e nīnau i kāu kauka.
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e hoʻohana iā Verapamil, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- ʻO Duchenne Muscular Dystrophy: He maʻi hoʻoilina kēia e hoʻonāwaliwali ai nā ʻiʻo. Inā loaʻa iā ʻoe kēia ʻano, e hoʻomaopopo i kāu kauka.
- Maʻi puʻuwai: Inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai ma mua a i ʻole ua ʻike ʻia ʻoe me ka hāʻule ʻana o ka puʻuwai, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea.
- Ka puʻuwai puʻuwai kūpono ʻole a i ʻole ke ʻano mele: Inā he puʻuwai puʻuwai lohi loa (bradycardia) a i ʻole nā ʻano maʻamau ʻē aʻe, e hoʻomaopopo i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau.
- Maʻi ʻāʻī: Inā pilikia ka hana o kou ake, pono paha i kāu kauka ke hoʻoponopono i kāu dosage no ka mea ua lōʻihi ka manawa e haʻalele ai ka lāʻau i kou kino.
- Ke koko haʻahaʻa:Inā he kanaka ʻoe i loaʻa pinepine ke koko haʻahaʻa, e haʻi pū i kēlā.
- Nā maʻi ʻaleka: E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi maʻi ʻaleka i ka verapamil a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā mea mālama.
- Hāpai a ho'āʻo paha e hāpai: Inā hāpai ʻoe a i ʻole e kali koke ana i kahi pēpē, e kamaʻilio me kāu kauka e pili ana i ia mea.
- Ka hānai waiū: Inā he makuahine hānai ʻoe, e ʻimi i ke aʻo lapaʻau no ka mea hiki i kēia lāʻau lapaʻau ke hele i kāu pēpē ma o ka waiū umauma.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
E hoʻomanaʻo i kēia mau mea i ka wā e hoʻohana ai i kēia lāʻau.
1. E lawe i kāu lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai: E lawe i kāu lāʻau lapaʻau e like me ke kuhikuhi ʻana ma ka lepili, i ka manawa like i kēlā me kēia lā, a mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe.
2. Me ka ʻai a me ka ʻole o ka meaʻai: Hiki ke lawe ʻia kēia pila ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
3. Mai lawe pū me ka wai pomelo: He mea nui loa kēia. E pale i ka inu ʻana i ka wai pomelo a i ʻole ka wai pomelo i ka wā e lawe ana i ka verapamil. Hiki i ka wai pomelo ke hoʻonui i ka nui o ka lāʻau i loko o kou kino me ke kumu ʻole, hiki ke hoʻonui i ka pilikia o nā hopena ʻaoʻao.
4. No nā keiki: Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono paha ka mālama kūikawā. No laila e hahai i nā ʻōlelo a ke kauka.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
ʻO ka mea nui loa, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau?
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 hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa like e hoʻopiha ai i kahi lāʻau i hala ʻole.
Nā mea ʻē aʻe e launa pū me Verapamil
He lāʻau lapaʻau ʻo Verapamil e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a me nā huahana lāʻau lapaʻau. ʻO ke ʻano kēia, ʻo ka lawe ʻana me nā mea ʻē aʻe e hiki ke hoʻololi i ka hana maikaʻi o Verapamil a hoʻonui paha i kona mau hopena ʻaoʻao. No laila e makaʻala loa i nā mea aʻe.
| Nā mea āu e pono ʻole ai e lawe pū me Verapamil | |
|---|---|
| ʻO Cisapride | He lāʻau lapaʻau no ka mumū o ka ʻōpū |
| ʻO Disopyramide | He lāʻau lapaʻau e hoʻoulu ai i nā puʻuwai puʻuwai kūpono ʻole |
| ʻO Dofetilide | He lāʻau lapaʻau e hoʻoulu ai i nā puʻuwai puʻuwai kūpono ʻole |
| Wai ʻāpala | Hoʻonui kēia i ka nui o ka lāʻau i loko o ke kino. |
| ʻŌpū | Hua lāʻau lapaʻau |
| Pimozide | He lāʻau lapaʻau no ka maʻi noʻonoʻo |
| Laiki hū ʻulaʻula | He mea hoʻohui no ka hoʻohaʻahaʻa ʻana i ka cholesterol |
| Inā ʻoe e lawe ana i kēia mau mea, e hoʻomaopopo i kāu kauka. | |
|---|---|
| Nā Barbiturates (e.g. phenobarbital) | Nā lāʻau lapaʻau no ka hiamoe a me ka maʻi epilepsy |
| ʻO Cimetidine | He lāʻau lapaʻau no ka gastritis |
| ʻO Cyclosporine | He lāʻau hoʻopau i ka pale ʻana |
| Litiuma | He lāʻau lapaʻau no ka maʻi noʻonoʻo |
| Nā lāʻau lapaʻau ʻē aʻe no ka puʻuwai puʻuwai | Laʻana: amiodarone, digoxin, flecainide |
| Nā lāʻau lapaʻau ʻē aʻe no ke koko kiʻekiʻe | Nā pila kaomi ʻē aʻe |
| Nā lāʻau lapaʻau no ka maʻi epilepsy | Laʻana: carbamazepine, phenytoin |
| Nā lāʻau lapaʻau no ka maʻi puʻupuʻu | Laʻana: Rifampin, rifabutin |
| Nā lāʻau lapaʻau hānō | Laʻana: Theophylline, aminophylline |
ʻAʻole i piha kēia papa inoa. No laila, e hāʻawi i kāu kauka i kahi papa inoa o nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā huahana lāʻau) . Eia kekahi, e hōʻoia e haʻi iā lākou inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Nā mea e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau maʻamau: E kipa aku i kāu kauka i nā hoʻokolohua maʻamau e nānā i kou kūlana.
- E ana i kou koko: E ana i kou koko ma ka home, e like me ka ʻōlelo a kāu kauka. E ʻike i ke ʻano o kou koko maʻamau, a me ka mea e hana ai inā piʻi a iho paha.
- E makaʻala i ka wā e lawe ai i nā lāʻau lapaʻau ʻē aʻe:Inā ʻoe e lawe ana i ka lāʻau lapaʻau ʻū, anu, a i ʻole ka lāʻau ʻeha i kūʻai ʻia ma ke kūʻai aku ʻana iā Verapamil, e nīnau mua i kāu kauka. Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i kou koko.
- ʻEha poʻo a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iki iā ʻoe a poniuniu. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- E ala mālie: Ke ala ʻoe mai kahi noho ʻana a i ʻole kahi moe ʻana, mai ala koke akā e ala mālie. Hiki i kēia ke kōkua i ka pale ʻana i ka poniuniu a me ka hāʻule ʻana.
- ʻAiʻona: ʻO ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau e hoʻonui paha i nā hopena ʻaoʻao e like me ka dizziness.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki iā Verapamil ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E nānā kākou i ke ʻano o ia mau mea.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| 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, luhi nui. |
| Puʻuwai lohi | Pōniuniu, māʻule, paʻakikī ka hanu ʻana, luhi loa. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka melemele o ka ʻili a i ʻole nā maka. |
| Ke koko haʻahaʻa | Pōʻino, māʻule, ʻike maka pōwehiwehi. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i ke kauka inā hoʻomau lākou: | |
| Ka paʻa ʻana o ka ʻōpū | ʻŌpū maloʻo. |
| Pōʻino | Manaʻo puni. |
| ʻEha poʻo | ʻEha poʻo. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e ʻoluʻolu e kelepona i kāu kauka no ka ʻōlelo aʻo.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama ʻia mai nā keiki a me nā holoholona.
- E mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius) kahi ʻole i hiki ke loaʻa mai ka mālamalama.
- E hoʻolei aku i nā lāʻau lapaʻau i koe ma hope o ka lā pau.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Verapamil i hoʻohana ʻia no ka mālama ʻana i ke koko kiʻekiʻe, ka ʻeha o ka umauma, a me nā puʻuwai puʻuwai kūpono ʻole.
- E lawe i kāu lāʻau lapaʻau i kēlā me kēia lā, i ka manawa kūpono, e like me ke kauoha a kāu kauka. Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora).
- E hōʻalo i ka inu ʻana i ka wai pomelo a pau i ka wā e lawe ana i kēia lāʻau.
- E akahele i ka wā e hoʻokele ana a hoʻohana paha i nā mīkini no ka mea hiki ke poniuniu a me ka nāwaliwali.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o nā wāwae, ka luhi nui, a i ʻole ka melemele ʻana o ka ʻili, e ʻimi koke i ke kōkua lapaʻau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana.
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