He aha ʻo Guanethidine: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau i kauoha ʻia ʻo Guanethidine e kōkua ana i ka hoʻohaʻahaʻa ʻana i ke koko kiʻekiʻe ma ka pale ʻana i kekahi mau hōʻailona nerve i loko o kou kino. He ʻokoʻa ka hana ʻana o kēia lāʻau lapaʻau koko kahiko akā pono ma mua o nā koho hou, e lilo ia i koho waiwai ke hana ʻole nā ​​lāʻau lapaʻau ʻē aʻe iā ʻoe.

ʻOiai ʻaʻole ʻo guanethidine ka lāʻau lapaʻau mua a nā kauka e kauoha ai no ke koko kiʻekiʻe, hiki iā ia ke lilo i mea hana nui i ka mālama ʻana i ka hypertension koʻikoʻi. ʻO ka hoʻomaopopo ʻana i ka hana ʻana o kēia lāʻau lapaʻau a me ka mea e manaʻo ai hiki ke kōkua iā ʻoe e ʻoi aku ka hilinaʻi i kāu hoʻolālā lapaʻau.

He aha ʻo Guanethidine?

No ka papa o nā lāʻau lapaʻau i kapa ʻia he adrenergic blocking agents ʻo Guanethidine. Ua hoʻolālā ʻia e kōkua i kou mau kīʻaha koko e hoʻomaha a ākea, e hoʻemi ana i ke kaomi o ke koko e kahe ana ma o lākou.

Ua hoʻohana ʻia kēia lāʻau lapaʻau no nā makahiki he nui e mālama i ke koko kiʻekiʻe, ʻoi aku hoʻi i nā hihia i hana ʻole ai nā lāʻau lapaʻau ʻē aʻe. Hiki i kāu kauka ke noʻonoʻo iā guanethidine ke pono ʻoe i ka mana koko hou ma mua o ka mea hiki i nā lāʻau lapaʻau maʻamau ke hāʻawi.

E noʻonoʻo iā guanethidine ma ke ʻano he mea hana kūikawā i ka pahu hana a kāu kauka. ʻOiai ua hoʻāʻo pinepine ʻia nā lāʻau lapaʻau koko hou, hiki i kēia lāʻau lapaʻau kahiko ke hana i kahi hana nui i ka mālama ʻana i ke koko.

No ke aha i hoʻohana ʻia ai ʻo Guanethidine?

Hoʻohana mua ʻia ʻo Guanethidine e mālama i ke koko kiʻekiʻe mai ka waena a i ke koʻikoʻi. He mea pono loa ia ke kiʻekiʻe mau ke koko ʻoiai e lawe ana i nā lāʻau lapaʻau ʻē aʻe.

Hoʻokaʻawale pinepine nā kauka iā guanethidine no nā hihia paʻakikī o ka hypertension. Hiki i kēia ke komo i nā kūlana i hoʻāʻo ai ʻoe i nā lāʻau lapaʻau koko ʻē aʻe me ka ʻole o ka hoʻokō ʻana i kāu mau pahuhopu koko.

I kekahi mau hihia, hiki i kāu mea mālama ola ke kauoha i ka guanethidine ma ke ʻano he ʻāpana o ka lāʻau hui pū. ʻO ia hoʻi, e lawe ʻoe ia mea me nā lāʻau lapaʻau koko kiʻekiʻe ʻē aʻe e loaʻa ai ka mana maikaʻi o kou maʻi.

Pehea e hana ai ʻo Guanethidine?

Hana ʻo Guanethidine ma ka pale ʻana i nā hōʻailona nerve e hoʻopaʻa ai i kou mau kīʻaha koko. Ke ālai ʻia kēia mau hōʻailona, hiki i kou mau kīʻaha koko ke hoʻomaha a ākea, e ʻae ana i ke koko e kahe maʻalahi.

Ua manaʻo ʻia kēia lāʻau lapaʻau he lāʻau lapaʻau koko kiʻekiʻe ikaika no ka mea e pili ana i ka ʻōnaehana nerve sympathetic o kou kino. ʻO ka ʻōnaehana nerve sympathetic ke kuleana no kāu pane

Inā e lawe ana ʻoe i nā lāʻau ʻē aʻe, e kamaʻilio me kāu kauka e pili ana i ka mamao maikaʻi loa ma waena o nā lāʻau. Hiki i kekahi mau lāʻau ke launa pū me ka guanethidine, no laila he mea nui paha ka manawa no kou kūlana.

Pehea ka lōʻihi e lawe ai au i ka Guanethidine?

He maʻi lōʻihi ke koko kiʻekiʻe, no laila e pono paha ʻoe e lawe i ka guanethidine no ka manawa lōʻihi. Pono ka hapa nui o nā kānaka me ke koko kiʻekiʻe e lawe i ka lāʻau lapaʻau no ke ola e mālama i nā pae olakino.

E nānā mau kāu kauka i kou koko e ʻike ai i ka maikaʻi o ka hana ʻana o ka lāʻau. Ma muli o kēia mau nānā ʻana, hiki iā lākou ke hoʻoponopono i kāu mahele a i ʻole e noʻonoʻo e hoʻohui i nā lāʻau ʻē aʻe i kāu hoʻolālā lapaʻau.

Mai hooki koke i ka lawe ʻana i ka guanethidine me ka ʻole e kamaʻilio mua me kāu kauka. ʻO ka hooki ʻana i ka lāʻau lapaʻau koko kiʻekiʻe hiki ke hoʻonui i kou koko i ke kiʻekiʻe weliweli, hiki ke alakaʻi i nā pilikia koʻikoʻi.

Inā hoʻoholo ʻoe a me kāu kauka e hooki i ka guanethidine, e hana lākou i kahi hoʻolālā e hōʻemi mālie i kāu mahele. Kōkua kēia hana tapering i ka pale ʻana i nā loli koke i kou koko.

He aha nā hopena ʻaoʻao o Guanethidine?

E like me nā lāʻau lapaʻau a pau, hiki i ka guanethidine ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole ʻike nā kānaka a pau iā lākou. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e ʻike i nā hoʻoponopono maʻamau i nā hōʻailona e pili ana.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka ʻūlū, ʻoi loa ke kū koke ʻana, a me ka luhi a i ʻole ka nāwaliwali. Hoʻomaikaʻi pinepine kēia mau hopena i ka wā e hoʻoponopono ai kou kino i ka lāʻau i nā pule mua.

Eia nā hopena ʻaoʻao maʻamau e pono ai ʻoe e ʻike:

• ʻŪlū a i ʻole ke poʻo māmā, ʻoi loa ke kū
• Luhi a i ʻole ka luhi ʻole
• Ka piʻi ʻana o ka ihu a i ʻole ka ihu paʻa
• Pāpaʻa a i ʻole nā noho palupalu
• Paʻakikī me ka ejaculation i nā kāne
• Nāwaliwali ʻiʻo a i ʻole nā ʻeha
• Pehu i kou kuʻekuʻe wāwae a i ʻole nā wāwae

ʻO kēia mau hopena ʻaoʻao maʻamau he mea hiki ke mālama ʻia a pinepine e emi ana i ka manawa. Inā mau lākou a lilo i mea hoʻoluhi, e kamaʻilio me kāu kauka e pili ana i nā hoʻoponopono i kāu lapaʻau.

ʻAʻole maʻamau, ʻike kekahi poʻe i nā hopena ʻaoʻao koʻikoʻi e koi ana i ka lāʻau lapaʻau koke. ʻOiai he mea maʻamau kēia, he mea nui e ʻike iā lākou:

• Pōniuniu nui a i ʻole ka hāʻule
• ʻEha umauma a i ʻole ka puʻuwai ʻole
• Pāpaʻa nui ʻaʻole e hoʻomaikaʻi
• Paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu
• Pehu nui o ka maka, nā lehelehe, ke alelo, a i ʻole ka ʻāʻī
• Huikau noʻonoʻo a i ʻole ke kaumaha

Inā ʻike ʻoe i kekahi o kēia mau hopena ʻaoʻao koʻikoʻi, e hoʻokaʻaʻike koke i kāu mea mālama ola a i ʻole e ʻimi i ka lāʻau lapaʻau pilikia. Hiki i kēia mau hōʻailona ke hōʻike i kahi hopena koʻikoʻi e pono ai ka nānā koke.

ʻO wai ka mea pono ʻole e lawe iā Guanethidine?

ʻAʻole kūpono ʻo Guanethidine no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ke kau ʻana. ʻO kekahi mau kūlana a me nā kūlana e palekana ʻole ai kēia lāʻau.

ʻAʻole pono ʻoe e lawe iā guanethidine inā ʻike ʻoe i ka maʻi maʻi i ka lāʻau a i ʻole kekahi o kāna mea ʻai. E haʻi i kāu kauka e pili ana i nā hopena maʻi maʻi āu i loaʻa ai i nā lāʻau.

Hiki i kekahi mau maʻi olakino ke kūpono ʻole iā guanethidine:

• ʻO ka puʻuwai ʻole a i ʻole ka maʻi puʻuwai koʻikoʻi
• Hōʻeha puʻuwai hou a i ʻole ka hahau
• Maʻi kīkī koʻikoʻi
• Pheochromocytoma (he maʻi maʻamau o ka ʻāʻī adrenal)
• Kaumaha nui a i ʻole ka mōʻaukala o nā manaʻo pepehi kanaka
• Maʻi ʻeha peptic
• Asthma a i ʻole nā pilikia hanu koʻikoʻi

E noʻonoʻo pono kāu kauka i kēia mau kūlana ma mua o ke kau ʻana iā guanethidine, no ka mea, pono paha lākou i ka nānā kūikawā a i ʻole nā hoʻoponopono ʻana i ka lāʻau.

Pono ka mālama kūikawā ʻana i ka guanethidine i ka wā hāpai a me ka hānai ʻana i ka waiū. Hiki i ka lāʻau lapaʻau ke hele i ka placenta a hiki ke hoʻopilikia i kāu pēpē e ulu ana, no laila e kūkākūkā i nā hoʻolālā hāpai a pau me kāu mea mālama ola.

Nā inoa inoa o Guanethidine

Loaʻa ka Guanethidine ma lalo o nā inoa inoa like ʻole, akā ua kauoha pinepine ʻia ma ke ʻano he lāʻau lapaʻau maʻamau. ʻO ka inoa inoa kaulana loa ʻo Ismelin, ʻo ia ka mea mua o kēia lāʻau lapaʻau.

ʻO nā inoa inoa ʻē aʻe āu e hālāwai ai, ʻo ia ʻo Esimil (ke hui pū ʻia me ka hydrochlorothiazide) a me nā ʻano maʻamau like ʻole. Hiki i kāu hale kūʻai lāʻau lapaʻau ke pani i ka guanethidine maʻamau no ka mana inoa inoa ke ʻole e koi kāu kauka i ka inoa inoa.

Loaʻa i ka Guanethidine maʻamau ka mea hana like me nā mana inoa inoa a hana like. ʻO nā ʻokoʻa nui maʻamau i nā mea hana ʻole, ʻaʻole pinepine e pili i ka maikaʻi o ka hana ʻana o ka lāʻau lapaʻau.

Nā koho ʻē aʻe o Guanethidine

Inā ʻaʻole kūpono ka guanethidine iā ʻoe a i ʻole ʻaʻole e kāohi pono i kou koko, aia kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO nā lāʻau lapaʻau koko hou e loaʻa pinepine nā hopena ʻaoʻao liʻiliʻi a hiki ke maʻalahi ke lawe.

ʻO nā mea pale ACE e like me lisinopril a me enalapril he mau lapaʻau laina mua i kauoha pinepine ʻia no ke koko kiʻekiʻe. Hana kēia mau lāʻau lapaʻau ma ka hoʻomaha ʻana i nā kīʻaha koko a ua ʻae maikaʻi ʻia e ka hapa nui o nā kānaka.

ʻO nā koho ʻē aʻe e noʻonoʻo ai kāu kauka:

• Nā mea pale kahawai calcium (e like me amlodipine a i ʻole nifedipine)
• Nā mea pale beta (e like me metoprolol a i ʻole atenolol)
• Diuretics (e like me hydrochlorothiazide a i ʻole furosemide)
• ARBs a i ʻole nā mea pale receptor angiotensin (e like me losartan a i ʻole valsartan)
• Nā lāʻau lapaʻau hui hou e loaʻa ana nā lāʻau koko he nui

Na kāu kauka e koho i ka koho maikaʻi loa e pili ana i kou mau kūlana olakino, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me ka maikaʻi o kou ʻae ʻana i nā hopena ʻaoʻao like ʻole. I kekahi manawa, ʻoi aku ka maikaʻi o ka hui pū ʻana o nā lāʻau lapaʻau ma mua o kekahi lāʻau hoʻokahi.

Ua ʻoi aku ka maikaʻi o Guanethidine ma mua o nā lāʻau lapaʻau koko kiʻekiʻe ʻē aʻe?

ʻAʻole pono ʻo Guanethidine i ʻoi aku ka maikaʻi a i ʻole ka ʻino ma mua o nā lāʻau lapaʻau koko kiʻekiʻe ʻē aʻe, akā he kumu kūikawā kona i ka mālama ʻana i ke koko kiʻekiʻe. ʻO ka lāʻau lapaʻau

Inā he maʻi kō ʻoe, makemake kāu kauka e nānā pono i kou kō koko ke hoʻomaka ʻoe e lawe i ka guanethidine. Pono paha ʻoe e nānā pinepine i kou kō koko, ʻoiai i nā pule mua o ka lapaʻau.

Hiki nō hoʻi i ka lāʻau lapaʻau ke hoʻopilikia i ke kahe koko i kou mau wāwae, he mea hopohopo mua ia no ka poʻe me ka maʻi kō. E kaupaona ana kāu mea mālama ola i kēia mau pilikia e kūʻē i nā pōmaikaʻi o ka mālama ʻana i ke koko kiʻekiʻe.

He aha kaʻu e hana ai inā lawe hewa au i ka nui o ka Guanethidine?

Inā lawe hewa ʻoe i ka nui o ka guanethidine, e hoʻokaʻaʻike koke i kāu kauka a i ʻole ke kikowaena hoʻomalu lāʻau make. ʻO ka lawe ʻana i ka nui hiki ke hoʻohaʻahaʻa i kou koko i kahi haʻahaʻa weliweli, e alakaʻi ana i ka ʻūlū nui, ka maʻi, a i ʻole nā pilikia koʻikoʻi ʻē aʻe.

ʻO nā hōʻailona o ka lawe ʻana i ka nui o ka guanethidine e pili ana i ka ʻūlū nui, ka manaʻo nāwaliwali, ka luhi nui, a i ʻole ka huikau. Mai kali e ʻike inā e hoʻomaikaʻi kēia mau hōʻailona iā lākou iho - e ʻimi i ka lāʻau lapaʻau i kēia manawa.

Inā hiki, e loaʻa kekahi e noho pū me ʻoe i ka wā e kali ana ʻoe i ke kōkua olakino. E pale i ka hoʻokele a i ʻole ka hana ʻana i nā mīkini inā ʻoe e manaʻo ana i ka ʻūlū a i ʻole ka huikau ma hope o ka lawe ʻana i ka nui o ka lāʻau.

He aha kaʻu e hana ai inā haʻalele au i kahi mahele o Guanethidine?

Inā haʻalele ʻoe i kahi mahele o ka guanethidine, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ke ʻole ua kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia. I kēlā hihia, e lele i ka mahele i haʻalele ʻia a lawe i kāu mahele aʻe i ka manawa maʻamau.

Mai lawe i ʻelua mahele i ka manawa hoʻokahi e hoʻoponopono ai i kahi mahele i haʻalele ʻia. Hiki i kēia ke hoʻohaʻahaʻa i kou koko a hoʻoluhi a nāwaliwali paha.

Inā poina pinepine ʻoe e lawe i kāu lāʻau lapaʻau, e noʻonoʻo e hoʻonohonoho i kahi alarm i kēlā me kēia lā a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila. He mea nui ka lawe ʻana i ka lāʻau lapaʻau no ka mālama ʻana i ka mālama ʻana i ke koko kiʻekiʻe.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Guanethidine?

Mai hooki i ka lawe ʻana i ka guanethidine me ke kamaʻilio ʻole me kāu kauka mua. He maʻi maʻamau ke koko kiʻekiʻe e pono ai ka mālama mau ʻana e pale ai i nā pilikia koʻikoʻi e like me ka puʻuwai a i ʻole ka hahau.

Hiki i kāu kauka ke noʻonoʻo e hooki a hoʻololi paha i kāu lāʻau lapaʻau inā ua mālama maikaʻi ʻia kou koko no ka manawa lōʻihi a ua hana ʻoe i nā loli nui o ke ola. Eia naʻe, pono e hana mau kēia hoʻoholo me kāu mea mālama ola.

Inā pono ʻoe e hooki i ka lawe ʻana i ka guanethidine, e hana kāu kauka i kahi hoʻolālā e hōʻemi mālie i kāu mahele i nā pule he nui. Kōkua kēia kaʻina hana e pale i kou koko mai ka piʻi koke ʻana.

Hiki iaʻu ke inu i ka waiʻona i ka wā e lawe ana i ka Guanethidine?

Pono ʻoe e kaupalena i ka ʻai ʻana i ka waiʻona i ka wā e lawe ana i ka guanethidine, no ka mea, hiki i ka waiʻona ke hoʻonui i nā hopena hoʻohaʻahaʻa koko o ka lāʻau. Hiki i kēia hui ʻana ke hoʻolilo iā ʻoe i mea ʻoi aku ka ʻūlū a i ʻole ka māmā ma mua o ka maʻamau.

Inā koho ʻoe e inu i ka waiʻona, e hana me ka maʻalahi a e mālama nui i ka wā e kū ana a i ʻole e hoʻololi ana i nā kūlana. Hiki i ka hui ʻana o ka waiʻona a me ka guanethidine ke hoʻolilo iā ʻoe i mea maʻalahi i ka hāʻule ʻana ma muli o ka ʻūlū.

E kamaʻilio me kāu kauka e pili ana i nā palena waiʻona palekana i ka wā e lawe ana i ka guanethidine. Hiki iā lākou ke ʻōlelo e pale loa i ka waiʻona, ʻoiai ke hoʻomaka mua ʻoe i ka lāʻau a hoʻoponopono i kāna hopena.