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

He lāʻau lapaʻau ʻo Hydralazine e kōkua ana i ka hoʻohaʻahaʻa ʻana i ke koko kiʻekiʻe ma ka hoʻomaha ʻana i nā ʻiʻo i loko o nā paia o kou mau kīʻaha koko. Hāʻawi kēia i kou mau ʻaʻa e laulā, e maʻalahi ai ke kahe ʻana o ke koko a hoʻemi i ke kaomi ma kāu ʻōnaehana cardiovascular. Ua hoʻohana palekana ʻia no nā makahiki he nui a he mea nui ia i ka mālama ʻana i ka hypertension, ʻoiai i kekahi mau kūlana kahi i kūpono ʻole ai nā lāʻau lapaʻau koko kiʻekiʻe.

He aha ka Hydralazine?

No ka papa o nā lāʻau lapaʻau i kapa ʻia he vasodilators ʻo Hydralazine, ʻo ia hoʻi, hana ia ma ka hoʻonui ʻana i kou mau kīʻaha koko. E noʻonoʻo e like me ke kōkua ʻana i ka wehe ʻana i nā ala no ke kahe ʻana o ke koko i loko o kou kino. Ke hoʻomaha a hāmama nā kīʻaha koko, ʻaʻole pono kou puʻuwai e hana ikaika e pauma i ke koko, e hoʻohaʻahaʻa maoli i kou koko.

Aia kēia lāʻau lapaʻau mai ka makahiki 1950 a ua manaʻo ʻia he koho lapaʻau i hoʻokumu maikaʻi ʻia. He mea waiwai nui ia no ka mea hiki ke hoʻohana palekana ʻia i kekahi mau heluna kanaka, me nā wahine hāpai me ke koko kiʻekiʻe, kahi i ʻōlelo ʻole ʻia ai nā lāʻau lapaʻau koko kiʻekiʻe.

No ke aha e hoʻohana ʻia ai ka Hydralazine?

Hoʻonohonoho mua ʻia ʻo Hydralazine e mālama i ke koko kiʻekiʻe, akā hoʻohana ʻia ia i kekahi mau kūlana kikoʻī. Hiki i kāu kauka ke ʻōlelo iā ia ma ke ʻano he ʻāpana o kāu hoʻolālā mālama koko, ʻoiai inā ʻaʻole i hana maikaʻi nā lāʻau lapaʻau ʻē aʻe iā ʻoe a i ʻole ʻaʻole kūpono i kou kūlana olakino.

Eia nā kūlana nui kahi e kōkua ai ka hydralazine:

• ʻAʻole i pane maikaʻi ke koko kiʻekiʻe i nā lāʻau lapaʻau ʻē aʻe
• Ka mālama ʻana i ke koko i ka wā hāpai ʻana i ka wā e palekana ʻole ai nā lāʻau ʻē aʻe
• ʻO ka puʻuwai puʻuwai, kahi e hui pinepine ʻia me kekahi lāʻau lapaʻau i kapa ʻia ʻo isosorbide dinitrate
• Nā pilikia hypertensive i nā hoʻonohonoho haukapila, hāʻawi pinepine ʻia ma o IV

I kekahi mau hihia, kuhikuhi nā kauka i ka hydralazine no ka maʻi puʻuwai no ka mea hiki ke kōkua i ka hōʻemi ʻana i ka hana ma luna o kou puʻuwai. Ke hoʻohana ʻia no kēia kumu, he ʻāpana maʻamau ia o ka lāʻau hui pū ma mua o ka lāʻau lapaʻau kū hoʻokahi.

Pehea e Hana ai ʻo Hydralazine?

Hana ʻo Hydralazine ma ka hoʻomaha pololei ʻana i nā ʻiʻo maʻemaʻe e hoʻopuni ana i kou mau ʻaʻa a me nā arterioles (nā moku koko liʻiliʻi). He ʻokoʻa kēia mai ke ʻano o ka hana ʻana o nā lāʻau lapaʻau koko kiʻekiʻe ʻē aʻe, e lilo ana ia i koho ikaika waena e hiki ke kōkua nui i nā kūlana kikoʻī.

Ke hoʻomaha kēia mau ʻiʻo, e ākea kou mau moku koko, e hōʻemi ana i ke kūpaʻa e kū ana kou puʻuwai i ka wā e pauma ai i ke koko. ʻO kēia hana, i kapa ʻia ʻo vasodilation, hoʻohaʻahaʻa maoli i kou koko. Hoʻopilikia nui ka lāʻau lapaʻau i nā ʻaʻa ma mua o nā veins, ʻo ia hoʻi, maikaʻi loa ia i ka hōʻemi ʻana i ke kaomi e hana ai kou puʻuwai.

ʻO kekahi mea e hoʻomaopopo ai, hiki i ka hydralazine ke hoʻonui iki i kou puʻuwai i kekahi manawa i ka wā e hoʻāʻo ai kou kino e mālama i ke kahe koko kūpono. He pane maʻamau kēia, akā ʻo ia ke kumu e kuhikuhi pinepine ai nā kauka iā ia me nā lāʻau lapaʻau ʻē aʻe e hiki ke kōkua i ka mālama ʻana i ka puʻuwai.

Pehea e Lawe ai au i ka Hydralazine?

He mea nui ka lawe ʻana i ka hydralazine i ka pololei no ka pono a me ka palekana. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī, akā ma ke ʻano maʻamau, e lawe ʻoe ma ka waha me ke aniani wai piha. Hiki i ka lawe ʻana me ka meaʻai ke kōkua i ka hōʻemi ʻana i ka ʻōpū, kahi e ʻike ai kekahi poʻe i ka wā e hoʻomaka ai i ka lāʻau lapaʻau.

Lawe ka hapa nui o nā kānaka i ka hydralazine ʻelua a ʻehā manawa i ka lā, ma muli o kā lākou maʻi i kuhikuhi ʻia a me ke ʻano o ka pane ʻana o ko lākou kino. ʻOi aku ka maikaʻi e lawe iā ia i nā manawa like i kēlā me kēia lā e mālama i nā pae paʻa i kāu ʻōnaehana. Inā ʻoe e lawe ana i ʻelua manawa i ka lā, e hoʻāʻo e hoʻokaʻawale i nā maʻi ma kahi o 12 mau hola.

Eia kekahi mau alakaʻi nui e hahai ai:

• E ʻai pū me ka meaʻai inā e hoʻopilikia i kou ʻōpū
• Mai ʻoki a nau paha i nā papa hoʻokuʻu lōʻihi inā i kauoha ʻia
• E hoʻāʻo e lawe i ka lā like i kēlā me kēia lā
• Mai hooki i ka lawe ʻana me ka ʻole e kamaʻilio me kāu kauka
• E hoʻomau i ka lawe ʻana inā maikaʻi kou manaʻo, no ka mea, ʻaʻohe hōʻailona o ke koko kiʻekiʻe

Inā pilikia ʻoe i ka hoʻomanaʻo ʻana e lawe i kāu lāʻau, e noʻonoʻo e hoʻonohonoho i nā mea hoʻomanaʻo kelepona a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila. He mea nui ka hoʻomau ʻana i ka loaʻa ʻana o nā hopena maikaʻi loa mai ka hydralazine.

Pehea ka lōʻihi e lawe ai au i ka Hydralazine?

ʻO ka lōʻihi o ka manawa e pono ai ʻoe e lawe i ka hydralazine e pili ana i kou kūlana a me ka maikaʻi o kou pane ʻana i ka lāʻau. No ka hapa nui o nā kānaka me ke koko kiʻekiʻe, he lāʻau lōʻihi kēia lāʻau, ʻo ia hoʻi, pono paha ʻoe e lawe ia mea no nā mahina a i ʻole nā ​​makahiki.

E nānā mau kāu kauka i kou koko a hiki ke hoʻololi i kāu mahele a i ʻole ka lōʻihi o ka lāʻau e pili ana i ka maikaʻi o kāna hana. ʻIke kekahi poʻe e hoʻomaikaʻi ana ko lākou koko me nā loli ola e hiki ai iā lākou ke hōʻemi i kā lākou lāʻau, akā pono e hana mau ʻia kēia ma lalo o ka mālama ʻana i ka lāʻau.

Inā ʻoe e lawe ana i ka hydralazine no ka puʻuwai, e hilinaʻi ka lōʻihi o ka lāʻau i kou olakino puʻuwai holoʻokoʻa a me kou pane ʻana i ka lāʻau. I kekahi mau hihia, lilo ia i ʻāpana mau o kāu hoʻolālā lapaʻau, a i nā mea ʻē aʻe, hiki ke hoʻohana ʻia no ka manawa pōkole i ka wā e hana ai nā lāʻau ʻē aʻe.

He aha nā hopena ʻaoʻao o Hydralazine?

E like me nā lāʻau lapaʻau a pau, hiki i ka hydralazine ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i ʻike nā mea a pau iā lākou. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a maʻa mau e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e hilinaʻi i kāu lapaʻau.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia:

• He ʻehaʻeha ke poʻo, ʻoi loa i ka wā e hoʻomaka ai ʻoe e lawe
• Puʻuwai wikiwiki a i ʻole ka puʻuwai paʻi
• Pōniuniu a i ʻole ka māmā o ke poʻo, ʻoi loa i ka wā e kū ana
• Luaʻi a i ʻole ka ʻōpū
• ʻUlaʻula a i ʻole ka manaʻo mehana
• Ihu paʻa
• Nalo o ka ʻai

ʻO kēia mau hopena ʻaoʻao maʻamau e lilo pinepine i mea ʻike ʻole ʻia ma hope o kekahi mau lā a i ʻole mau pule i ka wā e maʻa ai kou kino i ka lāʻau. Inā mau lākou a i ʻole e lilo i mea hoʻoluhi, mai kānalua e kamaʻilio me kāu kauka e pili ana i ka hoʻoponopono ʻana i kāu mahele a i ʻole ka manawa.

Aia kekahi mau hopena ʻaoʻao koʻikoʻi e pono ai ka lāʻau lapaʻau koke, ʻoiai ʻaʻole lākou i maʻamau:

• ʻEhaʻeha o ka umauma a i ʻole ka puʻuwai ʻole
• Pōniuniu nui a i ʻole ka hāʻule
• Pehu i kou mau lima, wāwae, a i ʻole nā kuʻekuʻe wāwae
• Paʻakikī ka hanu
• ʻOʻoleʻa a i ʻole ke ʻano o ka ʻūlū ʻana i kou mau lima a i ʻole nā wāwae
• ʻEha hui a i ʻole nā ʻehaʻeha ʻiʻo ʻaʻole e hele

I nā manawa kakaʻikahi, hiki i ka hoʻohana lōʻihi ʻana o ka hydralazine ke alakaʻi i kahi maʻi i kapa ʻia ʻo ka lupus i hoʻokomo ʻia e ka lāʻau, e hoʻoulu ai i ka ʻeha hui, ke kuni, a me nā hōʻailona ʻē aʻe. ʻOi aku ka nui o kēia i ka poʻe e lawe ana i nā mahele kiʻekiʻe no nā manawa lōʻihi, akā hiki ke hoʻohuli ʻia ke pau ka lāʻau.

ʻO wai ka mea ʻaʻole pono e lawe i ka Hydralazine?

ʻOiai ua palekana ka hydralazine no ka hapa nui o nā kānaka, aia kekahi mau kūlana kahi e hiki ʻole ai ke koho maikaʻi loa. E noʻonoʻo kāu kauka i kāu moʻolelo olakino piha ma mua o ke kau ʻana, akā he mea nui e hoʻomaopopo i ka wā e kūpono ʻole ai kēia lāʻau.

ʻAʻole pono ʻoe e lawe i ka hydralazine inā loaʻa iā ʻoe:

• He maʻi maʻi i ʻike ʻia i ka hydralazine a i ʻole nā lāʻau like
• Maʻi ʻaʻaʻa coronary a i ʻole ka mōʻaukala o ka puʻuwai
• Nā pilikia o ka valve mitral i kou puʻuwai
• He maʻi kakaʻikahi i kapa ʻia ʻo systemic lupus erythematosus

Eia kekahi, pono e mālama nui inā he mau maʻi olakino kou. Hiki nō i kāu kauka ke kuhikuhi i ka hydralazine akā e nānā pono iā ʻoe inā he maʻi kīkī kou, nā pilikia o ke akepaʻa, a i ʻole ka mōʻaukala o ka hahau.

Inā ʻoe e lawe ana i nā lāʻau ʻē aʻe, ʻoiai nā mea no nā maʻi o ka naʻau a i ʻole ke koko kiʻekiʻe, e hōʻoia i kāu kauka e ʻike e pili ana i nā mea a pau. Hiki i kekahi mau hui lāʻau lapaʻau ke hoʻohaʻahaʻa loa i kou koko a i ʻole e hana i nā pilikia ʻē aʻe.

Nā inoa inoa o Hydralazine

Loaʻa ka Hydralazine ma lalo o kekahi mau inoa inoa, akā ua kuhikuhi pinepine ʻia ʻo ia he lāʻau lapaʻau maʻamau. ʻO ka inoa inoa kaulana loa ʻo Apresoline, i loaʻa no nā makahiki he nui a he lāʻau lapaʻau like ia me ka hydralazine maʻamau.

Hiki nō hoʻi iā ʻoe ke hālāwai me ka hydralazine ma ke ʻano he ʻāpana o nā lāʻau hui. No ka laʻana, hui pū ʻo BiDil i ka hydralazine me ka isosorbide dinitrate a ua ʻae ʻia no ka mālama ʻana i ka maʻi puʻuwai i kekahi mau maʻi. Hiki i kāu kauka lapaʻau ke kōkua iā ʻoe e hoʻomaopopo inā e loaʻa ana iā ʻoe kahi inoa inoa a i ʻole ka mana maʻamau o ka lāʻau.

He kūpono ka hydralazine maʻamau e like me nā mana inoa inoa a he mea kūʻai pinepine ʻia. Ua like ka mea hana a me ka hoʻopaʻa ʻana, no laila hiki iā ʻoe ke hilinaʻi i ka hoʻohana ʻana i ka mana a kāu kauka e kuhikuhi ai a i ʻole e uhi ai kāu ʻinikua.

Nā koho ʻē aʻe o Hydralazine

Inā ʻaʻole e hana maikaʻi ka hydralazine iā ʻoe a i ʻole e hana i nā hopena ʻaoʻao pilikia, aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki i kāu kauka ke noʻonoʻo. Aia ke koho i kāu kūlana olakino kikoʻī, nā lāʻau ʻē aʻe āu e lawe nei, a pehea e pane ai kou kino i nā lāʻau lapaʻau like ʻole.

ʻO nā koho maʻamau no ka mālama ʻana i ke koko kiʻekiʻe:

• Nā mea pale ACE e like me lisinopril a i ʻole enalapril
• ARBs (nā mea pale angiotensin receptor) e like me losartan a i ʻole valsartan
• 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
• Nā mea hoʻoheheʻe wai e like me hydrochlorothiazide a i ʻole furosemide

No ka maʻi puʻuwai, hiki i nā koho ʻē aʻe ke komo i nā hui like ʻole o nā mea pale ACE, nā mea pale beta, a i ʻole nā lāʻau lapaʻau hou e like me sacubitril/valsartan. E hana pū kāu kauka me ʻoe e ʻimi i ke koho maikaʻi loa e pili ana i kāu mau pono pilikino a me ka maikaʻi o kāu ʻae ʻana i nā lāʻau lapaʻau like ʻole.

I kekahi manawa, ʻaʻole pili ka hoʻololi ʻana i kahi koho ʻē aʻe i ka hana ʻole ʻana o ka lāʻau lapaʻau, akā e ʻimi ana i kahi mea e kūpono maikaʻi me kou ola a i ʻole he liʻiliʻi nā hopena ʻaoʻao e hoʻopilikia iā ʻoe.

Ua ʻoi aku ka maikaʻi o Hydralazine ma mua o Lisinopril?

ʻAʻole maʻalahi ka hoʻohālikelike ʻana i ka hydralazine me lisinopril no ka mea hana lākou ma nā ʻano like ʻole a hoʻohana pinepine ʻia i nā kūlana like ʻole. He mau lāʻau lapaʻau koko kiʻekiʻe lākou, akā loaʻa i kēlā me kēia o lākou ko lākou mau ikaika a me nā hihia hoʻohana kūpono.

ʻO Lisinopril, kahi mea pale ACE, ua manaʻo pinepine ʻia he lapaʻau laina mua no ke koko kiʻekiʻe no ka mea he mau pōmaikaʻi hou aʻe ma mua o ka hoʻohaʻahaʻa ʻana i ke koko. Hiki iā ia ke kōkua i ka pale ʻana i kou mau puʻupaʻa a me ka puʻuwai, a ua ʻae maikaʻi ʻia e ka hapa nui o nā kānaka. Loaʻa nō hoʻi iā Lisinopril nā hopena ʻaoʻao liʻiliʻi i ʻike ʻia e nā kānaka i kēlā me kēia lā.

ʻO Hydralazine, ma kekahi ʻaoʻao, ʻoi aku ka maikaʻi i nā kūlana kikoʻī. He mea waiwai nui ia i ka wā o ka hāpai ʻana i ka wā e palekana ʻole ai ka hoʻohana ʻana i nā lāʻau lapaʻau koko kiʻekiʻe. Hiki nō hoʻi ke kōkua no ka poʻe i pane ʻole i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā ʻano maʻi puʻuwai.

Aia nō ka koho "ʻoi aku ka maikaʻi" i kāu ʻano olakino pilikino, nā maʻi ʻē aʻe paha āu, a me ke ʻano o ka pane ʻana o kou kino i kēlā me kēia lāʻau. E noʻonoʻo kāu kauka i kēia mau mea a pau i ka wā e hoʻoholo ai i ka lāʻau lapaʻau kūpono loa iā ʻoe.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Hydralazine

He Palekana ʻo Hydralazine no ka Maʻi Puʻupaʻa?

Hiki ke hoʻohana ʻia ʻo Hydralazine i ka poʻe me ka maʻi puʻupaʻa, akā pono ka nānā pono ʻana. No ka mea, kōkua kou mau puʻupaʻa i ka hana ʻana a me ka hoʻopau ʻana i ka lāʻau lapaʻau mai kou kino, ʻo ka hana puʻupaʻa i hōʻemi ʻia paha ke ʻano e pono ai ʻoe i ka liʻiliʻi o ka lāʻau a i ʻole ka liʻiliʻi o ka lāʻau.

ʻO ka lono maikaʻi, ʻaʻole maʻamau ka hydralazine e hoʻonui i ka hana puʻupaʻa e like me kekahi mau lāʻau lapaʻau koko kiʻekiʻe. ʻO ka ʻoiaʻiʻo, ma ka hoʻohaʻahaʻa ʻana i kou koko kiʻekiʻe, hiki iā ia ke kōkua i ka pale ʻana i kou mau puʻupaʻa mai ka pōʻino hou aku i ka manawa. E nānā paha kāu kauka i ka hana o kou puʻupaʻa i nā manawa maʻamau i ka wā e lawe ana ʻoe i ka hydralazine e hōʻoia i ka hana palekana iā ʻoe.

He aha kaʻu e hana ai inā ua hoʻohana hewa au i ka nui o Hydralazine?

Inā ua lawe hewa ʻoe i ka nui o ka hydralazine ma mua o ka mea i kuhikuhi ʻia, mai hopohopo, akā e hana koke. ʻO ka hopohopo nui me ka nui o ka hydralazine, ʻo ia paha ka emi ʻana o kou koko kiʻekiʻe, hiki ke hoʻoluhi iā ʻoe, ʻoluʻolu ke poʻo, a i ʻole e hāʻule ʻoe.

E hoʻokaʻaʻike koke i kāu kauka a i ʻole ke kikowaena hoʻomalu i ka lāʻau make inā ua lawe ʻoe i ka nui o ka lāʻau i kuhikuhi ʻia. Inā ʻoe e ʻike nei i ka ʻoluʻolu nui, ka ʻeha o ka umauma, a i ʻole ka pilikia o ka hanu ʻana, e ʻimi koke i ka lāʻau lapaʻau pilikia. E mālama i ka hue lāʻau me ʻoe i ʻike nā poʻe loea lapaʻau i ke ʻano a me ka nui āu i lawe ai.

He aha kaʻu e hana ai inā ua hala au i kahi lāʻau o Hydralazine?

Inā poina iā ʻoe ka lāʻau hydralazine, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ke ʻole kokoke ka manawa no kāu lāʻau e hiki mai ana. Ma ia hihia, e lele i ka lāʻau i poina a e hoʻomau i kāu papa maʻamau. Mai pāpālua i nā lāʻau e hoʻopiha ai i ka mea i poina, no ka mea, hiki i kēia ke hoʻohaʻahaʻa loa i kou koko.

Inā poina pinepine ʻoe i nā lāʻau, e noʻonoʻo e hoʻonohonoho i nā mea hoʻomanaʻo ma kāu kelepona a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila. He mea nui ka lawe ʻana i nā lāʻau i ka manawa kūpono no ka mālama ʻana i kou koko, no laila, ʻo ka loaʻa ʻana o kahi ʻōnaehana e hana ana iā ʻoe hiki ke hana i kahi ʻokoʻa maoli i ka holomua o kāu lapaʻau.

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

Mai hooki i ka lawe ʻana i ka hydralazine me ka ʻole e kamaʻilio mua me kāu kauka. ʻO ka hooki ʻana i ka lāʻau lapaʻau koko i ka pōkole hiki ke hoʻonui i kou koko, he mea weliweli kēia a hiki ke alakaʻi i nā pilikia koʻikoʻi e like me ka puʻuwai a i ʻole ka hahau.

Hiki i kāu kauka ke hoʻoholo e hooki a hoʻololi paha i kāu hydralazine ma muli o ka maikaʻi o ka mālama ʻia ʻana o kou koko, inā ʻoe e ʻike nei i nā hopena ʻaoʻao, a i ʻole inā e loli ana kou olakino holoʻokoʻa. I ka manawa e hooki ai, e hoʻemi lākou i kāu lāʻau i ka liʻiliʻi i nā lā a i ʻole nā pule e hiki ai i kou kino ke hoʻoponopono palekana.

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

ʻOi aku ka maikaʻi e kaupalena i ka inu ʻana i ka waiʻona i ka wā e lawe ana i ka hydralazine, no ka mea, hiki i ka waiʻona ke hoʻonui i nā hopena hoʻohaʻahaʻa koko o ka lāʻau. Hiki i kēia hui ke hoʻolilo iā ʻoe i ka ʻoluʻolu a i ʻole ka māmā ma mua o ka maʻamau, a hoʻonui ia i kou pilikia o ka hāʻule a i ʻole ka maʻi.

Inā koho ʻoe e inu i ka waiʻona, e hana me ka maʻalahi a e nānā i kou manaʻo. E hoʻomaka mālie e ʻike i ka pane ʻana o kou kino, a e pale i ka inu ʻana i ka waiʻona inā ʻoe e ʻike nei i ka ʻoluʻolu a i ʻole nā hopena ʻē aʻe mai ka lāʻau. E kūkākūkā mau i kāu inu ʻana i ka waiʻona me kāu kauka i hiki iā lākou ke hāʻawi i ke alakaʻi pilikino e pili ana i kou olakino.