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

ʻO Isosorbide dinitrate a me hydralazine he hui pū ʻana o nā lāʻau lapaʻau e kōkua i kou puʻuwai e pauma i ke koko me ka maikaʻi. Hana kēia lāʻau lapaʻau ʻelua ma ka hoʻomaha ʻana i nā kīʻaha koko a me ka hoʻemi ʻana i ka hana ma kou puʻuwai, e maʻalahi ai i kou puʻuwai ke hana i kāna hana. Ua hoʻolālā ʻia no ka poʻe me ka puʻuwai ʻole e pono ai ke kākoʻo hou e mālama i ke kahe koko olakino i loko o ko lākou kino.

He aha ka Isosorbide Dinitrate a me Hydralazine?

Hoʻohui kēia lāʻau lapaʻau i ʻelua mau lāʻau puʻuwai i hoʻokahi pila no ka maʻalahi a me nā hopena maikaʻi aʻe. Wehe ʻo Isosorbide dinitrate i kou mau kīʻaha koko, ʻoiai ʻo hydralazine e hoʻomaha i nā paia o kou mau ʻaʻa a me nā veins. Hui pū, hana lākou i kahi hui ikaika e kōkua i ka hōʻemi ʻana i ke kaumaha ma kou ʻiʻo puʻuwai.

Ua hoʻomohala ʻia ka hui pū ʻana ma hope o ka hōʻike ʻana o ka noiʻi i ka poʻe maʻi ʻAmelika ʻApelika me ka puʻuwai ʻole i pane maikaʻi loa i kēia hui. Eia naʻe, ua kauoha nā kauka i kēia manawa no nā maʻi o nā ʻano like ʻole i ka wā i hāʻawi ʻole ai nā lāʻau puʻuwai ʻē aʻe i ka hōʻoluʻolu.

No ke aha e hoʻohana ʻia ai ka Isosorbide Dinitrate a me Hydralazine?

Hoʻomaʻamaʻa kēia lāʻau lapaʻau i ka puʻuwai ʻole, kahi maʻi kahi e hakakā ai kou puʻuwai e pauma i ke koko maikaʻi i loko o kou kino. Ke hiki ʻole i kou puʻuwai ke pauma maikaʻi, e ʻike paha ʻoe i ka luhi, ka hanu ʻana, a i ʻole ka pehu ʻana i kou mau wāwae a me nā wāwae.

Hoʻonui pinepine nā kauka i kēia hui ʻana i ka wā i lawa ʻole ai nā lāʻau lapaʻau puʻuwai maʻamau e like me ACE inhibitors a i ʻole ARBs. Hiki ke hoʻohana ʻia me nā lāʻau puʻuwai ʻē aʻe e hāʻawi i ke kākoʻo hou no kāu ʻōnaehana cardiovascular.

Hiki i kekahi mau kauka ke kauoha iā ia no ke koko kiʻekiʻe koʻikoʻi ʻaʻole i pane maikaʻi i nā lāʻau lapaʻau ʻē aʻe, ʻoiai ʻaʻole maʻamau kēia ma mua o kāna hoʻohana ʻana no ka puʻuwai ʻole.

Pehea ka hana ʻana o Isosorbide Dinitrate a me Hydralazine?

Hana kēia lāʻau lapaʻau ma o nā ʻano hana ʻelua like ʻole akā e kōkua ana i kou puʻuwai. Hoʻomaha ka mea isosorbide dinitrate i nā veins e hoʻihoʻi ana i ke koko i kou puʻuwai, e hōʻemi ana i ka nui o ke koko e pono ai kou puʻuwai e pauma me kēlā me kēia puʻupuʻu.

I kēia manawa, hoʻomaha ka hydralazine i nā aʻa e lawe ana i ke koko mai kou puʻuwai, e maʻalahi ai i kou puʻuwai ke hoʻokuʻu i ke koko ma o kou kahe. E noʻonoʻo e like me ka hoʻēmi ʻana i ke kaomi komo a me ka puka ʻana ma luna o ka pauma wai.

Ua manaʻo ʻia he lāʻau lapaʻau puʻuwai ikaika ia e hāʻawi ana i ke kākoʻo cardiovascular nui. ʻOi aku ka ikaika o ka hopena hui ma mua o kekahi lāʻau lapaʻau, ʻo ia ke kumu i koho ai kāu kauka i kēia hui kikoʻī no kou maʻi.

Pehea wau e lawe ai i ka Isosorbide Dinitrate a me Hydralazine?

E lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, ʻekolu a ʻehā mau manawa i ka lā me nā meaʻai. ʻO ka lawe ʻana me ka meaʻai e kōkua i ka hōʻemi ʻana i ka ʻōpū a hoʻomaikaʻi i ka maikaʻi o kou kino e komo ai i ka lāʻau lapaʻau.

E ale i nā papa holoʻokoʻa me ke aniani wai piha. Mai ʻoki, nau, a haki paha i nā papa, no ka mea, hiki i kēia ke hoʻopilikia i ke ʻano o ka hoʻokuʻu ʻana o ka lāʻau lapaʻau i loko o kāu ʻōnaehana. Inā pilikia ʻoe i ka ale ʻana i nā pila, e kamaʻilio me kāu kauka e pili ana i nā koho ʻē aʻe.

E hoʻāʻo e lawe i kāu mau lāʻau i nā manawa like i kēlā me kēia lā e mālama i nā pae paʻa i loko o kou kahe koko. Nui ka poʻe i ʻike he mea kōkua ke hoʻonohonoho i nā mea hoʻomanaʻo kelepona a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila e noho ma ke ala me kā lākou papa manawa.

Mai hooki i ka lawe ʻana i kēia lāʻau lapaʻau i ka hikiwawe, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi. Ua maʻa kou puʻuwai i ke kākoʻo, a ʻo ka hooki ʻana i ka hikiwawe hiki ke hoʻihoʻi a hoʻonui paha i kāu mau hōʻailona.

Pehea ka lōʻihi e lawe ai au i ka Isosorbide Dinitrate a me Hydralazine?

Pono ka hapa nui o nā kānaka me ka maʻi puʻuwai e lawe i kēia lāʻau lapaʻau no ka manawa lōʻihi e mālama i ka hana o ko lākou puʻuwai a me ka maikaʻi o ke ola. He maʻi maʻamau ka maʻi puʻuwai e pono ai ka mālama mau ʻana ma mua o ka hoʻoponopono manawa pōkole.

E nānā mau kāu kauka i kou holomua ma o nā nānā ʻana, nā hoʻokolohua koko, a me nā loiloi hana puʻuwai. Ma muli o ka maikaʻi o kou pane ʻana a me nā hopena ʻaoʻao āu e ʻike ai, hiki iā lākou ke hoʻoponopono i kāu mahele a i ʻole e hoʻololi i nā lāʻau lapaʻau like ʻole i ka wā.

Hiki i kekahi poʻe ke hoʻololi i nā lāʻau lapaʻau puʻuwai ʻē aʻe i ka wā e loaʻa ai nā lāʻau lapaʻau hou a i ʻole ke loli ʻana o ko lākou maʻi. Eia naʻe, nui ka poʻe maʻi e hoʻomau i kēia hui no nā makahiki no ka mea e mālama pono ana ia i kā lākou mau hōʻailona a hoʻomaikaʻi i kā lākou hana i kēlā me kēia lā.

He aha nā hopena ʻaoʻao o Isosorbide Dinitrate a me Hydralazine?

E like me nā lāʻau lapaʻau a pau, hiki i kēia hui 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 mākaukau a ʻike i ka manawa e hoʻokaʻaʻike aku i kāu kauka.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia nā poʻo, ka noʻonoʻo, a me ka manaʻo māmā ke kū koke ʻoe. Hoʻomaikaʻi pinepine kēia mau hopena i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau i nā pule mua o ka mālama ʻana.

Eia nā hopena ʻaoʻao āu e ʻike nui ai:

• Nā poʻo e ʻehaʻeha a i ʻole ka puʻupuʻu
• ʻO ka noʻonoʻo a i ʻole ka māmā, ʻoi aku ka nui i ke kū ʻana
• Nausea a i ʻole ka ʻōpū
• Luhi a i ʻole ka luhi ma mua o ka maʻamau
• Hoʻomaʻemaʻe a i ʻole ka manaʻo mahana i kou maka a me kou umauma
• Puʻuwai wikiwiki a i ʻole ka puʻuwai ʻole

He maʻalahi nā hopena ʻaoʻao maʻamau a maʻamau ka emi ʻana i ka wā e maʻa ai kou kino i ka lāʻau lapaʻau. Inā mau lākou a lilo i mea hoʻonāukiuki, hiki i kāu kauka ke kōkua pinepine ma ka hoʻoponopono ʻana i kāu mahele a i ʻole ka manawa.

Hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao maʻamau ʻole akā ʻoi aku ka hopohopo e pono ai ka lāʻau lapaʻau. ʻOiai he mea maʻamau ʻole kēia mau mea, he mea nui e ʻike iā lākou i hiki iā ʻoe ke ʻimi i ke kōkua inā pono.

E kelepona i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hopena ʻaoʻao koʻikoʻi:

• Nā ʻeha poʻo nui a mau paha ʻaʻole e hoʻomaikaʻi me ka manawa
• ʻEha a i ʻole ke kaomi ʻana o ka umauma
• He paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu
• Ka pehu ʻana i kou mau lima, wāwae, a i ʻole nā wāwae
• Ka loaʻa ʻana o ke kaumaha wikiwiki mai ka mālama wai
• Ka ʻūlū a i ʻole ka ʻūlū nui
• Ka ʻūlū a i ʻole ka ʻūlū ʻana i kou mau lima a i ʻole nā wāwae

I nā manawa maʻamau loa, hiki i kekahi poʻe ke hoʻomohala i kahi maʻi i kapa ʻia ʻo ka lupus i hoʻokomo ʻia i ka lāʻau, hiki ke hoʻoulu i ka ʻeha hui, nā ʻili ʻili, a me nā hōʻailona e like me ka maʻi flu. ʻOiai ʻaʻole maʻamau, hoʻoponopono maʻamau kēia i ka wā e hoʻōki ʻia ai ka lāʻau lapaʻau ma lalo o ka mālama ʻana i ka lāʻau lapaʻau.

ʻO wai ka mea pono ʻole e lawe i ka Isosorbide Dinitrate a me Hydralazine?

ʻAʻole palekana kēia lāʻau lapaʻau no nā mea a pau, a ʻo kekahi mau maʻi olakino a i ʻole nā kūlana e kūpono ʻole a weliweli paha ke hoʻohana. E nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana i kēia hui.

ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau inā he maʻi ʻoe i ka isosorbide dinitrate a i ʻole hydralazine, a i ʻole inā ua loaʻa iā ʻoe nā hopena koʻikoʻi i nā lāʻau lapaʻau like i ka wā i hala. E haʻi mau i kāu kauka e pili ana i nā maʻi maʻi lāʻau āu i ʻike ai.

Pono nā poʻe me kekahi mau maʻi puʻuwai e pale i kēia lāʻau lapaʻau no ka mea hiki iā ia ke hoʻonui i ko lākou kūlana. Inā he pilikia koʻikoʻi kāu aortic a i ʻole mitral valve, ʻaʻole kūpono paha kēia hui no kāu ʻano maʻi puʻuwai.

Eia nā kūlana nui e kūpono ʻole ai kēia lāʻau lapaʻau:

• Maʻi kīkī nui a i ʻole ka hāʻule ʻana o ke kīkī
• Maʻi ate nui a i ʻole ka hāʻule ʻana o ke ake
• Ke koko haʻahaʻa loa (hypotension)
• Nā ʻano maʻi puʻuwai valve
• He maʻi puʻuwai i nā lā i hala
• Maʻi ʻaʻaʻa coronary me ka angina paʻa ʻole

Eia kekahi, pono kēia lāʻau lapaʻau i ka mālama kūikawā inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, no ka mea, hiki ke hele i kāu pēpē a hiki ke hōʻeha. E loiloi kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia no kāu kūlana.

Inā he maʻi diabetes kou, nā pilikia kīkī, a i ʻole nā ​​maʻi autoimmune, pono ʻoe i ka nānā pono ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau, ʻoiai paha he kūpono me ka mālama pono.

Nā inoa inoa o Isosorbide Dinitrate a me Hydralazine

ʻO ka inoa inoa maʻamau no kēia hui ʻo BiDil, ʻo ia ka lāʻau lapaʻau mua i ʻae ʻia no ka hāʻule ʻana o ka puʻuwai i nā maʻi ʻAmelika ʻApelika. Aia ʻo BiDil i nā lāʻau lapaʻau ʻelua i hoʻokahi papa maʻalahi.

Hiki nō hoʻi iā ʻoe ke loaʻa nā lāʻau lapaʻau ʻelua ma ke ʻano he mau ʻōlelo kuhikuhi ʻokoʻa, kahi e lawe ai ʻoe i ka isosorbide dinitrate (loaʻa ma ke ʻano he Isordil a i ʻole Dilatrate-SR) me ka hydralazine (loaʻa ma ke ʻano he Apresoline). Makemake kekahi mau kauka i kēia ala e hana i kēlā me kēia mahele.

Loaʻa nā mana generic o nā lāʻau lapaʻau ʻelua a hana like me nā mana inoa. Makemake paha kāu ʻinikua i nā koho generic, a he mea kūʻai nui lākou i ka wā e hāʻawi ana i nā pōmaikaʻi therapeutic like.

Nā koho ʻē aʻe o Isosorbide Dinitrate a me Hydralazine

Hiki i kekahi mau lāʻau lapaʻau hāʻule puʻuwai ʻē aʻe ke hāʻawi i nā pōmaikaʻi like, ʻoiai ua koho kāu kauka i kēia hui no nā kumu kikoʻī e pili ana i kou kūlana. ʻO nā koho maʻamau e pili ana i nā mea pale ACE e like me lisinopril a i ʻole enalapril, e kōkua pū ana i ka hoʻomaha ʻana i nā kīʻaha koko a hoʻemi i ke kaumaha o ka puʻuwai.

Hana like nā ARB (angiotensin receptor blockers) e like me losartan a i ʻole valsartan me nā ACE inhibitors akā hiki ke hana i nā hopena ʻaoʻao liʻiliʻi e like me ka ʻū. Hoʻāʻo pinepine ʻia kēia mau lāʻau ma mua o ka noʻonoʻo ʻana i ka hui ʻana o ka isosorbide dinitrate a me ka hydralazine.

ʻO nā lāʻau lapaʻau puʻuwai hou e like me sacubitril/valsartan (Entresto) e hui pū i kahi ARB me kahi lāʻau lapaʻau e kōkua i kou kino e hana i nā hormones e pale ai i ka puʻuwai me ka ʻoi aku ka maikaʻi. Hiki ke noʻonoʻo ʻia kēia koho inā ʻaʻole ʻoe e pane maikaʻi i ka hui ʻana o kēia manawa.

Hoʻolohi nā beta-blockers e like me metoprolol a i ʻole carvedilol i kou puʻuwai a hoʻemi i ka hana ma ka ʻiʻo o kou puʻuwai. Hoʻohana pinepine ʻia kēia mau mea me kāu lāʻau lapaʻau o kēia manawa ma mua o ka pani.

Ua ʻoi aku ka maikaʻi o ka Isosorbide Dinitrate a me Hydralazine ma mua o Enalapril?

He kūpono nā lāʻau lapaʻau ʻelua no ka puʻuwai, akā hana lākou ma nā ʻano like ʻole a ʻoi aku ka maikaʻi no nā poʻe like ʻole. Ua hōʻike ka noiʻi ʻana i ka hui ʻana o ka isosorbide dinitrate a me ka hydralazine hiki ke maikaʻi loa no nā maʻi ʻAmelika ʻApelika me ka puʻuwai.

Hoʻāʻo pinepine ʻia ʻo Enalapril (kahi ACE inhibitor) no ka mea he mau makahiki o ka noiʻi e kākoʻo ana i kāna hoʻohana ʻana i ka puʻuwai a maʻamau ka liʻiliʻi o nā hopena ʻaoʻao. Eia naʻe, ʻaʻole hiki i kekahi poʻe ke ʻae i nā ACE inhibitors ma muli o ka ʻū maloʻo mau a i ʻole nā hopena ʻaoʻao ʻē aʻe.

Ua hōʻike nā haʻawina i ka wā ʻaʻole lawa nā ACE inhibitors e like me enalapril ma kā lākou iho, hiki i ka hoʻohui ʻana i ka hui ʻana o ka isosorbide dinitrate a me ka hydralazine ke hāʻawi i nā pōmaikaʻi hou. I kekahi mau hihia, ua hōʻike ʻia kēia hui ʻana e hōʻemi i ka hospitalization a hoʻomaikaʻi i ka maikaʻi o ke ola ma mua o nā ACE inhibitors wale nō.

Ua koho kāu kauka i kāu lāʻau lapaʻau o kēia manawa e pili ana i kāu ʻano puʻuwai, kāu pane ʻana i nā lāʻau lapaʻau mua, a me kāu mau mea pilikia pilikino. ʻO ke koho

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Isosorbide Dinitrate a me Hydralazine

He Palekana anei ka Isosorbide Dinitrate a me Hydralazine no ka maʻi diabetes?

ʻAe, he palekana maʻamau kēia lāʻau lapaʻau no ka poʻe me ka maʻi diabetes, akā pono ʻoe e nānā pono i kāu pae kōpaʻa koko. ʻAʻole pili pololei ka hui ʻana i ke kōpaʻa koko, akā ʻike kekahi poʻe i nā loli i kā lākou mālama ʻana i ka maʻi diabetes i ka wā e hoʻomaka ai i nā lāʻau lapaʻau naʻau hou.

Makemake kāu kauka e nānā pinepine i kāu hana kīkī no ka mea hiki i ka maʻi diabetes ke hoʻopilikia i kou mau kīkī, a ua hana ʻia kēia lāʻau lapaʻau ma o kou mau kīkī. E hōʻoia e mālama i kāu mau manawa mālama maʻi diabetes maʻamau a me nā hoʻokolohua koko.

Inā ʻoe e lawe i nā lāʻau lapaʻau diabetes, e nānā i nā hōʻailona o ke kōpaʻa koko haʻahaʻa, ʻoi aku hoʻi i ka wā e hoʻomaka ai ʻoe i kēia lāʻau lapaʻau naʻau. Hiki i ka hui ʻana ke hoʻohaʻahaʻa i ke koko i lalo e lawa ai e ʻoi aku ka maopopo o nā hōʻailona hypoglycemia.

He aha kaʻu e hana ai inā ua lawe hewa au i ka nui o ka Isosorbide Dinitrate a me Hydralazine?

Inā ua lawe hewa ʻoe i ka nui ma mua o kāu lāʻau i kuhikuhi ʻia, e hoʻokaʻaʻike koke i kāu kauka a i ʻole ka mana hoʻomalu ʻona no ke alakaʻi. ʻO ka lawe ʻana i ka nui hiki ke hoʻoulu i ke koko haʻahaʻa weliweli, nā ʻeha poʻo nui, a i ʻole nā pilikia o ka puʻuwai.

E nānā i nā hōʻailona o ka overdose, e like me ka ʻūlū nui, ka maʻi, ka puʻuwai wikiwiki, a i ʻole ka nāwaliwali loa. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻimi koke i ka mālama olakino pilikia ma mua o ke kali ʻana e ʻike inā e hoʻomaikaʻi lākou.

Mai ho'āʻo e

Mai lawe i nā lāʻau ʻelua i ka manawa hoʻokahi e pani ai i ka lāʻau i hala, no ka mea, hiki i kēia ke hoʻohaʻahaʻa loa i kou koko a e ʻoluʻolu ʻoe i ka wili a i ʻole ka ʻūlū. ʻOi aku ka maikaʻi o ka mālama ʻana i kāu papa hana maʻamau i mua.

Inā poina pinepine ʻoe i nā lāʻau, e noʻonoʻo e hoʻonohonoho i nā ʻōhua kelepona a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila i kēlā me kēia pule e kōkua iā ʻoe e noho ma ke ala. He mea nui ka hoʻohana mau ʻana i nā lāʻau no ka mālama ʻana i ke kākoʻo puʻuwai paʻa i kēlā me kēia lā.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Isosorbide Dinitrate a me Hydralazine?

Mai hooki i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole e kamaʻilio mua me kāu kauka. Ua maʻa kou puʻuwai i ke kākoʻo a kēia lāʻau lapaʻau e hāʻawi nei, a ʻo ka hooki ʻana koke ʻana hiki ke hoʻihoʻi a hoʻonui paha i kāu mau hōʻailona puʻuwai.

Na kāu kauka e alakaʻi iā ʻoe ma nā loli lāʻau lapaʻau e pili ana i ka maikaʻi o ka hana ʻana o kou puʻuwai a inā paha e ʻike nei ʻoe i nā hopena ʻaoʻao. Inā pono ʻoe e hooki, e hōʻemi lākou i kāu lāʻau i ka manawa.

ʻOiai inā ʻoe e ʻoluʻolu loa, ʻo ia hoʻi, ke hana maikaʻi nei ka lāʻau lapaʻau ma mua o ka pono ʻole iā ʻoe. He maʻi lōʻihi ka puʻuwai puʻuwai e pono ai ka mālama mau ʻana e mālama i kou maikaʻi o ke ola.

Hiki i kekahi poʻe ke hoʻololi i nā lāʻau puʻuwai like ʻole i ka wā e loaʻa ai nā lāʻau lapaʻau hou, akā pono e hana ʻia kēia hoʻoholo me kāu hui mālama ola e pili ana i kāu holomua a me nā pono.