Nā mea kāohi ACE
Angiotensin-hoʻololi i ka ʻākia (ACE) nā mea kūpale nā lāʻau. Mālama lākou i nā pilikia o ka naʻau, ke koko, a me nā hakuʻala.
Hoʻohana ʻia nā mea kāohi ACE e mālama i nā maʻi puʻuwai. Hana kēia mau lāʻau i ka hana paʻakikī o kou puʻuwai ma ka hoʻohaʻahaʻa ʻana i kou kaomi koko. Mālama kēia i kekahi ʻano maʻi maʻi puʻuwai mai ka ʻino. ʻO ka hapa nui o ka poʻe i loaʻa ʻole ka puʻuwai e lawe i kēia mau lāʻau a i ʻole nā lāʻau like.
Mālama kēia mau lāʻau i ke koko kiʻekiʻe, nā hahau, a me nā hōʻeha puʻuwai. Hiki iā lākou ke kōkua i ka hoʻohaʻahaʻa i kou makaʻi no ka hahau a i ʻole ka puʻuwai puʻuwai.
Hoʻohana ʻia lākou e mālama i nā pilikia o ka maʻi kō a me ka maʻi kōpū. Hiki i kēia ke kōkua e pale i kou puʻupaʻa mai ka ʻino. Inā loaʻa kēia mau pilikia iā ʻoe, e nīnau i kāu mea mālama ola inā ʻoe e lawe i kēia mau lāʻau.
Nui a hewahewa nā inoa a me nā inoa o nā mea kāohi iā ACE. Hana ka hapanui a me kekahi. ʻOkoʻa paha nā hopena ʻaoʻao no nā mea like ʻole.
ʻO nā mea kāohi ACE nā pila e lawe ai ʻoe ma ka waha. E lawe i kāu mau lāʻau āpau e like me ka ʻōlelo a kāu mea hāʻawi iā ʻoe. E hāhai mau me kāu mea hoʻolako. E nānā kāu mea i kou kaomi koko a hana i nā hoʻokolohua koko e ʻike pono ke hana pono nā lāʻau. Hoʻololi paha kāu mea hāʻawi i kāu lāʻau mai kēlā me kēia manawa. Kahi mea hou aʻe:
- E hoʻāʻo e lawe i kāu mau lāʻau i ka manawa like i kēlā me kēia lā.
- Mai hōʻoki i ka lawe ʻana i kāu lāʻau i ke kamaʻilio mua ʻole ʻana i kāu mea hāʻawi.
- E hoʻolālā i mua o pau ʻole kāu lāʻau. E ʻike pono ua lawa ʻoe me ʻoe ke hele huakaʻi.
- Ma mua o ka lawe ʻana i ka ibuprofen (Advil, Motrin) a i ʻole aspirin, e kamaʻilio me kāu mea hāʻawi.
- E haʻi aku i kāu mea hoʻolako i nā lāʻau ʻē aʻe āu e lawe nei, e like me nā mea āu i kūʻai ai me ka ʻole o ka lāʻau, diuretics (paila wai), nā pāhare potassium, a i ʻole nā mea hoʻowali lāʻau a me nā meaʻai.
- Mai lawe i nā mea kāohi ACE inā ʻoe e hoʻolālā ana e hāpai, hāpai, a i ʻole e hānai umauma ʻana. Kāhea i kāu mea hāʻawi inā hāpai ʻoe ke lawe ʻoe i kēia mau lāʻau.
ʻAʻohe laha nā hopena ʻaoʻao mai nā mea kāohi ACE.
Loaʻa paha ʻoe i kahi uha maloʻo. Hele paha kēia ma hope o kekahi manawa. Hoʻomaka paha ia ma hope o kou lawe ʻana i ka lāʻau no kekahi manawa. E haʻi i kāu mea hāʻawi inā hoʻomohala ʻoe i kahi maʻi kahe. I kekahi manawa kōkua ka hōʻemi ʻana i kāu lāʻau. Akā i kekahi manawa, e hoʻololi kāu mea hāʻawi iā ʻoe i ka lāʻau ʻokoʻa. Mai hoʻohaʻahaʻa i kāu lāʻau me ke kamaʻilio ʻole ʻole ʻana me kāu mea hāʻawi.
Hoʻomaʻamaʻa a uila paha ʻoe i kou hoʻomaka ʻana e lawe i kēia mau lāʻau, a i ʻole inā hoʻonui kāu mea hāʻawi i kāu lāʻau. ʻO ke kū mālie ʻana mai kahi noho a i ʻole kou moena paha e kōkua. Inā loaʻa iā ʻoe kahi pela pelupelu, e kelepona koke aku i kāu mea hāʻawi.
ʻO nā hopena ʻē aʻe e pili pū me:
- ʻEha poʻo
- Ka luhi
- Loaʻa ka ʻai ʻole
- Opu hoʻowahāwahā
- Pohā
- Pōpō
- Fiva
- Pākuʻi i ka ʻili a i ʻole nā palapū
- ʻEha hui
Inā pehu kou alelo a me kou mau lehelehe, kāhea koke aku i kāu mea lawelawe, a i ʻole e hele i ka lumi pilikia. Loaʻa paha iā ʻoe kahi hopena maʻi ʻino i ka lāʻau. Kākaʻikahi loa kēia.
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o nā hopena ʻaoʻao i helu ʻia ma luna. Kāhea pū i kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona ʻokoʻa ʻē aʻe.
ʻO nā mea kūpale enzyme hoʻohuli Angiotensin
ʻO Mann DL. Ka mālama ʻana i nā mea maʻi puʻuwai me ka hapa liʻiliʻi o ka eject. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 25.
Whelton PK, Carey RM, Aronow WS, et al. ʻO 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA alakaʻi no ka pale ʻana, ʻike, loiloi, a me ka mālama ʻana i ke kiʻekiʻe o ke koko i nā mākua: kahi hōʻike o ka American College of Cardiology / American. Pūʻulu Hana ʻAhahui Puʻuwai e pili ana i nā kulekele hana pilikino ʻO J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.
ʻO Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC / AHA / HFSA hoʻomōlele hou i ka 2013 ACCF / AHA alakaʻi no ka mālama ʻana i ka puʻuwai puʻuwai: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā Clinical Practice Guide a me ka Heart Failure Society of America. Kaapuni. 2017; 136 (6): e137-e161. PMID: 28455343 pubmed.ncbi.nlm.nih.gov/28455343/.
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