Hewa ka puʻuwai - nā wai a me nā diuretics

ʻO ke kū ʻole o ka puʻuwai kahi ʻano i hiki ʻole i ka puʻuwai ke pauma i ke koko waiwai nui i ke koena o ke kino me ka maikaʻi. ʻO kēia ke kumu o ke kūkulu ʻana i ka wai i kou kino. Ka palena ʻana i kāu inu ʻana a me ka nui o ka paʻakai (sodium) āu e lawe ai i hiki ke kōkua i ke pale ʻana i kēia mau hōʻailona.

Ke loaʻa ʻole kou puʻuwai, ʻaʻole hoʻopōpō ka puʻuwai i kou koko. Kumu kēia i nā wai e kūkulu i loko o kou kino. Inā inu ʻoe i nā wai he nui loa, loaʻa paha iā ʻoe nā hōʻailona e like me ka pehu ʻana, ka loaʻa ʻana o ke kaumaha, a me ka hanu liʻiliʻi. Ka palena ʻana i kāu inu ʻana a me ka nui o ka paʻakai (sodium) āu e lawe ai i hiki ke kōkua i ke pale ʻana i kēia mau hōʻailona.

Hiki i nā lālā o kou ʻohana ke kōkua iā ʻoe e mālama iā ʻoe iho. Hiki iā lākou ke nānā i ka nui o kāu inu. Hiki iā lākou ke hōʻoia e lawe nei i kāu lāʻau i ke ala kūpono. A hiki iā lākou ke aʻo e ʻike i kāu mau ʻōuli i ka wanaʻao.

E noi paha kāu mea mālama ola iā ʻoe e hoʻohaʻahaʻa i ka nui o nā wai āu e inu ai:

• Ke maikaʻi ʻole kou puʻuwai maikaʻi ʻole, ʻaʻole paha ʻoe e kaupalena nui i kāu wai.
• Ke hele a maikaʻi ʻole kou puʻuwai puʻuwai, pono paha ʻoe e kaohi i nā wai i 6 a 9 mau kīʻaha (1.5 a 2 liters) i ka lā.

Hoʻomanaʻo, ʻo kekahi mau meaʻai, e like me ka soups, puding, gelatin, ice cream, popsicle a me nā mea ʻē aʻe i loko o ka wai. Ke ʻai ʻoe i nā sūlū chunky, e hoʻohana i ka ʻōkeke inā hiki iā ʻoe, a waiho i ke kai ma hope.

E hoʻohana i kahi kīʻaha liʻiliʻi ma ka home no kāu wai i ka wā ʻai, a inu wale i 1 cupful (240 ml). Ma hope o ka inu ʻana i 1 kīʻaha (240 mL) o ka wai ma kahi hale ʻaina, huli i kāu kīʻaha e ʻike i kāu kikowaena ʻaʻole ʻoe makemake hou. E ʻike i nā ala e pale ai i ka make wai loa:

• Ke make wai ʻoe, e nau i kahi kāpili, holoi i kou waha me ka wai anuanu a kuha aku, a omo paha i kahi mea e like me ke kanakē paʻakikī, kahi ʻāpana lemona, a i nā ʻāpana liʻiliʻi o ka hau.
• Noho maikaʻi. ʻO ka hoʻomake nui ʻana e make wai ʻoe.

Inā pilikia ʻoe i ka mālama ʻana iā ia, e kākau i ka nui o kāu inu ʻana i ka lā.

ʻO kaʻai ʻana i ka paʻakai nui hiki ke make wai ʻoe, kahi e hoʻoinu ai iā ʻoe i ka nui. Hoʻonui ka paʻakai i kou kino i ka paʻakai keu. Aia nā meaʻai he nui i ka "paʻakai huna," me nā meaʻai i hoʻomākaukau ʻia, ʻai ʻia a paʻa i ka hau. E aʻo pehea e ʻai ai i ka papa paʻakai haʻahaʻa.

Kōkua nā diuretics i kou kino e hoʻopau i ka wai keu. Kāhea pinepine ʻia lākou "nā huaale wai." Nui nā mana o diuretics. Lawe ʻia kekahi i kahi manawa 1 i ka lā. Lawe ʻia nā mea ʻē aʻe i 2 manawa i ka lā. ʻO nā ʻano maʻamau ʻekolu nā:

• Thiazides: Chlorothiazide (Diuril), chlorthalidone (Hygroton), indapamide (Lozol), hydrochlorothiazide (Esidrix, HydroDiuril), a me metolazone (Mykrox, Zaroxolyn)
• Loop diuretics: Bumetanide (Bumex), furosemide (Lasix), a me torsemide (Demadex)
• Nā mea mālama mālama potasiuma: Amiloride (Midamor), spironolactone (Aldactone), a me triamterene (Dyrenium)

Aia kekahi mau diuretics i loko o kahi hui o ʻelua o nā lāʻau i luna.

Ke lawe nei ʻoe i ka diuretics, pono ʻoe i nā manawa maʻamau e nānā ai i mea e hiki ai i kāu mea hāʻawi ke nānā i kāu pae potasiuma a nānā i ka hana o kāu mau puʻupaʻa.

Hoʻomaʻamaʻa pinepine nā diuretics iā ʻoe. E hoʻāʻo ʻaʻole e lawe iā lākou i ka pō ma mua o kou hiamoe ʻana. Lawe iā lākou i ka manawa like i kēlā me kēia lā.

ʻO nā hopena ʻaoʻao maʻamau o diuretics:

• Ka luhi, nāhae o nā mākala, a nāwaliwali paha mai nā pae potassium haʻahaʻa
• ʻO ka puʻupuʻu a i ʻole ka uila
• Pōpō a ʻālani paha
• Palpitations puʻuwai, a i ʻole ke kuʻi puʻuwai "fluttery"
• Goute
• Kaumaha
• Huhū
• Urinary incontinence (ʻaʻole hiki ke hoʻopaʻa i kou mimi)
• ʻO ka nalowale o ka hoʻokele wahine (mai nā diuretics potaring-sparing), a i ʻole hiki ʻole ke kūkulu i kūkulu
• ʻO ka ulu ʻana o ka lauoho, hoʻololi i ka menstrual, a me kahi leo hohonu i nā wahine (mai nā diuretics potassium-sparing)
• Pāhū ka umauma i nā kāne a palupalu paha i nā wahine (mai nā diuretics potassium-sparing)
• Nā hopena āpau - inā ʻaʻa ʻoe i ka lāʻau sulfa, ʻaʻole pono ʻoe e hoʻohana i nā thiazides.

E mālama pono i kāu diuretic i ke ala i haʻi ʻia iā ʻoe.

E ʻike ʻoe i ke kau pono no ʻoe. ʻO ke kaupaona ʻana iā ʻoe iho e kōkua iā ʻoe e ʻike inā nui ka wai i kou kino. ʻIke paha ʻoe i ka lole o kou mau lole a me nā kāmaʻa ma mua o ka maʻamau ke nui ka wai i kou kino.

Kaupaona iā ʻoe iho i kēlā me kēia kakahiaka i ka pālākiō like ke ala ʻoe - ma mua o kou ʻai ʻana a ma hope o kou hoʻohana ʻana i ka lua. Hōʻoiaʻiʻo e ʻaʻahu ana ʻoe i nā lole like i kēlā me kēia manawa ke kaupaona ʻoe iā ʻoe iho. E kākau i kou kaupaona i kēlā me kēia lā ma ka pakuhi i hiki iā ʻoe ke mālama.

Kāhea i kāu mea hāʻawi inā piʻi kou kaumaha ma mua o 2 a 3 mau paona (1 a 1.5 kilokilo, kg) i ka lā a i ʻole 5 paona (2 kg) i hoʻokahi pule. Kāhea pū kekahi i kāu mea nāna e hāʻawi inā he nui kāu kaupaona.

Kāhea i kāu mea hāʻawi inā:

• Luhi a palupalu paha ʻoe.
• Manaʻo ʻoe i ka liʻiliʻi o ka hanu ke hana ʻoe a i ka wā e hoʻomaha ai.
• Manaʻo ʻoe i ka liʻiliʻi o ka hanu ke moe ʻoe i lalo, a i hoʻokahi hola a ʻelua paha ma hope o kou hiamoe ʻana.
• Ke ʻuwī nei ʻoe a pilikia i ka hanu ʻana.
• He ʻūhū kāu hele ʻole. Maloo paha ia a hacking paha, a i ʻole kani pulu paha a lawe mai i ka poni, a kuha i ka hua.
• He pehu kou i kou mau wāwae, nā kuʻekuʻe wāwae, a me nā wāwae.
• Pono ʻoe e mimi i ka nui, keu i ka pō.
• Ua loaʻa a ua lilo kaupaona.
• He ʻeha a palupalu kou i kou ʻōpū.
• Loaʻa iā ʻoe kahi hōʻailona āu e manaʻo ai no kāu mau lāʻau.
• Lohi a kuʻi wikiwiki paha kou puʻuwai, a i ʻole wikiwiki paha ia.

HF - nā wai a me nā diuretics; CHF - hoʻokuʻu ICD; Cardiomyopathy - hoʻokuʻu ICD

Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA / ACC alakaʻi ma ka mālama ʻana i ka nohona e hōʻemi i ka pilikia o ka maʻi puʻuwai: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana. ʻO J Am Coll Cardiol. 2014; 63 (25 Pt B): 2960-2984. PMID: 2423992 pubmed.ncbi.nlm.nih.gov/24239922/.

ʻO Mann DL. Ka mālama ʻana i nā mea maʻi me ka puʻuwai 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.

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 on Clinical Practice Guide and the Heart Failure Society of America. Kaapuni. 2017; 136 (6): e137-e161. PMID: 28455343 pubmed.ncbi.nlm.nih.gov/28455343/.

Zile MR, Litwin SE. Hema ka puʻuwai me kahi ʻāpana eject i mālama ʻia. 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 26.

• Maʻi maʻi coronary
• Hewa puʻuwai
• Nā pae kolesterol kiʻekiʻe
• Ke koko kiʻekiʻe - nā mākua

• ʻO ka aspirin a me ka maʻi puʻuwai
• ʻO Cholesterol a me ka nohona
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• ʻLelo aʻoaʻo ʻai wikiwiki
• Hewa ka puʻuwai - hoʻokuʻu
• Ka maikaʻi ʻole o ka naʻau - ka nānā ʻana i ka home
• Hewa ka puʻuwai - he aha e nīnau aku ai i kāu kauka
• Papaʻai paʻakai haʻahaʻa

• Hoka Puʻuwai