E noʻonoʻo, ua ʻeha koke kekahi i ka umauma, manaʻo ʻia he hōʻeha puʻuwai, a ua hoʻokomo ʻia i ka haukapila. I kēlā manawa, nui ka manawa e hana ʻia ai nā ʻōpū koko i loko o nā aʻa koko e hoʻolako ana i ke koko i ka puʻuwai a ālai i kēlā mau aʻa koko. I kēia lā, e kamaʻilio mākou e pili ana i kahi inikini ikaika loa a kūikawā a nā kauka e hoʻohana ai e pale aku i ke kūkulu ʻia ʻana o nā ʻōpū koko i nā hihia pilikia a koʻikoʻi. ʻAʻole kēia he lāʻau lapaʻau i hoʻohana pinepine ʻia ma ka home, akā hāʻawi wale ʻia i loko o ka haukapila.
I ka ʻōlelo maʻalahi, he aha ʻo Abciximab?
He lāʻau ikaika loa ʻo Abciximab (e kapa kākou iā ia he 'abciximab') e pale ana i ke kāpili ʻana o ke koko. ʻO ReoPro kona inoa hōʻailona. Loaʻa iā mākou nā platelets, kahi ʻano cell liʻiliʻi i loko o ko mākou koko. ʻO ka maʻamau, ke loaʻa iā mākou kahi ʻoki, hui pū kēia mau platelets e hana i kahi clot e hoʻōki i ke kahe ʻana o ke koko. He mea maikaʻi kēlā.
Eia nō naʻe, inā hōʻiliʻili kēia mau platelets i loko o nā kīʻaha koko o ka puʻuwai i ka wā o ka hōʻeha puʻuwai a hana i nā ʻūpā koko, hiki iā ia ke ālai piha a hapa paha i ke kahe o ke koko i ka puʻuwai. ʻO ia ka mea weliweli.
ʻO kēia lāʻau i kapa ʻia ʻo Abciximab e kāohi i kēlā mau platelets mai ka pipili pū ʻana a me ka hana ʻana i nā ʻūpā koko pono ʻole.
Hoʻohana nui ʻia kēia no:
- Ke hiki mai ka hōʻeha puʻuwai.
- No ka poʻe me ka ʻeha umauma paʻa ʻole (angina paʻa ʻole).
- I ka wā a ma hope o ke kāpili ʻana o ke aʻa coronary artery bypass (angioplasty a me ka stenting).
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini i loko o kahi aʻa koko a i ʻole he infusion, e like me ka saline. Hana mau ʻia kēia ma ka haukapila, ma lalo o ka nānā piha ʻana o nā kauka a me nā kahu maʻi.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
No ka mea he lāʻau ikaika loa kēia, he mea nui loa ia e hoʻomaopopo i kāu hui lapaʻau e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa nei a i ʻole nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Inā pili kekahi o nā mea ma ka papa ma lalo nei iā ʻoe, e hōʻoia e haʻi i kāu kauka.
| Kūlana a i ʻole hanana i hala | No ke aha ʻoe e pono ai e haʻi aku i ke kauka? |
|---|---|
| Nā maʻi koko a i ʻole kekahi mau kūlana koko ʻē aʻe. | Hoʻonui kēia lāʻau lapaʻau i ka pilikia o ke kahe ʻana o ke koko, hiki ke lilo i mea weliweli inā loaʻa iā ʻoe kēlā ʻano maʻi. |
| ʻO kahi kūlana e like me ka puʻupuʻu lolo a i ʻole ka aneurysm o ke kīʻaha koko. | Hoʻonui ʻia ka pilikia o ke kahe ʻana o ke koko mai ia mau wahi. |
| Ke koko kiʻekiʻe i kāohi ʻole ʻia. | Hiki i ke koko kiʻekiʻe ke hoʻoulu i ka pilikia o ke kahe ʻana o ke koko i loko o ka lolo. |
| Inā ua loaʻa iā ʻoe kahi hahau ma mua. | He kiʻekiʻe loa ka pilikia inā loaʻa ke kahe koko i ke kumu o ka hahau ʻana. |
| He ulia pōpilikia nui a i ʻole ke ʻoki kino i hala koke aku nei. | Hiki ke hoʻokahe hou ke koko i nā ʻeha ʻoki. |
| Inā ua lawe ʻoe i kahi lāʻau hoʻokahe koko e like me warfarin i loko o ka pule i hala. | Aia kahi pilikia o ke kahe koko nui ma muli o ka hana o nā lāʻau lapaʻau ʻelua. |
| ʻO kahi kūlana e like me ka vasculitis (ka mumū o nā kīʻaha koko). | Hiki i kēia ke hoʻoulu i ke kahe ʻana o ke koko mai nā kīʻaha koko i hoʻonāwaliwali ʻia. |
| Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka abciximab, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā protein i loaʻa mai nā ʻiole. | He mea nui e hoʻomaopopo i kēia e pale aku ai i nā maʻi allergies koʻikoʻi. |
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. | Pono ke kauka e noʻonoʻo i nā hopena hiki ke loaʻa ma ka fetus a i ʻole ke pēpē hānai. |
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, ʻoiaʻiʻo nō. Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā huahana lāʻau lapaʻau, nā huaora) i ka wā e lawe ana i kēia lāʻau. Hiki i kēia lāʻau lapaʻau ke launa pū me kēia mau mea, ʻoiai:
- Nā lāʻau hoʻokahe koko ʻē aʻe: Nā lāʻau lapaʻau e like me Aspirin, Clopidogrel, Ticlopidine, Dipyridamole.
- Nā lāʻau hoʻokahe koko: Nā lāʻau ikaika i hāʻawi ʻia i nā hōʻeha puʻuwai e like me Alteplase, Reteplase, a me Streptokinase.
- Nā lāʻau lapaʻau a me nā pila hoʻokahe koko ʻē aʻe: Nā lāʻau lapaʻau e like me Warfarin, Enoxaparin (Clexane), Dalteparin, Argatroban.
- Nā lāʻau hoʻopau ʻeha (NSAID): Nā lāʻau lapaʻau e like me Ibuprofen, Naproxen, Diclofenac.
- Nā huahana lāʻau lapaʻau: Nā huahana i loaʻa nā mea e like me ke kālika, ke kinika, ka ginkgo, ka feverfew.
Inā hoʻohana pū ʻia kēia mau mea, e hoʻonui nui ʻia ka pilikia o ke kahe nui ʻana o ke koko . No laila, he mea nui loa ia no kou palekana e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Abciximab ke hana i nā hopena ʻaoʻao. ʻOiai ʻoe ma ka haukapila, e nānā mau ana nā limahana iā ʻoe no kēia mau mea. Akā inā manaʻo ʻoe i kekahi mea ʻē, pono ʻoe e hōʻike koke.
| Nā hōʻailona koʻikoʻi e pono e hōʻike koke ʻia i ke kauka a i ʻole ke kahu maʻi | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā Hōʻailona o ke Koko ʻana |
|
| Nā Hōʻailona o ka Stroke | ʻEha poʻo nui koke, paʻakikī i ka ʻōlelo ʻana, mae koke a nāwaliwali paha o ka maka, ka lima a i ʻole ka wāwae, loli i ka ʻike. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike ʻia inā hoʻomau lākou) | |
| ʻEha hope | Pōʻino |
| ʻEha poʻo | Ka luaʻi a i ʻole ka ʻeha o ka ʻōpū |
ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, mai makaʻu e kamaʻilio me kāu hui lapaʻau e pili ana iā lākou.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Hāʻawi ʻia kēia lāʻau lapaʻau me ke akahele loa e nā limahana o ka haukapila, no laila ʻaʻole pono ʻoe e hopohopo e pili ana i ka overdose. E hāʻawi lākou i ka mahele kūpono. Inā ʻike ʻoe i kekahi mau hōʻailona ʻē, e hoʻomaopopo koke i nā limahana o ka haukapila. Ma Sri Lanka, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo e pili ana i kekahi pilikia e pili ana i ka lāʻau lapaʻau. Inā loaʻa kahi pilikia, e hoʻouna koke ʻia ʻoe i ka Emergency Treatment Unit (ETU).
Leka Lawe-Home
- He lāʻau ikaika loa ʻo Abciximab i hāʻawi wale ʻia ma ka haukapila e pale i nā ʻūpā koko i nā pilikia e like me ka hōʻeha puʻuwai.
- He mea nui loa e haʻi aku i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu (ʻoi aku hoʻi nā mea e pili ana i ke kahe ʻana o ke koko), nā maʻi allergies, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻO ke kumu nui o kēia lāʻau lapaʻau, ʻo ia ke kahe ʻana o ke koko. No laila, inā ʻike ʻoe i kekahi mau hōʻailona o ke kahe ʻana o ke koko, e like me ka ʻeha ʻē, nā ʻōpala ʻeleʻele, a i ʻole ka luaʻi ʻana i ke koko, e hoʻomaopopo koke i ke limahana lapaʻau.
- E nānā pono ʻia ʻoe ma ka haukapila i ka wā o kēia mālama ʻana. Inā he kānalua a nīnau paha kāu, mai kānalua e nīnau i kāu kauka a kahu maʻi paha.
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