Ke lawe nei hoʻi ʻoe i nā lāʻau hoʻokahe koko? Nā mea e pono ai ʻoe e ʻike e pili ana i (Anticoagulants)

Malia paha kekahi o kou ʻohana, a i ʻole ʻoe iho, e lawe ana i nā 'lāʻau hoʻokahe koko'. Ua hopohopo iki paha ʻoe i ka wā i kuhikuhi ai kāu kauka i kēia lāʻau lapaʻau nāu. He mea maʻamau loa ia no nā nīnau e like me "E hoʻonui anei kēia i ke kahe koko?", "He aha ka mea e hana ai inā hana hewa wau?" e noʻonoʻo. No laila, mai makaʻu. I kēia lā, e kamaʻilio kākou e pili ana i kēia mau lāʻau hoʻokahe koko, a i ʻole e like me kā lākou i kapa ʻia ma ke ʻano lapaʻau, `(Anticoagulants)`, i mea e maopopo ai nā mea āpau.

I ka ʻōlelo maʻalahi, he aha kēia mau anticoagulants?

ʻO nā anticoagulants kahi ʻano lāʻau lapaʻau e hōʻemi ana i ka hiki o kou koko ke kāpili. Kapa kekahi poʻe iā lākou he 'nā mea hoʻokahe koko'. Akā ʻo ka mea a lākou e hana ai, ʻaʻole ia e 'hoʻokahe' i ke koko e like me ka wai, akā, e hoʻolohi i ka wikiwiki o ka hana ʻana o nā ʻūpā koko . Hana kēia mau lāʻau lapaʻau i ʻelua mau mea nui. ʻO kekahi, ʻo ia ke kōkua i kou kino e hoʻoheheʻe i nā ʻūpā koko e kū nei. ʻO kekahi, ʻo ia ka pale ʻana i ka hana ʻana o nā ʻūpā koko hou, makemake ʻole ʻia.

Loaʻa kēia mau lāʻau lapaʻau ma ke ʻano he injections, intravenous (IV) fluids, a me nā papa waha.

No ke aha mākou e pono ai i kēia ʻano lāʻau lapaʻau?

ʻO ka maʻamau, ke hōʻeha ʻia ko mākou kino, he mea maikaʻi ia no ke koko e paʻa. Hoʻōki kēia i ke kahe ʻana o ke koko a hoʻōla ʻia ka ʻeha. Akā e noʻonoʻo, pehea inā e hana ʻia kahi paʻa koko i loko o ko mākou mau aa me ke kumu ʻole?

Inā hele kahi ʻūpā koko i hana ʻia ma kēia ʻano ma o nā kīʻaha koko a paʻa i loko o kahi kīʻaha koko liʻiliʻi i loko o kahi ʻōkana koʻikoʻi e like me ka lolo, nā māmā, a i ʻole ka puʻuwai, hiki iā ia ke hana i nā kūlana weliweli loa.

• Hahau: Hana ʻia e kahi ʻaʻa koko e hele ana i ka lolo a ālai iā ia.
• ʻO ka Pulmonary Embolism (PE): He ʻūpā koko e ālai ana i kahi kīʻaha koko nui i loko o nā māmā . He kūlana weliweli kēia e hiki ai ke alakaʻi koke i ka make.
• Hoʻouka Puʻuwai: Hana ʻia e kahi ʻūpā koko e ālai ana i nā aʻa e hoʻolako koko i ka puʻuwai.

No laila, kuhikuhi nā kauka i kēia mau lāʻau "Anticoagulants" i ka poʻe i pilikia i ka hoʻomohala ʻana i ia mau maʻi weliweli.

Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?

Mālama mau ko mākou kino i ke kaulike ma waena o ke kāpili ʻana o ke koko a me ka pale ʻana i ke kāpili ʻana o ke koko. Hoʻopilikia iki nā anticoagulants i kēia kaulike a hoʻonāwaliwali i ka ʻaoʻao kāpili o ke koko. Hoʻōki kēia i ka hoʻokumu ʻana o nā kāpili koko i makemake ʻole ʻia. Hana like ʻole kēia mau lāʻau lapaʻau.

Nā inikini a me nā lāʻau lapaʻau IV

Hoʻohana pinepine ʻia kēia mau mea i nā haukapila, ke pono nā hopena wikiwiki.

• Heparin: Hana kēia ma ka hoʻoulu ʻana i kahi protein i kapa ʻia ʻo `(Antithrombin)` e pale ana i ke kāpili ʻana o ke koko i loko o ke kino. ʻElua ʻano o kēia. He wikiwiki loa kekahi, akā pono ʻoe e nānā mau i kou koko e hōʻoia i ka pololei o ka nui. ʻO kekahi ʻano `(Low-Molecular-Weight Heparin - LMWH)` hana lohi iki, akā maʻalahi ke noʻonoʻo i kona pono. No laila, ʻaʻole pono ʻoe e nānā pinepine i kou koko.
• Nā mea kāohi Thrombin pololei: Hoʻopau pololei kēia i ka protein i kapa ʻia ʻo `(Thrombin)` e kōkua ana i ke kāpili ʻana o ke koko.

Nā ʻano pila waha

ʻO kēia nā mea a nā kauka i kuhikuhi ai no ka hoʻohana lōʻihi.

• Warfarin: He lāʻau lapaʻau kahiko kēia a ka poʻe he nui ma ko mākou ʻāina e hoʻohana nei. Hana ia ma ke kāohi ʻana i ka hoʻohana ʻana o ka huaora K, he mea nui ia no ke kāpili ʻana o ke koko. He mea nui loa ka nui o ka lāʻau i ka wā e lawe ai iā Warfarin. Inā hele ʻoe i kahi mamao loa, hiki ke hoʻonui ʻia ka pilikia o ke kahe ʻana o ke koko. ʻO ia ke kumu e hana mau ai kāu kauka i kāu hoʻāʻo koko (hoʻāʻo INR) a hoʻoponopono i ka nui o ka lāʻau.
• Nā Anticoagulants Waha Pololei (DOAC): He mau lāʻau lapaʻau hou kēia. ʻO nā laʻana e komo pū me `(Dabigatran)`, `(Apixaban)`, `(Rivaroxaban)`. ʻAʻole pono kēia mau hoʻāʻo koko pinepine e like me Warfarin.

ʻO ka mea weliweli loa! He aha nā hopena ʻaoʻao a me nā pilikia?

ʻO ke kumu nui a maʻamau o ka pilikia o kekahi lāʻau anticoagulant, ʻo ia ke kahe koko. ʻO ke ʻano kēia, ʻoiai he ʻoki liʻiliʻi paha e lōʻihi ka manawa e hoʻōki ai i ke kahe koko, a hiki iā ʻoe ke palapū maʻalahi. Eia kekahi, loaʻa i kēlā me kēia lāʻau kona mau hopena ʻaoʻao ponoʻī.

Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?

Ma ke ʻano he kanaka e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e makaʻala loa i kēia, no ka mea, hiki i kahi ulia liʻiliʻi ke lilo i mea weliweli.

E kamaʻilio me kāu kauka inā loaʻa iā ʻoe kēia mau hōʻailona:

• Inā ʻaʻole e pau ke kahe ʻana o ke koko mai nā ʻāʻī, ka ihu, a i ʻole kahi ʻeha liʻiliʻi.
• Inā ʻoi aku ka maʻalahi o kou palapū ma mua o ka maʻamau a ʻike paha i nā palapū me ke kumu ʻole.
• Inā ʻoe e manaʻo i ka poniuniu, nāwaliwali, a luhi paha .

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila:

• Pono e hōʻike koke ʻia kēlā me kēia ʻano hāʻule, ʻoiai inā e kuʻi ʻoe i kou poʻo, i ka ETU, ʻoiai inā ʻaʻohe ʻeha i ʻike ʻia.
• Inā loaʻa iā ʻoe kahi ulia kaʻa a i ʻole ua pā ʻia ʻoe e kahi mea paʻakikī a loaʻa iā ʻoe kahi palapū nui .
• ʻO ka ʻeha poʻo nui a koke a ʻeha paha ka ʻōpū.
• Ka luaʻi ʻana i ke koko (ʻoiai inā he like ia me ka lepo kofe) a i ʻole ke kuʻi ʻana i ke koko.
• Koko i loko o ka mimi (lilo ka mimi i ʻalani, ʻulaʻula, a ʻeleʻele paha) a i ʻole ke koko i loko o ka ʻōpala (lilo ka ʻōpala i ʻulaʻula a ʻeleʻele paha, e like me ke kēpau).