Ke loaʻa iā kākou kahi ʻoki a ʻeha paha ma kekahi wahi o ko kākou kino, e pau ke kahe ʻana o ke koko ma hope o kekahi manawa, ʻeā? He ʻano pale kupaianaha maoli nō ia i loko o ko kākou kino. Pau ke kahe ʻana o ke koko no ka mea ua paʻa ke koko . Akā e noʻonoʻo i ka mea e hiki mai ana inā ua hana ʻia kēia paʻa koko i loko o ke kīʻaha koko i loko o ko kākou kino me ke kumu ʻole? He kūlana weliweli iki kēlā. No ka mea, hiki i kēlā mau paʻa koko pono ʻole ke hoʻoulu i nā maʻi e hoʻoweliweli ai i ke ola e like me nā hōʻeha puʻuwai a me nā hahau . No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai e hoʻōki i ke kūkulu ʻia ʻana o ia mau paʻa koko pono ʻole.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau antiplatelet?
ʻO nā lāʻau antiplatelet kahi ʻano lāʻau e pale ai i ke kūkulu ʻia ʻana o nā ʻūpā koko. Hana lākou ma ke kāohi ʻana i nā platelets , nā ʻāpana liʻiliʻi o nā sela koko, mai ka pipili pū ʻana a me ka ʻākoakoa pū ʻana.
I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau platelets. E wehewehe iki kākou. ʻO ke koko o kākou he nui nā ʻāpana:
- Nā hunaola koko ʻulaʻula : ʻO kēia nā mea e lawe ai i ka oxygen ma ke kino holoʻokoʻa.
- Nā hunaola koko keʻokeʻo : Ke kaua nei kēia mau mea i nā maʻi i loko o ko mākou kino.
- Nā Platelets: ʻO kēia nā pūnaewele e kōkua i ke hana ʻana i nā ʻūpā koko e hoʻōki i ke kahe ʻana o ke koko i loko o ko mākou kino.
E noʻonoʻo ʻoe he ʻeha liʻiliʻi kou ma kou lima a i ʻole kou wāwae. I kēlā manawa, hōʻuluʻulu koke kēia mau platelets a puni ka ʻeha, pili pū, a hana i kahi plug, e hoʻōki ana i ke kahe ʻana o ke koko. He hana kūlohelohe kēia i loko o ko mākou kino. Akā ʻo ka pilikia, ma muli o kekahi mau maʻi , hoʻomaka kēia mau platelets e pili pū i loko o nā kīʻaha koko . ʻO ia ka manawa e kōkua ai nā lāʻau antiplatelet iā mākou. ʻO ka hana a kēia mau lāʻau, ʻo ia ka hōʻemi ʻana i ka hiki o kēlā mau platelets ke pili pū. A laila, ʻaʻole e hana ʻia nā clots koko pono ʻole.
He aha ka ʻokoʻa ma waena o nā lāʻau antiplatelets a me nā anticoagulants (nā lāʻau thinner koko)?
ʻO kēia kahi e huikau ai nā kānaka he nui. Hana kēia mau lāʻau lapaʻau ʻelua e hōʻemi i ke kāpili ʻana o ke koko. Akā hana lākou ma nā ʻano ʻelua like ʻole. He mea nui e hoʻomaopopo i kēia.
I ka ʻōlelo maʻalahi, pale nā antiplatelets i nā platelets mai ka pipili ʻana. Hoʻopau nā Anticoagulants (i ʻike ʻia hoʻi he "nā mea hoʻomāmā koko") i ka hana o nā protein ʻē aʻe e pili ana i ke kaʻina hana koko.
E nānā kākou i kēia mau kikoʻī e hoʻomālamalama hou aku i kēia ʻokoʻa.
| ʻAno lāʻau lapaʻau | Pehea e hana ai | Nā Laʻana |
|---|---|---|
| Nā lāʻau antiplatelet | Hoʻopili pū nā platelets i loko o ke koko, hui pū, a pale i ke kūkulu ʻia ʻana o nā clot. | ʻAspirina, Clopidogrel, Ticagrelor |
| Nā Anticoagulants (nā mea hoʻokahe koko) | Hoʻopilikia ia i nā protein like ʻole (nā kumu clotting) e pili ana i ke kahe koko. | ʻO Warfarin, Heparin, Apixaban, Rivaroxaban |
ʻO wai ka mea e pono ai kēia mau lāʻau lapaʻau?
ʻOiai he mea nui nā ʻūpā koko no ko kākou kino, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o nā ʻūpā koko i loko o ko lākou mau aa koko. ʻO ia ke kumu e kuhikuhi ai nā kauka i nā lāʻau antiplatelet no lākou. Hiki iā lākou ke lilo i mea nui loa no ka poʻe me kēia mau kūlana:
- Angina: ʻEha umauma i hana ʻia e ka lawa ʻole o ke kahe koko i ka puʻuwai.
- ʻO ka Atrial Fibrillation: ʻO ia ke ʻano e kuʻi ai ka puʻuwai i ke ʻano kūpono ʻole.
- Maʻi ʻAʻa Coronary: Ka hoʻohaiki ʻana a i ʻole ka pale ʻana o nā ʻaʻa e hoʻolako koko ai i ka puʻuwai.
- No ka poʻe i loaʻa i ka hōʻeha puʻuwai a i ʻole ka hahau ma mua: I mea e pale ai i ke ʻano mai ka hana hou ʻana.
- ʻO ka maʻi o nā kīʻaha koko peripheral: Ka pale ʻana o nā aʻa koko ma waho o ka puʻuwai, ʻoi aku hoʻi ma nā wāwae.
- Ma hope o kekahi mau ʻoki kino: No ka laʻana, ʻo ka poʻe i loaʻa i ke ʻoki bypass artery coronary, angioplasty me ke kau ʻana o ka stent, a me ke ʻoki valve puʻuwai.
He aha nā ʻano lāʻau antiplatelet i loaʻa?
Aia kekahi mau ʻano lāʻau antiplatelet. ʻO ka mea maʻamau a mākou e ʻike ai a hoʻohana ai, ʻo ia ka aspirin . Aia kekahi mau ʻano ʻē aʻe. Hana kēlā me kēia ʻano ma ke ʻano ʻokoʻa iki.
| Māhele lāʻau lapaʻau | He aha e hana maʻalahi ai | Nā Laʻana |
|---|---|---|
| Nā mea hoʻopaʻa i ka mea loaʻa Adenosine diphosphate (ADP) | Hoʻemi i ke kūpaʻa o nā platelets. | ʻO Clopidogrel, Ticagrelor, Prasugrel |
| Nā mea hoʻopaʻa i ka hoʻihoʻi hou ʻana o Adenosine | Hoʻopaʻa i nā enzymes e pili ana i ke kāpili ʻana o ke koko. | ʻO Dipyridamole |
| Nā mea hoʻopaʻa platelet glycoprotein | Hoʻopaʻa i nā mea e hoʻopaʻa pū ai i nā ʻūpā koko. | ʻAbciximab, ʻEptifibatide |
| Nā mea hoʻopaʻa phosphodiesterase | Hoʻonui ia i nā kīʻaha koko a pale i nā platelets mai ka pipili pū ʻana. | ʻO Cilostazol |
Pehea e hoʻohana ai i kēia lāʻau lapaʻau?
Loaʻa ka hapa nui o nā lāʻau antiplatelet ma ke ʻano pila. ʻO ia hoʻi, lawe ʻia lākou ma ka waha. I kekahi mau hihia kūikawā, hāʻawi ʻia lākou ma ke ʻano intravenous.
- Hiki iā ʻoe ke lawe i kēia mau pila ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa ka ʻeha o ka ʻōpū a i ʻole ka ʻeha puʻuwai ma hope o ka lawe ʻana i kēia lāʻau. Inā hana ʻia kēia, ʻoi aku ka maikaʻi o ka lawe ʻana i ka lāʻau me ka meaʻai .
- Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi no kekahi kumu.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha a ke kauka.ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui no kekahi kumu me ka ʻole o ke nīnau ʻana i kāu kauka.
He aha nā pōmaikaʻi a me nā pilikia o kēia mau lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia mau lāʻau antiplatelet ke loaʻa nā pono a me kekahi mau pilikia.
Nā pono nui
ʻO ka pōmaikaʻi nui o kēia mau lāʻau lapaʻau, ʻo ia ke pale ʻana i nā kūlana weliweli e like me nā hōʻeha puʻuwai a me nā hahau. He mea kōkua nui lākou i ka pale ʻana i ka hoʻi hou ʻana o ia mau kūlana i kahi mea i loaʻa mua. Kōkua pū lākou i ka hōʻoluʻolu ʻana i nā hōʻailona e like me ka ʻeha o ka umauma, ka ʻoluʻolu ʻole i hoʻokumu ʻia e ka emi ʻana o ke kahe koko i ke kino, a me ka paʻakikī o ka hanu ʻana.
Ka pilikia nui
ʻO ka pilikia nui o kēia mau lāʻau lapaʻau, ʻo ia ke kahe nui ʻana o ke koko . ʻO kēia no ka mea ke kāohi nei kēia mau lāʻau lapaʻau i ke kūkulu ʻia ʻana o nā ʻōpū koko. No laila, ke kāohi nei ia i nā ʻōpū koko pono ʻole a me nā ʻōpū koko e pono ai ko mākou kino.
Eia kekahi laʻana, inā loaʻa iā ʻoe kahi ʻeha liʻiliʻi, hiki ke lōʻihi ka manawa e pau ai ke kahe ʻana o ke koko ma mua o ka maʻamau. Eia kekahi, hiki ke hoʻoweliweli ke kahe ʻana o ke koko i loko. No laila ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i kēia mau pilikia. He mea nui hoʻi e kamaʻilio e pili ana i nā ala e pale aku ai iā ʻoe iho mai ka hāʻule ʻana a me nā ʻeha ma ka home.
Nā hopena ʻaoʻao a me nā mea e makaʻala ai
Hiki ke loaʻa kekahi mau hopena ʻaoʻao i ka wā e lawe ai i kēia lāʻau. He mea maʻamau kekahi, aʻo kekahi he mau hōʻailona paha o kahi maʻi koʻikoʻi. No laila he mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao a me nā kumu pilikia | |
|---|---|
| Nā hopena ʻaoʻao maʻamau e ʻike ʻia | |
| |
| Nā hōʻailona koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
|
ʻO ka mea nui loa, inā ʻoe e lawe ma mua o ka nui i ʻōlelo ʻia o kēia lāʻau lapaʻau, ʻo ia hoʻi, inā ʻoe e lawe nui ʻia, hiki ke hoʻoweliweli i ke ola. No laila , mai lawe ʻoe ma mua o ka nui i kuhikuhi ʻia e kāu kauka. Inā hana kēia, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
E aʻo pū kākou e pili ana i nā pilina me nā lāʻau lapaʻau ʻē aʻe.
Hiki i nā lāʻau antiplatelet ke launa pū me nā lāʻau ʻē aʻe, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei. ʻO kēia mau mea:
- ʻO nā lāʻau lapaʻau ʻē aʻe i kuhikuhi ʻia e ke kauka.
- Nā lāʻau lapaʻau i kūʻai ʻia ma luna o ke kauka.
- Nā huaora, nā minelala, nā mea kanu, a me nā mea hoʻohui ʻē aʻe.
- ʻO Ayurvedic a i ʻole nā lāʻau lapaʻau kuʻuna ʻē aʻe.
E haʻi i kāu kauka e pili ana i kēia mau mea a pau i hiki iā ia ke hāʻawi iā ʻoe i ka lāʻau kūpono a palekana loa.
ʻO wai ka mea pono ʻole e lawe i kēia lāʻau lapaʻau?
ʻAʻole kūpono nā lāʻau antiplatelet no ka poʻe me kekahi mau kūlana olakino, a i kekahi mau hihia, pono e pale ʻia kā lākou hoʻohana ʻana.
- ʻO ka poʻe e kokoke ana e hana ʻoki kino a i ʻole ka unuhi ʻana i nā niho i nā lā e hiki mai ana (e aʻo aku kāu kauka a kauka niho paha iā ʻoe ma kēia).
- Hāpai, e hoʻāʻo ana e hāpai, a i ʻole nā makuahine hānai waiū.
- ʻO ka poʻe i loaʻa mua i ke kahe koko o ka lolo.
- ʻO ka poʻe i loaʻa i kahi hopena allergies i kēia mau lāʻau lapaʻau ma mua.
- ʻO nā kānaka me nā maʻi koko e like me ka hemophilia.
- ʻO ka poʻe e ʻeha ana i nā maʻi puʻupaʻa a i ʻole ke akepaʻa.
- ʻO ka poʻe i loaʻa a i loaʻa paha i nā ʻōpū ʻōpū.
Inā loaʻa iā ʻoe kahi kūlana e like me kēia, e ʻoluʻolu e haʻi i kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻO ka lāʻau antiplatelet kahi ʻano lāʻau koʻikoʻi loa e pale ai i ke kūkulu ʻia ʻana o nā ʻōpū koko i makemake ʻole ʻia e hiki ai ke alakaʻi i nā kūlana koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau.
- Pono e lawe ʻia ka nui o kēia mau lāʻau lapaʻau i ka wā lōʻihi. Mai ho'ōki i ka lawe ʻana iā lākou a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
- ʻO ka pilikia nui o kēia mau lāʻau lapaʻau, ʻo ia ke kahe nui ʻana o ke koko. E makaʻala i nā ʻeha ʻē, ke kahe ʻana o ka ihu, a me nā ʻōpala ʻeleʻele. Inā ʻike ʻoe i kekahi o kēia mau mea, e haʻi koke i kāu kauka.
- E hāʻawi i kāu kauka i ka wehewehe piha ʻana o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau Ayurvedic).
- He mea nui loa e haʻi aku i kāu kauka a kauka niho paha e lawe ana ʻoe i kēia mau lāʻau lapaʻau ma mua o ke ʻoki ʻana a i ʻole ka mālama niho.
Nā lāʻau antiplatelet, nā ʻūpā koko, ka hōʻeha puʻuwai, ka hahau ʻana, Aspirin, Clopidogrel, nā mea hoʻokahe koko, nā platelets, maʻi puʻuwai











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