Ua kuhikuhi anei ke kauka i kahi lāʻau lapaʻau e pale aku i nā ʻūpā koko nou a i ʻole kekahi o kou ʻohana? Hiki ke lilo i mea maʻamau e like me Aspirin. A i ʻole he mea e like me Clopidogrel. Kāhea pinepine mākou i kēia mau lāʻau lapaʻau i nā lāʻau Antiplatelet. I kēia lā, e kamaʻilio maʻalahi a me ke akahai mākou e pili ana i ke ʻano o kēia mau mea, pehea lākou e hana ai i loko o ko mākou kino, a me nā mea e pono ai mākou e hana i ka wā e hoʻohana ai iā lākou.
He aha nā lāʻau antiplatelet? Pehea lākou e hana ai?
I mea e hoʻomaopopo ai i kēia, pono mua mākou e ʻike iki e pili ana i ko mākou koko. ʻO ko mākou koko he mau hunaola koko ʻulaʻula (nāna e lawe i ka oxygen), nā hunaola koko keʻokeʻo (nāna e hakakā i nā germs), a me kekahi ʻano hunaola liʻiliʻi, a mākou e kapa nei he platelets .
E noʻonoʻo ʻoe ua ʻoki ʻoe i kou lima me ka pahi. Ke kahe nei ke koko no kekahi manawa, a laila kū wale ia, ʻeā? No kēia mau platelets kēlā. Ke hōʻeha ʻia kahi wahi, holo wikiwiki kēia mau platelets i kahi i hōʻeha ʻia, pili pū, a hana i kahi ʻupena, e hana ana i kahi clot. Hana kēia clot ma ke ʻano he 'plug' e hoʻōki ai i ke kahe ʻana o ke koko. He ʻano pale kūlohelohe kupaianaha kēia i loko o ko mākou kino.
Akā, eia ka pilikia. He aha ka mea e hana ʻia inā e hana ʻia kahi ʻūpā koko e like me kēia i loko o ko kākou mau kīʻaha koko me ka ʻole o ka ʻeha? He mea weliweli loa ia. Inā hana ʻia kēlā ʻūpā koko i loko o kahi aʻa koko e hoʻolako ana i ke koko i ka puʻuwai, hiki iā ia ke hana i ka hōʻeha puʻuwai . Inā hana ʻia i loko o kahi aʻa koko e hele ana i ka lolo, hiki iā ia ke hana i ka hahau .
Hana nā lāʻau antiplatelet ma ka pale ʻana i nā platelets mai ka pipili ʻana i loko o nā aa koko, ʻo ia ka mea e pale ai i ke kūkulu ʻia ʻana o nā ʻōpū koko. I ka ʻōlelo maʻalahi, hoʻemi kēia mau lāʻau i ka 'stickiness' o nā platelets.
He aha ka ʻokoʻa ma waena o nā lāʻau antiplatelet a me nā anticoagulant?
He nui ka poʻe e huikau nei i kēia mau ʻano lāʻau ʻelua. ʻOiai ua kapa ʻia lāua ʻelua he "nā mea hoʻomāmā koko," ʻokoʻa iki ke ʻano o kā lāua hana. ʻOiai ʻo ka hopena hope loa o nā mea ʻelua ka hōʻemi ʻana i ke kāpili ʻana o ke koko, ʻokoʻa kahi o ka hana. E hoʻomaopopo pono kākou i kēia.
| ʻAno lāʻau lapaʻau | Pehea e hana ai |
|---|---|
| Nā lāʻau antiplatelet (e.g. ʻAspirin, Clopidogrel) | He aha ka mea e hui mua e hana i kahi ʻūpā koko?Pale i nā platelets mai ka pipili ʻana. |
| Nā lāʻau anticoagulant (e.g. Warfarin, Apixaban) | Ke hui pū nā platelets, keakea lākou i ka hana o nā protein kūikawā i loko o ke koko (nā mea clotting) e kōkua i ka hoʻoikaika ʻana i ke koko clot. |
ʻO wai ka mea e pono ai kēia mau lāʻau lapaʻau?
ʻAʻole pono ka maʻamau o ke kanaka olakino i kēia lāʻau lapaʻau. Akā, ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau maʻi i ka loaʻa ʻana o nā ʻūpā koko i loko o ko lākou mau aa koko. Eia kekahi o nā kumu nui e kuhikuhi ai kāu kauka i kēia lāʻau lapaʻau:
- Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai a i ʻole ka hahau ma mua, e pale i ka hoʻi hou ʻana mai.
- Inā loaʻa iā ʻoe ka maʻi ʻaʻa coronary , ʻo ia hoʻi ua emi nā aʻa o kou puʻuwai.
- ʻAngina , ʻo ia hoʻi, inā loaʻa iā ʻoe ka ʻeha o ka umauma.
- ʻO ka maʻi ʻaʻa koko peripheral , ʻo ia hoʻi ua ālai ʻia nā aʻa koko e alakaʻi ana i nā lālā.
- Inā he mau ʻano hana ʻole kou e like me ka atrial fibrillation .
- Inā ua loaʻa iā ʻoe ke ʻoki bypass (Coronary Artery Bypass) .
- Inā ua loaʻa iā ʻoe ka angioplasty , ʻo ia hoʻi, inā ua kau ʻia kahi stent i loko o kou mau aa.
- Inā ua hana ʻia ʻoe i ke ʻoki ʻana i ka valve o ka puʻuwai.
Nā mea e pono ai ʻoe e hoʻomaopopo i ka wā e hoʻohana ai i nā lāʻau antiplatelet
Pehea e lawe ai i ka lāʻau lapaʻau
Lawe ʻia ka hapa nui o nā lāʻau antiplatelet ma ke ʻano he mau pila. I nā hihia kūikawā wale nō e hoʻohana ʻia ai nā lāʻau lapaʻau intravenous. Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole ka heartburn i ka wā e lawe ana i nā pila, ʻoi aku ka maikaʻi o ka lawe ʻana i ka lāʻau me ka ʻai.
ʻO ka mea nui loa: Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia ke hoʻomanaʻo ʻoe. Eia nō naʻe, inā kokoke loa ia i kāu lāʻau lapaʻau aʻe (e laʻa, he mau hola wale nō), e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi no kekahi kumu. Eia kekahi, mai ho'ōki i ka lawe ʻana i kekahi o kēia mau lāʻau lapaʻau (me ka aspirin) me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke hana koke i kahi ʻūlū koko a loaʻa nā hopena weliweli.
Nā pilikia a me nā hopena ʻaoʻao
ʻO ka pilikia nui o kēia mau lāʻau lapaʻau, ʻo ia ke kahe nui ʻana o ke koko. ʻO kēia no ka mea pale kēia mau lāʻau lapaʻau i nā ʻōpū koko i makemake ʻole ʻia mai ka hana ʻana i loko o nā aʻa koko, a hoʻopaneʻe pū lākou i ka hana ʻana o ke ʻōpū koko e pono ai e hoʻōki i ke kahe ʻana o ke koko ke hana ʻia kahi ʻeha.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao i ʻike pinepine ʻia | |
| Ke polū nei me kahi palapū liʻiliʻi | ʻIke maʻalahi nā palapū ma nā ʻāpana like ʻole o ke kino. |
| Kahe ke koko | He kahe iki o ke koko ihu me ke kumu ʻole. |
| Ke kahe koko mai kahi ʻeha | Ke kahe koko e lōʻihi ana ka manawa e kū ai, ʻoiai mai kahi ʻeha liʻiliʻi. |
| Ka wā o ka wahine | Ke kahe nei ke koko ma mua o ka maʻamau. |
| Nā hōʻailona koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Koko i loko o ka mimi | Mimi ʻulaʻula, poni, a ʻeleʻele paha. |
| Koko i loko o ka ʻōpala | Nā noho ʻulaʻula a ʻulaʻula paha. |
| Ke luaʻi ʻana i ke koko | Ke ʻū ʻana i ke koko a i ʻole ka luaʻi ʻana i ke koko e like me ka lepo kofe. |
| ʻEha nui o ka ʻōpū | ʻEha koke, koʻikoʻi, a mau loa o ka ʻōpū. |
| He ʻūpā koko nui a palupalu | ʻO ke kūkulu ʻia ʻana o kahi ʻōpū koko nui a ʻano oval (hematoma) ma lalo o ka ʻili. |
Inā ʻike ʻoe i kekahi mau hōʻailona koʻikoʻi e like me kēia, e hele koke i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.
Nā pilina me nā lāʻau lapaʻau ʻē aʻe
I ka wā e lawe ai i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau antiplatelet a hoʻonui i ka pilikia o ke kahe ʻana o ke koko. No laila e hōʻoia e haʻi i kāu kauka e pili ana i kēia mau mea:
- Nā lāʻau lapaʻau no nā maʻi ʻē aʻe.
- Nā lāʻau lapaʻau e like me nā lāʻau ʻeha hiki iā ʻoe ke kūʻai mai ka hale kūʻai lāʻau me ke kauoha ʻole ʻia.
- Nā wikamina, nā minelala a i ʻole nā mea hoʻohui ʻē aʻe.
- ʻO ka mea nui, e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau Ayurvedic a Sinhala paha āu e lawe nei.
ʻO wai ka mea kūpono ʻole e lawe i kēia lāʻau lapaʻau?
ʻAʻole paha kūpono kekahi poʻe i kēia lāʻau lapaʻau. Na kāu kauka e hoʻoholo i kēia.
- ʻO ka poʻe i hoʻonohonoho ʻia e hana ʻoki kino a i ʻole e unuhi ʻia kahi niho i nā lā e hiki mai ana.
- 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 nā kānaka me nā maʻi koko e like me ka hemophilia.
- ʻO nā kānaka me nā maʻi puʻupaʻa a me ke akepaʻa koʻikoʻi.
- ʻO ka poʻe i loaʻa a i loaʻa paha i nā ʻōpū ʻōpū.
He ʻano lāʻau lapaʻau koʻikoʻi loa kēia e hiki ke kōkua i ka hoʻopakele ʻana i nā ola mai nā maʻi koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau. No laila, he mea nui loa e hahai pololei i nā ʻōlelo a kāu kauka a e makaʻala i nā pilikia e hiki mai ana.
Leka Lawe-Home
- He lāʻau koʻikoʻi loa ka lāʻau antiplatelet i hāʻawi ʻia e pale aku i nā maʻi hoʻoweliweli ola e like me ka hōʻeha puʻuwai a me nā hahau.
- Mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau a hoʻololi paha i ka dosage 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 e pale i ka hōʻeha ʻana i ka wā o nā hana o kēlā me kēia lā.
- Inā ʻike ʻoe i nā hōʻailona o ke kahe koko nui, e like me ke koko i loko o kou mimi a i ʻole ka ʻōpala, ka luaʻi ʻana i ke koko, a i ʻole ka ʻeha nui o ka ʻōpū, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau Ayurvedic āu e lawe nei.
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