Ua kuhikuhi anei kāu kauka i kahi lāʻau lapaʻau kūikawā e pale aku i nā ʻōpū koko no kekahi o kou ʻohana, a i ʻole ʻo ʻoe paha? Hiki ke lilo i lāʻau i kapa ʻia ʻo Apixaban. He lāʻau lapaʻau koʻikoʻi loa kēia e hōʻemi ana i ka pilikia o ka hahau ʻana, hiki ke hana pinepine ʻia e kekahi mau loli i ka puʻuwai puʻuwai (Atrial Fibrillation), pale i ke kūkulu ʻia ʻana o nā ʻōpū koko i loko o ke kino, a hoʻoheheʻe i nā ʻōpū koko i hana ʻia. Akā aia kekahi mau mea e pono ai mākou e makaʻala loa i ka wā e hoʻohana ai i kēia lāʻau lapaʻau. No laila, i kēia lā e kamaʻilio mākou e pili ana i nā mea āu e pono ai e ʻike e pili ana i kēia Apixaban.
I ka ʻōlelo maʻalahi, he aha ʻo Apixaban?
He lāʻau hoʻokahe koko ʻo Apixaban. Loaʻa pinepine ia ma ko mākou ʻāina ma lalo o ka inoa inoa ʻo Eliquis. ʻO kāna hana nui ka pale ʻana i ka hoʻokumu ʻia ʻana o nā ʻōpū koko i makemake ʻole ʻia i loko o ko mākou mau kīʻaha koko.
E noʻonoʻo i ko kākou mau kīʻaha koko e like me nā paipu e lawe ana i ka wai. E like me ka hiki ʻana o kahi paʻa i loko o kēia mau paipu ke ālai i ke kahe o ka wai, hiki i kahi ʻūpā koko ke ālai i ke kahe o ke koko. Inā paʻa kēia ʻūpā koko i loko o kahi aa koko e alakaʻi ana i ka lolo, hiki iā ia ke hana i kahi hahau. Inā paʻa ia i loko o kahi aa koko e alakaʻi ana i nā māmā, hiki nō hoʻi ke lilo i mea koʻikoʻi loa. No laila, ʻo ka mea a Apixaban e hana ai, ʻo ia ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o nā ʻūpā koko weliweli e like me kēia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka iā Apixaban, pono lākou e ʻike i kāu mōʻaukala olakino piha. No laila, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Nā pilikia kahe koko: Inā he pinepine kou kahe koko ihu, nā ʻāʻī kahe koko, a inā paha he ʻoki liʻiliʻi ka lōʻihi o ka manawa e hoʻōki ai i ke kahe koko.
- ʻO ka Antiphospholipid Syndrome (APS): He kūlana kēia e hoʻonui ai i ka pilikia o nā ʻūpā koko.
- Inā kokoke ʻoe e hana ʻia i ke ʻoki kino, kahi epidural, a i ʻole kahi spinal tap: He mea nui e makaʻala i kēia lāʻau lapaʻau no ka mea ʻoi aku ka nui o ka pilikia o ke kahe ʻana o ke koko i ka wā o kēia mau kaʻina hana.
- Maʻi puʻupaʻa: Inā ʻaʻole hana pono kou mau puʻupaʻa, pono paha e hoʻololi i kāu lāʻau lapaʻau.
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Inā he kiwikā puʻuwai prosthetic kou.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka apixaban a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a kala paha.
- Inā hāpai ʻoe a i ʻole e kali ana i kahi keiki.
- Inā he makuahine ʻoe e hānai waiū ana.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a, inā pēlā, he aha ka nui e hāʻawi ai.
Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea maʻalahi loa kēia, akā he mea nui loa.
1. E lawe e like me ke kauoha a kāu kauka: E lawe i ka nui a me ka manawa a kāu kauka e haʻi aku ai iā ʻoe e lawe. ʻO ka maʻamau, haʻi lākou iā ʻoe e lawe i ʻelua manawa i ka lā.
2. E lawe i ka manawa like i kēlā me kēia lā: E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, i ka hiki. Inā ʻoe e hoʻonohonoho i kahi manawa e like me 8am a me 8pm, ʻaʻole ʻoe e poina.
3. Ma mua a ma hope paha o ka ʻai ʻana: Hiki ke lawe ʻia kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
4. Mai hōʻalo i ka lāʻau lapaʻau: ʻO kēia ka mea nui loa. Inā ʻoe e poina i kahi mahele o ka lāʻau lapaʻau, hiki ke piʻi koke kou pilikia o ke koko.
Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui nui ai i ka pilikia o ka loaʻa ʻana o ka hahau a i ʻole ka loaʻa ʻana o kahi ʻūpā koko weliweli.
Inā hāʻawi ʻia i nā keiki liʻiliʻi:
Inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ʻōpio, e hoʻoholo ke kauka i ka nui o ka lāʻau ma muli o ke kaumaha o ke keiki. I ka ulu ʻana o ke keiki a me ka piʻi ʻana o ke kaumaha, pono paha e hoʻololi ʻia ka nui o ka lāʻau. No laila, he mea nui e hoʻomau i ka launa pū ʻana me ke kauka.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. 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 lāʻau i ka manawa hoʻokahi, ʻo ia hoʻi, he lāʻau pālua.
Inā luaʻi ke keiki i loko o 30 mau minuke o ka lawe ʻana i ka lāʻau lapaʻau, e hāʻawi hou i ka nui like. Inā luaʻi ke keiki ma hope o 30 mau minuke, mai hāʻawi hou i kahi nui. E hāʻawi i ka nui maʻamau i ka manawa i hoʻonohonoho ʻia aʻe. Inā hoʻomau ke keiki i ka luaʻi, e kāhea i ke kauka.
He aha nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Apixaban?
He ʻāpana koʻikoʻi loa kēia. He lāʻau lapaʻau ʻo Apixaban e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau).
Aia ma ka papa ma lalo nei kekahi o nā lāʻau lapaʻau nui e hiki ke launa pū me Apixaban.
| ʻAno lāʻau lapaʻau | Ka wehewehe a me nā laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe ʻia | Nā lāʻau lapaʻau e like me Defibrotide, Factor X, a me Mifepristone. E ʻike kāu kauka i kēia mau mea. |
| Nā lāʻau hoʻopau ʻeha | ʻO ka ʻAspirin a me nā NSAID (e.g., Ibuprofen, Naproxen, Diclofenac). Hoʻonui kēia i ka pilikia o ke kahe ʻana o ke koko. |
| Nā lāʻau hoʻokahe koko ʻē aʻe | Pono ʻoe e makaʻala loa i ka wā e hoʻohana pū ʻia ai me nā lāʻau hoʻokahe koko ʻē aʻe e like me Clopidogrel, Warfarin, Heparin, a me Enoxaparin. |
| Lāʻau lapaʻau no ke kaumaha | Nā lāʻau lapaʻau i kapa ʻia ʻo SSRIs (e.g. Sertraline, Fluoxetine) a me SNRIs (e.g. Venlafaxine, Duloxetine). |
| Nā lāʻau lapaʻau ʻē aʻe | Hiki i nā lāʻau lapaʻau e like me nā antifungals (e.g. Ketoconazole), nā lāʻau lapaʻau epilepsy (e.g. Carbamazepine, Phenytoin), Rifampin, a me Ritonavir ke hoʻopilikia i kēia. |
ʻAʻole i piha kēia papa inoa, no laila inā ʻoe e hoʻomaka ana i kahi lāʻau lapaʻau hou, e nīnau i kāu kauka inā maikaʻi ke lawe pū me Apixaban.
Nā mea e pono ai ʻoe e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e hana i kekahi mau hoʻololi liʻiliʻi i kou nohona i ka wā e lawe ana iā Apixaban. No kou palekana kēia.
- E noho mamao aku mai nā mea e hiki ai ke hōʻeha: ʻOiai e hoʻomāmā i ke koko, hiki i kahi ʻoki liʻiliʻi ke hoʻokahe nui i ke koko. No laila, e akahele loa e pili ana i nā haʻuki e pili ana i nā leo nui a me nā hana e hiki ai ke hāʻule.
- E akahele i ka hoʻohana ʻana i nā mea ʻoi: E akahele loa i ka ʻoki ʻana i nā mea kanu a me ka kahi ʻana. E hoʻohana i ka pahi ʻumiʻumi uila inā hiki.
- E akahele i ka palaki ʻana i kou mau niho: Mai palaki ikaika i kou mau niho. E hoʻohana i kahi palaki niho palupalu. E makaʻala i ʻole e hōʻeha i kou mau ʻāʻī i ka wā e hoʻohana ai i ka floss.
- E hoʻomaopopo ma mua o kekahi hana ʻoki kino: Ma mua o ka hana ʻana i kahi mea liʻiliʻi e like me ka unuhi ʻana i ka niho, pono ʻoe e haʻi i ke kauka e lawe ana ʻoe iā Apixaban.
- E komo i kahi ID lapaʻau: ʻO ka lawe ʻana i kahi kūpeʻe lima ID lapaʻau a i ʻole kāleka e ʻōlelo ana e lawe ana ʻoe iā Apixaban hiki ke lilo i mea nui loa i ka wā pilikia.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Apixaban ke hoʻoulu i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, ʻaʻole koʻikoʻi kekahi. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau hōʻailona a hana koke inā ʻike ʻoe i kekahi mau hōʻailona koʻikoʻi.
| ʻAno o ka hopena ʻaoʻao | Nā hiʻohiʻona e makaʻala ai |
|---|---|
| Nā hōʻailona e pono e hōʻike koke i kāu kauka | |
| Nā hōʻailona o ke kahe ʻana o ke koko |
|
| Ke kahe ʻana o ke koko i loko o ka lolo | ʻEha poʻo nui, ʻoʻoleʻa o ka ʻāʻī, huikau, loli o ka ʻike, mae a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, paʻakikī ke ʻōlelo. |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| No nā wāhine | Ka nui o ke kahe koko i ka wā o ka menstruation. |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| ʻĒ aʻe | ʻEha poʻo, luaʻi. |
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku.
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius). E pale mai ka wela nui a me ka makū.
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
I ke kiola ʻana i nā lāʻau lapaʻau i pau ka lā a i ʻole nā lāʻau lapaʻau ʻaʻole pono hou, e nānā i nā kuhikuhi ma ka pūʻolo lāʻau lapaʻau e ʻike ai inā palekana lākou e hoʻolei aku. Inā kānalua ʻoe, e nīnau i kāu kauka. Inā ʻoe e hoʻolei aku ana iā lākou, e lawe i nā pila mai loko mai o ka pahu, e kāwili iā lākou me kahi mea e like me nā lau kī i hoʻohana ʻia a i ʻole nā mea i kāwili ʻia me ke kope, e hoʻokomo i loko o kahi ʻeke, e sila iā ia, a hoʻolei aku.
Leka Lawe-Home
- Mai ho'ōki i ka lawe ʻana iā Apixaban me ke aʻo ʻole a kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui nui ai i kou pilikia o ka hahau ʻana a i ʻole nā ʻōpū koko.
- E lawe i ka mahele i kuhikuhi ʻia i ka manawa like i kēlā me kēia lā. Mai hōʻalo i kahi mahele.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā mea hoʻomaha ʻeha a me nā huaora).
- Inā ʻike ʻoe i kekahi kahe koko ʻē (nā ʻōpala ʻeleʻele, ka palapū nui, ke kahe koko e pau ʻole), e ʻimi koke i ke kōkua lapaʻau.
- E hōʻalo i nā hana e hiki ai ke hōʻeha i ka hiki.
- He mea nui e hoʻomaopopo i ke kauka pili e lawe ana ʻoe iā Apixaban ma mua o kekahi ʻoki kino a i ʻole ka unuhi ʻana i nā niho.
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