Ua lohe paha ʻoe a i ʻole kekahi āu i ʻike ai i ka hāʻawi ʻia ʻana o kahi lāʻau lapaʻau e 'hoʻomāmā i ke koko' a pale aku paha i nā ʻūpā koko i ka wā ma ka haukapila. ʻO Argatroban kekahi o ia mau lāʻau lapaʻau, kahi lāʻau lapaʻau kūikawā i hoʻokomo ʻia i loko o kahi aa. ʻAʻole kēia he mea āu e kūʻai mau ai mai kahi hale kūʻai lāʻau lapaʻau, akā hāʻawi ʻia ma kahi haukapila ma lalo o ka nānā pololei ʻana a ke kauka. No laila, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī hou aku.
He aha maoli ʻo Argatroban?
I ka ʻōlelo maʻalahi, ʻo Argatroban kahi lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko. Kāhea nā kauka i kēia papa o nā lāʻau lapaʻau he anticoagulants . Hoʻohana nui ʻia kēia lāʻau lapaʻau ma nā haukapila e hoʻōki i ke kūkulu ʻia ʻana o nā clots koko i makemake ʻole ʻia i loko o nā kīʻaha koko o ko mākou kino a e pale i nā pilikia koʻikoʻi e hiki ke kū mai ma muli o nā clots koko i hana mua ʻia.
Nā mea e haʻi aku i kāu kauka ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau
He mea nui loa e ʻike kāu kauka i kou mōʻaukala olakino piha ma mua o ka hoʻoholo ʻana e kuhikuhi i kēia lāʻau. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā he maʻi kahe koko kou a i ʻole hemophilia.
- Inā he koko kiʻekiʻe kou.
- Inā he maʻi kou i ke akepaʻa.
- Inā ua loaʻa iā ʻoe kahi inikini i loko o ka iwi kuamoʻo (e like me ka lumbar puncture a i ʻole ka spinal anesthesia).
- Inā ua hana ʻia ʻoe i kahi ʻoki kino i hala koke nei a i ʻole i loko o kahi ulia koʻikoʻi.
- Inā he ʻōpū a ʻōpū paha kou.
- Inā nāwaliwali a paʻa ʻole paha nā kīʻaha koko o ke kino.
- Inā he maʻi ʻaleka kou i Argatroban a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe, a i ʻole ke manaʻolana nei e hāpai koke.
- Inā he makuahine hānai waiū ʻoe.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. ʻO Argatroban kahi infusion intravenous (infusion) i hāʻawi ʻia e nā limahana lapaʻau i aʻo ʻia ma kahi haukapila, e like me ka saline. No laila ke kāohi pono nei lākou i nā mea āpau, me ka nui o ka lāʻau a me ka wikiwiki o ka hāʻawi ʻana.
ʻO ka mea nui loa, he lāʻau lapaʻau kēia i hāʻawi wale ʻia ma kahi haukapila e kekahi loea lapaʻau, no laila ʻaʻole pono ʻoe e makaʻu pono ʻole iā ia.
Pono paha ka mālama kūikawā inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ʻōpio. E kamaʻilio me kāu kauka no ka ʻike hou aku.
He aha inā e piʻi aʻe ka nui o ka lāʻau?
Hāʻawi ʻia kēia ma lalo o ka nānā pono ʻana ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā hana ʻia kekahi mea e like me kēia a i ʻole he kānalua kāu, e hoʻomaopopo koke i nā limahana lapaʻau. Inā makemake ʻoe i ka ʻōlelo aʻoaʻo, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . He mea nui hoʻi e hoʻomaopopo i ka Emergency Treatment Unit (`ETU`) o ka haukapila.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hana me Argatroban a hoʻoulu i nā pilikia.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe ʻia | mifepristone |
| Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū (hoʻonui i ka pilikia o ke kahe ʻana o ke koko) |
|
ʻAʻole i piha kēia papa inoa, no laila e haʻi pono i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
E nānā pono kāu kauka i kou kūlana i kou wā e lawe ana i kēia lāʻau lapaʻau. Pono paha ʻoe e hana i nā hoʻāʻo koko maʻamau ('hana koko'). Eia kekahi, pono ʻoe e makaʻala i kēia mau mea:
- E pale i nā ʻeha: Aia kahi pilikia kiʻekiʻe o ke kahe ʻana o ke koko ma mua o ka maʻamau i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, e noho mamao mai nā haʻuki a me nā hana e hiki ai ke hāʻule a me nā ʻeha.
- E hana pono: E noʻonoʻo pono i ka wā e hoʻohana ai i nā mea ʻoi, e like me nā pahi. Inā ʻoe e kahi ana, ʻoi aku ka palekana o ka hoʻohana ʻana i ka pahi ʻumiʻumi uila.
- Ola kino niho:E makaʻala inā e kahe ke koko o kou ʻāʻī i ka wā e palaki ai a i ʻole e hoʻohana ana i ka floss. Inā hana kēia, e haʻi koke aku i kāu kahu hānai a kauka paha.
- E hōʻike i nā mea āpau: E hoʻomaopopo i kāu hui lapaʻau e pili ana i ka ʻeha iki loa, ka palapū, a i ʻole kahi ʻulaʻula āu.
- Ma mua o ke ʻoki kino: Inā ua hoʻonohonoho ʻia ʻoe e hana i kekahi ʻoki kino, e hoʻomaopopo pono i kāu kauka ʻoki kino e lawe ana ʻoe iā Argatroban.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Argatroban ke hana i kekahi mau hopena ʻaoʻao. Hiki i kekahi o kēia mau mea ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā hōʻailona |
|---|---|
| Nā hopena ʻaoʻao e pono ai ʻoe e hōʻike koke i kāu kauka a kahu maʻi paha: | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā hōʻailona koko | - Ke koko i loko o ka noho a i ʻole nā noho ʻeleʻele ʻala. - Mimi ʻulaʻula a ʻeleʻele paha. - Ka luaʻi ʻana i kahi mea e like me ke kofe lepo a i ʻole ka luaʻi ʻana i ke koko. - Ke kahe koko maʻamau ʻole mai ka ihu, nā ʻāʻī, a i ʻole nā maka. - Nā palapū ʻē a i ʻole nā kiko ʻulaʻula ma ka ʻili. |
| Nā Hōʻailona o ke Koko Paʻa | ʻEha ka umauma, paʻakikī ka hanu ʻana, ʻeha ka wāwae, pehu ʻana, a i ʻole ka manaʻo mehana. |
| Nā Hōʻailona o ka Stroke | Nā loli o ka ʻike, huikau, paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana, ʻeha poʻo koʻikoʻi koke, mae koke a nāwaliwali paha o ka maka, lima a wāwae paha, paʻakikī i ka hele wāwae, poniuniu. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia ma ka wahi injection | ʻEha, ʻulaʻula, a pehu iki paha ma kahi i hoʻokomo ʻia ai ka lāʻau lapaʻau. |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Argatroban i hāʻawi wale ʻia ma ka haukapila, ma lalo o ka mākaʻikaʻi lapaʻau, e pale ai i nā ʻūpā koko.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui e haʻi aku i kāu kauka e pili ana i kou mau kūlana olakino āpau, ʻoiai nā pilikia koko, nā maʻi allergies, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hōʻalo i nā hana e hiki ai ke hōʻeha i ka wā e lawe ana i kēia lāʻau. E hoʻomaopopo koke i kāu hui lapaʻau i kekahi ʻeha liʻiliʻi a i ʻole ke kahe koko.
- E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona o ke kahe koko ʻē (nā ʻōpala ʻeleʻele, ka mimi ʻulaʻula), nā hōʻailona o ka hahau ʻana (hanu koke, paʻakikī i ka ʻōlelo ʻana), a i ʻole nā hōʻailona o ka maʻi allergies.
- ʻOiai ke hana ʻia nei kēia lāʻau lapaʻau ma lalo o ka mākaʻikaʻi lapaʻau koʻikoʻi, he mea nui e makaʻu ʻole, akā e makaʻala i nā loli e kū mai ana.
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