Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau hoʻokahe koko a i ʻole lāʻau pale koko? ʻO Betrixaban paha ka inoa o ka lāʻau. He nui ka poʻe e makaʻu iki i ka lohe ʻana e pili ana i kēia ʻano lāʻau. Akā ke aʻo ʻoe i nā kikoʻī e pili ana i ia mea, e ʻike ʻoe ʻaʻole pono kēlā makaʻu. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau i kapa ʻia ʻo Betrixaban me ka maʻalahi a me ka maopopo.
He aha maoli ka Betrixaban?
I ka ʻōlelo maʻalahi, ʻo Betrixaban kahi lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko, a i ʻole ma kā mākou ʻōlelo, "e hoʻomāmā ana i ke koko." Ma nā ʻōlelo lapaʻau, kapa mākou i kēia papa o nā lāʻau lapaʻau he anticoagulants . ʻO ke kumu nui o kēia, ʻo ia ke kāohi i ka hoʻokumu ʻia ʻana o nā ʻōpū koko pono ʻole i loko o ko mākou kino, inā paha ma nā aa koko a i ʻole ma nā māmā. He lāʻau lapaʻau kēia e kōkua nui ana i ka hoʻopakele ʻana i nā ola.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha. No ka mea he lāʻau lapaʻau kēia e hoʻopilikia pololei ana i ke koko, hiki ke lilo i mea weliweli ke hoʻohana ʻana me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, pono ʻoe e haʻi i kāu kauka.
| Loaʻa iā ʻoe kēia mau kūlana? | He wehewehe maʻalahi |
|---|---|
| ʻO ka maʻi antibody antiphospholipid | He kūlana kēia e pili ana i ka ʻōnaehana pale kino. |
| Nā maʻi koko | Nā kūlana e pale ai i ke koko mai ka maʻalahi ʻana o ke kāpili ʻana, ma ke ʻano he hōʻailona hānau a ma hope paha. |
| Inā he kahe koko i loko o ka lolo | Ma mua, ua like ia me kahi kīʻaha koko i loko o ka lolo e pohā ana. |
| Ke koko i loko o ka ʻōpala a i ʻole me ka luaʻi ʻana | ʻEleʻele (tarry) a ʻulaʻula paha ka lepo, ka luaʻi ʻana i ke koko a i ʻole ka lepo kofe. |
| Inā he kahe koko o ka ʻōpū | Ke kahe koko ma mua ma muli o nā ʻōpū ʻōpū. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Inā he hana maikaʻi ʻole kou i nā puʻupaʻa a i ʻole ke akepaʻa. |
| Kiwikā puʻuwai mīkini | Inā ua hoʻokomo ʻia kahi kiwikā hana i loko o ka puʻuwai. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe iā Betrixaban a i ʻole kekahi mau lāʻau lapaʻau a meaʻai paha ʻē aʻe. |
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He pila kēia āu e lawe ai ma ka waha. E lawe me ke aniani wai. ʻO ka mea nui loa, ʻo ia ka lawe ʻana me ka ʻai. E lawe i ka manawa kūpono, e like me ka ʻōlelo a kāu kauka iā ʻoe. Mai lawe ʻoe ma mua o ka helu i kuhikuhi ʻia i ka lā.
Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui ai i kou pilikia o ke kāpili ʻana o ke koko. Eia kekahi, mai poina e hoʻopiha hou i kāu lāʻau lapaʻau ma mua o ka pau ʻana.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio, pono ʻoe e kamaʻilio me ke kauka pediatric e pili ana i ia mea. Pono paha ka mālama kūikawā.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻokaʻulua. 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 pālua i ka lāʻau.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me Betrixaban, no laila he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
- He lāʻau lapaʻau maikaʻi ʻole loa ke lawe ʻia: E pale i ka lawe ʻana i ka lāʻau lapaʻau 'defibrotide' me kēia.
- Nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻopilikia: Inā ʻoe e hoʻohana nei i nā lāʻau lapaʻau aʻe, e hoʻomaopopo i kāu kauka.
| ʻAno lāʻau lapaʻau | Kūlana hoʻohana |
|---|---|
| ʻAspirin a me nā lāʻau lapaʻau like | No nā mea hōʻeha ʻeha a me nā maʻi puʻuwai |
| Nā lāʻau hoʻokahe koko ʻē aʻe | Ex: Warfarin, enoxaparin, dalteparin |
| Nā NSAID (nā lāʻau hoʻopau ʻeha) | E laʻa: Ibuprofen, Naproxen, Diclofenac |
| Nā lāʻau lapaʻau no ke kaumaha (SSRIs/SNRIs) | Laʻana: Citalopram, Fluoxetine, Duloxetine |
| ʻO kekahi mau antibiotics a me nā antifungals | ʻO kahi laʻana: Azithromycin, Clarithromycin, Ketoconazole |
| ʻAmiodarone, Verapamil | No ka maʻi puʻuwai a me ke koko kiʻekiʻe |
ʻAʻole piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe nei. Eia kekahi, e haʻi iā lākou inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
Aia kahi piʻi iki o ka pilikia o ke kahe ʻana o ke koko i ka wā e lawe ai i kēia lāʻau lapaʻau, no laila he mea nui loa ia e akahele iki.
- E pale i nā haʻuki a me nā hana e hiki ai ke hōʻeha. Hiki i ka hāʻule nui ke hoʻoulu i ke kahe koko i loko e ʻike ʻole ʻia.
- E akahele loa i ka hoʻohana ʻana i nā mea ʻoi e like me nā pahi a me nā ʻokiʻoki. Inā ʻoe e kahi ana, ʻoi aku ka palekana o ka hoʻohana ʻana i ka pahi ʻumiʻumi uila.
- E akahai i ka palaki ʻana a me ka flossing. E nānā inā he kahe ke koko o nā ʻāʻī.
- Inā loaʻa iā ʻoe kekahi mau palapū a i ʻole nā kiko ʻulaʻula ma kou kino, e haʻi koke aku i kāu kauka.
- Inā e hana ʻia ʻoe i ke ʻoki kino a i ʻole e unuhi ʻia kahi niho, pono ʻoe e haʻi aku i ke kauka e lawe ana ʻoe i kēia lāʻau lapaʻau.
Nā hopena ʻaoʻao e hiki mai ana ma muli o kēia lāʻau lapaʻau
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā hōʻailona koko | Koko i loko o ka ʻōpala (ʻeleʻele/lohi), mimi ʻulaʻula/ʻeleʻele ʻeleʻele, luaʻi ʻana i ka lepo kofe, ke kahe koko ʻokoʻa mai nā maka, nā ʻāʻī, a i ʻole ka ihu. |
| Nā hōʻailona o ke koko koko | ʻEha ka umauma, ka hanu pōkole, ka ʻeha o ka wāwae, ka pehu ʻana, a i ʻole ka 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 nui, maneʻo koke a nāwaliwali paha ma ka maka, ka lima a i ʻole ka wāwae. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Paʻa ka ʻōpū, pehu, nausea. |
| ʻEha poʻo | ʻEha iki ka ʻeha. |
Leka Lawe-Home
- He lāʻau anticoagulant ʻo Betrixaban. E lawe me ka meaʻai e like me ke kuhikuhi a kāu kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino, e like me ke kahe koko ʻole, ka ʻeha ʻana, a i ʻole ka ʻeha poʻo nui, e ʻimi koke i ke kōkua lapaʻau.
- ʻOiai e lawe ana i kēia lāʻau lapaʻau, e makaʻala loa i ka hana ʻana i nā hana e hiki ai ke hōʻeha.
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