Ke mālama ʻia nei ʻoe no kahi maʻi puʻuwai, a i ʻole ma mua o kahi ʻoki kino a i ʻole ke kaʻina hana (e like me ka angioplasty), hiki i kāu kauka ke hāʻawi iā ʻoe i kahi lāʻau lapaʻau kūikawā e pale aku i nā ʻūpā koko. ʻO Bivalirudin kekahi o ia mau lāʻau lapaʻau, i hāʻawi ʻia ma ke ʻano intravenous ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila wale nō. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau i kapa ʻia ʻo Bivalirudin, kāna hana, a me nā mea e pono ai mākou e makaʻala i ka wā e lawe ai.
He aha ke ʻano lāʻau lapaʻau ʻo Bivalirudin?
I ka ʻōlelo maʻalahi, ʻo Bivalirudin kahi lāʻau lapaʻau e pale ai i ke koko mai ka hoʻopili ʻana, a i ʻole e kōkua i ka mālama ʻana i ke koko lahilahi . Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he "anticoagulant". Hoʻohana nui ʻia ia e pale i ka hoʻokumu ʻia ʻana o nā clots koko i loko o nā kīʻaha koko.
E noʻonoʻo, i ka wā e kokoke ana kekahi e loaʻa i ka hāʻule puʻuwai a i ʻole e mālama ʻia ana no kahi kīʻaha koko i paʻa i loko o ka puʻuwai, inā hana ʻia kahi ʻūpā koko i loko o kēlā kīʻaha, hiki ke ʻoi aku ka ʻino o ke kūlana. ʻO ia ka manawa e hoʻohana ai nā kauka i kēia lāʻau. Hiki ke loaʻa ma ka mākeke ma lalo o nā inoa inoa e like me Angiomax.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i ka mālama ʻana me Bivalirudin, aia kekahi mau mea e pono ai ʻoe e haʻi aku i kāu hui lapaʻau. E hōʻoia e haʻi i kēia mau mea.
- Inā he mau maʻi kahe koko kou.
- Inā loaʻa iā ʻoe kekahi mau maʻi ʻaleka i ka bivalirudin a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana, a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā e hāʻawi iā ʻoe i kēia lāʻau lapaʻau a i ʻole, a inā pēlā, pehea e hāʻawi ai.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Ke noho ʻoe i loko o ka haukapila a i ʻole ke keʻena lapaʻau, hāʻawi ʻia ia ma ke ʻano he infusion i loko o kou aʻa e nā limahana lapaʻau i aʻo ʻia. No laila, aia nā mea āpau, me ka nui a me ka wikiwiki o ka lawelawe ʻana, ma lalo o kā lākou mana.
Pono ke akahele kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. Na kāu kauka e hoʻomaopopo iā ʻoe e pili ana i kēia.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, pono ʻoe e hoʻomaopopo koke i nā limahana o ka haukapila. Inā pono, e hoʻokaʻaʻike aku lākou i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo, a i ʻole ka Emergency Treatment Unit (ETU).Ke noi nei i ke kōkua.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, ʻoiaʻiʻo nō. No ka mea, he mea hoʻokahe koko ka bivalirudin, ʻoi aku ka nui o ka pilikia o ke kahe ʻana o ke koko inā lawe ʻia me nā mea hoʻokahe koko ʻē aʻe . No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora a me nā lāʻau lapaʻau lāʻau.
Hiki i ka Bivalirudin ke launa pū me nā lāʻau lapaʻau ma lalo nei:
- Nā lāʻau hoʻokahe koko (e.g. heparin)
- Nā lāʻau hoʻokahe koko e like me Warfarin
- ʻO Mifepristone
- ʻO nā lāʻau hoʻokahe koko ʻē aʻe e like me Abciximab, Clopidogrel, Eptifibatide, Tirofiban
- Nā lāʻau hoʻomaha ʻeha (NSAID) e like me Ibuprofen a me Diclofenac
ʻAʻole i piha kēia papa inoa, no laila he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ana i ka lāʻau lapaʻau
E mālama mau ʻia ʻoe e ke kauka i ka wā e lawe ana i kēia lāʻau. Eia kekahi, e makaʻala i kēia mau mea.
- E pale i nā ʻeha: E pale i nā haʻuki a me nā hana e hiki ai ke hāʻule a me nā ʻeha. ʻO ka hāʻule nui a i ʻole ka ʻeha paha e hiki ai ke kahe koko i loko e ʻike ʻole ʻia.
- Akahele: E akahele loa i ka hoʻohana ʻana i nā mea hana ʻoi a me nā pahi. Inā ʻoe e kahi ana, ʻoi aku ka palekana o ka hoʻohana ʻana i ka pahi ʻumiʻumi uila.
- Nā Niho a me nā ʻĀʻī: I ka palaki ʻana a me ka flossing, e palaki mālie. E makaʻala i ʻole e kahe ke koko o kou ʻāʻī.
- Nā hoʻokolohua lapaʻau: E noi pinepine kāu kauka iā ʻoe e hana i nā hoʻokolohua koko. E hana iā lākou i ka manawa kūpono.
- ʻO nā ʻoki kino ʻē aʻe: Inā ʻoe e hana nei i kekahi ʻoki kino ʻē aʻe a i ʻole ka unuhi ʻana i ka niho, e hōʻoia e haʻi i ke kauka e lawe ana ʻoe iā Bivalirudin.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka Bivalirudin ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo nā mea ʻē aʻe he mea maʻamau. E aʻo hou e pili ana iā lākou ma ka papa ma lalo nei.
| ʻAno o ka hopena ʻaoʻao | Nā hiʻohiʻona āu e pono ai e ʻike |
|---|---|
| Nā mea e haʻi koke aku ai i kāu kauka a kahu maʻi paha | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā Hōʻailona o ke Koko ʻana | ʻEleʻele a ʻeleʻele paha ka lepo; mimi ʻulaʻula a ʻeleʻele paha; luaʻi ʻana i ke koko a i ʻole kekahi mea e like me ke kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻano ʻē mai ka ihu, nā ʻāʻī, a i ʻole nā maka; ke kahe koko ʻaʻole e pau, ʻoiai mai kahi ʻoki liʻiliʻi. |
| Nā Hōʻailona o ke Koko Paʻa | ʻEha ka umauma; paʻakikī ka hanu ʻana; ʻeha, pehu, a i ʻole kahi manaʻo mehana ma ka wāwae. |
| 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; mae koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae; paʻakikī i ka hele wāwae; poniuniu. |
| Nā mea e haʻi aku i ke kauka inā hoʻomau lākou | |
| ʻEha ma kahi i hoʻokomo ʻia | ʻEha, ʻulaʻula, a pehu iki paha ma kahi i inikini ʻia. |
Leka Lawe-Home
- He lāʻau ikaika ʻo Bivalirudin e pale ai i nā ʻūpā koko. Hāʻawi wale ʻia ia ma ka haukapila, ma lalo o ka nānā ʻana a ke kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, nā maʻi allergies, a me nā lāʻau lapaʻau āpau āu e lawe nei.
- ʻOiai e loaʻa ana kēia lāʻau lapaʻau, e pale loa i nā hana e hiki ai ke hōʻeha.
- Inā ʻike ʻoe i ke kahe koko ʻē, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole nā hōʻailona o ka hahau ʻana, e hoʻomaopopo koke i nā limahana lapaʻau.
- E hoʻomanaʻo ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hana ʻia nā mea āpau ma ka haukapila.
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