Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Clopidogrel? Ua ʻike paha ʻoe iā ia ma ka inoa inoa ʻo Plavix. He lāʻau lapaʻau koʻikoʻi loa kēia i hoʻohana ʻia e pale aku i nā hōʻeha puʻuwai, nā hahau, a me nā ʻōpū koko i loko o nā kīʻaha koko. I ka ʻōlelo maʻalahi, ke kāohi nei ia i nā platelets i loko o ko kākou koko mai ka pipili pū ʻana, ka hui pū ʻana, a me ka hana ʻana i kahi ʻōpū koko. E like me nā kaʻa i paʻa pū i loko o kahi kaʻa ma ke alanui, he mea weliweli loa ka ʻōpū koko i loko o kahi kīʻaha koko. No laila, hoʻemi kēia lāʻau lapaʻau i kēlā pilikia.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
Ma mua o ka hoʻomaka ʻana iā Clopidogrel, he mea nui loa ia e hāʻawi i kāu kauka i kahi kiʻi piha o kou olakino. He mea nui loa ia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| Ke kūlana āu e pono ai e hōʻike | No ke aha he mea nui kēlā? |
|---|---|
| Nā maʻi kahe koko. | Hoʻonui kēia lāʻau lapaʻau i ka pilikia o ke kahe ʻana o ke koko, no laila hiki ke lilo i mea weliweli inā loaʻa iā ʻoe kēlā ʻano maʻi. |
| Inā he kahe koko i loko o ka lolo. | Pono nā kauka e noʻonoʻo pono i ka hāʻawi ʻana i kēia lāʻau i nā poʻe me kēia ʻano mōʻaukala. |
| Inā pono ʻoe e hana i ke ʻoki kino a i ʻole e unuhi ʻia nā niho i ka wā e hiki mai ana. | Hiki i kāu kauka ke aʻo aku iā ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau i kekahi mau lā ma mua o ke ʻoki ʻana. A i ʻole, e paʻakikī ke kāohi i ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana. |
| Inā ua loaʻa iā ʻoe kahi ʻeha ʻōpū ma mua i hoʻoulu ai i ke kahe koko (mōʻaukala o ke kahe koko ʻōpū). | Hiki i ka Clopidogrel ke hoʻonui i ka pilikia o ke kahe hou ʻana o ke koko mai nā ʻōpū ʻōpū. |
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. | I kēia mau hihia, pono ʻoe e kamaʻilio me kāu kauka e pili ana i nā hopena o ka lāʻau lapaʻau a hoʻoholo. |
| Inā he maʻi ʻaleka kou i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea ʻē aʻe. | He mea nui e ʻike inā he maʻi ʻoe iā Clopidogrel a i ʻole kekahi o kāna mau mea hoʻohui. |
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau, akā he mea nui loa e hahai pololei i nā kuhikuhi.
- E ale i ka papa me ke aniani wai. Mai kuʻi a nau paha i ka papa. E ale holoʻokoʻa.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a me ka ʻole. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Mai lawe ʻoe ma mua o ka mea a ke kauka e ʻōlelo ai.
- ʻO ka mea nui loa: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu me ka ʻole o ke kūkākūkā ʻana me kāu kauka. E hoʻomanaʻo, hoʻōki kekahi poʻe i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kā lākou kauka ma hope o ko lākou ʻoluʻolu. He mea weliweli loa kēia, no ka mea, hiki i kahi ʻūpā koko ke hana koke a hoʻolilo iā ia i mea paʻakikī hou. He mea weliweli loa kēia inā he stent kāu.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā loaʻa iā ʻoe kekahi kānalua ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha inā e hala wau i kahi lāʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i poina.
Nā lāʻau lapaʻau ʻaʻole pono e hoʻohana pū ʻia me Clopidogrel
He lāʻau lapaʻau ʻo Clopidogrel e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe. ʻO ke ʻano kēia, i ka wā e lawe ʻia ai me kekahi lāʻau lapaʻau ʻē aʻe, hiki ke hoʻemi ʻia a hoʻonui ʻia paha nā hopena o Clopidogrel, a i ʻole e hoʻonui ʻia paha nā hopena ʻaoʻao.
Mea nui: ʻAʻole pau kēia papa inoa.E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e hoʻohana ai, ʻaʻole wale nā mea i kauoha ʻia e kāu kauka, akā ʻo nā huaora, nā mea kanu, a me nā mea hoʻohui āu e lawe ai.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻē aʻe e pale ai i ke kāpili ʻana o ke koko | Warfarin, Aspirin (me ke kauoha ʻole ʻia e ke kauka) |
| ʻO kekahi mau lāʻau lapaʻau no ka ʻeha a me ka mumū (NSAIDs) | ʻO Ibuprofen, Naproxen, Diclofenac |
| ʻO kekahi mau lāʻau lapaʻau no ka gastritis (Proton Pump Inhibitors) | ʻO Omeprazole, Esomeprazole (hiki i kēia ke hōʻemi i ka pono o Clopidogrel) |
| Kekahi mau lāʻau lapaʻau no ke kaumaha (SSRIs/SNRIs) | ʻO Fluoxetine, Sertraline, Venlafaxine |
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Clopidogrel ke hana i nā hopena ʻaoʻao. ʻAʻole loaʻa i ka hapa nui o ka poʻe. Akā loaʻa i kekahi poʻe. He mea nui e makaʻala i kēia mau mea.
Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka
- Nā hopena maʻi: ka ʻili ʻana, ka ʻeha, ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu, ka paʻakikī o ka hanu ʻana.
- Ke kahe koko ʻano ʻē:
- Noho ʻeleʻele, ʻālohilohi.
- Mimi ʻulaʻula a ʻeleʻele paha.
- Ka luaʻi ʻana e like me ke ʻano o ka lepo kofe a i ʻole ka luaʻi ʻana i ke koko.
- ʻO ke ʻano o nā kiko paʻakikī (nā palapū) ma ka ʻili.
- Ka kahe pinepine ʻana o ke koko mai ka ihu a me nā ʻāʻī.
- He lōʻihi ka manawa e pau ai ke kahe ʻana o ke koko ma kahi ʻeha liʻiliʻi.
- He maʻi kakaikahi akā koʻikoʻi i kapa ʻia ʻo TTP (Thrombotic Thrombocytopenic Purpura):Nā kiko poni ma ka ʻili a i loko paha o ka waha, melemele o ka ʻili, melemele o nā keʻokeʻo o nā maka, luhi nui, kuni, puʻuwai wikiwiki, huikau, paʻakikī i ka ʻōlelo a i ʻole ka hele wāwae.
Nā hopena ʻaoʻao ʻaʻole ia he mea e hopohopo ai, akā pono e hōʻike ʻia i kāu kauka inā hoʻomau lākou
- Ka maʻi pākī
- ʻEha poʻo
- ʻeha ka ʻōpū
E makaʻala i nā hōʻailona hiki ke loaʻa i ka hahau!
Inā ʻike ʻoe i ka mae koke ʻana a i ʻole ka nāwaliwali ma kou maka, lima a wāwae paha, paʻakikī ke ʻōlelo, ʻōlelo ʻino, paʻakikī ke hele wāwae, loli ka ʻike, a i ʻole ke poʻo ʻeha nui i ka wā e lawe ana i kēia lāʻau lapaʻau, he hōʻailona paha kēia e ʻoi aku ka ʻino o kou kūlana. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
Nā Nīnau i Nīnau Pinepine ʻia
Ke hoʻoluhi nei ʻo Clopidogrel (Plavix) iā ʻoe?
ʻAe, hiki i kekahi poʻe ke manaʻo ua luhi a luhi hoʻi ma mua o ka maʻamau ma muli o kēia lāʻau lapaʻau. Inā he pilikia nui kēia nou, e kamaʻilio me kāu kauka. Akā, mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo a kāu kauka.
ʻEhia ka lōʻihi o ke ola ʻana o kēia lāʻau lapaʻau i loko o ke kino?
Ua emi ka nui o ka lāʻau i ka hapalua ma hope o 6 mau hola. Ua aneane pau loa ka lāʻau mai ke kino ma hope o hoʻokahi lā. Eia nō naʻe, hiki i ka hopena o ka lāʻau, ʻo ia hoʻi ka hopena ma nā platelets koko, ke mau no 5 mau lā. ʻO ia ke kumu e piʻi ai ka pilikia o ke kahe ʻana o ke koko ma hope o kekahi mau lā o ka hoʻōki ʻana i ka lāʻau.
He lāʻau anticoagulant anei ʻo Clopidogrel (Plavix)?
ʻAʻole pololei loa. He lāʻau antiplatelet kēia. Hana nā Anticoagulants (e.g. Warfarin) ma nā kumu ʻē aʻe i ke kaʻina hana koko. Hana ʻo Clopidogrel ma ka pale ʻana i nā platelets mai ka pipili ʻana a me ka hana ʻana i kahi clot. ʻOiai he ʻokoʻa nā ʻano hana, ʻo ka hopena hope loa o nā mea ʻelua, ʻo ia ka pale ʻana i ka hana ʻana o nā clots koko.
Leka Lawe-Home
- Mai ho'ōki i ka lawe ʻana iā Clopidogrel me ke aʻo ʻole a kāu kauka. He mea nui loa kēia inā ua hoʻokomo ʻia kahi stent iā ʻoe.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- Ma mua o ke ʻoki ʻana a i ʻole ka mālama niho, e haʻi i kāu kauka a kauka niho paha e lawe ana ʻoe iā Clopidogrel.
- Inā ʻike ʻoe i kekahi mau hōʻailona o ke kahe koko ʻē (nā ʻōpala ʻeleʻele, ka luaʻi e like me ke kofe, ka palapū ʻē), e ʻimi koke i ke kōkua lapaʻau.
- Ma muli o ka pilikia o ke kahe ʻana o ke koko, e akahele loa i ka hoʻohana ʻana i nā mea ʻoi e like me ka pahi ʻumiʻumi a e pale iā ʻoe iho mai ka hāʻule ʻana.
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