Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau e like me Pradaxa e pale aku i nā ʻūpā koko? A i ʻole ke hoʻohana nei kekahi lālā o ka ʻohana a i ʻole hoaaloha i kēia lāʻau lapaʻau? He lāʻau lapaʻau koʻikoʻi loa kēia e hiki ke hoʻōla maoli i nā ola. Akā i ka manawa like, aia kekahi mau mea e pono ai mākou e makaʻala loa i ka wā e hoʻohana ai. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, ʻo Dabigatran, kahi i ʻike wale ʻia ma ko mākou ʻāina ʻo Pradaxa.
He aha ka Dabigatran (Pradaxa)?
I ka ʻōlelo maʻalahi, he mea hoʻokahe koko kēia. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he "Anticoagulant". Loaʻa i ko mākou koko kahi waiwai clotting. ʻO ia ke kumu e pau ai ke kahe ʻana o ke koko ke loaʻa kahi ʻeha. Akā i kekahi manawa, hiki ke hana ʻia nā clots koko i loko o ke kino, i loko o nā aa koko. He kūlana weliweli kēia.
Hana ʻo Dabigatran ma ka pale ʻana i ke kūkulu ʻia ʻana o nā ʻōpū koko i makemake ʻole ʻia. Hoʻohana nui ʻia ia no:
- Kāohi i ka Hahau ʻana: E hōʻemi i ka pilikia o nā ʻūpā koko i loko o ka lolo a me ka hahau ʻana i nā poʻe maʻi me ka puʻuwai puʻuwai kūpono ʻole (Atrial Fibrillation).
- E mālama i nā ʻūpā koko: E hoʻoheheʻe i nā ʻūpā koko i hana ʻia i loko o nā māmā (Pulmonary Embolism) a i ʻole nā aʻa koko hohonu o nā wāwae (Deep Vein Thrombosis - DVT).
- Kāohi i nā ʻōpū koko: Hāʻawi ʻia kēia lāʻau lapaʻau e pale i nā ʻōpū koko mai ka hana hou ʻana ma hope o ke ʻoki ʻana, e like me ke pani ʻana o ka ʻūhā, a i ʻole i kekahi mea i loaʻa i kahi ʻōpū koko ma mua.
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 Dabigatran, he mea nui loa ia e ʻike ʻo ia i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| Kūlana olakino a i ʻole ka manawa kūpono | No ke aha ʻoe e mālama ai? |
|---|---|
| Nā maʻi koko | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko. |
| Inā he valve puʻuwai mechanical kou | ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau no ia mau maʻi. |
| Maʻi puʻupaʻa | Ma muli o ka hoʻopau ʻia ʻana o ka lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa, pono paha e hoʻoponopono ʻia ka nui. |
| Inā ua loaʻa iā ʻoe ke kahe koko o ka ʻōpū ma mua | Hiki ke hoʻonui ʻia ka pilikia o ke kahe hou ʻana o ke koko. |
| Inā ua loaʻa iā ʻoe i kēia manawa a kokoke paha e loaʻa i kahi kaʻina hana spinal a epidural paha | Aia kahi pilikia o ke kahe ʻana o ke koko i loko o ke kaula iwi kuamoʻo. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha | I kēia mau hihia, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka palekana o ka lāʻau lapaʻau. |
| Inā he maʻi ʻoe i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | He mea nui kēia e ʻike inā he maʻi āpau ʻoe i ka dabigatran. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
I mea e loaʻa ai ka hopena maikaʻi loa mai kēia lāʻau lapaʻau a pale aku i nā pilikia, he mea nui loa ia e hoʻohana pono.
ʻO ka mea nui loa: Mai uhaʻi, kuʻi, nau, a wehe paha i ke capsule a inu i nā mea o loko o kēia lāʻau lapaʻau no kekahi kumu. ʻO ka hana ʻana pēlā e hiki ai ke komo nui loa ka lāʻau lapaʻau i ke kino i ka manawa hoʻokahi, kahi e hiki ai ke kahe koko weliweli. Pono e ale ʻia ke capsule holoʻokoʻa.
- Pehea e lawe ai: E ale i ka lāʻau lapaʻau me ke aniani wai.
- ʻO ka lawe ʻana me ka meaʻai: Hiki ke lawe ʻia kēia ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā loaʻa iā ʻoe kekahi ʻeha o ka ʻōpū a i ʻole ka ʻeha ʻole, ʻo ka lawe ʻana i ka lāʻau lapaʻau me ka ʻai e kōkua paha i ka hōʻemi ʻana.
- Mai hōʻalo i nā lāʻau lapaʻau: E lawe i kāu lāʻau lapaʻau e like me ke kauoha, i ka manawa kūpono, a ma ke ʻano kūpono. ʻO ka hōʻalo ʻana i nā lāʻau lapaʻau a i ʻole ka hoʻōki ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka hiki ke hoʻonui koke i kou pilikia o ke koko a i ʻole ka hahau ʻana.
- Inā ʻaʻole ʻoe e ʻai i kahi meaʻai:Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā ʻaʻole i hala ma mua o 6 mau hola a hiki i 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 mau lāʻau i ka manawa hoʻokahi.
- Inā lawe nui ʻoe i kēia lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻonele i ka manawa a hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
Pono ʻoe e noʻonoʻo pono i kou palekana i ka wā e lawe ana i kēia lāʻau.
- E pale i nā ʻeha: E noho mamao aku mai nā haʻuki (e like me ka rugby, pôpeku) a me nā hana e hiki ai ke hōʻeha i ke kino. ʻOiai ka hāʻule iki ʻana hiki ke hoʻoulu i ke kahe koko nui i loko.
- Nā mea hana ʻoi: E noʻonoʻo ʻelua ma mua o ka hoʻohana ʻana i nā mea hana 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 ma kahi o ka pahi.
- Ka palaki ʻana i kou mau niho: E makaʻala ʻaʻole e hōʻeha i kou mau ʻāʻī i ka wā e palaki ai a me ka flossing.
- ʻOki kino: Inā e hana ʻia ʻoe i ke ʻoki kino a i ʻole e unuhi ʻia kahi niho, e hōʻoia e haʻi i kāu kauka a kauka niho paha e lawe ana ʻoe iā Dabigatran. E noi pinepine ʻia ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau i kekahi mau lā ma mua o ke ʻoki kino.
- Ke kipa ʻana i ke kauka: E kipa aku i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a ʻike i ke kauka. E nānā ʻo ia i kou kūlana a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Dabigatran ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe/alelo/maka, paʻakikī ke hanu. |
| Nā hōʻailona o ke kahe ʻana o ke koko | ʻEleʻele a koko paha ka lepo; mimi ʻulaʻula ʻeleʻele a ʻeleʻele paha; luaʻi ʻana i kahi mea e like me ke kofe lepo; kahe koko ʻano ʻē mai ka ihu, nā ʻāʻī, a i ʻole nā maka; nā palapū nui a i ʻole nā kiko ʻulaʻula ma ke kino; kahe koko hiki ʻole ke hoʻōki. |
| Nā Hōʻailona o ka Stroke | Nā loli koke o ka ʻike; ʻōlelo pahee, paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana; ʻeha poʻo nui; mae a nāwaliwali paha ma ka maka, ka lima a i ʻole ka wāwae; paʻakikī i ka hele wāwae, ka poniuniu. |
| Nā hōʻailona o ke koko koko | ʻEha ka umauma; paʻakikī ka hanu ʻana; ʻeha, pehu, a mehana paha i kahi wāwae (ʻoi aku ka wāwae lalo). |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i kāu kauka inā hoʻomau lākou | |
| ʻO ka ʻeha o ka ʻōpū | ʻEha ka ʻōpū, ka ʻai ʻole ʻana, ka nausea (hiki ke hoʻēmi ʻia kēia ma ka lawe ʻana i ka lāʻau lapaʻau me ka meaʻai). |
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Dabigatran
Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻaʻole wale nā mea i kuhikuhi ʻia e kāu kauka, akā, ʻo nā lāʻau ʻeha hoʻi i kūʻai ʻia ma luna o ke kauka, nā huaora, nā huahana lāʻau, a me nā lāʻau Sinhala. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Dabigatran a hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
Aia kekahi mau ʻano lāʻau lapaʻau nui e makaʻala ai:
- ʻO Aspirin a me nā lāʻau lapaʻau ʻē aʻe o kēia hui
- ʻO nā lāʻau hoʻokahe koko ʻē aʻe (e like me Warfarin, Heparin, Enoxaparin, Apixaban, Rivaroxaban)
- Nā lāʻau hoʻopau ʻeha (NSAID) (e.g. Ibuprofen, Naproxen, Diclofenac)
- ʻO nā lāʻau hoʻokahe koko ʻē aʻe, e like me Clopidogrel
- ʻO kekahi mau lāʻau antibiotic, e like me Rifampin (kahi lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi puʻupuʻu)
- nā lāʻau antifungal e like me ketoconazole
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā mea āu e lawe nei .
Leka Lawe-Home
- Mai uhaʻi, kuʻi, a nau paha i nā papa Dabigatran (Pradaxa). E ale holoʻokoʻa iā lākou.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ke aʻo ʻole ʻia e kāu kauka. Inā poina iā ʻoe kahi lāʻau, mai hopohopo, e lawe wale i ka lāʻau i poina inā ʻoi aku ma mua o 6 mau hola a hiki i kāu lāʻau aʻe.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai hoʻi nā mea hōʻeha ʻeha.
- E akahele loa i ka hiki me nā hāʻule ʻana a me nā ʻeha. Kiʻekiʻe ka pilikia o ke kahe ʻana o ke koko.
- Inā ʻike ʻoe i nā hōʻailona o ke kahe ʻana o ke koko , e like me nā ʻōpala ʻeleʻele a i ʻole ka palapū ʻē, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka ETU o ka haukapila.
- Ma mua o kekahi ʻoki kino a i ʻole ka unuhi ʻana i ka niho, e hoʻomanaʻo i kāu kauka/niho niho e lawe ana ʻoe i kēia lāʻau lapaʻau.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi e hoʻohana ʻia ai nā papa/kapsula Ramipril (Ramipril / Altace)?
ʻO kēia ka pila koko ACE Inhibitor kaulana loa a holomua hoʻi ma ka honua! ʻAʻole ia e hoʻohaʻahaʻa wale i ke koko, akā ua kuhikuhi ʻia hoʻi e nā kauka e pale aku i nā 'hōʻeha puʻuwai a me nā hahau' e hiki mai ana (nā hanana cardiovascular) no ka poʻe ma luna o 55 mau makahiki, ka poʻe me ka maʻi diabetes/cholesterol, a me ka poʻe i loaʻa i ka pilikia nui o ka hōʻeha puʻuwai.
💬 Pehea e hoʻohaʻahaʻa ai ka lawe ʻana i kēia pila koko (Ramipril) i ke koko a hoʻōla i ka puʻuwai?
Ua haiki/nāwaliwali ko kākou mau kīʻaha koko a piʻi ke kaomi ma muli o kahi kemika weliweli i kapa ʻia ʻo 'Angiotensin II'! Ke komo ʻo Ramipril i loko o ke kino, e ālai/pani loa ia a laka i ka hale hana e hana ai i kēlā kemika (ACE enzyme)! A laila e hemo nā kīʻaha koko āpau (Vasodilation) a emi ke kaomi. Ke emi ke kaomi, e maʻalahi ka hana/kuʻi ʻana o ka puʻuwai, no laila ua emi ka pilikia o ka loaʻa ʻana o nā maʻi puʻuwai ma 100%.
💬 He aha nā hopena ʻaoʻao hoʻonāukiuki a weliweli hoʻi (Black Box Warning) o ka lawe ʻana i kēia lāʻau lapaʻau (Ramipril)?
ʻO ka pōʻino nui loa e makaʻala mai ka hoʻomaka ʻana, ʻo ia ka pāpā loa ʻia no nā makuahine 'Hāpai' (Pregnancy) (make i ka fetus)! ʻO kekahi pilikia nui ʻē aʻe ʻo ia ka 'Dry cough' e hele pū me ka lawe ʻana i ka lāʻau lapaʻau, inā ʻaʻole hiki iā ʻoe ke kū, pono ʻoe e hoʻololi i kahi pila ʻē aʻe (ARB). Eia kekahi, inā loaʻa i kekahi poʻe ka 'Pehu o ka maka/lehelehe a me ka pōkole o ka hanu' (Angioedema - ʻoi aku ka nui o ka pilikia o ka poʻe ʻeleʻele), pono ʻoe e hele koke i ka haukapila.
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