Ua kuhikuhi paha kāu kauka iā ʻoe i kahi inikini e pale aku i nā ʻūpā koko ma hope o ke ʻoki ʻana a i ʻole ma muli o kekahi maʻi ʻē aʻe. ʻO Enoxaparin ka inoa o kēia inikini. Hāʻawi pinepine ʻia kēia iā ʻoe ma ka home no kekahi mau lā a i ʻole nā pule, no laila e makaʻu iki paha ʻoe a hoihoi paha e pili ana i ia mea. No laila, mai hopohopo, i kēia lā e kamaʻilio maʻalahi mākou e pili ana i ke ʻano o ka hoʻohana ʻana i kēia a me nā mea āu e pono ai e makaʻala.
He aha ka ʻEnoxaparin?
I ka ʻōlelo maʻalahi, ʻo Enoxaparin kahi lāʻau lapaʻau e pale ai i nā ʻūpā koko a i ʻole e kōkua i ka hoʻoheheʻe ʻana i nā ʻūpā koko i hana mua ʻia. Ua kapa pinepine ʻia kēia mau mea he mau mea hoʻokahe koko.
E noʻonoʻo i ko kākou mau kīʻaha koko e like me nā paipu e lawe ana i ka wai. Inā kū mai kahi ʻūpā koko i loko o kēia mau paipu, e ālai ana ia i ke kahe ʻana o ke koko. He mea weliweli loa kēia, no ka mea, inā paʻa kēia ʻūpā koko, hiki iā ia ke hoʻōki i ke kahe ʻana o ke koko i nā ʻōpū koʻikoʻi e like me nā māmā, ka lolo, a me ka puʻuwai. Hana kēia lāʻau lapaʻau i kapa ʻia ʻo Enoxaparin ma ka hoʻōki ʻana i ka hoʻokumu ʻia ʻana o kēlā mau ʻūpā koko. ʻO ia hoʻi, 'hoʻomāmā' iki ia i ke koko a ʻae iā ia e kahe maʻalahi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Pono kāu kauka e ʻike i kou mōʻaukala olakino piha ma mua o ke kau ʻana i kēia lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka.
| Kūlana olakino a i ʻole ka manawa kūpono | No ke aha ʻoe e mālama ai? |
|---|---|
| Nā maʻi kahe koko (e.g., hemophilia) a i ʻole ke kahe koko nui. | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko. |
| Nā maʻi o ka puʻuwai a i ʻole nā kīwae puʻuwai. | I kēlā mau kūlana, pono paha e hoʻololi i ka dosage o ka lāʻau lapaʻau. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa. | Hiki ke hoʻopilikia ʻia ke kaʻina hana o ka wehe ʻana i ka lāʻau lapaʻau mai ke kino. |
| Inā ua loaʻa iā ʻoe kahi hahau ma mua. | Pono e mālama pono ʻia inā loaʻa ke kahe koko i ke kumu o ka hahau ʻana. |
| Inā ua hoʻokomo ʻia kahi kiwikā puʻuwai prosthetic. | Pono kēlā mau maʻi i kahi lāʻau kūikawā. |
| Ma hope o ka hana ʻoki kino ʻana a i ʻole ka hānau ʻana. | I ia mau hihia, kiʻekiʻe ka pilikia o ke kahe ʻana o ke koko. |
| ʻO nā ʻōpū ʻōpū a i ʻole nā maʻi ʻē aʻe o ka ʻōpū (e.g. Diverticulitis). | Hoʻonui i ka pilikia o ke kahe ʻana o ke koko i loko. |
| Inā he maʻi ʻoe i ka Enoxaparin, Heparin, nā huahana puaʻa a i ʻole nā lāʻau lapaʻau/meaʻai ʻē aʻe. | He mea nui kēia no ka pale ʻana i nā maʻi allergies koʻikoʻi. |
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. | I ia mau hihia, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka palekana o ka lāʻau lapaʻau. |
Pehea pololei e hoʻohana ʻia ai kēia lāʻau pale?
Hoʻokomo ʻia kēia lāʻau pale ma lalo o ka ʻili. Na ke kahu maʻi ma ka haukapila a i ʻole ke keʻena lapaʻau e hōʻike pololei iā ʻoe pehea e hoʻokomo ai iā ia ma ke ala maʻalahi loa. ʻO ka maʻamau, hoʻohana ʻia ka ʻili ma ka ʻōpū a i ʻole ke kua o ka lima luna no kēia.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka nui i kuhikuhi ʻia e kāu kauka, i ka manawa kūpono, no ka helu kūpono o nā lā. ʻO ka hala ʻana o hoʻokahi lā hiki ke hoʻonui i kou pilikia o ke koko. No laila, e hoʻomau i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
He aha kāu e hana ai me nā nila i hoʻohana ʻia?
He mea nui loa kēia. Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala.ʻO ka hana ʻana pēlā e hiki ai ke hōʻeha i nā poʻe ʻē aʻe. Aia kahi pahu plastik melemele kūikawā (pahu ʻoi) hiki iā ʻoe ke hoʻohana e hoʻolei aku i kēia mau mea. E hoʻokomo iā lākou i loko a i ka wā e piha ai, e hāʻawi aku i ka haukapila a i ʻole kāu keʻena lapaʻau. Inā ʻaʻohe āu, e nīnau e pili ana i ia mea a noi aku no hoʻokahi.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe hewa ʻoe i kahi overdose, 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 manawa hoʻonohonoho lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Pono ʻoe e makaʻala e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai i ka wā e lawe ana i ka enoxaparin. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ia a hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
| Nā mea e makaʻala nui ai |
|---|
| ʻAspirin a me nā lāʻau lapaʻau like. |
| Nā lāʻau lapaʻau ʻē aʻe e hoʻokahe koko (e like me Warfarin, Clopidogrel). |
| Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory (NSAID). Nā laʻana: Ibuprofen, Naproxen, Diclofenac Sodium. |
| Nā lāʻau lapaʻau e like me Dipyridamole. |
No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau kuʻuna).
Nā mea e noʻonoʻo ai i ke ola o kēlā me kēia lā
- E pale i nā ʻeha: ʻOiai kahi ʻoki liʻiliʻi hiki ke hoʻokahe nui i ke koko i ka wā e lawe ana i kēia lāʻau. No laila, e noho mamao mai nā hana e pili ana i ka hāʻule ʻana, e like me nā haʻuki a me ka hoʻohana ʻana i nā mea ʻoi.
- Akahele: ʻOi aku ka palekana o ka hoʻohana ʻana i ka pahi ʻumiʻumi uila i ka wā e kahi ai. Eia kekahi, e palaki pono i kou mau niho me kahi palaki niho palupalu.
- Ma mua o ke ʻoki kino:Inā ʻoe e hana ana i kekahi ʻoki kino (ʻoiai ka unuhi ʻana i ka niho), e hōʻoia e haʻi aku i ke kauka e lawe ana ʻoe iā Enoxaparin.
- Nā hoʻāʻo koko: E hōʻoia e hele i nā hoʻokolohua koko a me nā keʻena lapaʻau i kauoha ʻia e kāu kauka.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki iā Enoxaparin ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo kekahi he mea maʻamau.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e haʻi koke aku i kāu kauka a i ʻole e hele i ka haukapila. | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona koko | ʻO ka ʻōpala ʻeleʻele a koko paha, ka luaʻi ʻana i ke koko e like me ke ʻano o ka lepo kofe, ka mimi ʻulaʻula a ʻeleʻele paha, nā kiko liʻiliʻi ʻulaʻula a poni paha ma ka ʻili, ka maʻalahi o ka palapū, a i ʻole ke kahe ʻana o ke koko hiki ʻole ke hoʻōki. |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Ma kahi o ka inikini | ʻEha, ʻulaʻula, a pehu iki paha. |
| ʻĒ aʻe | Ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Enoxaparin e pale ai i nā ʻūpā koko. E lawe pono e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono, a me ka ʻole o ka haʻalele ʻana i hoʻokahi lā.
- Aia ka nui o ka pilikia o ke kahe ʻana o ke koko i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, e makaʻala a pale i nā hana a me nā haʻuki e hiki ai ke hōʻeha.
- Inā ʻike ʻoe i kekahi mau hōʻailona o ke kahe ʻana o ke koko, e like me nā ʻōpala ʻeleʻele, ka luaʻi ʻana i ke koko, a i ʻole ka palapū māmā, e ʻimi koke i ke kōkua lapaʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Inā ʻoe e hana ʻia ana i kekahi ʻoki kino, e haʻi mua iā lākou.
- E hoʻolei aku i nā nila a me nā syringe i hoʻohana ʻia me ka palekana, i loko o kahi pahu ʻoi i hoʻolako ʻia no ia kumu.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai nā papa Isosorbide Dinitrate / Isordil?
He lāʻau 'vasodilator' ikaika loa kēia i hāʻawi ʻia i nā maʻi puʻuwai! ʻO ka Nitroglycerin kahi mea e lawe ai i ka wā pilikia/hōʻeha puʻuwai, ʻaʻole kēia ka hihia, he lāʻau palekana kēia e hiki ke lawe ʻia i kēlā me kēia lā e pale aku i ka ʻeha angina/hōʻeha puʻuwai i ka wā e hiki mai ana a e kōkua i ka puʻuwai i ka wā e nāwaliwali ai ka puʻuwai (heart failure).
💬 Pehea e hiki ai iaʻu ke pale aku i ka ʻeha o ka umauma/pale i koʻu puʻuwai inā lawe au i kēia mau pila (Isordil) i kēlā me kēia lā?
Hiki mai ka hōʻeha puʻuwai ke hāiki kahi kīʻaha koko i loko o ka puʻuwai a ʻaʻole lawa ke koko/oxygen! Ke lawe ʻoe i kēia pila, lilo ia i kinoea i kapa ʻia ʻo 'Nitric Oxide (NO)' i loko o ke kino. Hoʻomaha kēlā kinoea i nā ʻiʻo a pau i loko o ko kākou puʻuwai a me ke kino a mālama iā lākou i ka laulā (Continuous Vasodilation). A laila, kahe ke koko i ka puʻuwai me ka ʻole o ke keʻakeʻa, no laila ʻaʻohe ʻeha o ka umauma.
💬 He aha ka pōʻino make e pono ʻole ai i ka poʻe e lawe ana i kēia pila (Isosorbide Dinitrate) ke hana?
ʻO ke kānāwai nui loa a hoʻokahi wale nō! Inā ʻoe kekahi i lawe i nā pila e like me 'Viagra / Sildenafil / Cialis' no ka hoʻoulu ʻana i ka moekolohe, mai lawe pū i kēia pila nitrate me kēlā mau pila! Inā ʻoe e lawe pū iā lāua ʻelua, e palupalu loa nā kīʻaha koko a pau a e hāʻule kou koko i ka ʻole (Fatal Hypotension) a make paha ʻoe i ka coma! Eia kekahi, inā ʻoe e hoʻomau i ka lawe ʻana i kēia, e nui aʻe nā kīʻaha koko, no laila e hiki mai ana kahi 'Headache' maʻamau.
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