Ke loaʻa iā kākou kahi ʻoki ma kekahi wahi o ko kākou kino, e pau ke kahe ʻana o ke koko ma hope o kekahi manawa, ʻeā? Hana ʻia ia ma muli o kahi ʻano pale kupaianaha i loko o ko kākou kino. Ma kēia kaʻina hana, he kuleana koʻikoʻi loa kahi protein i loko o ko kākou koko i kapa ʻia ʻo "fibrinogen". I ka ʻōlelo maʻalahi, ua like kēia fibrinogen me kahi "ʻupena" e kōkua ana i ka hana ʻana i kahi ʻūpā koko. Akā, ua hānau ʻia kekahi poʻe me ka liʻiliʻi loa o ka hana ʻana o kēia protein fibrinogen. Kāhea mākou i kēia kūlana ʻo Congenital Fibrinogen Deficiency . No laila, no ia kanaka, ʻo ka hoʻōki ʻana i ke kahe ʻana o ke koko mai kahi ʻeha liʻiliʻi e lilo i mea paʻakikī nui. I ia mau hihia, pono mākou e noʻonoʻo e pili ana i ka lāʻau kūikawā i kapa ʻia ʻo Fibrinogen Concentrate a mākou e kamaʻilio nei.
He aha maoli kēia lāʻau pale fibrinogen?
E noʻonoʻo e nele ana ke kino o ke kanaka i kahi mea nui e pono ai ke hana kūlohelohe ʻia. A laila hiki iā mākou ke hāʻawi i kēlā mea mai waho. ʻO ke kano fibrinogen kekahi mea like. He lāʻau lapaʻau kēia i hana ʻia ma ka hoʻomaʻemaʻe ʻana i ka plasma koko kanaka, ka wehe ʻana i nā mea e like me nā virus, a me ka hoʻohuihui ʻana iā ia.
ʻO ka hana nui o kēia, ʻo ia ke kāohi i ke kahe ʻana o ke koko ma ka hāʻawi ʻana i ke kino i ka nui e pono ai o ka fibrinogen i loko o ke kanaka me ka nele o ka fibrinogen. No ka laʻana, inā pono ke kanaka me kēia maʻi e hana i ke ʻoki kino a i ʻole e loaʻa i kahi ʻeha nui, hiki ke hoʻemi ʻia ka pilikia o ke kahe nui ʻana o ke koko e hoʻoweliweli ana i ke ola ma o kēia lāʻau pale.
ʻO ka mea nui loa, ʻaʻole kēia he lāʻau lapaʻau no ke anu maʻamau a i ʻole ke kuni. Hāʻawi wale ʻia ia no kahi kūlana olakino kikoʻī, ʻo ia hoʻi, e kāohi i ke kahe ʻana o ke koko i nā poʻe i nele i ka fibrinogen mai ka hānau ʻana mai .
Pehea ʻoe e hāʻawi ai i kēia lāʻau lapaʻau? Hiki iā ʻoe ke mālama iā ia ma ka home?
ʻAʻole loa. ʻAʻole hiki iā ʻoe ke kiʻi i kēia lāʻau lapaʻau ma kahi hale kūʻai lāʻau a lawe i ka home. ʻO ka Fibrinogen concentrate kahi inikini i hāʻawi ʻia ma ke ʻano intravenous (IV) .
Hāʻawi wale ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā pololei ʻana a ke kauka a i ʻole kahi limahana kahu maʻi i aʻo ʻia. E nānā mau ʻia kou kūlana (ke koko, ka helu o ka puʻuwai, a me nā mea ʻē aʻe) i ka wā o ka mālama ʻana. No laila, ʻaʻohe pilikia o ka mālama ʻana i kēia ma ka home. Eia kekahi, he lāʻau lapaʻau kēia i hāʻawi wale ʻia iā ʻoe. Mai kaʻana like me kekahi no kekahi kumu.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka mālama ʻana
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e kūkākūkā i kou mōʻaukala olakino piha me kāu kauka me ka hūnā ʻole i kekahi mea. Ma ke ʻano kūikawā, pono ʻoe e kamaʻilio e pili ana i kēia mau mea:
- Nā pilikia ʻē aʻe o ke kahe koko:E hōʻoia e haʻi i kāu kauka inā ua loaʻa iā ʻoe kahi clot koko (thrombosis) i loko o kahi vein a artery paha.
- Nā maʻi o kēia manawa: ʻO kēlā me kēia maʻi i loko o ke kino, ʻoiai he maʻi viral e like me ka chickenpox.
- Maʻi ate: Inā loaʻa iā ʻoe kekahi maʻi pili i ke akepaʻa.
- Nā maʻi ʻaleka: Inā ua loaʻa iā ʻoe kahi hopena maʻi ʻaleka ma mua i kēia lāʻau pale fibrinogen a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai a me ka hānai waiū: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha, he mea nui e hoʻomaopopo i kāu kauka.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā e hāʻawi a ʻaʻole paha i kēia lāʻau iā ʻoe, a inā pēlā, pehea.
He aha nā hopena ʻaoʻao i manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke loaʻa kekahi mau hopena ʻaoʻao. He mea liʻiliʻi kekahi o lākou, akā pono mākou e makaʻala loa i kekahi o lākou. E hoʻomaopopo pono kākou i kēia mai ka papa ma lalo.
| ʻAno o ka hopena ʻaoʻao | Nā hiʻohiʻona i manaʻo ʻia |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka |
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| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou |
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He mea nui: ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e haʻi koke i kāu kauka a kahu maʻi paha.
Aia kekahi pilikia no ka mea ua hana ʻia mai ke koko kanaka?
He nīnau koʻikoʻi loa kēia. ʻAe, hana ʻia kēia lāʻau lapaʻau me ka hoʻohana ʻana i ka plasma koko mai nā poʻe olakino. No laila, aia kahi pilikia liʻiliʻi loa, manaʻo ʻia o ka hoʻoili ʻana i kahi maʻi.
Eia nō naʻe, pono mākou e hoʻomaopopo i ka wā e hana ʻia ai kēia plasma koko i lāʻau lapaʻau, ua hoʻomaʻemaʻe ʻia a hana ʻia me ka ikaika loa e pepehi i ka hapa nui o nā maʻi a me nā bacteria. No laila, he liʻiliʻi loa ka pilikia. Ma mua o kou hoʻomaka ʻana i ka lāʻau lapaʻau, e kūkākūkā pono kāu kauka i nā pilikia a me nā pono o kēia lāʻau lapaʻau me ʻoe. E nīnau i nā nīnau āu e loaʻa ai i kēlā manawa.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau (overdose)?
Ma muli o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau ma kahi haukapila a ma lalo o ka nānā ʻana o ke kauka, ua haʻahaʻa loa ka pilikia o ka overdose. Inā hana ʻia kēia, e hana koke ke kime lapaʻau. Inā makemake ʻoe i ka ʻōlelo aʻoaʻo no ka hiki ke overdose o kekahi mea, e like me kekahi lāʻau lapaʻau ʻē aʻe, hiki iā ʻoe ke hoʻokaʻaʻike aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ma Colombo .
Leka Lawe-Home
- ʻO ka Fibrinogen concentrate kahi lāʻau lapaʻau kūikawā i hāʻawi ʻia i nā poʻe me ka hemahema fibrinogen congenital e kaohi i ke kahe ʻana o ke koko.
- Hāʻawi wale ʻia kēia ma kahi haukapila, ma o kahi aʻa koko (IV) ma lalo o ka nānā ʻana a ke kauka.
- He mea nui e haʻi i kāu kauka i kou mōʻaukala olakino piha (ʻoiai hoʻi nā maʻi allergies a me nā pilikia koko) ma mua o ka mālama ʻana.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me nā maʻi alerika, ʻeha umauma, a paʻakikī paha ka hanu ʻana, e hoʻomaopopo koke i nā limahana lapaʻau.
- He lāʻau lapaʻau i hoʻomaʻemaʻe ʻia kēia i hana ʻia mai ke koko kanaka. E kamaʻilio kāu kauka me ʻoe e pili ana i kona palekana a me nā pilikia.
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