Ua kuhikuhi anei kāu kauka iā ʻoe i kahi pana heparin e pale aku ai i ke koko i loko o kou kino a i ʻole e pale aku i kahi koko i ulu nui aʻe? A i ʻole hāʻawi ʻoe i kēia lāʻau i kekahi o kou ʻohana? Makaʻu paha ʻoe i ka lohe ʻana i kēia inoa. Akā, mai hopohopo. He lāʻau lapaʻau koʻikoʻi loa kēia i hoʻohana pinepine ʻia. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau i kapa ʻia ʻo heparin ma nā ʻōlelo maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka Heparin?
He lāʻau lapaʻau ʻo Heparin e pale ai i ke kāpili ʻana o ke koko . Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he "anticoagulant". E noʻonoʻo, inā hana ʻia kahi ʻūpā koko i loko o ko mākou mau kīʻaha koko me ke kumu ʻole, hiki iā ia ke hoʻopilikia i ke kahe ʻana o ke koko. Hiki i kēia mau ʻūpā koko ke hana i loko o nā aʻa koko, nā aʻa, nā māmā, a i ʻole ka puʻuwai. ʻO ka hana a ka inikini heparin, ʻo ia ke kāohi i kēlā mau ʻūpā koko mai ka hana ʻana a i ʻole ke pale ʻana i kahi ʻūpā koko i hana mua ʻia mai ka nui ʻana.
Eia kekahi, hoʻohana ʻia i kekahi mau manawa kūikawā.
- I ka wā e hana ai i ke ʻoki puʻuwai hāmama.
- I ka wā o ka dialysis no nā maʻi puʻupaʻa.
- Kāohi i nā ʻūpā koko i nā poʻe maʻi e noho ana ma kahi moe no ka manawa lōʻihi ma hope o ke ʻoki ʻana a i ʻole ma muli o kekahi maʻi ʻē aʻe.
Nā mea e haʻi aku i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i ka heparin, pono kāu kauka e ʻike 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 | E ʻoluʻolu e haʻi aku i ke kauka. |
|---|---|
| Nā maʻi koko | ʻO kahi laʻana, kahi maʻi e like me ka hemophilia a i ʻole kahi kūlana kahi i haʻahaʻa ai nā pae o nā platelets koko. |
| Nā maʻi o ka ʻōnaehana hoʻoheheʻe | Nā kūlana e like me ka maʻi ʻōpū a i ʻole diverticulitis. |
| Nā maʻi puʻuwai | Nā kūlana e like me ka 'Endocarditis' (ka maʻi valve puʻuwai). |
| Ke koko kiʻekiʻe | Inā ʻoe e lawe nei i ka lāʻau no ke koko kiʻekiʻe a inā ʻaʻole ia i kaohi ʻia. |
| Nā maʻi ate | ʻO kēlā me kēia ʻano maʻi akepaʻa. |
| ʻO ke ʻoki kino hou a i ʻole ka hānau keiki ʻana | Inā ua hana ʻia ʻoe i kahi ʻoki kino i hala koke nei a ua hānau paha. |
| Nā ʻōpū ʻeha | Nā ʻōpū ʻōpū o kēia manawa a i ʻole ma mua. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka heparin, sulfites, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau pale ma kahi haukapila a i ʻole ke keʻena lapaʻau e kekahi loea lapaʻau i aʻo ʻia. Hāʻawi ʻia ia ma ke ʻano he inikini i loko o kahi aʻa (injection) a i ʻole he kulu i loko o kahi aʻa (infusion) e like me ka saline. I kekahi manawa, hoʻokomo ʻia nā ʻāpana liʻiliʻi ma lalo o ka ʻili.
Pono paha ʻoe e hāʻawi iā ʻoe iho i kēia inikini ma ka home. Inā pēlā, e aʻo ʻia ʻoe pehea e hoʻomākaukau ai a hoʻokomo pololei iā ia. He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha, i ka manawa kūpono. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Inā hana ʻoe pēlā, e piʻi hou paha kou pilikia o ka loaʻa ʻana o kahi ʻūpā koko.
He aha kāu e hana ai me nā nila a me nā syringe 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. E hoʻohana i kahi pahu ʻoi kūikawā i hoʻolako ʻia no lākou. Inā ʻaʻohe āu, hiki iā ʻoe ke noi i kāu kauka no hoʻokahi.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i kahi overdose, e hele koke i ka ʻOihana Pilikia kokoke loa (ETU). A i ʻole e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua maʻamau: E hele i nā hoʻokolohua i hoʻonohonoho ʻia e kāu kauka. Pono paha ʻoe e loaʻa nā hoʻokolohua koko. Mai hōʻalo i kēia mau manawa.
- E pale i ka ʻeha: ʻOiai e lawe ana i kēia lāʻau lapaʻau, hiki ke kahe koke ke koko. No laila, e noho mamao mai nā haʻuki a me nā hana e hiki ai iā ʻoe ke hāʻule a ʻeha paha. E akahele loa i ka hoʻohana ʻana i nā mea ʻoi e like me nā pahi. Inā ʻoe e kahi, ʻoi aku ka palekana o ka hoʻohana ʻana i ka pahi ʻumiʻumi uila. E akahai loa i ka palaki ʻana a me ka floss ʻana i kou mau niho.
- E hōʻike i kekahi mau ʻeha: Inā ʻike ʻoe i kekahi mau palapū, nā kiko ʻulaʻula, a i ʻole ke kahe koko nui mai kahi ʻeha liʻiliʻi, e haʻi koke i kāu kauka.
- Hoʻolaha ma mua o ke ʻoki kino: Inā ua hoʻonohonoho ʻia ʻoe e hana i kekahi ʻoki kino (ʻoiai ka unuhi ʻana i ka niho), e hōʻoia e haʻi i ke kauka e lawe ana ʻoe i ka heparin.
- Nā lima a me nā wāwae anu: Inā anuanu a uliuli kou mau lima a i ʻole kou mau wāwae, he pilikia paha ia me ke kahe koko. E haʻi koke aku i kāu kauka .
- Hoʻohana lōʻihi: ʻO ka lawe ʻana i ka heparin no ka manawa lōʻihi hiki ke hoʻonāwaliwali i nā iwi a hoʻonui i ka pilikia o ka haki ʻana o ka iwi. No laila, e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o ka calcium a me ka wikamina D i kāu meaʻai.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka heparin ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā hōʻailona koko | Nā ʻōpala ʻeleʻele a ʻālohilohi paha; mimi ʻulaʻula a ʻeleʻele paha; luaʻi e like me ke ʻano o ka lepo kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻano ʻē mai nā maka, nā ʻāʻī, a i ʻole ka ihu. |
| Nā hōʻailona o ke koko koko | ʻEha ka umauma; paʻakikī ka hanu ʻana; ʻeha ka wāwae, pehu, a i ʻole kahi manaʻo mehana. |
| 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 hiʻohiʻona ʻē aʻe | ʻEha iwi, kuni, nausea, luaʻi. |
| Nā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Pohō lauoho | Ka nalowale o ka lauoho no ka manawa pōkole. |
| ʻEha ma kahi i hoʻokomo ʻia | ʻEha, ʻulaʻula, a pehu iki paha ma kahi i inikini ʻia. |
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Inā ʻoe e lawe ana i ka heparin, pono ʻoe e pale i ka lawe ʻana i kekahi mau lāʻau lapaʻau ʻē aʻe. 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).
Hoʻonui nui ʻia ka pilikia o ke kahe ʻana o ke koko i ka wā e lawe ai i nā lāʻau lapaʻau, ʻoiai ʻo ka aspirin a me nā NSAID (e.g., ibuprofen, naproxen), me ka heparin. No laila, mai lawe i nā lāʻau ʻeha me ka ʻole o ke aʻo ʻana a ke kauka.
Hiki i nā mea e like me ka puhi paka a me ka inu ʻona ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau. No laila e ʻoiaʻiʻo me kāu kauka e pili ana i kēlā.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Heparin e pale ai i ke kāpili ʻana o ke koko. Mai makaʻu iā ia.
- E lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, ma ke ana kūpono, i ka manawa kūpono. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo.
- E akahele loa i ka wā e lawe ana i kēia lāʻau lapaʻau, no ka mea, ʻoiai kahi ʻeha liʻiliʻi hiki ke hoʻokahe i ke koko.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona koʻikoʻi e like me ke kahe koko ʻole, ka ʻeha poʻo nui, a i ʻole ka ʻeha o ka umauma, 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.
- E hoʻolei pono i nā nila a me nā syringe i hoʻohana ʻia i loko o kahi pahu kūikawā.
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