Ua ʻike paha ʻoe i kahi pēpē hānau hou e hāʻawi ʻia ana i kahi inikini liʻiliʻi ma ka haukapila. ʻO ka hapa nui o ka manawa, ʻo ia ka lāʻau lapaʻau a mākou e kamaʻilio ai. A i ʻole, ua hāʻawi ʻia paha iā ʻoe a i ʻole kekahi āu i ʻike ai i kēia inikini `(Phytonadione)` ma muli o ka pilikia o ke koko . No laila, he aha kēia lāʻau lapaʻau? No ke aha he mea nui loa? E kamaʻilio kākou e pili ana i kēia mau mea a pau i kēia lā.
He aha kēia `(Phytonadione)`?
I ka ʻōlelo maʻalahi, ua kapa ʻia kēia lāʻau lapaʻau ʻo `(Phytonadione)`. He ʻano maoli kēia o ka Vitamin K. He mea nui loa ka Vitamin K no ko mākou kino. ʻOi aku ka maikaʻi, ʻaʻole hiki ke hana ʻia ke kaʻina hana hoʻopaʻa koko me ka ʻole o ka vitamin K. E noʻonoʻo, ke loaʻa iā ʻoe kahi ʻeha liʻiliʻi, e pau ke kahe ʻana o ke koko ma hope o kekahi manawa. ʻO ke kumu nui o ia mea, ʻo ia ka vitamin K. Ua like kēia me kahi 'koa koko' liʻiliʻi i loko o ko mākou kino. Inā haʻahaʻa ka vitamin K, hiki ke paʻakikī ke hoʻōki i ke kahe ʻana o ke koko mai kahi ʻeha liʻiliʻi.
Hiki paha iā ʻoe ke loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me `(AquaMEPHYTON)`. Eia naʻe, ʻo ka inoa i hāʻawi ʻia e ke kauka ka mea nui.
No laila, i nā kūlana hea e hāʻawi ʻia ai kēia lāʻau pale?
ʻO ke kumu nui o ka hāʻawi ʻana i kēia lāʻau pale "Phytonadione" ʻo ia ka wā e haʻahaʻa ai ka pae o ka wikamina K i loko o ke kino, ʻo ia hoʻi, i ka hihia o ka nele o ka wikamina K.
No ke aha he mea nui kēia no nā pēpē hānau hou?
ʻOiai hoʻi i ka wā e pili ana i nā pēpē hānau hou, hele mai lākou i kēia ao me nā pae haʻahaʻa loa o ka wikamina K i loko o ko lākou kino. ʻAʻole i ulu piha ko lākou akepaʻa, no laila he kakaikahi wale nō ka wikamina K a lākou e hana ai. Eia kekahi, ʻo ka nui o ka wikamina K i loko o ka waiū umauma i kekahi manawa ʻaʻole lawa no ka pēpē.
Ma muli o kēia, i ka wā ma mua, e hoʻomaka koke kekahi mau pēpē e kahe ke koko i loko o kekahi mau lā o ka hānau ʻana, i kekahi manawa i loko o ka lolo . Ua kapa ʻia kēia ʻo Vitamin K Deficiency Bleeding (VKDB) . He kūlana weliweli loa kēia. No ka pale ʻana i kēia, ua hāʻawi ʻia i kēlā me kēia pēpē hānau hou i kēia lāʻau pale vitamin K i ka wā e hānau ai lākou. Ua like kēia me kahi pale pale i hāʻawi ʻia i ka pēpē. E noʻonoʻo e like me ka hāʻawi ʻana i kahi mea kanu liʻiliʻi i kahi kākoʻo iki ma mua.
Pono anei kēia i nā mākua?
ʻAe, ʻoiai i nā pākeke, ma muli o kekahi mau maʻi (no ka laʻana, kekahi mau maʻi akepaʻaI nā hihia o ka maʻi akepaʻa, a i ʻole nā lāʻau lapaʻau ʻē aʻe i lawe ʻia, hiki i ke kino ke hōʻemi i ka omo ʻana o ka wikamina K, e hopena ai i kahi hemahema. Hoʻohana ʻia kēia lāʻau pale i ia mau hihia.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka loaʻa ʻana o kēia lāʻau pale?
ʻAe, i kēia manawa ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau pale `(Phytonadione)` iā ʻoe a i ʻole kāu pēpē, aia kekahi mau mea nui e pono ai ʻoe e haʻi aku i kāu hui lapaʻau. He mea nui loa ia no kou palekana e haʻi pololei i kēia mau mea.
- He maʻi akepaʻa kou? ʻO ke akepaʻa ka mea e hana nui me ka wikamina K. No laila, inā he pilikia akepaʻa kou, pono e ʻike kāu kauka e pili ana i ia mea.
- Ua loaʻa anei iā ʻoe kahi hopena maʻi i kēia lāʻau lapaʻau (Phytonadione), kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, nā mea mālama, a i ʻole kekahi mea ʻē aʻe? Inā ua loaʻa iā ʻoe kahi hopena maʻi liʻiliʻi ma mua, e ʻoluʻolu e haʻi mai iā mākou e pili ana.
- Ke hāpai nei ʻoe a ke hoʻāʻo nei paha e hāpai?
- He makuahine hānai waiū anei ʻoe? (Hānai waiū)
ʻO kēia ʻike ka mea a nā kauka e hoʻoholo ai inā e hāʻawi iā ʻoe i kēia lāʻau lapaʻau a pehea e hāʻawi ai. Me he mea lā he mau mea liʻiliʻi kēia, akā hiki ke lilo i mea nui loa.
Pehea e hoʻokomo ai i kēia lāʻau lapaʻau i loko o ke kino?
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he injection.
- He inikini subcutaneous paha ia.
- A i ʻole hiki ke hana ʻia he inikini intramuscular .
- ʻAʻole pinepine loa ka hoʻokomo ʻana i loko o ke aʻa koko (intravenous injection) i loko o ke aʻa .
ʻO ka hapa nui o ka manawa, hāʻawi ʻia kēia ma ka haukapila a i ʻole ke keʻena lapaʻau.
Hāʻawi ʻia kēia lāʻau pale i nā pēpē hānau hou i hoʻokahi wale nō manawa, i loko o kekahi mau hola o ka hānau ʻana, i loko o kahi ʻiʻo (ʻo ka ʻūhā maʻamau). ʻAʻole hāʻawi hou ʻia ma hope o kēlā.
Inā pono ʻoe e hoʻohana i kēia lāʻau lapaʻau ma ka home i ka wā pilikia, e aʻo ʻia ʻoe pehea e hoʻomākaukau ai a pehea e lawe pono ai. He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha, i ka manawa kūpono. Mai lawe ʻoi aku ma mua o ka mea a ke kauka e ʻōlelo ai iā ʻoe, a i ʻole e lawe pinepine.
ʻO kekahi mea hou aʻe, mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Aia kahi pahu kūikawā no lākou (pahu ʻoi). Inā ʻaʻohe āu, e noi i kāu hale kūʻai lāʻau lapaʻau a i ʻole ka hui lapaʻau no hoʻokahi. He mea nui loa kēia no ka palekana o nā poʻe ʻē aʻe i loko o ka hale.
Aia kekahi mau hana palekana e pono e mālama ʻia i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki ʻōpio?
E like me kā mākou i kūkākūkā ai, hāʻawi ʻia kēia lāʻau lapaʻau i nā pēpē hānau hou i kekahi mau hihia (ʻoi aku hoʻi no ka pale ʻana iā VKDB). Eia nō naʻe, ʻoiai ke hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, aia nā hana palekana kūikawā a nā kauka e lawe ai. No laila, inā ʻoe e hāʻawi ana i kēia i kahi keiki ʻōpio, e wehewehe ke kauka i nā mea āpau iā ʻoe.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā lawe ʻoe a i ʻole kekahi i ka nui o kēia lāʻau lapaʻau, e hele koke i ka lumi pilikia o ka haukapila kokoke loa a kāhea aku paha i kahi kikowaena kaohi lāʻau make. Mai hoʻonele i ka manawa.
Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe. He mea nui loa kēia.
He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?
ʻAʻole kēia he pilikia no ka mea he hoʻokahi wale nō lāʻau lapaʻau kēia (e like me nā pēpē) i ka hapa nui o nā hihia. Eia nō naʻe, inā ʻōlelo ʻia ʻoe e lawe mau i kēia lāʻau lapaʻau, inā e poina ʻoe 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 ka lāʻau lapaʻau aʻe. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o ka "overdose".
Ke launa pū nei kēia lāʻau me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, he mea nui loa kēia. Hiki i ka lāʻau lapaʻau `(Phytonadione)` ke `(launa pū`) me kekahi mau lāʻau lapaʻau ʻē aʻe.
ʻO ka mea nui, aia kahi hiki ke hana kēia me nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko, ʻo ia hoʻi, nā lāʻau hoʻokahe koko, e like me "Warfarin" .
No laila, ke hele ʻoe e ʻike i kāu kauka, e haʻi iā ia e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e ke kauka, nā mea āu e kūʻai ai mai ka hale kūʻai lāʻau lapaʻau, nā lāʻau lapaʻau kuʻuna, nā mea kanu, nā huaora (nā mea hoʻohui meaʻai)). He mea nui hoʻi e haʻi iā ia inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.
Aia kekahi mau mea ʻē aʻe e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau?
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, e nānā mau kāu hui lapaʻau iā ʻoe e ʻike i kou ʻano. ʻO ia hoʻi, e hana paha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau a ʻaʻohe pilikia. No laila, e hōʻoia e hele i nā manawa o kāu kauka. No kou pono ponoʻī ia.
Hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i ka lāʻau pale `(Phytonadione)` ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, ʻaʻole ia e hana i nā kānaka a pau.
Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu hui lapaʻau:
- Nā hopena alerika: He mea weliweli iki kēia.
- nā ʻeha ʻili, e like me ka eczema
- ʻO ka maneʻo, ka ʻulaʻula ma ke kino holoʻokoʻa
- ʻO ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a me ka puʻu (hiki i kēia ke paʻakikī ka hanu ʻana)
Inā kū mai kēia mau hōʻailonaE ʻike koke i ke kauka.
Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau, akā pono e hōʻike ʻia i ka hui lapaʻau inā hoʻomau a hoʻopilikia paha:
- Ke manaʻo nei i kahi loli o ka ʻono i loko o ka waha
- ʻO ka dizziness (e like me ka dizziness)
- ʻUlaʻula ka maka, ʻulaʻula
- ʻEha, ʻulaʻula, a i ʻole ke kuni ʻana ma kahi i hoʻokomo ʻia
- Ka hou ʻana
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio me kāu kauka e pili ana i ia mea. I kekahi manawa hiki iā ʻoe ke hōʻike i kēia mau mea i ka FDA ma ʻAmelika Hui Pū ʻIa, akā ma ko mākou ʻāina ʻoi aku ka maikaʻi o ka haʻi pololei ʻana i kāu kauka .
Pehea e mālama ai i kēia lāʻau lapaʻau?
Inā pono ʻoe e mālama i kēia lāʻau lapaʻau ma ka home, aia kekahi ala e mālama ai.
- E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona. He mea nui loa kēia.
- E mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius, ʻo ia hoʻi ma waena o 68 a me 77 Fahrenheit).
- Pono e pale ʻia mai ka mālamalama. ʻO ia hoʻi, mai waiho i kahi lā a kokoke paha i kahi kukui. ʻOi aku ka maikaʻi o ka waiho ʻana i kahi pouli a maloʻo.
- Mai hoʻohana i nā lāʻau lapaʻau i hala ko lākou lā palena pau. E hoʻolei aku iā lākou.
Pehea ʻoe e hoʻolei aku ai i nā lāʻau lapaʻau i pau a hoʻohana ʻole ʻia?
- E nīnau i kāu hale kūʻai lāʻau lapaʻau, a i ʻole nā mākaʻi paha, inā he papahana lawe-hoʻihoʻi lāʻau no kēia ʻano lāʻau.
- Inā ʻaʻole hiki kēia, e nīnau i kāu kauka lāʻau a i ʻole ka hui lapaʻau pehea e hoʻolei palekana ai i kēia lāʻau. Mai hoʻolei i lalo i ka lua.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
ʻAe, ua kamaʻilio nui mākou e pili ana i ka lāʻau pale Vitamin K a i ʻole `(Phytonadione)` i kēia lā, ʻeā?
E hoʻomanaʻo, he lāʻau lapaʻau koʻikoʻi loa kēia, ʻoi aku hoʻi no nā pēpē hānau hou e pale aku i ke kahe ʻana o ke koko. He mea pono loa nō hoʻi ia no nā pākeke i nele i ka wikamina K.
Inā kuhikuhi kāu kauka i kēia lāʻau lapaʻau, e hahai pono i nā kuhikuhi. Inā he mau nīnau a hopohopo paha kāu, mai hilahila e nīnau i kāu kauka, kauka lāʻau, a kahu maʻi paha. Aia lākou ma laila e kōkua iā ʻoe.
He hōʻuluʻulu manaʻo wale nō kēia pepa ʻike. ʻAʻole paha i loko nā ʻike āpau. No laila, inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole ka mea mālama ola kino.
Ola maikaʻi iā ʻoukou a pau!
ʻO ka wikamina K, phytonadione, nā keiki hānau hou, ke koko ʻana, ka lāʻau pale, nā hopena ʻaoʻao, ka lāʻau lapaʻau pēpē











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