Ua kuhikuhi anei kāu kauka iā ʻoe i kēia lāʻau lapaʻau i kapa ʻia ʻo Prasugrel? Malia paha no ka mea aia ʻoe i ka pilikia o ka loaʻa ʻana o kahi maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a i ʻole ka hahau. Hoʻohana pinepine ʻia kēia lāʻau lapaʻau e pale aku i nā ʻōpū koko i loko o ko mākou kino a pale iā ʻoe mai nā maʻi koʻikoʻi i hoʻokumu ʻia e nā kīʻaha koko i ālai ʻia. No laila, i kēia lā e kamaʻilio maʻalahi mākou e pili ana i ke ʻano o kēia lāʻau lapaʻau, pehea e hoʻohana ʻia ai, a me nā mea e pono ai mākou e makaʻala loa.
He aha ka Prasugrel?
I ka ʻōlelo maʻalahi, he lāʻau antiplatelet ʻo Prasugrel. Hoʻokumu ʻia nā ʻōpū koko ke hui pū nā ʻāpana i kapa ʻia ʻo platelets i loko o ko kākou koko. He mea pono kēia e hoʻōki i ke kahe ʻana o ke koko ma hope o kahi ʻeha, akā i kekahi manawa, me ke kumu ʻole, hiki i kēia mau ʻōpū koko ke hana i loko o nā kīʻaha koko, hiki ke lilo i mea weliweli loa. Inā ālai kēia mau ʻōpū i ke kahe koko i ka puʻuwai a i ʻole ka lolo, hiki iā lākou ke hana i ka hōʻeha puʻuwai a i ʻole ka hahau.
Hana ʻo Prasugrel ma ka pale ʻana i ka hui pū ʻana o nā platelets a me ka hana ʻana i nā ʻūpā koko. No laila, hiki i kēia lāʻau lapaʻau ke pale iā ʻoe mai nā hōʻeha puʻuwai, nā hahau a me nā pilikia koʻikoʻi ʻē aʻe o ke kīʻaha koko . He inoa kaulana ʻo Effient no kēia lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻohana ʻana iā Prasugrel, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino. ʻO kēia no ka mea hiki i kekahi mau kūlana olakino ke hoʻolilo i mea weliweli ke hoʻohana ʻana i kēia lāʻau. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka .
| Kou kūlana olakino | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Nā maʻi kahe koko a i ʻole nā hemorrhages lolo | Hoʻonui kēia lāʻau lapaʻau i ka pilikia o ke kahe ʻana o ke koko, hiki ke lilo i mea weliweli inā loaʻa iā ʻoe kēlā ʻano maʻi. |
| ʻO ka hahau ʻana a i ʻole ka hoʻouka ischemic transient (TIA) | Inā ua loaʻa iā ʻoe kahi hahau ma mua, hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ka lolo ʻē aʻe. |
| Nā kūlana e like me nā ʻōpū ʻōpū, nā polyps i loko o ka ʻōpū nui, a i ʻole diverticulitis | Hiki i kēia mau kūlana ke hoʻonui i ka pilikia o ke kahe koko gastrointestinal. |
| He ulia pōpilikia nui a i ʻole ke ʻoki kino i hala koke aku nei | Ua kiʻekiʻe mua ka pilikia o ke kahe ʻana o ke koko ma muli o ka ʻeha a i ʻole ke ʻoki ʻana. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ke hana pono ʻole kēia ʻōkana, e loli paha ka hoʻopau ʻana a me ka pono o ka lāʻau. |
| Ke hāpai nei, ke ho'āʻo nei e hāpai, a i ʻole ka hānai waiū | Pono e kūkākūkā ʻia ka palekana o kēia lāʻau lapaʻau i ka wā hāpai a me ka hānai ʻana me kāu kauka. |
| Nā maʻi ʻaleka i ka prasugrel a i ʻole nā lāʻau lapaʻau a meaʻai paha | He mea nui loa kēia no ka pale ʻana i nā maʻi allergies. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
- E lawe i kēia pila me ke aniani wai. E ho'āʻo e lawe iā ia i ka manawa like i kēlā me kēia lā , e like me ke kauoha a kāu kauka.
- He mea nui loa: Mai uhaʻi, kuʻi, a nau paha i kēia papa. E ale holoʻokoʻa i ka papa.
- Hiki iā ʻoe ke lawe i kēia ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E hoʻomau i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki koke.
- Inā lawe nui ʻoe i ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, 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.
- Inā ʻoe e poina i kahi lāʻau:Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no 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.
ʻO nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻopilikia i nā pilikia me Prasugrel
I ka wā e lawe ana i ka prasugrel, pono ʻoe e makaʻala e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ia a hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
Mai hoʻohana iki i ka lāʻau lapaʻau ʻo Defibrotide me kēia.
Eia kekahi, hiki i nā lāʻau lapaʻau e hiki mai ana ke hoʻopilikia i nā pilikia me Prasugrel:
- ʻO nā lāʻau lapaʻau ʻē aʻe e pale ai i ke kāpili ʻana o ke koko, e like me Warfarin.
- Nā lāʻau ʻeha ʻeha opioid.
- ʻO nā NSAID, e like me Ibuprofen lāua ʻo Naproxen, he mau lāʻau lapaʻau ʻeha a me nā lāʻau anti-inflammatory.
ʻAʻole kēia he papa inoa piha, no laila he mea nui 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). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala nui ai
He mea nui loa ia e hoʻolohe i nā loli i kou kino i ka wā e lawe ana iā Prasugrel.
- ʻO ke ʻoki kino a me ka mālama ʻana i nā niho: Inā ʻoe e hana ana i kekahi ʻoki kino, e like me ka unuhi ʻana i ka niho, a i ʻole kekahi hana lapaʻau ʻē aʻe, e haʻi mua i kāu kauka a kauka niho paha e lawe ana ʻoe iā Prasugrel. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i kekahi mau lā ma mua o ke kaʻina hana .
- Nā hōʻailona o ke kahe ʻana o ke koko: ʻOiai e lawe ana i kēia lāʻau lapaʻau, hiki i kahi ʻoki liʻiliʻi ke kahe iki aʻe ke koko. Eia nō naʻe, inā he ʻeleʻele kou, he ʻōpala kala, a i ʻole e luaʻi i kahi mea e like me ke kofe lepo , he hōʻailona paha ia o ke kahe ʻana o ke koko mai kahi ʻōpū ʻōpū. Inā hana ʻia kēia, e kāhea koke i kāu kauka.
- He kūlana kakaikahi akā koʻikoʻi i kapa ʻia ʻo TTP: I kekahi manawa, hiki iā Prasugrel ke hana i kahi kūlana kakaikahi akā koʻikoʻi loa i kapa ʻia ʻo Thrombotic Thrombocytopenic Purpura (TTP) . ʻO nā hōʻailona e komo pū ana:
- Nā kiko poni ma ka ʻili a i loko paha o ka waha
- ʻIli keʻokeʻo, melemele o nā maka a i ʻole ka ʻili
- Manaʻo nāwaliwali a luhi paha
- kuni
- Puʻuwai wikiwiki a ʻano ʻole paha
- Ka huikau, nā loli o ka ʻike, ka paʻakikī i ka ʻōlelo ʻana a i ʻole ka hele wāwae ʻana
Inā loaʻa kekahi o kēia mau hōʻailona, he pilikia ia. E ʻimi koke i ke kōkua lapaʻau.
Nā hopena ʻaoʻao hiki ke loaʻa o kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Prasugrel ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, a i ʻole ke alelo. |
| Ke kahe koko ʻano ʻē | ʻEleʻele ka lepo, ka mimi ʻeleʻele, ka luaʻi e like me ke kofe lepo, nā kiko ʻulaʻula ma ka ʻili, ke kahe ʻana o ke koko mai nā ʻāʻī a i ʻole ka ihu. |
| Nā hōʻailona o ka hahau ʻana | Nā loli o ka ʻike, ka huikau, ka paʻakikī i ka ʻōlelo ʻana, ka mae a nāwaliwali paha ma kekahi ʻaoʻao o ke kino, ka paʻakikī i ka hele wāwae. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha ka umauma, paʻakikī ka hanu ʻana, puʻuwai wikiwiki a ʻano ʻole paha, emi ʻana o ka mimi i hoʻopuka ʻia, melemele o nā maka a i ʻole ka ʻili, luhi ʻē. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | ʻŌpū ʻeha, nausea, luaʻi. |
| Nā ʻano laulā ʻē aʻe | ʻEha poʻo, ʻeha kua, lima a me nā wāwae. |
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona .
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius), kahi ʻē aʻe mai ka mālamalama a me ka makū. E pani pono i ka ʻōmole lāʻau.
- Mai wehe i ka ʻeke liʻiliʻi i loko o ka ʻōmole. ʻO kēia ka mea e hoʻomaloʻo ai i ka lāʻau lapaʻau a ʻaʻohe ona makū.
- E hoʻolei i nā lāʻau lapaʻau i pau ka manawa. E nīnau i kāu kauka e pili ana i nā ala palekana e hoʻolei aku ai i nā lāʻau lapaʻau i makemake ʻole ʻia.
Leka Lawe-Home
- He lāʻau koʻikoʻi ʻo Prasugrel e pale ai i nā ʻaʻa koko a pale iā ʻoe mai nā kūlana koʻikoʻi e like me ka hōʻeha puʻuwai a me nā hahau.
- Mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo a kāu kauka.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino āpau āu.
- Inā ʻike ʻoe i nā hōʻailona o ke kahe koko ʻē, e like me nā ʻōpala ʻeleʻele, ka luaʻi e like me ke kofe, a i ʻole nā kiko poni ma ka ʻili, e ʻimi koke i ke kōkua lapaʻau.
- Ma mua o kekahi ʻoki kino a i ʻole ka mālama niho, e haʻi i ke kauka e lawe ana ʻoe iā Prasugrel.
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