E noʻonoʻo ʻoe aia kekahi o kou ʻohana, ʻo kou makuakāne paha, kou makuahine paha, a i ʻole kekahi āu i ʻike ai, e lawe ana i kahi lāʻau hoʻokahe koko e like me Warfarin ma muli o kahi maʻi puʻuwai a i ʻole no kekahi kumu ʻē aʻe. He mea nui loa kēia lāʻau lapaʻau. Akā pehea inā he ulia koke a nui ke kahe ʻana o ke koko, a inā pono ʻoe e hana koke i ke ʻoki ʻana? He mea paʻakikī ke hoʻōki i ke kahe ʻana o ke koko no ka mea ua lahilahi ke koko, ʻeā? I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau koʻikoʻi loa, e hoʻōla ola ai e hiki ai iā ʻoe ke kāohi koke i ke kahe ʻana o ke koko i nā hihia pilikia a koʻikoʻi.
I ka ʻōlelo maʻalahi, he aha ka Prothrombin Complex Concentrate (PCC)?
ʻAʻole kēia he pila a he capsule paha āu e lawe mau ai. ʻO ka Prothrombin Complex Concentrate, a i ʻole PCC, he hui pū ʻana o kekahi mau protein e kōkua ana i ko mākou kāpili koko. Kāhea mākou i kēia mau mea clotting factors .
Hana nā lāʻau hoʻokahe koko e like me Warfarin (ma ke ʻano lapaʻau, kapa mākou i kēia mau mea hoʻopilikia Vitamin K) ma ke kāohi ʻana i ko mākou akepaʻa mai ka hana ʻana i kēia mau mea hoʻopaʻa koko. ʻO ia ke kumu e hoʻokahe ai ke koko. Akā inā he koko koke ke koko, pono mākou e hoʻihoʻi koke i kēia mau mea hoʻopaʻa koko i loko o ke kino. ʻO ia ka manawa e hoʻohana ʻia ai kēia lāʻau i kapa ʻia ʻo PCC. Hoʻohuli koke ia i ka hopena o Warfarin a kōkua i ka hoʻōki ʻana i ke koko. He inoa kaulana ʻo Kcentra no kēia lāʻau.
I ka manawa hea e hoʻohana ʻia ai kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau no ke kahe koko maʻamau. Hoʻohana wale ʻia ia i nā hihia koʻikoʻi a me nā pilikia .
- Ke kahe nui ke koko o kekahi e lawe ana i ka lāʻau hoʻokahe koko e like me Warfarin ma muli o kahi ulia a i ʻole kekahi kumu ʻē aʻe.
- Ke pono kekahi e lawe ana i ka warfarin e hana i kahi ʻoki kino ulia pōpilikia . Hāʻawi ʻia kēia lāʻau lapaʻau ma mua o ke ʻoki kino e hōʻemi i ka pilikia o ke kahe ʻana o ke koko.
ʻO ka mea nui loa, ʻo ke kauka e mālama nei iā ʻoe wale nō ke hoʻoholo inā e hāʻawi a ʻaʻole paha i kēia lāʻau lapaʻau, i ka manawa e hāʻawi ai, a me ka nui e hāʻawi ai.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka loaʻa ʻana o kēia lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau ikaika loa kēia, he mea nui e hoʻomaopopo ʻoe i kāu kauka e pili ana i nā maʻi ʻē aʻe i loaʻa iā ʻoe i loko o kou kino. No ka mea, pono ʻoe e makaʻala loa i ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e haʻi i kāu kauka me ka hūnā ʻole i kekahi mea .
| Ke kūlana olakino āu e pono ai e hōʻike | He wehewehe maʻalahi |
|---|---|
| Maʻi puʻuwai a i ʻole ka hāʻule puʻuwai hou | Ma muli o ka hoʻonui ʻana o ka PCC i ke kāpili ʻana o ke koko, he mea nui loa ia e hoʻomaopopo i kekahi me ka mōʻaukala o ka maʻi puʻuwai. |
| He moʻolelo o ka hahau ʻana a i ʻole TIA (Transient Ischemic Attack) | Inā ua loaʻa iā ʻoe kahi hahau mua a i ʻole ka mini-stroke (TIA), aia ʻoe i ka pilikia o ka loaʻa ʻana o nā ʻūpā koko. |
| He moʻolelo o DIC (Disseminated Intravascular Coagulation) | He kūlana koʻikoʻi kēia kahi e kū ai ke koko a me ke kahe ʻana o ke koko ma ke kino holoʻokoʻa i ka manawa like. |
| He moʻolelo o ka thrombocytopenia i hoʻokomo ʻia e ka heparin (HIT) | ʻO ke ʻano kahi i haʻahaʻa ai ka helu o nā platelets koko ma muli o kahi maʻi allergy i kahi lāʻau hoʻokahe koko ʻē aʻe i kapa ʻia ʻo heparin. |
| Nā maʻi o nā aʻa koko i nā wāwae (Peripheral vascular disease) | I kēlā mau kūlana, ʻoi aku ka kiʻekiʻe o ka pilikia o nā ʻaʻa koko. |
| Nā maʻi ʻaleka ʻē aʻe | Inā he maʻi ʻoe i kēia lāʻau lapaʻau, heparin, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Ka hāpai ʻana a i ʻole ka manaʻo ʻana i kahi pēpē | Ke noʻonoʻo nui nei ke kauka e hāʻawi i kēia i nā makuahine hāpai a me nā makuahine hānai. |
Pehea e hāʻawi ʻia ai kēia lāʻau i ke kino?
ʻAʻole kēia he lāʻau lapaʻau e hiki ke lawe ʻia ma ka home. ʻO kēia lāʻau lapaʻau, i kapa ʻia ʻo PCC, hāʻawi wale ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau . Hāʻawi ʻia ia i loko o ke kino ma ke ʻano he infusion intravenous, e like me ka saline , e ke kauka a kahu maʻi paha i aʻo ʻia.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ʻoe e kūkākūkā me kahi pediatrician.
Inā lawe hewa ʻia ka overdose o kēia lāʻau lapaʻau, e hana koke nā limahana lapaʻau i nā hana no ka mea he pilikia haukapila kēia. Eia nō naʻe, inā kānalua ʻoe i kekahi mea e like me kēia, he mea nui e hoʻomaopopo koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Inā pono, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
He aha nā hopena ʻaoʻao e hiki ke manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, he akahai kekahi. ʻO ka mea nui loa, ʻo ia ke nānā pono ʻia ʻoe e kāu kauka i ka wā e lawe ana i kēia lāʻau lapaʻau a ma hope. Inā ʻike ʻoe i kekahi mau hōʻailona ʻē, pono ʻoe e hōʻike koke iā lākou.
| Nā ʻano hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka a kahu maʻi paha | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā hōʻailona o nā ʻōpū koko | Paʻakikī ka hanu ʻana, ʻeha ka umauma, pehu ʻana o ka wāwae (Deep Vein Thrombosis - DVT), mae koke a nāwaliwali paha ma ka maka, ka lima a i ʻole ka wāwae (nā hōʻailona o ka hahau ʻana), paʻakikī ke ʻōlelo ʻana, ʻeha poʻo nui, paʻakikī ke hele, poniuniu. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā hōʻailona o ka maʻi e like me ka loli ʻana o ka ʻike, ka huikau, ke kuni a i ʻole ke anuanu, a me ke kuʻi. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | Hiki ke loaʻa kahi ʻeha poʻo maʻamau. |
| Ka luaʻi a me ka luaʻi | Hiki ke ʻeha ka ʻōpū a i ʻole ka luaʻi ʻana. |
| ʻAʻole hiki ke hiamoe | Hiki ke hoʻopilikia ʻia ka hiamoe. |
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki i ka PCC ke launa pū me kekahi mau lāʻau lapaʻau. Hiki i kēia ke hana i nā pilikia ke hoʻohana ʻia me nā lāʻau lapaʻau ʻē aʻe, ʻoiai ʻo Factor VIIa, ka mea e kōkua ai i ke kāpili ʻana o ke koko.
No laila, he mea nui e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. ʻO ke ʻano kēia, ʻaʻole wale nā mea i kuhikuhi ʻia e kāu kauka, akā ʻo nā mea āu e lawe ai mai ka hale kūʻai lāʻau lapaʻau, nā huaora, nā mea hoʻohui meaʻai, nā lāʻau Sinhala, nā lāʻau Ayurvedic , a pēlā aku. Eia kekahi, e haʻi iā ia inā ʻoe e puhipaka a inu waiʻona paha.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Prothrombin Complex Concentrate (PCC) i hāʻawi ʻia e hoʻōki i ke kahe koko koke a koʻikoʻi i nā maʻi e lawe ana i nā lāʻau hoʻokahe koko e like me Warfarin.
- ʻAʻole kēia he pila, he lāʻau lapaʻau ia i hāʻawi ʻia ma ke ʻano intravenous ma ka haukapila wale nō. ʻAʻole hoʻohana ʻia ma ka home.
- E hōʻoia e hoʻomaopopo i kāu kauka i kāu mōʻaukala olakino piha, ʻoiai hoʻi nā maʻi puʻuwai, ka hahau ʻana, a me nā maʻi allergies.
- I ka wā e lawe ai i ka lāʻau lapaʻau, e hoʻomaopopo koke i ke limahana lapaʻau inā loaʻa iā ʻoe kahi hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, ka pehu ʻana o nā wāwae, a i ʻole nā hōʻailona o ka hahau ʻana.
- Inā he mau hopohopo kāu e pili ana i kēia lāʻau lapaʻau, e kūkākūkā me kāu kauka. He mea nui ka loaʻa ʻana o ka ʻike pololei mai kāu kauka e mālama nei ma mua o ka ʻimi ʻana i ka ʻike ma ka pūnaewele.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo