Ua kuhikuhi anei kāu kauka iā ʻoe a i kāu keiki paha i kahi lāʻau i kapa ʻia ʻo Rivaroxaban e pale aku i nā ʻōpū koko i loko o nā aa koko a i ʻole e hoʻoheheʻe i kahi ʻōpū koko i hana mua ʻia? I kēia lā ke kamaʻilio nei mākou e pili ana i ka syrup (hoʻokuʻu waha) e hele mai ana ma ke ʻano he wai. Loaʻa ia ma lalo o ka inoa inoa ʻo Xarelto. Aia kekahi mau mea e pono ai mākou e makaʻala loa i ka wā e hoʻohana ai i kēia lāʻau. E nānā pono kākou iā ia.
He aha ke ʻano lāʻau lapaʻau kēia?
I ka ʻōlelo maʻalahi, he mea hoʻokahe koko ʻo rivaroxaban. Akā ʻo ka mea maoli e hana ai, ʻaʻole ia e hoʻokahe i ke koko, akā, e pale aku i ke kūkulu ʻia ʻana o nā ʻōpū koko. Hoʻōki kēia i ke kūkulu ʻia ʻana o nā ʻōpū koko pono ʻole i loko o nā aa koko o ko kākou kino, a pale pū ia i ka nui ʻana o nā ʻōpū koko e kū nei.
Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe. No laila, inā he mau hopohopo kāu, e ʻoluʻolu e nīnau i kāu kauka e pili ana i ia mea.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau?
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hoʻomaopopo pono i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā he mau maʻi kahe koko kou.
- Inā ua loaʻa iā ʻoe kahi maʻi e like me ke kahe ʻana o ke koko i loko o ka lolo ma mua.
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā he kiwikā puʻuwai prosthetic kou.
- Inā loaʻa iā ʻoe kahi maʻi e like me ka antiphospholipid antibody syndrome.
- Inā he kahe koko kou ʻōpū ma muli o nā ʻōpū ʻōpū.
- Inā ua loaʻa iā ʻoe i kēia manawa a i ʻole e hoʻonohonoho ʻia ana e loaʻa i kahi kaʻina hana spinal a epidural paha.
- Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe e pale aku ai a mālama paha i nā ʻōpū koko.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka rivaroxaban a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha .
Pehea e hoʻohana pono ai au i kēia lāʻau lapaʻau?
I mea e loaʻa ai ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e lawe i ka dosage pololei e like me ka mea i kauoha ʻia e ke kauka.
- Mai hōʻalo i kahi lāʻau: ʻO ka hōʻalo ʻana i nā lāʻau a i ʻole ka hoʻōki ʻana i ka lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka hiki ke hoʻonui koke i kou pilikia o nā ʻūpā koko.
- E lulu maikaʻi i ka ʻōmole: E lulu maikaʻi mau i ka ʻōmole ma mua o ka hoʻohana ʻana i ka lāʻau.
- E ana pololei:E hoʻohana i kahi syringe waha kūikawā a i ʻole ke kīʻaha ana e ana i ka lāʻau lapaʻau. ʻAʻole hiki iā ʻoe ke ana pololei me kahi teaspoon ma ka home. E hāʻawi paha kāu kauka iā ʻoe i kahi mea hana kūikawā no kēia kumu me kāu lāʻau lapaʻau. A i ʻole, e nīnau i kāu kauka e pili ana i ia mea.
- E lawe pū me ka meaʻai: E lawe mau i kēia lāʻau lapaʻau me ka ʻai.
- E heluhelu i nā kuhikuhi: E loaʻa iā ʻoe kahi pepa kuhikuhi kūikawā (MedGuide/INSTRUCTIONS FOR USE) me kāu lāʻau lapaʻau. E heluhelu mau a hoʻomaopopo pono. Inā he mau nīnau kāu, e nīnau i kāu kauka a i ʻole ka hui lapaʻau.
ʻO ka mea nui loa: E hoʻomau i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki i ka lawe ʻana iā ʻoe iho, ʻoiai inā ua maikaʻi kou manaʻo.
I ka manawa hea e hāʻawi ʻia ai i nā keiki?
Paipai nā kauka i kēia lāʻau lapaʻau no kekahi mau maʻi, e hoʻomaka ana mai nā pēpē hānau hou. Eia nō naʻe, pono e mālama ʻia nā hana palekana kūikawā. No laila, inā ʻoe e hāʻawi i kēia lāʻau lapaʻau i kāu keiki, e hahai pono i nā kuhikuhi a ke kauka.
He aha inā lawe nui wau 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) kokoke loa.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
- Inā lawe ʻoe i hoʻokahi manawa i ka lā: E lawe koke i ka wā e hoʻomanaʻo ai ʻoe, i loko o ia lā. Inā hoʻomanaʻo ʻoe i ka lā aʻe, e kāpae i ka mahele i hala ʻole a lawe i ka mahele aʻe e like me ka maʻamau. Mai lawe i ʻelua mau mahele i ka manawa hoʻokahi.
- Inā lawe ʻelua i ka lā: E lawe i ka mahele i hala i ka wā e hoʻomanaʻo ai ʻoe i ke ao. Inā poina iā ʻoe ka mahele kakahiaka, hiki iā ʻoe ke lawe pū me ka mahele ahiahi. Inā poina iā ʻoe ka mahele ahiahi, hiki iā ʻoe ke lawe ma hope o ia pō.
- Inā ʻoe e lawe iā ia i ʻekolu manawa i ka lā: Inā ʻoe e poina i kahi mahele lāʻau, e hōʻalo iā ia. E hōʻalo iā ia a lawe i ka mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau mahele lāʻau i ka manawa hoʻokahi.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e nā kauka ʻē aʻe, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau kuʻuna, nā huaora), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.
E hōʻoia e haʻi mai iā mākou inā ʻoe e lawe ana i kekahi o nā lāʻau lapaʻau aʻe:
- ʻO Defibrotide
- ʻAspirin a me nā lāʻau lapaʻau like
- ʻO kekahi mau lāʻau antibiotic e like me Erythromycin a me Clarithromycin
- ʻO nā lāʻau antifungal e like me Ketoconazole a me Itraconazole
- Nā lāʻau antiepileptic e like me Carbamazepine a me Phenytoin
- ʻO nā lāʻau hoʻokahe koko ʻē aʻe e like me Warfarin, Enoxaparin, Apixaban
- ʻO nā lāʻau ʻeha e like me Ibuprofen lāua ʻo Naproxen, i hāʻule i loko o ka māhele o NSAIDS
- ʻO Rifampin (he lāʻau lapaʻau no ka maʻi puʻupuʻu)
- ʻO Ritonavir (no ka mālama ʻana i ka maʻi HIV)
- ʻO SSRIs a i ʻole SNRIs no ke kaumaha
- Nā huahana lāʻau lapaʻau e like me ka wort ʻo St. John
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
- E ʻike pinepine i kāu kauka: E kipa aku i kāu kauka i nā lā i hoʻonohonoho ʻia e nānā i kou kūlana. Pono paha ʻoe e hana i nā hoʻāʻo koko.
- E pale i nā ʻeha: Aia ka nui o ka pilikia o ke kahe ʻana o ke koko i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, e pale i nā haʻuki a me nā hana e hiki ai ke hāʻule a me nā ʻeha. E akahele loa i ka hoʻohana ʻana i nā mea ʻoi e like me nā pahi a me nā ʻokiʻoki. Inā ʻoe e kahi, ʻoi aku ka palekana o ka hoʻohana ʻana i ka pahi ʻumiʻumi uila. E akahele i ka palaki ʻana a me ka floss ʻana i kou mau niho.
- E komo i kahi ID lapaʻau: He mea kōkua nui ka lawe ʻana i kahi kūpeʻe lima lapaʻau a i ʻole kāleka e hōʻike ana e lawe ana ʻoe i kēia lāʻau lapaʻau.
- E haʻi i kāu kauka niho: E haʻi i kāu kauka niho e lawe ana ʻoe i kēia lāʻau lapaʻau ma mua o ka unuhi ʻana i ka niho a i ʻole ke ʻoki niho. ʻOi aku ka maikaʻi o ka hoʻoponopono ʻana i nā pilikia niho ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
- E haʻi i kāu kauka ma mua o ke ʻoki ʻana: Inā ʻoe e hana ʻia ana i ke ʻoki ʻana a i ʻole nā kaʻina hana lapaʻau ʻē aʻe, e haʻi mua i kāu hui lapaʻau e lawe ana ʻoe i kēia lāʻau lapaʻau.
- Mai hāpai: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. He mea ʻino paha ia i kahi pēpē i hānau ʻole ʻia. Inā ʻoe e hoʻolālā ana e hāpai, e kamaʻilio me kāu kauka e pili ana i ia mea.
He aha nā hopena ʻaoʻao koʻikoʻi e hiki ke loaʻa?
Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e hoʻomaopopo koke i kāu kauka .
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona e ʻike ai |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke kahe ʻana o ke koko | ʻEleʻele a ʻeleʻele paha nā ʻōpala, ka luaʻi ʻana i ke koko a i ʻole kekahi mea e like me ke kofe, ka mimi ʻulaʻula a ʻeleʻele paha, nā kiko liʻiliʻi ʻulaʻula a poni paha ma ka ʻili, ka palapū a i ʻole ke kahe koko ʻana. |
| Ke kahe ʻana o ke koko i loko o ka lolo | ʻEha poʻo nui, ʻāʻī ʻoʻoleʻa, huikau, poniuniu, loli o ka ʻike, mae a nāwaliwali paha ma ka maka, lima a i ʻole ka wāwae, paʻakikī i ka ʻōlelo ʻana. |
| No nā wāhine | Nā wā kaumaha. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻoluʻolu e hoʻomaopopo i kāu kauka.
Pehea ʻoe e mālama ai a hoʻolei aku i ka lāʻau lapaʻau?
- Ka Mālama ʻana: E mālama ʻia mai ka hiki ʻana aku o nā keiki a me nā holoholona. E mālama ma ka mahana o ka lumi (20-25 kekelē Celsius). Mai hoʻopaʻahau. E mālama i loko o ka pahu kumu. E hoʻolei i kekahi lāʻau lapaʻau i koe ma hope o 60 mau lā o ke kāwili ʻana a i ʻole ma hope o ka lā palena pau.
- Ka Hoʻolei ʻana: ʻO ke ala maikaʻi loa e hoʻolei aku ai i nā lāʻau lapaʻau i pau ka lā a i ʻole makemake ʻole ʻia, ʻo ia ke hāʻawi aku iā lākou i kahi papahana lawe-hoʻihoʻi lāʻau. Hiki iā ʻoe ke nīnau i kāu haukapila a i ʻole ke keʻena olakino kūloko e pili ana i kēia. Inā ʻaʻole hiki kēlā, e ninini i ka lāʻau lapaʻau mai loko mai o ka ʻōmole, e kāwili me kahi mea e like me nā lau kī i hoʻohana ʻia, nā lepo kope, a i ʻole ka lepo, a waiho i loko o kahi ʻeke i hoʻopaʻa pono ʻia a hoʻolei i loko o ka ʻōpala.
Leka Lawe-Home
- E lawe i kēia lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, ma ke ʻano i kauoha ʻia, i ka manawa i kauoha ʻia, a me ka meaʻai.
- Mai hōʻalo i kahi mahele o ka lāʻau lapaʻau. ʻO ka hoʻōki ʻana i ka lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka e hoʻonui paha i kou pilikia o ke koko ʻana.
- E makaʻala mau i nā hōʻailona e like me ke kahe koko ʻokoʻa, ka palapū nui, a me nā ʻōpala ʻeleʻele. Inā ʻike ʻoe i kekahi o kēia mau mea, e haʻi koke i kāu kauka.
- Ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau ʻē aʻe, ke ʻoki ʻana, a i ʻole ka unuhi ʻana i ka niho, e hoʻomaopopo pono i kāu mau kauka e lawe ana ʻoe iā Rivaroxaban.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, e noi i kāu kauka no ka wehewehe ʻana.
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