Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau hoʻokahe koko? He lāʻau lapaʻau paha i kapa ʻia ʻo Rivaroxaban. Ua hopohopo iki paha ʻoe i kou lohe ʻana i kēia inoa? Mai manaʻo pēlā. He lāʻau lapaʻau koʻikoʻi loa kēia i hāʻawi pinepine ʻia e pale iā mākou mai nā kūlana weliweli e like me ka maʻi puʻuwai a me ka hahau. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Rivaroxaban, pehea e hoʻohana ai, he aha nā mea e makaʻala ai, he aha nā hopena ʻaoʻao, nā mea āpau ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Rivaroxaban?
He anticoagulant ʻo Rivaroxaban, a i ʻole e like me kā mākou e kapa pinepine ai, he "mea hoʻokahe koko." Eia naʻe, ʻaʻole ia e hoʻokahe maoli i ke koko, pale ia i ke kūkulu ʻia ʻana o nā clots koko i loko o nā aa o ko mākou kino. He mea weliweli loa kēia mau clots koko. No ka mea, inā hele lākou ma nā aa a paʻa i ka lolo, ka puʻuwai, a i ʻole nā māmā, hiki iā lākou ke hana i nā maʻi koʻikoʻi e like me ka hahau ʻana a me ka hōʻeha puʻuwai.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no nā kūlana penei:
- E pale i nā ʻūpā koko a mālama paha i nā ʻūpā koko e kū nei: ʻOi loa aku no nā ʻūpā koko e hana ʻia ana ma nā wāwae (Deep Vein Thrombosis - DVT) a i ʻole nā māmā (Pulmonary Embolism - PE).
- E hōʻemi i ka pilikia o ka hahau ʻana i ka poʻe me ka Atrial Fibrillation (AFib): ʻO ka AFib kahi puʻuwai puʻuwai kūpono ʻole e hoʻonui ai i ka pilikia o nā ʻōpū koko e hana ana i loko o ka puʻuwai a hele i ka lolo.
- E hōʻemi i ka pilikia o ka hōʻeha puʻuwai a i ʻole ka hahau no ka poʻe me ka maʻi artery coronary a i ʻole ka maʻi artery peripheral.
- Kāohi i nā ʻūpā koko ma hope o ke ʻoki ʻana o ka ʻūhā a i ʻole ke kuli.
Ma Sri Lanka, ʻike nui ʻia kēia lāʻau lapaʻau ma ka inoa inoa ʻo Xarelto . ʻO kēia paha ka inoa i kuhikuhi ʻia e kāu kauka nou.
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 hoʻomaka ʻana i ka rivaroxaban, he mea nui i kāu kauka ke ʻike i kāu mōʻaukala olakino piha. ʻO kēia no ka mea hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau kūlana olakino. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻoluʻolu e haʻi i kāu kauka.
| Kou kūlana | No ke aha he mea nui e hoʻomaopopo i ke kauka? |
|---|---|
| Inā he mau maʻi koko a pilikia paha kou | Hoʻonui kēia lāʻau lapaʻau i ka pilikia o ke kahe ʻana o ke koko, no laila hiki ke lilo i mea weliweli loa inā loaʻa iā ʻoe kēlā pilikia. |
| Inā he valve puʻuwai prosthetic kou | ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau no nā poʻe maʻi me kēia ʻano valves. |
| Inā loaʻa iā ʻoe ka maʻi ate a i ʻole ka maʻi puʻupaʻa | Ma muli o ka hoʻopau ʻia ʻana o nā lāʻau lapaʻau mai ke kino ma o kēia mau ʻōkana, inā ua pilikia kā lākou hana, pono paha e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau. |
| Inā ua hoʻonohonoho ʻia ʻoe e hana i ke ʻoki kino a i ʻole kahi epidural i ka wā e hiki mai ana | No ka mea he paʻakikī ke kāohi i ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana, e aʻo aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i kekahi mau lā ma mua o ke ʻoki ʻana. |
| Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo (Antiphospholipid syndrome - APS) | Ua hōʻike ʻia ʻo Rivaroxaban e hoʻonui i ka pilikia o ke koko i loko o ka poʻe me kēia ʻano. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | I ka wā hāpai, hiki i kēia lāʻau lapaʻau ke hoʻoweliweli i ke kahe koko no ka makuahine a me ka pēpē. No laila, pono ʻoe e kamaʻilio me kāu kauka e hoʻoholo i ka mea kūpono loa iā ʻoe. |
| Inā he makuahine hānai ʻoe | Pono ʻoe e kūkākūkā me kāu kauka inā hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. |
| Inā he maʻi ʻoe i kēia lāʻau lapaʻau a i ʻole kekahi mea ʻē aʻe | He mea nui loa e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi allergies. |
Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻO kēia ka ʻāpana koʻikoʻi loa. I mea e loaʻa ai ka pono nui mai kēia lāʻau lapaʻau, he mea nui e lawe pono ia e like me ke kauoha a kāu kauka.
- Mai wikiwiki, mai poina i nā lāʻau lapaʻau: E lawe i kāu lāʻau lapaʻau i kuhikuhi ʻia i ka manawa kūpono i ʻōlelo ʻia e kāu kauka. ʻO ka hōʻole ʻana i nā lāʻau lapaʻau a i ʻole ka hoʻōki ʻana i kāu lāʻau lapaʻau ma kāu iho hiki ke hoʻonui i kou pilikia o ke koko ʻana a i ʻole ka hahau ʻana. E hoʻomau i ka lawe ʻana i kāu lāʻau lapaʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
- Pono anei ʻoe e lawe me ka meaʻai a i ʻole me ka ʻole o ka meaʻai?: Aia kēia i ke kumu i kuhikuhi ʻia ai ka lāʻau lapaʻau.
- Ma hope o ke ʻoki ʻana o ka ʻūhā a i ʻole ke kuli: Hiki ke lawe ʻia me ka meaʻai a i ʻole me ka ʻole o ka meaʻai.
- No ka Atrial Fibrillation (AFib): E lawe i kēlā me kēia ahiahi me ka ʻai.
- Ma ke ʻano he lāʻau lapaʻau no nā ʻūpā koko: E lawe i ka manawa like i kēlā me kēia lā, me ka ʻai.
- No ka maʻi puʻuwai a i ʻole ka maʻi aʻa: E lawe i ka manawa like i kēlā me kēia lā, me ka ʻai a me ka ʻole o ka meaʻai.
- Inā pilikia ʻoe i ke ale ʻana i ka pila: Inā pilikia ʻoe i ke ale ʻana i ka pila, hiki iā ʻoe ke kuʻi a kāwili me kahi ʻāpala liʻiliʻi. Pono ʻoe e ʻai hou i ka meaʻai ma hope o ka lawe ʻana. Eia nō naʻe, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka ma mua o ka hana ʻana i kēia.
Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi no ka mea ua like ko lākou mau hōʻailona me ʻoe. Hiki ke lilo i mea weliweli.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Inā loaʻa iā ʻoe kekahi kānalua iki ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo. He mea kēia ʻaʻole pono e hoʻopaneʻe ʻia.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
He mea kēia e hana ʻia ana i nā kānaka he nui. Mai hopohopo. E hana i kēia.
- Inā ʻoe e lawe i hoʻokahi mahele lāʻau i ka lā: E lawe i ka mahele lāʻau i hala koke i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe, ʻo ia hoʻi, aia i loko o kekahi mau hola, e kāpae i ka mahele lāʻau i hala a lawe i ka mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka mahele lāʻau.
- Inā ʻoe e lawe ana i ʻelua manawa i ka lā e mālama ai i nā ʻūpā koko: E lawe i ka lāʻau i hala i ka wā e hoʻomanaʻo ai ʻoe. I kēia hihia, hiki iā ʻoe ke lawe i nā pila ʻelua i ka manawa hoʻokahi inā pono. A laila e lawe i ʻelua manawa i ka lā e like me ka mea maʻamau mai ia lā aku.
- Inā ʻoe e lawe ana i ʻelua manawa i ka lā no ka maʻi puʻuwai a i ʻole ka maʻi arterial: Mai lawe i ka mahele i hala. E hōʻalo iā ia a lawe i ka mahele aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ka mahele pālua e hoʻopiha no kahi mahele i poina.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He lāʻau lapaʻau ʻo Rivaroxaban e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau hoʻopau ʻeha ma luna o ke kūʻai aku, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui lāʻau.
Aia ma lalo iho kekahi o nā lāʻau lapaʻau nui e hiki ke launa pū me Rivaroxaban.
| ʻAno lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau hoʻokahe koko ʻē aʻe | ʻO Warfarin, Apixaban, Dabigatran, Enoxaparin |
| Nā lāʻau hoʻopau ʻeha (NSAID) a me ka aspirin | ʻAspirina, Ibuprofen, Naproxen, Diclofenac |
| Kekahi mau fungicides | ʻO Ketoconazole, ʻItraconazole |
| Kekahi mau lāʻau antibiotic | ʻEritromisin, Clarithromycin |
| ʻO kekahi mau lāʻau lapaʻau no ka migraines | ʻO Carbamazepine, Phenytoin |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha | ʻO nā SSRI (e.g. Fluoxetine, Sertraline) a me nā SNRI (e.g. Venlafaxine, Duloxetine) |
| Nā huahana lāʻau lapaʻau | ʻO ka wort o St. John |
ʻAʻole i piha kēia papa inoa. No laila, lawe ʻoeʻO ka mea palekana loa e hana ai, ʻo ia ke haʻi aku i kāu kauka e pili ana i kāu mau lāʻau lapaʻau a pau.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e noʻonoʻo pono i kou palekana i ka wā e lawe ana i kēia lāʻau.
- E makaʻala i nā hāʻule ʻana a me nā ʻeha: ʻOiai kahi ʻoki liʻiliʻi hiki ke hoʻokahe nui i ke koko i ka wā e lawe ana i kēia lāʻau. No laila, e pale i nā haʻuki a me nā hana e hiki ai iā ʻoe ke hāʻule. E noʻonoʻo ua ʻoki iki ʻoe i kou lima i ka wā e ʻoki ana i nā mea kanu i loko o ka lumi kuke. ʻO ka maʻamau, ʻo ke kaomi iki ʻana e hoʻōki i ke kahe ʻana o ke koko. Eia nō naʻe, i ka wā e lawe ai i kēia lāʻau, hiki ke lōʻihi iki ka manawa e pau ai ke kahe ʻana o ke koko.
- E makaʻala i ka hoʻohana ʻana i nā mea ʻoi: E noʻonoʻo ʻelua ma mua o ka hoʻohana ʻana i nā mea e like me nā pahi a me nā ʻokiʻoki. Inā ʻoe e kahi ana, ʻoi aku ka palekana o ka hoʻohana ʻana i ka pahi ʻumiʻumi uila ma kahi o ka pahi ʻumiʻumi maʻamau.
- E akahele i ka palaki ʻana i kou mau niho: Mai palaki ikaika i ka palaki ʻana i kou mau niho. E hoʻohana i kahi palaki niho palupalu. ʻOiai i ka wā e hoʻohana ai i ka floss, e makaʻala ʻaʻole e hōʻeha i kou mau ʻāʻī.
- E makaʻala i ke kahe koko ʻē: Inā ʻike ʻoe i nā mea e like me kou kino e huli ana i ka uliuli me ke kumu ʻole a i ʻole ke kahe koko mai nā ʻoki liʻiliʻi e pau ʻole, e haʻi i kāu kauka.
- E komo i kahi kāleka hōʻoia lapaʻau: ʻO ke komo ʻana i kahi kūpeʻe lima hōʻoia lapaʻau a i ʻole ka lawe ʻana i kahi kāleka e ʻōlelo ana e lawe ana ʻoe i nā lāʻau hoʻokahe koko e hiki ke kōkua i ka hoʻopakele ʻana i kou ola i kahi pilikia.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka Rivaroxaban ke loaʻa nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. ʻO ka hopena ʻaoʻao nui a me ka mea e hopohopo nui ai mākou, ʻo ia ke kahe nui ʻana o ke koko.
Inā ʻike ʻoe i nā hōʻailona ma lalo nei, mai hoʻokaʻulua a kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila.
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke kahe koko ʻano ʻē | ʻO ka ʻōpala ʻeleʻele a ʻālohilohi paha, ka luaʻi ʻana i ke koko e like me ke kofe, ka mimi ʻulaʻula a ʻeleʻele paha, nā kiko liʻiliʻi ʻulaʻula a poni paha ma ka ʻili, e polū ana me ke kumu ʻole, a i ʻole ke kahe ʻana o ke koko mai kahi ʻeha e pau ʻole ana. |
| Nā hōʻailona o ke kahe koko o ka lolo | ʻEha poʻo nui, ʻāʻī ʻoʻoleʻa, huikau, poniuniu, loli o ka ʻike, mae a nāwaliwali paha ma ka maka, lima a wāwae paha, paʻakikī i ka ʻōlelo ʻana a i ʻole ka hele wāwae ʻana. |
| No nā wāhine | Ka nui o ke kahe koko i ka wā o ka menstruation. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Rivaroxaban e pale ai i nā ʻūpā koko. E lawe pono e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa a me ka nui i kuhikuhi ʻia.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui o ka lāʻau ma kāu iho. ʻO ka hoʻōki ʻana me ka ʻole o ke aʻo ʻana a kāu kauka hiki ke hana i nā pilikia koʻikoʻi, e like me ka hahau ʻana.
- Aia kahi pilikia kiʻekiʻe o ke kahe ʻana o ke koko i ka wā e lawe ai i kēia lāʻau lapaʻau, no laila e makaʻala loa i ka hāʻule ʻana a me nā ʻeha.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, a inā ʻoe e hana ʻoki kino.
- Inā ʻike ʻoe i kekahi mau hōʻailona o ke kahe koko ʻē, e like me nā ʻōpala ʻeleʻele, ka luaʻi ʻana i ke koko, a i ʻole ka huli ʻana i ka uliuli, e ʻimi koke i ke kōkua lapaʻau.
- Inā he mau nīnau a kānalua paha kāu e pili ana i kēia lāʻau lapaʻau, e nīnau i kāu kauka. Mai makaʻu i kekahi mea.
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