E noʻonoʻo, he ʻeha nui koke o ka umauma... ka hou ʻana, a me ka paʻakikī o ka hanu ʻana. Pehea kou manaʻo weliweli ke ʻike ʻoe ua loaʻa iā ʻoe kahi hōʻeha puʻuwai? I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi inikini kūikawā e hiki ke hoʻopakele i ke ola o ka mea maʻi i kahi pilikia, manawa koʻikoʻi o ke ola. He lāʻau lapaʻau kēia i kapa ʻia ʻo Tenecteplase.
I ka ʻōlelo maʻalahi, he aha ka Tenecteplase?
He lāʻau ikaika loa ʻo Tenecteplase, a i ʻole TNK-tPA, e hoʻoheheʻe ana i nā ʻūpā koko. Ua kapa pū nā kauka iā ia he "clot-buster."
I kēia manawa, e nānā kākou pehea e hana ʻia ai ka hōʻeha puʻuwai. Ke hana koke ʻia kahi ʻaʻa koko i loko o kahi kīʻaha koko (coronary artery) e hoʻolako ana i ke koko i ko kākou puʻuwai, e pau ka lako koko i ka ʻiʻo puʻuwai a hoʻomaka kēlā ʻāpana e make. ʻO ia ka manawa e hoʻohana ʻia ai kēia lāʻau lapaʻau. Hana ka inikini tenecteplase ma ka hoʻoheheʻe koke ʻana i ke kīʻaha koko i ālai ʻia a hoʻihoʻi i ke kahe koko i ka puʻuwai. Ua like kēia me ka wehe ʻana i kahi mea ālai nui mai ke alanui a me ka ʻae ʻana i nā kaʻa e hele.
Nā mea e haʻi aku i ke kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
ʻOiai he lāʻau ikaika loa kēia, hiki ke hoʻoweliweli i ka hoʻohana ʻana me kekahi mau maʻi i loko o kou kino. No laila, ma mua o ka lawe ʻana i kēia lāʻau, pono ʻoe e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau maʻi:
| Ke kūlana a i ʻole ka manawa kūpono paha āu e loaʻa ai | No ke aha mākou e hoʻomaopopo ai e pili ana i ia mea? |
|---|---|
| Aneurysm (nāwaliwali o ka paia o kahi kīʻaha koko i loko o ka lolo a i ʻole ma kahi ʻē aʻe) | He kiʻekiʻe loa ka pilikia o ke kahe ʻana o ke koko. |
| Nā maʻi koko, nā pilikia me ke kāpili koko | Hiki i ka lāʻau lapaʻau ke hoʻoulu i ke kahe koko hiki ʻole ke kaohi. |
| ʻO ka Diabetic Retinopathy (ke kahe koko ʻana i nā maka ma muli o ka maʻi diabetes) | Hiki ke hoʻonui ʻia ke kahe ʻana o ke koko ma nā maka. |
| ʻO ka maʻi o nā valves o ka puʻuwai (Endocarditis) | Aia kahi pilikia o ke kahe ʻana o ke koko mai nā ʻāpana i loaʻa i ka maʻi. |
| ʻO kahi ʻeha poʻo i hala koke nei, maʻi lolo, a i ʻole ka puʻupuʻu | He kiʻekiʻe loa ka pilikia o ke kahe ʻana o ke koko i loko o ka lolo. |
| Ke koko kiʻekiʻe i kāohi ʻole ʻia | Hiki i ke koko ke hoʻoulu i ka pohā ʻana a me ke kahe ʻana o ke koko i nā aʻa koko. |
| ʻO ke ʻoki kino hou, ka hānau keiki ʻana, ka biopsy, a i ʻole ka ʻeha nui | Hiki ke hoʻomaka hou ke kahe koko mai nā wahi ʻoki. |
| Hahau hou nei | Hiki ke loaʻa hou ke kahe koko o ka lolo. |
| Nā ʻōpū ʻōpū a i ʻole nā ʻōpū koko | Hiki ke hoʻonui ʻia ke kahe ʻana o ke koko mai ka ʻōpū a i ʻole nā naʻau. |
| Ke hāpai nei, ke ho'āʻo nei e hāpai, a i ʻole ka hānai waiū | Pono ke kauka e makaʻala i nā pilikia e hiki mai ana i ka makuahine a me ke pēpē. |
| Nā maʻi ʻaleka i kekahi lāʻau lapaʻau a meaʻai paha | I mea e pale aku ai i kahi hopena alerika. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kiʻi ma kahi hale kūʻai lāʻau lapaʻau a lawe i ka home. Loaʻa wale ʻo Tenecteplase ma kahi haukapila a i ʻole ke keʻena lapaʻau., he lāʻau pale i hāʻawi ʻia e ke kauka a i ʻole kekahi loea olakino i aʻo ʻia. ʻO ia hoʻi, hoʻohana wale ʻia ia i ka wā pilikia, no ka mea maʻi i hoʻopaʻa ʻia i ka haukapila.
He inikini kēia i loko o kahi aa koko, no laila koke koke nā hopena.
Inā he keiki ʻuʻuku kāu a pono e hāʻawi iā lākou i kēia lāʻau lapaʻau, pono ka mālama kūikawā. Pono ʻoe e kamaʻilio me kāu kauka e pili ana i kēia a loaʻa ka ʻōlelo aʻoaʻo.
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano kūpono i loko o ka haukapila, ʻaʻohe pilikia o ka 'overdose'. Eia nō naʻe, inā manaʻo ʻoe he lāʻau make e pili ana i ka lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me kēia lāʻau lapaʻau, no laila he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
- Mai lawe pū me kēia lāʻau lapaʻau: ʻAʻole pono e hoʻohana pū ʻia me kēia lāʻau lapaʻau nā lāʻau lapaʻau e like me Aminocaproic acid, Aprotinin, Tranexamic acid.
- E makaʻala loa inā ʻoe e lawe ana i kēia lāʻau lapaʻau:
- Nā lāʻau antiplatelet - no ka laʻana 'clopidogrel', 'ticlopidine'
- ʻAspirin a me nā lāʻau like
- Nā lāʻau hoʻokahe koko - no ka laʻana ʻo `warfarin`, `heparin`, `enoxaparin`
- Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory (NSAID) - no ka laʻana ʻo `ibuprofen` a i ʻole `naproxen`
ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai ma hope o ka lawe ʻana i ka lāʻau lapaʻau
Ma hope o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau iā ʻoe, e nānā pono loa ke limahana lapaʻau iā ʻoe.
ʻO ka hopena nui o kēia lāʻau lapaʻau ka hoʻonui ʻia o ka pilikia o ke kahe ʻana o ke koko . Hiki ke mau kēia hopena no kekahi mau lā.
No laila, pono ʻoe e makaʻala nui i kēia wā.
- I ka palaki ʻana a me ka flossing, e hana mālie i ʻole e hōʻino i kou ʻāʻī.
- E ho'āʻo i kou maikaʻi loa ʻaʻole e hōʻeha iā ʻoe iho ma nā wahi a pau o kou kino.
- Inā ʻōlelo kāu kauka iā ʻoe e hoʻomaha i ka moena, e hahai pono iā ia. Hiki i kēia ke kōkua i ka pale ʻana i ke kahe koko e hiki mai ana ma muli o ka neʻe pono ʻole.
- Mai lawe i nā mea hoʻomaha ʻeha e like me ka aspirin a me ka ibuprofen i kēia mau lā me ka ʻole o ke aʻo ʻana mai ke kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou a pono e hōʻike koke ʻia.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| E hoʻomaopopo koke i kāu kauka a i ʻole nā kahu maʻi. | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā Hōʻailona o ke Koko ʻana | Nā ʻōpala ʻeleʻele a koko paha; mimi ʻulaʻula a ʻeleʻele paha; ka luaʻi ʻana i nā mea e like me ke kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻano ʻē mai nā maka, nā ʻāʻī, a i ʻole ka ihu. |
| Nā Hōʻailona o ka Stroke | Nā loli o ka ʻike; huikau; paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana; ʻeha poʻo nui; mae koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae; paʻakikī i ka hele wāwae, ka poniuniu. |
| Nā loli i ka helu o ka puʻuwai | Ka wikiwiki a lohi paha o ka puʻuwai. |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Pōʻino | Manaʻo māmā. |
| kuni | Ka wela o ke kino. |
| Ka luaʻi, ka luaʻi | ʻŌpū ʻeha a me ka luaʻi. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā he mau nīnau kāu e pili ana i kēia, mai makaʻu e nīnau i kāu kauka.
Leka Lawe-Home
- He lāʻau ikaika a hoʻōla ola ʻo Tenecteplase i hāʻawi ʻia e hoʻoheheʻe i nā ʻūpā koko i hoʻokumu ʻia e nā hōʻeha puʻuwai. Hāʻawi wale ʻia ia ma ka haukapila.
- ʻO ka pilikia nui a koʻikoʻi loa o kēia lāʻau lapaʻau, ʻo ia ke kahe ʻana o ke koko. No laila, e makaʻala loa i ʻole e ʻeha no kekahi mau lā ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
- E hōʻoia e haʻi i kāu kauka e pili ana i kāu mau maʻi ʻē aʻe (ʻoiai ke kahe ʻana o ke koko, ke ʻoki kino hou, ke koko kiʻekiʻe) a me nā lāʻau lapaʻau āpau āu e lawe nei.
- Inā ʻike ʻoe i kekahi kahe koko ʻē, nā hōʻailona o kahi maʻi allergies (e like me ka pehu ʻana o ka maka), a i ʻole nā hōʻailona o ka hahau ʻana (e like me ka mae koke ʻana), e hoʻomaopopo koke i nā limahana lapaʻau.
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