Ua loaʻa anei iā ʻoe kahi hāʻule puʻuwai? A i ʻole ua loaʻa i kekahi āu e aloha ai kekahi? A i ʻole ua lohe paha ʻoe i kahi hahau? He mau pilikia olakino koʻikoʻi kēia, ʻeā? ʻĀ, i kekahi manawa ua hoʻokumu ʻia kēia mau pilikia e ka hoʻokumu ʻia ʻana o nā ʻōpū koko i loko o ko kākou mau kīʻaha koko. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā e kōkua i ka hoʻōki ʻana i ke kūkulu ʻia ʻana o ia mau ʻōpū koko. ʻO Ticagrelor kona inoa.
He aha ke ʻano lāʻau lapaʻau ʻo Ticagrelor?
I ka ʻōlelo maʻalahi, he lāʻau anti-platelet ʻo Ticagrelor. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o nā platelets. He mau ʻāpana liʻiliʻi kēia i loko o ko kākou koko. ʻO ka maʻamau, ke hōʻeha ʻia mākou, hui pū kēia mau platelets e hana i kahi clot koko. He maikaʻi kēlā.
Eia nō naʻe, i kekahi poʻe, ʻoi aku hoʻi ka poʻe me ka maʻi ʻaʻa coronary, ʻo ia hoʻi ka ʻeha o ka umauma, ka hōʻeha puʻuwai, a i ʻole ka hahau mua a i ʻole ka hahau liʻiliʻi, hiki i kēia mau platelets ke hui pū a hana i nā ʻōpū koko i loko o nā kīʻaha koko. He mea weliweli loa ia. No ka mea, hiki i kēlā mau ʻōpū koko ke hōʻemi a ālai loa paha i ke kahe koko i ka puʻuwai a me ka lolo. ʻO ia ka manawa e hana ʻia ai nā mea e like me nā hōʻeha puʻuwai a me nā hahau.
No laila, ʻo ka mea a Ticagrelor e hana ai, ʻo ia ke pale ʻana i nā platelets mai ka hui pū ʻana a me ka hana ʻana i nā ʻūpā koko. Hiki i kēia ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana. Loaʻa pū kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo BRILINTA. Ua kuhikuhi paha kāu kauka iā ia ma lalo o kēia inoa.
Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kumu ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kauka lāʻau paha.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e hoʻohana iā Ticagrelor, aia kekahi mau kūlana e pono ai ʻoe e haʻi aku i kāu kauka. ʻAʻole kūpono kēia lāʻau lapaʻau no nā mea āpau. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi aku i kāu kauka :
- Nā maʻi kahe koko: Loaʻa iā ʻoe kahi maʻi e hoʻokahe maʻalahi ai ʻoe a paʻakikī ke hoʻōki? Eia kekahi laʻana, ʻaʻole anei e pau ke kahe koko mai kahi ʻoki liʻiliʻi?
- Ua loaʻa anei iā ʻoe ke kahe koko o ka lolo? Inā ua loaʻa iā ʻoe kekahi ma mua, pono ʻoe e haʻi mai iaʻu.
- He mau polyp ko loko o ka kolona kou? He mau ulu liʻiliʻi kēia e kū mai ana i loko o ka kolona.
- Ke hana koke nei ʻoe i ke ʻoki kino? A i ʻole ua pau ʻoe?
- Nā ʻano like ʻole o ka puʻuwai: Loaʻa iā ʻoe nā manawa e paʻi wikiwiki ai kou puʻuwai, lohi, a i ʻole kūlike ʻole?
- Ua loaʻa anei iā ʻoe ke kahe koko o ka ʻōpū? Inā ua loaʻa iā ʻoe kekahi kahe koko o ka ʻōpū ma mua, mai kahi ʻōpū maʻi a i ʻole no kekahi kumu ʻē aʻe, e haʻi mai iā mākou e pili ana.
- Maʻi akepaʻa: Loaʻa iā ʻoe kekahi maʻi akepaʻa? No ka mea, kōkua ke akepaʻa i ka wehe ʻana i nā lāʻau lapaʻau mai ke kino.
- Nā maʻi o ka māmā: Loaʻa iā ʻoe kekahi mau maʻi e pilikia ai ka hanu ʻana, e like me ka hānō a i ʻole COPD?
- Ua loaʻa anei iā ʻoe kahi ʻeha koʻikoʻi? Ua loaʻa anei kahi ulia nui i hala koke nei?
- ʻAneʻane hiamoe: Manaʻo ʻoe e pau ana kou hanu ʻana no nā manawa pōkole i kou hiamoe ʻana? Ke hele pū nei me ka hāhā ʻana?
- Nā ʻōpū ʻeha: Aia kekahi mau ʻōpū ʻeha e hele mai me ka mumū o ka ʻōpū?
- Hahau a i ʻole ka Hoʻouka Ischemic Kuʻikahi (TIA): Ua loaʻa iā ʻoe kahi hahau mua a i ʻole nā hōʻailona like?
- Ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau ʻē aʻe e pale ai i ke kāpili ʻana o ke koko? Eia kekahi laʻana, warfarin.
- Ua loaʻa anei iā ʻoe kahi hopena maʻi i ka ticagrelor, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu? Nā mea e like me ka hives, ka maneʻo, a me ka pehu.
- Ua hāpai ʻoe? A i ʻole ke hoʻāʻo nei ʻoe e hāpai?
- He makuahine hānai waiū ʻoe?
He mea nui loa e haʻi aku i kāu kauka e pili ana i kēia mau mea. A laila hiki iā ia ke hoʻoholo inā kūpono ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau a i ʻole, a i ʻole e hoʻololi i ka nui.
ʻAe, pehea ʻoe e hoʻohana pono ai i kēia?
Loaʻa kēia lāʻau lapaʻau ma ke ʻano pila. Pono e lawe waha ʻia.
- Hiki ke ale holoʻokoʻa ʻia ka papa. E ale pū me ke aniani wai.
- Inā paʻakikī iā ʻoe ke ale, hiki iā ʻoe ke kuʻi i ka pila a hoʻoheheʻe iā ia i loko o ke aniani wai. Kuʻi i ka pila, e kau i ka pauka i loko o ke aniani wai, e hoʻowali maikaʻi, a inu koke. A laila e hoʻohui i kahi wai hou i ke aniani hoʻokahi, e hoʻowali hou, a inu pū i kēlā. Ma kēlā ʻano, e komo nā lāʻau lapaʻau a pau i loko o kou kino.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a me ka ʻole. Eia nō naʻe, inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka nui kūpono, i ka manawa kūpono, e like me ke kauoha a kāu kauka. Mai poina i hoʻokahi lā.
- ʻO ka hōʻalo ʻana i nā lāʻau lapaʻau a i ʻole ka hoʻōki koke ʻana i ka lāʻau lapaʻau me ka ʻole o ka haʻi ʻana aku i kāu kauka hiki ke hoʻonui i kou pilikia o ka loaʻa ʻana o kahi ʻōpū koko hou a i ʻole ka loaʻa ʻana o ka hahau. No laila e hoʻomau i ka lawe ʻana i kēia lāʻau lapaʻau a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia iā ʻoe kahi pepa kuhikuhi kūikawā "MedGuide" me ia. E heluhelu pono i kēia pepa i kēlā me kēia manawa āu e loaʻa ai kāu lāʻau lapaʻau a i ka wā e loaʻa ai iā ʻoe kahi hoʻopihapiha. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi nāu.
Pono e mālama pono ʻia i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, no laila e kamaʻilio me kāu kauka e pili ana i ia mea.
ʻŌlelo Aʻo: Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, pono ʻoe e hele koke i ka ʻoihana pilikia o ka haukapila kokoke loa a kāhea aku paha i kahi kikowaena kaohi lāʻau make.
Nou wale nō kēia lāʻau lapaʻau.Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā hana kēia, e lawe i ka lāʻau 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 ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka wā e lawe ʻia ai me Ticagrelor. ʻO ia hoʻi, hiki iā lākou ke hōʻemi a hoʻonui paha i ka pono o Ticagrelor, a hoʻonui paha i nā hopena ʻaoʻao.
ʻAʻole pono e lawe pū ʻia nā lāʻau lapaʻau me Ticagrelor:
- ʻAvanafil `(ʻAvanafil)`
- ʻO Defibrotide
- ʻO Itraconazole (he antifungal kēia, akā ʻaʻole pono e lawe ʻia kēia mea me ka ticagrelor)
Pono ʻoe e makaʻala loa i ka wā e lawe ai i nā lāʻau lapaʻau me Ticagrelor. E hōʻoia e haʻi i kāu kauka inā ʻoe e lawe nei i kēia mau mea:
- ʻAspirin (e kamaʻilio mākou e pili ana i kēia ma hope iki)
- ʻO kekahi mau ʻano antibiotics: no ka laʻana, clarithromycin, telithromycin, rifampin.
- Kekahi mau lāʻau antiviral i hoʻohana ʻia no ka maʻi HIV a i ʻole AIDS: No ka laʻana, atazanavir, indinavir, nelfinavir, ritonavir, saquinavir.
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e hoʻohaʻahaʻa i ka cholesterol: No ka laʻana, ʻo lovastatin a me simvastatin. (He kūpono loa kēia mau mea ke lawe ʻia i nā nui ma mua o 40mg.)
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal: No ka laʻana, ketoconazole a me voriconazole. (E hoʻomanaʻo, ua ʻōlelo mua wau ʻaʻole e lawe i ka itraconazole.)
- ʻO kekahi mau lāʻau lapaʻau i hāʻawi ʻia e mālama i nā hopu ʻana: no ka laʻana, carbamazepine, phenobarbital, a me phenytoin.
- ʻO Digoxin (he lāʻau lapaʻau no ka maʻi puʻuwai)
- Lāʻau ʻeha opioid.
- Nefazodone (he lāʻau lapaʻau kēia no ke kaumaha)
ʻAʻole i piha kēia papa inoa. Aia paha kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (i kauoha ʻia a kūʻai ʻia paha ma luna o ke kūʻai), nā mea kanu āu e hoʻohana ai, a me nā mea hoʻohui meaʻai āu e lawe ai. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi o kēia mau mea ke launa pū me kāu lāʻau lapaʻau.
He aha kāu e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau "(Ticagrelor)"?
Aia kekahi mau mea e pono ai ʻoe e makaʻala iki aʻe i ka wā e lawe ai i kēia lāʻau.
- E ʻike pinepine i ke kauka:E nānā pinepine me kāu kauka e ʻike i kou kūlana a inā paha e hana pono ana ka lāʻau lapaʻau. Mai poina i kāu mau hālāwai.
- Hoʻonui ʻia ka pilikia o ke kahe ʻana o ke koko a me ka palapū: Hiki i kēia lāʻau lapaʻau ke hoʻomaʻamaʻa maʻalahi iā ʻoe a hoʻoulu i ke kahe ʻana o ke koko mai kahi ʻeha liʻiliʻi. E haʻi koke i kāu kauka inā ʻike ʻoe i kekahi kahe koko ʻē (e laʻa, ke kahe ʻana o ka ihu, nā ʻāʻī kahe, ka mimi koko, a i ʻole nā ʻeleʻele ʻeleʻele).
- E pale i nā haʻuki a me nā hana e hiki ai ke hōʻeha: ʻOiai e lawe ana i kēia lāʻau lapaʻau, inā loaʻa iā ʻoe kahi ʻoki nui, hiki ke kahe koko i loko, a ʻaʻole paha e ʻike ʻia mai waho. No laila, e noho mamao mai nā haʻuki a me nā hana e hiki ai ke hāʻule a me nā ʻeha.
- E akahele i ka hoʻohana ʻana i nā mea ʻoi: E akahele loa i ka hoʻohana ʻana i nā mea e like me nā pahi a me nā ʻokiʻoki. I ka wā e kahi ai, e hoʻohana i ka pahi ʻumiʻumi uila inā hiki.
- E makaʻala i ka palaki ʻana a me ka flossing: e palaki mālie i ʻole e hōʻeha i kou ʻāʻī.
- Inā ʻike ʻoe i kekahi mau ʻeha, nā palapū, a i ʻole nā kiko ʻulaʻula ma kou ʻili, e haʻi i kāu kauka .
- Inā ʻoe e hana ana i ke ʻoki kino a i ʻole kekahi hana lapaʻau ʻē aʻe, e hōʻoia e haʻi aku i kāu kauka /kauka lapaʻau e lawe ana ʻoe i kēia lāʻau. Hiki iā lākou ke noi iā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau i kekahi mau lā ma mua o ke ʻoki kino.
- E haʻi aku i kāu kauka niho : Inā e mālama ʻia ana ʻoe i ka mālama niho a i ʻole ke ʻoki niho, e haʻi aku i kāu kauka niho e lawe ana ʻoe i kēia lāʻau lapaʻau. ʻAʻole hana pinepine ʻia ke ʻoki niho nui i ka wā e lawe ana i kēia lāʻau lapaʻau. Inā hiki, e nānā i kou mau niho a hoʻoponopono i nā pilikia ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E mālama pono i kou mau niho i ka wā e lawe ana i kēia lāʻau lapaʻau a e ʻike pinepine i kāu kauka niho.
- ʻAspirin: Hiki i kāu kauka ke haʻi aku iā ʻoe e lawe i kahi papa aspirin i kēlā me kēia lā me ka ticagrelor. Eia naʻe, mai lawe ʻoe ma mua o 100 milligrams (100mg) o ka aspirin i kēlā me kēia lā. E lawe wale i ka nui a kāu kauka e haʻi aku ai iā ʻoe e lawe.
- E komo i kahi palapala hōʻoia lapaʻau: Inā he kūpeʻe lima ma kou pulima a i ʻole he kaulahao a puni kou ʻāʻī, e lawe i kahi kāleka me nā kikoʻī e pili ana i kou kūlana olakino a me nā lāʻau lapaʻau āu e lawe ai. Hiki ke kōkua nui i ka wā pilikia.
Aia kekahi mau hopena ʻaoʻao? He aha lākou?
E like me nā lāʻau lapaʻau āpau, hiki iā Ticagrelor ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā hiki ke hana.
Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e haʻi koke aku i kāu kauka :
He mea koʻikoʻi iki kēia, no laila pono ʻoe e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi mea e like me kēia:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, a i ʻole hives; pehu ʻana o ka maka, lehelehe, a i ʻole ke alelo.
- Ke kahe koko ʻana:
- He ʻōpala koko a ʻeleʻele paha, ʻala.
- Mimi ʻulaʻula a ʻeleʻele paha.
- Ka luaʻi ʻana i kahi mea ʻeleʻele, e like me ke koko a i ʻole ka lepo kofe.
- Nā kiko ʻulaʻula ma ka ʻili.
- Ke kahe koko maʻamau ʻole a pinepine paha a i ʻole ka palapū mai nā maka, nā ʻāʻī, a i ʻole ka ihu.
- Nā loli i ka pā o ka puʻuwai: paʻakikī ka hanu ʻana; ʻeha o ka umauma; poniuniu; puʻuwai kūpono ʻole; maule, poniuniu.
- Paʻakikī ka hanu ʻana, ʻoiai i ka wā hiamoe: ka hanu wikiwiki a ukali ʻia e ka hanu lohi; nā hoʻomaha pōkole ma waena o nā hanu; ka hanu nui ʻana.
Nā hopena ʻaoʻao e maʻamau, akā pono e hōʻike i ke kauka inā hoʻomau lākou:
ʻAʻole paha he mea koʻikoʻi kēia a e nalo pinepine i loko o kekahi mau lā. Akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka :
- Ka maʻi pākī
- ʻEha poʻo (e hoʻohana ʻia ma ʻaneʻi "") - ʻEha poʻo
- Ka luaʻi
- Luhi
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻike ʻole ʻia, e nīnau i kāu kauka e pili ana i ia mea.
Pehea e mālama pono 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 a me 25 kekelē Celsius / 68 a me 77 kekelē Fahrenheit).
- E pale mai ka mālamalama. E pani paʻa i ka ʻōmole/ʻeke lāʻau.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei aku iā lākou.
Pehea ʻoe e hoʻolei aku ai i nā lāʻau lapaʻau i pau a hoʻohana ʻole ʻia?
He mea nui nō hoʻi kēia. ʻAʻole kūpono ka hoʻolei wale ʻana i loko o ka ʻōpala a i ʻole ka hoʻolei ʻana i loko o ka lua no nā lāʻau lapaʻau āpau.
- E lawe i kēia mau mea i nā wahi i loaʻa nā papahana lawe lāʻau lapaʻau. Hiki iā ʻoe ke ʻike e pili ana i ia mau wahi ma kāu hale kūʻai lāʻau lapaʻau a i ʻole nā mākaʻi.
- Inā ʻaʻohe ala e hoʻihoʻi ai, e nānā i ka lepili lāʻau a i ʻole ka ʻeke e ʻike ai inā he mau kuhikuhi iā ia no ke kiola ʻana i ka lāʻau i loko o ka ʻōpala a hoʻolei paha i loko o ka lua. Inā kānalua ʻoe, e nīnau i kāu kauka a kauka lāʻau paha.
- Inā ʻōlelo ʻia he palekana ke hoʻolei i loko o ka ʻōpala, e lawe i ka lāʻau lapaʻau mai loko mai o ka pūʻolo a i ʻole ka ʻōmole a kāwili pū me kahi mea pono ʻole, e like me ka ʻōpala pōpoki i hoʻohana ʻia, ka lepo, ka ʻōpala kofe, a pēlā aku. A laila e hoʻokomo i ke kāwili ʻana i loko o kahi ʻeke a i ʻole ka pahu, e sila pono, a hoʻolei i loko o ka ʻōpala.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana iā Ticagrelor, ʻeā? He lāʻau lapaʻau koʻikoʻi kēia e kōkua i ka pale ʻana i kou puʻuwai a me kou lolo mai nā ʻōpū koko.
I ka ʻōlelo maʻalahi, ʻo ka hoʻohana pono ʻana i kēia lāʻau lapaʻau hiki ke hōʻemi nui i kou manawa kūpono o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana.
Akā, e hoʻomanaʻo,
- E lawe i kāu lāʻau lapaʻau e like me ka ʻōlelo a ke kauka iā ʻoe, i ka manawa kūpono, a mai haʻalele i hoʻokahi lā.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea kanu ʻē aʻe āu e lawe nei.
- E makaʻala i nā hōʻailona o ke kahe ʻana o ke koko , a inā ʻike ʻoe i kekahi mea e like me ia, e haʻi koke aku i kāu kauka .
- E makaʻala i ka hana e hiki ai ke hōʻeha.
- Ma mua o ke ʻoki ʻana, e haʻi i ke kauka e lawe ana ʻoe i kēia lāʻau.
Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka a mea kūʻai lāʻau paha. E kōkua lākou iā ʻoe. ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kou olakino!
ʻO Ticagrelor, Brilinta, nā ʻūpā koko, ka hōʻeha puʻuwai, ka hahau ʻana, anti-platelet, ka maʻi ʻaʻai coronary, ke olakino puʻuwai, lāʻau lapaʻau











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