E noʻonoʻo, inā loaʻa koke i kekahi ka ʻeha nui o ka umauma a manaʻo ʻia he hōʻeha puʻuwai ... Nui nā lāʻau lapaʻau koʻikoʻi a nā kauka e hoʻohana ai i loko o ka haukapila e hoʻopakele i nā ola i loko o ia ʻano pilikia. ʻO kekahi o ia mau lāʻau lapaʻau ʻo Tirofiban. He inikini kēia i hoʻokomo ʻia i loko o kahi aa. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau koʻikoʻi ma ke ʻano maʻalahi i kēia lā.
He aha ʻo Tirofiban? He aha kāna hana?
I ka ʻōlelo maʻalahi, aia i loko o ko kākou koko kahi ʻano huna liʻiliʻi i kapa ʻia ʻo platelets . ʻO kā lākou hana nui, ʻo ia ke hui pū i ka wā e ʻeha ai kākou, e pipili i kahi, a e hoʻōki i ke kahe ʻana o ke koko . He mea maikaʻi loa ia no ke kino.
Eia nō naʻe, i kekahi manawa hiki i kēia mau platelets ke hui pū i kahi ʻano kūpono ʻole a hana i nā ʻūpā koko i loko o nā aʻa coronary, ka mea e hoʻolako i ke koko i ka puʻuwai. Inā ālai loa kahi ʻūpā koko i kahi kīʻaha koko, hiki iā ia ke hana i ka hōʻeha puʻuwai.
Hana ʻo Tirofiban ma ke kāohi ʻana i nā platelets mai ka pipili ʻana a me ka hana ʻana i nā ʻūpā koko. Kōkua kēia i ka pale ʻana i ke kūlana mai ka ʻino ʻana i ka poʻe i loaʻa i ka hōʻeha puʻuwai a i ʻole ka ʻeha nui o ka umauma (unstable angina ). Hoʻohana ʻia nō hoʻi ia e pale i nā pilikia e hiki ke kū mai i ka wā o kekahi mau lāʻau lapaʻau e wehe i nā kīʻaha koko i ālai ʻia (e like me ka angioplasty).
Nā mea a kāu kauka e ʻike ai ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau
No ka mea he lāʻau lapaʻau ikaika loa kēia, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau pale. Pono ʻoe e haʻi kūikawā i kekahi o nā kūlana i loaʻa iā ʻoe:
| Kūlana olakino a pilikia paha | He wehewehe maʻalahi |
|---|---|
| Aneurysm (ka pehu ʻana o ka paia o ke kīʻaha koko) | Inā ua nāwaliwali ka paia o ke kīʻaha koko i loko o ke kino a ua puʻupuʻu e like me ka pōpō. |
| Nā pilikia koko a i ʻole ke kāpili ʻana o ke koko | Inā maʻalahi ʻoe e palapū, pilikia ka hoʻōki ʻana i ke kahe ʻana o ke koko, a i ʻole he mau maʻi koko ʻē aʻe. |
| Ka pōʻino o ka maka ma muli o ka maʻi diabetes (Diabetic Retinopathy) | Inā ua hōʻino ʻia ka retina o nā maka ma muli o ka maʻi diabetes. |
| ʻO kahi ʻeha poʻo a i ʻole ka puʻupuʻu | Inā ua loaʻa iā ʻoe kahi ʻeha poʻo koʻikoʻi i hala koke aku nei a i ʻole inā he puʻupuʻu lolo kou. |
| Ke koko kiʻekiʻe | Inā loaʻa iā ʻoe ke koko kiʻekiʻe i kāohi ʻole ʻia. |
| Hahau | Inā ua loaʻa iā ʻoe kahi maʻi lolo ma mua. |
| Ua emi ka helu platelet | Inā ua ʻike ʻia ʻoe me ka helu platelet haʻahaʻa. |
| He ulia pōpilikia nui a i ʻole ke ʻoki kino i hala koke aku nei | Inā ua loaʻa iā ʻoe kahi ulia nui a i ʻole ke ʻoki kino nui i loko o nā pule i hala iho nei. |
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
| Nā maʻi ʻaleka | Inā he maʻi allergy kou i ka tirofiban a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
Pehea e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi wale ʻia ʻo Tirofiban ma kahi haukapila a i ʻole ke keʻena lapaʻau. Hāʻawi ʻia ia ma ke komo ʻana i loko o kahi aʻa ( injection i loko o kahi aʻa) e ke kauka a kahu maʻi paha i aʻo ʻia.
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, e nānā mau ʻia kou puʻuwai a me ke koko.
He aha inā hoʻonui ʻia ka nui o ka lāʻau?
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila, ua haʻahaʻa loa ka manawa e hala ʻole ai kahi mahele lāʻau. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea ma kekahi ʻano, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau. Inā pono, hiki iā ʻoe ke hoʻokaʻaʻike aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea ʻē aʻe e launa pū me tirofiban
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, a me nā huaora a me nā huahana lāʻau lapaʻau, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka tirofiban a hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
- ʻAspirin a me nā lāʻau lapaʻau ʻē aʻe i loaʻa ka aspirin.
- ʻO nā lāʻau lapaʻau ʻē aʻe e pale ai i ke kāpili ʻana o ke koko, e like me Warfarin a me Enoxaparin .
- Nā lāʻau hoʻopau ʻeha (NSAID) e like me ka ibuprofen .
- Nā huahana lāʻau lapaʻau e like me Ginkgo .
- Nā lāʻau lapaʻau e like me dipyridamole .
E hāʻawi i kāu kauka i kahi papa inoa o nā lāʻau lapaʻau āpau , nā huaora, a me nā mea kanu āu e lawe ai. E hōʻoia e haʻi iā lākou inā ʻoe e puhipaka a inu waiʻona paha.
Nā hōʻailona e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
ʻOiai ʻoe e hāʻawi ʻia nei i kēia lāʻau lapaʻau, hiki iā ʻoe ke ʻike i kekahi mau hōʻailona koke e hōʻike ana e ʻoi aku ka ʻino o kou kūlana. Inā hana ʻia kēia , pono ʻoe e hoʻomaopopo koke i kāu kauka a kahu maʻi paha.
- Paʻakikī ka hanu ʻana
- Nā loli o ka ʻike (e like me ka ʻike pōwehiwehi koke)
- He ʻeha poʻo koʻikoʻi a koke
- Paʻakikī i ka ʻōlelo ʻana, ka haʻalulu
- Ka mae koke ʻana a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae
- ʻEha, pehu, a me ka manaʻo mehana i ka wāwae
He mau hōʻailona paha kēia o kahi maʻi koʻikoʻi i hoʻokumu ʻia e ke koko ʻūlū.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka tirofiban ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o kēia, ʻaʻole koʻikoʻi kekahi.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā Hōʻailona o ke Koko ʻana | ʻO ka ʻōpala ʻeleʻele a koko paha, ka mimi ʻulaʻula a ʻeleʻele paha, ka luaʻi ʻana i ka lepo kofe, ke kahe koko ʻē mai ka ihu a i ʻole ka ʻāʻī, nā kiko ʻulaʻula ma ka ʻili, a me ka maʻalahi o ka palapū. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Paʻakikī ka hanu ʻana, ka puʻuwai wikiwiki a ʻano ʻole paha, ke kuni, ke anu, ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima. |
| Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau (akā e haʻi i kāu kauka inā hoʻomau lākou) | |
| Nā hopena ʻaoʻao liʻiliʻi | ʻEha ke poʻo, nausea a luaʻi paha, hou ka hou, maule. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻoluʻolu e hoʻomaopopo i kāu kauka a kahu maʻi paha e pili ana iā lākou.
Leka Lawe-Home
- He inikini ikaika ʻo Tirofiban i hāʻawi wale ʻia ma ka haukapila e pale i nā ʻūpā koko i nā pilikia e like me ka hōʻeha puʻuwai a me ka ʻeha nui o ka umauma.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, he mea nui e haʻi aku i kāu kauka e pili ana i kou mau kūlana olakino a pau (ʻoiai nā pilikia kahe koko, ke koko kiʻekiʻe, ka hahau ʻana) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻOiai e lawe ana i ka lāʻau lapaʻau, e makaʻala loa i nā hōʻailona o ke kahe ʻana o ke koko (nā ʻōpala ʻeleʻele, ka mimi ʻulaʻula, ka palapū ʻē). Inā ʻike ʻoe i kekahi mea e like me kēia, e hoʻomaopopo koke i ke limahana lapaʻau.
- ʻAʻole kēia he lāʻau lapaʻau no waho o ka haukapila, a hana ʻia nā lāʻau lapaʻau a pau ma lalo o ka nānā ʻana o ke kauka.
- Inā he mau hopohopo a kānalua paha kou, mai makaʻu e kamaʻilio ākea me kāu kauka a kahu maʻi paha.
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