Ua ʻōlelo ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e hoʻomaka i kahi "mea hoʻomāmā koko"? Malia paha ma hope o ke ʻoki ʻana o ka puʻuwai, a i ʻole ma muli o kahi ʻūlū koko i loko o kahi aʻa koko i kou wāwae. ʻO Warfarin ka lāʻau lapaʻau nui a hoʻohana pinepine ʻia e pale ai i ke koko mai ka hoʻopili ʻana. Hoʻohana ka poʻe he nui i kēia lāʻau lapaʻau, akā ʻaʻole lākou i ʻike nui e pili ana iā ia, hiki ke alakaʻi i ka makaʻu pono ʻole. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia inikini Warfarin ma ke ʻano maʻalahi a aloha hoʻi.
I ka ʻōlelo maʻalahi, he aha ʻo Warfarin?
He lāʻau lapaʻau ʻo Warfarin i loko o kahi papa o nā lāʻau i kapa ʻia he anticoagulants . I ka ʻōlelo maʻalahi, hana ia ma ka hoʻolohi ʻana i ke kaʻina hana clotting i loko o kou kino. ʻOiai ua kapa ʻia ʻo ia he "blood thinner," ʻaʻole ia e hoʻomāmā maoli i kou koko e like me ka wai. Hoʻonui wale ia i ka manawa e pono ai no kou koko e clot.
A laila no ke aha i hāʻawi ʻia ai kēia lāʻau lapaʻau?
- E mālama i nā ʻūpā koko e hana ʻia ana i loko o nā aʻa koko, nā aʻa, nā māmā, a i ʻole ka puʻuwai.
- Eia kekahi, e pale i ke kūkulu ʻia ʻana o ia mau ʻūpā koko i ka wā e hiki mai ana.
Eia kekahi laʻana, ua kuhikuhi pinepine ʻia kēia lāʻau lapaʻau i kahi kanaka i loaʻa kahi pani valve puʻuwai a i ʻole kekahi i loaʻa kahi ʻōpū koko i loko o kahi aʻa ma ka wāwae (Deep Vein Thrombosis - DVT).
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana iā Warfarin
He lāʻau lapaʻau ʻo Warfarin e pono e hoʻohana ʻia me ke akahele loa. No laila, he mea nui e ʻike pono kāu kauka i kou kūlana olakino. Ma mua o ka hoʻomaka ʻana iā Warfarin, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei.
| Kūlana/maʻamau olakino | Wehewehena |
|---|---|
| Nā pilikia e pili ana i ke koko | Nā maʻi kahe koko, e like me ka anemia, hemophilia, a me ka aneurysm. |
| Nā maʻi o ka ʻōnaehana hoʻoheheʻe | He moʻolelo o nā ʻeha ʻōpū, diverticulitis, a i ʻole ke kahe koko ʻana o ka ʻōpū ma mua. |
| Maʻi akepaʻa a maʻi puʻupaʻa paha | ʻO kēlā me kēia kūlana olakino e pili ana i ka hana o ke akepaʻa a i ʻole nā puʻupaʻa. |
| Maʻi puʻuwai a me ke koko kiʻekiʻe | Nā kūlana e like me ke koko kiʻekiʻe a me ka maʻi valve puʻuwai. |
| Nā kūlana olakino ʻē aʻe | Maʻi kō, maʻi ʻaʻai, nele i ka protein C a i ʻole S, hahau ʻana, a i ʻole ʻeha o ka lolo. |
| ʻIke pilikino | ʻOiai ua ʻoi aku ma mua o 65 mau makahiki, inu waiʻona, ua loaʻa i kahi ʻoki kino a i ʻole kahi ulia paha. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | He mea nui loa kēia inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka warfarin, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama. |
Pehea e hāʻawi ʻia ai kēia lāʻau pale a he aha nā hana palekana e pono e hana ʻia?
Hāʻawi ʻia ʻo Warfarin ma ke ʻano o ka inikini ʻana i loko o kahi aa koko. ʻAʻole kēia he mea hiki iā ʻoe ke hana ma ka home. Hāʻawi ʻia ia e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau .
He mea nui: Aia kahi pilikia o ke kahe ʻana o ke koko inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau. No laila, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke Lahui no nā Poisons ma ka Halemai Lahui ʻo Colombo.E kelepona mai a i ʻole e hele i ka Halemai Pilikia (ETU) kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me Warfarin (Nā Hana Lāʻau Lapaʻau)
He lāʻau lapaʻau ʻo Warfarin e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā huahana lāʻau lapaʻau, a me kekahi mau meaʻai. Hiki i kēia ke hoʻonui i ka hopena o Warfarin (ka pilikia o ke kahe koko) a i ʻole e hōʻemi iā ia (ka pilikia o nā ʻūpā koko).
No laila, e haʻi 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 kauka, nā huaora, nā huahana lāʻau, nā lāʻau Ayurvedic) .
Aia ma lalo iho kekahi mau mea e launa pū me Warfarin. ʻAʻole kēia he papa inoa piha, akā ʻo ia nā mea nui e makaʻala ai.
- Nā lāʻau hoʻopau ʻeha: ʻO nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen a me naproxen, a me aspirin.
- Nā lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau e like me Erythromycin, Ciprofloxacin, Metronidazole.
- Nā lāʻau antifungal: Nā lāʻau lapaʻau e like me Fluconazole a me Ketoconazole.
- Nā lāʻau lapaʻau no ka maʻi puʻuwai, ke koko kiʻekiʻe, a me ka cholesterol.
- Nā lāʻau lapaʻau no ka hopu ʻana.
- Nā lāʻau lapaʻau no ka maʻi noʻonoʻo.
- Nā huahana lāʻau lapaʻau: Nā mea e like me ke kālika, ginkgo, ginseng, a me St. John's Wort.
- Wikamina K: Loaʻa kēia i nā lāʻau lapaʻau a me ka meaʻai.
Inā ʻoe e hoʻomaka ana i kekahi lāʻau lapaʻau hou a i ʻole e hoʻōki i ka lawe ʻana i kahi lāʻau lapaʻau, e ʻoluʻolu e nīnau mua i kāu kauka.
Nā mea e pono e makaʻala nui ʻia i ka wā e lawe ai iā Warfarin
Hoʻāʻo koko PT/INR
ʻO kahi hoʻāʻo koko koʻikoʻi a koi ʻia hoʻi e pono ai i nā mea a pau e lawe ana i ka warfarin ʻo ia ka PT/INR . Ana kēia i ka manawa e pono ai ke koko e paʻa. Ma muli o nā hopena o kēia hoʻāʻo, e hoʻoholo kāu kauka i ka nui o ka warfarin āu e pono ai.
- Pono e hana pinepine ʻia kēia hoʻāʻo i ka wā mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau.
- Ke loaʻa iā ʻoe ka lāʻau kūpono nou, e emi ana ke alapine o ka hoʻāʻo ʻana.
- Mai hōʻalo i kēia hoʻāʻo koko no kekahi kumu. He mea nui ia no kou palekana.
Nā loli i ka ʻai
Hoʻopilikia pololei ʻia ka hana a warfarin e kahi meaʻai i kapa ʻia ʻo ka huaora K. ʻO ka lawe nui ʻana i ka huaora K hiki ke hōʻemi i ka hopena o ka warfarin a hoʻoulu i nā ʻūpā koko. Inā haʻahaʻa ka huaora K, hiki i ka hopena o ka warfarin ke hoʻonui a hoʻoulu i ke kahe ʻana o ke koko.
ʻO ka mea nui, ʻaʻole e hoʻōki loa i ka ʻai ʻana i nā meaʻai i loaʻa ka wikamina K. ʻO ka mea nui, ʻo ia ka mālama ʻana i ka nui āu e ʻai ai. Mai ʻai nui i kekahi lā a mai ʻai i kekahi mea i kekahi lā aʻe.
ʻO kekahi mau meaʻai i waiwai i ka wikamina K:
- Nā mea kanu ʻōmaʻomaʻo ʻeleʻele e like me ka spinach, kāpeti, letus, broccoli, a me ka kale.
- Kī ʻōmaʻomaʻo
- Pāhiri
E kamaʻilio me kāu kauka ma mua o ka hana ʻana i kekahi mau hoʻololi nui i kāu meaʻai.
E makaʻala i nā ulia pōpilikia
I ka wā e lawe ai i ka warfarin, hiki i kahi ʻoki liʻiliʻi ke hoʻoulu i ke kahe koko ma mua o ka maʻamau. No laila:
- E hōʻalo 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 kaua ʻoi a me nā pahi.
- ʻOi aku ka palekana o ka hoʻohana ʻana i ka pahi ʻumiʻumi uila ma kahi o ka pahi ʻumiʻumi.
- E hoʻohana i kahi palaki niho palupalu i ka wā e palaki ai i kou mau niho. E haʻi i kāu kauka inā e kahe ke koko o kou mau ʻāʻī.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki iā Warfarin ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.
| Hōʻailona | He aha ka mea e hana ai? |
|---|---|
| Nā hōʻailona e pono e hōʻike koke i kāu kauka | |
| Nā hōʻailona o ke kahe ʻana o ke koko: - Nā noho ʻeleʻele, ʻālohilohi - Mimi ʻulaʻula a ʻeleʻele paha - Ka luaʻi ʻana i kahi mea e like me ke kofe lepo - Ke kahe koko kūpono ʻole mai ka ihu a me nā ʻāʻī - Nā kiko ʻulaʻula a i ʻole nā kiko koko ma ka ʻili | He mau hōʻailona paha kēia o ke kahe ʻana o ke koko i loko. E ʻimi koke i ke kōkua lapaʻau. |
| Nā hōʻailona o ka hahau ʻana: - ʻEha poʻo koʻikoʻi koke - Huikau, paʻakikī i ka ʻōlelo ʻana - Ka maneo a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae | He pilikia kēia. E hele koke i ka haukapila. |
| Nā ʻano o ke koko koko: - ʻEha ka umauma, paʻakikī ka hanu ʻana - ʻEha wāwae, pehu, mehana | He hōʻailona paha kēia ʻaʻole hana pono ka lāʻau lapaʻau. E haʻi koke aku i kāu kauka. |
| Nā maʻi allergies, ke kahe koko nui o ka menstrual i nā wahine, nā ʻeha ʻōpū nui. | E ʻimi koke i ke kōkua lapaʻau. |
| ʻO nā hōʻailona i maʻa mau ʻaʻole koʻikoʻi, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| Ka maʻi pākī | E haʻi i kāu kauka inā ʻoi aku ia ma mua o kekahi mau lā. |
| Pohō lauoho | Inā pilikia kēia iā ʻoe, e kamaʻilio me kāu kauka. |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Warfarin e pale ai i ke kāpili ʻana o ke koko a pono e hoʻohana ʻia me ke akahele loa.
- Mai hōʻalo i kāu mau hoʻāʻo koko PT/INR i kuhikuhi ʻia. Aia kou palekana ma luna o ia mea.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- Mai ho'ōki i ka ʻai ʻana i nā mea kanu ʻōmaʻomaʻo i waiwai i ka wikamina K. Akā, e ho'āʻo e mālama i kāu ʻai ʻana ma ka pae like i kēlā me kēia lā .
- ʻOiai kahi ʻeha maʻalahi hiki ke hoʻokahe nui i ke koko, no laila e akahele e like me ka hiki ke pale aku i nā pōpilikia.
- Inā ʻike ʻoe i nā hōʻailona o ke kahe ʻana o ke koko , e like me nā ʻeleʻele ʻeleʻele a i ʻole ke kahe koko ʻē, e hoʻomaopopo koke i kāu kauka.
- Inā he mau hopohopo kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kamaʻilio me kāu kauka.
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