Kua pāngia koe e te mate manawa i ēnei rā tata nei? Kua whakanohoia rānei he stent ki roto i tētahi uaua o tō ngākau? Tērā pea kua tohua e tō tākuta ētahi momo rongoā e rua māu. Ko tētahi he aspirin. Ko tētahi he pire he ingoa rerekē. Nō reira, tērā pea kei te whakaaro koe, "He aha ahau i hoatu ai i ngā rongoā e rua mō te mate kotahi?" He pātai tēnei a te tini tāngata. I tēnei rā, kei te kōrero tātou mō te DAPT, te Dual Antiplatelet Therapy rānei, he maimoatanga nui, he whakaora ora mō te tini o koutou.
He aha te DAPT? Kia mārama tātou.
Hei mārama ki tēnei, me mōhio tātou ki ētahi kōrero mō ō tātou toto. Kei roto i ō tātou toto ngā toto whero, ngā toto mā, me ētahi atu wāhanga iti o ngā pūtau. Ka kiia ēnei
he pereti toto . Ko te mahi matua o ēnei
pereti toto he whakamutu i te toto ina whara tetahi wāhi o tō tātou tinana, ā, ka tere atu ki te wāhi, ka piri tahi, ka hanga he mata hei whakamutu i te toto. He rite ki te whakapiri tere i te paraikete ki runga i te paipa pakaru. Koinei te mea e kiia nei e tātou
ko te toto toto . He tukanga tino nui tēnei hei whakaora i ō tātou oranga. Heoi, ka tīmata te raruraru i te wāhi kāore i te tika kia puta tēnei toto toto, arā, mēnā ka puta i roto i tētahi o ō tātou uaua toto. Whakaarohia te mea ka tupu mēnā ka puta he toto toto i roto i te uaua e kawe ana i te toto ki te ngākau? Ka āraihia taua uaua toto, ka aukati i te rere o te toto ki te ngākau, ka puta
he mate ngākau (Myocardial Infarction) . Waihoki, mēnā ka haere tēnei toto toto ki te roro, ka taea
te whiu . Nō reira,
ko te Dual Antiplatelet Therapy (DAPT) he maimoatanga e aukati ana i aua toto toto kino kei puta i roto i ngā uaua. I roto i tēnei, e rua ngā momo rongoā e kiia nei ko te
"Antiplatelet" ka hoatu ngātahitia. Ko te Antiplatelet he rongoā e ārai ana i te piri o ngā pereti toto, arā, ka ārai i te hanganga o ngā toto totoka. Ko te tikanga o te "Dual" he rua. Nō reira, ka kiia tēnei ko te Dual Antiplatelet Therapy nā te mea e rua ngā momo rongoā ka hoatu ngātahitia.
Ki te whakarapopototanga, he huinga rongoā e rua te DAPT hei ārai i te hanganga o ngā toto totoka kāore e hiahiatia i roto i ō tātou uaua toto .
Ko wai e hiahia ana ki tēnei maimoatanga DAPT?
Kāore ngā tākuta e hoatu ana i tēnei maimoatanga ki te katoa. Ka hoatu noa ki te hunga e tino mōrearea ana ki te whakawhanake i ngā toto totoka i roto i ō rātou uaua. Ko te tikanga ka tohua tēnei maimoatanga i roto i ēnei take e whai ake nei:
| Ina hiahiatia te maimoatanga | He whakamārama māmā |
|---|
| I muri i te whakaekenga ngākau | He mea tino nui tēnei hei ārai i te hanganga anō o te toto totoka me te hua ake o te mate manawa anō i roto i te tangata kua pāngia e te mate manawa. |
| I muri i te whiu, i te TIA rānei | Ka hoatu tēnei maimoatanga hei ārai i te hokinga mai o te whiu i muri i te whiu i puta mai i te toto totoka i roto i te uaua toto i roto i te roro. Ko te TIA (Transient Ischemic Attack) he āhuatanga e rite ana ki te whiu poto. |
| I muri i te whakatakotoranga o te stent | He ngongo mata iti te stent e whakanohoia ana ki roto i tētahi oko toto kua āraia i roto i te ngākau kia noho tuwhera tonu. He nui te tūponotanga o te puta o ngā toto totoka i roto i tēnei stent. He mea tino tika te DAPT hei ārai i tēnei. |
| I muri i te Angioplasty | Ko te tikanga o tēnei ko te whakawhānui i te oko toto kua āraia mā te pupuhi i tētahi mea pērā i te poihau. Kei te tūpono tonu te puta o ngā toto totoka i muri i tēnei. |
| I muri i te pokanga bypass uaua coronary | Ahakoa i muri i tēnei pokanga, e karo ana i ngā uaua kua āraia i roto i te ngākau, ā, ka whakatōkia he uaua toto hou, tera anō ētahi wā ka hoatu tēnei maimoatanga hei ārai i te hanganga o ngā toto totoka i roto i aua uaua hou. |
He aha ngā rongoā e hoatu ana mō te DAPT?
E kī ana mātou e rua ngā momo rongoā e hoatu ngātahitia ana i roto i te maimoatanga DAPT. Ko aua momo rongoā e rua ko: 1.
Āpipirini: He rongoā tēnei kua rongohia e te tini o koutou. Ahakoa e whakamahia ana i roto i ngā horopeta teitei hei rongoā mamae, ka hoatu i roto i ngā horopeta tino iti hei ārai i te toto totoka i roto i ngā tūroro manawa. 2.
He rongoā kei roto i te rōpū P2Y12 Inhibitor: Koinei te rongoā tuarua. He maha ngā momo rongoā kei roto i tēnei rōpū.
- Clopidogrel
- Prasugrel
- Ticagrelor
Mā tō tākuta e whakatau ko tēhea o ēnei rongoā e toru ka hoatu ki a koe, me te horopeta hoki.He maha ngā āhuatanga e whakawhirinaki ana ki tēnei, pērā i tō āhua hauora, tō tau, me te mea kei a koe ētahi atu āhua hauora.
He aha ngā painga me ngā mōrearea o te maimoatanga DAPT?
Pērā i ngā maimoatanga katoa, he painga, he mōrearea hoki ō te maimoatanga DAPT. He mea nui kia mōhio ki ngā mea e rua.
| Painga matua | Mōrearea Matua |
|---|
| Te whakaora oranga: Mā te ārai i te hanganga o ngā toto totoka i roto i ngā uaua toto, ka tino whakaitihia te mōrearea o ngā whakaeke ngakau me ngā whiu ka mate pea. Koinei te painga nui rawa atu, te painga nui rawa atu hoki o tēnei maimoatanga. | Te mōrearea o te toto: Nā te mea ka ārai ēnei rongoā i te hanganga o ngā toto totoka, ka taea te whakaroa i ngā wāhi e puta ai ngā toto totoka, ā, ka mutu te toto. Ka taea e tēnei te whakanui ake i te mōrearea o te totoka i te mea noa . |
He kōrero anō mō te mōrearea o te toto...
Kaua e wehi ina rongo koe i te kupu "mōrearea o te toto." He maha ngā tikanga o tēnei, mai i ngā mea iti ki ngā mea nui.
- Te toto iti: He mea noa te toto o ngā kapia i te wā e parai ana i ō niho, te toto o te ihu, me te huri kikorangi wawe i muri i te whara iti.
- Te toto nui: Ahakoa he tino onge, ka puta pea te toto i roto i te puku, i ngā whekau rānei ( Te toto o te puku). Ka puta pea he toto i roto i te tūtae, ka mangu rānei te tūtae. Heoi anō, he onge ake, ka puta pea te toto i roto i te roro .
Ko te mea nui ko te tuku atu a tō tākuta i tēnei maimoatanga ki a koe nā te mea kua aromatawaihia e ia he nui ake te mōrearea o te toto totoka i te mōrearea o te toto. Nō reira, he mea nui kia whai i ngā tohutohu a tō tākuta.
Ngā pānga taha me ngā taunekeneke ki ētahi atu rongoā
Tērā pea ka pāngia ētahi tāngata e tango ana i te DAPT e ngā pānga taha iti.
Me whakamōhio atu hoki ki tō tākuta mō ētahi atu rongoā e tangohia ana e koe i te wā e tango ana koe i te DAPT. Nā te mea ka taea e ētahi rongoā te whakararu i te whai huatanga o te DAPT. Kia tino tupato ki ēnei rongoā.
- Ētahi atu rongoā whakaiti toto ( Ngā rongoā ārai toto ): Ki te tango koe i ngā rongoā pēnei i te Warfarin, ka nui ake te mōrearea o te toto.
- Ngā rongoā mamae (NSAID): Mā te whakamahi pinepine i ngā rongoā pēnei i te Ibuprofen me te Diclofenac ka nui ake te mōrearea o te toto o te puku.
- Ētahi rongoā mō te pouri (Ngā rongoā ārai pouri).
- Ngā rongoā mō te gastritis (Ngā aukati papu proton): Ngā rongoā pēnei i te Omeprazole.
Nō reira, kaua e wareware
ki te kōrero ki tō tākuta mō ngā mea katoa e tangohia ana e koe, tae atu ki ngā pire, ngā huaora, me ngā rongoā tuku iho.
Kia pēhea te roa me tango e au tēnei rongoā?
He raruraru anō hoki tēnei mō te tini o te tangata. Kāore te roa o te wā e tangohia ai te DAPT e rite ana mō te katoa. He rerekē i ia tangata, i ia tangata.
- Ka taea e ētahi tāngata te hoatu mō te wā poto noa iho, pērā i te marama, i ngā marama e rua rānei.
- He tokomaha te hunga e inu ana mō te tau, neke atu rānei.
- Ahakoa kua mutu te maimoatanga DAPT, ka kī pea tō tākuta kia tangohia e koe te aspirin anake mō te toenga o tō oranga.
Mā tō tākuta tēnei wā e whakatau. He maha ngā āhuatanga e pā ana ki tēnei:
- He aha te take i tīmata ai koe ki te whiwhi i te DAPT (he mate manawa? Nā te mea i whakanohoia he stent?).
- Tō tau me tō hauora whānui.
- Kia pēhea te nui o te mōrearea o te toto kei a koe?
- Ko te mōrearea o te pāngia anō e te mate manawa, te whiu rānei ā muri ake nei.
Me aha koe hei tiaki i a koe anō ina tango ana koe i te DAPT?
Me whakaaro anō hoki koe ki tō haumaru i a koe e whiwhi ana i tēnei maimoatanga. Anei ētahi mea ngāwari hei āwhina.
- Tangohia tō rongoā i te wā tika: Tangohia tō rongoā kia rite ki tā te tākuta i tohutohu ai, kaua e waiho i tētahi rā . Ki te ngaro koe i tētahi horopeta, ka puta pea he toto totoka. Kaua rawa e mutu te tango i tō rongoā me te kore e pātai ki tō tākuta.
- Mauria he kāri tuakiri hauora:Ki te taea, me mau tonu he poroporo, he kāri rānei e kī ana kei te tango koe i te DAPT. Mēnā he āhuatanga ohorere, mā tēnei ka mōhio te hunga e rongoā ana i a koe kei te tango koe i ngā rongoā whakaiti toto.
- Kōrero atu ki ō tākuta katoa: Ahakoa ka haere koe ki te toro atu ki te tākuta niho, ki te mahi rānei i tētahi atu pokanga, me kī atu koe kei te tango koe i te DAPT, nā te mea me mutu te tango i tēnei rongoā mō te wā poto i ētahi pokanga.
He aha ngā tohu e hiahia ana kia rapua he awhina hauora tonu?
Ki te pāngia koe e tētahi o ēnei tohu, he tohu pea tēnei o te toto nui. Nō reira, kaua e whakaroa,
waea atu ki tō tākuta tonu ,
haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata. Ngā tohu toto e hiahia ana kia aro wawe
| ⚫ | Ngā tūtae mangu, toto rānei. |
| 🤮 | Te ruaki toto (pērā i te paura kawhe, te whero/parauri rānei te tae). |
| 🤕 | Tino kino, ohorere te ānini |
| 😵 | Pōuriuri , te āhua me te mea kei te tata koe te ngaro i te māramatanga. |
| 😖 | Te mamae nui o te puku . |
| ❓ | Pōhēhētanga . |
| 😮💨 | Te uaua ki te manawa , te mamae rānei o te uma. |
Waihoki, ki te whakaaro koe kua nui rawa te rongoā i tangohia e koe, waea atu ki tō tākuta tonu. Ki te kore,Ka taea hoki e koe te waea atu
ki te National Poison Information Center i te Colombo National Hospital mō ētahi tohutohu.
Karere Tangohia ki te Kāinga
- Ko te DAPT he huinga o ngā rongoā e rua hei ārai i te toto totoka. He maimoatanga whakaora ora tēnei e tiaki ana i a koe mai i ngā mate kino pēnei i te mate manawa me te whiu.
- Ko te mōrearea matua o tēnei maimoatanga ko te pikinga o te toto, nō reira ahakoa he whara iti noa iho, ka roa ake te wā ka mutu te toto.
- Tangohia te rongoā kia rite ki te whakahaunga a tō tākuta, kaua e mahue tetahi rā. Kaua e mutu te tango i te rongoā ahakoa he aha te take me te kore e kōrero ki tō tākuta.
- Kōrerotia ki tō tākuta ngā rongoā kē atu e tangohia ana e koe. Me kōrero anō hoki ki tō tākuta mēnā ka haere koe ki te toro atu ki te tākuta niho, ki te mahi rānei i tētahi atu pokanga.
- Ki te mea he tūtae mangu tōu, he ruaki toto, he ānini nui rānei, haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU).
DAPT, Whakaora Ārai-Pāteke Rua, toto totoka, mate ngakau, whiu, stent, aspirin, clopidogrel, Clopidogrel, mate ngakau, rongoā whakangawari toto
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