He aha ʻo Abciximab: Nā hoʻohana, ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau ikaika ʻo Abciximab e kōkua ana i ka pale ʻana i nā koko koko i ka wā o nā kaʻina hana puʻuwai koʻikoʻi. He lāʻau lapaʻau kūikawā ia e hoʻohana ai nā kauka i nā halemai ke loaʻa iā ʻoe kekahi mau lāʻau lapaʻau puʻuwai e like me ka angioplasty a i ʻole ke kau ʻana i ka stent.

Hana kēia lāʻau lapaʻau ma ka pale ʻana i nā pūnaewele koko liʻiliʻi i kapa ʻia he platelets mai ka pili ʻana. E noʻonoʻo iā ia he pale manawa e mālama ana i kou koko e kahe mālie i nā manawa koʻikoʻi ke hiki ke pilikia ka hana ʻana o ke koko.

He aha ʻo Abciximab?

He lāʻau lapaʻau ʻo Abciximab i kuhikuhi ʻia e pili ana i kahi hui i kapa ʻia he mea pale platelet. ʻO ia ka mea a nā kauka e kapa ai he

I kekahi manawa, kuhikuhi nā kauka iā ia no nā mea maʻi e loaʻa ana i nā kaʻina hana puʻuwai pilikia, ʻoiai inā he pilikia nui ʻoe i ka hoʻomohala ʻana i nā clots. Hiki nō hoʻi i kāu cardiologist ke ʻōlelo aku iā ia inā he angina paʻa ʻole kāu - ka ʻeha o ka umauma e kū mai ana me ka hiki ʻole ke wānana.

Pehea e Hana ai ʻo Abciximab?

Hana ʻo Abciximab ma ka pale ʻana i nā mea hoʻokipa kikoʻī ma kāu platelets i kapa ʻia ʻo GP IIb/IIIa receptors. He like kēia mau mea hoʻokipa me nā wahi docking kahi e hoʻopili ai nā platelets i ka hana ʻana i nā clots.

Ke hoʻopili ʻo abciximab i kēia mau mea hoʻokipa, pale ia i nā platelets mai ka hoʻopili pū ʻana. He mea nui kēia i ka wā o nā kaʻina hana puʻuwai no ka mea hiki i nā mea hana a me nā mea hana i hoʻohana ʻia ke hoʻoulu i ka hana ʻana i nā clots makemake ʻole.

Manaʻo ʻia kēia lāʻau lapaʻau he ikaika loa - ʻoi aku ka ikaika ma mua o nā mea lahilahi koko maʻamau e like me ka aspirin. Hāʻawi ia i ka pale ikaika akā no ka manawa pōkole i ka clotting, ʻo ia ka mea e pono ai i ka wā o nā kaʻina hana pilikia nui.

Hoʻomaka nā hopena i loko o nā minuke o ka hoʻomaka ʻana i ka infusion IV. Noho nui ka hiki o kou koko ke clot no kekahi mau hola, ʻoiai ma hope o ka hoʻōki ʻia ʻana o ka lāʻau.

Pehea e Lawe ai au i ka Abciximab?

ʻAʻole ʻoe e lawe iā abciximab iā ʻoe iho - hāʻawi mau ʻia e nā poʻe lapaʻau i hoʻomaʻamaʻa ʻia i loko o kahi haukapila. Hele mai ka lāʻau lapaʻau ma o kahi laina IV, maʻamau i kou lima a i ʻole kou lima.

E hoʻomaka kāu hui lapaʻau me kahi kau hoʻouka, ʻo ia ka nui mua i hāʻawi ʻia me ka wikiwiki. A laila e hahai ʻia e kahi infusion mau e hāʻawi ana i nā mea liʻiliʻi i nā hola he nui.

ʻAʻole pono ʻoe e hopohopo e pili ana i nā kapu meaʻai ma mua o ka loaʻa ʻana o ka abciximab. Eia naʻe, hiki i kāu kauka ke noi iā ʻoe e pale i kekahi mau lāʻau lapaʻau a i ʻole nā mea hoʻohui e hiki ke hoʻonui i ka pilikia o ke kahe ʻana.

E nānā pono nā limahana hānai iā ʻoe i ke kaʻina holoʻokoʻa. E nānā lākou i kāu mau hōʻailona koʻikoʻi i nā manawa a pau a nānā i nā hōʻailona o ke kahe ʻana a i ʻole nā pilikia ʻē aʻe.

Pehea ka lōʻihi e lawe ai au i ka Abciximab?

He pōkole mau ka mālama ʻana me Abciximab, maʻamau he 12 a 24 mau hola. Aia ka lōʻihi pololei ma kāu hana kūikawā a me nā mea pilikia pilikino.

Loaʻa i ka hapa nui o nā maʻi ka lāʻau no kahi o 12 mau hola ma hope o ka pau ʻana o kā lākou hana naʻau. I kekahi mau hihia, ʻo nā hana paʻakikī loa, hiki i kāu kauka ke hoʻolōʻihi i ka mālama ʻana a hiki i 24 mau hola.

Na kāu hui lapaʻau e hoʻoholo i ka manawa pololei e pili ana i ka holo ʻana o kāu hana a me ka pane ʻana o kou kino. E noʻonoʻo lākou i nā mea e like me ka pilikia o ke kahe koko a me ka maikaʻi o ka hoʻōla ʻana o kou puʻuwai.

Ke pau ka hoʻokomo ʻana, e pau mālie nā hopena o ka lāʻau i ka lā a i ʻole ʻelua e hiki mai ana. Hoʻi mai ka hiki ke hoʻopaʻa koko maʻamau o kou koko, akā hana mālie kēia e hōʻoia i kou palekana.

He aha nā hopena ʻaoʻao o Abciximab?

ʻO ka hopena ʻaoʻao nui loa o abciximab ke kahe koko, hiki ke loli mai ka liʻiliʻi a i ke koʻikoʻi. Hana ʻia kēia no ka mea e hōʻemi ana ka lāʻau i ka hiki o kou koko ke hoʻopaʻa.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike:

• Ke kahe koko ma ke kahua IV a i ʻole ke komo ʻana o ka catheter
• Maʻalahi ka ʻeha ma kou ʻili
• ʻO ka nausea a i ʻole ka ʻoluʻolu o ka ʻōpū
• ʻO ke poʻo a i ʻole ka dizziness
• ʻEha hope, ʻoiai ma ke kahua hana
• Ke koko haʻahaʻa

Hiki ke mālama ʻia kēia mau hopena a nānā pono ʻia e kāu hui mālama ola. Hoʻoponopono ka hapa nui iā lākou iho i ka wā e hoʻomaʻemaʻe ai ka lāʻau mai kāu ʻōnaehana.

ʻO nā hopena ʻaoʻao koʻikoʻi akā ʻaʻole maʻamau e koi i ka lāʻau lapaʻau koke:

• Ke kahe koko nui ʻaʻole e pau me ke kaomi
• Ke koko i loko o kāu mimi a i ʻole ka ʻōpala
• Ke kahe koko ʻano ʻē mai kou mau ʻāʻī a i ʻole ka ihu
• ʻEha umauma nui a i ʻole ka hanu ʻana
• Nā hōʻailona o ka hahau ʻana e like me ka huikau koke a i ʻole ka nāwaliwali
• Nā hopena maʻi koʻikoʻi me ka ʻōpala a i ʻole ka pilikia o ka hanu

Ua aʻo ʻia kāu hui lapaʻau e ʻike a mālama koke i kēia mau pilikia. Loaʻa iā lākou nā lāʻau lapaʻau a me nā hana i mākaukau e hoʻohuli i nā hopena o abciximab inā pono.

Hiki i nā pilikia laha akā koʻikoʻi ke komo i ke kahe koko nui i loko a i ʻole ka thrombocytopenia - kahi hāʻule weliweli i ka helu platelet. Loaʻa kēia mau mea i lalo o 1% o nā maʻi akā pono e komo koke.

ʻO wai ka mea pono ʻole e lawe iā Abciximab?

ʻAʻole palekana ʻo Abciximab no nā mea a pau, ʻoiai ka poʻe me nā maʻi e hoʻonui ai i ka pilikia o ke kahe koko. E nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ka hoʻoholo ʻana inā kūpono ia iā ʻoe.

ʻAʻole pono ʻoe e loaʻa iā abciximab inā he kahe koko ikaika kou ma nā wahi a pau o kou kino. Aia kēia i ke kahe koko maopopo e like me ka ihu a i ʻole ke kahe koko huna e like me nā ʻōpū ʻōpū.

Pono ka poʻe me kekahi mau maʻi olakino e pale loa i kēia lāʻau:

• Ka ʻoki nui hou i nā pule 6 i hala
• Moʻolelo o ka hahau ʻana i nā makahiki 2 i hala
• Ke koko kiʻekiʻe kiʻekiʻe ʻole i kaohi ʻia
• Nā maʻi kahe koko i ʻike ʻia e like me ka hemophilia
• Maʻi ate a i ʻole maʻi kīkī koʻikoʻi
• Ka maʻi maʻi ikaika me ka pilikia o ke kahe koko
• ʻEha hou a i ʻole ka hōʻeha poʻo

E akahele nō hoʻi kāu kauka inā e lawe ana ʻoe i nā lāʻau lahilahi koko ʻē aʻe. Hiki i ka hui ʻana ke hoʻonui nui i ka pilikia o ke kahe koko ma mua o nā pae palekana.

ʻAʻole pono nā wahine hāpai e loaʻa iā abciximab ke ʻole ka maikaʻi e ʻoi aku ka nui ma mua o nā pilikia. Hiki i ka lāʻau lapaʻau ke hele i ka placenta a hiki ke hoʻopilikia i ka pēpē e ulu ana.

ʻAʻole lawa ka makahiki wale nō, akā pono paha nā mākua kahiko i nā hoʻoponopono ʻana i ka dosis a i ʻole ka nānā ʻana hou ʻana ma muli o ka hoʻonui ʻia ʻana o ke kahe koko.

Nā inoa inoa ʻo Abciximab

ʻIke nui ʻia ʻo Abciximab e kona inoa inoa ʻo ReoPro. ʻO kēia ka mana kumu a me ka mea i hoʻohana nui ʻia o ka lāʻau lapaʻau i nā halemai.

ʻAʻole like me nā lāʻau lapaʻau he nui, ʻaʻole nui nā inoa inoa a i ʻole nā ʻano generic o abciximab. ʻO ReoPro ka mea maʻamau i hoʻohana ʻia i nā keʻena lapaʻau ma ka honua holoʻokoʻa.

Ke kūkākūkā ʻana i kāu lapaʻau me nā kauka, hiki iā lākou ke kuhikuhi iā ia ma kekahi inoa - abciximab a i ʻole ReoPro. ʻO nā huaʻōlelo ʻelua e pili ana i ka lāʻau lapaʻau like me nā hopena like a me ka hoʻohana ʻana.

Nā Koho ʻē aʻe o Abciximab

Nui nā lāʻau lapaʻau ʻē aʻe e hiki ke hāʻawi i ka pale ʻana i ke koko i ka wā o nā kaʻina hana o ka naʻau. Hiki i kāu kauka ke koho i nā koho ʻē aʻe e pili ana i kāu kūlana kikoʻī a me nā mea pilikia.

ʻO Eptifibatide a me tirofiban ʻelua mau koho ʻē aʻe e hana like me abciximab. He mau mea pale GP IIb/IIIa receptor nō hoʻi lākou akā he pōkole ka lōʻihi o ka hana.

Makemake kekahi mau kauka i kēia mau koho ʻē aʻe no ka mea e pau koke ana kā lākou hopena inā loaʻa nā pilikia koko. Eia naʻe, ʻaʻole paha lākou e like me ka ikaika e like me abciximab no nā kaʻina hana pilikia kiʻekiʻe.

ʻO nā lāʻau lapaʻau hoʻoheheʻe koko ʻē aʻe e like me heparin a i ʻole bivalirudin e hana ma nā ʻano hana like ʻole. E koho kāu cardiologist i ke koho maikaʻi loa e pili ana i kāu ʻano hana a me ka pilikia pilikino.

ʻOi aku ka maikaʻi o Abciximab ma mua o Clopidogrel?

Hana ʻokoʻa ʻo Abciximab a me clopidogrel a lawelawe i nā kumu like ʻole i ka mālama ʻana i ka naʻau. ʻAʻole lākou he mau mea hoʻokūkū pololei - akā, hoʻohana pinepine ʻia lākou i ka hui ʻana no ka pale kiʻekiʻe.

Hāʻawi ʻo Abciximab i ka pale koke a ikaika i ka wā o nā kaʻina hana, ʻoiai ʻo clopidogrel e hāʻawi i ka pale lōʻihi āu e lawe ai ma ka home. E noʻonoʻo iā abciximab ma ke ʻano he pale pilikia a me clopidogrel ma ke ʻano he mālama i kēlā me kēia lā.

No nā kūlana koʻikoʻi i ka wā o nā kaʻina hana o ka naʻau, ʻoi aku ka maikaʻi o abciximab no ka mea e hana koke ana a ʻoi aku ka piha. He mau lā ka clopidogrel e hiki ai i ka maikaʻi piha.

Eia naʻe, palekana ʻo clopidogrel no ka hoʻohana lōʻihi a ʻaʻole pono ka nānā ʻana i ka haukapila. E hoʻohana maʻamau kāu kauka i nā mea ʻelua - abciximab i ka wā o kāu kaʻina hana a me clopidogrel no nā pule a i ʻole mau mahina ma hope.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Abciximab

He Palekana ʻo Abciximab no ka poʻe me ka maʻi diabetes?

Hiki ke palekana ʻo Abciximab no ka poʻe me ka maʻi diabetes, akā pono nā hana mālama hou. Hiki i ka maʻi diabetes ke hoʻopilikia i ke olakino a me ka hoʻōla ʻana o nā kīʻaha koko, kahi e noʻonoʻo pono ai kāu hui lapaʻau.

Hiki i ka poʻe me ka maʻi diabetes ke loaʻa i kahi pilikia liʻiliʻi o nā pilikia koko. E nānā pono kāu mau kauka iā ʻoe a hiki ke hoʻoponopono i ka dosage a i ʻole ka lōʻihi o ka mālama ʻana.

Inā loaʻa iā ʻoe ka retinopathy diabetic - nā pilikia o ka maka mai ka maʻi diabetes - e mālama nui kāu kauka. Hiki i kēia maʻi ke hoʻonui i ka pilikia o ke koko i nā maka.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o Abciximab?

ʻAʻole hiki iā ʻoe ke loaʻa i ka nui o ka abciximab no ka mea e mālama ana nā poʻe lapaʻau i hoʻomaʻamaʻa ʻia i ka dosing. Eia naʻe, inā loaʻa ka overdose, loaʻa koke ka hana lapaʻau.

Loaʻa i nā haukapila nā protocols kikoʻī no ka hoʻohuli ʻana i nā hopena o abciximab. Hiki i kēia ke komo i nā transfusions platelet a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe e hoʻihoʻi i ka maʻamau o ke koko.

Nānā ka hui lapaʻau i kāu pae koko i ka wā o ka mālama ʻana. Hiki iā lākou ke ʻike koke inā he hopena ikaika loa ka lāʻau a hoʻoponopono e like me ia.

He aha kaʻu e hana ai inā haʻalele au i kahi mahele o Abciximab?

ʻAʻole pono ʻoe e hopohopo e pili ana i ka haʻalele ʻana i kahi mahele o abciximab. Hāʻawi ʻia ka lāʻau lapaʻau ma o ka IV, no laila e mālama ka hui lapaʻau i ka manawa.

Inā loaʻa kahi pilikia i kāu infusion IV, e hoʻomaka hou kāu mau kahu hānai. E loiloi lākou inā pono ʻoe i kekahi lāʻau lapaʻau hou e mālama ai i ka pale.

He mau hana i hoʻonohonoho ʻia e kāu hui lapaʻau no ka mālama ʻana i nā pilikia i ka wā o ka mālama ʻana. E hōʻoia lākou e loaʻa iā ʻoe ka nui kūpono o ka lāʻau lapaʻau no kou kūlana.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Abciximab?

ʻAʻole ou manaʻo e hooki i ka abciximab - e hoʻoholo ana kāu hui lapaʻau i kēia hoʻoholo e pili ana i kāu hana a me ka hoʻōla. E hooki maʻalahi ka lāʻau lapaʻau ma hope o ka manawa i kauoha ʻia.

Loaʻa ka abciximab i ka hapa nui o nā mea maʻi no 12 a 24 mau hola ma hope o kā lākou hana puʻuwai. E hoʻoholo kāu kauka i ka manawa kūpono e pili ana i ka maikaʻi o kou hoʻōla ʻana a me kou pilikia o ke kahe ʻana.

Ma mua o ka hooki ʻana i ka lāʻau lapaʻau, e hōʻoia kāu hui lapaʻau ua paʻa kāu wahi hana a ʻaʻole ʻoe i ka pilikia nui o ka hoʻomohala ʻana i nā clots. E hoʻomau lākou i ka nānā ʻana iā ʻoe ma hope o ka pau ʻana o ka infusion.

Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o Abciximab?

ʻAʻole pono ʻoe e kalaiwa no ka liʻiliʻi o 24 mau hola ma hope o ka loaʻa ʻana o ka abciximab, a ʻoi aku paha ka lōʻihi e pili ana i kāu hana. Hiki i ka lāʻau lapaʻau ke hoʻoulu i ka ʻeha a hoʻonui i kou pilikia o ke kahe ʻana inā ʻeha ʻoe.

ʻO ka hapa nui o nā kānaka e loaʻa ana iā abciximab e ola ana mai nā hana puʻuwai e koi ana i kekahi mau lā o ka hoʻomaha. E haʻi aku kāu kauka iā ʻoe i ka wā e palekana ai ke hoʻomau i nā hana maʻamau e like me ke kalaiwa.

ʻOiai ma hope o ka pau ʻana o ka lāʻau lapaʻau, pono paha ʻoe e pale i ke kalaiwa ʻana a hiki i ka wā e ola piha ai kāu wahi hana. Mālama kēia iā ʻoe mai nā pilikia inā pono ʻoe e paʻa koke a i ʻole e neʻe wikiwiki.