He aha ʻo Ardeparin: Nā Hoʻohana, Ka Laʻau, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

ʻO Ardeparin he heparin kaumaha haʻahaʻa (LMWH) e kōkua ana i ka pale ʻana i nā koko koko weliweli mai ka hana ʻana i loko o kou kino. E noʻonoʻo iā ia he mea hoʻoheheʻe koko kūikawā e hana pololei ana ma mua o nā lāʻau lapaʻau kahiko, e kuhikuhi ana i nā ʻāpana kikoʻī o ka ʻōnaehana hoʻopaʻa koko o kou koko e mālama i nā mea e kahe ana me ka maʻalahi.

No kēia lāʻau lapaʻau i kahi ʻohana o nā anticoagulants, ʻo ia hoʻi, hoʻemi ia i ka hiki o kou koko ke hana i nā clots. Hoʻonohonoho maʻamau nā mea mālama ola i ka ardeparin ke piʻi aʻe ʻoe i ka pilikia o ka hoʻomohala ʻana i nā koko koko, e like me ka wā o kekahi mau hana a i ʻole nā wā lōʻihi o ka hoʻomaha moe.

No ke aha e hoʻohana ʻia ai ʻo Ardeparin?

ʻO Ardeparin ka mea nui e pale i nā koko koko e hiki ke hana i loko o kou mau veins hohonu, kahi maʻi i kapa ʻia ʻo deep vein thrombosis (DVT). ʻO kēia mau clots ka mea maʻamau e ulu i loko o kou mau wāwae ke lohi ke kahe o ke koko a i ʻole e lilo i sluggish.

Hiki i kāu kauka ke kuhikuhi i ka ardeparin inā e hana ana ʻoe i ka ʻoki pani kuli, no ka mea, ʻo kēia ʻano hana e hoʻonui nui i kou pilikia o ka hoʻomohala ʻana i nā koko koko. Hana ka lāʻau lapaʻau ma ke ʻano he pale pale i ka wā o kou ola hou ʻana ke liʻiliʻi ʻoe ma mua o ka maʻamau.

I kekahi mau hihia, hoʻohana nā mea mālama ola i ka ardeparin e pale i nā clots i ka wā o nā ʻoki orthopedic ʻē aʻe a i ʻole ke hoʻopaʻa ʻia ʻoe no nā wā lōʻihi. ʻO ka pahuhopu ka mālama mau ʻana i kou koko e kahe pono ana i ka wā e hoʻōla ai kou kino.

Pehea e hana ai ʻo Ardeparin?

Hana ʻo Ardeparin ma ka pale ʻana i nā mea hoʻopaʻa koko kikoʻī i loko o kou koko, ʻo ia hoʻi kekahi i kapa ʻia ʻo Factor Xa. ʻO kēia ka mea e paʻakikī ai i kou koko ke hana i nā clots makemake ʻole ʻoiai e ʻae ana i ka hoʻopaʻa maʻamau ke loaʻa iā ʻoe nā ʻoki a i ʻole nā ​​ʻeha.

ʻAʻole like me nā mea hoʻoheheʻe koko ikaika, ua manaʻo ʻia ʻo ardeparin he anticoagulant ikaika. Hāʻawi ia i ka pale pono me ka ʻole e hoʻololi nui i ka hiki o kou koko ke hoʻopaʻa maoli, ʻo ia hoʻi, ʻaʻole paha ʻoe e ʻike i nā pilikia koko nui.

Hoʻomaka ka lāʻau lapaʻau e hana i loko o nā hola ma hope o kāu injection mua a mālama i ka pale paʻa i ka wā o kāu mālama ʻana. Hoʻoponopono kou kino i ka ardeparin ma mua o nā mea lahilahi koko kahiko, e maʻalahi ai i nā kauka ke hoʻoholo i ka mahele kūpono no ʻoe.

Pehea wau e lawe ai i ka Ardeparin?

Hele mai ʻo Ardeparin ma ke ʻano he injection āu e loaʻa ai ma lalo o kou ʻili (subcutaneous injection), maʻamau i kou ʻōpū a i ʻole ka ʻūhā. E hāʻawi maʻamau kahi mea mālama ola iā ʻoe i nā injections mua a hiki ke aʻo iā ʻoe a i ʻole kekahi lālā o ka ʻohana pehea e hana ai ma ka home.

ʻAʻole pono ʻoe e hopohopo e pili ana i ka manawa o kēia lāʻau lapaʻau me nā meaʻai no ka mea ua injected ʻia ma mua o ka lawe ʻia ʻana e ka waha. Eia naʻe, e hoʻāʻo e loaʻa i kāu injections i ka manawa like i kēlā me kēia lā e mālama i nā pae kūlike i kāu ʻōnaehana.

Ma mua o kēlā me kēia injection, e hōʻoia i ka maʻemaʻe a maloʻo ka pūnaewele injection. E hōʻike kāu mea mālama ola iā ʻoe pehea e hoʻololi ai i nā pūnaewele injection e pale ai i ka huhū a i ʻole ka ʻeha i kekahi wahi.

E mālama i kāu lāʻau lapaʻau i loko o ka pahu hau, akā e ʻae iā ia e hiki i ka mahana o ka lumi ma mua o ka hoʻokomo ʻana. Hiki i ka lāʻau lapaʻau anuanu ke hōʻoluʻolu hou aku ma ka pūnaewele injection.

Pehea ka lōʻihi e lawe ai au i ka Ardeparin?

Lawe ka hapa nui o nā kānaka i ka ardeparin no 7 a 14 mau lā, ma muli o kā lākou kūlana olakino a me nā mea pilikia. E hoʻoholo kāu kauka i ka lōʻihi pololei e pili ana i kāu ʻano ʻoki, ka holomua o ka hoʻōla, a me ke olakino holoʻokoʻa.

Inā e hana ana ʻoe i ke ʻoki pani kuli, e hoʻomaka maʻamau ʻoe i ka ardeparin i loko o 12 a 24 mau hola ma hope o kāu hana a hoʻomau a hiki i kou hiki ke neʻe i ka lawa ʻana e hoʻi ai kou pilikia clot i ka maʻamau. Hoʻopili maʻamau kēia me kou hiki ke hele wāwae mau a hoʻomaka hou i nā hana maʻamau.

Mai hooki i ka lawe ʻana i ka ardeparin me ka ʻole e kamaʻilio mua me kāu kauka. ʻO ka hooki ʻana i ka wā mua hiki ke waiho iā ʻoe i ka pilikia i ka hoʻomohala ʻana i nā clots koko, ʻoiai ʻo ka lawe ʻana iā ia ma mua o ka mea e pono ai e hoʻonui i kou pilikia koko me ka pono ʻole.

He aha nā hopena ʻaoʻao o Ardeparin?

E like me nā mea lahilahi koko a pau, hiki i ka ardeparin ke hana i nā hopena ʻaoʻao, akā maikaʻi ka hapa nui o nā kānaka i ka lawe ʻana. ʻO nā pilikia maʻamau loa āu e ʻike ai he maʻalahi a hiki ke mālama ʻia me ka mālama pono.

Eia nā hopena ʻaoʻao āu e ʻike nui ai i ka wā o kāu lapaʻau:

• ʻO ka ʻeha a i ʻole nā wahi koko liʻiliʻi ma nā wahi injection
• ʻO ka ʻeha maʻalahi a i ʻole ke aloha ma kahi āu e loaʻa ai nā injections
• ʻO ka pehu iki a i ʻole ka ʻulaʻula a puni nā wahi injection
• ʻO ka nausea liʻiliʻi a i ʻole ka ʻoluʻolu o ka ʻōpū
• ʻO ka huhū ʻili manawa a i ʻole ka ʻū

Hoʻomaikaʻi maʻamau kēia mau hopena ʻaoʻao maʻamau i ka wā e hoʻoponopono ai kou kino i ka lāʻau a me ka ʻenehana injection kūpono.

Hiki ke hana ʻia nā hopena ʻaoʻao koʻikoʻi, akā ʻaʻole maʻamau lākou. E nānā i nā hōʻailona e koi ai i ka lāʻau lapaʻau koke:

• ʻO ke koko maʻamau ʻole ʻaʻole e pau maʻalahi
• Nā noho ʻeleʻele a i ʻole ke koko
• Nā ʻeha poʻo nui a i ʻole ka noʻonoʻo
• ʻO ka pōkole o ka hanu a i ʻole ka ʻeha o ka umauma
• ʻO ka ʻeha nui o ka ʻōpū
• ʻO ka ʻeha maʻamau ʻole a i ʻole nā wahi poni ma kou ʻili

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona koʻikoʻi, e hoʻokaʻaʻike koke i kāu mea mālama ola a i ʻole e ʻimi i ka lāʻau lapaʻau pilikia.

Hiki i nā pilikia maʻamau akā koʻikoʻi ke komo i nā hanana koko nui a i ʻole nā hopena maʻi. ʻOiai e hana ʻia kēia mau mea ma lalo o 1% o nā maʻi, pono lākou i ka lāʻau lapaʻau koke inā e ulu lākou.

ʻO wai ka mea pono ʻole e lawe iā Ardeparin?

ʻAʻole palekana ʻo Ardeparin no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana. ʻO kekahi mau kūlana a i ʻole nā kūlana e hana i kēia lāʻau lapaʻau i mea pilikia loa e hoʻohana.

ʻAʻole pono ʻoe e lawe iā ardeparin inā he koko ikaika kou ma nā wahi a pau o kou kino, e like me nā maʻi ʻōpū, ka ʻoki ʻana i kēia manawa me ke koko e hana nei, a i ʻole kekahi maʻi e hana ai i ke koko maʻamau ʻole. E hana ka lāʻau lapaʻau i kēia mau kūlana i mea weliweli loa.

ʻAʻole hiki i nā kānaka me nā pilikia kīkī nui ke hoʻohana palekana i ka ardeparin no ka mea ʻaʻole hiki i ko lākou kino ke hana pono i ka lāʻau. Ke alakaʻi nei kēia i ka hōʻiliʻili weliweli o ka lāʻau i loko o kāu ʻōnaehana.

Inā he maʻi ʻoe i ka heparin, nā huahana puaʻa, a i ʻole he moʻolelo o ka heparin-induced thrombocytopenia (he maʻi kakaʻikahi akā koʻikoʻi), ʻaʻole palekana ka ardeparin iā ʻoe. E koho kāu kauka i kahi ʻano ʻokoʻa o ka mea lahilahi koko.

Pono nā wāhine hāpai e pale i ka ardeparin ke ʻole ka maikaʻi e ʻoi aku i nā pilikia. Inā ʻoe e hānai ana i ka waiū, e kūkākūkā i nā mea palekana me kāu mea mālama ola.

Nā inoa inoa ʻo Ardeparin

Ua kūʻai mua ʻia ʻo Ardeparin ma lalo o ka inoa inoa ʻo Normiflo. Eia naʻe, ʻaʻole i loaʻa kēia lāʻau i nā ʻāina he nui, me ʻAmelika Hui Pū ʻIa.

Inā kauoha kāu kauka i ka ardeparin, hiki iā lākou ke kuhikuhi iā ia ma kona inoa generic a i ʻole e hōʻike i kahi heparin haʻahaʻa molecular weight like i loaʻa maʻalahi i kou wahi.

Nā koho ʻē aʻe ʻo Ardeparin

He nui nā heparins haʻahaʻa molecular weight e hana like me ka ardeparin a ʻoi aku ka maʻamau i kēia lā. Hiki i kāu kauka ke kauoha i ka enoxaparin (Lovenox), ʻo ia paha ka mea i hoʻohana pinepine ʻia.

ʻO nā koho ʻē aʻe e pili ana i ka dalteparin (Fragmin) a me ka tinzaparin (Innohep). Hana kēia mau lāʻau lapaʻau ma o ka hana like me ka ardeparin akā loaʻa paha nā papa hana ʻokoʻa a i ʻole nā koi injection.

ʻO nā anticoagulants waha hou e like me ka rivaroxaban (Xarelto) a i ʻole apixaban (Eliquis) he mau koho kūpono paha, ʻoiai inā makemake ʻoe e lawe i nā pila ma mua o ka loaʻa ʻana o nā injections.

E noʻonoʻo kāu mea mālama ola i kāu kūlana olakino kikoʻī, ke ʻano o ka ʻoki ʻana, a me nā makemake pilikino i ke koho ʻana i ka mea lahilahi koko maikaʻi loa nāu.

Ua ʻoi aku ka maikaʻi o Ardeparin ma mua o Enoxaparin?

He mau ʻano heparin haʻahaʻa molekala ʻo Ardeparin a me enoxaparin e hana like ana i loko o kou kino. ʻAʻole i hōʻike nā haʻawina i kekahi i ʻoi aku ka maikaʻi ma mua o kekahi no ka pale ʻana i nā koko.

ʻO ka ʻokoʻa nui ma ka loaʻa a me ka ʻike lapaʻau. Ua hoʻohana nui ʻia ʻo Enoxaparin ma ka honua holoʻokoʻa a ʻoi aku ka nui o ka noiʻi e kākoʻo ana i kāna hoʻohana ʻana i nā kūlana lapaʻau like ʻole.

He mea maʻamau nō hoʻi ʻo Enoxaparin i nā alakaʻi dosing hiki ke wānana ʻia a loaʻa i nā ʻāina he nui, e maʻalahi ai i nā kauka ke kuhikuhi a me ka nānā ʻana. Eia naʻe, inā loaʻa ʻo ardeparin a kūpono no kou kūlana, hiki ke maikaʻi.

E koho kāu kauka ma muli o ka mea i loaʻa ma kou wahi, kou mau pono lapaʻau kikoʻī, a me ko lākou ʻike lapaʻau me kēlā me kēia lāʻau.

Nā Nīnau i Nīnau pinepine ʻia e pili ana iā Ardeparin

He palekana anei ʻo Ardeparin no ka maʻi puʻuwai?

Hiki ke palekana ʻo Ardeparin no ka poʻe me ka maʻi puʻuwai, akā pono ia i ka nānā pono ʻana e kāu mea mālama ola. Pono kāu kauka e kaulike i kou pilikia o nā koko koko me kou pilikia o nā pilikia koko.

Inā loaʻa iā ʻoe kekahi mau maʻi puʻuwai e hoʻonui mua ana i kou pilikia koko, hiki i kāu kauka ke koho i kahi lāʻau ʻokoʻa a i ʻole e hoʻoponopono pono i kāu dosage. E hōʻike mau i kāu mea mālama ola e pili ana i kāu mau maʻi puʻuwai a pau ma mua o ka hoʻomaka ʻana i ka ardeparin.

He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o ka Ardeparin?

Inā loaʻa hewa ʻoe i ka nui o ka ardeparin, e hoʻokaʻaʻike koke i kāu mea mālama ola a i ʻole nā lawelawe pilikia. Hiki i ka overdose ke hoʻoulu i ke koko weliweli e pono ai ka lāʻau lapaʻau wikiwiki.

Mai hoʻāʻo e mālama i ka overdose iā ʻoe iho. Loaʻa i nā mea mālama ola nā lāʻau lapaʻau kikoʻī e kūʻē i ka ardeparin keu inā pono, akā he mea nui ka manawa no nā hopena maikaʻi loa.

He aha kaʻu e hana ai inā hala wau i kahi mahele o Ardeparin?

Inā e hala ʻoe i ka lāʻau ardeparin, e lawe koke ʻoe i ka wā e hoʻomanaʻo ai ʻoe, ke ʻole ua kokoke ka manawa no kāu lāʻau i hoʻonohonoho ʻia e hiki mai ana. Ma ia hihia, e lele i ka lāʻau i hala a e hoʻomau me kāu papa manawa maʻamau.

Mai lawe ʻoe i ʻelua lāʻau i ka manawa hoʻokahi e uku ai i ka lāʻau i hala, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o ke kahe koko. E kāhea aku i kāu mea mālama ola inā ʻaʻole ʻoe maopopo e pili ana i ka manawa a i ʻole inā ua hala ʻoe i nā lāʻau he nui.

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

Hiki iā ʻoe ke hooki i ka lawe ʻana iā ardeparin i ka wā e hoʻoholo ai kāu kauka ua hoʻi hou ka pilikia o ke koko i nā pae maʻamau. Hana maʻamau kēia i ka wā e hiki ai iā ʻoe ke neʻe hou a ua ola pono kou kino mai ke ʻoki a i ʻole ka maʻi.

E hāʻawi kāu mea mālama ola iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa e hooki ai. Mai hooki ʻoe iā ardeparin ma kāu iho, ʻoiai inā ʻoe e manaʻo maikaʻi ana, no ka mea, hiki i kēia ke waiho iā ʻoe i ka pilikia o ka hoʻomohala ʻana i nā koko koko weliweli.

Hiki iaʻu ke inu i ka waiʻona i ka wā e lawe ana iā Ardeparin?

ʻOi aku ka maikaʻi e pale i ka waiʻona a i ʻole e inu i nā mea liʻiliʻi wale nō i ka wā e lawe ana iā ardeparin. Hiki i ka waiʻona ke hoʻonui i kou pilikia o ke kahe koko a hiki ke launa pū me ka lāʻau i nā ala e hiki ai i nā pilikia o ke kahe koko ke hiki.

Inā koho ʻoe e inu i ka waiʻona i kekahi manawa, e kūkākūkā i nā palena palekana me kāu mea mālama ola. Hiki iā lākou ke hāʻawi iā ʻoe i nā ʻōlelo aʻo pilikino e pili ana i kou olakino holoʻokoʻa a me nā lāʻau ʻē aʻe āu e lawe nei.