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

He lāʻau lapaʻau ʻo Tinzaparin e lahilahi ai ke koko e kōkua ana i ka pale ʻana a me ka mālama ʻana i nā ʻōpū koko weliweli i loko o kou kino. No ka pūʻulu o nā lāʻau lapaʻau i kapa ʻia he heparins haʻahaʻa molekala, e hana ana ma ka hoʻolilo ʻana i kou koko i mea liʻiliʻi e hana i nā ʻōpū e hiki ke ālai i nā kīʻaha koko nui.

Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he injection ma lalo o kou ʻili, maʻamau i kou ʻōpū a i ʻole ka ʻūhā. Hiki i kāu kauka ke kuhikuhi iā tinzaparin inā pilikia ʻoe i nā ʻōpū koko ma muli o ke ʻoki ʻana, ka hoʻopaʻa ʻia ʻana i ka haukapila, a i ʻole kekahi mau maʻi olakino.

No ke aha e hoʻohana ʻia ai ʻo Tinzaparin?

Kōkua ʻo Tinzaparin iā ʻoe mai nā ʻōpū koko e hiki ke hoʻoweliweli i ke ola inā hele lākou i kou māmā, ka puʻuwai, a i ʻole ka lolo. Kuhikuhi kāu kauka i kēia lāʻau lapaʻau ke pono kou kino i ka pale hou aku i ka hana ʻana o ka ʻōpū.

ʻO nā kumu maʻamau e kuhikuhi ai nā kauka iā tinzaparin, ʻo ia ka mālama ʻana i ka thrombosis vein hohonu (nā ʻōpū koko i nā veins wāwae) a me ka pulmonary embolism (nā ʻōpū e hele ana i kou māmā). Hoʻohana ʻia nō hoʻi ia e pale i nā ʻōpū i ka wā o kekahi mau ʻoki, ʻoi aku hoʻi nā kaʻina hana orthopedic e like me ka hoʻololi ʻana i ka pūhaka a i ʻole ke kuli.

I kekahi manawa ua kuhikuhi ʻia ʻo tinzaparin no ka poʻe e moe ana no nā wā lōʻihi a i ʻole he mau maʻi puʻuwai e hoʻonui ai i ka pilikia o ka ʻōpū. Hiki nō hoʻi i kāu kauka ke ʻōlelo aku inā loaʻa iā ʻoe ka maʻi kanesa, no ka mea, hiki i kēia maʻi ke hana i nā ʻōpū koko.

Pehea e hana ai ʻo Tinzaparin?

Ua manaʻo ʻia ʻo Tinzaparin he mea lahilahi koko ikaika e hana ana ma ka ālai ʻana i nā protein kikoʻī i loko o kāu ʻōnaehana hoʻopaʻa koko. Hoʻopā ia i kahi protein i kapa ʻia ʻo factor Xa, kahi e pāʻani ai i kahi hana nui i ka hana ʻana i nā ʻōpū koko.

E noʻonoʻo i kāu ʻōnaehana hoʻopaʻa koko e like me ka hopena kaulahao kahi e alakaʻi ai kekahi ʻanuʻu i ka mea aʻe. Hoʻopau ʻo Tinzaparin i kēia kaulahao i ka wā mua o ke kaʻina hana, e pale ana i ka hana ʻana o nā kaula fibrin e ulana pū ai e hana i kahi ʻōpū.

E hoʻomaka ana ka lāʻau lapaʻau e hana i loko o nā hola o ka hoʻokomo ʻana a hiki i kona hopena kiʻekiʻe i loko o 4-6 mau hola. No ka mea he heparin kaumaha haʻahaʻa molekala, ʻoi aku ka maikaʻi o kāna hopena ma mua o nā mea lahilahi koko kahiko, ʻo ia hoʻi, ʻaʻole pono e hana pinepine ʻia nā hoʻokolohua koko.

Pehea wau e lawe ai iā Tinzaparin?

Hāʻawi ʻia ʻo Tinzaparin ma ke ʻano he injection ma lalo o kou ʻili (subcutaneous injection), maʻamau hoʻokahi a ʻelua paha i ka lā e pili ana i kou kūlana. E aʻo kāu mea mālama ola iā ʻoe a i ʻole kekahi lālā o ka ʻohana pehea e hāʻawi palekana ai i kēia mau injections ma ka home.

ʻO nā wahi injection maʻamau ʻo kou ʻōpū (ma ka liʻiliʻi he 2 iniha mai kou pihi ʻōpū) a i ʻole ka ʻaoʻao o waho o kou ʻūhā. Pono ʻoe e hoʻololi i nā wahi injection e pale ai i ka huhū o ka ʻili a pale i nā wahi me nā ʻōpala, nā ʻeha, a i ʻole nā pilikia ʻili.

ʻAʻole pono ʻoe e lawe iā tinzaparin me ka meaʻai, akā e hoʻāʻo e hāʻawi i kāu mau injections i ka manawa like i kēlā me kēia lā e mālama i nā pae kūlike i kou koko. E mālama i ka 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 e hōʻemi i ka hōʻoluʻolu.

Ma mua o kēlā me kēia injection, holoi pono i kou mau lima a hoʻomaʻemaʻe i ka wahi injection me kahi swab waiʻona. E ʻoki mālie i ka ʻili a hoʻokomo i ka nila ma kahi kihi 90-degere, a laila e hoʻokomo mālie i ka lāʻau lapaʻau.

Pehea ka lōʻihi e lawe ai au iā Tinzaparin?

ʻO ka lōʻihi o ka mālama ʻana iā tinzaparin e ʻokoʻa nui ma muli o ke kumu e lawe nei ʻoe a me kāu mau mea pilikia. E hoʻoholo kāu kauka i ka lōʻihi kūpono o ka mālama ʻana no kāu kūlana.

No ka pale ʻana i nā koko koko ma hope o ke ʻoki ʻana, hiki iā ʻoe ke lawe iā tinzaparin no 7-10 mau lā a i ʻole a hiki i kou neʻe hou ʻana. Inā e mālama ʻia ana ʻoe no kahi koko koko e kū nei, ʻoi aku ka lōʻihi o ka manawa lapaʻau, pinepine 3-6 mahina a i ʻole ka lōʻihi.

ʻO ka poʻe me ka maʻi kanesa a i ʻole nā maʻi e hoʻomau nei e hoʻonui i ka pilikia o ka ʻōpū koko e pono paha e lawe i ka tinzaparin no nā wā lōʻihi. E loiloi mau kāu kauka inā pono ʻoe i ka lāʻau a hoʻoponopono i kāu hoʻolālā lapaʻau.

Mai hooki koke i ka lawe ʻana i ka tinzaparin me ka ʻole e kamaʻilio mua me kāu kauka, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i nā ʻōpū koko weliweli. Pono paha kāu kauka e hoʻemi mālie i kāu mahele a i ʻole e hoʻololi iā ʻoe i kahi mea lahilahi koko ʻē aʻe.

He aha nā hopena ʻaoʻao o Tinzaparin?

E like me nā mea lahilahi koko a pau, hiki i ka tinzaparin ke hana i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe e ʻae maikaʻi iā ia. ʻO nā hopena ʻaoʻao maʻamau e pili ana i kāna mau waiwai lahilahi koko.

Eia nā hopena ʻaoʻao e ʻike nui ʻia e ʻoe, mai ka maʻamau a i ka liʻiliʻi:

• ʻO ka ʻeha a i ʻole ke kahe ʻana ma nā wahi injection
• Nā kiko ʻulaʻula liʻiliʻi ma kou ʻili (petechiae)
• ʻO ka ihu e mau ana ma mua o ka maʻamau
• Ke kahe ʻana o nā ʻāʻī i ka wā e palaki ai i nā niho
• ʻO ka ʻeha māmā a i ʻole ka pehu ʻana ma nā wahi injection
• ʻOi aku ka nui o nā wā menstrual ma mua o ka maʻamau

ʻO kēia mau hopena ʻaoʻao maʻamau he maʻalahi a hiki ke mālama ʻia, akā he mea nui e nānā iā lākou a hōʻike i nā hopohopo i kāu mea mālama ola.

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e koi i ka lāʻau lapaʻau koke. Pākuʻi ʻia kēia i ke kahe ʻana o ke koko nui ʻaʻole e pau, ke koko i loko o kāu mimi a i ʻole ka ʻōpala, nā ʻeha poʻo nui, a i ʻole ka nāwaliwali a me ka ʻūlū ʻole.

I nā manawa kakaʻikahi, hoʻomohala kekahi poʻe i kahi maʻi i kapa ʻia ʻo heparin-induced thrombocytopenia (HIT), kahi e hoʻonui maoli ai ka lāʻau i ka pilikia o ka ʻōpū koko. Hana maʻamau kēia ma hope o kekahi mau lā o ka lāʻau lapaʻau a koi i ka lāʻau lapaʻau koke.

ʻO kekahi hopena ʻaoʻao kakaʻikahi akā koʻikoʻi he mau hopena maʻi maʻi nui, hiki ke hana i ka pilikia o ka hanu, ka pehu ʻana o ka maka a i ʻole ka ʻāʻī, a i ʻole ka ʻili ākea. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻimi koke i ka lāʻau lapaʻau pilikia.

ʻO wai ka mea pono ʻole e lawe iā Tinzaparin?

ʻAʻole palekana ʻo Tinzaparin no nā mea a pau, a e loiloi pono kāu kauka inā kūpono ia no kou kūlana. ʻAʻole pono ka poʻe me kekahi mau maʻi a i ʻole nā kūlana e lawe i kēia lāʻau.

ʻAʻole pono ʻoe e lawe iā tinzaparin inā he koko ikaika kou ma kahi o kou kino, e like me nā maʻi ʻōpū, ka ʻoki ʻana i ka wā e kahe ana ke koko, a i ʻole kekahi maʻi e hiki ai ke kahe ke koko. ʻAʻole hiki i ka poʻe me ka maʻi kīkī koʻikoʻi ke lawe palekana i kēia lāʻau.

ʻO nā kūlana ʻē aʻe e pale ai iā ʻoe mai ka lawe ʻana iā tinzaparin, ʻo ia ke koko kiʻekiʻe koʻikoʻi ʻaʻole i mālama maikaʻi ʻia, ka hahau hou ʻana i hana ʻia e ke koko i loko o ka lolo, a i ʻole inā ua loaʻa iā ʻoe kahi hopena maʻi i ka heparin a i ʻole nā lāʻau lapaʻau like.

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, pono kāu kauka e ana pono i nā pōmaikaʻi e kūʻē i nā pilikia hiki. ʻOiai ʻaʻole hele ʻo tinzaparin i ka placenta, pono ia i ka nānā pono ʻana i ka wā hāpai.

ʻO ka poʻe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, ʻo ia hoʻi nā mea lahilahi koko ʻē aʻe, nā lāʻau anti-inflammatory, a i ʻole kekahi mau antibiotics, pono paha i nā hoʻoponopono ʻana i ka maʻi a i ʻole nā lāʻau lapaʻau ʻē aʻe e pale aku i nā pilina weliweli.

Nā inoa inoa o Tinzaparin

Loaʻa ʻo Tinzaparin ma lalo o nā inoa inoa like ʻole, ʻo Innohep ka mea i kauoha pinepine ʻia ma nā ʻāina he nui. Kōkua kēia inoa inoa e hoʻokaʻawale iā ia mai nā ʻano lāʻau heparin ʻē aʻe.

Hiki i kekahi mau wahi ke loaʻa nā inoa inoa hou no tinzaparin, akā like ka mea hana a me nā hopena me ka nānā ʻole i ka mea hana. Hiki i kāu kauka lapaʻau ke kōkua iā ʻoe e hoʻomaopopo i ka inoa āu e loaʻa nei a hōʻoia i ke kūlike i kāu mālama ʻana.

Ke hoʻopiha nei i nā kauoha, e hōʻoia i kāu hale kūʻai lāʻau lapaʻau e hāʻawi i ka inoa like i kēlā me kēia manawa inā hiki, no ka mea, ʻo ka hoʻololi ʻana ma waena o nā mea hana like ʻole e hoʻololi iki i ke ʻano o ka hana ʻana o ka lāʻau lapaʻau iā ʻoe.

Nā koho ʻē aʻe o Tinzaparin

He nui nā lāʻau lahilahi koko ʻē aʻe i loaʻa inā ʻaʻole kūpono ka tinzaparin i kou kūlana. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana i ke koho e hana maikaʻi loa no kāu mau pono kikoʻī a me ka mōʻaukala olakino.

ʻO nā heparins haʻahaʻa molekala e like me enoxaparin (Lovenox) a i ʻole dalteparin (Fragmin) e hana like me ka tinzaparin a hāʻawi ʻia ma ke ʻano he injections. He like ka maikaʻi o kēia mau lāʻau a me nā hopena ʻaoʻao.

ʻO nā lāʻau lahilahi koko waha hou e like me rivaroxaban (Xarelto), apixaban (Eliquis), a i ʻole dabigatran (Pradaxa) e hāʻawi i ka maʻalahi o nā pila ma mua o nā injections. Eia naʻe, ʻaʻole kūpono lākou no nā kūlana a pau a loaʻa paha nā koi mālama like ʻole.

Hoʻohana ʻia ka warfarin kuʻuna (Coumadin) i kekahi mau hihia, ʻoi aku hoʻi no ka poʻe me kekahi mau maʻi puʻuwai a i ʻole nā ​​kiwikā puʻuwai artificial. Pono kēia lāʻau i ka hoʻāʻo koko maʻamau a ʻoi aku ka nui o nā kapu meaʻai ma mua o nā koho hou.

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

He maikaʻi nā tinzaparin a me enoxaparin i nā heparins haʻahaʻa molekala, a ʻaʻole ʻoi aku kekahi ma mua o kekahi. ʻO ke koho ma waena o lākou e hilinaʻi pinepine ana i kāu kūlana olakino kikoʻī a me ka makemake o ke kauka.

Loaʻa paha i ka Tinzaparin kahi mea maikaʻi iki e pili ana i ke alapine ʻana o ka lāʻau, no ka mea, hāʻawi ʻia i kekahi manawa i hoʻokahi manawa i ka lā i hoʻohālikelike ʻia me ka enoxaparin i ka lā ʻelua. Hiki i kēia ke maʻalahi no kekahi mau maʻi a hiki ke hoʻomaikaʻi i ka pili ʻana i ka lāʻau.

Hōʻike kekahi mau haʻawina e loaʻa paha i ka tinzaparin ka haʻahaʻa haʻahaʻa o kekahi mau hopena ʻaoʻao, ʻo ia hoʻi ka heparin-induced thrombocytopenia, akā palekana loa nā lāʻau ʻelua ke hoʻohana pono ʻia.

E noʻonoʻo kāu kauka i nā mea e like me kāu hana kīkī, ka pilikia o ke kahe ʻana, nā lāʻau ʻē aʻe āu e lawe nei, a me kou hiki ke hoʻokomo iā ʻoe iho i ke koho ʻana ma waena o kēia mau koho. He kūpono like nā lāʻau ʻelua i ka pale ʻana a me ka mālama ʻana i nā koko koko.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Tinzaparin

He Palekana ʻo Tinzaparin no ka poʻe me ka maʻi kīkī?

Pono e noʻonoʻo pono ʻia ʻo Tinzaparin i ka poʻe me ka maʻi kīkī, no ka mea, hiki i ka hana kīkī i hōʻemi ʻia ke hoʻopilikia i ke ʻano o ka hoʻomaʻemaʻe ʻana o ka lāʻau lapaʻau mai kou kino. Pono paha kāu kauka e hoʻoponopono i kāu mahele a i ʻole ke koho ʻana i kahi lāʻau lapaʻau ʻē aʻe inā he pilikia kīkī waena a koʻikoʻi paha kāu.

Hiki i ka poʻe me ka maʻi kīkī maʻalahi ke lawe pinepine i ka tinzaparin me ka palekana me ka nānā pono ʻana a me nā hoʻoponopono mahele. E nānā kāu kauka i kāu hana kīkī i nā manawa a pau a hiki ke kauoha i nā hoʻokolohua koko hou e hōʻoia i ka hana palekana o ka lāʻau lapaʻau.

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

Inā ʻoe e hoʻokomo hewa i ka nui o ka tinzaparin, e hoʻokaʻaʻike koke i kāu kauka a i ʻole nā lawelawe pilikia, ʻoiai inā ʻike ʻoe i nā hōʻailona o ke kahe ʻana. Hiki i ka overdose ke hoʻonui nui i kou pilikia o ke kahe ʻana a pono e mālama koke ʻia.

Mai ho'āʻo e

Pono ʻoe e hooki i ka lawe ʻana i ka tinzaparin ma lalo o ka mālama ʻana a kāu kauka, no ka mea, ʻo ka hooki koke ʻana hiki ke hoʻonui i kou pilikia o nā koko koko. E hoʻoholo kāu kauka i ka manawa e palekana ai ke hooki i ka lāʻau lapaʻau ma muli o kou maʻi kumu a me nā mea pilikia o ke koko.

Aia ka hoʻoholo e hooki i ka tinzaparin ma nā mea e like me ke kumu i hoʻomaka ai ʻoe e lawe, pehea ka lōʻihi o kou noho ʻana ma ka lāʻau lapaʻau, a inā paha ua loli kāu mau mea pilikia kumu. Hiki i kāu kauka ke hōʻemi mālie i kāu mahele a i ʻole e hoʻololi iā ʻoe i kahi mea lahilahi koko ʻē aʻe ma mua o ka hooki ʻana i nā anticoagulation a pau.

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

ʻAe ʻia ka inu ʻana i ka waiʻona maʻalahi i ka wā e lawe ana i ka tinzaparin, akā hiki i ka inu nui ke hoʻonui i kou pilikia o ke kahe koko. Hiki i ka waiʻona ke hoʻopilikia i ka hiki ʻana o kou koko ke hoʻopaʻa a hiki ke launa pū me nā hopena lahilahi koko o ka lāʻau lapaʻau.

ʻOi aku ka maikaʻi e kaupalena i ka inu ʻana i ka waiʻona a kūkākūkā i kāu mau hana inu me kāu kauka. Hiki iā lākou ke hāʻawi i ke alakaʻi pilikino ma muli o kou olakino holoʻokoʻa, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me kāu mau mea pilikia kahe koko.