He aha ka Tranexamic Acid (Ala Intravenous): Nā Hoʻohana, Dosage, Nā ʻaoʻao ʻaoʻao a me nā mea hou aku

ʻO ka tranexamic acid he lāʻau lapaʻau e kōkua i kou koko e paʻa pono ke kahe nui ʻoe. Hana ia ma ka ālai ʻana i kekahi mau mea i loko o kou kino e wāwahi i nā ʻōpala koko, e hāʻawi ana i kāu hana paʻa maoli i ke kākoʻo e pono ai e hoʻōki i ke kahe nui.

Ke hāʻawi ʻia ma o ka IV (ala intravenous), hiki i kēia lāʻau lapaʻau ke ola i ka wā o nā ʻoki, ma hope o nā ʻeha, a i ʻole i nā kūlana olakino kahi e lilo ai ka mālama ʻana i ke kahe i mea koʻikoʻi. E noʻonoʻo iā ia he mea kōkua pono e hoʻoikaika i ka hiki maoli o kou kino ke hana i nā ʻōpala koko paʻa i ka wā a me kahi āu e pono ai.

He aha ka Tranexamic Acid?

ʻO ka tranexamic acid he lāʻau lapaʻau synthetic e pili ana i kahi pūʻulu lāʻau i kapa ʻia ʻo antifibrinolytics. Ma nā huaʻōlelo maʻalahi, he lāʻau lapaʻau ia e kōkua ai e pale i kāu mau ʻōpala koko mai ka hoʻoheheʻe ʻana i ka wikiwiki loa, e ʻae ana i kou kino e mālama i ke kahe ʻana.

Hana maoli kou kino i nā mea e hana ai i nā ʻōpala koko a wāwahi iā lākou. I kekahi manawa, huli ke kaulike i ka wāwahi ʻana i nā ʻōpala i ka wikiwiki loa, e alakaʻi ana i ke kahe nui. Hoʻokomo ʻo Tranexamic acid i loko e hoʻihoʻi i kēia kaulike ma ka ālai ʻana i nā enzymes e hoʻoheheʻe i nā ʻōpala.

ʻO ke ʻano intravenous ʻo ia ka lāʻau lapaʻau e hele pololei i loko o kou kahe koko ma o ka vein. Hiki i kēia ke hana wikiwiki a hiki i nā wahi kahi e pono ai ka mālama ʻana i ke kahe.

No ke aha e hoʻohana ʻia ai ka Tranexamic Acid?

Hoʻohana nui ʻia ka tranexamic acid IV e pale a mālama paha i ke kahe nui i nā kūlana olakino like ʻole. He mea waiwai nui ia ke pono ke kākoʻo hou ʻana i ka hiki ke paʻa o kou kino e mālama iā ʻoe.

Hoʻohana maʻamau nā mea mālama ola i kēia lāʻau lapaʻau i kekahi mau hanana koʻikoʻi. E hele wāwae wau iā ʻoe ma nā hoʻohana nui i hiki iā ʻoe ke hoʻomaopopo i ka wā e ʻōlelo ʻia ai kēia lapaʻau:

• I ka wā o nā ʻoki nui: ʻOi loa nā ʻoki puʻuwai, nā hana orthopedic, a me nā hana e manaʻo ʻia ai ka nui o ke koko e nalowale
• Nā kūlana trauma: I ka wā e loaʻa ai i kekahi kanaka nā ʻeha nui e hoʻoulu ai i ke kahe nui o ke koko
• Hemorrhage postpartum: Ma hope o ka hānau ʻana ke loaʻa i ka makuahine ke kahe koko weliweli
• Ke kahe nui ʻana o ke koko menstrual: ʻOiai ʻoi aku ka maʻamau o ke ʻano waha no kēia hoʻohana
• Nā hana niho: No nā maʻi me nā maʻi kahe koko e pono ai nā unuhi niho a i ʻole nā ʻoki waha
• Ke kahe koko gastrointestinal: I ka wā e kahe ana ke koko i loko o ko lākou ʻōpū a i ʻole nā ʻōpū

I nā kūlana kakaʻikahi, hiki i nā kauka ke hoʻohana i ka waikawa tranexamic no kekahi mau maʻi kahe koko i hoʻoilina ʻia a i ʻole ke lawe nei nā maʻi i nā lāʻau e lahilahi ai ke koko akā pono lākou i ka ʻoki ulia pōpilikia. ʻO ke kī, e loiloi pono kāu hui lapaʻau inā ʻoi aku ka maikaʻi ma mua o nā pilikia i kāu kūlana kikoʻī.

Pehea e hana ai ka waikawa Tranexamic?

Hana ka waikawa Tranexamic ma ka pale ʻana i kahi hana i kapa ʻia ʻo fibrinolysis, ʻo ia ka ʻōnaehana kūlohelohe o kou kino no ka hoʻoheheʻe ʻana i nā clots koko. ʻOiai he paʻakikī kēia, maʻalahi ka manaʻo ke hoʻomaopopo ʻoe i ka mea e hana nei i kou kino.

Ke loaʻa iā ʻoe kahi ʻoki a i ʻole ʻeha, hana kou kino i kahi clot koko e hoʻōki i ke kahe ʻana. Ma ke ʻano maʻamau, ma hope o ka hoʻōla ʻana o ka ʻeha, hana kou kino i nā mea i kapa ʻia ʻo plasmin e hoʻoheheʻe i kēia mau clots i ʻole lākou e noho lōʻihi ma mua o ka pono. Eia naʻe, i kekahi manawa hana wikiwiki kēia hana hoʻoheheʻe clot a i ʻole i ka manawa hewa, e alakaʻi ana i ke kahe nui ʻana.

ʻO ka waikawa Tranexamic ke haʻi aku nei i kou kino e hoʻolohi i kēia hana hoʻoheheʻe clot. Hoʻopaʻa ia i nā wahi kahi e pili ai ka plasmin, e pale ana iā ia mai ka wāwahi ʻana i nā clots me ka wikiwiki loa. Hāʻawi kēia i kou kino i ka manawa e hoʻōla pono ai a hoʻōki i ke kahe ʻana ma ke ʻano maoli.

Ua manaʻo ʻia kēia lāʻau lapaʻau he ikaika waena a hana wikiwiki ʻia ke hāʻawi ʻia ma o ka IV. Hoʻomaka ka hapa nui o nā maʻi e ʻike i nā hopena i loko o 15-30 mau minuke, a ke hoʻomau nei ka lāʻau lapaʻau e hana no kekahi mau hola ma hope o ka lawelawe ʻana.

Pehea wau e lawe ai i ka Tranexamic Acid?

ʻO ka waikawa tranexamic i hāʻawi ʻia ma o IV e lawelawe mau ʻia e nā poʻe loea mālama ola i kahi hoʻonohonoho olakino. ʻAʻole pono ʻoe e hopohopo e pili ana i ka lawe ʻana i kēia lāʻau lapaʻau iā ʻoe iho, no ka mea, pono ia i ka nānā pono ʻana a me ka hoʻopaʻa ʻana.

Hāʻawi pinepine ʻia ka lāʻau lapaʻau ma ke ʻano he injection lohi i loko o kou vein ma luna o 5-10 mau minuke, a i kekahi manawa ma ke ʻano he kulu mau no ka manawa lōʻihi. E hoʻoholo kāu hui mālama ola i ke ʻano pololei e pili ana i kāu kūlana olakino kikoʻī a me ka wikiwiki e pono ai ka mālama ʻana i ke koko.

Ma mua o ka loaʻa ʻana o ka lāʻau lapaʻau, e nānā paha kāu hui lapaʻau i kou koko, ka puʻuwai, a me nā hōʻailona koʻikoʻi ʻē aʻe. E nānā pū lākou i kāu mōʻaukala olakino e hōʻoia i ka palekana o ka waikawa tranexamic iā ʻoe. I ka wā o ka infusion, e nānā pono nā kahu hānai iā ʻoe no nā hōʻailona o nā hopena ʻino.

ʻAʻole like me nā lāʻau lapaʻau waha, ʻaʻole pono ʻoe e hopohopo e pili ana i ka lawe ʻana i kēia me ka meaʻai a i ʻole ka manawa e pili ana i nā meaʻai. Hoʻopau loa ke ʻano IV i kāu ʻōnaehana digestive, e hele pololei ana i loko o kou kahe koko kahi e hiki ai ke hana maikaʻi loa.

Pehea ka lōʻihi e lawe ai au i ka Tranexamic Acid?

ʻO ka lōʻihi o ka mālama ʻana i ka waikawa tranexamic e hilinaʻi loa i kāu kūlana olakino a me ka maikaʻi o ka mālama ʻana i kou koko. I ka hapanui o nā hihia, hoʻohana ʻia kēia lāʻau lapaʻau no ka mālama ʻana i ka wā pōkole, pinepine wale nō i ka wā o kahi kaʻina hana olakino hoʻokahi a i ʻole kahi kūlana pilikia.

No nā kaʻina hana ʻoki, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau ma mua, i ka wā, a i ʻole ma hope koke o kāu hana. ʻO ka maʻamau, mau nā hopena no 6-8 mau hola, no laila hiki ke hāʻawi ʻia nā mea hou inā pono. E hana kāu hui ʻoki i kēia mau hoʻoholo e pili ana i ka nui o ke koko e hana ʻia a me ka maikaʻi o ka pane ʻana o kou kino.

I nā kūlana pilikia e like me ka trauma a i ʻole ka hemorrhage postpartum, hiki ke hoʻomau ʻia ka lapaʻau no kekahi mau hola a i ʻole kekahi mau lā a hiki i ka wā e kāohi piha ʻia ai ke kahe koko. E loiloi mau ana kāu hui lapaʻau inā pono ʻoe i ka lāʻau lapaʻau a i ʻole ua lanakila maoli ke koko o kou kino.

Ke kāohi ʻia a paʻa ke kahe koko, hoʻōki ʻia ka lāʻau lapaʻau. ʻAʻole like me kekahi mau lāʻau lapaʻau e koi ana i ka hoʻemi ʻana, hiki ke hoʻōki ʻia ka waikawa tranexamic me ka ʻole o ka emi ʻana ke pono ʻole ia.

He aha nā hopena ʻaoʻao o ka waikawa Tranexamic?

Hoʻomanawanui ka hapa nui o nā kānaka i ka waikawa tranexamic IV, ʻoi aku hoʻi ke hāʻawi ʻia i kahi hoʻonohonoho lapaʻau kahi e nānā pono ʻia ai ʻoe. Eia naʻe, e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i kekahi mau hopena ʻaoʻao e pono ai ʻoe e ʻike.

He maʻalahi a he manawa pōkole nā hopena ʻaoʻao maʻamau. Ua mākaukau kāu hui mālama ola e mālama i kēia mau mea inā loaʻa lākou, no laila mai hopohopo nui e pili ana iā lākou:

• Nausea a i ʻole ka luaʻi ʻana: Loaʻa kēia i kahi 10-20% o nā maʻi a maʻa mau e hoʻoponopono koke
• ʻO ka wili a i ʻole ka māmā: ʻOi loa ke noho ʻana a i ʻole ke kū ʻana ma hope o ka lapaʻau
• ʻEha poʻo: He maʻalahi maʻamau a pane maikaʻi i nā mea hōʻoluʻolu ʻeha ma luna o ka counter
• ʻO ka luhi: ʻO ka manaʻo luhi a nāwaliwali paha, e hoʻomaikaʻi pinepine ana i kou ola ʻana mai kou maʻi kumu
• Nā hopena ma ka pūnaewele injection: ʻO ka ʻeha maʻalahi, ʻulaʻula, a i ʻole ka pehu ʻana ma kahi i waiho ʻia ai ka IV

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e koi i ka lāʻau lapaʻau koke. Loaʻa kēia i ka liʻiliʻi ma mua o 1% o nā maʻi, akā nānā pono kāu hui lapaʻau iā lākou:

• Nā ʻōpū koko: ʻOiai he mea maʻamau ʻole, hiki i ka lāʻau lapaʻau ke hana i nā ʻōpū koko i nā wāwae, nā māmā, a i ʻole nā wahi ʻē aʻe
• Nā hopena maʻi āpau koʻikoʻi: Me ka pilikia o ka hanu ʻana, ka pehu ʻana o ka maka a i ʻole ka ʻāʻī, a i ʻole ka ʻōpala nui
• Nā loli i ka ʻike: Me ka ʻike palaka a i ʻole nā loli i ka ʻike kala
• Nā ʻāʻā: He mea maʻamau loa akā hiki nō, ʻoiai me nā lāʻau kiʻekiʻe

I nā manawa maʻamau loa, hiki i kekahi poʻe maʻi ke loaʻa nā pilikia o ka puʻupaʻa a i ʻole nā loli i ko lākou puʻuwai. Mālama kāu hui mālama ola i kēia mau pilikia ma o nā loiloi hōʻailona ola maʻamau a me nā hoʻokolohua koko ke kūpono. E hoʻomanaʻo, ʻo ka hoʻoholo e hoʻohana i kēia lāʻau lapaʻau, ʻo ia hoʻi ua hoʻoholo kāu hui lapaʻau e ʻoi aku ka maikaʻi ma mua o kēia mau pilikia.

ʻO wai ka mea ʻaʻole pono e lawe i ka Tranexamic Acid?

ʻOiai he palekana ka tranexamic acid no ka hapa nui o nā kānaka, aia kekahi mau kūlana kahi e hiki ʻole ai ke koho kūpono. E nānā pono kāu hui lapaʻau i kāu mōʻaukala olakino ma mua o ka ʻōlelo ʻana i kēia lapaʻau.

Aia kekahi mau maʻi kahi e pono ai e pale ʻia ka tranexamic acid a i ʻole e hoʻohana ʻia me ka akahele loa. E wehewehe wau i nā hopohopo nui i hiki iā ʻoe ke hoʻomaopopo i ke kumu e nīnau ai kāu kauka i nā nīnau kikoʻī e pili ana i kāu mōʻaukala olakino:

• Mōʻaukala o nā ʻōpū koko: Inā loaʻa iā ʻoe ka thrombosis vein hohonu, pulmonary embolism, a i ʻole ka hahau
• Maʻi puʻupaʻa koʻikoʻi: Hoʻoponopono ʻia ka lāʻau lapaʻau ma o kou mau puʻupaʻa, no laila hiki i nā pilikia puʻupaʻa koʻikoʻi ke pilikia
• Ke kahe koko ikaika i ka lolo: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kekahi mau ʻano o ke kahe koko i ka lolo
• Nā maʻi puʻuwai: Me nā kiwikā puʻuwai hana a i ʻole nā pilikia puʻuwai koʻikoʻi
• Maʻi i ka tranexamic acid: ʻOiai he mea maʻamau ʻole, maʻi kekahi poʻe i kēia lāʻau lapaʻau

E mālama nui nō hoʻi kāu kauka inā he mau maʻi ʻē aʻe kou, ʻoiai ʻaʻole paha he mea e hōʻole loa ai kēia mau mea. Aia nō i loko o kēia mau mea ka hāpai ʻana (ʻoiai ua hoʻohana ʻia i kekahi manawa no ke kahe koko ma hope o ka hānau ʻana), ka maʻi ate koʻikoʻi, a i ʻole inā e lawe ana ʻoe i kekahi mau lāʻau e lahilahi ai ke koko.

ʻAʻole pinepine ka makahiki wale nō he mea e pale ai i ka lāʻau. Hiki i nā keiki a me nā maʻi ʻelemakule ke loaʻa ka waikawa tranexamic ke pono i ka lāʻau, ʻoiai e hoʻoponopono ʻia nā lāʻau ma muli o ka makahiki, ke kaumaha, a me ka hana o nā puʻupaʻa.

Nā inoa inoa o ka waikawa Tranexamic

Loaʻa ka waikawa tranexamic ma lalo o nā inoa inoa like ʻole, ʻoiai e hoʻohana pinepine ʻia ke ʻano generic i nā halemai a me nā keʻena lapaʻau. ʻO ka inoa inoa kaulana loa ʻo Cyklokapron, i loaʻa nui ʻia ma nā ʻano waha a me nā ʻano injectable.

ʻO nā inoa inoa ʻē aʻe āu e hālāwai ai, ʻo ia hoʻi ʻo Lysteda (nui no ke ʻano waha i hoʻohana ʻia no ke kahe koko menstrual) a me nā ʻano generic like ʻole e hele wale ana ma ka

• ʻAkika aminokaproika (Amicar): Hana like me ka ʻakika tranexamika akā makemake ʻia i kekahi manawa no kekahi ʻano kahe koko
• Desmopressin (DDAVP): He mea pono loa no nā maʻi me nā maʻi kahe koko e like me ka maʻi von Willebrand
• Nā mea i hoʻopaʻa ʻia: No nā maʻi me ka hemophilia a i ʻole nā ​​hemahema o ka mea hoʻopaʻa koko
• Hoʻoili platelet: Ke hoʻopilikia nei nā helu platelet haʻahaʻa i nā pilikia kahe koko
• Plasma paʻa hou: Hāʻawi i nā mea hoʻopaʻa koko he nui no nā kūlana kahe koko paʻakikī

I kekahi mau hihia, hiki i kāu hui lapaʻau ke hoʻohana i ka hui pū ʻana o nā lāʻau lapaʻau ma mua o ka hilinaʻi ʻana i hoʻokahi lāʻau. ʻO ka pahuhopu ka hoʻōki mau ʻana i ke kahe koko me ka palekana a me ka maikaʻi ʻoiai e hōʻemi ana i nā pilikia i kou olakino holoʻokoʻa.

Ua ʻoi aku ka maikaʻi o ka ʻakika Tranexamika ma mua o ka ʻakika Aminocaproic?

He mau lāʻau lapaʻau maikaʻi nā ʻakika tranexamika a me ka ʻakika aminocaproic no ka mālama ʻana i ke kahe koko, akā he mau ʻokoʻa nui ko lākou e hiki ai ke kūpono kekahi no kou kūlana ma mua o kekahi.

Manaʻo ʻia ka ʻakika Tranexamika he mea ikaika loa, ʻo ia hoʻi hiki ke maikaʻi ma nā haʻahaʻa haʻahaʻa. Loaʻa nō hoʻi iā ia ka lōʻihi o ka hana, no laila pono paha ʻoe i nā mea liʻiliʻi i kāu lapaʻau. Hōʻike nā haʻawina e ʻoi aku ka maikaʻi o ka pale ʻana i ka nalowale ʻana o ke koko i ka wā o ke ʻoki ʻana a me ka hōʻemi ʻana i ka pono no ka hoʻoili koko.

ʻO ka ʻakika Aminocaproic, ma ka ʻaoʻao ʻē aʻe, ua lōʻihi ka manawa a ʻoi aku ka nui o nā kauka i ka hoʻohana ʻana. Makemake ʻia paha ia i kekahi mau kūlana, e like me ka wā e loaʻa ai i nā maʻi nā pilikia kikoʻī o ka puʻupaʻa a i ʻole he mea nui ke kumukūʻai. Koho kekahi mau keʻena lapaʻau i kekahi ma luna o kekahi ma muli o kā lākou ʻike a me nā protocols.

Mai ka manaʻo palekana, he ʻano like nā hopena ʻaoʻao o nā lāʻau ʻelua, akā he haʻahaʻa iki paha ka pilikia o kekahi mau pilikia i ka waikawa tranexamic. Eia naʻe, ʻaʻole nui ka ʻokoʻa e lilo i mea hoʻoholo i ka hapa nui o nā hoʻoholo olakino.

ʻO ka hopena, e koho kāu hui olakino i ka lāʻau lapaʻau a lākou e manaʻo ai he mea maikaʻi loa no kou kūlana. He mau lapaʻau i hōʻoia ʻia a maikaʻi nā mea ʻelua, a ʻo ke koho pinepine ʻana e pili ana i nā mea e like me nā protocols o ka haukapila, kāu mōʻaukala olakino pilikino, a me ke ʻano o ke kahe koko e mālama ʻia nei.

Nā Nīnau i Nīnau pinepine ʻia e pili ana i ka waikawa Tranexamic

He palekana anei ka waikawa Tranexamic no ka maʻi puʻuwai?

Hiki ke hoʻohana ʻia ka waikawa tranexamic i nā maʻi me ka maʻi puʻuwai, akā pono ia i ka loiloi akahele e kāu hui olakino. ʻO ka hopohopo nui, hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o nā koko koko, hiki ke pilikia no kekahi me nā maʻi puʻuwai.

Inā loaʻa iā ʻoe ka maʻi puʻuwai, e kaupaona kāu kauka i ka wikiwiki o ka mālama ʻana i kou kahe koko e kūʻē i nā pilikia hiki ke loaʻa i kou puʻuwai. I nā kūlana kahe koko e hoʻoweliweli ana i ke ola, ʻoi aku ka maikaʻi o nā pōmaikaʻi ma mua o nā pilikia, akā e nānā pono ʻia ʻoe i ka wā o ka mālama ʻana. Hiki i kāu hui olakino ke hoʻoponopono i ka mahele a i ʻole e hoʻohana i nā lāʻau lapaʻau hou e kōkua i ka pale ʻana i kou puʻuwai.

Pono nā maʻi me kekahi mau maʻi puʻuwai, e like me nā valve puʻuwai hana a i ʻole nā ​​hoʻouka puʻuwai hou, i ka noʻonoʻo pono. E hana pū kāu cardiologist a me ke kauka lapaʻau e hōʻoia i kou palekana inā pono kēia lāʻau lapaʻau.

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

No ka mea, hāʻawi mau ʻia ka waikawa tranexamic IV e nā poʻe loea olakino i kahi hoʻonohonoho olakino, he mea maʻamau loa nā overdoses ulia. Eia naʻe, inā hāʻawi ʻia ka nui o ka lāʻau lapaʻau, ua mākaukau kāu hui olakino e mālama i kēia kūlana koke.

ʻO nā hōʻailona o ka nui o ka waikawa tranexamic e komo paha i ka nausea nui, ka luaʻi, ka ʻūlū, a i ʻole nā loli ʻike. I nā hihia kakaʻikahi, hiki ke loaʻa nā hopu me nā mea kiʻekiʻe loa. Inā ʻike ʻoe i nā hōʻailona maʻamau i ka wā a ma hope paha o ka loaʻa ʻana o ka lāʻau, e haʻi koke i kāu hui mālama ola.

ʻAʻohe lāʻau lapaʻau kikoʻī no ka waikawa tranexamic, akā hiki i kāu hui lapaʻau ke hāʻawi i ka mālama kākoʻo e mālama i nā hōʻailona. Hiki iā lākou ke hāʻawi iā ʻoe i nā wai, nā lāʻau lapaʻau e kāohi i ka nausea, a i ʻole nā lāʻau lapaʻau ʻē aʻe e like me ka mea e pono ai. ʻO ka lono maikaʻi, ua hana ʻia ka lāʻau lapaʻau mai kou ʻōnaehana me ka wikiwiki, maʻamau i loko o 24 mau hola.

He aha kaʻu e hana ai inā e poina iaʻu kahi mahele o ka waikawa Tranexamic?

No ka mea, hāʻawi ʻia ka waikawa tranexamic IV i nā wahi lapaʻau, ʻaʻole pono ʻoe e hopohopo e pili ana i ka poina ʻana i nā mahele e like me kāu e hana ai me nā lāʻau lapaʻau āu e lawe ai ma ka home. Mālama kāu hui mālama ola i ka manawa a me ka papa hana dosing e pili ana i kāu pono olakino.

Inā loaʻa iā ʻoe nā mahele he nui a aia kahi lohi i kāu papa hana lapaʻau, e hoʻoponopono kāu hui lapaʻau i ka manawa e pili ana i kou kūlana i kēia manawa. E loiloi lākou inā pono ʻoe i ka lāʻau lapaʻau a hoʻoholo i ka manawa maikaʻi loa no ka mahele aʻe.

ʻO ka mea nui loa, e kamaʻilio me kāu hui mālama ola e pili ana i nā hopohopo a i ʻole nā nīnau āu e pili ana i kāu papa hana lapaʻau. Ke nānā mau nei lākou i kou kūlana a e hana lākou i nā hoʻoponopono e like me ka mea e pono ai e hōʻoia e loaʻa iā ʻoe ka mālama maikaʻi loa.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka waikawa Tranexamic?

ʻO ka hoʻoholo e hooki i ka waikawa tranexamic e hana mau ʻia e kāu hui lapaʻau e pili ana i ka maikaʻi o ka mālama ʻia ʻana o kou kahe koko a me kou kūlana olakino holoʻokoʻa. ʻAʻole like me kekahi mau lāʻau lapaʻau e koi ai i ka tapering mālie, hiki ke hooki koke ʻia ka waikawa tranexamic i ka wā e pono ʻole ai.

E hoʻōki maʻamau kāu kauka i ka lāʻau lapaʻau ke kāohi ʻia ke kahe koko no kekahi mau hola a ua hilinaʻi lākou ua lanakila maikaʻi nā hana hoʻopaʻa koko maoli o kou kino. Hiki paha kēia ma hope o ke ʻoki maikaʻi ʻana, ke pau ke kahe koko e pili ana i ka trauma, a i ʻole ke hoʻoponopono ʻia nā lāʻau lapaʻau ʻē aʻe i ke kumu kumu o ke kahe koko.

E hoʻomau ʻoe i ka nānā ʻia ma hope o ka hoʻōki ʻia ʻana o ka lāʻau lapaʻau e hōʻoia ʻaʻole e hoʻomaka hou ke kahe koko. Inā hoʻi hou ke kahe koko, hiki i kāu hui lapaʻau ke hoʻomaka hou i ka waikawa tranexamic a i ʻole e hoʻāʻo i nā lāʻau lapaʻau ʻē aʻe e pili ana i kou kūlana.

Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o ka waikawa Tranexamic?

ʻAʻole pono ʻoe e kalaiwa koke ma hope o ka loaʻa ʻana o ka waikawa tranexamic IV, no ka mea, hiki i ka lāʻau lapaʻau ke hoʻoulu i ka ʻūlū, ka luhi, a i ʻole nā hopena ʻē aʻe e hiki ke hoʻopilikia i kou hiki ke kalaiwa palekana. Eia kekahi, ua noho paha ʻoe i kahi hoʻonohonoho lapaʻau no kahi maʻi koʻikoʻi i koi i kēia lapaʻau.

ʻO ka manawa o ka hiki iā ʻoe ke kalaiwa palekana hou e pili ana i nā mea he nui: pehea kou manaʻo, he aha ke ʻano o ka maʻi i koi i ka waikawa tranexamic, a inā paha ua loaʻa iā ʻoe nā lāʻau lapaʻau ʻē aʻe e pili ana i kou makaʻala. E hāʻawi kāu hui lapaʻau i nā alakaʻi kikoʻī e pili ana i ka manawa e palekana ai e hoʻomaka hou i nā hana maʻamau e like me ke kalaiwa.

Ma keʻano maʻamau, pono ʻoe e kali a hiki i kou manaʻo ʻana ua hoʻi hou i ka maʻamau, ua pau ka ʻūlū, a ʻaʻole ʻoe e lawe hou i nā lāʻau lapaʻau ʻē aʻe e pili ana i kou manaʻo. Hiki paha kēia mai kekahi mau hola a i kekahi mau lā, e pili ana i kou kūlana pilikino a me ka hoʻōla.