Created at:1/13/2025
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He rongoā kaha te Abciximab e āwhina ana ki te ārai i ngā pūtau toto i te wā o ngā mahi ngākau nui. He rongoā motuhake tēnei e whakamahia ana e ngā tākuta i roto i ngā hōhipera i te wā e whai ana koe i ētahi rongoā ngākau pērā i te angioplasty, i te whakanoho stent rānei.
E mahi ana tēnei rongoā mā te aukati i ngā pūtau toto iti e kīia ana ko ngā platelets mai i te piri tahi. Whakaarohia he whakangungu rakau rangitahi e pupuri ana i tō toto kia rere mārire i ngā wā tino nui i te wā e mōrearea ana te hanganga o te pūtau toto.
He rongoā whakahau te Abciximab e hāngai ana ki tētahi rōpū e kīia ana ko ngā aukati platelet. Koinei te mea e kīia ana e ngā tākuta he "antibody monoclonal" - he pūmua i hangaia i te taiwhanga e whai ana i ngā wāhanga motuhake o ō pūtau toto.
Ka whiwhi koe i tēnei rongoā i roto i te hōhipera mā te raina IV. Ehara tēnei i te mea e tango ana koe i te kāinga, e tiki rānei i te whare rongoā. Ka āta aroturukihia koe e te rōpū hauora i te wā e whiwhi ana koe.
He tino kaha tēnei rongoā, ā, e mahi ana i te wa e uru ana ki tō toto. I hangaia mō te whakamahi wā-poto i ngā mahi hauora motuhake i te wā e tino nui ana te ārai i ngā pūtau toto.
Ko te mea nui e whakamahia ana e ngā tākuta te abciximab i ngā mahi ngākau hei ārai i ngā pūtau toto mōrearea. Ko te nuinga o te wā ka hoatu i te wā o te percutaneous coronary intervention (PCI) - ngā mahi e whakatuwherahia ana e ngā tākuta ngā uaua ngākau kua aukatia.
Ko ngā āhuatanga nui e whiwhi ai koe i te abciximab ko te angioplasty, e whakawhānui ana ngā tākuta i tētahi pōro iti hei whakatuwhera i ngā uaua kua aukatia, me te whakanoho stent, e whakauru ana rātou i ngā ngongo rīpene iti hei pupuri i ngā uaua kia tuwhera. Ka whakamahia hoki i ngā momo mahi catheterization ngākau.
I ētahi wā ka tohua e ngā tākuta mō ngā tūroro e whai ana i ngā tikanga ohorere mō te ngākau, ina koa ki te tūpono koe ki te whanake i ngā pūkohu. Ka tūtohu pea tō tākuta ngākau ki a koe mēnā he angina kōaro tō - te mamae o te uma e puta ohorere ana.
Ka mahi a Abciximab mā te aukati i ngā kaiwhiwhi motuhake i runga i ō pūataata e kīia ana ko ngā kaiwhiwhi GP IIb/IIIa. Ko ēnei kaiwhiwhi he rite ki ngā teihana tūhono e hono ai ngā pūataata ki te hanga pūkohu.
Inā hono a abciximab ki ēnei kaiwhiwhi, ka ārai i ngā pūataata kia kore e hono tahi. He mea nui tēnei i ngā tikanga ngākau nā te mea ka taea e ngā taputapu me ngā pūrere e whakamahia ana te whakaoho i te hanganga pūkohu e kore e hiahiatia.
E kiia ana he tino kaha tēnei rongoā - he kaha ake i ngā rongoā whakaheke toto noa pēnei i te aspirini. E whakarato ana i te whakamarumaru kaha engari rangitahi ki te pūkohu, koinei tonu te mea e hiahiatia ana i ngā tikanga mōrearea.
Ka tīmata ngā pānga i roto i ngā meneti i muri i te tīmatanga o te whakaurunga IV. Ka noho tonu te kaha o tō toto ki te pūkohu i te iti rawa mō ētahi haora, ahakoa kua whakamutua te rongoā.
Kāore koe e tango i te abciximab i a koe anō - ka tukuna tonu e ngā tāngata rongoā whakangungu i roto i te hōhipera. Ka tae mai te rongoā mā te raina IV, i te nuinga o te wā i tō ringa, i tō ringa rānei.
Ka tīmata tō rōpū rongoā ki te horopeta utaina, he nui ake te rahinga tuatahi ka tukuna tere. Ka whai mai tēnei i te whakaurunga tonu e tuku ana i ngā rahinga iti ake i roto i ētahi haora.
Kāore koe e hiahia ki te māharahara mō ngā rāhui kai i mua i te whiwhi abciximab. Heoi anō, ka tono pea tō tākuta ki a koe kia karo i ētahi rongoā, i ngā tāpiringa rānei ka piki ake te tūponotanga o te toto.
Ka aroturuki tata te kaimahi nēhi i a koe puta noa i te tukanga katoa. Ka tirohia e rātou ō tohu nui i ngā wā katoa, ka mātakitaki hoki mō ngā tohu o te toto, o ētahi atu raruraru rānei.
He poto tonu te maimoatanga Abciximab, te roa he 12 ki te 24 haora. Kei te roa tonu i runga i to tikanga motuhake me nga mea morearea takitahi.
Ko te nuinga o nga turoro ka whiwhi i te rongoa mo te 12 haora i muri i te otinga o ta ratou tikanga ngakau. I etahi wa, ina koa nga tikanga uaua, ka taea e to taakuta te whakaroa i te maimoatanga ki te 24 haora.
Ma to roopu hauora e whakatau te wa tika i runga i te ahua o to tikanga me te urupare o to tinana. Ka whakaarohia e ratou nga mea penei i te morearea toto me te pai o te whakaora o to ngakau.
Kia mutu te whakaurunga, ka ngaro haere nga paanga o te rongoa i roto i te ra kotahi, e rua ranei. Ka hoki ano te kaha o te toto ki te whakakotahi, engari ka puhoi tenei kia pai ai to haumaru.
Ko te paanga taha nui o te abciximab ko te toto, ka rereke mai i te iti ki te nui. Ka puta tenei na te mea ka whakaiti te rongoa i te kaha o to toto ki te whakakotahi.
Anei nga paanga taha noa ka pa ki a koe:
Ko enei paanga ka taea te whakahaere, ka tino tirotirohia e to roopu hauora. Ko te nuinga ka whakatau i a raatau ano i te wa e whakawātea ana te rongoa mai i to punaha.
Ko nga paanga taha nui engari he iti noa te hiahia kia aro tonu te rongoa:
Kua whakangungua tō rōpū hauora ki te mōhio me te rongoā i ēnei raruraru i te wa poto. He rongoā me ngā tikanga ā rātou kua rite ki te whakatika i ngā pānga o te abciximab mēnā e hiahiatia ana.
Ko ngā raruraru onge engari he nui te kino ka uru pea te nui o te toto i roto, te thrombocytopenia rānei - he hekenga kino o te tatauranga platelet. E puta ana ēnei i roto i te iti iho i te 1% o ngā tūroro engari me whakatika tonu.
Kāore te Abciximab i te haumaru mō te katoa, otirā mō te hunga e pā ana ki ngā āhuatanga e whakanui ana i te tūponotanga o te toto. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakatau mēnā e tika ana mōu.
Kāore koe e tika kia whiwhi abciximab mēnā kei te toto koe i tētahi wāhi o tō tinana. Kei roto i tēnei te toto kitea pērā i te ihu e toto ana, te toto huna rānei pērā i ngā whewhe puku.
Me karo te hunga e pā ana ki ētahi āhuatanga hauora i tēnei rongoā:
Ka tūpato anō tō tākuta mēnā kei te tango koe i ētahi atu rongoā whakaheke toto. Ka taea e te huinga te whakanui i te tūponotanga o te toto i tua atu i ngā taumata haumaru.
Ko ngā wahine hapū kāore e tika kia whiwhi abciximab ki te kore e tino nui ake ngā painga i ngā tūponotanga. Ka taea e te rongoā te whakawhiti i te placenta me te pā pea ki te pēpi e tipu ana.
Kāore te pakeke anake i te whakakore, engari ka hiahia pea ngā pakeke ki te whakatika i te horopeta, ki te tirotiro anō rānei i te nui o te tūponotanga o te toto.
Ko te Abciximab te mea e mōhiotia ana e tōna ingoa waitohu ReoPro. Koinei te putanga taketake me te tino whakamahia o te rongoā i roto i ngā hōhipera.
Kāore i rite ki te maha o ngā rongoā, kāore he ingoa waitohu maha, he momo rānei o te abciximab. Ko ReoPro tonu te whakatakotoranga paerewa e whakamahia ana i ngā whare rongoā puta noa i te ao.
I te wā e kōrero ana mō tō rongoā ki ngā tākuta, ka kī pea rātou ki a ia i tētahi o ngā ingoa e rua - abciximab, ReoPro rānei. E pā ana ngā kupu e rua ki te rongoā kotahi me ngā pānga me te inenga ōrite.
He maha atu ngā rongoā ka taea te ārai i te toto i te wā o ngā mahi ngākau. Ka kōwhiri pea tō tākuta i ngā kōwhiringa kē i runga i tō āhuatanga me ngā āhuatanga tūpono.
Ko te Eptifibatide me te tirofiban e rua ngā kōwhiringa kē e mahi ana i te āhua rite ki te abciximab. He aukati GP IIb/IIIa hoki rātou engari he wā poto ake te mahi.
E pai ana ētahi tākuta ki ēnei kōwhiringa kē nā te mea ka ngaro wawe atu ā rātou pānga ki te puta mai ngā raruraru toto. Heoi, kāore pea rātou i te kaha rite ki te abciximab mō ngā mahi tūpono nui.
Ko ētahi atu rongoā whakaheke toto pērā i te heparin, bivalirudin rānei e mahi ana mā ngā tikanga rerekē. Ka kōwhiri tō tākuta ngākau i te kōwhiringa pai rawa atu i runga i te momo mahi me te āhuatanga tūpono takitahi.
He rerekē te mahi a te Abciximab me te clopidogrel, ā, he rerekē ngā kaupapa i roto i te tiaki ngākau. Kāore rātou i te whakataetae tika - engari, he maha ngā wā e whakamahia ngātahi ana mō te tiaki nui.
Ka ārai tonu te Abciximab i te toto i te wā o ngā mahi, i te wā e tuku ana te clopidogrel i te tiaki wā roa e tangohia ana e koe i te kāinga. Whakaarohia te abciximab hei tiaki ohorere me te clopidogrel hei tiaki ia rā.
Mō ngā āhuatanga koi i te wā o ngā mahi ngākau, he pai ake te abciximab i te nuinga o te wā nā te mea e mahi tonu ana, ā, e tino oti ana. E hia rā te clopidogrel i ngā rā kia eke ki te tino whai hua.
Heoi anō, he haumaru ake te clopidogrel mō te whakamahi wā roa, ā, kāore e hiahiatia he aroturuki i te hōhipera. Ko te tikanga ka whakamahi tō tākuta i ngā mea e rua - abciximab i te wā o tō tukanga, me te clopidogrel mō ngā wiki, marama rānei i muri mai.
He haumaru pea te abciximab mō te hunga mate huka, engari e hiahiatia ana ngā tūpato anō. Ka pā te mate huka ki te hauora me te whakaora o ngā oko toto, ā, ka tino whai whakaaro tō rōpū hauora ki tēnei.
Tērā pea he paku teitei ake te tūponotanga o te hunga mate huka ki ngā raruraru toto. Ka tino aroturukihia koe e ō tākuta, ā, ka whakatikatika pea i te horopeta, i te roa rānei o te maimoatanga.
Mēnā he retinopathy tāu e pā ana ki te mate huka - ngā raruraru o te kanohi mai i te mate huka - ka tūpato rawa tō tākuta. Ka taea e tēnei āhuatanga te whakanui i te tūponotanga o te toto i roto i ngā kanohi.
Kāore e taea e koe te whiwhi nui rawa i te abciximab i te mea e whakahaerehia ana te horopeta e ngā tāngata hauora whakangungu. Heoi anō, mēnā ka puta te horopeta nui rawa, ka wātea tonu te wawaotanga hauora tonu.
He tikanga motuhake ō ngā hōhipera mō te whakahuri i ngā pānga o te abciximab. Kei roto pea i tēnei ko ngā whakawhitinga pūtau toto, ētahi atu rongoā rānei hei whakahoki i te whakaheke toto noa.
Ka aroturukihia e te rōpū hauora ō taumata whakaheke toto puta noa i te maimoatanga. Ka taea e rātou te kite wawe mēnā he kaha rawa te pānga o te rongoā, ā, ka whakatikatika i runga i tērā.
Kāore he take e māharahara ana koe mō te ngaro i te horopeta o te abciximab. Ka tukuna tonu te rongoā mā te IV, nō reira ka whakahaerehia te wā e te rōpū hauora.
Mēnā he aukati i tō whakaurunga IV, ka tīmata anō ō nēhi i te reira. Ka aromatawai rātou mēnā e hiahia ana koe ki ētahi atu rongoā hei pupuri i te whakamarumaru.
He tikanga ā te rōpū hauora mō te whakahaere i ngā aukatinga i roto i te rongoā. Mā rātou koe e whakarite kia whiwhi koe i te nui tika o te rongoā mō tō āhuatanga.
Kāore koe e whakatau āhea koe ka kati te tango abciximab - mā tō rōpū hauora tēnei whakatau e whakatau i runga i tō tikanga me te whakaora. Ko te rongoā te tikanga ka mutu aunoa i muri i te wā i whakaritea.
Ko te nuinga o ngā tūroro ka whiwhi abciximab mō te 12 ki te 24 haora i muri i tā rātou tikanga ngākau. Mā tō tākuta e whakatau te wā tika i runga i te pai o tō whakaora me tō tūponotanga toto.
I mua i te whakamutu i te rongoā, ka whakarite tō rōpū hauora kia tū tika tō wāhi tikanga, ā, kāore koe i te tūpono nui ki te whanake i ngā pūtau. Ka haere tonu rātou ki te aroturuki i a koe ahakoa kua mutu te whakauru.
Kāore koe e tika kia taraiwa mō te 24 haora i muri i te whiwhi abciximab, ā, tērā pea ka roa ake i runga i tō tikanga. Ka taea e te rongoā te pā ki te whanoke me te whakanui i tō tūponotanga toto ki te whara koe.
Ko te nuinga o ngā tāngata e whiwhi abciximab kei te whakaora mai i ngā tikanga ngākau e hiahia ana kia maha ngā rā okioki. Mā tō tākuta e kī atu ki a koe āhea te wā haumaru ki te hoki ki ngā mahi noa pēnei i te taraiwa.
Ahakoa kua pau te rongoā, tērā pea ka hiahia koe ki te karo i te taraiwa kia tino ora rawa tō wāhi tikanga. Mā tēnei koe e tiaki i ngā raruraru ki te hiahia koe ki te pōturi ohorere, ki te neke tere rānei.