He aha te Bivalirudin: Ngā Whakamahinga, te Inenga, Ngā Pānga taha, me ētahi atu

He rongoā whakaheke toto kaha te Bivalirudin e tukuna ana mā te IV i ngā wā o ētahi tikanga me ngā pokanga o te ngākau. E mahi ana tēnei rongoā whakaheke toto hangai mā te aukati i te hanganga o ngā kōpuku toto i te wā e kaha rawa ana te pūnaha whakaheke toto tūturu o tō tinana i ngā wā o ngā wawaotanga rongoā.

Mēnā kua kōrerohia e tō tākuta te bivalirudin mō tētahi tikanga e haere ake nei, tērā pea kei te tū koe ki tētahi āhuatanga e tika ana te whakaheke toto mō tō haumarutanga. Mā te māramatanga ki te pēhea te mahi o tēnei rongoā me te aha e tūmanakohia ana ka āwhina i a koe kia rite ake, kia māia hoki mō tō manaakitanga.

He aha te Bivalirudin?

He rongoā hangai te Bivalirudin e whai ana i tētahi pūmua tūturu e kīia ana ko hirudin, i kitea i mua i roto i ngā rēhi rongoā. I hangaia motuhake mō te whakamahi i te hōhipera i ngā wā o ngā tikanga e tika ana kia āta whakahaerehia te whakaheke toto.

No tētahi rōpū tēnei rongoā e kīia ana ko ngā aukati thrombin tika, ko te tikanga e aukati ana i tētahi pūmua matua i roto i te pūnaha whakaheke toto o tō toto. Kāore i rite ki ētahi rongoā whakaheke toto ka tango pea koe i te kāinga, e mahi tonu ana te bivalirudin, he wā poto noa iho te roa o tōna mahi, e pai ana mō ngā wāhi rongoā whakahaere.

Ka tukuna tonu te rongoā mā te uaua e ngā tāngata ngaio hauora whakangungu. E kore rawa koe e whakahaere i tēnei rongoā i a koe anō, e tika ana te inenga tika me te aroturuki tonu i te wā o tō tikanga.

He aha te Bivalirudin e whakamahia ana mō?

Ka whakamahia te Bivalirudin i te tuatahi i ngā wā o ngā wawaotanga coronary percutaneous, e mōhiotia ana ko te angioplasty, ngā tikanga whakauru rānei o te ngākau. He tikanga iti nei tēnei e whakatuwherahia ana e ngā tākuta ngā uaua kua aukatia i roto i tō ngākau mā te whakamahi i ngā pōro iti me ngā stent.

I ngā wā o ēnei mahi, ka pā te toto ki ngā pūrere rongoā me ngā ngongo katita, ā, ka pā te pūhi toto e kore e hiahiatia. Ka ārai a Bivalirudin i ēnei pūhi toto mōrearea kia kore e hanga, i te wā e mahi marie ana tō rōpū rongoā i ngā oko toto o tō ngākau.

Ka whakamahia hoki te rongoā i ngā wā o ētahi pokanga ngākau, inā koa i te wā e kore ai e taea e ngā tūroro te whiwhi heparin nā te mate pāwera, te āhua rānei e kīia nei ko te thrombocytopenia i hangaia e te heparin. I ēnei wā, ka whakarato a bivalirudin i tētahi atu huarahi haumaru mō te whakakore toto i te wā o te pokanga.

E whakamahi ana ētahi hōhipera i te bivalirudin mō ngā tūroro e haere ana i ngā mahi ngākau ohorere, nā te mea ka taea te tīmata wawe me te kore e nui te whakamātautau toto. He mea nui tēnei i te wā e whai wāhi nui ana te wā ki te whakahoki i te rere toto ki tō ngākau.

Me pēhea te mahi a Bivalirudin?

Ka mahi a Bivalirudin mā te aukati tika i te thrombin, he pūmua nui hei āwhina i te hanga pūhi toto. Whakaarohia te thrombin hei huri matua e huri ana i te toto wai ki te pūhi mārō i te wā e whara ana koe.

E kiia ana he kaha ngāwari tēnei rongoā i waenga i ngā whakaiti toto, engari ko te mea motuhake ko tōna tika me tōna huri. Ka here tika ki ngā ngota thrombin, e ārai ana i a rātou ki te huri i te fibrinogen ki te fibrin, ngā aho pūmua e hanga ana i ngā pūhi tūturu.

Kua tata tonu ngā pānga o te rongoā i te wā e uru ana ki tō toto. I roto i ngā meneti, ka tino whakahekehia te kaha o tō toto ki te pūhi, koinei tonu te mea e hiahiatia ana i ngā mahi ngākau.

Ko te mea e whakahihiri ana mō te bivalirudin he poto rawa tōna haurua-ora, ko te tikanga ka horoia wawe mai i tō pūnaha. Kia mutu te IV, ka ngaro te pānga o te rongoā i roto i te 1-2 haora, e āhei ana tō kaha pūhi noa ki te hoki mai.

Me pēhea taku tango i te Bivalirudin?

E kore koe e tango i te bivalirudin i a koe ake, na te mea ka tukuna anake e nga tohunga hauora i roto i nga hōhipera. Ka tukuna te rongoa mā te raina IV, hei werohanga tere e whai ana i te turuturu tonu, hei riringi tonu ranei i te wa o to mahi.

Ka tatau tō tākuta i te horopeta tika i runga i tō taumaha, te mahi o te whatukuhu, me te mahi motuhake e mahia ana e koe. Ka āta tirotirohia e rātou tō urupare, ka whakatika i te horopeta ki te tika kia mau tonu te taumata tika o te whakaheke toto.

I mua i te whiwhinga i te bivalirudin, ka tonohia koe kia kaua e kai, e inu ranei mō ētahi haora, pērā i mua i ngā mahi e hiahia ana kia whakamātau. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake ki a koe mō te wā hei mutu te kai me te inu.

Kāore te rongoa e hiahia ana kia whakarite motuhake i tō taha mō te kai, mō ētahi atu rongoa rānei, ahakoa me whakamōhio tonu koe i tō rōpū hauora mō ngā rongoa katoa me ngā taapiri e tango ana koe. Ka whakatikatikahia e rātou ngā mea katoa kia mau tonu tō haumaru i te wā o te mahi.

Kia Pēhea te Roa e Tango Ana ahau i te Bivalirudin?

Ka whakamahia te Bivalirudin i te wā o tō mahi me te wā poto i muri mai, te tikanga mai i te 30 meneti ki te maha haora. Ka whakawhirinaki te roa tika ki te uaua o tō mahi me te pēhea te urupare o tō tinana ki te rongoa.

Mō te nuinga o ngā mahi whakawhiti ngākau, ka whiwhi koe i te bivalirudin mō te wā o te mahi me te 30 meneti ki te 4 haora i muri mai. Mā tēnei ka mōhio kei te tika te whakaheke toto i te wā e nui ana ngā tūponotanga e pā ana ki te mahi.

Ka whakatau tō rōpū hauora i te wā hei mutu i te rongoa i runga i ētahi āhuatanga, tae atu ki te pai o te haere o tō mahi, mēnā i pā koe i te toto, me te tere o te hiahia o tō tinana kia hoki ki te mahi noa o te whakaheke toto.

Kia mutu te bivalirudin, kāore koe e mōhio ki te tango i te kāinga. Heoi, ka tohua pea e tō tākuta ētahi rongoā whakaheke toto mō te whakamahi wā roa, i runga i tō āhua ngakau me ngā hiahia maimoatanga e haere tonu ana.

He aha ngā pānga taha o te Bivalirudin?

Pērā i ngā rongoā whakaheke toto katoa, ko te pānga taha nui o te bivalirudin he piki ake te tūponotanga o te toto. Ko te mea tēnei kei te mahi te rongoā i te mea i whakaritea, engari me mātakitaki āta e tō rōpū hauora.

Ko te nuinga o ngā tūroro e pā ana ki ngā pānga taha iti noa iho, ki te mea rānei. Ko te rongoā te nuinga e pai ana te whakawhitiwhiti, nā te mea e whakamahia ana mō ngā wā poto i raro i te tirotiro hauora tata.

Anei ngā pānga taha noa ake ka pā ki a koe i te wā, i muri tata rānei i te whiwhinga i te bivalirudin:

• Te toto iti i te wāhi IV, i te wāhi whakauru catheter rānei
• Ngā maru iti i te wāhi i whakauruhia ai ngā taputapu rongoā
• Te heke iti o te pēhanga toto
• Te whakapairuaki ngawari, ahakoa he maha ngā wā e pā ana ki te tikanga ake
• Te mamae tuara rangitahi i ngā tikanga roa ake

Ko ēnei pānga te nuinga he ngawari, ka ngaro wawe i te mutunga o te rongoā, me te otinga o tō tikanga.

Ko ngā pānga taha nui ake he iti noa iho, engari me whai wawe te āwhina hauora. Ka mātakitaki āta tō rōpū hauora i ēnei:

• Te toto nui kāore e mutu i te pēhanga
• Te toto i roto i te roro, ahakoa he tino onge tēnei
• Ngā tauhohenga mate pāwera nui me te uaua ki te manawa, ki te pūhi rānei
• Te heke kino o te pēhanga toto
• Te toto i roto i te ara kūnatu, i ētahi atu okana rōpū rānei

Ko te rongo pai ko te whakangungu o tō rōpū hauora ki te tautuhi me te rongoā i ēnei raruraru tonu. He rongoā me ngā tikanga ā rātou kua rite ki te whakahuri i ngā pānga o te bivalirudin ki te tika.

Ko wai kāore e tika kia tango i te Bivalirudin?

He pai ake te bivalirudin i te nuinga o nga rongoa whakaheke toto, engari ehara i te mea tika mo te katoa. Ka ata titiro te roopu hauora ki to hitori hauora i mua i te whakatau mena he pai tenei rongoa mo koe.

Kaua koe e whiwhi bivalirudin mena kei te kaha te toto, kaore i te whakahaerehia i hea i roto i to tinana. Kei roto i tenei ko te pokanga tata me te toto haere tonu, nga whewhe kaha, etahi ahuatanga ranei e puta ai te toto o roto.

Ko nga tangata e mate ana i te mate whatukuhu nui ka hiahia pea ki te whakatikatika i te horopeta, ki etahi atu rongoa ranei, na te mea ka whakakorehia te bivalirudin i roto i nga whatukuhu. Ka tirohia e to taakuta te mahi o ou whatukuhu i mua me te wa o te maimoatanga.

Ko etahi ahuatanga onge ka kore e pai te bivalirudin. Kei roto i enei ko te mate ate nui, te whiu tata, nga mate toto ranei e pa ana ki te whakaheke toto. Ka whakatauritehia e to roopu hauora enei tupono ki nga painga o to tikanga kua whakaritea.

Me whai whakaaro motuhake te haputanga, ahakoa ka whakamahia pea te bivalirudin ina nui ake nga painga i nga tupono. Ka matapakihia e to taakuta tenei mea mena kei te hapu koe, ka hapu ranei koe.

Ngā Ingoa Waitohu Bivalirudin

Ko te bivalirudin te nuinga e mohiotia ana e tona ingoa waitohu Angiomax i Amerika. Koinei te putanga ka kitea e koe mena kei te mahi koe i tetahi tikanga i te hōhipera o Amerika.

Ka waatea pea te rongoa i raro i etahi atu ingoa waitohu i roto i nga whenua rereke, engari ko te whakauru kaha me nga paanga ka rite tonu. Ka whakamahia e to roopu hauora nga mea e waatea ana i to hōhipera.

Ka tohuhia pea e etahi hōhipera ko

He maha atu rongoā ka taea te whai pānga rite ki te whakaheke toto i ngā wā o ngā tikanga, ahakoa he rerekē ngā painga me ngā whakaaro o ia rongoā. Mā tō tākuta e whiriwhiri te kōwhiringa pai rawa atu i runga i tō āhuatanga motuhake.

Ko te Heparin te kōwhiringa tuku iho, ā, kei te whakamahia whānuitia i ngā wā o ngā tikanga mō te ngākau. Kua whakamahia marie mō ngā tau tekau, ā, he iti ake te utu i te bivalirudin, engari me nui ake ngā whakamātautau toto me te aroturuki.

Ko te Enoxaparin (Lovenox) tētahi atu kōwhiringa, mō ngā tūroro e hiahia ana ki te whakaheke toto i mua, i muri hoki i ngā tikanga. Ka tukuna mā te werohanga i raro i te kiri, kaua mā te IV.

Mō ngā tūroro e mate pāwera ana ki te heparin, ka whakamahia pea ētahi atu aukati thrombin tika pēnei i te argatroban. E mahi ana ēnei i te rite ki te bivalirudin engari he rerekē pea ngā whakaritenga inenga, ngā pānga taha rānei.

Ka whakaaro tō rōpū hauora ki ngā āhuatanga pēnei i tō mahi tākihi, te tūponotanga o te whakaheke toto, te momo tikanga, me ngā mate pāwera rongoā i te wā e whiriwhiri ana i te anticoagulant pai rawa atu mō tō āhuatanga.

He Pai Anei te Bivalirudin i te Heparin?

He pai rawa te bivalirudin me te heparin mō te whakaheke toto, engari he rerekē ō rāua kaha e pai ai tētahi ki tētahi i ngā āhuatanga rerekē. Kāore tētahi i te

Ka whiriwhiria e tō rōpū hauora i runga i ō āhuatanga tūpono takitahi, te tikanga motuhake e mahia ana e koe, me ngā mea i pai rawa atu i roto i ō rātou wheako. He tino whai hua ngā rongoā e rua ina whakamahia tika ana.

Ngā Pātai Auau mō Bivalirudin

He Haumaru a Bivalirudin mō te hunga e mate ana i te tākihi?

Ka taea te whakamahi i te Bivalirudin mō te hunga e mate ana i te tākihi, engari me whakatika te horopeta. I te mea e 20% pea o te rongoā ka whakakorea mā tō tākihi, ko te iti o te mahi a te tākihi te tikanga ka noho roa te rongoā i roto i tō tinana.

Ka tirohia e tō rōpū hauora te mahi o tō tākihi i mua i te hoatutanga o te bivalirudin ki a koe, ā, ka whakaiti pea i te horopeta. Ka mātakitaki hoki rātou i a koe i te wā o te tikanga me muri mai kia mōhio ai kei te pai te mahi o te rongoā me te kore e nui te toto.

Mō te hunga e tino mate ana i te tākihi, te hunga rānei e haere ana i te tākihi, he pai ake pea te bivalirudin i te heparin i ētahi wā, i te mea he iti ake te tūpono ka puta ētahi raruraru.

Me aha au mēnā ka whiwhi au i te nui rawa o te Bivalirudin?

Kāore koe e whakahaere i te bivalirudin i a koe anō, i te mea ka hoatu anake e ngā tākuta i roto i ngā hōhipera. Mēnā ka nui rawa te hoatu, ka mōhio tonu tō rōpū hauora ki tēnei mā te mātakitaki me te mahi tere.

Ko te āwangawanga nui mō te nui rawa o te bivalirudin ko te nui o te toto. Ka whakamutua tonu e tō rōpū hauora te rongoā, ā, ka hoatu pea ki a koe ngā rongoā hei āwhina i tō toto kia pūtoi noa anō.

Ka hoatu pea e rātou ki a koe ngā hua toto mēnā e tika ana, ā, ka mātakitaki i a koe kia hoki mai anō te mahi pūtoi ki te tikanga. I te mea ka tere te whakakore i te bivalirudin i tō tinana, ka ngaro te nuinga o ngā pānga i roto i ngā hāora torutoru.

He aha te mea ka pā mēnā ka ngaro te horopeta o te Bivalirudin i te wā o taku tikanga?

Ka āta tūtohu tō rōpū hauora i ō taumata bivalirudin puta noa i tō tukanga, nō reira he tino iti noa te tūpono ka ngaro ngā horopeta. Ka hoatu te rongoā hei whakauru tonu, ko te tikanga kei te rere tonu ki roto i ō toto.

Mēnā he aukati i te whakaurunga, ka kite tonu tō rōpū hauora mā te whakamahi i ngā taputapu aroturuki me ngā whakamātautau toto. Ka tīmata anō rātou i te rongoā kia mau tonu te angiangi o te toto.

Ko te wā poto o ngā pānga o te bivalirudin te tikanga ahakoa he poto noa te aukati ka pā ki te haumaru o tō tukanga, nō reira ka tino āta tūtohu tō rōpū hauora kia mau tonu, kia tika te horopeta.

Āhea Āku e mutu ai te tango i te Bivalirudin?

E kore koe e whakatau ki te mutu i te bivalirudin i a koe anō, i te mea ka whakamahia anake tēnei rongoā i ngā hōhipera i raro i te tirotiro hauora. Mā tō rōpū hauora e whakatau te wā tika hei mutu i runga i te otinga o tō tukanga me te ahunga whakamua o tō whakaora.

I te nuinga o te wā, ka mutu te bivalirudin i te otinga o tō tukanga me te paahitanga o ngā tūponotanga tonu. Ka pēnei pea i muri tonu i te tukanga, i ētahi haora rānei i muri mai, i runga i tō āhuatanga motuhake.

Ka whakarite tō rōpū hauora he haumaru ki te mutu i te rongoā mā te tirotiro kei te kore koe e tūpono ki ngā pūhui toto me te whakahaere i ngā toto e pā ana ki te tukanga. Ka āta aroturuki rātou i a koe i te wa e ngaro ana ngā pānga o te rongoā.

Ka taea e au te taraiwa i muri i te whiwhinga i te Bivalirudin?

Kaua koe e taraiwa i muri tonu i te whiwhinga i te bivalirudin, engari ko te nuinga o te wā nā tō tukanga hauora, kaua nā te rongoā tonu. Ko te nuinga o ngā tukanga e hiahia ana ki te bivalirudin ka uru hoki ki te whakamaimoa, ka puta rānei i ngā āhuatanga e hiahia ana koe ki te wā whakaora.

Kāore te rongoā e pā tika ana ki tō āhei ki te taraiwa, engari tera pea koe e ngenge, e ngoikore rānei i tō tukanga. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake ki a koe mō te wā e pai ana ki te hoki ki ngā mahi noa, tae atu ki te taraiwa.

I te nuinga o te wā, me whai tangata koe hei taraiwa i a koe ki te kāinga i muri i ngā tukanga katoa e pā ana ki te bivalirudin. Whakaritea te kawe i mua, nā te mea kāore pea koe e pai ki te taraiwa mō ētahi haora, mō te rā rānei i muri i tō tukanga.