Heparin Pākuʻi
Anter
- Ma mua o ka hoʻohana ʻana i ka heparin,
- Hiki i ka Heparin ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:
- Pākuʻi ʻia paha nā ʻōuli o ka overdose:
Hoʻohana ʻia ʻo Heparin e pale ai i nā kahe koko mai nā poʻe i loaʻa i kekahi ʻano olakino a i ʻole nā mea e hana nei i nā kaʻina olakino e hoʻonui i ka manawa e hana ai nā ʻōpala. Hoʻohana ʻia ʻo Heparin e hōʻoki i ka ulu ʻana o nā clots i hana mua ʻia i loko o nā kīʻaha koko, akā ʻaʻole hiki ke hoʻohana ʻia e hōʻemi i ka nui o nā clots i hana mua ʻia. Hoʻohana ʻia ʻo Heparin i nā mea liʻiliʻi e pale ai i nā kahe koko mai ka hana ʻana i nā catheters (nā paipu liʻiliʻi e hiki ai ke lawelawe ʻia a lawe ʻia paha ke koko) i waiho ʻia i nā veins i loko o kekahi manawa. Aia ʻo Heparin i ka papa o nā lāʻau i kapa ʻia anticoagulants ('nā mea lahilahi koko'). Hana ia ma ka hōʻemi ʻana i ka hiki ke kō ʻana o ke koko.
Hele mai ʻo Heparin ma ke ʻano he hopena (wai) e injected intravenously (i kahi aa) a i ʻole hohonu ma lalo o ka ʻili a ma ke ʻano he dilute (emi ka noʻonoʻo) e hoʻokomo ʻia i loko o nā catheters intravenous. ʻAʻole pono e hoʻokomo ʻia ʻo Heparin i kahi mākala. Hoʻokomo ʻia ʻo Heparin i kekahi manawa i hoʻokahi i ʻeono mau manawa i ka lā a hāʻawi ʻia i kekahi manawa ma ke ʻano he lohi, hoʻomau ʻana i loko o ka aa koko. Ke hoʻohana ʻia ka heparin i mea e pale aku ai i nā huehue koko mai ka hana ʻana i nā catheters intravenous, hoʻohana mau ʻia ia i ka manawa e hoʻokomo mua ʻia ai ka catheter, a i kēlā me kēia manawa e huki ʻia ke koko mai ka catheter a hāʻawi ʻia ka lāʻau i loko o ka catheter.
Hāʻawi ʻia iā Heparin iā ʻoe e kahi kahu a i ʻole nā kahu mālama ʻē aʻe, a i ʻole e haʻi ʻia ʻoe e hoʻopili i ka lāʻau e ʻoe iho ma ka home. Inā ʻoe e hoʻokomo i ka heparin iā ʻoe iho, e hōʻike kahi mea mālama ola iā ʻoe pehea e hoʻopili ai i ka lāʻau. E noi i kāu kauka, kahu hānai, a i ʻole ka lāʻau lapaʻau inā ʻaʻole ʻoe e ʻike i kēia mau ʻaoʻao a i ʻole he nīnau paha e pili ana i kahi o kou kino e hoʻokomo ai ʻoe i ka heparin, pehea e hāʻawi ai i ke kuikui, a pehea e hoʻolei ai i nā nila a me nā syringes i hoʻohana ʻia ma hope o kou hoʻopili ʻana i ka lāʻau.
Inā ʻoe e hoʻokomo i ka heparin iā ʻoe iho, e hāhai pono i nā kuhikuhi ma kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana pono i ka heparin e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
Hele mai ka hopena Heparin i nā ikaika like ʻole, a me ka hoʻohana ʻana i ka ikaika hewa i kumu e pilikia ai nā pilikia. Ma mua o ka hāʻawi ʻana i kahi injection o heparin, e nānā i ka lepili lepili e hōʻoia ʻo ia ka ikaika o ka hopena heparin a kāu kauka i kuhikuhi ai no ʻoe. Inā pololei ʻole ka ikaika o ka heparin mai hoʻohana i ka heparin a kāhea koke aku i kāu kauka a kauka paha.
Hiki i kāu kauka ke hoʻonui a hōʻemi paha i kāu lāʻau i kāu heparin. Inā ʻoe e hoʻokomo i ka heparin iā ʻoe iho, e ʻike pono ʻike i ka nui o nā lāʻau āu e hoʻohana ai.
Hoʻohana pū ʻia ʻo Heparin i kekahi manawa a i ʻole hui pū ʻia me ka aspirin e pale ai i ka pohō hāpai a me nā pilikia ʻē aʻe i nā wahine hāpai i loaʻa kekahi mau ʻano olakino a i ʻike i kēia mau pilikia i kā lākou hāpai mua. E kamaʻilio me kāu kauka a kauka paha e pili ana i nā makaʻu o ka hoʻohana ʻana i kēia lāʻau e mālama ai i kou ʻano.
Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka hoʻohana ʻana i ka heparin,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka heparin, nā lāʻau ʻē aʻe, nā huahana pipi, nā huahana puaʻa, a i ʻole kekahi o nā mea hana i ka heparin injection. E noi i kāu kauka a kauka paha no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E kuhikuhi pono i kekahi o kēia mau mea: nā anticoagulants ʻē aʻe e like me warfarin (Coumadin); antihistamines (i loko o nā huā he nui a me nā huahana anuanu); antithrombin III (Thrombate III); aspirin a i ʻole aspirin-i loko o nā huahana a me nā nonsteroidal anti-inflammatory drug (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); dextran; digoxin (Digitek, Lanoxin); dipyridamole (Persantine, i Aggrenox); hydroxychloroquine (Plaquenil); indomethacin (Indocin); phenylbutazone (Azolid) (ʻaʻole loaʻa ma ka US); quinine; a me nā antibiotic tetracycline e like me demeclocycline (Declomycin), doxycycline (Monodox, Vibramycin), minocycline (Dynacin, Minocin) a me tetracycline (Bristacycline, Sumycin). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka inā he pae haʻahaʻa kou o nā platelet (ʻano o nā hunaola koko e pono ai no ka hoʻopili maʻamau) i loko o kou koko a inā he kahe nui kou i ke kahe ʻaʻole hiki ke kū ma kahi o kou kino. E haʻi paha kāu kauka iā ʻoe mai hoʻohana i ka heparin.
- e haʻi i kāu kauka inā ʻoe e ʻike nei i kēia manawa o kou menstrual; inā he kuni a maʻi paha kāu; a inā i loaʻa iā ʻoe i kēia wā ke kuʻikuʻi (ka lawe ʻana i kahi wai liʻiliʻi e ʻauʻau i ka iwi kuamoʻo e hoʻāʻo ai no ka maʻi a i ʻole nā pilikia ʻē aʻe), spinal anesthesia (ka lawelawe ʻana i nā lāʻau ʻeha ma kahi e pili ana i ka iwi kuamoʻo). pili i ka lolo, ka iwi kuamoʻo a i ʻole ka maka, a i ʻole ka hōʻeha puʻuwai. E haʻi pū aku i kāu kauka inā loaʻa a loaʻa paha iā ʻoe kahi maʻi kahe e like me ka hemophilia (ke ʻano o ke kahe ʻole o ke koko), hemahema antithrombin III (ke kumu e hana ai nā pehu koko), nā kīʻaha koko i nā wāwae, nā akemāmā, a i ʻole ma nā wahi āpau o ke kino, nā ʻūlū ʻokoʻa a poni paha ma lalo o ka ʻili, maʻi ʻaʻai, maʻi maʻi i ka ʻōpū a i ʻole ka ʻōpū, kahi paipu e hoʻokahe i ka ʻōpū a i ʻole ka ʻōpū, ke koko kiʻekiʻe, a i ʻole nā maʻi ate.
- e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka heparin, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i ka heparin.
- e haʻi i kāu kauka inā puhi ʻoe a hoʻohana paha i nā huahana paka a inā kū ʻoe i ka puhipaka i kēlā me kēia manawa i kāu mālama ʻana me ka heparin. Hiki i ka puhi ʻana ke hoʻemi i ka hopena o kēia lāʻau.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
Inā ʻoe e hoʻokomo i ka heparin iā ʻoe iho ma ka home, e kamaʻilio me kāu kauka e pili ana i ka mea āu e hana ai inā hoʻopoina ʻoe i ka hoʻopili ʻana i kahi lāʻau.
Hiki i ka Heparin ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻulaʻula, ʻeha, ʻāʻī, a i ʻole nā ʻeha ma kahi o ka heparin i hōʻeha ʻia
- poho lauoho
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:
- ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
- luaʻi ka mea koko a nānā paha e like me nā kahua kope
- pahu i piha ke koko ʻulaʻula a i ʻole ʻeleʻele a lohi hoʻi
- koko i ka mimi
- luhi nui loa
- nausea
- ka luaʻi
- ʻeha o ka umauma, kaomi, a i ʻole ka ʻomi ʻana i ka pilikia
- hōʻoluʻolu i nā lima, ka poʻohiwi, ka iwi ā, ka ʻāʻī, a i ʻole ke kua
- kahe ana ke koko
- sweating nui loa
- ʻeha poʻo poʻo loa
- ʻālohilohi a maʻule paha
- ka lilo koke ʻana o ke kaulike a i ʻole ke hoʻohui ʻana
- pilikia pilikia hele wāwae
- ʻōlohelohe ʻole a nawaliwali paha o ka maka, ka lima a me ka wāwae, ʻoi aku ma kekahi ʻaoʻao o ke kino
- huikau koke, a i ʻole paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana i ka ʻōlelo
- pilikia i ka ʻike ʻana i hoʻokahi o nā maka ʻelua paha
- ʻulaʻula a ʻeleʻele discoloration o ka ʻili
- ʻeha a me ka uliuli a i ʻole ka hoʻoliʻiliʻi ʻeleʻele i nā lima a me nā wāwae
- ka ʻume a me ka wela, keu hoʻi ma lalo o nā wāwae
- haʻalulu
- fiva
- hives
- hūwī
- ʻūhā
- pokole o ka hanu
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- hulahula
- ke kūkulu ʻeha e mau ana no nā hola
Hiki i ka Heparin ke hana i ka osteoporosis (ke ʻano a nāwaliwali nā iwi a haki maʻalahi paha), keu hoʻi i ka poʻe e hoʻohana ana i ka lāʻau no ka manawa lōʻihi. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau.
Hoʻokumu paha ʻo Heparin i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana i kēia lāʻau.
Inā ʻoe e hoʻokomo i ka heparin ma ka home, e haʻi aku kāu kauka iā ʻoe pehea e mālama ai i ka lāʻau. E hāhai pono i kēia mau ʻōkuhi. E mālama pono i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua. Mai hoʻopaʻa i ka heparin.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
Pākuʻi ʻia paha nā ʻōuli o ka overdose:
- ihu ihu
- koko i ka mimi
- ʻeke ʻeleʻele, hoʻolōʻihi
- paopao maʻalahi
- kahe koko ʻole ʻana
- koko ʻulaʻula i nā noho
- luaʻi ka mea koko a nānā paha e like me nā kahua kope
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka heparin. E noi paha kāu kauka iā ʻoe e nānā i kāu pahu no ke koko e hoʻohana ana i kahi hōʻike ma ka home.
Ma mua o ka loaʻa ʻana o kahi hoʻokolohua hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e hoʻohana nei i ka heparin.
Mai ʻae i kekahi e hoʻohana i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
- Lipo-Hepin®¶
- Liquaemin®¶
- Panheparin®¶
¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 09/15/2017