I kekahi manawa, hiki i nā maʻi fungal i loko o ko kākou kino ke koʻikoʻi loa a hiki ʻole ke ho'ōla ʻia me nā pila a i ʻole nā kirīmi maʻamau. Hiki i kēia mau maʻi ke laha i ke koko, nā māmā, a i ʻole ka lolo. Hoʻohana nā kauka i kēia lāʻau ikaika i kapa ʻia ʻo Amphotericin B e kāohi i nā maʻi fungal koʻikoʻi a hoʻoweliweli i ke ola. He lāʻau kēia i hāʻawi pinepine ʻia ma ke ʻano intravenous ma ka haukapila, ma lalo o ka nānā pololei ʻana a ke kauka. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau, kona mau hopena ʻaoʻao, a me nā mea āu e pono ai e ʻike ma ke ʻano he kanaka e loaʻa ana i kēia lāʻau.
He aha ke ʻano lāʻau lapaʻau ʻo Amphotericin B?
I ka ʻōlelo maʻalahi, he antifungal ʻo Amphotericin B, ʻo ia hoʻi ke pepehi nei i nā cell fungal a kāohi i ka maʻi . Akā, ʻaʻole ia he lāʻau lapaʻau no kahi maʻi fungal maʻamau. Ma muli o kona ikaika loa, hoʻohana nui ʻia ia no nā maʻi fungal koʻikoʻi i pane ʻole i nā lāʻau lapaʻau ʻē aʻe a hoʻopilikia i nā ʻōpū o loko o ke kino. Hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me 'Amphocin' a i ʻole 'Fungizone'.
Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kumu ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i ia mea.
Nā mea e haʻi aku i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e haʻi i kāu kauka i kou mōʻaukala olakino piha. ʻAʻole kūpono kēia lāʻau lapaʻau no nā mea āpau. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Maʻi puʻuwai: Inā loaʻa iā ʻoe ka maʻi puʻuwai.
- Maʻi puʻupaʻa: He mea nui loa kēia inā loaʻa iā ʻoe kekahi maʻi puʻupaʻa, no ka mea, hiki i kēia lāʻau lapaʻau ke loaʻa kekahi hopena i nā puʻupaʻa.
- ʻO nā ʻoki kino hou a i ʻole nā lāʻau lapaʻau ʻē aʻe: Inā ua loaʻa iā ʻoe kekahi lāʻau lapaʻau i hala koke aku nei, e ʻoluʻolu e haʻi mai iā mākou e pili ana.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i ka Amphotericin B a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha, pono ʻoe e haʻi mai iā mākou.
- Hāpai: Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai.
- Ka hānai waiū ʻana: Inā he makuahine ʻoe e hānai waiū ana i kāu keiki.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā e hāʻawi iā ʻoe i kēia lāʻau lapaʻau a i ʻole, a i ʻole e hoʻololi i ka nui.
Pehea e hāʻawi ʻia ai kēia lāʻau i ke kino?
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he infusion i loko o kahi aʻa, e like me ka saline. Hāʻawi pinepine ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau e kahi kahu maʻi a kauka paha. E nānā pono lākou i kou kūlana i ka wā o ka mālama ʻana.
He mea kākaʻikahi loa, pono paha kekahi mau maʻi e loaʻa i kēia lāʻau lapaʻau ma ka home. Inā hana ʻia kēia, e aʻo pono ʻia ʻoe i ke ʻano o ka hoʻomākaukau ʻana a me ka lawelawe ʻana i kēia lāʻau. E hoʻomanaʻo e lawe wale i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ka ʻōlelo a kāu kauka iā ʻoe .
Hoʻomaopopo kūikawā: Inā ʻoe e mālama ʻia ana ma ka home, mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala . E waiho wale iā lākou i loko o kahi "pahu ʻoi" i hoʻolako kūikawā ʻia. Inā ʻaʻohe āu, e nīnau i kāu kauka pehea e loaʻa ai.
Ua hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
ʻAe, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki inā pono. Eia nō naʻe, pono ia i ka mālama kūikawā a me ka nānā ʻana. E kamaʻilio me ke kauka pediatric o kāu keiki e pili ana i kēia.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo .
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana Lāʻau Lapaʻau)
Hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i nā hopena koʻikoʻi ke lawe pū ʻia me Amphotericin B. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, ʻaʻole wale nā mea i kuhikuhi ʻia e kāu kauka, akā ʻo nā mea āu e kūʻai ai mai kahi hale kūʻai lāʻau lapaʻau, nā lāʻau lapaʻau kuʻuna, nā mea kanu, a me nā huaora.
- He lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia:
- ʻO ka cidofovir
- Nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i nā pilikia:
- ʻO kekahi mau antibiotic intravenous
- ʻO ka corticotropin
- ʻO ka cyclosporine
- ʻO ka digoxin
- ʻO ka flucytosine
- Nā fungicides ʻē aʻe
- ʻO kekahi mau lāʻau lapaʻau i hāʻawi ʻia no ka maʻi kanesa
- Nā mea hoʻomaha ʻiʻo
- ʻPentamidine
- ʻO nā steroid e like me ka prednisone a i ʻole cortisone
ʻAʻole i piha kēia papa inoa. ʻO ka mea palekana loa e hana ai, ʻo ia ke haʻi aku i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau ikaika kēia, hiki ke loaʻa kekahi mau hopena ʻaoʻao. ʻOiai he mea maʻamau kekahi, pono e hōʻike koke ʻia kekahi. Hāʻawi ka papa ma lalo nei i kahi ʻike maopopo o kēia mau mea.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka/kahu hānai | Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou |
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E hoʻomanaʻo, inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e haʻi pū i kāu kauka e pili ana iā lākou. Mai hūnā i kekahi mea iā ʻoe iho.
Leka Lawe-Home
- He lāʻau ikaika loa ʻo Amphotericin B i hoʻohana wale ʻia no nā maʻi fungal koʻikoʻi i hiki ʻole ke mālama ʻia me nā lāʻau lapaʻau maʻamau.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā kūlana olakino āpau āu (ʻoi aku hoʻi nā maʻi puʻupaʻa a me ka puʻuwai) a me nā lāʻau lapaʻau āpau āu e lawe nei .
- Hāʻawi ʻia kēia lāʻau lapaʻau i loko o kahi aa koko ma ka haukapila . Inā ʻike ʻoe i kekahi mau hōʻailona ʻē (e like me ke kuni, ka paʻakikī o ka hanu ʻana, a i ʻole ka luaʻi ʻana), e haʻi koke aku i kāu kahu hānai a kauka paha .
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi no kekahi kumu.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio ākea me kāu kauka e pili ana .
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