Auē, ʻeha koʻu niho... ʻAʻole hiki iaʻu ke hāmama i koʻu waha, ua pehu koʻu papālina... ʻAʻole hiki iaʻu ke ʻai a inu paha. I kekahi manawa hele pū kēia ʻeha me ke kuni. Ua loaʻa anei iā ʻoe kēia ʻike? Kāhea pinepine mākou ia he "ʻeha niho" a i ʻole "he ʻōpū niho." He maʻi bacteria kēia e kū mai ana ma ke aʻa o ka niho. Ke ʻike ʻoe i ke kauka i ka manawa e like me kēia, hiki ke kuhikuhi ʻia ʻoe i kahi lāʻau antibiotic. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia mau maʻi niho a me nā lāʻau antibiotic i hāʻawi ʻia no lākou, nā mea āpau ma nā ʻōlelo maʻalahi.
No ke aha e hana ʻia ai kēia mau ʻōpū niho? Pehea e hoʻomaka ai ka pilikia?
E noʻonoʻo ʻoe ua like ke ʻano o loko o ko kākou waha me ke kūlanakauhale liʻiliʻi. Ma kēia kūlanakauhale, aia nā kamaʻāina maikaʻi a me nā kamaʻāina maikaʻi ʻole. Ma ke ʻano like, aia ma mua o 700 mau ʻano bacteria maikaʻi a me nā bacteria ʻino e hoʻoulu ai i nā maʻi iā kākou. ʻO ka maʻamau, ʻaʻole hoʻopilikia kēia poʻe iā kākou.
Akā, inā he lua liʻiliʻi kou (lua) i loko o kou niho, inā ua haki iki a haki paha ka niho, a inā he maʻi ʻāʻī kou, he manawa kūpono nui kēlā mau bacteria ʻino. E like me ka maʻalahi o ka ʻaihue e lele i loko inā waiho ʻia ka puka o ka hale e wehe ʻia, kolo pū kēia mau bacteria i loko o ka niho ma o kēlā mau lua a me nā wahi haki.
Ma hope o ke komo ʻana i loko o ka niho, hana kēia mau bacteria i ko lākou "home" ma laila. Hoʻomaka lākou e hoʻonui koke ma laila. Hoʻomaka ka ʻōnaehana pale o ko mākou kino e hakakā i kēia hoʻouka kaua ʻana. Ma muli o kēia hakakā, hoʻokumu ʻia ka pus. ʻO ka abscess e hana ʻia i ka wā e hōʻiliʻili ai kēia pus ʻo ia ka mea a mākou e kapa nei he abscess niho. ʻO kēia ke kumu e ʻeha ai ka niho, pehu, a lilo i ʻulaʻula.
ʻO ka mea nui loa, ʻaʻole loa e ola ponoʻī kahi ʻōpū niho e like me kēia. Inā ʻaʻole mālama ʻia, hiki i ka maʻi ke pālahalaha hou aku, ʻaʻole wale ma ka waha, akā i kekahi mau hihia kakaikahi akā weliweli, a hiki i kahi ʻāpana koʻikoʻi e like me ka lolo. No laila, i ka wā e ʻeha ai a pehu paha ka niho, mai manaʻo he mea maʻamau.
He aha nā ʻano antibiotic i kuhikuhi ʻia e ke kauka?
ʻO nā antibiotics kahi ʻano lāʻau lapaʻau e pepehi i nā bacteria. Ua māhele ʻia lākou i nā hui like ʻole e hana ana ma nā ʻano like ʻole a kuhikuhi i nā ʻano bacteria like ʻole. E koho kāu kauka i ka antibiotic i kūpono loa iā ʻoe ma muli o ke ʻano o ka bacteria e hoʻoulu ai i ka maʻi o kou niho.
Eia kekahi o nā lāʻau antibiotic i kuhikuhi pinepine ʻia e nā kauka niho.
| Pūʻulu antibiotic | Nā lāʻau lapaʻau i hoʻohana pinepine ʻia | I ka ʻōlelo maʻalahi... |
|---|---|---|
| ʻAno Penicillin | ʻAmoxicillin, Penicillin V | ʻO kēia nā lāʻau lapaʻau mua a nā kauka e koho ai. Hiki iā lākou ke kāohi i nā ʻano bacteria he nui. I kekahi manawa, hui pū ʻia ka amoxicillin me kahi lāʻau i kapa ʻia ʻo clavulanate, kahi e hoʻonui ai i ka pono o ka amoxicillin. |
| Nā Kephalosporins | ʻO Cephalexin | I kekahi manawa ua kuhikuhi ʻia kēia ʻano no ka poʻe i maʻi i ka penicillin. |
| Nā Nitroimidazole | Metronidazole | Hoʻohana ʻia kēia lāʻau lapaʻau e kāohi i kekahi mau ʻano bacteria, pinepine i ka hui pū ʻana me kekahi antibiotic ʻē aʻe. |
| Nā Macrolide | ʻAzithromycin, ʻErythromycin | He koho ʻē aʻe kēia no ka poʻe maʻi allergies i ka penicillin. |
| Nā Lincosamides | ʻO Clindamycin | Hoʻohana ʻia kēia lāʻau lapaʻau no nā maʻi ʻinoʻino a paʻakikī hoʻi i hiki ʻole ke kāohi ʻia e nā lāʻau lapaʻau ʻē aʻe. |
Pono anei au i nā lāʻau antibiotic no kēlā me kēia ʻeha niho?
ʻO kēia kahi e kuhihewa ai ka poʻe he nui. ʻAʻole! ʻAʻole pono nā lāʻau lapaʻau i nā maʻi niho āpau.
E noʻonoʻo ua piha a piha kāu ʻōpala. He pilau maikaʻi ʻole. E pīpī ʻoe i kahi mea hoʻomaʻemaʻe ea ʻala maikaʻi e hoʻopau i ke pilau. I kēlā manawa, e emi iki ke pilau, akā inā e waiho mau ana ka ʻōpala, ʻaʻole e hoʻoponopono ʻia ka pilikia, ʻeā? ʻO ka mea mua, pono ʻoe e lawe i ka ʻōpala.
ʻO ia hoʻi ka mea e hana ʻia me ka maʻi niho. ʻO nā ʻiʻo i loaʻa i ka maʻi, ka pus, a me nā bacteria i loko o ka niho ua like ia me ka "ʻōpala." ʻO nā antibiotics ua like ia me ka "air freshener." Kōkua lākou i ka hoʻōki ʻana i ka laha ʻana o ka maʻi i loko o ke koko. Akā, ʻaʻole e ho'ōla loa ʻia ka niho a hiki i ka wā e wehe ai ke kauka niho i ke kumu o ka pilikia (ka ʻiʻo i loaʻa i ka maʻi) i loko o ka niho.
ʻO ka lāʻau lapaʻau nui kekahi o kēia mau mea:
- Ka hoʻokahe ʻana i ka abscess: Hana ke kauka i kahi ʻoki liʻiliʻi a hoʻokahe i ka pus i loko.
- Lapaʻau aʻa: Hoʻopau loa ʻia nā aʻalolo a me nā ʻiʻo i loko o ka niho, hoʻomaʻemaʻe ʻia ka niho, a hoʻopiha ʻia me kahi mea kūikawā.
- Unuhi niho: Inā ua hōʻino ʻia ka niho ma kahi hiki ʻole ke hoʻoponopono hou ʻia, pono e wehe ʻia.
No laila, i nā kūlana hea e kuhikuhi ai ke kauka i nā antibiotics?
- Inā koʻikoʻi ka maʻi: inā kiʻekiʻe loa ka pehu, inā he ʻeha nui.
- Inā e laha ana ka maʻi: Inā he mau hōʻailona o ka laha ʻana o ka maʻi i nā wahi e like me ka papālina a i ʻole ka ʻauwae.
- Inā ua nāwaliwali kou pale ʻana i ke kino: No ka poʻe me nā maʻi e like me ka maʻi diabetes, ke kanesa, a i ʻole nā lāʻau lapaʻau ʻē aʻe e hoʻonāwaliwali i ko lākou ʻōnaehana pale, hiki i kahi maʻi liʻiliʻi ke lilo i mea weliweli, no laila hāʻawi ʻia nā antibiotics ma ke ʻano he akahele.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Inā ua kuhikuhi ʻia ʻoe i nā lāʻau antibiotic, he mea nui loa ia e hoʻohana pono iā lākou. ʻO ka hewa nui a ka poʻe he nui e hana ai, ʻo ia ka lawe ʻana iā lākou no ʻelua a ʻekolu paha lā a laila e hoʻōki iā lākou ke emi iki ka ʻeha. Mai hana i kēlā!
1. E hoʻopau i ka papa holoʻokoʻa: Inā kuhikuhi ke kauka i ka lāʻau no 7 mau lā, pono ʻoe e lawe i ka lāʻau i ka manawa i kuhikuhi ʻia a ma ka nui i kuhikuhi ʻia no nā lā 7 āpau. Inā ʻaʻole ʻoe e hana, e noho paha kekahi mau bacteria paʻakikī a e ʻoi aku ka maʻi. Eia kekahi, e maʻa paha ka bacteria i ka lāʻau a i ka manawa aʻe āu e hāʻawi ai, ʻaʻole paha e hana (Antibiotic Resistance).
2. E lawe i ka manawa kūpono: Inā ʻōlelo ʻia e lawe i ka hola 8 o ke kakahiaka, e lawe i ia manawa. Inā ʻōlelo ʻia e lawe i ka hola 12 o ke awakea, e lawe i ia manawa.
3. E ʻike ma mua a ma hope paha o ka ʻai ʻana: Pono e lawe ʻia kekahi mau lāʻau lapaʻau ma hope o ka ʻai ʻana, aʻo kekahi e lawe ʻia me ka ʻōpū ʻole. E hahai pono i nā kuhikuhi.
4. E inu me ke aniani wai: Loaʻa pinepine kēia mau lāʻau lapaʻau i loko o nā capsules a i ʻole nā papa. E inu i ka nui o ka wai.
Inā he mau nīnau kāu e pili ana i kēia, mai hilahila a noi i kāu kauka no ka wehewehe ʻana.
Nā pōmaikaʻi a me nā hopena ʻaoʻao o nā antibiotics
E like me nā lāʻau lapaʻau āpau, hiki i nā antibiotics ke loaʻa nā pōmaikaʻi a me nā hopena ʻaoʻao liʻiliʻi.
Nā Pōmaikaʻi
ʻO ka pōmaikaʻi nui, ʻo ia ka pale ʻana i ka laha ʻana o ka maʻi bacteria i nā ʻāpana ʻē aʻe o ke kino, kahi e hiki ai ke pale i nā pilikia olakino koʻikoʻi.
Nā Pōʻino a me nā Hopena ʻAoʻao
Hiki ke puʻunaue ʻia kēia i ʻelua mau māhele: nā hopena ʻaoʻao liʻiliʻi maʻamau a me nā hopena alerika koʻikoʻi e pono ai ka nānā koke ʻana.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao liʻiliʻi e loaʻa pinepine ana (pinepine no ka manawa pōkole) | |
| Pōʻino | Ka manaʻo o ke poʻo māmā a i ʻole ka poniuniu. |
| Ka luaʻi | Manaʻo e like me ʻoe e luaʻi ana. Hiki ke hoʻēmi ʻia kēia ma ka lawe ʻana i ka lāʻau lapaʻau ma hope o ka ʻai ʻana. |
| Ka maʻi pākī | Hiki ke hana ʻia kēia no ka mea pepehi pū nā antibiotics i nā bacteria maikaʻi i loko o kou ʻōpū. Inā ʻaʻole e nalowale kēia i loko o kekahi mau lā a i ʻole he koʻikoʻi (e.g., ka maʻi Clostridium difficile (C. diff) ), e haʻi i kāu kauka. |
| Nā maʻi hū | ʻOi aku ka nui o ka loaʻa ʻana o nā wahine i nā maʻi hū i loko o ka vagina a i ʻole ka waha. |
| Nā hopena alerika koʻikoʻi - He mea kākaʻikahi kēia, akā inā ʻike ʻoe iā lākou, e hele koke i ka haukapila! | |
| Nā pehu ʻili a i ʻole ka ʻulaʻula nui | Ka laha wikiwiki ʻana o nā pehu wai a i ʻole nā pehu nui ma ka ʻili. |
| Ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu | He mea weliweli loa kēia. Inā pehu ka ʻāʻī, hiki iā ia ke pilikia i ka hanu ʻana. |
| ʻŌhūhū a pilikia paha ka hanu ʻana | Ka hū ʻana a i ʻole ka manaʻo o ka hanu ʻana. |
Inā loaʻa iā ʻoe kahi hopena maʻi koʻikoʻi e like me kēia, e kāhea i kahi kaʻa kaʻa a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa me ka hoʻokaʻulua ʻole.
He mea paʻakikī ke ola me ka ʻeha niho, ʻeā? E kōkua kēia mau mea
E hoʻāʻo i kēia mau mea e mālama i ka ʻeha a hiki i kou ʻike ʻana i kāu kauka niho a hoʻomaka paha i ka lāʻau lapaʻau a hoʻōla:
- E lawe i ka lāʻau ʻeha: E noi i kāu kauka no kahi lāʻau ʻeha e like me ka paracetamol.
- E hoʻopili i ka wai anuanu: E ʻōwili i kekahi mau pahu hau i loko o kahi lole a hoʻopili iā lākou ma waho o ka papālina pehu no kahi o 15-20 mau minuke.
- E hoʻohana i ka palaki niho palupalu: I ka palaki ʻana i kou mau niho, e palaki mālie a akahele ma luna o ka ʻāpana ʻeha.
- E hōʻalo i nā meaʻai paʻakikī a ʻala: E noho mamao mai nā mea paʻakikī e like me nā biscuits, a me nā meaʻai a me nā mea inu wela loa a anu paha no kekahi mau lā.
- ʻAi ma kēlā ʻaoʻao: E pale i ka nau ʻana i ka meaʻai ma ka ʻaoʻao kahi e ʻeha ai.
- E holoi i kou waha me ka wai paʻakai: E hoʻoheheʻe i kahi punetune paʻakai i loko o ke aniani wai mehana a holoi i kou waha me ia i nā manawa he nui i ka lā. E hāʻawi kēia i ka hōʻoluʻolu no ka manawa pōkole a kōkua i ka kaohi ʻana i ka bacteria.
ʻAʻole hiki iaʻu ke ho'ōla ma ka home me ka ʻike ʻole ʻana i ke kauka?
ʻAʻole loa. ʻAʻole hiki ke mālama ʻia ka maʻi niho ma ka home.
- ʻAʻohe mea e like me ka antibiotic kūlohelohe: Wahi a kekahi poʻe he maikaʻi ka huki ʻaila me ka ʻaila niu. ʻAe, hiki iā ia ke hōʻemi i kekahi o nā bacteria i loko o kou waha. He maikaʻi ia no ka hoʻomaʻemaʻe waha. Akā, ʻaʻole ia e ho'ōla i kahi maʻi koʻikoʻi i loko o ka niho.
- ʻAʻole hiki ke kūʻai ʻia nā lāʻau lapaʻau ma ka hale kūʻai lāʻau lapaʻau:ʻAʻole hiki ke lawe ʻia nā antibiotics me ke kauoha ʻole a ke kauka. No laila, pono ʻoe e ʻike i kahi kauka niho.
E hoʻomanaʻo, he nui o mākou e kānalua iki nei e kipa aku i ke kauka, ʻoiai ke kauka niho. Akā, ʻaʻole he mea hoʻohenehene ka ʻeha niho. No ka hopena koʻikoʻi e hiki ai ke hana, he mea naʻauao ke ʻimi koke i ka lāʻau lapaʻau.
Leka Lawe-Home
- He maʻi bacteria koʻikoʻi ka ʻōpū niho (ʻōpū niho). ʻAʻole loa ia e ho'ōla iā ia iho . E hōʻoia e ʻike i ke kauka niho.
- ʻAʻole hiki i nā lāʻau antibiotic wale nō ke ho'ōla i ka ʻeha niho. Hāʻawi wale ʻia lākou me ka hoʻohui ʻana i ka mālama niho (e like me ka unuhi ʻana, ke aʻa o ke aʻa, a i ʻole ka unuhi ʻana i ka niho).
- Inā kuhikuhi ke kauka i nā lāʻau antibiotic nou, e lawe iā lākou no ka helu piha o nā lā i kuhikuhi ʻia, ʻoiai inā e emi ana ka ʻeha. Mai ho'ōki i ka hapalua.
- Inā loaʻa iā ʻoe nā hōʻailona maʻi ʻaleka koʻikoʻi e like me ka pehu ʻana o ka maka, ka ʻāʻī, a i ʻole ka paʻakikī o ka hanu ʻana i ka wā e lawe ana i ka lāʻau lapaʻau, e hele koke i ka Emergency Department (ETU) o ka haukapila.
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