Ua lohe paha ʻoe i kekahi manawa ʻaʻole hana maikaʻi ka lāʻau lapaʻau i hāʻawi ʻia no nā maʻi fungal e like me kou makemake? I kekahi manawa ʻaʻole hana ka lāʻau antifungal a ke kauka e kuhikuhi ai. ʻO ia ka mea a mākou e kapa nei he kū'ē antifungal . Hiki ke lilo i mea koʻikoʻi iki, no laila e kamaʻilio kākou e pili ana i ia mea ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo. ʻAʻole hana kēia no ka mea e kū'ē ana kou kino i ka lāʻau lapaʻau, akā no ka mea ua maʻa ka fungus i ka hakakā ʻana i ka lāʻau lapaʻau.
He aha nā lāʻau antifungal?
I ka ʻōlelo maʻalahi, ʻo nā antifungals nā lāʻau lapaʻau e kōkua i ka kaohi a i ʻole ka hoʻopau ʻana i kekahi mau maʻi fungal e ulu ana i loko o ko mākou kino. Ua ʻike paha ʻoe i nā maʻi hū, ka wāwae o ka mea pāʻani, ka ʻili o ka jock, a me ka ringworm. ʻO kēia nā mea e hoʻohana ʻia ai kēia mau lāʻau antifungal. Hiki iā lākou ke kōkua i ka kaohi ʻana i nā maʻi fungal koʻikoʻi e hoʻopilikia i nā wahi e like me nā māmā, ka lolo, a me ke koko.
No ke aha he pilikia nui ka pale ʻana i ka antifungal?
He pilikia olakino koʻikoʻi kēia o ka honua . E noʻonoʻo wale, he palena ko mākou helu o nā lāʻau antifungal. Ke kūpaʻa kahi fungus i hoʻokahi lāʻau, ua kaupalena ʻia kā mākou mau koho ʻē aʻe. I kekahi manawa, ʻaʻole paha e like ka maikaʻi o nā lāʻau ʻē aʻe, a i ʻole he mau hopena ʻaoʻao koʻikoʻi paha.
ʻO kēia kekahi ʻāpana o ka huaʻōlelo nui "Antimicrobial Resistance". ʻO ia hoʻi, ʻaʻole wale nā fungi, akā ʻo nā bacteria, nā virus, a me nā parasites hiki ke kū i nā lāʻau lapaʻau i hoʻolālā ʻia e hakakā iā lākou. ʻOiai ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, ua hōʻike ʻia ua kokoke i ʻekolu miliona mau kānaka e loaʻa i kēlā mau maʻi kū i ka lāʻau i kēlā me kēia makahiki, a ʻoi aku ma mua o 35,000 mau kānaka e make. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.
He aha ke kumu o kēia?
Aia kekahi mau kumu e kūʻē ai nā fungi i nā fungicides. E nānā kākou i ko lākou ʻano:
- Hoʻohana hewa ʻana i ka lāʻau antifungal: ʻO kēia ke kumu nui. ʻO nā mea e like me ka lawe ʻole ʻana i ka lāʻau no ka helu o nā lā i kuhikuhi ʻia e ke kauka a hoʻōki iā ia i ka hapalua, ka haʻalele ʻana i ka lāʻau, a i ʻole ka lawe ʻana i kahi mahele haʻahaʻa ma mua o ka mea i kuhikuhi ʻia, hāʻawi i ka fungus i kahi manawa e maʻa ai i ka hakakā ʻana i ka lāʻau. E noʻonoʻo, inā he fungus ʻili kou a ua ʻōlelo ʻia e lawe i ka lāʻau no 7 mau lā, hoʻōki ʻoe i ka lāʻau ma hope o ka manaʻo maikaʻi ma kahi o 3 mau lā. A laila, ʻo nā fungi i make ʻole loa e hoʻi hou mai i ke ola a hoʻololi e kūʻē i ka lāʻau. I ka manawa aʻe āu e hāʻawi ai iā lākou i kēlā lāʻau, ʻaʻohe mea nui! No laila, he mea nui loa ka lawe ʻana i ka mahele i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia.
- Ka hoʻohana ʻana i nā lāʻau antibiotic:ʻO nā lāʻau antibiotic a mākou e lawe mau nei e pepehi i nā bacteria ʻino. Eia nō naʻe, pepehi pū lākou i nā bacteria maikaʻi i loko o kā mākou ʻōnaehana hoʻoheheʻe. A laila, hoʻomaka ka hū kūlohelohe i kapa ʻia ʻo Candida e ulu me ka ʻole o ke kaohi. Hoʻoulu kēia i kahi maʻi hū i kapa ʻia ʻo candidiasis, kahi e pono ai ka lāʻau antifungal. Ke hoʻohana pinepine ʻoe i nā antibiotics a me nā antifungals, holo ʻoe i ka pilikia o ka hoʻomohala ʻana i ke kūʻē i nā lāʻau ʻelua.
- Ka Hoʻohana ʻana i nā Fungicides ma ka Mahiʻai: Hoʻohana nā mahiʻai i nā fungicides like ʻole e pale aku i ka ulu ʻana o ka ʻōpala ma nā mea kanu. ʻOi aku ka nui o ka poʻe i pili pinepine i kēia mau kemika e loaʻa i nā maʻi mai nā fungi i kūʻē i kēlā mau fungicides. ʻO kēia no ka mea ua pili mau nā fungi i loko o ia wahi i kēia mau kemika a lilo i kūʻē iā lākou.
- Kūpaʻa kūlohelohe: Aia kekahi mau ʻano fungi i pane ʻole i nā fungicides. Kūpaʻa kūlohelohe lākou i kēlā mau lāʻau.
- Ke kū'ē koke ʻana: I kekahi manawa, lilo koke kahi fungus i kū'ē i kahi lāʻau lapaʻau i hana maikaʻi ma mua. ʻAʻole paha e hiki ke loaʻa kahi kumu kikoʻī no kēia.
- Ke kū'ē i hoʻoili ʻia: He mea nui loa kēia. Hiki i kekahi mea i loaʻa i kahi maʻi fungal kū'ē i ka lāʻau lapaʻau ke hoʻoili iā ia i kekahi. A laila, inā ʻaʻole i hoʻohana ka mea i loaʻa hou i kēlā antifungal, ʻaʻole e pane ka maʻi a lākou e ulu ai i kēlā lāʻau.
ʻO wai ka mea i pilikia nui?
ʻOi aku ka nui o ka poʻe me nā ʻōnaehana pale i nāwaliwali i ka loaʻa ʻana o nā maʻi fungal koʻikoʻi a me ka hoʻomohala ʻana i ke kūʻē ʻana i nā lāʻau antifungal. ʻO kēia mau mea:
- Nā kānaka me ka maʻi AIDS
- ʻO nā kānaka me nā maʻi autoimmune e like me lupus
- Nā maʻi kanesa
- ʻO ka poʻe i loaʻa nā hoʻoili kino
- ʻO nā kānaka i loaʻa i nā hoʻoili cell stem (iwi iwi)
No ka mea, ʻaʻole hiki i kēia poʻe ke hakakā i nā maʻi fungal ma mua o ke kanaka maʻamau, ʻoi aku ka nui o ko lākou pilikia o ka hoʻomohala ʻana i nā fungi kūʻē i nā lāʻau lapaʻau.
He aha nā pilikia o ke kūpaʻa ʻana i ka fungicide?
Ua lilo kekahi mau ʻano fungi i mea kūpaʻa loa i nā lāʻau antifungal. Kāhea mākou i kēia mau 'superbugs' . ʻOiai inā ʻoe e lawe i ka lāʻau lapaʻau, hoʻomau kēia mau fungi i ka hoʻonui ʻana a hoʻoulu i nā maʻi.
ʻEkolu mau papa nui o nā lāʻau antifungal a mākou: azoles, echinocandins, a me polyenes. ʻO kahi fungus i kūʻē i hoʻokahi papa o nā lāʻau lapaʻau, ʻaʻole paha e pane i kekahi o nā lāʻau lapaʻau o kēia manawa.
He aha kēia mau 'superbugs'?
Aia kekahi mau maʻi fungal i paʻakikī ke mālama a hāʻule i loko o ka māhele o 'super fungi':
- ʻO Aspergillus fumigatus: He ʻano ʻōpala kēia. Hoʻoulu ia i kahi maʻi māmā i kapa ʻia ʻo aspergillosis. Ma kahi o ʻelua haneli tausani mau kānaka ma ka honua holoʻokoʻa e loaʻa i kēia maʻi i kēlā me kēia makahiki, ʻo ka hapa nui ma ka hanu ʻana i nā spores mai kēia ʻōpala. Ke kūpaʻa nei kēia maʻi i nā azole fungicides.
- Candida: Noho maoli kēia ʻano hū ma ko mākou ʻili a i loko o ko mākou kino. Eia nō naʻe, inā komo ʻo Candida i loko o ke koko, hiki iā ia ke hana i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo candidemia. ʻAʻole hoʻi kēia maʻi e pane maikaʻi i nā lāʻau azole.
- ʻO Candida glabrata: He fungus ʻo C. glabrata e hoʻopilikia ana i ke ala mimi. Ke kū nei ia i ke kūpaʻa i nā azoles a me nā echinocandins, e kaupalena ana i nā koho lapaʻau palekana no nā maʻi.
He aha ke ʻano o ka Candida auris?
ʻO Candida auris (C. auris) kahi 'superbug' hou a weliweli hoʻi i ʻike mua ʻia i ka makahiki 2009. Ua laha koke ia a puni ka honua a ua hoʻoulu i nā pilikia. ʻAʻole hana mau nā lāʻau antifungal i hoʻohana pinepine ʻia e mālama i nā maʻi Candida e kūʻē i kēia ʻano fungus. He kūpaʻa kekahi mau ʻano o C. auris i nā lāʻau he nui . ʻO ia hoʻi, ʻaʻole hiki ke kāohi ʻia e kekahi o nā lāʻau antifungal i loaʻa i kēia manawa.
Hiki i kēia haʻiki ke komo i loko o ke koko a hoʻopilikia i ka puʻuwai a me ka lolo. Inā hana ʻia kēia, ʻoi aku ma mua o ka hapakolu o ka poʻe i loaʻa i ka maʻi e make. Hoʻolaha maʻalahi kēia haʻiki ma nā haukapila a me nā hale mālama. Hiki ke laha ma ka launa pū ʻana me kahi kanaka i loaʻa i ka maʻi a i ʻole ma ka hoʻopā ʻana i kahi ʻili i loaʻa ka haʻiki ma luna. Hiki i kēia haʻiki ke ola ma luna o nā ʻili no nā pule a he paʻakikī loa ke pepehi.
Pehea e mālama ʻia ai nā maʻi antifungal-resistant?
Inā ʻaʻole holo pono kekahi papa o nā lāʻau antifungal, e hoʻāʻo kāu kauka i kahi papa ʻē aʻe. Akā, e like me kaʻu i ʻōlelo ai ma mua, ua kaupalena ʻia nā lāʻau antifungal holomua. Inā ʻaʻole pane kahi maʻi i nā antifungal, hiki i nā kauka ke hoʻāʻo i nā lāʻau lapaʻau ʻē aʻe. Akā, ʻo ka mea pōʻino, hiki i kēlā mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao koʻikoʻi .
Hiki iā kākou ke pale aku i kēia kūlana?
ʻAe, aia nā mea hiki iā mākou ke hana! ʻO ke ala maikaʻi loa e pale aku ai i ke kū'ē ʻana i ka antifungal, ʻo ia ka lawe ʻana i nā lāʻau antifungal e like me ke kauoha a kāu kauka.
Inā pilikia ʻoe i ka hoʻomanaʻo ʻana e lawe i kāu lāʻau lapaʻau, e hoʻonohonoho i kahi mea hoʻomanaʻo ma kāu kelepona. Inā poina iā ʻoe kahi mahele lāʻau, e kāhea koke i kāu kauka a nīnau i ka mea e hana ai. I ka hapanui o nā hihia, ʻoi aku ka maikaʻi o ka lawe ʻana i ka mahele lāʻau aʻe i ka wā e hoʻomanaʻo ai ʻoe.
E hoʻomanaʻo, hiki ke kū'ē i nā fungicides no nā kumu like ʻole. I kekahi manawa hiki ke hana koke ʻia a me ka manaʻo ʻole ʻia. A i ʻole, hiki ke hana ʻia ma muli o ka hoʻohana nui ʻana i nā antibiotics, a i ʻole ka hoʻohana pono ʻole ʻana i nā fungicides. ʻO ka poʻe me nā ʻōnaehana pale nāwaliwali ka mea i loaʻa i ka pilikia nui loa. Kū'ē kekahi mau 'superbugs' i nā lāʻau lapaʻau maʻamau. No laila, ʻo ka hoʻohana pono ʻana i ka lāʻau lapaʻau ke ala nui loa e hōʻemi ai i kēia pilikia.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
No laila, ʻo kēia kū'ē antifungal a mākou i kamaʻilio ai i kēia lā, ʻo ia hoʻi ka "Kū'ē Antifungal", he mea ia e pono ai kākou a pau e makaʻala. Ua like ia me ka ʻenemi e hoʻomaʻamaʻa ana i nā mea kaua a mākou e hoʻohana ai.
- E hahai pono i nā ʻōlelo a kāu kauka: E lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai, no ka helu pololei o nā lā a ma ke ʻano kikoʻī. Mai hoʻēmi, hoʻonui, a hoʻōki paha i ka lawe ʻana i ka hapalua.
- Mai hoʻohana pono ʻole i nā lāʻau antibiotic: ʻAʻole kūpono nā lāʻau antibiotic no nā maʻi viral e like me ke anu maʻamau. Mai lawe iā lākou me ka ʻole o ke aʻo a ke kauka.
- E mālama i ka maʻemaʻe: ʻOiai ma kahi haukapila, a i ʻole ke kokoke i kahi kanaka me ka ʻōnaehana pale nāwaliwali, hiki i ka mālama ʻana i ka maʻemaʻe ke pale iā ʻoe mai nā maʻi lele.
- E makaʻala: He mea nui loa ka ʻike ʻana i kēia mau mea a e hoʻonaʻauao aku i nā poʻe ʻē aʻe.
Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i ke kauka. E noho olakino!
ke kū'ē ʻana i ka antifungal, ke kū'ē ʻana i ka antifungal, nā maʻi fungal, nā superbugs, candida auris, ke kū'ē ʻana i nā lāʻau lapaʻau, nā maʻi fungal











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