Loaʻa iā ʻoe i kekahi manawa nā kiko keʻokeʻo ma kou kino e like me ka ' ʻili hina '? A i ʻole ua luhi ʻoe i kahi pilikia huluhulu e nalowale ʻole ana? Malia paha ua melemele kekahi o kou mau kui lima a i ʻole nā kui wāwae, ua lilo i ʻoʻoleʻa, a ke haki nei. Hiki ke hana ʻia kēia mau mea he nui e kahi meaola liʻiliʻi e noho ana i loko o ko mākou kino, i kapa ʻia he fungus . No laila i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia mau maʻi fungal , a me nā lāʻau lapaʻau i hāʻawi ʻia no lākou, ʻo ia hoʻi nā antifungals .
I ka ʻōlelo maʻalahi, he aha kēia mau antifungals?
ʻO nā antifungals kahi ʻano lāʻau lapaʻau a nā kauka e kuhikuhi ai e mālama i nā maʻi fungal. E like me ka hāʻawi ʻia ʻana o nā antibiotics no kahi maʻi bacteria, hāʻawi ʻia nā antifungals no kahi maʻi fungal. Hana kēia mau lāʻau i ʻelua mau mea.
1. Ke pepehi loa ʻana i ka haʻiki i hoʻoulu ai i ka maʻi.
2. A i ʻole, e hoʻōki ia i ka fungus mai ka ulu ʻana a me ka laha ʻana i loko o ke kino.
Eia nō naʻe, ʻo ka hopena hope loa, ʻo ia ke kōkua i ko mākou kino e hoʻopau i kēlā maʻi fungal.
No laila he aha kēia 'fungus'?
Ma mua o ko kākou kamaʻilio ʻana e pili ana i nā fungicides, e hoʻomaopopo iki kākou i ke ʻano o kēia mau fungi. He mau meaola liʻiliʻi nā fungi i hiki ke loaʻa ma nā wahi āpau o ke kaiapuni a puni mākou. Hiki iā lākou ke hū, ʻōpala, a i ʻole ka hui pū ʻana o nā mea ʻelua. Hoʻoulu hou lākou ma ka hana ʻana i nā spores liʻiliʻi. Hiki ke loaʻa kēia mau spores i loko o ka lepo a i ʻole e lana ana i ka lewa.
E noʻonoʻo e pili ana i ia mea, aia kekahi mau fungi i loko o ko kākou kino. Eia kekahi laʻana, he ʻano hū i kapa ʻia ʻo Candida . Noho kēia mau mea me ka ʻino ʻole ma nā wahi e like me ko kākou ʻili, ka ʻōnaehana hoʻoheheʻe, a me ka vagina i nā wahine. Akā i kekahi manawa, ke nāwaliwali ka ʻōnaehana pale o ko kākou kino a i ʻole no nā kumu ʻē aʻe, hoʻomaka kēia mau fungi e hoʻonui me ka ʻole o ke kaohi. ʻO ia ka manawa e loaʻa ai nā maʻi.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā maʻi fungal?
ʻO ka ʻoiaʻiʻo, hiki i kekahi ke loaʻa i kahi maʻi fungal. ʻO nā mea maʻamau a mākou e ʻike ai a puni mākou, e like me ka ringworm, eczema , a me ka dandruff, ʻaʻole pinepine lākou he mea koʻikoʻi a hiki ke maʻalahi ke mālama ʻia.
Eia nō naʻe, no kekahi poʻe, hiki i kēia mau maʻi fungal ke lilo i mea weliweli loa. ʻO ia ka poʻe me nā ʻōnaehana pale kino nāwaliwali.He paʻakikī i ko lākou kino ke kūʻē i kahi maʻi fungal liʻiliʻi. Kāhea mākou i kēia ʻano maʻi he "mau maʻi kūpono." ʻO ia hoʻi, nā maʻi e hoʻohana pono ana i ka nāwaliwali o ke kino a laha a nui. ʻO ka poʻe i pilikia:
- Nā kānaka me ka maʻi AIDS .
- ʻO nā kānaka me nā maʻi autoimmune e like me lupus.
- Nā poʻe maʻi kanesa (ʻoi aku ka poʻe e hana ana i ka chemotherapy).
- ʻO ka poʻe i loaʻa i nā hoʻoili kino.
- ʻO ka poʻe i loaʻa i nā hoʻoili iwi iwi (nā hoʻoili cell stem).
ʻO kekahi maʻi fungal e like me kēia hiki ke hoʻoweliweli i ke ola, no laila pono ʻoe e makaʻala loa.
He aha nā maʻi maʻamau a koʻikoʻi hoʻi i mālama ʻia me nā antifungals?
He ākea loa ka laulā o nā maʻi e hiki ke mālama ʻia me nā antifungals. Loaʻa lākou mai nā maʻi ʻili liʻiliʻi a hiki i nā maʻi e hoʻopilikia ana i ka lolo. E hoʻokaʻawale kākou i kēia i ʻelua mau ʻano.
| Nā maʻi fungal maʻamau i waena o mākou | |
|---|---|
| Inoa o ka maʻi | He wehewehe maʻalahi |
| Ka wāwae ʻāpā, ka ʻūmiʻi Jock, ka Ringworm | E like me kā mākou e ʻike nei, ʻo kēia ka mea i kapa ʻia ʻo "eczema". Loaʻa ia ma nā pōʻai ma nā wāwae, ka ʻūhā, a me nā ʻāpana like ʻole o ka ʻili, me ka hele pū ʻana me ka maneʻo. |
| Dandruff | Hoʻokumu ʻia ka dandruff e kahi maʻi fungal o ke poʻo. I ka lāʻau lapaʻau, ua kapa ʻia kēia ʻo Seborrheic Dermatitis . |
| ʻO ka fungus kui | Hōʻike nā kui i nā hōʻailona e like me ke kala ʻana o ka melemele/ʻeleʻele, ka mānoanoa, a me ka haki maʻalahi. He lōʻihi ka manawa e ho'ōla ai. |
| ʻO ka maʻi thrush / kandidiasis esophageal | He maʻi hū ma ka waha, ka ʻāʻī, a i ʻole ka esophagus. Hoʻoulu ia i kahi uhi keʻokeʻo a pipili i loko o ka waha. He mea maʻamau ia i waena o nā keiki ʻōpio. |
| ʻO ka maʻi hū vaginal | ʻO nā hōʻailona o kēia maʻi e komo pū ana me ka maneʻo, ka wela, a me ka hoʻokahe keʻokeʻo mai ka vagina i nā wahine. |
Ma waho aʻe o kēia mau mea, hiki i kekahi mau maʻi fungal ke hoʻopilikia i nā ʻōpū o loko o ke kino, e hana ana i nā kūlana koʻikoʻi.
| ʻO nā maʻi fungal koʻikoʻi loa a hopohopo hoʻi | |
|---|---|
| Hoʻopilikia ʻia ka ʻōnaehana kino | Nā Laʻana |
| Nā maʻi puʻupaʻa | ʻO ka Aspergillosis, ka maʻi pneumonia Pneumocystis, ke kuni awāwa |
| Nā maʻi i lawe ʻia e ke koko | Candidemia (maʻi hū i loko o ke koko) |
| Nā maʻi e pili ana i ka lolo | ʻO ka Meningitis (hiki i ka meningitis ke hana ʻia e ka fungi) |
| Nā maʻi maka | ʻO ka maʻi histoplasmosis maka |
| Nā maʻi sinus | ʻO ka rhinosinusitis |
Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?
ʻAʻole like nā lāʻau antifungal a pau. Ua māhele ʻia lākou i kekahi mau ʻano nui e pili ana i kā lākou hana. E koho kāu kauka i ka lāʻau lapaʻau kūpono loa e pili ana i ke ʻano o ka maʻi āu i loaʻa ai, kona koʻikoʻi, a me kou olakino. E nānā koke kākou i ʻekolu mau ʻano nui.
- ʻAzoles: He mau fungicides synthetic kēia. Hana lākou ma ke kāohi ʻana i ka hana ʻana o kahi enzyme e pono ai no nā cell fungal. ʻO ke ʻano kēia, ʻaʻole hiki i ka fungus ke ulu a hana hou paha. Ua like ia me ka pepehi ʻana i kahi bass e pono ai ke kūkulu hale. Laʻana: `Fluconazole (Diflucan®)`.
- ʻEchinocandins: He hanauna hou kēia o nā lāʻau lapaʻau. Hana lākou ma ka hoʻouka pololei ʻana i ka paia o ke kelepona o ka fungus. E like me ka wā e wāwahi ai ʻoe i kahi paia i loko o kahi hale, ʻaʻole hiki ke noho i loko, ke hōʻino ʻia ka paia, ua luku ʻia ke kelepona fungal. Laʻana: `Micafungin (Mycamine®)`.
- ʻO Polyenes: He mau antifungal kūlohelohe kēia. Hana lākou ma ka hoʻopili ʻana i ka membrane waho o ke kelepona fungal a hana i nā lua i loko. ʻAe kēia i nā mea nui i loko o ke kelepona e kahe i waho a make ke kelepona. Laʻana: `Nystatin (Bio-Statin®)`.
ʻO ka mea nui loa, ʻo ia ke hoʻoholo kāu kauka i ka lāʻau lapaʻau kūpono iā ʻoe a me ka lōʻihi o kou lawe ʻana. Mai hoʻohana i kahi lāʻau lapaʻau a kekahi i kūʻai mai ai me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau.
He aha nā ala e loaʻa ai nā lāʻau antifungal?
Loaʻa kēia mau lāʻau lapaʻau i nā ʻano like ʻole, ma muli o ka wahi a me ke koʻikoʻi o ka maʻi.
- ʻĀpana: Loaʻa kēia mau mea ma ke ʻano o nā kirīmi, nā ʻaila poni, nā gels, nā lotions, a me nā sprays. Hoʻohana pinepine ʻia kēia mau mea no nā maʻi ʻili a me nā kui.
- Nā lāʻau lapaʻau waha: Loaʻa kēia ma ke ʻano o nā pila a i ʻole nā wai. Hāʻawi ʻia lākou no nā maʻi ʻili i laha i nā wahi ʻē aʻe, e like me nā kui a me ka lauoho.
- Nā inikini/IV: Hāʻawi ʻia kēia mau lāʻau lapaʻau ma o ka intravenous (IV) a i ʻole he inikini no nā maʻi koʻikoʻi a ʻōnaehana kino. Hāʻawi ʻia kēia mau mea ma kahi haukapila.
- Nā suppositories vaginal: Hoʻohana ʻia kēia mau mea e mālama i nā maʻi hū vaginal.
ʻOiai hiki iā ʻoe ke kūʻai i nā mea e like me kekahi mau kirīmi mai kahi hale kūʻai lāʻau lapaʻau me ka ʻole o ke kauoha a ke kauka (Over-the-Counter - OTC), inā hoʻomau ka pilikia a i ʻole pinepine ʻia, pono ʻoe e ʻike i ke kauka.
Aia kekahi mau hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i nā antifungal ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. ʻOkoʻa nō hoʻi lākou ma muli o ke ʻano o ka lāʻau a me ka nui o ka lāʻau.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao maʻamau | ʻEha ʻōpū, nausea, kahe koko, maneʻo o ka ʻili, mumū ma kahi i hoʻopili ʻia ai ka lāʻau lapaʻau, a me nā ʻulaʻula o ka ʻili. |
| Nā hopena ʻaoʻao kākaʻikahi, akā koʻikoʻi |
|
| I ka manawa e pono ai ʻoe e ʻike koke i ke kauka | |
| Inā loaʻa iā ʻoe kekahi o nā hopena ʻaoʻao koʻikoʻi i ʻōlelo ʻia ma luna nei, e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a e ʻike koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa. | |
He aha ke ʻano o ka lilo ʻana o nā fungi i 'kū'ē' i nā lāʻau lapaʻau? (Antifungal Resistance)
ʻO kēia kekahi o nā kumuhana koʻikoʻi a mākou e kamaʻilio nei i kēia lā. ʻO ke Kūʻē Antifungal ka wā e kūpaʻa ai kahi fungus i kahi lāʻau antifungal kikoʻī. I ka ʻōlelo maʻalahi, ua 'hoʻopili' ka fungus i kēlā lāʻau, a ua 'ikaika' ma mua o ka lāʻau. A laila, ʻaʻole hiki i kēlā lāʻau ke pepehi hou i ka fungus.
Aia kekahi mau kumu nui no ke kumu o kēia:
- Ke hoʻōki ʻana i ka lāʻau lapaʻau ma mua o ka hoʻopau ʻana i ka manawa i kuhikuhi ʻia: ʻO ka hewa nui loa, ʻo ia ke hoʻōki i ka lāʻau lapaʻau i ka wā e ʻoluʻolu iki ai ʻoe. Hoʻopau kēia i nā fungi ikaika loa ʻaʻole i make loa a hoʻololi i ka lāʻau lapaʻau.
- ʻAʻole lawe i ka nui kūpono: ʻO ka lawe ʻole ʻana i ka lāʻau lapaʻau i ka manawa kūpono a i ʻole ka haʻalele ʻana i nā nui hiki ke alakaʻi i ka lawa ʻole o ka nui o ka lāʻau i loko o ke kino, e hoʻonui ana i ke kū'ē ʻana o nā fungi.
- Ka hoʻohana pono ʻole ʻana i nā antifungals: I kekahi manawa, hoʻopili ʻia nā kirīmi antifungal i kahi mea ʻaʻole he maʻi fungal. Hiki i kēia ke hōʻike i ka fungus i kēlā mau lāʻau lapaʻau a lilo ia i mea kūʻē iā lākou.
Inā lilo ka haʻiki i kūpaʻa i ka lāʻau lapaʻau, lilo ia i mea paʻakikī loa ke ho'ōla i ka maʻi. I kekahi manawa, pono ʻoe e hāʻawi i nā lāʻau ikaika me nā hopena ʻaoʻao hou aʻe. No laila, he mea nui loa ia no kou olakino a me ke olakino o ke kaiāulu holoʻokoʻa e lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, ma ka nui kūpono a no ka manawa kūpono.
Leka Lawe-Home
- He ʻano lāʻau lapaʻau nā antifungal e mālama ai i nā maʻi fungal. Hoʻopau lākou i nā fungi a hoʻōki paha iā lākou mai ka ulu ʻana.
- Hiki i nā maʻi ke ʻano like ʻole mai nā ʻulaʻula ʻili maʻamau a me nā hives i nā kūlana koʻikoʻi e hoʻopilikia ana i ke koko a me nā māmā.
- Loaʻa nā ʻano antifungal like ʻole, e like me nā kirīmi, nā pila, a me nā inikini. Na kāu kauka e hoʻoholo i ka mea kūpono loa iā ʻoe.
- ʻO ka mea nui loa: E lawe i ka nui piha o ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka no ka manawa piha. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua ʻoi aku kou maikaʻi. He mea nui loa kēia e pale aku i ka lilo ʻana o ka fungus i kūpaʻa i ka lāʻau lapaʻau (ke kū'ē ʻana i ka antifungal).
- Inā loaʻa iā ʻoe kahi hopena koʻikoʻi (melemele o ka ʻili, paʻakikī ka hanu ʻana, pehu ʻili) i ka wā e lawe ana i ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
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