Ua loaʻa anei iā ʻoe a i ʻole kekahi āu i ʻike ai ka maʻi malaria a ua kuhikuhi ke kauka i kēia lāʻau lapaʻau? A i ʻole makemake ʻoe e ʻike hou aʻe e pili ana i kēia lāʻau lapaʻau? A laila e lilo kēia ʻatikala i mea nui loa iā ʻoe. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Artemether/Lumefantrine, ka mea i hāʻawi pinepine ʻia ma lalo o ka inoa inoa ʻo Coartem ma ko mākou ʻāina, ma nā ʻōlelo maʻalahi.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau lapaʻau?
He lāʻau lapaʻau kūikawā kēia i hāʻawi ʻia e mālama i ka malaria. Ma ke ʻano lapaʻau, he mea ia e pale aku i ka malaria. Ke komo ka parasite malaria i loko o kou kino, kōkua kēia lāʻau lapaʻau e luku i kēlā mau parasite a ho'ōla iā ʻoe. Loaʻa iā ia ka hui pū ʻana o ʻelua mau lāʻau lapaʻau: ʻo Artemether lāua ʻo Lumefantrine. Hana pū kēia mau mea ʻelua e hakakā i ka parasite malaria.
ʻO ka mea nui loa, he lāʻau lapaʻau kēia e hoʻohana wale ʻia ma ke kauoha a ke kauka . Mai hoʻohana i kahi lāʻau lapaʻau āu i manaʻo ai ua hāʻawi ʻia i kekahi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono iā ia ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, mai hūnā iā ia mai kāu kauka.
| Kou kūlana | No ke aha e pono ai iaʻu ke hoʻomaopopo i ke kauka e pili ana i kēia? |
|---|---|
| Maʻi puʻuwai | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka puʻuwai o ka naʻau i kekahi manawa, no laila e akahele loa nā kauka i ka hāʻawi ʻana iā ia i kahi mea me ka maʻi puʻuwai. |
| Maʻi puʻupaʻa | ʻO nā puʻupaʻa ke ala o ke kino e hoʻopau ai i ka lāʻau lapaʻau. Inā loaʻa iā ʻoe nā pilikia puʻupaʻa, pono paha i kāu kauka ke hoʻoponopono i kāu dosage. |
| Maʻi akepaʻa(Maʻi akepaʻa) | Hana ʻia kēia lāʻau lapaʻau i loko o ke kino e ke akepaʻa. Inā loaʻa iā ʻoe ka maʻi akepaʻa, hiki iā ia ke hoʻopilikia i ka hana ʻana o ka lāʻau lapaʻau. |
| Nā maʻi ʻaleka | Inā he mau maʻi ʻaleka kou i kēia lāʻau lapaʻau, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu, e ʻoluʻolu e haʻi mai iā mākou. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai | Hopohopo nui ke kauka e pili ana i ka hoʻohana ʻana i kēia lāʻau lapaʻau i ka wā hāpai, no laila e hoʻomaopopo pono iā ia e pili ana i kēia. |
| ʻO ka lilo ʻana i makuahine hānai | No ka hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma, he mea nui loa i ka makuahine hānai e haʻi aku i kāna kauka . |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
Pehea e lawe ai i ka lāʻau lapaʻau
Pono e lawe ʻia kēia mau papa ma ka waha. ʻOi aku ka maikaʻi o ka lawe ʻana iā lākou me ka ʻai a i ʻole kekahi mea e like me ka waiū . ʻO kēia no ka mea ʻoi aku ka maikaʻi o ka hoʻopili ʻana o ka mea hana i loko o kēia lāʻau lapaʻau, ʻo lumefantrine, e ke kino ke lawe ʻia me ka ʻai momona. No laila, ʻo ka lawe ʻana i ka lāʻau lapaʻau me ka ʻai e hāʻawi iā ʻoe i nā hopena maikaʻi loa.
He mea nui loa: Mai inu i ka wai huaʻai i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i kēia ke hoʻonui i ka nui o ka lāʻau lapaʻau i loko o kou kino me ke kumu ʻole, e hana ana i nā hopena ʻaoʻao.
Inā paʻakikī i nā keiki liʻiliʻi ke ale i nā pila, hiki iā lākou ke kuʻi i ka pila a kāwili me 1-2 punetēpuni wai i loko o kahi pahu maʻemaʻe. Pono e hana ʻia kēia i ka wā e hāʻawi ai i ka lāʻau. Mai hoʻomākaukau mua.
Nā kuhikuhi e hahai ai
- E hoʻopau i ka papa holoʻokoʻa: Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua ʻoi aku kou maikaʻi. E lawe i nā ana āpau e like me ke kauoha a kāu kauka, no ka helu o nā lā. Inā ʻaʻole ʻoe e hana pēlā, e hoʻonui hou ʻia nā parasites i koe i loko o kou kino a e ʻike hou ʻia ka maʻi.
- Inā ʻoe e luaʻi: Inā ʻoe e luaʻi i loko o hoʻokahi hola o ka lawe ʻana i ka lāʻau lapaʻau, e lawe hou i ka mahele like. Inā ʻoe e luaʻi hou i ka lua o ka manawa, e kāhea koke aku i kāu kauka a haʻi iā lākou e pili ana i ia mea.
- Ke hāʻawi ʻia i nā keiki:Hāʻawi ʻia kēia lāʻau lapaʻau i kekahi manawa i nā keiki ma luna o 2 mahina. Eia nō naʻe, pono i kahi kauka lapaʻau ke hoʻoholo i kēia. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki, e kamaʻilio me kāu kauka e pili ana i ia mea.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He ʻāpana koʻikoʻi loa kēia. Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia lāʻau. A hiki i kēia lāʻau ke hoʻopilikia i nā lāʻau lapaʻau ʻē aʻe. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā huahana lāʻau lapaʻau, a me nā mea hoʻohui lāʻau lapaʻau).
| Mai lawe pū me kēia mau mea ʻo Artemether/Lumefantrine! | |
|---|---|
| - Kekahi mau lāʻau lapaʻau e hoʻopilikia ai i ka ʻōʻō o ka puʻuwai (e like me ka dronedarone) | - Kekahi mau antifungals (e.g. ketoconazole) |
| - Nā lāʻau antimalarial ʻē aʻe (e.g. halofantrine) | - Rifampin (he lāʻau lapaʻau no ka maʻi puʻupuʻu) |
| - Carbamazepine, Phenytoin (nā lāʻau lapaʻau no ka maʻi epilepsy) | - ʻO ka wort ʻo St. John (he lāʻau lapaʻau) |
| - Wai ʻāpala | - Pimozide, Thioridazine (nā lāʻau lapaʻau no ka maʻi noʻonoʻo) |
| Inā ʻoe e hoʻohana nei i kēia mau mea, e ʻōlelo pono i kāu kauka. | |
| - Nā lāʻau antiretroviral no ka maʻi HIV a i ʻole AIDS | - Nā lāʻau lapaʻau hormonal, me nā lāʻau hoʻomalu hānau |
| - Nā lāʻau lapaʻau ʻē aʻe e hoʻopilikia ai i ka helu o ka puʻuwai (e hoʻolōʻihi i ka manawa QT) | - Nā lāʻau lapaʻau ʻē aʻe e like me ziprasidone, dofetilide |
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā Hōʻailona: Inā ʻaʻole e hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona, e haʻi i kāu kauka. Eia kekahi, inā ʻike ʻoe i nā hōʻailona e like me ke kuni, nā ʻeha kino, a me ke poʻo ʻeha ma hope o ka pau ʻana o ka lāʻau lapaʻau, e haʻi i kāu kauka . ʻO ke ʻano paha kēia ʻaʻole i holomua loa ka lāʻau.
- Kaohi hānau: He mea nui loa kēia. ʻAʻole paha e maikaʻi nā lāʻau kaohi hānau i ka wā e lawe ana i kēia lāʻau. No laila, inā ʻaʻole ʻoe e hoʻolālā e loaʻa kahi pēpē, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kahi ʻano kaohi hānau hou aʻe, e like me nā condom, i ka wā e lawe ana i kēia lāʻau a no kekahi mau pule ma hope o ka hoʻōki ʻana.
- ʻAi ʻana a me ka luaʻi ʻana: Inā ʻaʻole hiki iā ʻoe ke ʻai pono a inā ʻoe e luaʻi ana ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka . ʻO kēia no ka mea pono ke kino i ka meaʻai e omo ai i ka lāʻau lapaʻau, a inā ʻaʻole hana pono ʻia kēia, hiki ʻole ke hāʻule ka lāʻau lapaʻau.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole nā mea āpau.
| Inā ʻike ʻoe i kēia mau hōʻailona, e ʻike koke i ke kauka. | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Puʻuwai puʻuwai kūpono ʻole | Nā hōʻailona e like me ka paʻa o ka umauma, ka luhi, a me ka pōkole o ka hanu. |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Kuke | ʻEha poʻo |
| Pōʻino | Makemake nui |
| Kuni a i ʻole ke anu | ʻEha ʻiʻo |
| Ka luaʻi, ka luaʻi | Manaʻo nāwaliwali, luhi |
Inā ʻike ʻoe i kekahi mau hōʻailona ʻē aʻe ʻaʻole ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana i kēlā.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki ke loaʻa .
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius). E mālama ʻia mai ka wela nui a me ka makū.
- E hoʻolei i ka lāʻau lapaʻau i pau me ka hoʻohana ʻole ʻana.
Leka Lawe-Home
- E lawe mau i kēia lāʻau lapaʻau me ka ʻai a i ʻole kekahi mea e like me ka waiū . Mai lawe i ka ʻōpū ʻole.
- E hōʻalo i ka inu ʻana i ka wai huaʻai i ka wā e lawe ana i ka lāʻau.
- ʻOiai ke ʻano o kou manaʻo, e lawe i ka nui piha o ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka a hoʻopau iā ia i ka manawa kūpono.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā huaora ʻē aʻe āu e lawe nei.
- Ma muli o ka hiki ke hoʻemi ʻia ka pono o nā pila hoʻomalu hānau i ka wā e lawe ai i kēia lāʻau lapaʻau, e kūkākūkā me kāu kauka e pili ana i kahi ʻano hana hoʻomalu hānau hou aʻe.
- Inā ʻoe e luaʻi i loko o hoʻokahi hola o ka lawe ʻana i ka lāʻau lapaʻau, e lawe hou i ka mahele like. Inā ʻoe e luaʻi hou i ka lua o ka manawa, e ʻimi koke i ke kōkua lapaʻau.
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