Malia paha ua pono ʻoe a i ʻole kekahi o kou ʻohana e hoʻokomo ʻia i ka haukapila ma muli o kahi maʻi malaria koʻikoʻi. He lāʻau koʻikoʻi loa ʻo Artesunate a ikaika hoʻi e hoʻohana ai nā kauka e hoʻopakele i nā ola i nā manawa e like me kēia. Hāʻawi ʻia ia ma ke ʻano he injection ma o kahi vein (intravenously). No laila i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau, pehea e hana ai, a me nā mea āu e pono ai e makaʻala.
He aha maoli ka artesunate?
I ka ʻōlelo maʻalahi, he lāʻau ikaika loa ʻo Artesunate i hoʻohana ʻia no ka mālama ʻana i ka malaria. ʻO ia ka lāʻau nui i hāʻawi ʻia i ka wā e lilo ai ka malaria i mea koʻikoʻi a hoʻomaka e hoʻopilikia i nā ʻōpū nui e like me ka lolo a me nā puʻupaʻa (malaria koʻikoʻi). Hoʻomalu ia i ka maʻi ma ka luku ʻana i nā parasites malaria i loko o ke kino.
ʻO ka mea nui loa, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi wale ʻia ka inikini artesunate ma kahi haukapila, ma lalo o ka nānā ʻana o ke kauka.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i ka lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka a i ʻole nā limahana kahu maʻi i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi i kēia mau mea:
- Nā Allergies: E haʻi mai iā mākou inā he mau allergies kou i ka Artesunate a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai: Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, e ʻoluʻolu e hoʻomaopopo mai iā mākou.
- Inā he makuahine hānai ʻoe: Inā he makuahine hānai ʻoe, pono ʻoe e haʻi i kēlā.
- Nā kūlana olakino ʻē aʻe: E haʻi i kāu kauka e pili ana i kekahi akepaʻa, puʻupaʻa, a i ʻole nā kūlana olakino ʻē aʻe āu.
Ma muli o kēia ʻike, e hoʻoholo ke kime lapaʻau inā e hāʻawi iā ʻoe i kēia lāʻau lapaʻau a pehea e hāʻawi ai.
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
He inikini kēia i hāʻawi ʻia i loko o kahi aʻa. ʻO ia hoʻi, hāʻawi ʻia ia ma ke ʻano he IV (intravenous). Hana ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha i aʻo ʻia. E hāʻawi ʻia kēia inikini iā ʻoe e like me ka nui a me ka papa kuhikuhi i kuhikuhi ʻia e ke kauka.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio, e hoʻoholo ma hope o ke kamaʻilio ʻana me ke kauka pediatric, no ka mea, aia kekahi mau mea e makaʻala nui ai.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, e haʻi koke aku i ke kauka a i ʻole ke kahu maʻi. Ma ke ʻano laulā, i ka wā e loaʻa ai ka lāʻau make, ʻo ke Kikowaena ʻIke Lahui no nā Lāʻau Make ma ka Halemai Lahui ʻo ColomboHiki iā ʻoe ke kelepona a loaʻa ka ʻōlelo aʻoaʻo. Akā ma kahi haukapila e like me kēia, inā hana ʻia kekahi mea ʻē aʻe, pono ʻoe e hoʻomaopopo pololei i ka hui e mālama nei iā ʻoe.
He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma ka haukapila, e hōʻoia ka limahana lapaʻau e hāʻawi ʻia nā lāʻau i ka manawa kūpono. No laila, ʻaʻole pono ʻoe e hopohopo no kēlā. Eia nō naʻe, inā no kekahi kumu ʻaʻole hiki iā ʻoe ke loaʻa ka lāʻau pale i ka manawa kūpono, e haʻi i ke kauka a i ʻole ke kahu maʻi.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me ka artesunate
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana ʻana o Artesunate. No laila, he mea nui loa ia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Hoʻokomo pū kēia i nā lāʻau lapaʻau ma luna o ke kauka, nā huaora, a me nā lāʻau lapaʻau kuʻuna (e like me nā decoctions a me nā pila).
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| ʻO kekahi mau lāʻau anticancer | axitinib, imatinib, vandetanib |
| Nā lāʻau lapaʻau no ka hopu ʻana | carbamazepine, phenytoin |
| ʻO kekahi mau lāʻau lapaʻau HIV | nevirapine, ritonavir |
| Nā lāʻau lapaʻau ʻē aʻe | diclofenac, rifampin |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, inā ʻoe e puhipaka, a inā ʻoe e inu waiʻona.
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
E nānā pono ke kime lapaʻau i kou kūlana i ka manawa a pau e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe.
ʻO ke ʻano kūikawā, e nānā i ka helu o kāu mau hunaola koko ʻulaʻula (hemoglobin), ka hana o ke akepaʻa a me nā puʻupaʻa.Pono paha ʻoe e hana i nā mea e like me nā hoʻāʻo koko. He mea maʻamau kēia.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Artesunate ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o kēia mau mea, ʻaʻole koʻikoʻi kekahi. ʻO ka mea nui loa, ʻo ia ke hoʻomaopopo koke i kāu kauka a kahu maʻi paha inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka/kahu hānai | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo a i ʻole ka maka. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, ka ʻū ʻana o ka umauma. |
| Nā hōʻailona o ka hōʻino ʻana o ka puʻupaʻa | Hoʻololi i ke alapine (frequency) a i ʻole ka nui o ka mimi ʻana, paʻakikī i ka mimi ʻana. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Melemele o nā maka a i ʻole ka ʻili, ka mimi melemele/ʻeleʻele, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ka luaʻi, ka nalowale o ka makemake e ʻai. |
| Anemia | Luhi/luhi maʻamau ʻole, poniuniu, pōkole o ka hanu (hiki ke hana i kēia i nā pule he nui ma hope o ka lawe ʻana i ka lāʻau lapaʻau). |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia inā hoʻomau lākou | |
|---|---|
| Kuke | Ka luaʻi ʻana |
| ʻeha ka ʻōpū | Ka loli ʻana o ka ʻono i loko o ka waha |
| Ka maʻi pākī | ʻEha poʻo |
| Pōʻino | Ke lohe nei i ke kani ʻana i nā pepeiao |
| kuni | |
Inā ʻike ʻoe i kahi mea ʻē aʻe ʻaʻole ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He inikini ikaika loa ka Artesunate i hāʻawi wale ʻia ma ka haukapila no nā hihia malaria koʻikoʻi.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kāu mau maʻi allergies āpau, ka hāpai ʻana, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- I ka wā o ka mālama ʻana, hiki ke hana ʻia nā hoʻāʻo koko e nānā i kou ake, nā puʻupaʻa, a me nā hunaola koko.
- E hoʻomaopopo koke i nā limahana lapaʻau inā pilikia ʻoe i ka hanu ʻana, melemele o ka ʻili/maka, nā loli i ka mimi ʻana, a i ʻole nā hōʻailona o kahi maʻi alerika koʻikoʻi.
- ʻAʻole manaʻo ʻia kēia lāʻau lapaʻau e lawe ʻia i ka home no ka hoʻohana ʻana a i ʻole e kaʻana like ʻia me nā poʻe ʻē aʻe.
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