Ke ʻike nei ʻoe i ka pōkole o ka hanu a i ʻole ka paʻa ʻana o ka umauma? Ua kuhikuhi ʻia paha kāu keiki i kahi lāʻau lapaʻau e kā lākou kauka no ka maʻi māmā i hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo Cystic Fibrosis (CF). I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā i kapa ʻia ʻo Aztreonam, kahi i hoʻohana ʻia i ia mau hihia a hanu ʻia ma o kahi nebulizer.
He aha ʻo Aztreonam?
I ka ʻōlelo maʻalahi, he ʻano antibiotic ʻo Aztreonam. I ka pololei, he lāʻau lapaʻau ia no ka hui i kapa ʻia ʻo "monobactam antibiotic". ʻO kāna hana nui ka pepehi ʻana i kekahi mau bacteria ʻino i loko o nā māmā o nā maʻi e loaʻa ana i nā maʻi e like me Cystic Fibrosis (CF), e maʻalahi ai ka hanu ʻana.
ʻO ka mea nui e hoʻomanaʻo ai, he lāʻau lapaʻau kēia no nā maʻi bacteria wale nō. ʻAʻole ia e hana no nā maʻi viral e like me ke anu maʻamau a i ʻole ka maʻi flu.
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe i kekahi manawa, no laila inā he mau nīnau kāu e pili ana i kēia, e nīnau i kāu kauka.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka e pili ana i kēia mau mea. Mai hūnā i kekahi mea, no ka mea, ʻo kou palekana ka mea nui loa.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi a i ʻole kahi hopena maʻamau ʻole i ka aztreonam a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Lawe ʻia kēia lāʻau lapaʻau ma ka hanu ʻana iā ia ma o kahi mea hana kūikawā i kapa ʻia he nebulizer. He mea hou paha kēia inoa iā ʻoe.
E noʻonoʻo i kahi nebulizer e like me kahi mīkini liʻiliʻi e hoʻololi i ka lāʻau lapaʻau wai i loko o kahi mahu liʻiliʻi e like me ka noe (aerosol). A laila hiki iā ʻoe ke hanu maʻalahi i ka mahu liʻiliʻi i loko o kou mau māmā ma o kou waha a i ʻole ma o kou waha a me kou ihu. E aʻo maopopo ʻia ʻoe i ke ʻano o ka hoʻohana ʻana i kēia mea ma ka haukapila a i ʻole ke keʻena lapaʻau.
ʻO kekahi o nā mea nui loa:
- E hoʻohana pono e like me ke kauoha: E hahai i ka nui a me ke alapine (pinepine) i kauoha ʻia e kāu kauka. Mai hoʻohana hou a emi mai paha.
- E hoʻopiha i ke kauoha:ʻOiai inā ʻoe e manaʻo nei ua ʻoi aku ka maikaʻi, e lawe i ka lāʻau lapaʻau no ka helu piha o nā lā i kuhikuhi ʻia. Mai hoʻōki i ka lawe ʻana iā ia i ka hapalua. Inā ʻoe e hana pēlā, e hoʻi hou mai paha ka maʻi.
- Inā hāʻawi ʻia i nā keiki: Ua kuhikuhi ʻia kēia lāʻau lapaʻau no nā keiki ma luna o 7 mau makahiki ma lalo o kekahi mau kūlana. Eia nō naʻe, pono ʻoe e kūkākūkā i kēia me kāu pediatrician a hahai pololei i kāna mau kuhikuhi.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka Emergency Treatment Unit (ETU) kokoke loa. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo .
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia aztreonam. Eia kekahi laʻana, hiki ke launa pū me nā pila hoʻomalu hānau .
No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui). Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Nā mea e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
- E hoʻolohe i nā hōʻailona: Inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona, a inā paha e ʻoi aku ka ʻino, e hoʻomaopopo koke i kāu kauka.
- Nā hopena ʻili koʻikoʻi: Hiki ke loaʻa kekahi mau hopena ʻili koʻikoʻi ma hope o kekahi mau pule o ka hoʻohana ʻana i kēia lāʻau lapaʻau. E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kahi ʻulaʻula ʻili me nā hōʻailona e like me ke kuni a i ʻole ke anu. Hiki i kēia mau ʻulaʻula ke lilo i ʻulaʻula a poni paha, a laila pehu a hemo ka ʻili. Eia kekahi, e hopohopo inā ʻike ʻoe i kahi ʻulaʻula me nā ʻōpū lymph pehu ma kou maka, lehelehe, ʻāʻī, a i ʻole nā armpits.
- Ka maʻi kahe: Inā loaʻa iā ʻoe ka maʻi kahe nui a wai e mau ana no nā lā ʻelua a ʻoi, mai hoʻōla ponoʻī me ka lāʻau lapaʻau ma luna o ke kauka. E kāhea i kāu kauka no ka ʻōlelo aʻo.
- Nā hoʻokolohua lapaʻau maʻamau: E hōʻoia e hele i nā hoʻokolohua a me nā keʻena lapaʻau i kuhikuhi ʻia e kāu kauka e nānā i kou kūlana.
Nā hopena ʻaoʻao hiki ke loaʻa o kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. E wehewehe kākou iā lākou.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Inā paʻakikī ka hanu ʻana ma hope o ka hanu ʻana i ka lāʻau lapaʻau. |
| Nā hopena ʻili koʻikoʻi | ʻUlaʻula ka ʻili, ka pehu, ka ʻili ʻana (a hiki i loko o ka waha). |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha a ʻeha paha ka umauma | ʻEha a ʻeha paha ka umauma |
| Kuke | Kuke |
| kuni | kuni |
| ʻeha ka ʻāʻī | ʻeha ka ʻāʻī |
| ʻEha ʻōpū | ʻEha ʻōpū |
| Ka luaʻi ʻana | Ka luaʻi ʻana |
ʻAʻole kēia papa inoa i nā hopena ʻaoʻao āpau . Inā loaʻa iā ʻoe kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e ʻimi i ke kōkua lapaʻau.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki.
- E mālama i loko o ka pahu hau ma kahi mahana ma waena o 2 a me 8 kekelē Celsius (2 a me 8 kekelē C). A i ʻole, hiki ke mālama ʻia ma ka mahana o ka lumi (ma lalo o 25 kekelē Celsius (25 kekelē C)) a hiki i 28 mau lā.
- E pale mai ka mālamalama.
- E pani pono i ke poʻi o ka ʻōmole lāʻau.
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā .
Leka Lawe-Home
- He lāʻau ʻaʻai bacteria ʻo Aztreonam i hanu ʻia ma o kahi nebulizer a hāʻawi ʻia no nā maʻi bacteria.
- Ma mua o ka lawe ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau maʻi āpau a me nā maʻi allergies.
- E hoʻohana i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, no ka manawa piha. Mai ho'ōki i ka lawe ʻana i ka hapalua.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me nā pehu ʻili a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka.
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