Ua ʻike ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai me ka maʻi Tuberculosis (TB) a ua kuhikuhi ʻia ka lāʻau lapaʻau no ia mea e ke kauka? I kēlā manawa, ua hāʻawi ʻia paha iā ʻoe kēia lāʻau i kapa ʻia ʻo (Bedaquiline). He ikaika iki kēia, a he lāʻau lapaʻau ia e pono ai ka nānā kūikawā. No laila, he mea nui loa ia no kou olakino e ʻike pono e pili ana i kēia lāʻau i kapa ʻia ʻo (Bedaquiline). E kamaʻilio kākou e pili ana i kēia me nā kikoʻī, ea?
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He aha kēia lāʻau lapaʻau? He aha ka (Bedaquiline)?
I ka ʻōlelo maʻalahi, ʻo (Bedaquiline) kahi lāʻau lapaʻau i hāʻawi ʻia e mālama i nā maʻi puʻupuʻu (TB) i loko o kou mau māmā. Hoʻohana pinepine ʻia ia no nā hihia paʻakikī o (TB) ke ʻole i holo pono nā lāʻau lapaʻau puʻupuʻu ʻē aʻe. Hiki paha iā ʻoe ke ʻike iā (Sirturo) ma ke ʻano he inoa inoa no kēia lāʻau.
Eia nō naʻe, hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. No laila, inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a i ʻole ke kanaka ma ka hale kūʻai lāʻau lapaʻau.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e hoʻohana i ka (Bedaquiline), he mea nui e haʻi i kāu kauka a i ʻole ka hui lapaʻau e pili ana i kēia mau mea: He mea nui loa kēia no ka mea e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ʻia ai.
- Maʻi puʻuwai : Loaʻa iā ʻoe kekahi maʻi puʻuwai? Ua loaʻa anei iā ʻoe kahi hāʻule puʻuwai ma mua? Inā pēlā, e ʻoluʻolu e haʻi mai iā mākou.
- Puʻuwai puʻuwai kūpono ʻole: Ua loaʻa anei iā ʻoe kahi kūlana kahi i kūpono ʻole ai kou puʻuwai puʻuwai a wikiwiki paha? Pono e haʻi ʻia kēia.
- Nā pae paʻakai koko haʻahaʻa: Ua ʻike mua ʻia ʻoe me nā pae haʻahaʻa o ka calcium, magnesium , a i ʻole potassium i loko o kou koko ?
- HIV a i ʻole AIDS : Ua loaʻa iā ʻoe ka maʻi (HIV) a i ʻole he (AIDS) kāu?
- Ka hoʻohana ʻana i ka waiʻona : Ke inu mau nei ʻoe i ka waiʻona? Inā pēlā, e ʻoluʻolu e haʻi mai.
- Maʻi akepaʻa: Loaʻa iā ʻoe kekahi maʻi akepaʻa? Ua loaʻa iā ʻoe kekahi moʻolelo maʻamau o ka jaundice, a ua haʻi aku paha nā kauka iā ʻoe ua nāwaliwali kou akepaʻa? Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi iā lākou.No ka mea, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke akepaʻa i kekahi manawa.
- Nā maʻi thyroid: Aia kekahi pilikia me ka ʻōpū thyroid?
- Nā maʻi ʻaleka: Loaʻa iā ʻoe kekahi maʻi ʻaleka i ka lāʻau lapaʻau (Bedaquiline), kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā mea hoʻomalu? E haʻi mai iā mākou, ʻoiai inā he mea liʻiliʻi ia.
- Hāpai: Ke hāpai nei ʻoe i kēia manawa? A i ʻole ke manaʻolana nei ʻoe e hāpai?
- Inā he makuahine hānai ʻoe: He makuahine hānai ʻoe?
Inā ʻoe e haʻi mai iaʻu i kēia mau mea me ka hūnā ʻole ʻana, hiki i ke kauka ke mālama iā ʻoe me ka palekana.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea kēia e pono ai ʻoe e ʻike pono. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka.
- Pono ʻoe e lawe i kēia lāʻau lapaʻau me ke aniani wai.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia lāʻau lapaʻau me ka meaʻai. Mai lawe iā ia ma ka ʻōpū ʻole. ʻOi aku ka maikaʻi o ka hoʻopili ʻana o ka lāʻau lapaʻau e ke kino ke lawe ʻia me ka meaʻai.
- E hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma lalo o ka nānā ʻana a kekahi loea mālama ola, e like me ke kauka a kahu maʻi paha.
- E lawe i kāu lāʻau lapaʻau i ka manawa kūpono a me nā wā kūpono. Mai lawe ʻoi aku a emi mai paha ma mua o ka nui a kāu kauka e ʻōlelo ai iā ʻoe e lawe.
- ʻOiai inā ʻoe e manaʻo nei ua ʻoi aku ka maikaʻi, pono ʻoe e hoʻopau i ka papa holoʻokoʻa o ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka. I loko o kahi maʻi e like me ka maʻi puʻupuʻu, he mea weliweli loa ka hoʻōki ʻana i ka lāʻau lapaʻau ke manaʻo ʻoe ua ʻoi aku ka maikaʻi. Inā hana ʻoe pēlā, e hoʻi hou mai paha ka maʻi, a ʻaʻole paha e hana ka lāʻau lapaʻau. No laila, mai hoʻokuʻu i ka lāʻau lapaʻau no kekahi kumu a i ʻole e hoʻōki i ka lawe ʻana ma mua o ka ʻōlelo ʻana a ke kauka iā ʻoe.
ʻIke Kūikawā (MedGuide): I kēlā me kēia manawa āu e loaʻa ai kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa kuhikuhi kūikawā (MedGuide) me ia. Aia i loko ka ʻike koʻikoʻi loa e pili ana i kēia lāʻau lapaʻau. E hōʻoia e heluhelu pono i kēlā me kēia manawa.
Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki liʻiliʻi, e kamaʻilio me kāu kauka lapaʻau e pili ana i ia mea. I kekahi manawa, ma lalo o nā kūlana kūikawā, hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau i nā keiki e like me 5 mau makahiki. Eia nō naʻe, aia kekahi mau mea e makaʻala loa ai.
He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka lumi pilikia o ka haukapila kokoke loa a kāhea aku paha i kahi kikowaena kaohi lāʻau make . Mai hoʻonele i ka manawa.
ʻEkahi mea hou aʻe: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kahi hoaaloha, ʻohana, a i ʻole kekahi mea ʻē aʻe , ʻoiai inā loaʻa iā lākou ke kūlana like me ʻoe. Hana nā lāʻau lapaʻau like ʻole no nā poʻe like ʻole.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
He mea nui loa ka lawe ʻana i kāu lāʻau lapaʻau e like me ke kauoha. Eia kekahi, e hōʻoia e mālama i nā manawa a kāu kauka. Inā ʻaʻole ʻoe e haʻalele i kahi manawa i hoʻonohonoho ʻia a i ʻole ʻaʻole hiki ke lawe i kāu lāʻau lapaʻau i ka manawa kūpono, e kelepona koke i kāu kauka a i ʻole ke kauka olakino. E haʻi lākou iā ʻoe i ka mea e hana ai ma hope.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea nui loa nō hoʻi kēia. Hiki i kēia lāʻau lapaʻau, i kapa ʻia ʻo "Bedaquiline", ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei. Inā hana ʻia kēia, hiki ke hoʻemi ʻia ka pono o kekahi lāʻau lapaʻau, hoʻonui ʻia, a i ʻole e hoʻoulu i nā hopena ʻino.
Mai lawe pū me kēia mau lāʻau lapaʻau:
- ʻAila
- ʻO ka cisapride
- ʻO ka dronedarone
- ʻO ka pimozide
- ʻO ka thioridazine
Eia kekahi, hiki i nā lāʻau lapaʻau ke launa pū me ka (Bedaquiline):
- Nā lāʻau lapaʻau antiviral no ka maʻi HIV a i ʻole AIDS (no ka laʻana, efavirenz)
- ʻO ka trioxide arsenic
- ʻO kekahi mau lāʻau antibiotic (e like me azithromycin, chloroquine, ciprofloxacin, clarithromycin, erythromycin, gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, ofloxacin, pentamidine, rifampin, rifapentine, rifabutin)
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (e like me fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā puʻuwai puʻuwai kūpono ʻole (e like me amiodarone, disopyramide, dofetilide, ibutilide, procainamide, propafenone, quinidine, sotalol)
- ʻO kekahi mau lāʻau lapaʻau no ka nausea (e like me chlorpromazine, droperidol)
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi noʻonoʻo (e like me haloperidol)
- ʻO ka methadone
- ʻO nā lāʻau lapaʻau ʻē aʻe e hoʻolōʻihi i ka 'QT interval' o ka puʻuwai (ʻo ia hoʻi, ke kumu o kahi ʻano hana uila ʻē aʻe i loko o ka puʻuwai)
- ʻO ka ziprasidone
ʻAʻole i piha kēia papa inoa. Nui paha nā lāʻau ʻē aʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe ai (i kauoha ʻia, kūʻai ʻia ma luna o ke kauka, lāʻau lapaʻau, huaora, mea hoʻohui meaʻai - nā mea āpau). Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kēia lāʻau.
He aha kaʻu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
Pono ʻoe e makaʻala iki aku i kou kino i ka wā e lawe ana i ka (Bedaquiline).
- Inā ʻaʻole e hoʻomaikaʻi a i ʻole e ʻoi aku ka ʻino o kāu mau hōʻailona (e like me ke kuʻi, ka hanu pōkole, ke kuni), e haʻi koke aku i kāu kauka.
- Pono ʻoe e ʻike i kāu kauka i nā manawa maʻamau. ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono paha ʻoe e hana i kahi hana koko e nānā i kāu helu koko a me ka hana o ke akepaʻa. Inā haʻi aku kāu kauka iā ʻoe e hana i kēia mau hoʻokolohua, e hana pono.
- Inā he makuahine hānai ʻoe:E kamaʻilio me kāu kauka ma mua o ka hānai ʻana i kāu pēpē i ka wā e lawe ana i kēia lāʻau. Inā ʻoe e hānai ana i ka waiū, e haʻi koke i kāu kauka inā ʻoi aku ka ʻeleʻele o ka mimi o kāu pēpē ma mua o ka maʻamau, a inā ʻoi aku ka māmā o ko lākou mau ʻōpala ma mua o ka maʻamau, a inā paha e melemele ana ko lākou mau maka.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka (Bedaquiline) ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau, akā he mea maikaʻi ke makaʻala iā lākou.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka :
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ke kauka a i ʻole ka haukapila:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo a hives paha, pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo.
- Ke ʻū ʻana i ke koko:
- Nā hōʻailona o kahi loli weliweli o ka helu o ka puʻuwai: ʻeha o ka umauma; poniuniu; manaʻo e like me ka wikiwiki o ka puʻuwai a i ʻole ke kuʻi ʻano ʻole; palpitations; maule, poniuniu; paʻakikī ka hanu ʻana.
- Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa: mimi melemele ʻeleʻele a ʻeleʻele paha; maʻi ʻino, kuni; ʻōpala keʻokeʻo; nalowale o ka makemake; ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū; luhi nui a luhi paha; melemele o nā maka a i ʻole ka ʻili (jaundice).
Nā hopena ʻaoʻao ʻaʻole ia he mea nui, akā inā hoʻomau lākou, pono ʻoe e haʻi i kāu kauka :
ʻAʻole kēia mau mea he mea weliweli, akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:
- ʻEha poʻo (ʻeha poʻo)
- ʻEha hui
- Ka luaʻi
- ʻEha ʻōpū
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e nīnau i kāu kauka e pili ana i ia mea. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma 1-800-FDA-1088 (ʻoiai ʻaʻole pili kēia ma Sri Lanka, no ka makaʻala wale nō). Ma Sri Lanka, ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka.
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kāu lāʻau lapaʻau.
- E mālama i kahi hiki ʻole i nā keiki.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius / 59 a me 86 kekelē Fahrenheit).
- E mālama i kēia lāʻau lapaʻau i loko o ka ʻōmole kumu a i ʻole ka ʻeke i hāʻawi ʻia iā ʻoe.
- E hoʻolei aku i kekahi lāʻau lapaʻau i hala kona lā palena pau.
ʻO ka mea hope loa, ʻo ka mea nui loa
E like me kāu e ʻike ai, he lāʻau lapaʻau ʻo (Bedaquiline) e pono e hoʻohana ʻia me ke akahele. Akā, mai makaʻu. ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā kuhikuhi a kāu kauka. Inā ʻaʻole ʻoe e maopopo i kekahi mea a kānalua paha, e nīnau i kāu kauka a i ʻole ke kanaka ma ka hale kūʻai lāʻau lapaʻau no ka wehewehe ʻana.
He maʻi hiki ke ho'ōla ʻia ka maʻi puʻupuʻu. Akā, pono e lawe i ka lāʻau lapaʻau kūpono no ka manawa kūpono. ʻO kou kākoʻo ka ikaika nui loa e lanakila ai i kēia kaua. Makemake au iā ʻoe e ho'ōla koke!
ʻO Bedaquiline, Tuberculosis, TB, Nā maʻi puʻupaʻa, Lāʻau lapaʻau, Nā hopena ʻaoʻao, Nā ʻōlelo aʻoaʻo olakino, Sirturo
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