Loaʻa paha iā ʻoe nā ʻōpū ʻōpū , kahi a ke kauka i haʻi aku ai ua hana ʻia e kahi bacteria i kapa ʻia ʻo H. pylori . No laila i kēia lā e kamaʻilio mākou e pili ana i kahi hui kūikawā o nā lāʻau lapaʻau i hāʻawi ʻia e pepehi i kēia bacteria. ʻEkolu ʻano lāʻau lapaʻau i loko o kēia. No laila aia kekahi mau mea e makaʻala ai i ka wā e hoʻohana ai i kēia. E nānā pono kākou iā ia.
He aha kēia lāʻau lapaʻau? (He aha kēia lāʻau lapaʻau?)
I ka ʻōlelo maʻalahi, hoʻohana ʻia kēia hui pū ʻana o ʻekolu mau lāʻau lapaʻau, ʻo Bismuth Subsalicylate , Metronidazole, a me Tetracycline , e mālama i nā ʻōpū ma kou ʻōpū a i ʻole ka ʻōpū liʻiliʻi. Hoʻokumu pinepine ʻia kēia mau ʻōpū e kahi bacteria i kapa ʻia ʻo H. pylori. Hana kēia hui pū ʻana ma ka pepehi ʻana a i ʻole ke kāohi ʻana i ka ulu ʻana o nā bacteria. Loaʻa iā ia kahi salicylate , kahi antibiotic i kapa ʻia ʻo tetracycline, a me kekahi antibiotic i kapa ʻia ʻo metronidazole. Ua lohe paha ʻoe iā ia ma lalo o ka inoa inoa ʻo Helidac. Hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā kumu ʻē aʻe. Inā he mau nīnau kāu e pili ana i ia mea, e nīnau i kāu kauka a mea kūʻai lāʻau paha .
He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana. He mea nui loa kēia mau mea:
- Inā loaʻa iā ʻoe kahi maʻi genetic kakaikahi e like me ka maʻi Cockayne.
- Inā ua loaʻa iā ʻoe kahi maʻi koko ma mua, no ka laʻana, ka anemia cell sickle, anemia, a i ʻole leukemia.
- Inā he mea inu mau ʻoe.
- Inā loaʻa iā ʻoe kahi maʻi i kēia manawa, ʻoi aku ka maʻi viral, e like me ka moa, nā ʻeha anu, a i ʻole ka herpes.
- Inā he puʻuwai kūpono ʻole kou a i ʻole kekahi pilikia puʻuwai ʻē aʻe.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Inā ua haʻi ʻia iā ʻoe he haʻahaʻa kou helu o nā hunaola koko.
- Inā ua loaʻa iā ʻoe kekahi lāʻau pale i kēia manawa koke nei, a i ʻole ke hoʻolālā nei e loaʻa i hoʻokahi i ka wā e hiki mai ana.
- Inā loaʻa iā ʻoe nā ʻōʻō.
- Inā he numbness kou i kou mau lālā a i ʻole kekahi maʻi nerve ʻē aʻe.
- Inā loaʻa iā ʻoe kahi hopena maʻi i nā mea hoʻohui i loko o kēia mau lāʻau lapaʻau (bismuth subsalicylate), (metronidazole), (tetracycline), a i ʻole i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
He mea nui loa no kou palekana e hoʻomaopopo i kāu kauka e pili ana i kēia mau mea.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
Pono e lawe ʻia kēia lāʻau lapaʻau me ke kīʻaha wai piha. ʻOi aku ka maikaʻi o ka lawe ʻana i ka manawa like i kēlā me kēia lā, e like me ke kuhikuhi ʻana ma ka lepili lāʻau. Mai hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. He mea nui e lawe i ka lāʻau lapaʻau no ka papa holoʻokoʻa o ka lāʻau lapaʻau, ʻoiai inā ʻoe e manaʻo nei ua maikaʻi aʻe.
Eia kekahi, inā ʻoe e lawe ana i nā huahana ʻē aʻe i loaʻa ka `(aluminum)`, `(calcium)`, `(iron)`, `(magnesium)` a i ʻole `(zinc)` (e.g. `antacids`, kekahi mau huaora), mai lawe iā lākou i ka manawa like me kēia lāʻau lapaʻau. ʻO ia hoʻi, e lawe i nā mea ʻē aʻe i kekahi mau hola ma mua a ma hope paha o ka lawe ʻana i kēia lāʻau lapaʻau. Inā makemake ʻoe i ka ʻike hou aku e pili ana i kēia, e nīnau i kāu kauka.
Mea nui: ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki. No laila, mai hāʻawi aku i kāu mau keiki.
He aha inā lawe nui ʻoe i ka lāʻau lapaʻau? Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka lumi pilikia o ka haukapila kokoke loa, a i ʻole e kelepona i kahi kikowaena kaohi lāʻau make.
ʻEkahi mea hou aʻe: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi aku i kekahi no kekahi kumu , ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, 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 i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea nui loa kēia. Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke hoʻopilikia i ka wā e lawe ʻia ai me kēia lāʻau.
Nā mea āu e pono ʻole ai e lawe pū me kēia lāʻau lapaʻau:
Inā ʻoe e hoʻohana nei i nā lāʻau lapaʻau ma lalo nei, mai lawe i kēia hui pū ʻana `(Bismuth Subsalicylate; Metronidazole; Tetracycline)`:
- ʻAcitretin
- ʻO ka waiʻona a i ʻole kekahi huahana i loaʻa ka waiʻona (hiki i kekahi mau syrup a me nā holoi waha ke loaʻa pū ka waiʻona)
- ʻO Cisapride
- ʻO Disulfiram
- `(Dronedarone)`
- ʻO ke Ketorolac
- `(Pimozide)`
- `(Probenecid)`
- `(Thioridazine)`
ʻO nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau:
Eia kekahi, hiki i kēia mau mea ke launa pū me kēia lāʻau lapaʻau:
- ʻO nā antacids, nā huaora, a i ʻole nā huahana ʻē aʻe i loaʻa ka alumini, calcium, hao, magnesium, a zinc paha (ua kamaʻilio mua mākou e pili ana i ka wā e lawe ai i kēia mau mea, ʻeā?)
- `(Busulfan)`
- ʻO kekahi mau lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko, no ka laʻana `(warfarin)`
- ʻO Cimetidine
- ʻO nā hormones Estrogen a i ʻole progestin (e like me nā pila hoʻomalu hānau)
- `(Lithium)`
- Nā lāʻau lapaʻau ʻē aʻe e hoʻopilikia ai i ka ʻōpū o ka puʻuwai
- `(Phenobarbital)`
- `(Phenytoin)`
ʻAʻole paha i hoʻokomo ʻia nā mea āpau ma kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (Kauka Deepua, over-the-counter), nā huahana lāʻau lapaʻau, nā huaora, a me nā mea hoʻohui meaʻai āu e hoʻohana ai, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau?
- Inā ʻaʻole e hoʻomaikaʻi kou mau ʻōuli, a inā paha e ʻoi aku ka ʻino, e haʻi koke aku i kāu kauka.
- Inā loaʻa iā ʻoe ka maʻi diarrhea, mai kūʻai wale i ka lāʻau lapaʻau mai ka hale kūʻai lāʻau a lawe. Inā loaʻa iā ʻoe ka maʻi diarrhea no nā lā ʻelua a ʻoi aku paha, a inā he koʻikoʻi a wai ka maʻi diarrhea, e kamaʻilio me kāu kauka.
- ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, e lilo paha kou ʻili i mea ʻoi aku ka maʻalahi i ka lā. ʻO ke ʻano kēia e ʻulaʻula kou ʻili a ʻā koke i ka wā e noho ana ʻoe i ka lā ma mua o ka wā ma mua. No laila e makaʻala i ka lā ikaika e like me ka hiki. Inā ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi ana i kou ʻili, a e hoʻohana i kahi 'sunscreen' maikaʻi. ʻO ka hoʻohana ʻana i nā 'kukui lā' e like me ia a me ka hele ʻana i nā 'moena tanning' ʻaʻole ia he manaʻo maikaʻi i kēia manawa.
- Inā ʻoe e hoʻohana ana i nā hormones estrogen a/a i ʻole progestin (e like me nā pila hoʻomalu hānau) no ka hoʻomalu hānau ʻana, hiki ke hoʻemi ʻia ka pono o kēlā mau hormones i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, ʻoi aku ka maikaʻi o ka hoʻohana ʻana i kekahi ʻano hoʻomalu hānau ʻē aʻe, e like me ka condom a i ʻole diaphragm, i ka wā e lawe ana i kēia lāʻau lapaʻau a no kekahi mau lā ma hope. E kamaʻilio me kāu kauka e pili ana i kēia.
- Loaʻa paha i kekahi mau huahana ka waiʻona. E nīnau i kāu kauka a kauka lāʻau paha inā loaʻa ka waiʻona i ka lāʻau āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau, e like me `(Metronidazole)` (i hoʻokomo ʻia i loko o kēia lāʻau lapaʻau) a me `(Disulfiram)`, ke hana i kahi hopena ʻoluʻolu ʻole ke lawe ʻia me ka waiʻona. Hiki iā ʻoe ke ʻike i ka ʻulaʻula, ka ʻeha poʻo, ka nausea, ka luaʻi ʻana, ka hou ʻana, a me ka make wai nui. Hiki i kēia hopena ke mau mai 30 mau minuke a i kekahi mau hola. No laila, e pale i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka āpau.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
Inā loaʻa iā ʻoe kekahi mea e like me kēia, e haʻi koke aku i kāu kauka:
- Nā hopena maʻi: ka ʻili ʻana, ka maneʻo, nā hives (nā hives nui), ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu.
- ʻO ka poniuniu, me he mea lā e nalowale ana kou kaulike i ka wā e hele ana, ka huikau, ka paʻakikī i ka ʻōlelo ʻana.
- ʻEha poʻo nui e like me ke kaomi nui a puni ka lolo, ʻike maka pohihihi, loli i ka ʻike, nausea, a me ka luaʻi.
- ʻEha, mae wale, a nalowale paha ka manaʻo ma nā lālā, nāwaliwali o nā ʻiʻo, paʻakikī i ka hele wāwae, nalowale ke kaulike.
- Ka ʻulaʻula o ka ʻili, ke kuni, a me nā ʻōpuʻu lymph pehu.
- ʻUlaʻula o ka ʻili, pehu, ʻili o ka ʻili, nā ʻeha i loko o ka waha.
- Nā ʻōʻili.
- Ka maʻi pākī nui, ke kuni.
- Hiki i nā wāhine ke loaʻa i ke kahe ʻana o ka ʻōpū ma ke ʻano ʻē, ka maneʻo, a i ʻole kahi ʻala pilau.
Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻomau lākou:
ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:
- Nā ʻōpala ʻeleʻele (hiki ke hana ʻia e ka bismuth, akā ʻaʻole ia he mea weliweli).
- Ka hoʻololi ʻana o ke ʻano o nā niho.
- Alelo ʻeleʻele a ʻeleʻele paha.
- Ka maʻi kahe (ke ʻole he koʻikoʻi).
- Ke manaʻo nei i kahi ʻono metala i loko o ka waha.
- Ka luaʻi.
- ʻIke i ka mālamalama (e like me ka mea i ʻōlelo ʻia ma mua, e makaʻala i ka wā e hele ai i waho i ka lā).
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.
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona .
- E mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius, ma waena o 68 a me 77 kekelē Fahrenheit).
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā (ua hala ka "lā pau"), e hoʻolei aku iā lākou.
Pehea e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i pau paha ka lāʻau?
- Inā hiki, e hāʻawi i kēia lāʻau lapaʻau i kahi wahi i loaʻa kahi "papahana lawe-hoʻihoʻi lāʻau lapaʻau." Hiki iā ʻoe ke nīnau i kāu hale kūʻai lāʻau lapaʻau a i ʻole nā mākaʻi e pili ana i ia mau wahi.
- Inā ʻaʻole hiki kēlā, e nānā i ka lepili ma ka pūʻolo lāʻau lapaʻau e ʻike ai inā pono e hoʻolei ʻia i loko o ka ʻōpala a hoʻolei ʻia paha i loko o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka a kauka lāʻau paha.
- Inā ʻōlelo ʻia he palekana ke hoʻolei i loko o ka ʻōpala, e lawe i ka lāʻau lapaʻau mai loko mai o ka ʻōmole a i ʻole ka ʻeke, e kāwili me kahi mea e like me ka ʻōpala pōpoki, ka lepo, a i ʻole ka ʻōpala kope i wili ʻia, e hoʻokomo i ka hui ʻana i loko o kahi ʻeke a i ʻole pahu, e sila pono, a laila e hoʻolei i loko o ka ʻōpala.
ʻO ka mea nui loa āu e hoʻomanaʻo ai, ʻo ia
ʻAe, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:
Hoʻohana ʻia kēia hui pū ʻana o nā lāʻau lapaʻau `(Bismuth Subsalicylate; Metronidazole; Tetracycline)` e mālama i nā ʻōpū ʻōpū i hoʻokumu ʻia e ka bacteria `(H. pylori)`. He mea nui loa ia e lawe i kēia lāʻau lapaʻau no ka manawa piha e like me ke kauoha a kāu kauka. Mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a i ʻole nā maʻi ʻē aʻe āu e loaʻa nei. E makaʻala i nā hopena ʻaoʻao a haʻi i kāu kauka inā loaʻa iā ʻoe kekahi pilikia. E pale i ka lawe ʻana i kēia lāʻau lapaʻau me ka waiʻona.
He hōʻuluʻulu manaʻo wale nō kēia pepa ʻike. ʻAʻole paha i loko nā kikoʻī āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole ka mea mālama ola kino.
H. pylori, nā ʻōpū ʻōpū, bismuth subsalicylate, metronidazole, tetracycline, Helidac, nā hopena ʻaoʻao o ka lāʻau lapaʻau, nā pilina lāʻau
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