Ke paʻakikī nei ʻoe i ka hanu ʻana, a i ʻole e like me kā mākou e ʻike nei, ka hānō? I kēlā manawa, ua hāʻawi paha ke kauka iā ʻoe i kahi lāʻau lapaʻau e nebulize. ʻO kekahi o nā lāʻau lapaʻau i kuhikuhi pinepine ʻia a koʻikoʻi loa ʻo Budesonide. Malia paha ke hoʻohana nei ʻoe i kēia, a i ʻole kekahi o kou ʻohana, he keiki liʻiliʻi, ke hoʻohana nei. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, pehea e hoʻohana pono ai, nā mea e makaʻala ai, a me nā hopena ʻaoʻao, ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau lapaʻau i kapa ʻia ʻo Budesonide?
He lāʻau lapaʻau ʻo Budesonide e kōkua ana i ka pale ʻana a me ka kaohi ʻana i kāu mau hōʻailona hānō. Hana ia ma ka hōʻemi ʻana i ka pehu a me ka mumū i loko o nā ala ea e alakaʻi ana i kou mau māmā. ʻAe kēia i kou mau ala ea e ākea iki, e maʻalahi ai ka hanu ʻana.
No loko kēia lāʻau lapaʻau i kahi hui o nā lāʻau lapaʻau i kapa ʻia ʻo 'inhaled steroids'. Ua kapa pinepine ʻia ʻo ia he lāʻau lapaʻau 'controller' . ʻO ke ʻano kēia, he lāʻau lapaʻau ia e hoʻohana ʻia no ka wā lōʻihi e mālama i ka hānō.
Hoʻokahi mea nui e hoʻomanaʻo ai: ʻAʻole hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no ka hoʻouka koke ʻana o ka hānō. I loko o ia ʻano pilikia, hāʻawi ʻia kahi ʻano inhaler 'reliever' hana wikiwiki ʻē aʻe. Hoʻohana ʻia kēia e pale aku i ka maʻi mai ka hiki ʻana mai.
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe i kekahi manawa. Inā he mau nīnau kāu e pili ana i ia mea, e nīnau i kāu kauka.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i ka Budesonide, makemake kāu kauka e ʻike i kou mōʻaukala olakino piha. ʻO kēia no ka mea pono kekahi mau kūlana i ka makaʻala i ka wā e hoʻohana ai i kēia lāʻau. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
| Kūlana olakino a i ʻole ka manawa kūpono | No ke aha ʻoe e pono ai e haʻi i ke kauka? (He wehewehe maʻalahi) |
|---|---|
| Nā pilikia iwi (e.g. osteoporosis) | Hiki i nā lāʻau steroid ke hoʻemi iki i ka nui o ka iwi ke lawe ʻia i ka wā lōʻihi. No laila, inā loaʻa iā ʻoe kahi pilikia, pono e ʻike kāu kauka. |
| ʻO Glaucoma a i ʻole Cataracts | ʻOiai he mea kakaikahi loa, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke kaomi o ka maka. No laila, he mea nui e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi maka. |
| Nā nāwaliwali o ka ʻōnaehana pale | Ma muli o ka hōʻemi ʻana o kēia lāʻau lapaʻau i ka hana o ka ʻōnaehana pale i kekahi ʻano, hiki ke hoʻonui iki ʻia ka pilikia o ka loaʻa ʻana o nā maʻi. |
| ʻO kahi maʻi e kū nei (e like me ka maʻi puʻupuʻu, ka moa, nā maʻi fungal) | Inā loaʻa iā ʻoe kahi maʻi, ʻo ka hoʻohana ʻana i ka lāʻau steroid e hoʻonui paha i ka maʻi. No laila pono ʻoe e haʻi i kāu kauka e pili ana i ia mea. |
| ʻO ke ʻoki kino hou a i ʻole ka ʻeha ma ka waha a i ʻole ka puʻu | He mea nui e makaʻala i kēia lāʻau lapaʻau, no ka mea, hiki iā ia ke hoʻopilikia i ke kaʻina hana ho'ōla ʻeha. |
| Inā ʻoe e lawe ana i nā pila steroid ʻē aʻe a i ʻole nā inikini (Corticosteroids) | Kōkua kēia i ke kauka e loaʻa kahi manaʻo o ka nui o nā steroids e loaʻa ana i ke kino. |
| ʻAleʻaleʻa i ka budesonide a i ʻole kekahi lāʻau lapaʻau a meaʻai paha | Inā ua loaʻa iā ʻoe kekahi mau maʻi allergies i kekahi mea ma mua, he mea nui loa ia e haʻi i kāu kauka. |
| Inā hāpai ʻoe a i ʻole ke manaʻolana nei e hāpai | Pono e lawe ʻia kekahi lāʻau lapaʻau i ka wā hāpai ma ke ʻōlelo aʻo a ke kauka. No laila e hoʻomaopopo pono i kāu kauka e pili ana i kēia. |
| Inā hānai waiū ka makuahine i kāna keiki | Pono ʻoe e kamaʻilio me kāu kauka a hoʻoholo e pili ana i ka hiki ʻana o ka lāʻau lapaʻau i kāu pēpē ma o ka waiū umauma. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
Hoʻohana ʻia kēia lāʻau lapaʻau e hanu i loko o kahi mīkini i kapa ʻia he nebulizer . E aʻo ʻia ʻoe pehea e hoʻohana ai i kēia mīkini e ka haukapila a i ʻole kāu kauka.
I ka ʻōlelo maʻalahi, hoʻololi kahi nebulizer i kahi lāʻau lapaʻau wai (suspension) i hāʻawi ʻia iā ʻoe i loko o kahi noe aerosol hiki iā ʻoe ke hanu. A laila hiki iā ʻoe ke hanu i ka noe i loko o kou mau māmā ma o kahi mask a i ʻole ka waha.
Nā mea nui e hoʻomanaʻo:
- E hoʻohana pono e like me ka ʻōlelo a kāu kauka: E hahai pono i ka nui a me ke alapine i kuhikuhi ʻia. Mai hoʻēmi, hoʻonui, a hoʻōki paha i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E holoi pono i kou waha: Ma hope o kēlā me kēia nebulization, e holoi pono i kou waha me ka wai a kuha i waho. ʻO kēia ke pale aku i ka ulu ʻana o ka thrush waha.
- Mai hui pū me nā lāʻau lapaʻau ʻē aʻe: Mai hui pū me Budesonide me nā lāʻau lapaʻau ʻē aʻe i loko o kāu kīʻaha nebulizer me ka ʻole o ke aʻo a kāu kauka.
- I ka hāʻawi ʻana i nā keiki ʻōpio: Pono paha ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. E kamaʻilio me kāu kauka e pili ana i kēia.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina koke ʻoe 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 pālua i ka lāʻau lapaʻau no kekahi kumu.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau (overdose)?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi mea ʻē aʻe i loaʻa nā hōʻailona like me ʻoe.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe ai ke launa pū me Budesonide. ʻO ke ʻano kēia e hoʻololi paha lākou i ke ʻano o ka hana a Budesonide a hoʻonui paha i ka pilikia o nā hopena ʻaoʻao. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.(Kauka Deepuwa, kūʻai ʻia mai ka hale kūʻai lāʻau lapaʻau, lāʻau lapaʻau kuʻuna, nā huaora) E haʻi i kāu kauka.
Aia ma lalo iho kekahi mau lāʻau lapaʻau e hiki ke launa pū me ka budesonide:
- Kekahi mau lāʻau antibiotic (e.g. clarithromycin, erythromycin)
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole ka hepatitis
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (e like me ketoconazole, itraconazole)
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, e like me Nefazodone
ʻAʻole i piha kēia papa inoa. No laila, ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea ʻē aʻe e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā lapaʻau maʻamau: E hōʻoia e hele i nā manawa i koho ʻia e kāu kauka. E ʻae kēia i ke kauka e ʻike pehea e hoʻopilikia ai ka lāʻau lapaʻau iā ʻoe a inā ua kaohi ʻia kāu mau hōʻailona.
- E makaʻala i nā hōʻailona: Inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona, a inā paha e ʻoi aku ka ʻino, e haʻi koke aku i kāu kauka.
- E makaʻala i kāu mea hoʻomaha inhaler: Inā ʻoe e hoʻohana pinepine ana i kāu mea hoʻomaha inhaler polū, ʻo ia hoʻi, ʻaʻole i kāohi maikaʻi ʻia kou hānō. Inā hana ʻia kēia, e ʻike koke i kāu kauka.
- E pale iā ʻoe iho mai nā maʻi: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā maʻi. No laila e ho'āʻo e noho mamao aku mai ka poʻe i loaʻa i ke anu a i ʻole ka maʻi palū. E haʻi i kāu kauka inā ua launa pū ʻoe me kahi mea i loaʻa i ka maʻi puʻupuʻu a i ʻole ka maʻi ʻōpala.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Budesonide ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E hoʻokaʻawale kākou i kēia mau hopena ʻaoʻao i ʻelua mau ʻano.
| Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Ka paʻakikī o ka hanu ʻana ma hope koke iho o ka nebulization | Inā piʻi aʻe ka hanu ʻana a i ʻole ka paʻakikī o ka hanu ʻana ma hope o ka hanu ʻana i ka lāʻau. |
| ʻO kahi maʻi fungal i loko o ka waha (Thrush) | Nā kiko keʻokeʻo ma loko o ka waha a i ʻole ma ke alelo (ʻo ia ke kumu i ʻōlelo ʻia ai ʻoe e holoi i kou waha ma hope o ka lawe ʻana i ka lāʻau lapaʻau e pale aku ai i kēia). |
| Nā hōʻailona o ka emi ʻana o ka hana o ke kelepa adrenal | Luli, luaʻi, nalowale o ka makemake e ʻai, luhi loa, poniuniu. |
| Kuni, nā hōʻailona e like me ke anu | Kuni, anu, ʻeha kino, kuʻi, ʻeha poʻo. |
| Nā hiʻohiʻona ʻē aʻe | ʻEha, mae wale i nā lālā, ʻeha a kaomi paha i loko o nā sinuses o ka maka. |
| ʻAʻohe mea e hopohopo ai (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| ʻeha ka ʻāʻī | Ke ʻeha iki nei ka ʻāʻī ma hope o ka lawe ʻana i ka lāʻau. |
| Ka loli ʻana o ka leo (Hoarseness) | Ke lilo nei ka leo i hāhā a i ʻole ke kaumaha nei. |
| Kuke | Hiki paha iā ʻoe ke loaʻa i kahi ʻū iki ke hoʻomaka mua ʻoe e hoʻohana i ka lāʻau lapaʻau. |
| Ihu wai a i ʻole ka ihu paʻa | Nā hōʻailona o ka ihu e like me ke anu. |
| ʻEha ʻōpū | ʻEha iki ka ʻōpū i kekahi manawa. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Pehea ʻoe e mālama ai a hoʻolei aku i ka lāʻau lapaʻau?
- Ka mālama ʻana:
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku .
- E mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius). Mai mālama i loko o ka pahu hau a i ʻole ka pahu hau.
- Aia ka ʻōmole lāʻau lapaʻau i loko o kahi ʻeke pepa alumini. Mālama kēia ʻeke i ka lāʻau lapaʻau mai ka mālamalama a hiki i ka wehe ʻana.
- Ke wehe ʻia ka pūʻolo, pono e hoʻohana ʻia nā ampoule i hoʻohana ʻole ʻia i loko o 2 mau pule . E hoʻihoʻi mau i ka ampoule i loko o ka ʻeke foil a pale iā ia mai ka mālamalama.
- Wehe ʻana:
- Pono e hoʻolei aku i nā lāʻau lapaʻau i pau ka manawa a i ʻole pono hou ʻole.
- E nīnau i kāu kauka e pili ana i ke ala palekana e wehe ai i kēia mau mea.
Leka Lawe-Home
- He lāʻau lapaʻau 'kaohi' ʻo Budesonide e pale ai i nā hōʻailona hānō mai ka loaʻa ʻana. ʻAʻole ia he lāʻau lapaʻau e hāʻawi ʻia no ka hoʻouka koke ʻana o ka hānō.
- Ma hope o kēlā me kēia nebulization, e holoi pono i kou waha me ka wai a hoʻolei aku. Hiki i kēia ke kōkua i ka pale ʻana i nā maʻi fungal i loko o ka waha.
- E hoʻomaopopo i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā ʻoi aʻe ka ʻino o kou mau hōʻailona a i ʻole ʻoe e hoʻohana pinepine i kāu inhaler hoʻomaha, e ʻike koke i kāu kauka.
- E mālama pono i nā lāʻau lapaʻau. E mālama iā lākou mai ka hiki ʻana aku o nā keiki.











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