I kekahi manawa, he paʻakikī ke ho'ōla i nā maʻi fungal e ulu ana i loko o ko kākou kino me nā pila maʻamau. ʻOi aku hoʻi no nā maʻi koʻikoʻi e pālahalaha ana i loko o ke kino, pono e hoʻohana ʻia kahi inikini IV. I ia mau hihia, ʻo kahi lāʻau lapaʻau kūikawā a ikaika hoʻi a nā kauka e hoʻohana ai ua kapa ʻia ʻo Caspofungin. ʻIke pinepine ʻia ia ma ka inoa inoa ʻo Cancidas. Inā ua hoʻoholo kāu kauka e hāʻawi iā ʻoe i kēia lāʻau lapaʻau, he mea nui loa ia e ʻike piha ʻia e pili ana i ia mea. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī.
He aha ke ʻano lāʻau lapaʻau kēia ʻo Caspofungin?
I ka ʻōlelo maʻalahi, he lāʻau antifungal ʻo Caspofungin. Hoʻohana ʻia ia e pepehi i kekahi mau ʻano fungi a i ʻole hū e komo i loko o ko kākou kino a hoʻoulu i ka maʻi.
E noʻonoʻo, aia kekahi mau maʻi fungal e hiki ke laha i ke koko, nā māmā, a i ʻole nā ʻōpū kūloko ʻē aʻe a lilo i mea hoʻoweliweli i ke ola. ʻO ia ka manawa e pono ai kahi lāʻau lapaʻau ikaika e like me kēia. ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kūʻai mai kahi hale kūʻai lāʻau maʻamau a hoʻohana ma ka home. ʻOiai he inikini kēia i loko o kahi aʻa, hāʻawi ʻia iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka i aʻo ʻia a i ʻole nā limahana hānai.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau
Ma mua o ka hoʻoholo ʻana o kāu kauka e hāʻawi iā ʻoe i kēia lāʻau lapaʻau, pono ʻo ia e ʻike i ka wehewehe piha o kou kūlana olakino. E hoʻoholo kēia ʻike inā kūpono kēia lāʻau lapaʻau iā ʻoe, a pehea e hāʻawi ʻia ai. No laila, inā pili kekahi o kēia mau mea iā ʻoe, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
- Maʻi akepaʻa: E haʻi mai iā mākou inā loaʻa iā ʻoe a i ʻole ua loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Nā Allergies: E hōʻoia e hoʻomaopopo mai iā mākou inā he hopena allergies kou iā Caspofungin a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai keiki: Inā hāpai ʻoe, a i ʻole ke kali nei i kahi pēpē i ka wā e hiki mai ana, e ʻoluʻolu e haʻi aku.
- Inā he makuahine hānai waiū ʻoe: Inā ʻoe e hānai waiū ana i kāu pēpē, pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i kēlā.
He mea nui loa ia no kou palekana ponoʻī e haʻi pololei i kēia ʻike me ka hūnā ʻole.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻAe, i kekahi mau hihia kūikawā, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ma luna o 3 mahina. Eia nō naʻe, pono e mālama ʻia nā hana palekana kūikawā. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio pono me kāu kauka pediatric e pili ana i ia mea a e ʻike i nā kikoʻī.
He aha inā lawe nui wau i ka lāʻau lapaʻau a hala paha kahi mahele lāʻau?
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila, ua haʻahaʻa loa ka manawa kūpono o ka overdose . Eia nō naʻe, inā manaʻo ʻoe ua loaʻa iā ʻoe ka nui o kēia lāʻau lapaʻau, e hoʻomaopopo koke i nā limahana o ka haukapila a i ʻole ka Emergency Treatment Unit (ETU). A i ʻole, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
ʻOiai ʻo ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, he mea nui e mālama i nā manawa a kāu kauka. Inā ʻaʻole hiki iā ʻoe ke mālama i kāu manawa no kekahi kumu, e kāhea koke aku i kāu kauka a e hoʻomaopopo iā lākou. Mai poina i kahi manawa lāʻau lapaʻau.
Nā lāʻau ʻē aʻe e launa pū me Caspofungin (Nā Hana Lāʻau)
Inā ʻoe e lawe ana i ka lāʻau lapaʻau no nā kūlana ʻē aʻe, hiki i kekahi o kēlā mau lāʻau lapaʻau ke launa pū me Caspofungin. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| ʻAno lāʻau lapaʻau | Nā hihia hoʻohana (maʻamau) |
|---|---|
| ʻO Carbamazepine, Phenytoin | No nā kūlana e like me ke kūpono |
| ʻO Cyclosporine, Tacrolimus | Ka hoʻomalu ʻana i ka pale ʻana ma hope o ka hoʻoili ʻana o nā kino |
| ʻO Dexamethasone | He ʻano steroid anti-inflammatory |
| Efavirenz, Nevirapine | No ka maʻi HIV |
| ʻO Rifampin | Nā maʻi e like me ka maʻi puʻupuʻu (TB) |
ʻAʻole i piha kēia papa inoa.No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā wikamina, nā mea kanu, a me nā mea hoʻohui āu e lawe nei. He mea nui hoʻi e hoʻomaopopo i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā hopena ʻaoʻao e hiki mai ana i ka wā e lawe ai i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Caspofungin ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi, a he akahai kekahi. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau hōʻailona a hana koke inā pono.
| Nā hopena ʻaoʻao a me nā mea e hana ai | |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka a i ʻole nā limahana o ka haukapila | |
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā hōʻailona o ka hōʻeha o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, palaualelo, a me ke kuni. |
| Nā hopena ʻili koʻikoʻi | ʻUlaʻula ka ʻili me ka ʻulaʻula, ka pehu ʻana, ka ʻili ʻili (a hiki i loko o ka waha), ke kuni a me nā ʻeha kino. Pehu nā lymph node ma ka ʻāʻī a i ʻole nā armpits. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe, ka nausea, ka luaʻi. |
| ʻEha poʻo | He ʻeha poʻo maʻamau. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau ikaika ʻo Caspofungin i hāʻawi ʻia ma o ka intravenous i loko o ka haukapila no nā maʻi fungal koʻikoʻi.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hoʻomaopopo i kāu kauka e pili ana i kou maʻi ate, nā maʻi allergies, ka hāpai ʻana, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe nā hopena ʻili koʻikoʻi, nā hōʻailona maʻi ʻaleka (e like me ka pehu ʻana o ka maka), a i ʻole nā hōʻailona o ka hōʻino ʻia o ke akepaʻa (e like me ka melemele o nā maka) i ka wā e lawe ana i ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau me ka hoʻokaʻulua ʻole.
- Mai poina i nā manawa i koho ʻia e kāu kauka. Inā he mau pilikia kāu, e hoʻomaopopo iā lākou ma mua.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka e pili ana i ia mea.
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