I kekahi manawa, hiki i nā maʻi bacteria i loaʻa iā mākou ke koʻikoʻi loa a hiki ʻole i nā antibiotics maʻamau ke kāohi iā lākou. He ʻoiaʻiʻo loa kēia no nā poʻe maʻi i hoʻopaʻa ʻia i ka haukapila. I kēlā mau hihia, he antibiotic ikaika loa ʻo Colistin a kūikawā hoʻi e hoʻohana ai nā kauka e kāohi i nā maʻi bacteria koʻikoʻi loa i pane ʻole i nā antibiotics ʻē aʻe. No laila, i kēia lā, e aʻo hou kākou e pili ana i kēia lāʻau pale Colistin (i ʻike ʻia hoʻi ʻo Colistimethate a i ʻole Polymyxin E).
He aha ke ʻano lāʻau lapaʻau ʻo Colistin?
I ka ʻōlelo maʻalahi, he lāʻau antibiotic ʻo Colistin no ka papa polymyxin. ʻO kāna hana nui ka luku ʻana i nā bacteria ʻino i komo i loko o ke kino.
ʻO ka mea nui e hoʻomanaʻo ai, ʻo ia ka hāʻawi wale ʻia ʻana o kēia lāʻau lapaʻau no nā maʻi bacteria. ʻAʻole ia e ho'ōla i nā maʻi viral e like me ke anu maʻamau, ka maʻi palū, a me ke kuni.
Ua like kēia me kahi mea kaua kūikawā a ikaika i hoʻohana ʻia e kūʻē i ka ʻenemi hiki ʻole ke kāohi ʻia me nā mea kaua maʻamau. ʻO ia ke kumu ʻaʻole kēia he lāʻau lapaʻau i hoʻohana mau ʻia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Inā hoʻoholo kāu kauka e hāʻawi iā ʻoe a i ʻole kekahi o kou ʻohana i kēia lāʻau pale Colistin, no kou palekana ponoʻī, pono ʻoe e haʻi i ke kauka i kēia ʻike. Mai hūnā i kēia ʻike, no ka mea, he mea weliweli paha ia i kou olakino.
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kahi maʻi puʻupaʻa mua, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea. He mea nui loa kēia no ka mea hiki i ka Colistin ke loaʻa kekahi hopena i nā puʻupaʻa.
- Maʻi hanu: Inā loaʻa iā ʻoe kahi maʻi hanu e like me ka hānō.
- Myasthenia Gravis: He ʻano kēia e hoʻonāwaliwali ai nā ʻiʻo. Inā loaʻa iā ʻoe kēia maʻi, pono ʻoe e haʻi i kāu kauka.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou iā Colistin, Polymyxin B, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai: Inā hāpai ʻoe, a i ʻole ke manaʻo nei e hāpai koke.
- Ka hānai waiū ʻana: Inā he makuahine hānai waiū ʻoe.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia e like me ka pila āu e lawe mau ai i ka home. He inikini ʻo Colistin.
ʻO ka maʻamau, hāʻawi ʻia kēia iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia. He inikini ia i hāʻawi ʻia i loko o kahi ʻiʻo a i ʻole pololei i loko o kahi aʻa .
I ka hihia kakaikahi e pono ai ʻoe e hoʻomau i kēia lāʻau lapaʻau ma ka home ma hope o kou haʻalele ʻana i ka haukapila, e hāʻawi ka haukapila iā ʻoe i ke aʻo e pono ai. Inā hana kēia, pono ʻoe e lawe i ka lāʻau lapaʻau e like me ke kauoha, i ka manawa kūpono, a ma ka nui kūpono. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hōʻole paha i nā nui no ka mea ua ʻoi aku kou maikaʻi. E lawe i ka papa hana piha o ka lāʻau lapaʻau no ka helu o nā lā i kauoha ʻia e kāu kauka.
Inā ʻoe e hoʻohana i nā lāʻau pale ma ka home ...
Inā pono ʻoe e kiʻi i kēia lāʻau pale ma ka home, mai hoʻolei i nā syringe a me nā nila i hoʻohana ʻia i loko o ka ʻōpala. Hiki iā lākou ke hoʻoweliweli i nā poʻe ʻē aʻe. Pono e hoʻolei ʻia i loko o kahi pahu kūikawā (pahu ʻoi). Inā ʻaʻohe āu, e nīnau i kāu kauka pehea e kiʻi ai.
He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Colistin ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻO kekahi o kēia mau mea he mau mea e pono ai ka nānā koke ʻana. E aʻo hou kākou e pili ana iā lākou ma ka papa ma lalo nei.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Inā loaʻa kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka. | |
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo nui, pehu o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu. He pilikia kēia. |
| Paʻakikī ka hanu ʻana | Inā pilikia ʻoe i ka hanu ʻana a i ʻole ua pau kou hanu ʻana. |
| Nā hopena ma nā puʻupaʻa | Ka paʻakikī o ka mimi ʻana, ka emi ʻana a i ʻole ka hoʻonui ʻana o ka nui o ka mimi, ka loli ʻana o ke kala o ka mimi. |
| Nā hopena ma ka ʻōnaehana nerve | Huikau, poniuniu loa, nalowale ke kaulike, mae wale nā lālā a puni ka waha, paʻakikī ke ʻōlelo. |
| Ka maʻi pākī nui | Ka maʻi kahe wai a koko paha. |
| kuni | Ke hoʻomaka hou ʻana o ke kuni me ka maʻi. |
| Inā hoʻomau kēia mau hōʻailona a lilo paha i mea hoʻopilikia, e hoʻomaopopo i kāu kauka. | |
| Hopohopo | Ke manaʻo nei i kahi hopohopo ʻē i loko o ka noʻonoʻo. |
| Luhi | Manaʻo nui a luhi hoʻi ma mua o ka maʻamau. |
He aha hou kāu e hopohopo ai?
- ʻO ka hiamoe a me ka poniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu paha . No laila , mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i kona hopena iā ʻoe. No ka hōʻemi ʻana i ka pilikia o ka poniuniu a me ka hāʻule ʻana, ʻoiai inā he ʻelemakule ʻoe, e lawe mālie i ke ala ʻana mai kahi noho a mai kahi noho.
- Nā lāʻau lapaʻau ʻē aʻe: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau lapaʻau lāʻau āu e lawe nei. ʻOi aku ka nui o nā antibiotics ʻē aʻe e like me Amikacin, Gentamicin, a me nā lāʻau lapaʻau i hāʻawi ʻia e hoʻomaha i nā ʻiʻo ma mua o ke ʻoki ʻana hiki ke launa pū me Colistin.
- Ka maʻi kahe: Inā loaʻa iā ʻoe ka maʻi kahe, mai hoʻāʻo e mālama iā ʻoe iho me nā lāʻau lapaʻau i kūʻai ʻia ma luna o ke kauka. Inā loaʻa iā ʻoe ka maʻi kahe no nā lā ʻelua a ʻoi , a inā he koʻikoʻi a wai, e haʻi pono i kāu kauka.
- Inā ʻoe e lawe nui ʻia: Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- He lāʻau pale ikaika loa ʻo Colistin i hoʻohana wale ʻia no nā maʻi bacteria koʻikoʻi i kūʻē i nā lāʻau antibiotic maʻamau.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino āpau (ʻoiai nā maʻi puʻupaʻa) a me nā lāʻau lapaʻau āpau āu e lawe nei.
- E lawe i ka papa hana holoʻokoʻa i kuhikuhi ʻia e kāu kauka me ka ʻole o ka nalo ʻana i hoʻokahi mahele lāʻau.
- E hoʻomaopopo koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, nā loli i ka mimi ʻana, ka poniuniu nui, a i ʻole nā hopena maʻi ʻino.
- E hōʻalo i ka hoʻokele kaʻa a me nā hana e pono ai ka makaʻala i ka wā e lawe ana i kēia lāʻau lapaʻau, no ka mea, hiki ke hiamoe.
- Inā he mau hopohopo a kānalua paha kāu, e kūkākūkā me kāu kauka.
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