I kekahi mau lā, ke ala ʻoe i ke kakahiaka, hoʻomaka ʻoe e ʻūlū, kahe ka wai o kou ihu, ʻulaʻula a ʻānai kou mau maka, a uhi ʻia paha kou kino i nā pehu liʻiliʻi a me nā ʻānai... Ua kamaʻāina paha ʻoe i kēia mau hōʻailona maʻi. I nā manawa e like me kēia, hiki i ke kauka ke kuhikuhi i kahi lāʻau lapaʻau i kapa ʻia ʻo Fexofenadine. ʻO ke kikoʻī, he papa e hoʻoheheʻe i loko o kou waha. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau ma nā ʻōlelo maʻalahi, pehea e hoʻohana ai, a me nā mea e makaʻala ai.
He aha ke ʻano lāʻau lapaʻau kēia?
I ka ʻōlelo maʻalahi, he antihistamine ʻo Fexofenadine. Ke loaʻa i ko mākou kino kahi maʻi allergy, hoʻokuʻu ʻia kahi kemika i kapa ʻia ʻo histamine mai nā cell. ʻO kēia histamine ke kumu nui o ka ʻū ʻana, ka ihu wai, nā maka ʻāʻī, a me nā hives a mākou i kamaʻilio ai ma mua.
No laila, ʻo ka hana a kēia pila Fexofenadine, ʻo ia ke ālai i ka hana o kēlā histamine. I mea e pololei ai, ke ālai nei kēia lāʻau lapaʻau i nā mea loaʻa kahi e pono ai ka histamine e hele a hoʻopaʻa. A laila e emi mālie ana kēlā mau hōʻailona maʻi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau nāu, he mea nui loa ia e hāʻawi iā ia i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā ia e pili ana i kekahi o kēia mau kūlana, ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau mea:
| Kūlana olakino a i ʻole ka manawa kūpono | No ke aha ʻoe e hoʻomaopopo ai i ke kauka? |
|---|---|
| Maʻi puʻupaʻa | Hoʻopau ʻia kēia lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa, no laila inā he mau pilikia kou i ka puʻupaʻa, pono paha e hoʻoponopono ʻia kāu dosage. |
| ʻO ka Phenylketonuria | Loaʻa paha i kekahi mau papa effervescent ka aspartame, ʻaʻole kūpono ia no ka poʻe me kēia maʻi. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai | He mea nui e ʻimi i ka ʻōlelo aʻo a ke kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau i ka wā hāpai. |
| Ka hānai ʻana i ka waiū umauma | E kamaʻilio me kāu kauka e pili ana i ka hiki ke hele i ka lāʻau lapaʻau i kāu pēpē ma o ka waiū umauma. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau a meaʻai paha | E haʻi mai iā mākou inā ua loaʻa iā ʻoe kekahi mau maʻi allergies i nā lāʻau lapaʻau e like me fexofenadine, terfenadine, a i ʻole nā mea ʻē aʻe. |
Pehea e pono ai iaʻu ke hoʻohana i kēia pila?
ʻAʻole kēia he pila āu e ale ai me ka wai e like me ka pila maʻamau. Hoʻoheheʻe ia ma ke alelo, no laila ʻokoʻa iki ke ʻano o ka hoʻohana ʻana. E hana pololei penei.
1. E lawe i ka ʻōpū ʻole: Inā hiki, e lawe i kēia lāʻau lapaʻau i ka ʻōpū ʻole. ʻO ia hoʻi ma kahi o hoʻokahi hola ma mua a ʻelua paha hola ma hope o ka ʻai ʻana.
2. E hoʻomaloʻo i kou mau lima: Pono e maloʻo loa kou mau lima ma mua o ka lawe ʻana i ka pila. Inā ʻoe e hoʻopā iā ia me nā lima pulu, e hoʻomaka ka pila e heheʻe i loko o kou mau lima.
3. E lawe koke i ka pila mai loko mai o ka ʻeke blister: Mai lawe i ka pila mai loko mai o ka ʻeke blister a hiki i kou mākaukau e lawe.
4. E ʻili pono i ka ʻeke: E ʻili pono i ka pepa kini mai ka papa. Mai hoʻokuke i ka papa ma o ka pepa kini. ʻO ka hana ʻana pēlā e haki ai ka papa palupalu.
5. E kau ma ke alelo: E lawe i waho i ka papa a kau pololei ma ke alelo.
6. E hoʻoheheʻe: I kēia manawa e kali a hoʻoheheʻe loa ka papa ma kou alelo. E hala kēia i kekahi mau kekona. A laila e ale. Hiki iā ʻoe ke lawe i kēia me ka ʻole o ka wai.
ʻO ka mea nui loa, ʻo ia ka lawe wale ʻana i ka nui i kuhikuhi ʻia e kāu kauka, i ka manawa i kuhikuhi ʻia. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia a lawe pinepine paha.
Pono anei ʻoe e makaʻala i ka hāʻawi ʻana i kēia i nā keiki?
ʻAe. I kekahi manawa, kuhikuhi nā kauka i kēia lāʻau lapaʻau i nā keiki ma luna o 6 mau makahiki. Akā, ʻo ke kauka wale nō ke hoʻoholo. Mai hāʻawi i kēia lāʻau lapaʻau i nā keiki liʻiliʻi me ka ʻole o ke aʻo ʻana a ke kauka.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Emergency Treatment Unit (ETU) kokoke loa . Eia kekahi, e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital.Hiki iā ʻoe ke kāhea no ka ʻōlelo aʻo. He lāʻau lapaʻau kēia i kuhikuhi ʻia nou wale nō, mai kaʻana like me nā poʻe ʻē aʻe.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau mea. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (nā lāʻau lapaʻau i kuhikuhi ʻia e nā kauka ʻē aʻe, nā lāʻau lapaʻau i kūʻai ʻia mai ka hale kūʻai lāʻau lapaʻau, nā lāʻau lapaʻau kuʻuna, nā huaora).
ʻOi aku ka maʻalahi o ka launa pū ʻana me Fexofenadine:
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka gastritis (antacids), ʻoiai nā mea i loaʻa ka magnesium.
- ʻO nā lāʻau antibiotic a me nā antifungal e like me Erythromycin a me Ketoconazole.
- ʻO ka wai huaʻai, ʻāpala, a me ka wai ʻalani: ʻO ka inu ʻana i kēia mau wai huaʻai hiki ke hōʻemi i ka omo ʻana o Fexofenadine i loko o ke kino. No laila, e pale i ka inu ʻana i kēia mau mea inu huaʻai ʻelua a ʻekolu hola ma mua a ma hope o ka lawe ʻana i ka lāʻau.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao liʻiliʻi a me nā hopena ʻaoʻao koʻikoʻi a kākaʻikahi.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena alerike koʻikoʻi (nā hopena alerike / angioedema) | ʻŌhūhū a i ʻole nā hives ma ka ʻili, ka maneʻo nui, ka pehu ʻana o ka maka, nā maka, nā lehelehe, ke alelo, nā lima a i ʻole nā wāwae, ka paʻakikī i ka moni ʻana a i ʻole ka hanu ʻana. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā hopena ʻaoʻao liʻiliʻi |
|
Pehea ʻoe e mālama pono ai i ka lāʻau lapaʻau?
No ka mālama ʻana i ka maikaʻi o nā lāʻau lapaʻau, he mea nui hoʻi e mālama pono iā lākou.
- E mālama ʻia mai nā keiki a me nā holoholona.
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius). E pale mai ka wela nui a me ka makū.
- Mai wehe i ka pila mai loko mai o ka pūʻolo blister a hiki i ka manawa e lawe ai.
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
Inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona, a inā paha e ʻoi aʻe ka ʻino, e ʻike hou i kāu kauka.
Leka Lawe-Home
- ʻO ka Fexofenadine he lāʻau antihistamine e hiki ai ke hoʻopau i nā hōʻailona o ka maʻi allergies.
- ʻOiai he papa kēia e hoʻoheheʻe ʻia ma ke alelo, e wehe pono i ka ʻeke me nā lima maloʻo, e kau ma ke alelo, a e hoʻoheheʻe.
- E haʻi i kāu kauka e pili ana i kekahi mau kūlana kūikawā, e like me ka maʻi puʻupaʻa a i ʻole ka hāpai ʻana, ma mua o ka lawe ʻana i ka lāʻau.
- E hōʻalo i ka inu ʻana i nā wai huaʻai e like me ka pomegerane, ka ʻāpala, a me ka ʻalani i ka wā e lawe ana i kēia lāʻau.
- Inā loaʻa iā ʻoe nā hōʻailona maʻi ʻaleka koʻikoʻi e like me ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- E hoʻohana mau i kēia lāʻau lapaʻau ma ke ʻōlelo aʻo a kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka lāʻau pale Pralidoxime / 2-PAM i hāʻawi ʻia ma ka haukapila?
He 'Lāʻau Hoʻōla' ikaika loa kēia! Inā paha ua ʻai ka mea maʻi i nā pesticides, nā herbicides (Organophosphates - Malathion, Parathion), a i ʻole ua pili i nā mea hoʻoulu aʻalolo weliweli (Nerve Agents - Sarin gas), a i ʻole ke paʻakikī nei e hanu i ka wā e huʻa ana ma ka waha, he inikini hoʻōla ola ia e hiki ke hāʻawi ʻia i ka manawa hope loa (me ka inikini Atropine) e hoʻōla i ke ola!
💬 Pehea e hiki ai i kēia inikini (Pralidoxime) ke hoʻopau i ka mea ʻawahia mai ke kino o kekahi mea i ʻai i nā pesticides?
ʻO ka mea e hana ʻia ke inu ʻoe i ka mea ʻawaʻawa, ʻo ia ka paʻa ʻana o ka mea ʻawaʻawa/mea ʻawaʻawa i loko o ka waha o ka enzyme e hoʻomalu ana i nā aʻalolo i loko o ko kākou kino i kapa ʻia ʻo (Cholinesterase) (a laila ʻūlū ke kino me ka hiki ʻole ke kāohi). I ka wā e komo ai kēia inikini i loko o ke kino, ua huki ikaika ʻia ka molekole mea ʻawaʻawa/mea ʻawaʻawa i paʻa i loko o ka waha o kēlā enzyme (Hoʻāla hou i ka cholinesterase) a hoʻopaʻa iā ia! A laila hoʻomaka hou kēlā enzyme e hana a hiki i ka mea maʻi ke hanu.
💬 He aha nā hopena ʻino o kēia lāʻau pale detoxifying (Pralidoxime)?
Inā paha e hāʻawi ʻia e hoʻōla i ke ola, inā e hoʻokomo ʻia i loko o kahi aʻa koko me ka wikiwiki loa (Rapid IV), hiki i ka puʻuwai ke kuʻi wikiwiki loa, hiki ke piʻi koke ke koko (Hypertension / Tachycardia) a hiki ke kū ka puʻuwai (Cardiac Arrest). Aia kekahi hiki ke poniuniu nui, ka ʻike pohihihi, a me ka nāwaliwali o nā ʻiʻo. Akā, pono e hāʻawi ʻia kēia ma hope o ka hoʻokomo ʻana o Atropine!
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