Ua kamaʻilio anei ʻoe me kāu kauka e pili ana i kahi ʻāpana ʻili ʻinoʻino a unahi ma kou ʻili e like me ka mea i puhi ʻia i ka lā? Ua kuhikuhi paha kāu kauka i kēia kirīmi nou, me ka manaʻo he maʻi kanesa paha a he ʻeha pre-cancerous paha. He lāʻau lapaʻau kūikawā kēia. No laila he mea nui e ʻike pono i ke ʻano o ka hoʻohana ʻana, nā mea e makaʻala ai, a me nā hopena ʻaoʻao.
He aha ka ʻano o ka kirīmi Fluorouracil a me Diclofenac?
I ka ʻōlelo maʻalahi, he kirīmi kēia i loaʻa ka hui pū ʻana o ʻelua ʻano lāʻau lapaʻau.
1. Fluorouracil: He mea hoʻohana chemotherapy topical kēia i hoʻopili ʻia i ka ʻili. ʻO ke kikoʻī, kōkua ia i ka pepehi ʻana i nā ʻāpana ʻē e māhele wikiwiki ana, ʻo ia hoʻi nā ʻāpana maʻi kanesa a i ʻole nā ʻāpana e lilo i maʻi kanesa.
2. Diclofenac: Ua lohe paha ʻoe i kēia. He lāʻau lapaʻau ia e hōʻemi ana i ka ʻeha, ka pehu, a me ka ʻulaʻula. Ma ke ʻano lapaʻau, he lāʻau lapaʻau Non-Steroidal Anti-Inflammatory (NSAID) ia.
Ke hui pū ʻia kēia mau mea ʻelua, kōkua lākou i ka hoʻomalu ʻana i ka ʻeha a me ka pehu e loaʻa ana i ka wā e luku ai i nā ʻano ʻē. Hoʻohana ʻia ia e mālama i ka maʻi ʻaʻai ʻili a me nā kūlana ʻili precancerous (actinic keratosis).
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana i kēia kirīmi, e nīnau kāu kauka iā ʻoe e pili ana i kou olakino. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻoluʻolu e haʻi i kāu kauka .
- Inā he mau pilikia kahe koko kou a i ʻole nā kūlana e pale ai i kou koko mai ka maʻalahi o ke kāpili ʻana.
- Inā he mea puhi paka ʻoe.
- Inā he hemahema kou o ka enzyme DPD (deficiency enzyme DPD). He kūlana hoʻoilina kēia, a he mea nui i kāu kauka ke haʻi aku iā ʻoe e pili ana i ia mea.
- Inā he maʻi puʻuwai kou a i ʻole ke koko kiʻekiʻe.
- Inā he mea inu mau ʻoe.
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā he mau ʻeha, nā māwae, a i ʻole nā maʻi ma ka ʻili kahi e kau ʻia ai ka lāʻau lapaʻau.
- Inā ua hana ʻia ʻoe i ke ʻoki puʻuwai bypass (Coronary Artery Bypass Graft - CABG) i hala koke aku nei a i ʻole ke hoʻolālā nei e hana i hoʻokahi i ka wā e hiki mai ana.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i Fluorouracil, Diclofenac, aspirin, a i ʻole nā lāʻau ʻeha NSAID ʻē aʻe.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
He mea nui loa ia no kou palekana e haʻi i kāu kauka i kēia ʻike, no ka mea, a laila hiki iā ia ke hoʻoholo pololei inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.
Pehea maoli ʻoe e hoʻohana ai i kēia kirīmi?
Ma muli o ka lāʻau lapaʻau hōʻoluʻolu i ka ʻili kēia, he mea nui loa ia e ʻike pono pehea e hoʻohana ai.
1. Ka maʻemaʻe mua: E holoi pono i kou mau lima me ke kopa ma mua a ma hope o ke kau ʻana i ka lāʻau.
2. E hoʻomākaukau i ka ʻili: E ʻae mai iaʻu e hoʻololi i kēlā ʻōlelo... E holoi i ka ʻili kahi e kau ʻia ai ka lāʻau lapaʻau me kahi kopa palupalu, e pā maloʻo me kahi lole maʻemaʻe, a e hoʻomaloʻo. Mai hamo ikaika.
3. Ke kau ʻana i ka lāʻau lapaʻau: ʻOi aku ka maikaʻi o ka hoʻohana ʻana i kahi mea hoʻopili pulupulu ma mua o ke kau pololei ʻana i ka kirīmi me kou mau manamana lima. A i ʻole, e ʻaʻahu i nā mīkina lima a kau. Inā ʻoe e kau hewa me kou mau manamana lima, e holoi pono i kou mau lima ma hope .
4. Ka nui: E kau i kahi papa lahilahi e uhi piha i ka wahi e like me ke kauoha a ke kauka. ʻAʻohe pono e kau mānoanoa loa.
5. Nā wahi e pale aku ai: E makaʻala ʻaʻole e hoʻopili i kēia lāʻau lapaʻau i nā wahi koʻikoʻi e like me nā maka, ka ihu, a me ka waha.
6. Ka uhi ʻana: Ma hope o ke kau ʻana i ka lāʻau lapaʻau, hiki iā ʻoe ke uhi i ka wahi me kahi ʻaʻahu gauze māmā. Akā, mai hoʻohana i kahi ʻaʻahu paʻa ea .
7. Ka Lōʻihi: E hoʻohana i kēia lāʻau lapaʻau no ka lōʻihi piha i kuhikuhi ʻia e kāu kauka. ʻOiai inā e hoʻomaikaʻi ana kou ʻili, mai hoʻōki i ka lawe ʻana me ka ʻole o ke aʻo ʻana a kāu kauka.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kāu lāʻau lapaʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala a lawe i kāu mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau mahele lāʻau i ka manawa hoʻokahi.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku 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.
E makaʻala loa i kēia mau mea i ka wā e hoʻohana ai i ka lāʻau lapaʻau.
- Ka manawa ho'ōla: Hiki i kēia lāʻau lapaʻau ke hala i 2 a 6 mau pule a ʻoi aku paha. ʻO ka mea nui, hiki ke hala i 1 a 2 mau mahina no kou ʻili e ho'ōla piha ai ma hope o kou hoʻōki ʻana i ka hoʻohana ʻana i ka lāʻau lapaʻau. No laila, i ka wā o ka lāʻau lapaʻau, hiki i kou ʻili ke lilo i ʻulaʻula, ʻōpala, a ʻano ʻoluʻolu ʻole. ʻO ia kekahi hapa o ka lāʻau lapaʻau. Mai hopohopo no ia mea.
- E makaʻala i ka lā: Hiki i kou ʻili ke lilo i mea maʻalahi loa i ka lā (photosensitivity) i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, e pale i ka hele ʻana i waho i ka lā i ka hiki. Inā pono ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi ana i kou ʻili a hoʻohana i kahi sunscreen maikaʻi. Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning.
- Mai hāpai:Mai hāpai i ka wā e hoʻohana ana i kēia lāʻau lapaʻau. He mea ʻino paha kēia i ka pēpē i hānau ʻole ʻia. Inā ʻoe e hoʻolālā ana e hāpai, e kamaʻilio me kāu kauka e pili ana i ia mea.
- E mālama mamao aku mai nā holoholona (he mea nui loa!): He mea kēia e pono ai ʻoe e makaʻala loa. He mea ʻawahia loa kēia lāʻau lapaʻau i nā holoholona (ʻīlio, pōpoki). Inā palu kahi holoholona i kahi i kau ʻia ai kēia kirīmi, a inā paha e hoʻokomo i ka ʻōmole lāʻau i loko o kona waha, hiki iā ia ke make ai ka holoholona.
- E holoi pono i kou mau lima ma hope o ke kau ʻana i ka lāʻau.
- E hoʻolei pono i nā mea i hoʻohana ʻia no ke kau ʻana i ka lāʻau lapaʻau (nā ʻūpā pulupulu, ka gauze).
- E makaʻala i ʻole e kau ka lāʻau lapaʻau ma kou mau lole, wahi moe, a me nā lako hale paha.
- Inā ʻaʻole hiki iā ʻoe ke pale aku i ka hoʻopā ʻana o ka ʻili me kāu holoholona, e noi i kāu kauka inā hiki iā ʻoe ke uhi i kahi i kau ʻia ai ka lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Ke kahe ʻana o ke koko | Nā ʻōpala ʻeleʻele a koko paha, ke koko i loko o ka mimi, ka luaʻi ʻana i ke koko. |
| Nā hopena ʻili koʻikoʻi | Kuni, ʻeha kino, pehu ʻulaʻula a poni paha ma ka ʻili, ʻili e ʻili ana, a me nā ʻeha i loko o ka waha. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha ka umauma, paʻakikī ka hanu ʻana, ʻike maka pōwehiwehi, paʻakikī ke ʻōlelo ʻana, mae wale kekahi ʻaoʻao o ke kino, loli ka mimi ʻana, pehu ke kino, melemele o nā maka a i ʻole ka ʻili. |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā loli i ka nui o ka lāʻau lapaʻau | Ka mumū, ka ʻeha, ka maneʻo, ka ʻulaʻula, ka ʻili ʻana, ka pehu ʻana. (He ʻāpana paha kēia o ka lāʻau lapaʻau, akā e haʻi i kāu kauka inā koʻikoʻi a hoʻomau paha.) |
| ʻIke i ka lā | Hoʻonui ʻia ka ʻike o ka ʻili i ka lā. |
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama ʻia mai nā keiki a me nā holoholona. He mea nui loa kēia.
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai ʻae i kekahi e hoʻohana.
Leka Lawe-Home
- Ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āu e lawe nei.
- E lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka iā ʻoe, no ka manawa piha o ka papa i kuhikuhi ʻia. Mai hoʻōki i ka lawe ʻana i ka hapalua.
- He mea maʻamau ka lilo ʻana o ka ʻili i ʻulaʻula a me ka ʻili i ka wā o ka lāʻau lapaʻau a no hoʻokahi a ʻelua paha mahina ma hope.
- E pale iā ʻoe iho mai ka lā. E hoʻohana i ka pale lā a e ʻaʻahu i nā lole e uhi ana i kou ʻili.
- He mea nui loa: Mai waiho i kēia lāʻau lapaʻau i kahi hiki ʻole i nā keiki a me nā holoholona. Hiki ke make iā lākou.
- Inā loaʻa kahi hopena koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
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