Malia paha ua haʻi aku kāu kauka iā ʻoe e hoʻomaka i kahi lāʻau pale i kapa ʻia ʻo Ganciclovir. A i ʻole kekahi o kou ʻohana e hana nei i kēia lāʻau lapaʻau. He mea maʻamau ka manaʻo makaʻu iki, hoihoi, a huikau ke lohe ʻoe i kēia inoa. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia lāʻau lapaʻau i kapa ʻia ʻo Ganciclovir, nā kūlana i hāʻawi ʻia ai, a me nā mea e pono ai mākou e makaʻala loa i ka wā e lawe ai, ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka Ganciclovir?
I ka ʻōlelo maʻalahi, he lāʻau antiviral ʻo Ganciclovir. ʻO ia hoʻi, hiki i kēia lāʻau ke kāohi i kekahi mau ʻano virus i loko o ko mākou kino a kāohi i ko lākou laha ʻana.
Hoʻohana kūikawā ʻia ia no ka mālama ʻana a i ʻole ka pale ʻana i nā maʻi i hoʻokumu ʻia e ka cytomegalovirus , a i ʻole CMV no ka pōkole. ʻOiai ʻaʻole pinepine ka CMV i nā pilikia koʻikoʻi i nā poʻe olakino, hiki ke koʻikoʻi i nā poʻe me nā ʻōnaehana pale nawaliwali (e like me ka poʻe i loaʻa i kahi hoʻoili kino a i ʻole ke mālama ʻia nei i ka maʻi kanesa). Hoʻohana ʻia kēia lāʻau lapaʻau no ka mālama ʻana i nā maʻi CMV ma ka maka a i ʻole nā ʻāpana ʻē aʻe o ke kino.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i ka mālama ʻana me Ganciclovir, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i kou kūlana olakino. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi e pili ana i ka puʻupaʻa.
- Nā pilikia koko: Inā ua ʻike mua ʻia ʻoe me nā keʻokeʻo koko haʻahaʻa, nā keʻokeʻo koko ʻulaʻula, a i ʻole nā platelets i loko o kou koko.
- Nā maʻi ʻaleka: E haʻi i kāu kauka inā he maʻi ʻaleka ʻoe i ka Ganciclovir a i ʻole nā lāʻau antiviral ʻē aʻe e like me Acyclovir. Eia kekahi, e haʻi i kāu kauka inā he maʻi ʻaleka ʻoe i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama.
- Hāpai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole he kānalua paha ʻoe.
- Inā he makuahine hānai waiū ʻoe: E hoʻomaopopo pū i ke kahu hānai inā he makuahine hānai waiū ʻoe.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he pila a he capsule paha hiki iā ʻoe ke lawe ma ka home. ʻO Ganciclovir kahi inikini i hāʻawi ʻia ma ke ʻano he wai saline i loko o kahi aʻa (infusion i loko o kahi aʻa) . Hāʻawi ʻia kēia lāʻau lapaʻau e kahi loea olakino i aʻo ʻia (kauka a kahu maʻi paha) ma kahi haukapila a i ʻole ke keʻena lapaʻau. No laila, ʻaʻole pono ʻoe e hopohopo no kēia, e mālama pono lākou iā ʻoe.
Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
Inā ua kuhikuhi ʻia kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio me kāu pediatrician e pili ana i ia mea, no ka mea, pono paha ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau a inā paha ʻoe e ʻeha iki, e hoʻomaopopo 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.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
Aia kekahi mau mea āu e makaʻala ai i ka wā e lawe ai i kēia lāʻau.
1. Mai poina i nā hoʻokolohua i hoʻonohonoho ʻia: E nānā mau kāu kauka iā ʻoe i kou wā e lawe ana i kēia lāʻau lapaʻau. E kauoha ʻo ia i nā mea e like me ka hana koko . He mea nui no kou palekana e hana mau i kēia mau mea. Inā ʻoe e mālama ʻia no ka maʻi maka CMV, pono nō hoʻi ʻoe e nānā i kou mau maka i kēlā me kēia 4-6 pule.
2. E inu i ka wai nui: E ho'āʻo e inu ma ka liʻiliʻi he 6-8 mau kīʻaha wai a i ʻole nā wai ʻē aʻe i ka lā. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pilikia o ka hōʻino ʻana o nā puʻupaʻa a me nā hopena ʻaoʻao ʻē aʻe mai ka lāʻau lapaʻau.
3. Ka nānā kūikawā ʻana i ka hāpai ʻana (koʻikoʻi loa):
- No nā wāhine: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 30 mau lā ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. E haʻi koke i kāu kauka inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ʻoe e hāpai ana.
- No nā kāne: Inā ʻoe e lawe nei i kēia lāʻau lapaʻau, e pale i ka hānau ʻana i kahi keiki i ka wā o ka lāʻau lapaʻau a no 90 mau lā ma hope o ka hoʻōki ʻana.
He mea nui loa kēia no ka mea hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia. No laila e kamaʻilio me kāu kauka e pili ana i kēia no ka ʻike hou aku.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Ganciclovir ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau. Hōʻike maopopo ka papa ma lalo nei i kēia mau hopena ʻaoʻao a me nā mea e hana ai inā loaʻa.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana. |
| Nā loli o ka ʻike | ʻIke pōwehiwehi a i ʻole nā loli ʻē aʻe. |
| Kuni a i ʻole nā hōʻailona o ka maʻi | Kuni, anu, ʻeha ka ʻāʻī, nā ʻeha waha. |
| Ke kahe koko ʻano ʻē | Ke kahe koko ʻana a i ʻole ka palapū ʻana o ka ʻili ma ke ʻano maʻamau ʻole. |
| Nā pilikia mimi | Ka paʻakikī i ka mimi ʻana a i ʻole kahi loli i ka nui o ka mimi āu e hana ai. |
| Luhi maʻamau ʻole | Manaʻo luhi loa a nāwaliwali paha. |
| Nā hōʻailona neurological | ʻO ka poniuniu, ka mae ʻana o nā lālā, ka ʻeha. |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| ʻeha ka ʻōpū | ʻEha ka ʻōpū, ka nausea, a me ka luaʻi. |
| Makemake nui | Ua emi ka makemake e ʻai. |
Leka Lawe-Home
- He lāʻau ikaika ʻo Ganciclovir i hāʻawi ʻia ma o ka intravenous i loko o ka haukapila no nā maʻi viral koʻikoʻi e like me CMV.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āpau āu e lawe nei.
- E hōʻoia i kāu mau hoʻāʻo koko a me nā hoʻokolohua ʻē aʻe i kauoha ʻia e kāu kauka i ka manawa kūpono.
- He mea nui loa ia e pale aku i ka hāpai ʻana a i ʻole ka hānau ʻana i nā keiki i ka wā o ka mālama ʻana a no ka manawa a kāu kauka e haʻi aku ai iā ʻoe e hana pēlā.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke kuni, ke kahe koko ʻole, a i ʻole ka paʻakikī o ka hanu ʻana, e hoʻomaopopo koke i kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ka Bismuth Subsalicylate / Pepto-Bismol liquid/tablets?
He lāʻau lapaʻau holomua a kaulana loa kēia ma ke ao o Pink Medicine no ka hōʻoluʻolu koke ʻana i ka 'Dyspepsia/Indigestion', ka ʻeha puʻuwai, ka nausea, a ʻoi aku hoʻi ka 'Traveler's Diarrhea' i hoʻokumu ʻia e ka lāʻau make i ka meaʻai/wai! Kōkua nō hoʻi ia i ka luku ʻana i nā bacteria (e.g. H. pylori) e pili ana i ka ʻeha o ka ʻōpū.
💬 Pehea e hoʻōki koke ai i ka reflux acid/luaʻi a me ka maʻi diarrhea me kēia meli poni (Bismuth)?
Ke komo i loko o ke kino, ua haki ia i ʻelua ʻāpana (Bismuth + Salicylic acid). Hoʻokumu ʻo Bismuth i kahi uhi ma loko o ka ʻōpū a pale i ka ʻōpū mai ka hōʻino ʻia e ka waikawa. Pepehi pū ia i nā germs/bacteria i loko o ka ʻōpū (Antimicrobial). ʻO kekahi ʻāpana (Salicylate) e ālai loa i ka pehu/ka mumū i loko o nā ʻōpū (Anti-inflammatory/Prostaglandin inhibitor) a hoʻōki i ke kahe ʻana o ke wai.
💬 No ke aha i ʻeleʻele ai ka noho? No ke aha ʻoe e ʻōlelo ai ʻaʻole e hāʻawi aku i nā keiki ʻōpio?
ʻO ka mea weliweli loa, ʻoiai ua hana ʻia mai Aspirin/Salicylates, inā ʻoe e hāʻawi i kēia i nā 'keiki ʻōpio a me nā ʻōpio' me kahi kuni viral (e like me ka chickenpox, dengue, anu), hiki iā ʻoe ke loaʻa i kahi maʻi koʻikoʻi (Reye's Syndrome) kahi e pala ai ka lolo a me ke akepaʻa 100% a make!! Eia kekahi, hui pū kēia colloidal Bismuth me ka sulfur i loko o nā ʻōpū (Bismuth sulfide), a lilo kou mau ʻōpala a me kou alelo i 'ʻōpala/alelo ʻeleʻele' e like me ke kalapona no 2-3 mau lā (he hōʻailona maʻamau kēlā).
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