Ua ʻike anei ʻoe i ka wā e hāʻawi ai ke kauka iā ʻoe i kahi lāʻau lapaʻau, hāʻawi pinepine lākou iā ʻoe i kahi lāʻau ʻē aʻe e hoʻonui i ka pono o kēlā lāʻau lapaʻau a i ʻole e kōkua i kou kino e omo maikaʻi iā ia? ʻO Hyaluronidase kekahi o ia mau lāʻau "kōkua" e hana ana i kahi hana kūikawā. He mea kēia e hāʻawi pinepine ʻia me kahi inikini ʻē aʻe, ma mua o kahi lāʻau lapaʻau i hāʻawi wale ʻia. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku, a maʻalahi hoʻi, i kēia lā.
He aha ka Hyaluronidase?
I ka ʻōlelo maʻalahi, he protein ʻo Hyaluronidase e kū maoli ana i loko o ko kākou kino. I ka lāʻau lapaʻau, ua hoʻomaʻemaʻe ʻia a hoʻohana ʻia ma ke ʻano he inikini.
E noʻonoʻo i kahi lāʻau nui i hāʻawi ʻia iā ʻoe (no ka laʻana, kekahi mau ʻano wai i ka wā e hāʻawi ʻia ai ʻoe i ka saline) pono e hoʻolaha koke ʻia a maikaʻi ma waena o nā ʻiʻo o ke kino. I kēlā manawa, hāʻawi ʻia kēia inikini Hyaluronidase me kēlā lāʻau nui. ʻO ka mea e hana ʻia ana, ʻo ia ka wehe ʻana o Hyaluronidase i nā pale ma waena o nā ʻiʻo, e hoʻomākaukau ana i ke ala no kēlā lāʻau nui e neʻe maʻalahi. I nā huaʻōlelo ʻē aʻe, ʻaʻole kēia he lāʻau lapaʻau no kahi maʻi nui, akā he mea hoʻohui wale nō i kahi lāʻau lapaʻau ʻē aʻe.
Hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole ma Sri Lanka a ma nā ʻāina ʻē, e like me 'Amphadase', 'Hydase', a me 'Wydase'.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
He mea nui loa kēia. Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau pale iā ʻoe, he mea nui e haʻi i kāu kauka i kēia ʻike.
- Nā maʻi ʻaleka: E haʻi i kāu kauka inā loaʻa iā ʻoe kahi maʻi ʻaleka koʻikoʻi i nā ʻā ʻana o nā pepeke, e like me nā pi a i ʻole nā nalo. Eia kekahi, e haʻi i kāu kauka inā loaʻa iā ʻoe kahi maʻi ʻaleka i nā protein pipi, Thimerosal (kahi mea mālama i hoʻohana ʻia i kekahi mau lāʻau lapaʻau), a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu.
- Nā maʻi e kū nei: Inā he maʻi, ʻeha, a ʻōpū paha ma luna a puni paha o ka ʻili kahi e hāʻawi ʻia ai ka inikini, he mea nui e haʻi aku.
- Hāpai a me ka hānai waiū: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai waiū paha, he mea nui loa ia e hoʻomaopopo i kāu kauka.
He mea nui loa ke kamaʻilio ʻana me ke kauka me ka hūnā ʻole ʻana i kēia ʻano ʻike no kou palekana.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi wale ʻia nā inikini Hyaluronidase iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha i aʻo ʻia . Hāʻawi pinepine ʻia lākou ma lalo o ka ʻili (subcutaneously) a i ʻole i loko o kahi ʻiʻo (intramuscularly).
Hoʻohana nā kauka i kēia lāʻau lapaʻau i kekahi mau hihia kūikawā no nā keiki ʻōpio, ʻoiai nā pēpē hānau hou. Akā, ua mālama ʻia nā hana palekana kūikawā. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki, e kamaʻilio pono me kāu kauka pediatric e pili ana i ia mea a e ʻike i nā kikoʻī.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau? (Overdose)
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, haʻahaʻa loa ka manawa kūpono o ka kuhihewa ʻana i ka nui o ka lāʻau. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe a inā paha e hana ʻia kekahi mea e like me kēia, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila . Hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo inā pono.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Hyaluronidase. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā mea hoʻohui lāʻau lapaʻau, nā huaora, a me nā lāʻau lapaʻau lāʻau.
| ʻO kekahi mau ʻano lāʻau lapaʻau e hiki ke hoʻopili me Hyaluronidase | |
|---|---|
| ACTH (kahi ʻano hormone) | Furosemide (kahi lāʻau lapaʻau i hāʻawi ʻia e wehe i ka wai mai ke kino) |
| Nā antihistamines (nā lāʻau lapaʻau no nā maʻi allergies) | ʻO Phenytoin (he lāʻau lapaʻau no ka maʻi epilepsy) |
| ʻAspirin a me nā lāʻau like | Nā ʻano steroid (Steroids - e.g. Prednisone, Cortisone) |
| ʻO Benzodiazepines (nā lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe) | ʻO nā hormones wahine e like me ka estrogen (Estrogens) |
ʻAʻole i piha kēia papa inoa, no laila e hoʻomaopopo pono e haʻi i kāu kauka e pili ana i nā mea āu e lawe nei.
Nā hopena ʻaoʻao hiki
E like me nā lāʻau lapaʻau āpau, hiki i ka Hyaluronidase ke hana i nā hopena ʻaoʻao i kekahi poʻe. Hiki i kekahi o kēia mau mea ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā mea e haʻi koke aku ai i kāu kauka a kahu maʻi paha | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana, ka manaʻo o ka ʻūmiʻi ma ka umauma. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki a kūpono ʻole, ʻeha umauma. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ka luaʻi nui a i ʻole ka luaʻi ʻana, ke anu a me ke kuni, nāwaliwali, ka poniuniu, a me ka pehu nui ma kahi i ini ʻia. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā hopena liʻiliʻi ma kahi i hoʻokomo ʻia | ʻUlaʻula, ʻeha iki, a pehu paha ma kahi i inikini ʻia. |
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
- ʻAʻole ʻo Hyaluronidase kahi lāʻau lapaʻau nui no kahi maʻi. He lāʻau "adjuvant" ia i hāʻawi ʻia e hoʻoikaika i ka pono o kahi lāʻau pale ʻē aʻe.
- E hōʻoia e haʻi i kāu kauka e pili ana i kekahi mau maʻi allergies āu e loaʻa ai (ʻoi aku hoʻi i ka venom pi a me ka pipi) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Hāʻawi wale ʻia kēia lāʻau pale e kekahi loea lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole ia he lāʻau lapaʻau e hiki ke lawe ʻia i ka home a hoʻohana ʻia.
- Inā loaʻa iā ʻoe nā hōʻailona maʻi ʻaleka koʻikoʻi e like me ka pehu ʻana o ka maka, ka ʻāʻī, a i ʻole ka paʻakikī o ka hanu ʻana, he pilikia ia. E ʻimi koke i ke kōkua lapaʻau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, ʻo ke kanaka maikaʻi loa e nīnau aku ai ʻo kāu kauka.
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