Ke hoʻopili ʻia nei ʻoe no ka maʻi Tuberculosis (TB)? E kamaʻilio kākou e pili ana i kēia lāʻau pale Isoniazid (INH)!

ʻO ka maʻi puʻupuʻu, a i ʻole e like me kā mākou e ʻike nei, ʻo ka T.B. (TB) he maʻi ia e pono ai ka nānā ʻana. No laila, ʻo kekahi o nā lāʻau lapaʻau nui i hāʻawi ʻia no kēia ʻo Isoniazid, kapa ʻia kekahi he INH. Ua kapa ʻia hoʻi ʻo Nydrazid ma ka mākeke. Malia paha ua hāʻawi ʻia kēia lāʻau iā ʻoe ma ke ʻano he pana. Inā pēlā, he mea nui loa kēia ʻatikala iā ʻoe. E nānā kākou i kāu mea e pono ai e ʻike e pili ana i kēia lāʻau.

He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?

Ma mua o kou hoʻomaka ʻana e lawe iā Isoniazid, aia kekahi mau mea āu e haʻi aku ai i kāu kauka a kahu maʻi paha. Eia kekahi o nā kūlana e hiki ai ke hoʻopilikia i ka wā e lawe ai i kēia lāʻau. E nānā inā pili kēia mau mea iā ʻoe:

• Inā he maʻi diabetes kou.
• Inā he maʻi HIV ʻoe.
• Inā he mea inu lama mau ʻoe.
• Inā he maʻi puʻupaʻa kou.
• Inā he maʻi kou i ke akepaʻa.
• Inā ʻaʻohe ou meaʻai pono ʻole, ʻo ia hoʻi, ʻaʻole lawa nā meaolaola i loko o kou kino.
• Inā he maneʻo kou mau manamana lima a me kou mau manamana wāwae, a i ʻole he maʻi aʻalolo ʻē aʻe kāu.
• Inā ua loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau isoniazid, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu meaʻai, a i ʻole nā ​​mea mālama.
• Inā hāpai ʻoe a i ʻole ke manaʻolana nei e hāpai.
• Inā he makuahine hānai waiū ʻoe.

Inā loaʻa kekahi mea e like me kēia, he mea nui loa ia e haʻi aku i ke kauka.

Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?

ʻO ka maʻamau, hāʻawi ʻia ʻo Isoniazid ma ke ʻano he inikini i loko o kahi ʻiʻo. Hāʻawi pinepine ʻia kēia iā ʻoe e kekahi loea mālama ola ma kahi haukapila a i ʻole ke keʻena lapaʻau.

Eia nō naʻe, i kekahi manawa pono paha ʻoe e hoʻohana i kēia lāʻau pale ma ka home. Inā pēlā, e aʻo ʻia ʻoe pehea e hoʻomākaukau ai a pehea e hoʻokomo ai. Pono ʻoe e hana pololei e like me ke kuhikuhi. E lawe i ka lāʻau i ka manawa kūpono, ma ka nui kūpono. Mai lawe ʻoi aku a emi mai paha ma mua o ka nui a kāu kauka e ʻōlelo ai iā ʻoe.

ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, mai hōʻemi a hoʻōki paha i ka lawe ʻana i kāu lāʻau lapaʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. ʻO ka hōʻole ʻana i nā lāʻau lapaʻau hiki ke hoʻolilo i kou TB i kūʻē i kēia lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe. ʻO ke ʻano o kēia, e paʻakikī ke ho'ōla i ka maʻi.

ʻO kekahi mea nui e waiho i kāu mau nila a me nā syringe i hoʻohana ʻia i loko o kahi pahu ʻoi. Mai hoʻolei iā lākou i loko o ka ʻōpala. Inā ʻaʻohe āu, e noi i kāu hale kūʻai lāʻau lapaʻau a mea mālama ola paha no hoʻokahi.

Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ʻoe e kamaʻilio me kāu kauka keiki e pili ana i ia mea. Pono paha ka mālama kūikawā.

Overdose: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ke kikowaena hoʻomalu lāʻau make kokoke loa a i ʻole ka lumi pilikia haukapila.

E hoʻomanaʻo hoʻi: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.

He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?

Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe (no ka laʻana, he mau hola wale nō ia), e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina. Inā hana kēia, e nīnau i kāu kauka.

Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)

Aia kekahi mau lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke hoʻopilikia i ka wā e hoʻohana ʻia ai me kēia lāʻau lapaʻau, ʻo Isoniazid, ʻo ia hoʻi, aia nā pilina.

Mai lawe pū me ka isoniazid i kēia mau mea:

Mai hoʻohana i kēia mau lāʻau lapaʻau inā ʻoe e lawe ana iā Isoniazid:

• ʻEntacapone
• Kī ʻōmaʻomaʻo (ʻoi aku ka nui)
• ʻO Levodopa
• Nā lāʻau lapaʻau MAOI (nā laʻana: Carbex, Eldepryl, Marplan, Nardil, a me Parnate)
• ʻO Procarbazine
• Ranolazine
• Tolcapone

Hiki ke loaʻa nā pilikia me kēia lāʻau lapaʻau:

Hiki i nā lāʻau lapaʻau aʻe ke launa pū me Isoniazid, no laila he mea nui e haʻi i kāu kauka inā ʻoe e lawe ana iā lākou:

• ʻO ka Acetaminophen (paracetamol e like me kā mākou e ʻike nei)
• ʻAila
• Nā antacids (nā lāʻau lapaʻau no ka mumū o ka ʻōpū a me ka gastritis)
• Nā lāʻau lapaʻau no ka maʻi diabetes
• Nā lāʻau lapaʻau no nā maʻi fungal (e.g. Ketoconazole, Itraconazole)
• Nā lāʻau lapaʻau no nā kūlana e like me ke kuʻi ʻana (e.g. Carbamazepine, Phenobarbital, Phenytoin, Valproic acid)
• ʻO ka Theophylline
• ʻO Zalcitabine

ʻAʻole paha e komo kēia papa inoa i nā pilina āpau. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā mea kanu, nā lāʻau lapaʻau i kauoha ʻole ʻia, nā huaora, a me nā mea hoʻohui meaʻai āu e lawe ai. E haʻi pū i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe i kū ʻole i ke kānāwai. Hiki i kekahi o kēia mau mea ke launa pū me kēia lāʻau.

Nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau

Aia kekahi mau mea e pono ai ʻoe e makaʻala nui i ka wā e lawe ai i kēia lāʻau:

• E ʻike pinepine i kāu kauka no nā nānā mau ʻana. E kauoha kāu kauka i ka hana koko maʻamau. He mea nui loa kēia.
• ʻOiai e lawe ana i kēia lāʻau lapaʻau, e noi ʻia paha ʻoe e lawe i nā mea hoʻohui huaora, ʻoiai ka huaora B6. E kamaʻilio me kāu kauka e pili ana i nā meaʻai āu e ʻai ai a me nā ʻano huaora āu e lawe ai.
• Hiki i ka waiʻona ke hoʻopilikia nui i ka pono o kēia lāʻau lapaʻau a hiki ke hōʻino i ke akepaʻa. No laila, e pale i ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau. He ʻōlelo aʻoaʻo koʻikoʻi loa kēia.
• Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā mau i kou kō koko e like me ka ʻōlelo a kāu kauka iā ʻoe. Eia kekahi, hiki i nā hoʻokolohua e nānā ana i ke kō i loko o kou mimi ke hāʻawi i kahi hopena wahaheʻe. E kamaʻilio me kāu kauka e pili ana i kēia.
• Hiki i kēia lāʻau lapaʻau ke hoʻemi i kāu mau pae o ka Vitamin D a me ka Vitamin B6. No laila, pono ʻoe e hōʻoia e loaʻa ana iā ʻoe ka lawa o kēia mau huaora i ka wā e lawe ana i kēia lāʻau lapaʻau. Ma waho aʻe o ka ʻai ʻana i kahi meaʻai kaulike, e kamaʻilio me kāu kauka e pili ana i ka lawe ʻana i nā mea hoʻohui huaora inā pono.

Nā hopena ʻaoʻao e hiki mai ana ma muli o kēia lāʻau lapaʻau

E like me nā lāʻau lapaʻau āpau, hiki iā Isoniazid ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, no laila pono ʻoe e haʻi koke i kāu kauka. ʻAʻole koʻikoʻi kekahi, akā inā hoʻopilikia lākou, pono ʻoe e haʻi i kāu kauka.

E haʻi koke aku i kāu kauka inā loaʻa iā ʻoe kēia mau hopena ʻaoʻao:

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e haʻi koke aku i kāu kauka a kauka paha:

• Nā hopena maʻi: ʻŌhūhū ʻili, hives, maneʻo nui, pehu ʻana o nā lehelehe, ke alelo, ka maka a i ʻole ka ʻāʻī, paʻakikī ka hanu ʻana.
• Paʻakikī ka hanu ʻana.
• Nā loli o ka ʻike: ʻike pōwehiwehi, ʻeha maka.
• ʻO ka mimi ʻeleʻele (e like me ke kala o ke kī).
• Kuni, ʻeha ka ʻāʻī, ʻehaʻeha ke kino (he mau hōʻailona paha kēia o kahi maʻi).
• Nā hallucinations, a i ʻole ka manaʻo o ka nalowale o ka ʻike.
• Ka nalowale o ka makemake, ka emi ʻana o ke kaumaha.
• Nā pilikia hoʻomanaʻo, paʻakikī i ka noʻonoʻo ʻana.
• Ka luaʻi, ka luaʻi (ʻoiai inā hoʻomau).
• ʻEha, mae wale, ʻūlū, a me ka nalowale o ka ʻike ma nā lālā (he hopena paha kēia ma nā aʻalolo - peripheral neuropathy).
• ʻUlaʻula o ka ʻili, pehu, ʻili o ka ʻili, a me nā ʻeha like i loko o ka waha.
• Nā hōʻailona o ka maʻi epilepsy (Seizures).
• ʻEha nui o ka ʻōpū.
• Ke kahe koko maʻamau ʻole (e like me ke kahe koko o ka ihu, nā ʻāʻī kahe koko) a i ʻole ka palapū o ka ʻili .
• Manaʻo luhi a me ka luhi ʻole i ke ʻano maʻamau.
• Melemele o nā maka a me ka ʻili (Jaundice): Hiki i kēia ke lilo i mau hōʻailona weliweli o nā pilikia o ke ake.

E haʻi i kāu kauka inā hoʻomau kēia mau hopena ʻaoʻao a hoʻopilikia paha:

ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao. Eia nō naʻe, inā hoʻomau lākou a hoʻopilikia paha e pale iā ʻoe mai ka hana ʻana i kāu mau hana o kēlā me kēia lā, e haʻi i kāu kauka:

• Ka hoʻonui ʻia a i ʻole ka ʻeha o nā umauma kāne (Gynecomastia).
• Ka maʻi pākī.
• ʻEha poʻo.
• E like me ka ʻeha, ka ʻulaʻula, a me ka pehu ma kahi i inikini ʻia.
• Ua like ia me ka ʻōpū ʻeha, ka ʻōpū nawaliwali.
• ʻAʻole hiki ke hiamoe, hoʻomaha ʻole.

ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē a ʻoluʻolu ʻole paha ma waho aʻe o kēia mau mea, mai kānalua e nīnau i kāu kauka e pili ana i ia mea.

Pehea e mālama ai i kēia lāʻau lapaʻau?

Pono e mālama ʻia kēia lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki.

Inā ʻoe e hoʻohana ana i kēia lāʻau lapaʻau ma ka home, e aʻo maopopo ʻia ʻoe i ke ʻano o ka mālama pono ʻana (e laʻa, ma ka mahana o ka lumi, kahi ʻole o ka mālamalama a me ka makū). E hoʻolei i nā lāʻau lapaʻau i hoʻohana ʻole ʻia ma hope o ka lā palena pau ma ka lepili.

Nā mea nui e hoʻomanaʻo

He maʻi hiki ke ho'ōla ʻia ka maʻi puʻupuʻu inā mālama pono ʻia. No laila, he lāʻau lapaʻau koʻikoʻi loa ka Isoniazid (INH) i hāʻawi ʻia no kēia.

• E hoʻohana i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, no ka lōʻihi o ka lāʻau lapaʻau. Mai hōʻalo i nā lāʻau a hoʻōki paha i ka lawe ʻana me ka ʻole o ke aʻo ʻana a kāu kauka, ʻoiai inā ʻoe e manaʻo nei ua maikaʻi aʻe.
• E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, nā maʻi ʻē aʻe āu e loaʻa ai, a me kāu mau ʻano (ʻoi aku ka hoʻohana ʻana i ka waiʻona).
• E makaʻala i nā hopena ʻaoʻao. Inā loaʻa iā ʻoe kekahi pilikia a i ʻole manaʻo i kekahi mea ʻē, mai makaʻu e nīnau i kāu kauka.
• E hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a e hoʻāʻo ʻia.
• E hōʻalo loa i ka waiʻona.

He mea nui loa kāu kākoʻo e ho'ōla piha i kēia maʻi! Inā he mau nīnau kāu, mai makaʻu e kamaʻilio me kāu kauka, kahu maʻi, a kauka lāʻau lapaʻau paha.

ʻO ka maʻi puʻupuʻu, Isoniazid, INH, TB, lāʻau lapaʻau TB, lāʻau pale INH, nā hopena ʻaoʻao